Document:

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                                                                    EXHIBIT 10.2
[EXECUTION COPY]

                     AMENDED AND RESTATED CREDIT AGREEMENT,

                         dated as of December 19, 2001,

                  (amending and restating the Credit Agreement,
                           dated as of June 13, 2001)

                                      among

                          USP DOMESTIC HOLDINGS, INC.,
                               as the US Borrower,

                             USPE HOLDINGS LIMITED,
                               as the UK Borrower,

                VARIOUS FINANCIAL INSTITUTIONS FROM TIME TO TIME
                                 PARTIES HERETO,
                                 as the Lenders,

                           CREDIT SUISSE FIRST BOSTON,
                  as the Administrative Agent for the Lenders,

                          LEHMAN COMMERCIAL PAPER INC.,
                    as the Syndication Agent for the Lenders,

                                       and

                                SOCIETE GENERALE,
                   as the Documentation Agent for the Lenders.

                           ---------------------------

                           CREDIT SUISSE FIRST BOSTON,
                      as Lead Arranger and Sole Bookrunner

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                             TABLE OF CONTENTS

<Table>
<Caption>

SECTION                                                                                                        PAGE

                                    ARTICLE I DEFINITIONS AND ACCOUNTING TERMS
<S>   <C>      <C>                                                                                             <C>
1.1.  Defined Terms...............................................................................................2
1.2.  Use of Defined Terms.......................................................................................27
1.3.  Cross-References...........................................................................................28
1.4.  Accounting and Financial Determinations....................................................................28

              ARTICLE II COMMITMENTS, BORROWING AND ISSUANCE PROCEDURES, NOTES AND LETTERS OF CREDIT
2.1.  Commitments................................................................................................28
       2.1.1.  Revolving Loan Commitment.........................................................................28
       2.1.2.  Letter of Credit Commitment.......................................................................29
       2.1.3.  Assignment and Reallocation of Existing Loans and Commitments.....................................29
2.2.  Reduction of the Commitment Amounts........................................................................30
       2.2.1.  Optional..........................................................................................30
       2.2.2.  Mandatory.........................................................................................30
2.3.  Borrowing Procedures.......................................................................................30
2.4.  Continuation and Conversion Elections......................................................................31
2.5.  Funding....................................................................................................31
2.6.  Issuance Procedures........................................................................................32
       2.6.1.  Other Lenders' Participation......................................................................32
       2.6.2.  Disbursements.....................................................................................32
       2.6.3.  Reimbursement.....................................................................................33
       2.6.4.  Deemed Disbursements..............................................................................33
       2.6.5.  Nature of Reimbursement Obligations...............................................................33
2.7.  Revolving Notes............................................................................................34
3.1.  Repayments and Prepayments; Application....................................................................35
       3.1.1.  Repayments and Prepayments........................................................................35
       3.1.2.  Application.......................................................................................37
3.2.  Interest Provisions........................................................................................37
       3.2.1.  Rates.............................................................................................37
       3.2.2.  Post-Maturity Rates...............................................................................38
       3.2.3.  Payment Dates.....................................................................................38
3.3.  Fees.......................................................................................................39
       3.3.1.  Commitment Fee....................................................................................39
       3.3.2.  Fee Letter Fees...................................................................................39
       3.3.3.  Letter of Credit Fee..............................................................................39

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                                  ARTICLE IV CERTAIN LIBO RATE AND OTHER PROVISIONS
4.1.  LIBO Rate Lending Unlawful.................................................................................39
4.2.  Deposits Unavailable.......................................................................................40
4.3.  Increased LIBO Rate Loan Costs, etc........................................................................40
4.4.  Funding Losses.............................................................................................40
4.5.  Increased Capital Costs....................................................................................41
4.6.  Taxes......................................................................................................41
4.7.  Payments, Computations, etc................................................................................44
4.8.  Sharing of Payments........................................................................................44
4.9.  Setoff.....................................................................................................45

                      ARTICLE V CONDITIONS TO EFFECTIVENESS AND TO FUTURE CREDIT EXTENSIONS
5.1.  Effectiveness..............................................................................................45
       5.1.1.  Resolutions, etc..................................................................................45
       5.1.2.  Delivery of Revolving Notes.......................................................................46
       5.1.3.  ..................................................................................................46
       5.1.4.  Opinions of Counsel...............................................................................46
       5.1.5.  ..................................................................................................46
       5.1.6.  Affirmation and Acknowledgment....................................................................46
       5.1.7.  Supplement to US Borrower Pledge and Security Agreement...........................................46
       5.1.8.  Supplement to US Subsidiary Guaranty..............................................................47
       5.1.9.  Supplement to US Subsidiary Pledge and Security Agreement.........................................47
       5.1.10.  Closing Fees, Expenses, etc......................................................................48
5.2.  Credit Extensions..........................................................................................48
       5.2.1.  Compliance with Warranties, No Default, etc.......................................................48
       5.2.2.  Credit Extension Request, etc.....................................................................48
       5.2.3.  Satisfactory Legal Form...........................................................................48
5.3.  Availability of Additional Loans and Borrowings by the UK Borrower.........................................48
       5.3.1.  UK Borrower Pledge and Security Agreement. .......................................................49
       5.3.2.  USP International Guaranty and Pledge Agreement...................................................49
       5.3.3.  Foreign Subsidiary Guaranty.......................................................................50
       5.3.4.  Foreign Subsidiary Pledge and Security Agreement..................................................50
       5.3.5.  Mortgages.........................................................................................51
       5.3.6.  Opinions of Counsel...............................................................................51

                                     ARTICLE VI REPRESENTATIONS AND WARRANTIES
6.1.  Organization, etc..........................................................................................51
6.2.  Due Authorization, Non-Contravention, etc..................................................................52
6.3.  Government Approval, Regulation, etc.......................................................................52
6.4.  Validity, etc..............................................................................................52
6.5.  Financial Information......................................................................................52
6.6.  No Material Adverse Change.................................................................................53

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6.7.  Litigation, Labor Controversies, etc.......................................................................53
6.8.  Subsidiaries...............................................................................................53
6.9.  Ownership of Properties....................................................................................53
6.10.  Taxes.....................................................................................................53
6.11.  Pension and Welfare Plans.................................................................................53
6.12.  Environmental Warranties..................................................................................54
6.13.  Accuracy of Information...................................................................................55
6.14.  Regulations T, U and X....................................................................................55
6.15.  Absence of Any Undisclosed Liabilities....................................................................55
6.16.  Issuance of Subordinated Debt; Status of Obligations as Senior Indebtedness, etc..........................55

                                               ARTICLE VII COVENANTS
7.1.  Affirmative Covenants......................................................................................56
       7.1.1.  Financial Information, Reports, Notices, etc......................................................56
       7.1.2.  Maintenance of Existence; Compliance with Laws, etc...............................................58
       7.1.3.  Maintenance of Properties.........................................................................58
       7.1.4.  Insurance.........................................................................................58
       7.1.5.  Books and Records.................................................................................59
       7.1.6.  Environmental Law Covenant........................................................................59
       7.1.7.  Use of Proceeds...................................................................................59
       7.1.8.  Future Guarantors, Security, etc..................................................................60
       7.1.9.  Rate Protection Agreements........................................................................60
       7.1.10.  Dispositions of Real Property....................................................................60
       7.1.11.  Restricted Entity Acknowledgments................................................................61
7.2.  Negative Covenants.........................................................................................61
       7.2.1.  Business Activities...............................................................................61
       7.2.2.  Indebtedness......................................................................................61
       7.2.3.  Liens.............................................................................................63
       7.2.4.  Financial Condition and Operations................................................................64
       7.2.5.  Investments.......................................................................................66
       7.2.6.  Restricted Payments...............................................................................67
       7.2.7.  Capital Expenditures..............................................................................68
       7.2.8.  No Prepayment of Subordinated Debt................................................................68
       7.2.9.  Issuance of Equity Interests......................................................................68
       7.2.10.  Consolidation, Merger, etc.......................................................................68
       7.2.11.  Permitted Dispositions...........................................................................69
       7.2.12.  Modification of Certain Agreements...............................................................69
       7.2.13.  Transactions with Affiliates.....................................................................70
       7.2.14.  Restrictive Agreements, etc......................................................................70
       7.2.15.  Sale and Leaseback...............................................................................70
       7.2.16.  Foreign Subsidiaries.............................................................................71
       7.2.17.  Amendment of Organic Documents...................................................................71
       7.2.18.  Fiscal Year......................................................................................71

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       7.2.19.  Limitations on Intercompany Loans and Transfers..................................................71

                                         ARTICLE VIII EVENTS OF DEFAULT
8.1.  Listing of Events of Default...............................................................................71
       8.1.1.  Non-Payment of Obligations........................................................................71
       8.1.2.  Breach of Warranty................................................................................71
       8.1.3.  Non-Performance of Certain Covenants and Obligations..............................................72
       8.1.4.  Non-Performance of Other Covenants and Obligations................................................72
       8.1.5.  Default on Other Indebtedness.....................................................................72
       8.1.6.  Judgments.........................................................................................72
       8.1.7.  Pension Plans.....................................................................................72
       8.1.8.  Change in Control.................................................................................73
       8.1.9.  Bankruptcy, Insolvency, etc.......................................................................73
       8.1.10.  Impairment of Security, etc......................................................................73
       8.1.11.  Failure of Subordination.........................................................................73
       8.1.12.  Parent Total Debt to Parent Total Capitalization Ratio...........................................74
8.2.  Action if Bankruptcy.......................................................................................74
8.3.  Action if Other Event of Default...........................................................................74
9.1.  Actions....................................................................................................74
9.2.  Funding Reliance, etc......................................................................................75
9.3.  Exculpation................................................................................................75
9.4.  Successor..................................................................................................76
9.5.  Credit Extensions by CSFB..................................................................................76
9.6.  Credit Decisions...........................................................................................76
9.7.  Copies, etc................................................................................................77
9.8.  Reliance by Administrative Agent...........................................................................77
9.9.  Defaults...................................................................................................77
9.10.  Syndication Agent and Documentation Agent.................................................................78

                                        ARTICLE X US BORROWER GUARANTY
10.1.  Guaranty..................................................................................................78
10.2.  Acceleration of Obligations Hereunder.....................................................................78
10.3.  Obligations Hereunder Absolute, etc.......................................................................79
10.4.  Reinstatement, etc........................................................................................80
10.5.  Waiver, etc...............................................................................................80
10.6.  Postponement of Subrogation...............................................................................80
10.7.  Successors, Transferees and Assigns; Transfers of Notes, etc..............................................81

                                     ARTICLE XI MISCELLANEOUS PROVISIONS
11.1.  Waivers, Amendments, etc..................................................................................81
11.2.  Notices; Time.............................................................................................82
11.3.  Payment of Costs and Expenses.............................................................................82
11.4.  Indemnification...........................................................................................83

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11.5.  Survival..................................................................................................84
11.6.  Severability..............................................................................................84
11.7.  Headings..................................................................................................84
11.8.  Execution in Counterparts, Effectiveness, etc.............................................................85
11.9.  Governing Law; Entire Agreement...........................................................................85
11.10.  Successors and Assigns...................................................................................85
11.11.  Other Transactions.......................................................................................87
11.12.  Forum Selection and Consent to Jurisdiction..............................................................87
11.13.  Waiver of Jury Trial.....................................................................................88
11.14.  Confidentiality..........................................................................................89

</Table>

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SCHEDULE I     -    Disclosure Schedule
SCHEDULE II    -    Notice Information; Percentages; LIBOR Office

EXHIBIT A      -    Form of Revolving Note
EXHIBIT B      -    Form of Borrowing Request
EXHIBIT C      -    Form of Issuance Request
EXHIBIT D      -    Form of Continuation/Conversion Notice
EXHIBIT E      -    Form of Compliance Certificate
EXHIBIT F      -    Form of Lender Assignment Agreement

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                      AMENDED AND RESTATED CREDIT AGREEMENT

         THIS AMENDED AND RESTATED CREDIT AGREEMENT, dated as of December 19,
2001, is among USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the "US
BORROWER"), USPE HOLDINGS LIMITED, a company incorporated in England and Whales
(the "UK BORROWER", and together with the US Borrower, collectively, the
"BORROWERS" and each individually a "BORROWER"), the various financial
institutions and other Persons from time to time parties hereto (the "LENDERS"),
CREDIT SUISSE FIRST BOSTON ("CSFB"), as administrative agent (in such capacity,
the "ADMINISTRATIVE AGENT") for the Lenders, LEHMAN COMMERCIAL PAPER INC.
("LEHMAN"), as syndication agent (in such capacity, the "SYNDICATION AGENT") for
the Lenders, and SOCIETE GENERALE ("SG"), as documentation agent (in such
capacity, the "DOCUMENTATION AGENT") for the Lenders.

                              W I T N E S S E T H:
                               -------------------

         WHEREAS, the US Borrower is a direct wholly-owned Subsidiary of United
Surgical Partners Holdings, Inc., a Delaware corporation ("HOLDINGS"), the UK
Borrower is a direct wholly-owned Subsidiary of USP International Holdings,
Inc., a Delaware corporation ("USP INTERNATIONAL"), USP International is a
direct wholly-owned subsidiary of Holdings and Holdings is a direct wholly-owned
Subsidiary of United Surgical Partners International, Inc., a Delaware
corporation ("PARENT");

         WHEREAS, pursuant to the Credit Agreement, dated as of June 13, 2001
(as amended, supplemented, amended and restated or otherwise modified prior to
the date hereof, the "EXISTING CREDIT AGREEMENT"), among the US Borrower, the
various financial institutions and other Persons parties thereto (the "EXISTING
LENDERS"), CSFB, as administrative agent thereunder, Lehman, as syndication
agent thereunder, and SG, as documentation agent thereunder, the Existing
Lenders were committed to make extensions of credit to the US Borrower on the
terms and conditions set forth therein and made loans (the "EXISTING LOANS") to
the US Borrower;

         WHEREAS, in connection with the ongoing working capital and general
corporate needs of the Borrowers and their Consolidated Entities, the Borrowers
desire, among other things, to continue the Existing Loans as Loans under this
Agreement and to obtain Commitments to make Credit Extensions set forth herein
(to include availability for revolving loans and letters of credit); and

         WHEREAS, the Borrowers have requested that the Existing Credit
Agreement be amended and restated in its entirety to become effective and
binding on the Borrowers pursuant

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to the terms of this Agreement, and the Lenders (including the Existing
Lenders) have agreed (subject to the terms of this Agreement) to amend and
restate the Existing Credit Agreement in its entirety to read as set forth in
this Agreement, and it has been agreed by the parties to the Existing Credit
Agreement that (a) the commitments which the Existing Lenders have agreed to
extend to the US Borrower under the Existing Credit Agreement shall be
extended or advanced to the Borrowers upon the amended and restated terms and
conditions contained in this Agreement, and (b) the Existing Loans and other
Obligations outstanding under the Existing Credit Agreement shall be governed
by and deemed to be outstanding under the amended and restated terms and
conditions contained in this Agreement, with the intent that the terms of
this Agreement shall supersede the terms of the Existing Credit Agreement
(each of which shall hereafter have no further effect upon the parties
thereto, other than for accrued fees and expenses, and indemnification
provisions, accrued and owing under the terms of the Existing Credit
Agreement on or prior to the date hereof or arising (in the case of an
indemnification) under the terms of the Existing Credit Agreement); PROVIDED,
that any Rate Protection Agreements with any one or more Existing Lenders (or
their respective Affiliates) shall continue unamended and in full force and
effect;

         WHEREAS, all Obligations are and shall continue to be secured by, among
other things, the Pledge Agreements and the other Loan Documents and shall be
guaranteed pursuant to the Subsidiary Guaranty; and

         NOW, THEREFORE, the parties hereto hereby agree to amend and restated
the Existing Credit Agreement, and the Existing Credit Agreement is hereby
amended and restated in its entirety as follows:

                                    ARTICLE I
                        DEFINITIONS AND ACCOUNTING TERMS

         SECTION 1.1. DEFINED TERMS. The following terms (whether or not
underscored) when used in this Agreement, including its preamble and recitals,
shall, except where the context otherwise requires, have the following meanings
(such meanings to be equally applicable to the singular and plural forms
thereof):

         "ACQUIRED PERSON EBITDAM" means, with respect to any Person acquired in
connection with a Permitted Acquisition, for the twelve month period prior to
the date of the consummation of such Permitted Acquisition, the sum of (a) the
net income of such Person, PLUS (b) to the extent deducted in determining such
net income, the sum of amounts attributable to (i) amortization, (ii) income tax
expense, (iii) interest expense, (iv) depreciation of assets and (v) management
fees, in each case determined in a manner substantially similar to the
determination of similar items in the definition of EBITDA herein.

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         "ADMINISTRATIVE AGENT" is defined in the PREAMBLE and includes each
other Person appointed as the successor Administrative Agent pursuant to SECTION
9.4.

         "AFFILIATE" of any Person means any other Person which, directly or
indirectly, controls, is controlled by or is under common control with such
Person. "Control" of a Person means the power, directly or indirectly, (a) to
vote 10% or more of the Equity Interests (on a fully diluted basis) of such
Person having ordinary voting power for the election of directors, managing
members or general partners (as applicable); or (b) to direct or cause the
direction of the management and policies of such Person (whether by contract or
otherwise).

         "AFFIRMATION AND ACKNOWLEDGMENT" means the Affirmation and
Acknowledgment executed and delivered by an Authorized Officer of each Obligor
pursuant to the terms of this Agreement, in form and substance satisfactory to
the Administrative Agent.

         "AGENTS" means, collectively, the Administrative Agent, the Syndication
Agent and the Documentation Agent.

         "AGREEMENT" means, on any date, the Existing Credit Agreement as
amended and restated hereby and as further amended, supplemented, amended and
restated or otherwise modified from time to time and in effect on such date.

         "ALTERNATE BASE RATE" means, on any date and with respect to all Base
Rate Loans, a fluctuating rate of interest per annum (rounded upward, if
necessary, to the next highest 1/16 of 1%) equal to the higher of

                  (a) the Base Rate in effect on such day; and

                  (b) the Federal Funds Rate in effect on such day plus1/2of 1%.

Changes in the rate of interest on that portion of any Loans maintained as Base
Rate Loans will take effect simultaneously with each change in the Alternate
Base Rate. The Administrative Agent will give notice promptly to the Borrowers
and the Lenders of changes in the Alternate Base Rate; PROVIDED that the failure
to give such notice shall not affect the Alternate Base Rate in effect after
such change.

         "AMENDMENT FEE LETTER" means the confidential letter, dated December
18, 2001, between the Agent and the Borrowers.

         "AMENDMENT EFFECTIVE DATE" means December 19, 2001, the date this
Agreement became effective pursuant to SECTIONS 5.1 and 11.8.

         "ANNUALIZED" means, (a) with respect to the end of the first Fiscal
Quarter of the 2001 Fiscal Year, the applicable amount for such Fiscal Quarter
multiplied by four, (b) with respect to

                                      -3-
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the second Fiscal Quarter of the 2001 Fiscal Year, the applicable amount for
such Fiscal Quarter and the immediately preceding Fiscal Quarter multiplied
by two, and (c) with respect to the third Fiscal Quarter of the 2001 Fiscal
Year, the applicable amount for such Fiscal Quarter and the two immediately
preceding Fiscal Quarters multiplied by one and one-third.

         "APPLICABLE MARGIN" means the applicable percentage set forth below
corresponding to the relevant Total Debt to EBITDA Ratio:

<Table>
<Caption>
                                  Applicable               Applicable
    Total Debt to                 Margin For               Margin For
     EBITDA RATIO              Base Rate Loans           LIBO Rate Loans
------------------------
<S>                            <C>                       <C>
      => 3.00:1                     2.25%                     3.25%

=> 2.25:1 and < 3.00:1              2.00%                     3.00%

=> 1.75:1 and < 2.25:1              1.75%                     2.75%

       < 1.75:1                     1.50%                     2.50%

</Table>

Notwithstanding anything to the contrary set forth in this Agreement (including
the then effective Total Debt to EBITDA Ratio), the Applicable Margin for all
Loans (a) from the Effective Date through (and including) the Amendment
Effective Date shall be 2.00% for Base Rate Loans and 3.00% for LIBO Rate Loans,
and (b) from the Amendment Effective Date through (and including) the date upon
which the next Compliance Certificate is delivered to the Administrative Agent
pursuant to clause (c) of Section 7.1.1 shall be based on the pro forma Total
Debt to EBITDA Ratio on the Amendment Effective Date (giving effect to all
transactions contemplated on the Amendment Effective Date). Thereafter, the
Total Debt to EBITDA Ratio used to compute the Applicable Margin shall be the
Total Debt to EBITDA Ratio set forth in the Compliance Certificate most recently
delivered by the Borrowers to the Administrative Agent. Changes in the
Applicable Margin resulting from a change in the Total Debt to EBITDA Ratio
shall become effective upon delivery by the Borrowers to the Administrative
Agent of a new Compliance Certificate pursuant to CLAUSE (c) of SECTION 7.1.1.
If the Borrowers shall fail to deliver a Compliance Certificate within 45 days
after the end of any Fiscal Quarter (or within 90 days, in the case of the last
Fiscal Quarter of the Fiscal Year), the Applicable Margin from and including the
46th (or 91st, as the case may be) day after the end of such Fiscal Quarter to
but not including the date the Borrowers deliver to the Administrative Agent a
Compliance Certificate shall conclusively equal the highest Applicable Margin
set forth above.

         "APPROVED FUND" means any Person (other than a natural Person) that (a)
is or will be engaged in making, purchasing, holding or otherwise investing in
commercial loans and similar extensions of credit in the ordinary course of its
business, and (b) is administered or managed by

                                      -4-
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a Lender, an Affiliate of a Lender or an entity or an Affiliate of an entity
that administers or manages a Lender.

         "AUTHORIZED OFFICER" means, relative to any Obligor, those of its
officers, general partners or managing members (as applicable) whose signatures
and incumbency shall have been certified to the Administrative Agent, the
Lenders and the Issuer pursuant to SECTION 5.1.1.

         "BASE RATE" means, at any time, the rate of interest then most recently
established by the Administrative Agent in New York as its base rate for Dollars
loaned in the United States. The Base Rate is not necessarily intended to be the
lowest rate of interest determined by the Administrative Agent in connection
with extensions of credit.

         "BASE RATE LOAN" means a Loan bearing interest at a fluctuating rate
determined by reference to the Alternate Base Rate.

         "BORROWER" and "BORROWERS" are defined in the PREAMBLE.

         "BORROWING" means the Loans of the same type and, in the case of LIBO
Rate Loans, having the same Interest Period made by all Lenders required to make
such Loans on the same Business Day and pursuant to the same Borrowing Request
in accordance with SECTION 2.1.1.

         "BORROWING REQUEST" means a Loan request and certificate duly executed
by an Authorized Officer of the applicable Borrower, substantially in the form
of EXHIBIT B hereto.

         "BUSINESS DAY" means

                  (a)  any day which is neither a Saturday or Sunday nor a
         legal holiday on which banks are authorized or required to be closed
         in New York, New York; and

                  (b) relative to the making, continuing, prepaying or repaying
         of any LIBO Rate Loans, any day which is a Business Day described in
         CLAUSE (a) above and which is also a day on which dealings in Dollars
         are carried on in the London interbank eurodollar market.

         "CAPITAL EXPENDITURES" means, for any period, the aggregate amount of
(a) all expenditures of the Borrowers and their Consolidated Entities for fixed
or capital assets made during such period which, in accordance with GAAP, would
be classified as capital expenditures and (b) Capitalized Lease Liabilities
incurred by the Borrowers and their Consolidated Entities during such period.

         "CAPITALIZED LEASE LIABILITIES" means, with respect to any Person, all
monetary obligations of such Person under any leasing or similar arrangement
which have been (or, in accordance with GAAP, should be) classified as
capitalized leases, and for purposes of each

                                      -5-
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Loan Document the amount of such obligations shall be the capitalized amount
thereof, determined in accordance with GAAP, and the stated maturity thereof
shall be the date of the last payment of rent or any other amount due under
such lease prior to the first date upon which such lease may be terminated by
the lessee without payment of a premium or a penalty.

         "CASH COLLATERALIZE" means, with respect to a Letter of Credit, the
deposit of immediately available funds into a cash collateral account maintained
with (or on behalf of) the Administrative Agent on terms satisfactory to the
Administrative Agent in an amount equal to the Stated Amount of such Letter of
Credit.

         "CASH EQUIVALENT INVESTMENT" means, at any time:

                  (a) any direct obligation of (or unconditionally guaranteed
         by) the United States or a State thereof (or any agency or political
         subdivision thereof, to the extent such obligations are supported by
         the full faith and credit of the United States or a State thereof)
         maturing not more than one year after such time;

                  (b)  commercial paper maturing not more than 270 days from
         the date of issue, which is issued by

                           (i) a corporation (other than an Affiliate of any
                  Obligor) organized under the laws of any State of the United
                  States or of the District of Columbia and rated A-1 or higher
                  by S&P or P-1 or higher by Moody's, or

                           (ii)  any Lender (or its holding company);

                  (c) any certificate of deposit, time deposit or bankers
         acceptance, maturing not more than one year after its date of issuance,
         which is issued by either

                           (i) any bank organized under the laws of the United
                  States (or any State thereof) and which has (x) a credit
                  rating of A2 or higher from Moody's or A or higher from S&P
                  and (y) a combined capital and surplus greater than
                  $500,000,000, or

                           (ii)  any Lender; or

                  (d) any repurchase agreement having a term of 30 days or less
         entered into with any Lender or any commercial banking institution
         satisfying the criteria set forth in CLAUSE (c)(i) which

                           (i)  is secured by a fully perfected security
         interest in any obligation of the type described in CLAUSE (a), and

                                      -6-
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                           (ii) has a market value at the time such repurchase
                  agreement is entered into of not less than 100% of the
                  repurchase obligation of such commercial banking institution
                  thereunder.

         "CASUALTY EVENT" means the damage, destruction or condemnation, as the
case may be, of property of any Person or any of its Subsidiaries.

         "CERCLA" means the Comprehensive Environmental Response, Compensation
and Liability Act of 1980, as amended.

         "CERCLIS" means the Comprehensive Environmental Response Compensation
Liability Information System List.

         "CHANGE IN CONTROL" means

                  (a) the failure of Parent at any time to directly own
         beneficially and of record on a fully diluted basis 100% of the
         outstanding Equity Interests of Holdings, such Equity Interests to be
         held free and clear of all Liens (other than Liens granted under a Loan
         Document); or

                  (b) the failure of Holdings at any time to directly or
         indirectly own beneficially and of record on a fully diluted basis 100%
         of the outstanding Equity Interests of the US Borrower and the UK
         Borrower, such Equity Interests to be held free and clear of all Liens
         (other than Liens granted under a Loan Document); or

                  (c) any person or group (within the meaning of Sections 13(d)
         and 14(d) under the Exchange Act), other than Welsh, Carson, Anderson &
         Stowe VII, L.P. or its Affiliates, shall become the ultimate
         "beneficial owner" (as defined in Rules 13d-3 and 13d-5 under the
         Exchange Act), directly or indirectly, of Equity Interests representing
         more than 40% of the Equity Interests of Parent on a fully diluted
         basis; or

                  (d) during any period of 24 consecutive months, individuals
         who at the beginning of such period constituted the Board of Directors
         of Parent (together with any new directors whose election to such Board
         or whose nomination for election by the stockholders of Parent was
         approved by a vote of a majority of the directors then still in office
         who were either directors at the beginning of such period or whose
         election or nomination for election was previously so approved) cease
         for any reason to constitute a majority of the Board of Directors of
         Parent then in office; or

                  (e) the occurrence of any "Change of Control" (or similar
         term) under (and as defined in) any Sub Debt Document.

         "CLOSING DATE" means June 13, 2001.

                                      -7-
<Page>

         "CODE" means the Internal Revenue Code of 1986, and the regulations
thereunder, in each case as amended, reformed or otherwise modified from time to
time.

         "COMMITMENT" means, as the context may require, the Revolving Loan
Commitment or the Letter of Credit Commitment.

         "COMMITMENT AMOUNT" means, as the context may require, the Revolving
Loan Commitment Amount or the Letter of Credit Commitment Amount.

         "COMMITMENT TERMINATION DATE" means the earliest of

                  (a)  December 19, 2004;

                  (b) the date on which the Revolving Loan Commitment Amount is
         terminated in full or reduced to zero pursuant to the terms of this
         Agreement; and

                  (c)  the date on which any Commitment Termination Event
         occurs.

Upon the occurrence of any event described in the preceding CLAUSES (b) or (c),
the Commitments shall terminate automatically and without any further action.

         "COMMITMENT TERMINATION EVENT" means

                  (a)  the occurrence of any Event of Default with respect to
         the Borrowers described in CLAUSES (a) through (d) of SECTION 8.1.9; or

                  (b)  the occurrence and continuance of any other Event of
         Default and either

                           (i)  the declaration of all or any portion of the
                  Loans to be due and payable pursuant to SECTION 8.3, or

                           (ii) the giving of notice by the Administrative
                  Agent, acting at the direction of the Required Lenders, to the
                  Borrowers that the Commitments have been terminated.

         "COMPLIANCE CERTIFICATE" means a certificate duly completed and
executed by an Authorized Officer of the applicable Borrower, substantially in
the form of EXHIBIT F hereto, together with such changes thereto as the
Administrative Agent may from time to time request for the purpose of monitoring
the Borrowers' compliance with the financial covenants contained herein.

         "CONFIDENTIAL INFORMATION" means information relating to the Borrowers,
any of their Subsidiaries or any other Obligor obtained by any Secured Party
pursuant to or in connection

                                      -8-
<Page>

with this Agreement, or otherwise from or on behalf of the Borrowers or any
of their Subsidiaries or Affiliates (to the extent identified as Affiliates
to the Administrative Agent and the Lenders) (including any such information
obtained by either the Administrative Agent or any Lender in the course of
any review of the books or records of the Borrowers or any Subsidiary thereof
as contemplated herein), but excluding information (i) that was previously
known to any Secured Party (other than through a previous lending or other
business relationship with the Borrowers or any of their Subsidiaries), (ii)
that is or subsequently becomes generally publicly known through no act or
omission by any Secured Party or any Person acting therefor or (iii) that has
been disclosed to any Secured Party from a third party without contravening
the terms of this Agreement.

         "CONSOLIDATED ENTITIES" means each of the Borrowers' Subsidiaries
(other than Global Healthcare and its Subsidiaries) and each of the operating
partnerships, limited liability companies, joint ventures or similar entities in
which either of the Borrowers have, directly or indirectly (other than through
Global Healthcare), invested, in each case which are consolidated in the
Borrowers' financial statements delivered pursuant to SECTION 7.1.1.

         "CONTINGENT LIABILITY" means any agreement, undertaking or arrangement
by which any Person guarantees, endorses or otherwise becomes or is contingently
liable upon (by direct or indirect agreement, contingent or otherwise, to
provide funds for payment, to supply funds to, or otherwise to invest in, a
debtor in connection with such debtor's Indebtedness, or otherwise to assure a
creditor against loss) the Indebtedness of any other Person (other than by
endorsements of instruments in the course of collection), or guarantees the
payment of dividends or other distributions upon the Equity Interests of any
other Person. The amount of any Person's obligation under any Contingent
Liability shall (subject to any limitation set forth therein) be deemed to be
the outstanding principal amount of the debt, obligation or other liability
guaranteed thereby.

         "CONTINUATION/CONVERSION NOTICE" means a notice of continuation or
conversion and certificate duly executed by an Authorized Officer of the
applicable Borrower, substantially in the form of EXHIBIT D hereto.

         "CONTROLLED GROUP" means all members of a controlled group of
corporations and all members of a controlled group of trades or businesses
(whether or not incorporated) under common control which, together with the
Borrowers, are treated as a single employer under Section 414(b) or 414(c) of
the Code or Section 4001 of ERISA.

         "COPYRIGHT SECURITY AGREEMENT" means any copyright security agreement
executed and delivered by any Obligor, substantially in the form of Exhibit C to
any Pledge Agreement, as amended, supplemented, amended and restated or
otherwise modified from time to time.

                                      -9-
<Page>

         "CREDIT EXTENSION" means, as the context may require, (a) the making of
a Loan by a Lender or (b) the issuance of any Letter of Credit, or the extension
of any Stated Expiry Date of any existing Letter of Credit, by an Issuer.

         "CSFB" is defined in the PREAMBLE.

         "DEFAULT" means any Event of Default or any condition, occurrence or
event which, after notice or lapse of time or both, would constitute an Event of
Default.

         "DISBURSEMENT" is defined in SECTION 2.6.2.

         "DISBURSEMENT DATE" is defined in SECTION 2.6.2.

         "DISCLOSURE SCHEDULE" means the Disclosure Schedule attached hereto as
SCHEDULE I, as it may be amended, supplemented, amended and restated or
otherwise modified from time to time by the Borrowers with the written consent
of the Required Lenders.

         "DISPOSITION" (or similar words such as "DISPOSE") means any sale,
transfer, lease, contribution or other conveyance (including by way of merger)
of, or the granting of options, warrants or other rights to, any of the
Borrowers' or their Consolidated Entities' assets (including accounts receivable
and Equity Interests of Subsidiaries, but excluding cash) to any other Person
(other than to another Obligor) in a single transaction or series of
transactions.

         "DOCUMENTATION AGENT" is defined in the PREAMBLE.

         "DOLLAR" and the sign "$" mean lawful money of the United States.

         "EBITDA" means, for any applicable period, the sum of (a) Net Income,
PLUS (b) to the extent deducted in determining Net Income, the sum of amounts
attributable to (i) amortization, (ii) income tax expense, (iii) Interest
Expense and (iv) depreciation of assets; PROVIDED that, for the first three
Fiscal Quarters of the 2001 Fiscal Year, EBITDA shall be Annualized; PROVIDED
FURTHER that EBITDA shall be adjusted to give PRO FORMA effect to Permitted
Acquisitions made during such period (such adjustment to be satisfactory to the
Administrative Agent) as if such Permitted Acquisitions had been made at the
beginning of such period; and PROVIDED FURTHER that, for purposes of calculating
the Fixed Charge Coverage Ratio and the Interest Coverage Ratio, EBITDA shall
include amounts attributable to Minority Interests to the extent deducted in
determining Net Income.

         "EFFECTIVE DATE" means June 13, 2001, the date the Existing Credit
Agreement originally became effective.

         "ELIGIBLE ASSIGNEE" means (a) a Lender, (b) an Affiliate of a Lender,
(c) an Approved Fund or (d) any other Person (other than a natural Person)
approved (in the case of this CLAUSE

                                     -10-

<Page>

(d)) by the Agents, the Issuer (but then only in the case of any assignment
of the Revolving Loan Commitment) and, unless (i) such Person is taking
delivery of an assignment in connection with physical settlement of a credit
derivatives transaction or (ii) an Event of Default has occurred and is
continuing, the Borrowers (each such approval not to be unreasonably withheld
or delayed).

         "ENVIRONMENTAL LAWS" means all applicable federal, state or local
statutes, laws, ordinances, codes, rules, regulations and guidelines
(including consent decrees and administrative orders) relating to public
health and safety and protection of the environment.

         "EQUITY INTERESTS" means, with respect to any Person, any and all
shares, interests, participations or other equivalents (however designated,
whether voting or non-voting) of such Person's capital, whether now outstanding
or issued after the Effective Date.

         "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended, and any successor statute thereto of similar import, together with the
regulations thereunder, in each case as in effect from time to time. References
to Sections of ERISA also refer to any successor Sections thereto.

         "EVENT OF DEFAULT" is defined in SECTION 8.1.

         "EXCESS CASH FLOW" means, for any Fiscal Year, (a) EBITDA for such
Fiscal Year LESS (b) the sum (for such Fiscal Year) of (i) Interest Expense
actually paid in cash by the Borrowers and their Consolidated Entities, (ii)
principal repayments, to the extent actually made, of Indebtedness by the
Borrowers and their Consolidated Entities (including Loans pursuant to SECTION
3.1.1), (iii) all income Taxes actually paid in cash by the Borrowers and their
Consolidated Entities, (iv) Capital Expenditures actually made by the Borrowers
and their Consolidated Entities in such Fiscal Year, (v) extraordinary
non-recurring, non-cash charges acceptable to the Administrative Agent and (vi)
the increase, if any, in current assets over current liabilities of the
Borrowers and their Consolidated Entities during such Fiscal Year, PLUS (c) the
decrease, if any, of current assets over current liabilities of the Borrowers
and their Consolidated Entities during such Fiscal Year.

         "EXEMPTION CERTIFICATE" is defined in CLAUSE (E) of SECTION 4.6.

         "EXCHANGE ACT" means the Securities Exchange Act of 1934, as amended.

         "EXISTING CREDIT AGREEMENT" is defined in the SECOND RECITAL.

         "EXISTING LENDERS" is defined in the SECOND RECITAL.

         "EXISTING LOANS" is defined in the SECOND RECITAL.

                                     -11-

<Page>

         "FEDERAL FUNDS RATE" means, for any period, a fluctuating interest rate
per annum equal for each day during such period to

                  (a) the weighted average of the rates on overnight federal
         funds transactions with members of the Federal Reserve System arranged
         by federal funds brokers, as published for such day (or, if such day is
         not a Business Day, for the next preceding Business Day) by the Federal
         Reserve Bank of New York; or

                  (b) if such rate is not so published for any day which is a
         Business Day, the average of the quotations for such day on such
         transactions received by the Administrative Agent from three federal
         funds brokers of recognized standing selected by it.

         "FEE LETTER" means the confidential letter, dated June 6, 2001, from
the Agents to the US Borrower.

         "FILING STATEMENTS" means all UCC financing statements (Form UCC-1) or
other similar financing statements and UCC termination statements (Form UCC-3)
required pursuant to the Loan Documents.

         "FISCAL QUARTER" means a quarter ending on the last day of March, June,
September or December.

         "FISCAL YEAR" means any period of twelve consecutive calendar months
ending on December 31; references to a Fiscal Year with a number corresponding
to any calendar year (E.G., the "2001 Fiscal Year") refer to the Fiscal Year
ending on December 31 of such calendar year.

         "FIXED CHARGE COVERAGE RATIO" means, as of the close of any Fiscal
Quarter, the ratio computed for the period consisting of such Fiscal Quarter and
each of the three immediately preceding Fiscal Quarters of (a) EBITDA (for all
such Fiscal Quarters) minus Maintenance Capital Expenditures made during such
Fiscal Quarters TO (b) the sum (for all such Fiscal Quarters) of (i) Interest
Expense, (ii) scheduled principal repayments of Indebtedness made during such
period, and (iii) all income Taxes actually paid in cash by the Borrowers and
their Consolidated Entities; PROVIDED that, for the first three Fiscal Quarters
of the 2001 Fiscal Year, the amounts set forth in CLAUSES (a) and (b) shall be
Annualized.

         "FOREIGN PLEDGE SUPPLEMENTS" means any supplemental pledge agreement
governed by the laws of a jurisdiction other than the United States or a State
thereof executed and delivered by the UK Borrower or any Foreign Subsidiary
Guarantor pursuant to the terms of this Agreement, in form and substance
satisfactory to the Administrative Agent, as may be necessary or desirable under
the laws of organization or incorporation of the UK Borrower or a Foreign
Subsidiary Guarantor to further protect or perfect the Lien on and security
interest in any Collateral.

                                     -12-

<Page>

         "FOREIGN SUBSIDIARY" means a Subsidiary that is not incorporated or
organized under the laws of the United States or a state thereof.

         "FOREIGN SUBSIDIARY GUARANTOR" means a wholly-owned Foreign Subsidiary.

         "FOREIGN SUBSIDIARY GUARANTY" means the Subsidiary Guaranty to be
executed and delivered by each Foreign Subsidiary Guarantor pursuant to the
terms of this Agreement, in form and substance satisfactory to the
Administrative Agent, as amended, supplemented, amended and restated or
otherwise modified from time to time.

         "FOREIGN SUBSIDIARY PLEDGE AND SECURITY AGREEMENT" means the Pledge and
Security Agreement to be executed and delivered by each Foreign Subsidiary
Guarantor pursuant to the terms of this Agreement, in form and substance
satisfactory to the Administrative Agent, as amended, supplemented, amended and
restated or otherwise modified from time to time.

         "F.R.S. BOARD" means the Board of Governors of the Federal Reserve
System or any successor thereto.

         "GAAP" is defined in SECTION 1.4.

         "GLOBAL HEALTHCARE" means Global Healthcare Partners Ltd. (UK), a
company incorporated in England and Whales.

         "GOVERNMENTAL AUTHORITY" means the government of the United States, any
other nation or any political subdivision thereof, whether state or local, and
any agency, authority, instrumentality, regulatory body, court, central bank or
other Person exercising executive, legislative, judicial, taxing, regulatory or
administrative powers or functions of or pertaining to government.

         "HAZARDOUS MATERIAL" means (a) any "hazardous substance", as defined by
CERCLA, (b) any "hazardous waste", as defined by the Resource Conservation and
Recovery Act, as amended, or (c) any pollutant or contaminant or hazardous,
dangerous or toxic chemical, material or substance (including any petroleum
product) within the meaning of any other applicable federal, state or local law,
regulation, ordinance or requirement (including consent decrees and
administrative orders) relating to or imposing liability or standards of conduct
concerning any hazardous, toxic or dangerous waste, substance or material, all
as amended.

         "HEDGING OBLIGATIONS" means, with respect to any Person, all
liabilities of such Person under currency exchange agreements, interest rate
swap agreements, interest rate cap agreements and interest rate collar
agreements, and all other agreements or arrangements designed to protect such
Person against fluctuations in interest rates or currency exchange rates.

                                     -13-

<Page>

         "HEREIN", "HEREOF", "HERETO", "HEREUNDER" and similar terms contained
in any Loan Document refer to such Loan Document as a whole and not to any
particular Section, paragraph or provision of such Loan Document.

         "HOLDINGS" is defined in the FIRST RECITAL.

         "HOLDINGS NOTES" means the 10 % Senior Subordinated Notes due 2011 in
the aggregate principal amount of $150,000,000 issued by Holdings and governed
by the terms of the Holdings Notes Indenture.

         "HOLDINGS NOTES GUARANTIES" means the subordinated guaranties made by
the Borrowers and their Subsidiaries with respect to the Holdings Notes pursuant
to the Holdings Notes Indenture.

         "HOLDINGS NOTES INDENTURE" means the Indenture, dated as of December
19, 2001, entered into among Holdings, the guarantors from time to time parties
thereto and U.S. Trust Company of Texas, N.A., as trustee, as amended,
supplemented, amended and restated or otherwise modified from time to time.

         "HOLDINGS GUARANTY AND PLEDGE AGREEMENT" means the Guaranty and Pledge
Agreement, dated as of June 13, 2001, executed and delivered by an Authorized
Officer of Holdings pursuant to the terms of the Existing Credit Agreement, as
amended, supplemented, amended and restated or otherwise modified from time to
time.

         "IMPERMISSIBLE QUALIFICATION" means any qualification or exception to
the opinion or certification of any independent public accountant as to any
financial statement of either Borrower (a) which is of a "going concern" or
similar nature, (b) which relates to the limited scope of examination of matters
relevant to such financial statement, or (c) which relates to the treatment or
classification of any item in such financial statement and which, as a condition
to its removal, would require an adjustment to such item the effect of which
would be to cause such Borrower to be in Default.

         "INCLUDING" and "INCLUDE" means including without limiting the
generality of any description preceding such term, and, for purposes of each
Loan Document, the parties hereto agree that the rule of ejusdem generis shall
not be applicable to limit a general statement, which is followed by or
referable to an enumeration of specific matters, to matters similar to the
matters specifically mentioned.

         "INDEBTEDNESS" of any Person means:

                  (a) all obligations of such Person for borrowed money or
         advances and all obligations of such Person evidenced by bonds,
         debentures, notes or similar instruments;

                                     -14-

<Page>

                  (b) all obligations, contingent or otherwise, relative to the
         face amount of all letters of credit, whether or not drawn, and
         banker's acceptances issued for the account of such Person;

                  (c)  all Capitalized Lease Liabilities of such Person;

                  (d) for purposes of SECTION 8.1.5 only, all other items which,
         in accordance with GAAP, would be included as liabilities on the
         balance sheet of such Person as of the date at which Indebtedness is to
         be determined;

                  (e)  net Hedging Obligations of such Person;

                  (f) whether or not so included as liabilities in accordance
         with GAAP, all obligations of such Person to pay the deferred purchase
         price of property or services after receipt or performance thereof
         (excluding trade accounts payable in the ordinary course of business
         which are not overdue for a period of more than 90 days or, if overdue
         for more than 90 days, as to which a dispute exists and adequate
         reserves in conformity with GAAP have been established on the books of
         such Person), and indebtedness secured by (or for which the holder of
         such indebtedness has an existing right, contingent or otherwise, to be
         secured by) a Lien on property owned or being acquired by such Person
         (including indebtedness arising under conditional sales or other title
         retention agreements, but excluding earn-outs or other contingent
         purchase price adjustments in connection with acquisitions to the
         extent not yet determined), whether or not such indebtedness shall have
         been assumed by such Person or is limited in recourse;

                  (g)  obligations arising under Synthetic Leases; and

                  (h)  all Contingent Liabilities of such Person in respect of
         any of the foregoing.

The Indebtedness of any Person shall include the Indebtedness of any other
Person (including any partnership in which such Person is a general partner) to
the extent such Person is liable therefor as a result of such Person's ownership
interest in or other relationship with such Person, except to the extent the
terms of such Indebtedness provide that such Person is not liable therefor.

         "INDEMNIFIED LIABILITIES" is defined in SECTION 10.4.

         "INDEMNIFIED PARTIES" is defined in SECTION 10.4.

         "INTEREST COVERAGE RATIO" means, as of the last day of any Fiscal
Quarter, the ratio computed for the period consisting of such Fiscal Quarter and
each of the three immediately preceding Fiscal Quarters of (a) EBITDA (for all
such Fiscal Quarters) TO (b) the sum (for all such Fiscal Quarters) of Interest
Expense.

                                     -15-

<Page>

         "INTEREST EXPENSE" means, for any applicable period, without
duplication, the aggregate interest expense (both accrued and paid and net of
any interest income paid during such period to the Borrowers and their
Consolidated Entities) of the Borrowers and their Consolidated Entities for such
applicable period, including the portion of any payments made in respect of
Capitalized Lease Liabilities allocable to interest expense.

         "INTEREST PERIOD" means, relative to any LIBO Rate Loan, the period
beginning on (and including) the date on which such LIBO Rate Loan is made or
continued as, or converted into, a LIBO Rate Loan pursuant to SECTIONS 2.3 or
2.4 and shall end on (but exclude) the day which numerically corresponds to such
date one, two, three or six months thereafter (or, if such month has no
numerically corresponding day, on the last Business Day of such month), as the
applicable Borrower may select in its relevant notice pursuant to SECTIONS 2.3
or 2.4; PROVIDED that

                  (a) such Borrower shall not be permitted to select Interest
         Periods to be in effect at any one time which have expiration dates
         occurring on more than five different dates;

                  (b) if such Interest Period would otherwise end on a day which
         is not a Business Day, such Interest Period shall end on the next
         following Business Day (unless such next following Business Day is the
         first Business Day of a calendar month, in which case such Interest
         Period shall end on the Business Day next preceding such numerically
         corresponding day); and

                  (c) no Interest Period for any Loan may end later than the
         Stated Maturity Date for such Loan.

         "INVESTMENT" means, relative to any Person, (a) any loan, advance or
extension of credit made by such Person to any other Person, including the
purchase by such Person of any bonds, notes, debentures or other debt securities
of any other Person, (b) Contingent Liabilities in favor of any other Person,
and (c) any Equity Interests held by such Person in any other Person. The amount
of any Investment shall be the original principal or capital amount thereof less
all returns of principal or equity thereon and shall, if made by the transfer or
exchange of property other than cash, be deemed to have been made in an original
principal or capital amount equal to the fair market value of such property at
the time of such Investment.

         "ISP RULES" is defined in SECTION 10.9.

         "ISSUANCE REQUEST" means a Letter of Credit request and certificate
duly executed by an Authorized Officer of the applicable Borrower, substantially
in the form of EXHIBIT C hereto.

         "ISSUER" means CSFB in its capacity as Issuer of the Letters of Credit.
At the request of CSFB and with the Borrowers' consent (not to be unreasonably
withheld), another Lender or an Affiliate of CSFB may issue one or more Letters
of Credit hereunder.

                                     -16-

<Page>

         "LEHMAN" is defined in the PREAMBLE.

         "LENDER ASSIGNMENT AGREEMENT" means an assignment agreement,
substantially in the form of EXHIBIT F hereto.

         "LENDERS" is defined in the PREAMBLE.

         "LENDER'S ENVIRONMENTAL LIABILITY" means any and all losses,
liabilities, obligations, penalties, claims, litigation, demands, defenses,
costs, judgments, suits, proceedings, damages (including consequential damages),
disbursements or expenses of any kind or nature whatsoever (including reasonable
attorneys' fees at trial and appellate levels and experts' fees and
disbursements ands expenses incurred in investigating, defending against or
prosecuting any litigation, claim or proceeding) which may at any time be
imposed upon, incurred by or asserted or awarded against the Administrative
Agent, any Lender or any Issuer or any of such Person's Affiliates,
shareholders, directors, officers, employees, and agents in connection with or
arising from:

                  (a) any Hazardous Material on, in, under or affecting all or
         any portion of any property of the Borrowers or any of their
         Consolidated Entities, the groundwater thereunder, or any surrounding
         areas thereof to the extent caused by Releases from the Borrowers' or
         any of their Consolidated Entities' or any of their respective
         predecessors' properties;

                  (b)  any misrepresentation, inaccuracy or breach of any
         warranty, contained or referred to in SECTION 6.12;

                  (c)  any violation or claim of violation by the Borrowers or
         any of their Consolidated Entities of any Environmental Laws; or

                  (d) the imposition of any lien for damages caused by or the
         recovery of any costs for the cleanup, release or threatened release of
         Hazardous Material by the Borrowers or any of their Consolidated
         Entities, or in connection with any property owned or formerly owned by
         the Borrowers or any of their Consolidated Entities.

         "LETTER OF CREDIT" is defined in SECTION 2.1.2.

         "LETTER OF CREDIT COMMITMENT" means the Issuer's obligation to issue
Letters of Credit pursuant to SECTION 2.1.2.

         "LETTER OF CREDIT COMMITMENT AMOUNT" means, on any date, a maximum
amount of $2,500,000, as such amount may be permanently reduced from time to
time pursuant to SECTION 2.2.

                                     -17-
<Page>

         "LETTER OF CREDIT OUTSTANDINGS" means, on any date, and with respect to
each Borrower, an amount equal to the sum of (a) the then aggregate amount which
is undrawn and available under all issued and outstanding Letters of Credit, and
(b) the then aggregate amount of all unpaid and outstanding Reimbursement
Obligations.

         "LIBO RATE" means, relative to any Interest Period for LIBO Rate Loans,
the rate of interest equal to the average of the rates per annum at which Dollar
deposits in immediately available funds are offered to the Administrative
Agent's LIBOR Office in the London interbank market as at or about 11:00 a.m.
London, England time two Business Days prior to the beginning of such Interest
Period for delivery on the first day of such Interest Period, and in an amount
approximately equal to the amount of the Administrative Agent's LIBO Rate Loan
and for a period approximately equal to such Interest Period.

         "LIBO RATE LOAN" means a Loan bearing interest, at all times during an
Interest Period applicable to such Loan, at a rate of interest determined by
reference to the LIBO Rate (Reserve Adjusted).

         "LIBO RATE (RESERVE ADJUSTED)" means, relative to any Loan to be made,
continued or maintained as, or converted into, a LIBO Rate Loan for any Interest
Period, a rate per annum determined pursuant to the following formula:

         LIBO Rate       =                LIBO RATE
                               --------------------------------
    (Reserve Adjusted)          1.00 - LIBOR Reserve Percentage

The LIBO Rate (Reserve Adjusted) for any Interest Period for LIBO Rate Loans
will be determined by the Administrative Agent on the basis of the LIBOR Reserve
Percentage in effect two Business Days before the first day of such Interest
Period.

         "LIBOR OFFICE" means the office of a Lender designated as its "LIBOR
Office" on SCHEDULE II hereto or in a Lender Assignment Agreement, or such other
office designated from time to time by notice from such Lender to the Borrowers
and the Administrative Agent, whether or not outside the United States, which
shall be making or maintaining the LIBO Rate Loans of such Lender.

         "LIBOR RESERVE PERCENTAGE" means, relative to any Interest Period for
LIBO Rate Loans, the reserve percentage (expressed as a decimal) equal to the
maximum aggregate reserve requirements (including all basic, emergency,
supplemental, marginal and other reserves and taking into account any
transitional adjustments or other scheduled changes in reserve requirements)
specified under regulations issued from time to time by the F.R.S. Board and
then applicable to assets or liabilities consisting of or including
"Eurocurrency Liabilities", as currently defined in Regulation D of the F.R.S.
Board, having a term approximately equal or comparable to such Interest Period.

                                     -18-

<Page>

         "LIEN" means any security interest, mortgage, pledge, hypothecation,
assignment, deposit arrangement, encumbrance, lien (statutory or otherwise),
charge against or interest in property, or other priority or preferential
arrangement of any kind or nature whatsoever, to secure payment of a debt or
performance of an obligation.

         "LOAN" is defined in CLAUSE (a) of SECTION 2.1.1.

         "LOAN DOCUMENTS" means, collectively, this Agreement, the Revolving
Notes, the Letters of Credit, each Rate Protection Agreement, the Fee Letter,
the Amendment Fee Letter, the US Subsidiary Guaranty, the Foreign Subsidiary
Guaranty, each Pledge Agreement, each Mortgage, each other agreement pursuant to
which the Administrative Agent is granted a Lien to secure the Obligations and
each other agreement, certificate, document or instrument delivered in
connection with any Loan Document, whether or not specifically mentioned herein
or therein, but excluding the commitment letter, dated June 6, 2001, from the
Agents to the US Borrower.

         "MAINTENANCE CAPITAL EXPENDITURES" means any Capital Expenditures made
with respect to the maintenance of existing assets.

         "MATERIAL ADVERSE EFFECT" means a material adverse effect on (a) the
business, condition (financial or otherwise), operations, performance,
properties or prospects of the Borrowers or the Borrowers and their Consolidated
Entities taken as a whole, (b) the rights and remedies of any Secured Party
under any Loan Document or (c) the ability of any Obligor to perform its
Obligations under any Loan Document.

         "MINORITY INTERESTS" means, with respect to Consolidated Entities, the
Equity Interests held by Persons other than the US Borrower, the UK Borrower or
Subsidiary Guarantors as reflected in the financial statements of the applicable
Borrower in accordance with GAAP.

         "MOODY'S" means Moody's Investors Service, Inc.

         "MORTGAGE" means a mortgage, deed of trust or agreement executed and
delivered by any Obligor in favor of the Administrative Agent for the benefit of
the Secured Parties pursuant to the requirements of this Agreement, in form and
substance satisfactory to the Administrative Agent, under which a Lien is
granted on the real property and fixtures described therein, in each case as
amended, supplemented, amended and restated or otherwise modified from time to
time.

         "NET CASUALTY PROCEEDS" means, with respect to any Casualty Event, the
amount of any insurance proceeds or condemnation awards received by the
Borrowers or any of their Consolidated Entities in connection with such Casualty
Event in excess of $500,000, individually or in the aggregate over the course of
a Fiscal Year (net of all reasonable and customary collection expenses thereof),
but excluding any proceeds or awards required to be paid to a creditor (other
than the Lenders) which holds a first priority Lien permitted by SECTION 7.2.3
on the property which is the subject of such Casualty Event.

                                     -19-
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         "NET DISPOSITION PROCEEDS" means, with respect to any Disposition
pursuant to CLAUSE (d) of SECTION 7.2.11, the excess of (a) the gross cash
proceeds received by the applicable Borrower or any of its Consolidated Entities
from such Disposition and any cash payment received in respect of promissory
notes or other non-cash consideration delivered to such Borrower or its
Consolidated Entities in respect thereof, OVER (b) the sum of (i) all reasonable
and customary legal, investment banking, brokerage and accounting fees and
expenses incurred in connection with such Disposition, (ii) all taxes actually
paid or estimated by such Borrower to be payable in cash within the next 12
months in connection with such Disposition, (iii) payments made by such Borrower
or any of its Consolidated Entities to retire Indebtedness (other than the
Credit Extensions) where payment of such Indebtedness is required in connection
with such Disposition and (iv) amounts attributable to Minority Interests;
PROVIDED that if the amount of any estimated taxes pursuant to CLAUSE (ii)
exceeds the amount of taxes actually required to be paid in cash in respect of
such Disposition, the aggregate amount of such excess shall constitute Net
Disposition Proceeds.

         "NET EQUITY PROCEEDS" means, with respect to the sale or issuance after
the Amendment Effective Date by either Borrower to any Person of any Equity
Interests, warrants or options or the exercise of any such warrants or options,
the excess of (a) the gross cash proceeds received by such Person from such
sale, exercise or issuance, OVER (b) all reasonable and customary underwriting
commissions and legal, investment banking, brokerage and accounting and other
professional fees, sales commissions and disbursements actually incurred in
connection with such sale or issuance which have not been paid to Affiliates of
the applicable Borrower in connection therewith.

         "NET INCOME" means, for any period, the aggregate of all amounts
(exclusive of all amounts in respect of any extraordinary gains but including
extraordinary losses) which would be included as net income on the consolidated
financial statements of the Borrowers and their Consolidated Entities for such
period.

         "NON-CONSOLIDATED ENTITIES" means each of the operating partnerships,
limited liability companies, joint ventures or similar entities in which the
Borrowers have, directly or indirectly, invested, other than the Consolidated
Entities.

         "NON-EXCLUDED TAXES" means any Taxes other than net income and
franchise taxes imposed with respect to any Secured Party by any Governmental
Authority under the laws of which such Secured Party is organized or in which it
maintains its applicable lending office.

         "NON-U.S. LENDER" means a Lender that is not a "United States person",
as defined under Section 7701(a)(30) of the Code.

         "OBLIGATIONS" means all obligations (monetary or otherwise, whether
absolute or contingent, matured or unmatured) of the Borrowers and each other
Obligor arising under or in connection with a Loan Document, including
Reimbursement Obligations and the principal of

                                     -20-

<Page>

and premium, if any, and interest (including interest accruing during the
pendency of any proceeding of the type described in SECTION 8.1.9, whether or
not allowed in such proceeding) on the Loans.

         "OBLIGOR" means, as the context may require, the Borrowers and each
other Person (other than a Secured Party) obligated under any Loan Document.

         "OPERATING ENTITIES" means the operating partnerships, limited
liability companies, joint ventures or similar entities in which either of the
Borrowers have, directly or indirectly, invested and which actively engage in
business (other than solely in investment and management activities).

         "ORGANIC DOCUMENT" means, relative to any Obligor, as applicable, its
certificate of incorporation, by-laws, regulations, certificate of partnership,
partnership agreement, certificate of formation, limited liability company
agreement, operating agreement and all shareholder agreements, voting trusts and
similar arrangements applicable to any of such Obligor's partnership interests,
limited liability company interests or authorized shares of Equity Interests.

         "OTHER TAXES" means any and all stamp, documentary or similar Taxes, or
any other excise or property Taxes or similar levies that arise on account of
any payment made or required to be made under any Loan Document or from the
execution, delivery, registration, recording or enforcement of any Loan
Document.

         "PARENT" is defined in the FIRST RECITAL.

         "PARENT GUARANTY AND PLEDGE AGREEMENT" means the Guaranty and Pledge
Agreement, dated as of June 13, 2001, executed and delivered by an Authorized
Officer of Parent pursuant to the terms of the Existing Credit Agreement, as
amended, supplemented, amended and restated or otherwise modified from time to
time.

         "PARENT TOTAL CAPITALIZATION" means, at any time, the sum of (a) the
sum of all amounts (without duplication) which, in accordance with GAAP, would
be included in Parent's stockholders' equity (excluding unrealized gains or
losses recorded pursuant to FAS 115) as required to be reported in Parent's then
most recent consolidated balance sheet, and (b) Parent Total Debt.

         "PARENT TOTAL DEBT" means, on any date, the outstanding principal
amount of all Indebtedness of Parent and its Subsidiaries of the type referred
to in CLAUSES (a), (b), (c) and (g), in each case of the definition of
"Indebtedness" and any Contingent Liability in respect of any of the foregoing.

                                     -21-

<Page>

         "PARENT TOTAL DEBT TO PARENT TOTAL CAPITALIZATION RATIO" means, as of
the last day of any Fiscal Quarter, the ratio of (a) Parent Total Debt
outstanding on such day TO (b) Parent Total Capitalization on such day.

         "PARTICIPANT" is defined in CLAUSE (d) of SECTION 10.10.

         "PATENT SECURITY AGREEMENT" means any patent security agreement
executed and delivered by any Obligor, substantially in the form of Exhibit A to
any Pledge Agreement, as amended, supplemented, amended and restated or
otherwise modified from time to time.

         "PBGC" means the Pension Benefit Guaranty Corporation and any Person
succeeding to any or all of its functions under ERISA.

         "PENSION PLAN" means a "pension plan", as such term is defined in
Section 3(2) of ERISA, which is subject to Title IV of ERISA (other than a
multiemployer plan as defined in Section 4001(a)(3) of ERISA), and to which
either Borrower or any corporation, trade or business that is, along with such
Borrower, a member of a Controlled Group, may have liability, including any
liability by reason of having been a substantial employer within the meaning of
Section 4063 of ERISA at any time during the preceding five years, or by reason
of being deemed to be a contributing sponsor under Section 4069 of ERISA.

         "PERCENTAGE" means, relative to any Lender, the applicable percentage
relating to Loans set forth opposite its name on SCHEDULE II hereto under the
Percentage column or set forth in a Lender Assignment Agreement, as such
percentage may be adjusted from time to time pursuant to Lender Assignment
Agreements executed by such Lender and its assignee Lender and delivered
pursuant to SECTION 10.10. A Lender shall not have any Revolving Loan Commitment
if its Percentage is zero.

         "PERMITTED ACQUISITION" means an acquisition (whether pursuant to an
acquisition of Equity Interests, assets or otherwise) by either Borrower or any
Consolidated Entity from any Person of a business (or an increase of an existing
Equity Interest therein) in which the following conditions are satisfied:

                  (a) immediately before and after giving effect to such
         acquisition, no Default shall have occurred and be continuing or would
         result therefrom (including under SECTION 7.2.1); and

                  (b) such Borrower shall have delivered to the Administrative
         Agent a Compliance Certificate for the period of four full Fiscal
         Quarters immediately preceding such acquisition (prepared in good faith
         and in a manner and using such methodology which is consistent with the
         most recent financial statements delivered pursuant to SECTION 7.1.1)
         giving PRO FORMA effect to the consummation of such acquisition and
         evidencing compliance with the covenants set forth in SECTION 7.2.4.

                                     -22-

<Page>

         "PERMITTED FOREIGN INVESTMENT" means an Investment by the US Borrower
in Foreign Subsidiaries of Holdings located in Western Europe in which the
following conditions are satisfied:

                  (a) immediately before and after giving effect to such
         Investment, no Default shall have occurred and be continuing or would
         result therefrom; and

                  (b) such Borrower shall have delivered to the Administrative
         Agent a Compliance Certificate for the period of four full Fiscal
         Quarters immediately preceding such Investment (prepared in good faith
         and in a manner and using such methodology which is consistent with the
         most recent financial statements delivered pursuant to SECTION 7.1.1)
         giving PRO FORMA effect to the consummation of such Investment and
         evidencing compliance with the covenants set forth in SECTION 7.2.4.

         "PERSON" means any natural person, corporation, limited liability
company, partnership, joint venture, association, trust or unincorporated
organization, Governmental Authority or any other legal entity, whether acting
in an individual, fiduciary or other capacity.

         "PLEDGE AGREEMENT" means, as the context may require, the Parent
Guaranty and Pledge Agreement, the Holdings Guaranty and Pledge Agreement, the
USP International Guaranty and Pledge Agreement, the US Borrower Pledge and
Security Agreement, the UK Borrower Pledge and Security Agreement, the US
Subsidiary Pledge and Security Agreement or the Foreign Subsidiary Pledge and
Security Agreement.

         "PLEDGED SUBSIDIARY" means a Subsidiary in respect of which the
Administrative Agent has been granted a security interest in or a pledge of (i)
any of the Equity Interests of such Subsidiary or (ii) any intercompany notes of
such Subsidiary owing to either Borrower or another Subsidiary.

         "QUARTERLY PAYMENT DATE" means the last day of March, June, September
and December, or, if any such day is not a Business Day, the next succeeding
Business Day.

         "RATE PROTECTION AGREEMENT" means, collectively, any interest rate
swap, cap, collar or similar agreement entered into by the applicable Borrower
or any of its Consolidated Entities under which the counterparty of such
agreement is (or at the time such agreement was entered into, was) a Lender or
an Affiliate of a Lender.

         "REGISTER" is defined in CLAUSE (b) of SECTION 2.7.

         "REIMBURSEMENT OBLIGATION" is defined in SECTION 2.6.3.

         "RELEASE" means a "RELEASE", as such term is defined in CERCLA.

                                     -23-

<Page>

         "REQUIRED LENDERS" means (a) at any time in which there are six or less
non-affiliated Lenders, Lenders holding at least 67% of the Total Exposure
Amount and Lenders constituting at least a majority in number of the Lenders at
such time, and (b) at any time in which there are seven or more non-affiliated
Lenders, Lenders holding at least 67% of the Total Exposure Amount.

         "RESOURCE CONSERVATION AND RECOVERY ACT" means the Resource
Conservation and Recovery Act, 42 U.S.C. Section 6901, ET SEQ., as amended.

         "RESTRICTED ENTITIES" means those Consolidated Entities and
Non-Consolidated Entities that, due to restrictions contained in their Organic
Documents or in agreements to which they are a party, are unable to provide a
guaranty of the Obligations or place a Lien on their assets and in which the
Secured Parties are unable to obtain a pledge of their Equity Interests.

         "RESTRICTED PAYMENT" means the declaration or payment of any dividend
(other than dividends payable solely in Equity Interests of either Borrower or
any Consolidated Entity) on, or the making of any payment or distribution on
account of, or setting apart assets for a sinking or other analogous fund for,
the purchase, redemption, defeasance, retirement or other acquisition of any
class of Equity Interests of either Borrower or any Consolidated Entity or any
warrants or options to purchase any such Equity Interests, whether now or
hereafter outstanding, or the making of any other distribution in respect
thereof, either directly or indirectly, whether in cash or property, obligations
of either Borrower or any Consolidated Entity or otherwise.

         "REVOLVING LOAN COMMITMENT" means, relative to any Lender, such
Lender's obligation (if any) to make Loans pursuant to SECTION 2.1.1.

         "REVOLVING LOAN COMMITMENT AMOUNT" means, on any date prior to the
Amendment Effective Date, $55,000,000 and on any date thereafter [$100,000,000],
as such amount may be reduced from time to time pursuant to SECTION 2.2.

         "REVOLVING NOTE" means a promissory note of either Borrower payable to
any Lender, substantially in the form of EXHIBIT A hereto (as such promissory
note may be amended, endorsed or otherwise modified from time to time),
evidencing the aggregate Indebtedness of such Borrower to such Lender resulting
from outstanding Loans, and also means all other promissory notes accepted from
time to time in substitution therefor or renewal thereof.

         "S&P" means Standard & Poor's Rating Services, a division of
McGraw-Hill, Inc.

         "SEC" means the Securities and Exchange Commission.

         "SECURED PARTIES" means, collectively, the Lenders, the Issuer, the
Administrative Agent, each counterparty to a Rate Protection

                                     -24-

<Page>

Agreement that is (or at the time such Rate Protection Agreement was entered
into, was) a Lender or an Affiliate thereof and (in each case), each of their
respective successors, transferees and assigns.

         "SENIOR DEBT" means Total Debt LESS all Subordinated Debt.

         "SENIOR DEBT TO EBITDA RATIO" means, as of the last day of any Fiscal
Quarter, the ratio of (a) Senior Debt outstanding on such day TO (b) EBITDA
computed for the period consisting of such Fiscal Quarter and each of the three
immediately preceding Fiscal Quarters.

         "SG" is defined in the PREAMBLE.

         "STATED AMOUNT" means, on any date and with respect to a particular
Letter of Credit, the total amount then available to be drawn under such Letter
of Credit.

         "STATED EXPIRY DATE" is defined in SECTION 2.6.

         "STATED MATURITY DATE" means December 19, 2004.

         "SUB DEBT DOCUMENTS" means any loan agreements, indentures, note
purchase agreements, promissory notes, guarantees, and other instruments and
agreements evidencing the terms of Subordinated Debt, as amended, supplemented,
amended and restated or otherwise modified in accordance with SECTION 7.2.12.

         "SUBORDINATED DEBT" means the Subordinated Intercompany Notes, the
Holdings Notes Guaranties and other unsecured Indebtedness of the Borrowers or
their Consolidated Entities subordinated in right of payment to the Obligations
pursuant to documentation containing redemption and other prepayment events,
maturities, amortization schedules, covenants, events of default, remedies,
acceleration rights, subordination provisions and other material terms
satisfactory to the Administrative Agent.

         "SUBORDINATED INTERCOMPANY NOTES" means, collectively, (i) the
intercompany note, dated December 19, 2001, made by the US Borrower to Holdings
in an amount not to exceed $85,000,000, and (ii) the intercompany note, dated
December 19, 2001, made by the UK Borrower to Holdings in an amount not to
exceed $37,500,000, in each case subordinated in right of payment to the
Obligations pursuant to documentation containing terms satisfactory to the
Administrative Agent.

         "SUBORDINATION PROVISIONS" is defined in SECTION 8.1.11.

         "SUBSIDIARY" means, with respect to any Person, any other Person of
which more than 50% of the outstanding Voting Interests of such other Person
(irrespective of whether at the time

                                     -25-

<Page>

Equity Interests of any other class or classes of such other Person shall or
might have voting power upon the occurrence of any contingency) is at the
time directly or indirectly owned or controlled by such Person, by such
Person and one or more other Subsidiaries of such Person, or by one or more
other Subsidiaries of such Person. Unless the context otherwise specifically
requires, the term "Subsidiary" shall be a reference to a Subsidiary of the
applicable Borrower.

         "SUBSIDIARY GUARANTOR" means, as applicable, a US Subsidiary Guarantor
or a Foreign Subsidiary Guarantor.

         "SYNDICATION AGENT" is defined in the PREAMBLE.

         "SYNTHETIC LEASE" means, as applied to any Person, any lease (including
leases that may be terminated by the lessee at any time) of any property
(whether real, personal or mixed) (a) that is not a capital lease in accordance
with GAAP and (b) in respect of which the lessee retains or obtains ownership of
the property so leased for federal income tax purposes, other than any such
lease under which that Person is the lessor.

         "TAXES" means all income, stamp or other taxes, duties, levies,
imposts, charges, assessments, fees, deductions or withholdings, now or
hereafter imposed, levied, collected, withheld or assessed by any Governmental
Authority, and all interest, penalties or similar liabilities with respect
thereto.

         "TERMINATION DATE" means the date on which all Obligations have been
paid in full in cash, all Letters of Credit have been terminated or expired (or
been Cash Collateralized), all Rate Protection Agreements have been terminated
and all Commitments shall have terminated.

         "TOTAL DEBT" means, on any date, the outstanding principal amount of
all Indebtedness of the Borrowers and their Consolidated Entities of the type
referred to in CLAUSE (a) (which, in the case of the Loans, shall be deemed to
equal the average daily amount of the Loans outstanding for the Fiscal Quarter
ending on or immediately preceding the date of determination), CLAUSE (b)
(which, in the case of Letter of Credit Outstandings shall be deemed to equal
the average daily amount of Letter of Credit Outstandings for the Fiscal Quarter
ending on or immediately preceding the date of determination), CLAUSE (c) and
CLAUSE (g), in each case of the definition of "Indebtedness" (exclusive of
intercompany Indebtedness between the Borrowers and their Consolidated Entities)
and any Contingent Liability in respect of any of the foregoing.

         "TOTAL DEBT TO EBITDA RATIO" means, as of the last day of any Fiscal
Quarter, the ratio of (a) Total Debt outstanding on such day TO (b) EBITDA
computed for the period consisting of such Fiscal Quarter and each of the three
immediately preceding Fiscal Quarters.

         "TOTAL EXPOSURE AMOUNT" means, on any date of determination (and
without duplication), the outstanding principal amount of all Loans, the
aggregate amount of all Letter of Credit Outstandings and the unfunded amount of
the Commitments.

                                     -26-

<Page>

         "TRADEMARK SECURITY AGREEMENT" means any trademark security agreement
executed and delivered by any Obligor, substantially in the form of Exhibit B to
any Pledge Agreement, as amended, supplemented, amended and restated or
otherwise modified from time to time.

         "TYPE" means, relative to any Loan, the portion thereof, if any, being
maintained as a Base Rate Loan or a LIBO Rate Loan.

         "UCC" means the Uniform Commercial Code as in effect from time to time
in the State of New York; PROVIDED that if, with respect to any Filing Statement
or by reason of any provisions of law, the perfection or the effect of
perfection or non-perfection of the security interests granted to the
Administrative Agent pursuant to the applicable Loan Document is governed by the
Uniform Commercial Code as in effect in a jurisdiction of the United States
other than New York, then "UCC" means the Uniform Commercial Code as in effect
from time to time in such other jurisdiction for purposes of the provisions of
each Loan Document and any Filing Statement relating to such perfection or
effect of perfection or non-perfection.

         "UK BORROWER" is defined in the PREAMBLE.

         "UK BORROWER PLEDGE AND SECURITY AGREEMENT" means the Pledge and
Security Agreement to be executed and delivered by an Authorized Officer of the
UK Borrower pursuant to the terms of this Agreement, in form and substance
satisfactory to the Administrative Agent, as amended, supplemented, amended and
restated or otherwise modified from time to time.

         "UNITED STATES" or "U.S." means the United States of America, its fifty
states and the District of Columbia.

         "US BORROWER" is defined in the PREAMBLE.

         "US BORROWER PLEDGE AND SECURITY AGREEMENT" means the Pledge and
Security Agreement, dated as of June 13, 2001, executed and delivered by an
Authorized Officer of the US Borrower pursuant to the terms of the Existing
Credit Agreement, as amended, supplemented, amended and restated or otherwise
modified from time to time.

         "USP INTERNATIONAL" is defined in the first recital.

         "USP INTERNATIONAL GUARANTY AND PLEDGE AGREEMENT" means the Guaranty
and Pledge Agreement to be executed and delivered by an Authorized Officer of
the USP International pursuant to the terms of this Agreement, in form and
substance satisfactory to the Administrative Agent, as amended, supplemented,
amended and restated or otherwise modified from time to time.

         "US SUBSIDIARY" means a Subsidiary incorporated or organized under the
laws of the United States or a state thereof.

                                     -27-

<Page>

         "US SUBSIDIARY GUARANTOR" means a wholly-owned US Subsidiary.

         "US SUBSIDIARY GUARANTY" means the Subsidiary Guaranty, dated as of
June 13, 2001, executed and delivered by each US Subsidiary Guarantor pursuant
to the terms of the Existing Credit Agreement, as amended, supplemented, amended
and restated or otherwise modified from time to time.

         "US SUBSIDIARY PLEDGE AND SECURITY AGREEMENT" means the Pledge and
Security Agreement, dated as of June 13, 2001, executed and delivered by each US
Subsidiary Guarantor pursuant to the terms of the Existing Credit Agreement, as
amended, supplemented, amended and restated or otherwise modified from time to
time.

         "VOTING INTERESTS" means, with respect to any Person, Equity Interests
of any class or kind ordinarily having the power to vote for the election of
directors, managers or other voting members of the governing body of such
Person.

         "WCAS DEBT" means the subordinated Indebtedness of the US Borrower owed
to WCAS Capital Partners III, L.P. and evidenced by the WCAS Note.

         "WCAS NOTE" means the 10% subordinated note issued by the US Borrower
to WCAS Capital Partners III, L.P. in an amount equal to $36,000,000 in
satisfaction of certain intercompany indebtedness owed by the US Borrower to
Parent.

         "WELFARE PLAN" means a "welfare plan", as such term is defined in
Section 3(1) of ERISA.

         "WHOLLY-OWNED SUBSIDIARY" means a Subsidiary all of the outstanding
Equity Interests of which (other than any director's qualifying shares) are
owned directly or indirectly by a Borrower.

         SECTION 1.2. USE OF DEFINED TERMS. Unless otherwise defined or the
context otherwise requires, terms for which meanings are provided in this
Agreement shall have such meanings when used in each other Loan Document and the
Disclosure Schedule.

         SECTION 1.3. CROSS-REFERENCES. Unless otherwise specified, references
in a Loan Document to any Article or Section are references to such Article or
Section of such Loan Document, and references in any Article, Section or
definition to any clause are references to such clause of such Article, Section
or definition.

         SECTION 1.4. ACCOUNTING AND FINANCIAL DETERMINATIONS. Unless otherwise
specified, all accounting terms used in each Loan Document shall be interpreted,
and all accounting determinations and computations thereunder (including under
SECTION 7.2.4 and the definitions used in such calculations) shall be made, in
accordance with those generally accepted accounting principles ("GAAP") applied
in the preparation of the financial statements referred to in

                                     -28-

<Page>

clause (a) of Section 5.1.12 of the Existing Credit Agreement. Unless
otherwise expressly provided, all financial covenants and defined financial
terms shall be computed on a consolidated basis for the Borrowers and their
Consolidated Entities, in each case without duplication.

                                   ARTICLE II
                       COMMITMENTS, BORROWING AND ISSUANCE
                     PROCEDURES, NOTES AND LETTERS OF CREDIT

         SECTION 2.1. COMMITMENTS. On the terms and subject to the conditions of
this Agreement, the Lenders and the Issuer severally agree to make Credit
Extensions as set forth below.

         SECTION 2.1.1.  REVOLVING LOAN COMMITMENT.

                  (a) From time to time on any Business Day occurring from and
         after the Amendment Effective Date but prior to the Commitment
         Termination Date, each Lender that has a Revolving Loan Commitment
         agrees that it will make loans (relative to such Lender, its "LOANS")
         to the Borrowers equal to such Lender's Percentage of the aggregate
         amount of each Borrowing of the Loans requested by either of the
         Borrowers to be made on such day. On the terms and subject to the
         conditions hereof, the Borrowers may from time to time borrow, prepay
         and reborrow Loans. No Lender shall be permitted or required to make
         any Loan if, after giving effect thereto, the aggregate outstanding
         principal amount of all Loans of such Lender, together with such
         Lender's Percentage of the aggregate amount of all Letter of Credit
         Outstandings, would exceed such Lender's Percentage of the then
         existing Revolving Loan Commitment Amount.

                  (b) Each of the parties hereto acknowledges and agrees that
         the Existing Loans shall continue as Loans for all purposes under this
         Agreement and the Loan Documents, with each Lender's share of the Loans
         being set forth opposite its name on SCHEDULE II hereto or set forth in
         a Lender Assignment Agreement, as such amount may be adjusted from time
         to time pursuant to the terms hereof.

         SECTION 2.1.2. LETTER OF CREDIT COMMITMENT. From time to time on any
Business Day occurring from and after the Amendment Effective Date but prior to
the Commitment Termination Date, the relevant Issuer agrees that it will

                  (a) issue one or more standby letters of credit (relative to
         such Issuer, its "LETTER OF CREDIT") for the account of the applicable
         Borrower or any Subsidiary Guarantor in the Stated Amount requested by
         such Borrower on such day; or

                  (b) extend the Stated Expiry Date of an existing standby
         Letter of Credit previously issued hereunder.

                                     -29-
<Page>

No Stated Expiry Date shall extend beyond the earlier of (i) the Commitment
Termination Date and (ii) unless otherwise agreed to by the Issuer in its sole
discretion, one year from the date of such extension. No Issuer shall be
permitted or required to issue any Letter of Credit if, after giving effect
thereto, (i) the aggregate amount of all Letter of Credit Outstandings would
exceed the Letter of Credit Commitment Amount or (ii) the sum of the aggregate
amount of all Letter of Credit Outstandings plus the aggregate principal amount
of all Revolving Loans then outstanding would exceed the Revolving Loan
Commitment Amount.

         SECTION 2.1.3. ASSIGNMENT AND REALLOCATION OF EXISTING LOANS AND
COMMITMENTS. On the Amendment Effective Date, each Existing Lender hereby
irrevocably sells, transfers, conveys and assigns, without recourse,
representation or warranty (except as expressly set forth herein), to each
Lender, and each such Lender hereby irrevocably purchases from such Existing
Lender, a portion of the rights and obligations of such Existing Lender under
the Existing Credit Agreement and each other Loan Document in respect of such
Existing Lender's Existing Loans and Commitments under (and as defined in) the
Existing Credit Agreement, including participating interests in Letter of Credit
Outstandings under (and as defined in) the Existing Credit Agreement, such that,
after giving effect to the foregoing assignment and delegation, each Lender's
Percentages of the Commitments and portion of the Existing Loans will be as set
forth opposite such Person's name on SCHEDULE II hereto.

                  (a) Each Existing Lender hereby represents and warrants to
         each Lender that, immediately before giving effect to the provisions of
         this Section, (i) such Existing Lender is the legal and beneficial
         owner of the portion of its rights and obligations in respect of its
         Existing Loans being assigned to each Lender as set forth above; and
         (ii) such rights and obligations being assigned and sold by such
         Existing Lender are free and clear of any adverse claim or encumbrance
         created by such Existing Lender.

                  (b) Each of the Lenders hereby acknowledges and agrees that
         (i) other than the representations and warranties contained above, no
         Existing Lender nor the Administrative Agent has made any
         representations or warranties or assumed any responsibility with
         respect to (A) any statements, warranties or representations made in or
         in connection with this Agreement or the execution, legality, validity,
         enforceability, genuineness or sufficiency of this Agreement, the
         Existing Credit Agreement or any other Loan Document or (B) the
         financial condition of any Obligor or the performance by any Obligor of
         the Obligations; (ii) it has received such information as it has deemed
         appropriate to make its own credit analysis and decision to enter into
         this Agreement; and (iii) it has made and continues to make its own
         credit decisions in taking or not taking action under this Agreement,
         independently and without reliance upon the Administrative Agent or any
         other Lender.

                  (c) Each Borrower, each of the Existing Lenders and the
         Administrative Agent also agree that each of the Lenders shall, as of
         the Amendment Effective Date, have all of the rights and interests as a
         Lender in respect of the Commitments and Loans purchased

                                      -30-
<Page>

         and assumed or retained by it, to the extent of the rights and
         obligations so purchased and assumed or retained by it.

                  (d) Each Lender which is purchasing any portion of the
         Existing Loans shall deliver to the Administrative Agent immediately
         available funds in the full amount of the purchase made by it and the
         Administrative Agent shall, to the extent of the funds so received,
         disburse such funds to the Existing Lenders which are making sales and
         assignments in the amount of the portions so sold and assigned.

         SECTION 2.2. REDUCTION OF THE COMMITMENT AMOUNTS. The Commitment
Amounts are subject to reduction from time to time as set forth below.

         SECTION 2.2.1. OPTIONAL. The Borrowers may, from time to time on any
Business Day occurring after the Amendment Effective Date, voluntarily reduce
the amount of the Revolving Loan Commitment Amount or the Letter of Credit
Commitment Amount on the Business Day so specified by the Borrowers; PROVIDED
that all such reductions shall require at least one Business Day's prior notice
to the Administrative Agent and be permanent, and any partial reduction of any
Commitment Amount shall be in a minimum amount of $1,000,000 and in an integral
multiple of $500,000. Any optional or mandatory reduction of the Revolving Loan
Commitment Amount pursuant to the terms of this Agreement which reduces the
Revolving Loan Commitment Amount below the Letter of Credit Commitment Amount
shall result in an automatic and corresponding reduction of the Letter of Credit
Commitment Amount (as directed by the Borrowers in a notice to the
Administrative Agent delivered together with the notice of such voluntary
reduction in the Revolving Loan Commitment Amount) to an aggregate amount not in
excess of the Revolving Loan Commitment Amount, as so reduced, without any
further action on the part of the Issuer.

         SECTION 2.2.2. MANDATORY. The Revolving Loan Commitment Amount shall,
without any further action, automatically and permanently be reduced on the date
that Loans are required to be prepaid with any Net Equity Proceeds, Net
Disposition Proceeds or Net Casualty Proceeds in an amount equal to the amount
by which Loans are required to be prepaid.

         SECTION 2.3. BORROWING PROCEDURES. By delivering a Borrowing Request to
the Administrative Agent on or before 10:00 a.m. on a Business Day, either
Borrower may from time to time irrevocably request, on such Business Day in the
case of Base Rate Loans, or on not less than three Business Days' notice in the
case of LIBO Rate Loans, and in either case not more than five Business Days'
notice, that a Borrowing be made, in the case of LIBO Rate Loans, in a minimum
amount of $1,000,000 and an integral multiple of $250,000, in the case of Base
Rate Loans, in a minimum amount of $250,000 and an integral multiple of $100,000
or, in either case, in the unused amount of the applicable Commitment. On the
terms and subject to the conditions of this Agreement, each Borrowing shall be
comprised of the type of Loans, and shall be made on the Business Day, specified
in such Borrowing Request. On or before 11:00 a.m. on such Business Day, each
Lender that has a Commitment to make the Loans being requested shall

                                      -31-
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deposit with the Administrative Agent same day funds in an amount equal to
such Lender's Percentage of the requested Borrowing. Such deposit will be
made to an account which the Administrative Agent shall specify from time to
time by notice to the Lenders. To the extent funds are received from the
Lenders, the Administrative Agent shall make such funds available to the
applicable Borrower by wire transfer to the accounts such Borrower shall have
specified in its Borrowing Request. No Lender's obligation to make any Loan
shall be affected by any other Lender's failure to make any Loan.

         SECTION 2.4. CONTINUATION AND CONVERSION ELECTIONS. By delivering a
Continuation/Conversion Notice to the Administrative Agent on or before 10:00
a.m. on a Business Day, either Borrower may from time to time irrevocably elect,
on not less than one Business Day's notice in the case of Base Rate Loans, or
three Business Days' notice in the case of LIBO Rate Loans, and in either case
not more than five Business Days' notice, that all, or any portion in an
aggregate minimum amount of $250,000 and an integral multiple of $100,000 be, in
the case of Base Rate Loans, converted into LIBO Rate Loans or be, in the case
of LIBO Rate Loans, converted into Base Rate Loans or continued as LIBO Rate
Loans (in the absence of delivery of a Continuation/Conversion Notice with
respect to any LIBO Rate Loan at least three Business Days (but not more than
five Business Days) before the last day of the then current Interest Period with
respect thereto, such LIBO Rate Loan shall, on such last day, automatically
convert to a Base Rate Loan); PROVIDED that (x) each such conversion or
continuation shall be pro rated among the applicable outstanding Loans of all
Lenders that have made such Loans, and (y) no portion of the outstanding
principal amount of any Loans may be continued as, or be converted into, LIBO
Rate Loans when any Default has occurred and is continuing.

         SECTION 2.5. FUNDING. Each Lender may, if it so elects, fulfill its
obligation to make, continue or convert LIBO Rate Loans hereunder by causing one
of its foreign branches or Affiliates (or an international banking facility
created by such Lender) to make or maintain such LIBO Rate Loan; PROVIDED that
such LIBO Rate Loan shall nonetheless be deemed to have been made and to be held
by such Lender, and the obligation of the Borrowers to repay such LIBO Rate Loan
shall nevertheless be to such Lender for the account of such foreign branch,
Affiliate or international banking facility. In addition, the Borrowers hereby
consent and agree that, for purposes of any determination to be made for
purposes of SECTIONS 4.1, 4.2, 4.3 or 4.4, it shall be conclusively assumed that
each Lender elected to fund all LIBO Rate Loans by purchasing Dollar deposits in
its LIBOR Office's interbank eurodollar market.

         SECTION 2.6. ISSUANCE PROCEDURES. By delivering to the Administrative
Agent an Issuance Request on or before 10:00 a.m. on a Business Day, either
Borrower may from time to time irrevocably request on not less than three nor
more than ten Business Days' notice, in the case of an initial issuance of a
Letter of Credit and not less than three Business Days' prior notice, in the
case of a request for the extension of the Stated Expiry Date of a standby
Letter of Credit (in each case, unless a shorter notice period is agreed to by
the Issuer, in its sole discretion), that an Issuer issue, or extend the Stated
Expiry Date of, a Letter of Credit in such form as may be requested by such
Borrower and approved by such Issuer, solely for the purposes

                                      -32-
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described in SECTION 7.1.7. Each Letter of Credit shall by its terms be
stated to expire on a date (its "STATED EXPIRY DATE") no later than the
earlier to occur of (i) the Commitment Termination Date or (ii) (unless
otherwise agreed to by an Issuer, in its sole discretion), one year from the
date of its issuance. Each Issuer will make available to the beneficiary
thereof the original of the Letter of Credit which it issues.

         SECTION 2.6.1. OTHER LENDERS' PARTICIPATION. Upon the issuance of each
Letter of Credit, and without further action, each Lender (other than such
Issuer) shall be deemed to have irrevocably purchased, to the extent of its
Percentage, a participation interest in such Letter of Credit (including the
Contingent Liability and any Reimbursement Obligation with respect thereto), and
such Lender shall, to the extent of its Percentage, be responsible for
reimbursing within one Business Day the Issuer for Reimbursement Obligations
which have not been reimbursed by the applicable Borrower in accordance with
SECTION 2.6.3. In addition, such Lender shall, to the extent of its Percentage,
be entitled to receive a ratable portion of the Letter of Credit fees payable
pursuant to SECTION 3.3.3 with respect to each Letter of Credit (other than the
issuance fees payable to an Issuer of such Letter of Credit pursuant to the last
sentence of SECTION 3.3.3) and of interest payable pursuant to SECTION 3.2 with
respect to any Reimbursement Obligation. To the extent that any Lender has
reimbursed any Issuer for a Disbursement, such Lender shall be entitled to
receive its ratable portion of any amounts subsequently received (from the
applicable Borrower or otherwise) in respect of such Disbursement.

         SECTION 2.6.2. DISBURSEMENTS. An Issuer will notify the applicable
Borrower and the Administrative Agent promptly of the presentment for payment of
any Letter of Credit issued by such Issuer, together with notice of the date
(the "DISBURSEMENT DATE") such payment shall be made (each such payment, a
"DISBURSEMENT"). Subject to the terms and provisions of such Letter of Credit
and this Agreement, the applicable Issuer shall make such payment to the
beneficiary (or its designee) of such Letter of Credit. Prior to 11:00 a.m. on
the first Business Day following the Disbursement Date, the applicable Borrower
will reimburse the Administrative Agent, for the account of the applicable
Issuer, for all amounts which such Issuer has disbursed under such Letter of
Credit, together with interest thereon at a rate per annum equal to the rate per
annum then in effect for Base Rate Loans (with the then Applicable Margin for
Loans accruing on such amount) pursuant to SECTION 3.2 for the period from the
Disbursement Date through the date of such reimbursement. Without limiting in
any way the foregoing and notwithstanding anything to the contrary contained
herein or in any separate application for any Letter of Credit, each Borrower
hereby acknowledges and agrees that it shall be obligated to reimburse the
applicable Issuer upon each Disbursement of a Letter of Credit, and shall be
deemed to be the obligor for purposes of each such Letter of Credit issued
hereunder (whether the account party on such Letter of Credit is the applicable
Borrower or a Subsidiary Guarantor).

         SECTION 2.6.3. REIMBURSEMENT. The obligation (a "REIMBURSEMENT
OBLIGATION") of the Borrowers under SECTION 2.6.2 to reimburse an Issuer with
respect to each Disbursement (including interest thereon), and, upon the failure
of the applicable Borrower to reimburse an Issuer, each Lender's obligation
under SECTION 2.6.1 to reimburse an Issuer, shall be absolute and

                                      -33-
<Page>

unconditional under any and all circumstances and irrespective of any setoff,
counterclaim or defense to payment which the applicable Borrower or such
Lender, as the case may be, may have or have had against such Issuer or any
Lender, including any defense based upon the failure of any Disbursement to
conform to the terms of the applicable Letter of Credit (if, in such Issuer's
good faith opinion, such Disbursement is determined to be appropriate) or any
non-application or misapplication by the beneficiary of the proceeds of such
Letter of Credit; PROVIDED that after paying in full its Reimbursement
Obligation hereunder, nothing herein shall adversely affect the right of the
such Borrower or such Lender, as the case may be, to commence any proceeding
against an Issuer for any wrongful Disbursement made by such Issuer under a
Letter of Credit as a result of acts or omissions constituting gross
negligence or wilful misconduct on the part of such Issuer.

         SECTION 2.6.4. DEEMED DISBURSEMENTS. Upon the occurrence and during the
continuation of any Default under SECTION 8.1.9 or upon notification by the
Administrative Agent (acting at the direction of the Required Lenders) to the
Borrowers of their obligations under this Section, following the occurrence and
during the continuation of any other Event of Default,

                  (a) the aggregate Stated Amount of all Letters of Credit
         shall, without demand upon or notice to the applicable Borrower or any
         other Person, be deemed to have been paid or disbursed by the Issuer of
         such Letters of Credit (notwithstanding that such amount may not in
         fact have been paid or disbursed); and

                  (b) the applicable Borrower shall be immediately obligated to
         reimburse the Issuer for the amount deemed to have been so paid or
         disbursed by such Issuer.

Amounts payable by the applicable Borrower pursuant to this Section shall be
deposited in immediately available funds with the Administrative Agent and held
as collateral security for the Reimbursement Obligations. When all Defaults
giving rise to the deemed disbursements under this Section have been cured or
waived the Administrative Agent shall return to the applicable Borrower all
amounts then on deposit with the Administrative Agent pursuant to this Section
which have not been applied to the satisfaction of the Reimbursement
Obligations.

         SECTION 2.6.5. NATURE OF REIMBURSEMENT OBLIGATIONS. Each Borrower, each
other Obligor and, to the extent set forth in SECTION 2.6.1, each Lender shall
assume all risks of the acts, omissions or misuse of any Letter of Credit by the
beneficiary thereof. No Issuer (except to the extent of its own gross negligence
or wilful misconduct) shall be responsible for:

                  (a) the form, validity, sufficiency, accuracy, genuineness or
         legal effect of any Letter of Credit or any document submitted by any
         party in connection with the application for and issuance of a Letter
         of Credit, even if it should in fact prove to be in any or all respects
         invalid, insufficient, inaccurate, fraudulent or forged;

                                      -34-
<Page>

                  (b) the form, validity, sufficiency, accuracy, genuineness or
         legal effect of any instrument transferring or assigning or purporting
         to transfer or assign a Letter of Credit or the rights or benefits
         thereunder or the proceeds thereof in whole or in part, which may prove
         to be invalid or ineffective for any reason;

                  (c)  failure of the beneficiary to comply fully with
         conditions required in order to demand payment under a Letter of
         Credit;

                  (d)  errors, omissions, interruptions or delays in
         transmission or delivery of any messages, by mail, cable, telegraph,
         telex or otherwise; or

                  (e) any loss or delay in the transmission or otherwise of any
         document or draft required in order to make a Disbursement under a
         Letter of Credit.

None of the foregoing shall affect, impair or prevent the vesting of any of the
rights or powers granted to any Issuer or any Lender hereunder. In furtherance
and not in limitation or derogation of any of the foregoing, any action taken or
omitted to be taken by an Issuer in good faith (and not constituting gross
negligence or willful misconduct) shall be binding upon each Obligor and each
such Secured Party, and shall not put such Issuer under any resulting liability
to any Obligor or any Secured Party, as the case may be.

         SECTION 2.7. REVOLVING NOTES. (a) Each Borrower agrees that, upon the
request to the Administrative Agent by any Lender, such Borrower will execute
and deliver to such Lender a Revolving Note evidencing the Loans made by, and
payable to the order of, such Lender in a maximum principal amount equal to such
Lender's Percentage of the Revolving Loan Commitment Amount. Each Borrower
hereby irrevocably authorizes each Lender to make (or cause to be made)
appropriate notations on the grid attached to such Lender's Revolving Note (or
on any continuation of such grid), which notations, if made, shall evidence,
INTER ALIA, the date of, the outstanding principal amount of, and the interest
rate and Interest Period applicable to the Loans evidenced thereby. Such
notations shall, to the extent not inconsistent with notations made by the
Administrative Agent in the Register, be conclusive and binding on each Obligor
absent manifest error; PROVIDED that the failure of any Lender to make any such
notations shall not limit or otherwise affect any Obligations of any Obligor.

         (b) Each Borrower hereby designates the Administrative Agent to serve
as such Borrower's agent, solely for the purpose of this clause, to maintain a
register (the "REGISTER") on which the Administrative Agent will record each
Lender's Commitment, the Loans made by each Lender and each repayment in respect
of the principal amount of the Loans, annexed to which the Administrative Agent
shall retain a copy of each Lender Assignment Agreement delivered to the
Administrative Agent pursuant to SECTION 10.10. Failure to make any recordation,
or any error in such recordation, shall not affect any Obligor's Obligations.
The entries in the Register shall be conclusive, in the absence of manifest
error, and the Borrowers, the Administrative Agent and the Lenders shall treat
each Person in whose name a Loan is registered (or, if applicable, to which

                                      -35-
<Page>

a Revolving Note has been issued) as the owner thereof for the purposes of
all Loan Documents, notwithstanding notice or any provision herein to the
contrary. Any assignment or transfer of a Commitment or the Loans made
pursuant hereto shall be registered in the Register only upon delivery to the
Administrative Agent of a Lender Assignment Agreement that has been executed
by the requisite parties pursuant to SECTION 11.10. No assignment or transfer
of a Lender's Commitment or Loans shall be effective unless such assignment
or transfer shall have been recorded in the Register by the Administrative
Agent as provided in this Section.

                                   ARTICLE III
                   REPAYMENTS, PREPAYMENTS, INTEREST AND FEES

         SECTION 3.1. REPAYMENTS AND PREPAYMENTS; APPLICATION. Each Borrower
agrees that the Loans shall be repaid and prepaid pursuant to the following
terms.

         SECTION 3.1.1. REPAYMENTS AND PREPAYMENTS. Each Borrower shall repay in
full the unpaid principal amount of each Loan made to such Borrower upon the
applicable Stated Maturity Date therefor. Prior thereto, payments and
prepayments of the Loans shall or may be made as set forth below.

                  (a) From time to time on any Business Day, either Borrower may
         make a voluntary prepayment, in whole or in part, of the outstanding
         principal amount of any of its Loans; PROVIDED that (A) any such
         prepayment of Loans shall be made PRO RATA among the Loans of the same
         type and, if applicable, having the same Interest Period of all Lenders
         that have made such Loans; (B) all such voluntary prepayments shall
         require at least one but no more than five Business Days' prior notice
         to the Administrative Agent; and (C) all such voluntary partial
         prepayments shall be, in the case of LIBO Rate Loans, in an aggregate
         minimum amount of $1,000,000 and an integral multiple of $250,000 and,
         in the case of Base Rate Loans, in an aggregate minimum amount of
         $250,000 and an integral multiple of $100,000.

                  (b) On each date when the sum of (i) the aggregate outstanding
         principal amount of all Loans and (ii) the aggregate amount of all
         Letter of Credit Outstandings exceeds the Revolving Loan Commitment
         Amount (as it may be reduced from time to time pursuant to this
         Agreement), the Borrowers shall make a mandatory prepayment of their
         respective Loans and, if necessary, Cash Collateralize all Letter of
         Credit Outstandings, in an aggregate amount equal to such excess.

                  (c) Concurrently with the receipt by either Borrower of any
         Net Equity Proceeds, such Borrower shall make a mandatory prepayment of
         its Loans in an amount equal to 50% of such Net Equity Proceeds, to be
         applied as set forth in SECTION 3.1.2; PROVIDED that no such prepayment
         shall be required to be made beyond the extent that the amount of Total
         Debt as reduced by giving effect to such prepayment would result, on a
         PRO

                                      -36-
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         FORMA basis, in a Total Debt to EBITDA Ratio of 3.0:1 or less as of
         the end of the immediately preceding Fiscal Quarter.

                  (d) Concurrently with the receipt by either Borrower or any of
         its Subsidiary Guarantors of any Net Disposition Proceeds, such
         Borrower shall deliver to the Administrative Agent a calculation of the
         amount of such Net Disposition Proceeds and, to the extent the amount
         of such Net Disposition Proceeds with respect to any single transaction
         or series of related transactions exceeds $50,000 (up to a maximum
         aggregate amount equal to $250,000 in any Fiscal Year), make a
         mandatory prepayment of its Loans in an amount equal to 100% of such
         Net Disposition Proceeds, to be applied as set forth in SECTION 3.1.2;
         PROVIDED that no mandatory prepayment on account of such Net
         Disposition Proceeds shall be required under this clause if such
         Borrower informs the Administrative Agent no later than 30 days
         following the receipt of any Net Disposition Proceeds of its or its
         Subsidiary Guarantor's good faith intention to apply such Net
         Disposition Proceeds to the acquisition of other assets or property
         consistent with the business permitted to be conducted pursuant to
         SECTION 7.2.1 (including by way of merger or Investment) within 365
         days following the receipt of such Net Disposition Proceeds, with the
         amount of such Net Disposition Proceeds unused after such 365 day
         period being applied to the Loans as set forth in SECTION 3.1.2.

                  (e) Concurrently with the receipt by either Borrower or any of
         its Subsidiary Guarantors of any Net Casualty Proceeds, such Borrower
         shall make a mandatory prepayment of its Loans in an amount equal to
         100% of such Net Casualty Proceeds, to be applied as set forth in
         SECTION 3.1.2; PROVIDED that no mandatory prepayment on account of Net
         Casualty Proceeds shall be required under this clause if such Borrower
         informs the Administrative Agent no later than 30 days following the
         occurrence of the Casualty Event resulting in such Net Casualty
         Proceeds of its or its Subsidiary Guarantor's good faith intention to
         apply such Net Casualty Proceeds to the rebuilding or replacement of
         the damaged, destroyed or condemned assets or property subject to such
         Casualty Event or the acquisition of other assets or property
         consistent with the business permitted to be conducted pursuant to
         SECTION 7.2.1 (including by way of merger or Investment) and in fact
         uses such Net Casualty Proceeds to rebuild or replace the damaged,
         destroyed or condemned assets or property subject to such Casualty
         Event or to acquire such other property or assets within 365 days
         following the receipt of such Net Casualty Proceeds, with the amount of
         such Net Casualty Proceeds unused after such 365 day period being
         applied to the Loans as set forth in SECTION 3.1.2; PROVIDED FURTHER,
         HOWEVER, that at any time when any Event of Default shall have occurred
         and be continuing or Net Casualty Proceeds not applied as provided
         above shall exceed $1,000,000, such Net Casualty Proceeds will be
         deposited in an account maintained with the Administrative Agent (over
         which the Administrative Agent has sole dominion and control) for
         disbursement at the request of such Borrower to pay for such
         rebuilding, replacement or acquisition.

                                      -37-
<Page>

                  (f) No later than five Business Days following the delivery by
         the Borrowers of their annual audited financial reports required
         pursuant to CLAUSE (b) of SECTION 7.1.1 (beginning with the financial
         reports delivered in respect of the 2001 Fiscal Year), the Borrowers
         shall deliver to the Administrative Agent a calculation of the Excess
         Cash Flow for the Fiscal Year last ended and, no later than five
         Business Days following the delivery of such calculation, make or cause
         to be made a mandatory prepayment of its Loans in an amount equal to
         50% of the Excess Cash Flow (if any) for such Fiscal Year, to be
         applied as set forth in SECTION 3.1.2; PROVIDED that no such prepayment
         shall be required to be made beyond the extent that the amount of Total
         Debt as reduced by giving effect to such prepayment would result, on a
         PRO FORMA basis, in a Total Debt to EBITDA Ratio of 3.0:1 or less as of
         the end of the immediately preceding Fiscal Quarter.

                  (g) Immediately upon any acceleration of the Stated Maturity
         Date of any Loans pursuant to SECTION 8.2 or SECTION 8.3, such Borrower
         shall repay all of its Loans pursuant to this Agreement, unless,
         pursuant to SECTION 8.3, only a portion of all the Loans is so
         accelerated (in which case the portion so accelerated shall be so
         repaid by the applicable Borrower).

Each prepayment of any Loans made pursuant to this Section shall be without
premium or penalty, except as may be required by SECTION 4.4.

         SECTION 3.1.2. APPLICATION. Amounts prepaid pursuant to SECTION 3.1.1
shall be applied as set forth in this Section.

                  (a) Subject to CLAUSE (b), each prepayment or repayment of the
         principal of the Loans shall be applied, to the extent of such
         prepayment or repayment, FIRST, to the principal amount thereof being
         maintained as Base Rate Loans, and SECOND, subject to the terms of
         SECTION 4.4, to the principal amount thereof being maintained as LIBO
         Rate Loans.

                  (b) Each prepayment of the Loans made pursuant to CLAUSES (c),
         (d) and (e) of SECTION 3.1.1 shall result in a corresponding reduction
         of the Revolving Loan Commitment Amount in accordance with SECTION
         2.2.2.

         SECTION 3.2. INTEREST PROVISIONS. Interest on the outstanding principal
amount of Loans shall accrue and be payable in accordance with the terms set
forth below.

         SECTION 3.2.1. RATES. Pursuant to an appropriately delivered Borrowing
Request or Continuation/Conversion Notice, each Borrower may elect that Loans
comprising a Borrowing accrue interest at a rate per annum:

                                      -38-
<Page>

                  (a) on that portion maintained from time to time as a Base
         Rate Loan, equal to the sum of the Alternate Base Rate from time to
         time in effect plus the Applicable Margin; and

                  (b) on that portion maintained as a LIBO Rate Loan, during
         each Interest Period applicable thereto, equal to the sum of the LIBO
         Rate (Reserve Adjusted) for such Interest Period plus the Applicable
         Margin.

All LIBO Rate Loans shall bear interest from and including the first day of the
applicable Interest Period to (but not including) the last day of such Interest
Period at the interest rate determined as applicable to such LIBO Rate Loan.

         SECTION 3.2.2. POST-MATURITY RATES. After the date any principal amount
of any Loan or Reimbursement Obligation is due and payable (whether on the
Stated Maturity Date, upon acceleration or otherwise), or after any other
monetary Obligation of either Borrower shall have become due and payable, such
Borrower shall pay, but only to the extent permitted by law, interest (after as
well as before judgment) on such amounts at a rate per annum equal to (a) in the
case of overdue principal on any Loan, the rate of interest that otherwise would
be applicable to such Loan PLUS 2% per annum; and (b) in the case of overdue
interest, fees, and other monetary Obligations, the Alternate Base Rate PLUS 2%
per annum.

         SECTION 3.2.3. PAYMENT DATES. Interest accrued on each Loan shall be
payable, without duplication:

                  (a)  on the Stated Maturity Date therefor;

                  (b)  on the date of any payment or prepayment, in whole or
         in part, of principal outstanding on such Loan on the principal amount
         so paid or prepaid;

                  (c)  with respect to Base Rate Loans, on each  Quarterly
         Payment Date occurring after the Effective Date;

                  (d) with respect to LIBO Rate Loans, on the last day of each
         applicable Interest Period (and, if such Interest Period shall exceed
         three months, on the date occurring on each three-month interval
         occurring after the first day of such Interest Period);

                  (e) with respect to any Base Rate Loans converted into LIBO
         Rate Loans on a day when interest would not otherwise have been payable
         pursuant to CLAUSE (c), on the date of such conversion; and

                  (f) on that portion of any Loans the Stated Maturity Date of
         which is accelerated pursuant to SECTION 8.2 or SECTION 8.3,
         immediately upon such acceleration.

                                      -39-
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Interest accrued on Loans or other monetary Obligations after the date such
amount is due and payable (whether on the Stated Maturity Date, upon
acceleration or otherwise) shall be payable upon demand.

         SECTION 3.3. FEES. The Borrowers agree to pay the fees applicable to
items set forth below. All such fees shall be non-refundable.

         SECTION 3.3.1. COMMITMENT FEE. The Borrowers agree to pay to the
Administrative Agent for the account of each Lender, for the period (including
any portion thereof when any of its Commitments are suspended by reason of
either Borrower's inability to satisfy any condition of ARTICLE V) commencing on
the Amendment Effective Date and continuing through the Commitment Termination
Date, a commitment fee in an amount per annum equal to 0.50% of such Lender's
Percentage of the sum of the average daily unused portion of the Revolving Loan
Commitment Amount (net of Letter of Credit Outstandings). All commitment fees
payable pursuant to this Section shall be calculated on a year comprised of 360
days and payable by the Borrowers in arrears on each Quarterly Payment Date,
commencing with the first Quarterly Payment Date following the Effective Date,
and on the Commitment Termination Date.

         SECTION 3.3.2. FEE LETTER FEES. The Borrowers agree to pay to the
Administrative Agent, for its own account and for the account of each Lender, as
applicable, the fees in the amounts and on the dates set forth in the Fee Letter
and the Amendment Fee Letter.

         SECTION 3.3.3. LETTER OF CREDIT FEE. The Borrowers agree to pay to the
Administrative Agent, for the PRO RATA account of the applicable Issuer and each
Lender, a Letter of Credit fee in an amount equal to the then effective
Applicable Margin for Loans maintained as LIBO Rate Loans, multiplied by the
Stated Amount of each such Letter of Credit, such fees being payable quarterly
in arrears on each Quarterly Payment Date following the date of issuance of each
Letter of Credit and on the Commitment Termination Date. The Borrowers further
agree to pay to the applicable Issuer quarterly in arrears on each Quarterly
Payment Date following the date of issuance of each Letter of Credit and on the
Commitment Termination Date an issuance fee as specified in the Fee Letter or as
otherwise agreed to by the Borrowers and such Issuer.

                                   ARTICLE IV
                     CERTAIN LIBO RATE AND OTHER PROVISIONS

         SECTION 4.1. LIBO RATE LENDING UNLAWFUL. If any Lender shall determine
(which determination shall, upon notice thereof to the Borrowers and the
Administrative Agent, be conclusive and binding on the Borrowers) that the
introduction of or any change in or in the interpretation of any law makes it
unlawful, or any Governmental Authority asserts that it is unlawful, for such
Lender to make or continue any Loan as, or to convert any Loan into, a LIBO Rate
Loan, the obligations of such Lender to make, continue or convert any such LIBO
Rate Loan shall, upon such determination, forthwith be suspended until such
Lender shall notify the

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Administrative Agent that the circumstances causing such suspension no longer
exist, and all outstanding LIBO Rate Loans payable to such Lender shall
automatically convert into Base Rate Loans at the end of the then current
Interest Periods with respect thereto or sooner, if required by such law or
assertion.

         SECTION 4.2. DEPOSITS UNAVAILABLE. If the Administrative Agent shall
have determined that

                  (a)  Dollar deposits in the relevant amount and for the
         relevant Interest Period are not available to it in its relevant
         market; or

                  (b) by reason of circumstances affecting it's relevant market,
         adequate means do not exist for ascertaining the interest rate
         applicable hereunder to LIBO Rate Loans;

then, upon notice from the Administrative Agent to the Borrowers and the
Lenders, the obligations of all Lenders under SECTION 2.3 and SECTION 2.4 to
make or continue any Loans as, or to convert any Loans into, LIBO Rate Loans
shall forthwith be suspended until the Administrative Agent shall notify the
Borrowers and the Lenders that the circumstances causing such suspension no
longer exist.

         SECTION 4.3. INCREASED LIBO RATE LOAN COSTS, ETC. Each Borrower agrees
to reimburse each Lender and Issuer for any increase in the cost to such Lender
or Issuer of, or any reduction in the amount of any sum receivable by such
Secured Party in respect of, such Secured Party's Commitments and the making of
Credit Extensions hereunder (including the making, continuing or maintaining (or
of its obligation to make or continue) any Loans as, or of converting (or of its
obligation to convert) any Loans into, LIBO Rate Loans) that arise in connection
with any change in, or the introduction, adoption, effectiveness,
interpretation, reinterpretation or phase-in after the Closing Date of, any law
or regulation, directive, guideline, decision or request (whether or not having
the force of law) of any Governmental Authority, except for such changes with
respect to increased capital costs and Taxes which are governed by SECTIONS 4.5
and 4.6, respectively. Each affected Secured Party shall promptly notify the
Administrative Agent and the Borrowers in writing of the occurrence of any such
event, stating the reasons therefor and the additional amount required fully to
compensate such Secured Party for such increased cost or reduced amount. Such
additional amounts shall be payable by the Borrowers directly to such Secured
Party within five days of its receipt of such notice, and such notice shall, in
the absence of manifest error, be conclusive and binding on the Borrowers.

         SECTION 4.4. FUNDING LOSSES. In the event any Lender shall incur any
loss or expense (including any loss or expense incurred by reason of the
liquidation or reemployment of deposits or other funds acquired by such Lender
to make or continue any portion of the principal amount of any Loan as, or to
convert any portion of the principal amount of any Loan into, a LIBO Rate Loan)
as a result of

                                     -41-
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                  (a) any conversion or repayment or prepayment of the principal
         amount of any LIBO Rate Loan on a date other than the scheduled last
         day of the Interest Period applicable thereto, whether pursuant to
         ARTICLE III or otherwise;

                  (b)  any Loans not being made as LIBO Rate Loans in
         accordance with the Borrowing Request therefor; or

                  (c)  any Loans not being continued as, or converted into,
         LIBO Rate Loans in accordance with the Continuation/Conversion Notice
         therefor;

then, upon the written notice of such Lender to the applicable Borrower (with a
copy to the Administrative Agent), such Borrower shall, within five days of its
receipt thereof, pay directly to such Lender such amount as will (in the
reasonable determination of such Lender) reimburse such Lender for such loss or
expense. Such written notice shall, in the absence of manifest error, be
conclusive and binding on such Borrower.

         SECTION 4.5. INCREASED CAPITAL COSTS. If any change in, or the
introduction, adoption, effectiveness, interpretation, reinterpretation or
phase-in of, any law or regulation, directive, guideline, decision or request
(whether or not having the force of law) of any Governmental Authority affects
or would affect the amount of capital required or expected to be maintained by
any Secured Party or any Person controlling such Secured Party, and such Secured
Party determines (in good faith but in its sole and absolute discretion) that
the rate of return on its or such controlling Person's capital as a consequence
of the Commitments or the Credit Extensions made, or the Letters of Credit
participated in, by such Secured Party is reduced to a level below that which
such Secured Party or such controlling Person could have achieved but for the
occurrence of any such circumstance, then upon notice from time to time by such
Secured Party to the applicable Borrower, such shall within five days following
receipt of such notice pay directly to such Secured Party additional amounts
sufficient to compensate such Secured Party or such controlling Person for such
reduction in rate of return. A statement of such Secured Party as to any such
additional amount or amounts shall, in the absence of manifest error, be
conclusive and binding such Borrower. In determining such amount, such Secured
Party may use any method of averaging and attribution that it (in its sole and
absolute discretion) shall deem applicable.

         SECTION 4.6. TAXES. Each Borrower covenants and agrees as follows with
respect to Taxes.

                  (a) Any and all payments by the Borrowers and each other
         Obligor under each Loan Document shall be made without setoff,
         counterclaim or other defense, and free and clear of, and without
         deduction or withholding for or on account of, any Taxes, except to the
         extent such Taxes are imposed by law. In the event that any Taxes are
         imposed and required to be deducted or withheld from any payment
         required to be made by the

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         Borrowers or any Obligor to or on behalf of any Secured Party under
         any Loan Document, then:

                           (i) subject to CLAUSE (f), if such Taxes are
                  Non-Excluded Taxes, the amount of such payment shall be
                  increased as may be necessary so that such payment is made,
                  after withholding or deduction for or on account of such
                  Taxes, in an amount that is not less than the amount provided
                  for in such Loan Document; and

                           (ii) the applicable Borrower shall withhold the full
                  amount of such Taxes from such payment (as increased pursuant
                  to CLAUSE (a)(i)) and shall pay such amount to the
                  Governmental Authority imposing such Taxes in accordance with
                  applicable law.

                  (b) In addition, each Borrower and each other Obligor shall
         pay all Other Taxes imposed to the relevant Governmental Authority
         imposing such Other Taxes in accordance with applicable law.

                  (c) As promptly as practicable after the payment of any Taxes
         or Other Taxes, and in any event within 45 days of any such payment
         being due, the applicable Borrower shall furnish to the Administrative
         Agent a copy of an official receipt (or a certified copy thereof)
         evidencing the payment of such Taxes or Other Taxes. The Administrative
         Agent shall make copies thereof available to any Lender upon request
         therefor.

                  (d) Subject to CLAUSE (f), the Borrowers shall indemnify each
         Secured Party for any Non-Excluded Taxes and Other Taxes levied,
         imposed or assessed on (and whether or not paid directly by) such
         Secured Party whether or not such Non-Excluded Taxes or Other Taxes are
         correctly or legally asserted by the relevant Governmental Authority.
         Promptly upon having knowledge that any such Non-Excluded Taxes or
         Other Taxes have been levied, imposed or assessed, and promptly upon
         notice thereof by any Secured Party, each Borrower shall pay its
         portion of such Non-Excluded Taxes or Other Taxes directly to the
         relevant Governmental Authority (PROVIDED that no Secured Party shall
         be under any obligation to provide any such notice to the Borrowers).
         In addition, the Borrowers shall indemnify each Secured Party for any
         incremental Taxes that may become payable by such Secured Party as a
         result of any failure of either Borrower to pay any Taxes when due to
         the appropriate Governmental Authority or to deliver to the
         Administrative Agent, pursuant to CLAUSE (c), documentation evidencing
         the payment of Taxes or Other Taxes. With respect to indemnification
         for Non-Excluded Taxes and Other Taxes actually paid by any Secured
         Party or the indemnification provided in the immediately preceding
         sentence, such indemnification shall be made within 30 days after the
         date such Secured Party makes written demand therefor. Each Borrower
         acknowledges that any payment made to any Secured Party or to any
         Governmental Authority in respect of the indemnification obligations of
         such Borrower provided in this

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         clause shall constitute a payment in respect of which the provisions
         of CLAUSE (a) and this clause shall apply.

                  (e) Each Non-U.S. Lender, on or prior to the date on which
         such Non-U.S. Lender becomes a Lender hereunder (and from time to time
         thereafter upon the request of either Borrower or the Administrative
         Agent, but only for so long as such non-U.S. Lender is legally entitled
         to do so), shall deliver to such Borrower and the Administrative Agent
         either (i) two duly completed copies of either (x) Internal Revenue
         Service Form W-8BEN claiming eligibility of the Non-U.S. Lender for
         benefits of an income tax treaty to which the United States is a party
         or (y) Internal Revenue Service Form W-8ECI, or in either case an
         applicable successor form; or (ii) in the case of a Non-U.S. Lender
         that is not legally entitled to deliver either form listed in CLAUSE
         (e)(i), (x) a certificate to the effect that such Non-U.S. Lender is
         not (A) a "bank" within the meaning of Section 881(c)(3)(A) of the
         Code, (B) a "10 percent shareholder" of either Borrower within the
         meaning of Section 881(c)(3)(B) of the Code, or (C) a controlled
         foreign corporation receiving interest from a related person within the
         meaning of Section 881(c)(3)(C) of the Code (referred to as an
         "EXEMPTION CERTIFICATE") and (y) two duly completed copies of Internal
         Revenue Service Form W-8BEN or applicable successor form.

                  (f) The Borrowers shall not be obligated to pay any additional
         amounts to any Lender pursuant to CLAUSE (a)(i), or to indemnify any
         Lender pursuant to CLAUSE (d), in respect of United States federal
         withholding taxes to the extent imposed as a result of (i) the failure
         of such Lender to deliver to each Borrower the form or forms and/or an
         Exemption Certificate, as applicable to such Lender, pursuant to CLAUSE
         (e), (ii) such form or forms and/or Exemption Certificate not
         establishing a complete exemption from U.S. federal withholding tax or
         the information or certifications made therein by the Lender being
         untrue or inaccurate on the date delivered in any material respect, or
         (iii) the Lender designating a successor lending office at which it
         maintains its Loans which has the effect of causing such Lender to
         become obligated for tax payments in excess of those in effect
         immediately prior to such designation; PROVIDED that the Borrowers
         shall be severally and not jointly obligated to pay additional amounts
         to any such Lender pursuant to CLAUSE (a)(i), and to indemnify any such
         Lender pursuant to CLAUSE (d), in respect of United States federal
         withholding taxes if (i) any such failure to deliver a form or forms or
         an Exemption Certificate or the failure of such form or forms or
         Exemption Certificate to establish a complete exemption from U.S.
         federal withholding tax or inaccuracy or untruth contained therein
         resulted from a change in any applicable statute, treaty, regulation or
         other applicable law or any interpretation of any of the foregoing
         occurring after the Closing Date, which change rendered such Lender no
         longer legally entitled to deliver such form or forms or Exemption
         Certificate or otherwise ineligible for a complete exemption from U.S.
         federal withholding tax, or rendered the information or certifications
         made in such form or forms or Exemption Certificate untrue or
         inaccurate in a material respect, (ii) the redesignation of the
         Lender's lending office was made at the request of either Borrower or
         (iii) the obligation to pay any additional amounts to any

                                     -44-
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         such Lender pursuant to CLAUSE (a)(i) or to indemnify any such Lender
         pursuant to CLAUSE (D) is with respect to an assignee Lender that
         becomes a Lender as a result of an assignment made at the request of
         either Borrower.

         SECTION 4.7. PAYMENTS, COMPUTATIONS, ETC. Unless otherwise expressly
provided in a Loan Document, all payments by the Borrowers pursuant to each Loan
Document shall be made by the Borrowers to the Administrative Agent for the PRO
RATA account of the Secured Parties entitled to receive such payment. All
payments shall be made without setoff, deduction or counterclaim not later than
11:00 a.m. on the date due in same day or immediately available funds to such
account as the Administrative Agent shall specify from time to time by notice to
the applicable Borrower; PROVIDED that failure by the Administrative Agent to
provide such notice shall not excuse any required payments. Funds received after
that time shall be deemed to have been received by the Administrative Agent on
the next succeeding Business Day. The Administrative Agent shall promptly remit
in same day funds to each Secured Party its share, if any, of such payments
received by the Administrative Agent for the account of such Secured Party. All
interest (including interest on LIBO Rate Loans) and fees shall be computed on
the basis of the actual number of days (including the first day but excluding
the last day) occurring during the period for which such interest or fee is
payable over a year comprised of 360 days (or, in the case of interest on a Base
Rate Loan (calculated at other than the Federal Funds Rate), 365 days or, if
appropriate, 366 days). Payments due on other than a Business Day shall (except
as otherwise required by CLAUSE (c) of the definition of "Interest Period") be
made on the next succeeding Business Day and such extension of time shall be
included in computing interest and fees in connection with that payment.

         SECTION 4.8. SHARING OF PAYMENTS. If any Secured Party shall obtain any
payment or other recovery (whether voluntary, involuntary, by application of
setoff or otherwise) on account of any Credit Extension or Reimbursement
Obligation (other than pursuant to the terms of SECTIONS 4.3, 4.4, 4.5 or 4.6)
in excess of its PRO RATA share of payments obtained by all Secured Parties,
such Secured Party shall purchase from the other Secured Parties such
participations in Credit Extensions made by them as shall be necessary to cause
such purchasing Secured Party to share the excess payment or other recovery
ratably (to the extent such other Secured Parties were entitled to receive a
portion of such payment or recovery) with each of them; PROVIDED that if all or
any portion of the excess payment or other recovery is thereafter recovered from
such purchasing Secured Party, the purchase shall be rescinded and each Secured
Party which has sold a participation to the purchasing Secured Party shall repay
to the purchasing Secured Party the purchase price to the ratable extent of such
recovery together with an amount equal to such selling Secured Party's ratable
share (according to the proportion of (a) the amount of such selling Secured
Party's required repayment to the purchasing Secured Party TO (b) total amount
so recovered from the purchasing Secured Party) of any interest or other amount
paid or payable by the purchasing Secured Party in respect of the total amount
so recovered. Each Borrower agrees that any Secured Party purchasing a
participation from another Secured Party pursuant to this Section may, to the
fullest extent permitted by law, exercise all its rights of payment (including
pursuant to SECTION 4.9) with respect to such participation as fully as if such
Secured Party were

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the direct creditor of such Borrower in the amount of such participation. If
under any applicable bankruptcy, insolvency or other similar law any Secured
Party receives a secured claim in lieu of a setoff to which this Section
applies, such Secured Party shall, to the extent practicable, exercise its
rights in respect of such secured claim in a manner consistent with the
rights of the Secured Parties entitled under this Section to share in the
benefits of any recovery on such secured claim.

         SECTION 4.9. SETOFF. Each Secured Party shall, upon the occurrence and
during the continuance of any Default described in CLAUSES (a) through (d) of
SECTION 8.1.9 or, with the consent of the Required Lenders, upon the occurrence
and during the continuance of any other Event of Default, have the right to
appropriate and apply to the payment of the Obligations owing to it (whether or
not then due), and (as security for such Obligations) each Borrower hereby
grants to each Secured Party a continuing security interest in, any and all
balances, credits, deposits, accounts or moneys of such Borrower then or
thereafter maintained with such Secured Party; PROVIDED that any such
appropriation and application shall be subject to the provisions of SECTION 4.8.
Each Secured Party agrees promptly to notify the applicable Borrower and the
Administrative Agent after any such setoff and application made by such Secured
Party; PROVIDED that the failure to give such notice shall not affect the
validity of such setoff and application. The rights of each Secured Party under
this Section are in addition to other rights and remedies (including other
rights of setoff under applicable law or otherwise) which such Secured Party may
have.

                                    ARTICLE V
           CONDITIONS TO EFFECTIVENESS AND TO FUTURE CREDIT EXTENSIONS

         SECTION 5.1. EFFECTIVENESS. The amendment and restatement of the
Existing Credit Agreement and the obligations of the Lenders to continue
Existing Loans as Loans and to make Credit Extensions under this Agreement shall
be subject to the prior or concurrent satisfaction of each of the conditions
precedent set forth in this SECTION 5.1.

         SECTION 5.1.1. RESOLUTIONS, ETC. The Administrative Agent shall have
received from each Borrower, Holdings and Parent, as applicable, a certificate,
dated the Amendment Effective Date, duly executed and delivered by such
Obligor's Secretary or Assistant Secretary, managing member or general partner,
as applicable, as to

                  (a) resolutions of each such Obligor's Board of Directors (or
         other managing body, in the case of other than a corporation) then in
         full force and effect authorizing the execution, delivery and
         performance of each Loan Document to be executed by such Obligor and
         the transactions contemplated hereby and thereby;

                  (b) the incumbency and signatures of those of its officers,
         managing member or general partner, as applicable, authorized to act
         with respect to each Loan Document to be executed by such Obligor; and

                                     -46-
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                  (c)  the full force and validity of each Organic Document of
         such Obligor and copies thereof;

upon which certificates each Secured Party may conclusively rely until it shall
have received a further certificate of the Secretary, Assistant Secretary,
managing member or general partner, as applicable, of any such Obligor canceling
or amending the prior certificate of such Obligor.

         SECTION 5.1.2. DELIVERY OF REVOLVING NOTES. The Administrative Agent
shall have received, for the account of each Lender that has requested a
Revolving Note, such Lender's Revolving Notes, duly executed and delivered by an
Authorized Officer of each Borrower.

         SECTION 5.1.3. SOLVENCY, ETC. The Administrative Agent shall have
received a solvency certificate, dated the Amendment Effective Date, duly
executed and delivered by the chief financial or accounting Authorized Officer
of each Borrower, in form and substance satisfactory to the Administrative
Agent.

         SECTION 5.1.4. OPINIONS OF COUNSEL. The Administrative Agent shall have
received opinions, dated the Amendment Effective Date and addressed to the
Administrative Agent and all Lenders, from

                  (a)  Nossaman, Guthner, Knox & Elliot, LLP, special counsel
         to the Obligors, in form and substance satisfactory to the
         Administrative Agent;

                  (b)  Vinson & Elkins, L.L.P., New York counsel to the
         Obligors, in form and substance satisfactory to the Administrative
         Agent; and

                  (c)  Vinson & Elkins, L.L.P., UK counsel to the UK Borrower,
         in form and substance satisfactory to the Administrative Agent.

         SECTION 5.1.5. ISSUANCE OF HOLDINGS NOTES. The Administrative Agent
shall have received evidence satisfactory to it that Holdings has received at
least $150,000,000 of gross proceeds from the issuance of the Holdings Notes and
that such proceeds have been or will be applied to (a) the repayment in full and
cancellation of Indebtedness of United Surgical Partners Europe, S.L. and its
Subsidiaries in an amount not to exceed $33,600,000, (b) the repayment in full
and cancellation of the WCAS Debt, (c) the repayment of outstanding Loans in an
amount not to exceed $46,300,000, (d) a loan to Parent in an amount not to
exceed $21,500,000, (e) general corporate purposes of Holdings and (f) the
payment of up to $6,000,000 of related fees and expenses.

         SECTION 5.1.6. AFFIRMATION AND ACKNOWLEDGMENT. The Administrative Agent
shall have received the Affirmation and Acknowledgment, dated as of the
Amendment Effective Date, duly executed and delivered by an Authorized Officer
of each Obligor.

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         SECTION 5.1.7. SUPPLEMENT TO US BORROWER PLEDGE AND SECURITY AGREEMENT.
The Administrative Agent shall have received a supplement to the US Borrower
Pledge and Security Agreement, duly executed and delivered by an Authorized
Officer of the US Borrower, together with:

                  (a) certificates evidencing all of the issued and outstanding
         Equity Interests (other than Restricted Subsidiaries) owned by the US
         Borrower in its Subsidiaries formed since the Closing Date, which
         certificates in each case shall be accompanied by undated instruments
         of transfer duly executed in blank, or, if any Equity Interests are
         uncertificated Equity Interests, confirmation and evidence satisfactory
         to the Administrative Agent that the security interest therein has been
         transferred to and perfected by the Administrative Agent for the
         benefit of the Secured Parties in accordance with Articles 8 and 9 of
         the UCC and all laws otherwise applicable to the perfection of the
         pledge of such Equity Interests; and

                  (b) all Intercompany Notes (as defined in the US Borrower
         Pledge and Security Agreement), if any, evidencing Indebtedness payable
         to the US Borrower duly endorsed to the order of the Administrative
         Agent, together with Filing Statements (or similar instruments) in
         respect of such Intercompany Notes executed by the US Borrower to be
         filed in such jurisdictions as the Administrative Agent may reasonably
         request.

         SECTION 5.1.8. SUPPLEMENT TO US SUBSIDIARY GUARANTY. The Administrative
Agent shall have received a supplement to the US Subsidiary Guaranty, duly
executed and delivered by an Authorized Officer of each new US Subsidiary
Guarantor formed since the Closing Date.

         SECTION 5.1.9. SUPPLEMENT TO US SUBSIDIARY PLEDGE AND SECURITY
AGREEMENT. The Administrative Agent shall have received a supplement to the US
Subsidiary Pledge and Security Agreement, duly executed and delivered by an
Authorized Officer of each new US Subsidiary Guarantor formed since the Closing
Date, together with:

                  (a) certificates evidencing all of the issued and outstanding
         Equity Interests owned by such Subsidiary Guarantor in its Subsidiaries
         (other than Restricted Subsidiaries), which certificates in each case
         shall be accompanied by undated instruments of transfer duly executed
         in blank, or, if any Equity Interests are uncertificated Equity
         Interests, confirmation and evidence satisfactory to the Administrative
         Agent that the security interest therein has been transferred to and
         perfected by the Administrative Agent for the benefit of the Secured
         Parties in accordance with Articles 8 and 9 of the UCC and all laws
         otherwise applicable to the perfection of the pledge of such Equity
         Interests;

                  (b) all Intercompany Notes (as defined in the US Subsidiary
         Pledge and Security Agreement), if any, evidencing Indebtedness payable
         to such Subsidiary Guarantor duly endorsed to the order of the
         Administrative Agent, together with Filing Statements (or

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         similar instruments) in respect of such Intercompany Notes executed by
         such Subsidiary Guarantor to be filed in such jurisdictions as the
         Administrative Agent may reasonably request; and

                  (c) executed copies of Filing Statements naming each such
         Subsidiary Guarantor as a debtor and the Administrative Agent as the
         secured party, or other similar instruments or documents to be filed
         under the UCC of all jurisdictions as may be necessary or, in the
         opinion of the Administrative Agent, desirable to perfect the security
         interests of the Administrative Agent pursuant to the US Subsidiary
         Pledge and Security Agreement.

         SECTION 5.1.10. CLOSING FEES, EXPENSES, ETC. The Administrative Agent
shall have received for its own account, or for the account of each Lender, as
the case may be, all fees, costs and expenses due and payable pursuant to
SECTIONS 3.3 and, if then invoiced, 11.3.

         SECTION 5.2. CREDIT EXTENSIONS. The obligation of each Lender and each
Issuer to make any Credit Extension shall be subject to the prior or concurrent
satisfaction of each of the conditions precedent set forth in this SECTION 5.2.

         SECTION 5.2.1. COMPLIANCE WITH WARRANTIES, NO DEFAULT, ETC. Both before
and after giving effect to any Credit Extension (but, if any Default of the
nature referred to in SECTION 8.1.5 shall have occurred with respect to any
other Indebtedness, without giving effect to the application, directly or
indirectly, of the proceeds thereof) the following statements shall be true and
correct:

                  (a) the representations and warranties set forth in each Loan
         Document shall, in each case, be true and correct with the same effect
         as if then made (unless stated to relate solely to an earlier date, in
         which case such representations and warranties shall be true and
         correct in all material respects as of such earlier date); and

                  (b)  no Default shall have then occurred and be continuing.

         SECTION 5.2.2. CREDIT EXTENSION REQUEST, ETC. The Administrative Agent
shall have received a Borrowing Request if Loans are being requested, or an
Issuance Request if a Letter of Credit is being requested or extended. Each of
the delivery of a Borrowing Request or Issuance Request and the acceptance by
either Borrower of the proceeds of such Credit Extension shall constitute a
representation and warranty by such Borrower that on the date of such Credit
Extension (both immediately before and after giving effect to such Credit
Extension and the application of the proceeds thereof) the statements made in
SECTION 5.2.1 are true and correct in all material respects.

         SECTION 5.2.3. SATISFACTORY LEGAL FORM. All documents executed or
submitted pursuant hereto by or on behalf of any Obligor shall be reasonably
satisfactory in form and

                                     -49-
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substance to the Administrative Agent and its counsel, and the Administrative
Agent and its counsel shall have received all information, approvals,
opinions, documents or instruments as the Administrative Agent or its counsel
may reasonably request.

         SECTION 5.3. AVAILABILITY OF ADDITIONAL LOANS AND BORROWINGS BY THE UK
BORROWER. The availability of the increase in the Revolving Loan Commitment
Amount and the obligation of each Lender and each Issuer to make Credit
Extensions to the UK Borrower in excess of $20,000,000 shall be subject to the
prior or concurrent satisfaction of each of the conditions precedent set forth
in this SECTION 5.3.

         SECTION 5.3.1. UK BORROWER PLEDGE AND SECURITY AGREEMENT. The
Administrative Agent shall have received the UK Borrower Pledge and Security
Agreement, duly executed and delivered by an Authorized Officer of the UK
Borrower, together with:

                  (a) certificates evidencing all of the issued and outstanding
         Equity Interests owned by the UK Borrower in its Subsidiaries (other
         than Global Healthcare and any other Restricted Entity), which
         certificates in each case shall be accompanied by undated instruments
         of transfer duly executed in blank, or, if any Equity Interests are
         uncertificated Equity Interests, confirmation and evidence satisfactory
         to the Administrative Agent that the security interest therein has been
         transferred to and perfected by the Administrative Agent for the
         benefit of the Secured Parties in accordance with all laws applicable
         to the perfection of the pledge of such Equity Interests;

                  (b) all Intercompany Notes (as defined in the UK Borrower
         Pledge and Security Agreement), if any, evidencing Indebtedness payable
         to the UK Borrower duly endorsed to the order of the Administrative
         Agent, together with Filing Statements (or similar instruments) in
         respect of such Intercompany Notes executed by the UK Borrower to be
         filed in such jurisdictions as the Administrative Agent may reasonably
         request; and

                  (c) executed Foreign Pledge Supplements required in connection
         with the foregoing or other similar instruments or documents to be
         filed in the applicable jurisdictions as may be necessary or, in the
         opinion of the Administrative Agent, desirable to perfect the security
         interests of the Administrative Agent pursuant to the UK Borrower
         Pledge and Security Agreement, together with copies of all filings
         required to be delivered in connection therewith.

The Administrative Agent and its counsel shall be satisfied that (i) the Lien
granted to the Administrative Agent, for the benefit of the Secured Parties, in
the collateral described above is a first priority (or local equivalent thereof)
security interest, and (ii) no Lien exists on any of the collateral described
above other than the Lien created in favor of the Administrative Agent, for the
benefit of the Secured Parties, pursuant to a Loan Document.

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         SECTION 5.3.2. USP INTERNATIONAL GUARANTY AND PLEDGE AGREEMENT. The
Administrative Agent shall have received the USP International Guaranty and
Pledge Agreement, duly executed and delivered by an Authorized Officer of USP
International, together with

                  (a) certificates evidencing all of the issued and outstanding
         Equity Interests of the UK Borrower, which certificates in each case
         shall be accompanied by undated instruments of transfer duly executed
         in blank; and

                  (b) executed Foreign Pledge Supplements or other similar
         instruments or documents to be filed in the applicable jurisdictions as
         may be necessary or, in the opinion of the Administrative Agent,
         desirable to perfect the security interests of the Administrative Agent
         pursuant to the USP International Guaranty and Pledge Agreement.

The Administrative Agent and its counsel shall be satisfied that (i) the Lien
granted to the Administrative Agent, for the benefit of the Secured Parties, in
the collateral described above is a first priority (or local equivalent thereof)
security interest, and (ii) no Lien exists on any of the collateral described
above other than the Lien created in favor of the Administrative Agent, for the
benefit of the Secured Parties, pursuant to a Loan Document.

         SECTION 5.3.3. FOREIGN SUBSIDIARY GUARANTY. The Administrative Agent
shall have received the Foreign Subsidiary Guaranty, duly executed and delivered
by an Authorized Officer of each Foreign Subsidiary Guarantor.

         SECTION 5.3.4. FOREIGN SUBSIDIARY PLEDGE AND SECURITY AGREEMENT. The
Administrative Agent shall have received the Foreign Subsidiary Pledge and
Security Agreement, duly executed and delivered by an Authorized Officer of each
Foreign Subsidiary Guarantor, together with:

                  (a) certificates evidencing all of the issued and outstanding
         Equity Interests owned by each Foreign Subsidiary Guarantor in its
         Subsidiaries (other than Restricted Entities), which certificates in
         each case shall be accompanied by undated instruments of transfer duly
         executed in blank, or, if any Equity Interests are uncertificated
         Equity Interests, confirmation and evidence satisfactory to the
         Administrative Agent that the security interest therein has been
         transferred to and perfected by the Administrative Agent for the
         benefit of the Secured Parties in accordance with Articles 8 and 9 of
         the UCC and all laws otherwise applicable to the perfection of the
         pledge of such Equity Interests;

                  (b) all Intercompany Notes (as defined in the Foreign
         Subsidiary Pledge and Security Agreement), if any, evidencing
         Indebtedness payable to each Foreign Subsidiary Guarantor duly endorsed
         to the order of the Administrative Agent, together with Filing
         Statements (or similar instruments) in respect of such Intercompany
         Notes executed by each Foreign Subsidiary Guarantor to be filed in such
         jurisdictions as the Administrative Agent may reasonably request; and

                                      -51-
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                  (c) executed Foreign Pledge Supplements or other similar
         instruments or documents to be filed in the applicable jurisdictions as
         may be necessary or, in the opinion of the Administrative Agent,
         desirable to perfect the security interests of the Administrative Agent
         pursuant to the Foreign Subsidiary Pledge and Security Agreement.

The Administrative Agent and its counsel shall be satisfied that (i) the Lien
granted to the Administrative Agent, for the benefit of the Secured Parties, in
the collateral described above is a first priority (or local equivalent thereof)
security interest, and (ii) no Lien exists on any of the collateral described
above other than the Lien created in favor of the Administrative Agent, for the
benefit of the Secured Parties, pursuant to a Loan Document.

         SECTION 5.3.5. MORTGAGES. The Administrative Agent shall have received
counterparts of each of the Mortgages applicable to Foreign Subsidiary
Guarantors, duly executed and delivered by an Authorized Officer of each Foreign
Subsidiary Guarantor, together with

                  (a) satisfactory arrangements for the completion of all
         recordings and filings of each such Mortgage as may be necessary or, in
         the reasonable opinion of the Administrative Agent, desirable
         effectively to create a valid, perfected first priority Lien against
         the properties purported to be covered thereby; and

                  (b) such other approvals, opinions, or documents as the Agents
         may reasonably request including consents and estoppel agreements from
         landlords, to the extent then available, a current survey of each
         property purported to be covered by a Mortgage in form and substance
         reasonably satisfactory to the Administrative Agent.

         SECTION 5.3.6. OPINIONS OF COUNSEL. The Administrative Agent shall have
received opinions, addressed to the Administrative Agent and all Lenders, with
respect to the documents and matters set forth in this SECTION 5.3, each in form
and substance, and from counsel, satisfactory to the Administrative Agent.

                                   ARTICLE VI
                         REPRESENTATIONS AND WARRANTIES

         In order to induce the Lenders, the Issuers and the Agents to enter
into this Agreement, continue the Existing Loans as Loans hereunder and to make
Credit Extensions hereunder, each Borrower represents and warrants to each
Secured Party as set forth in this Article.

         SECTION 6.1. ORGANIZATION, ETC. Each Obligor is validly organized and
existing and in good standing under the laws of the state or jurisdiction of its
incorporation or organization, is duly qualified to do business and is in good
standing as a foreign entity in each jurisdiction where the nature of its
business requires such qualification (except where the failure to so qualify
would not, individually or in the aggregate, have a Material Adverse Effect),
and has full power and

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authority and holds all requisite governmental licenses, permits and other
approvals to enter into and perform its Obligations under each Loan Document
to which it is a party, to own and hold under lease its property and to
conduct its business substantially as currently conducted by it.

         SECTION 6.2. DUE AUTHORIZATION, NON-CONTRAVENTION, ETC. The execution,
delivery and performance by each Obligor of each Loan Document executed or to be
executed by it are in each case within such Person's powers, have been duly
authorized by all necessary action, and do not

                  (a) contravene or result in a default under any (i) Obligor's
         Organic Documents, (ii) contractual restriction binding on or affecting
         any Obligor, (iii) court decree or order binding on or affecting any
         Obligor or (iv) law or governmental regulation binding on or affecting
         any Obligor; or

                  (b) result in, or require the creation or imposition of, any
         Lien on any Obligor's properties (except as permitted by this
         Agreement).

         SECTION 6.3. GOVERNMENT APPROVAL, REGULATION, ETC. No authorization or
approval or other action by, and no notice to or filing with, any Governmental
Authority or other Person (other than those that have been, or on the Closing
Date will be, duly obtained or made and which are, or on the Amendment Effective
Date will be, in full force and effect, and other than those filings required to
be made after the Amendment Effective Date) is required for the delivery or
performance by any Obligor of any Loan Document to which it is a party. Neither
Borrower nor any of their Consolidated Entities is an "investment company"
within the meaning of the Investment Company Act of 1940, as amended, or a
"holding company", or a "subsidiary company" of a "holding company", or an
"affiliate" of a "holding company" or of a "subsidiary company" of a "holding
company", within the meaning of the Public Utility Holding Company Act of 1935,
as amended.

         SECTION 6.4. VALIDITY, ETC. Each Loan Document to which any Obligor is
a party constitutes the legal, valid and binding obligations of such Obligor,
enforceable against such Obligor in accordance with their respective terms
(except, in any case, as such enforceability may be limited by applicable
bankruptcy, insolvency, reorganization or similar laws affecting creditors'
rights generally and by principles of equity).

         SECTION 6.5. FINANCIAL INFORMATION. The financial statements of the US
Borrower and its Consolidated Entities furnished to the Administrative Agent and
each Lender pursuant to clause (a) of Section 5.1.12 of the Existing Credit
Agreement were prepared in accordance with GAAP consistently applied, and
present fairly the consolidated financial condition of the Persons covered
thereby as at the dates thereof and the results of their operations for the
periods then ended. All balance sheets, all statements of income and of cash
flow and all other financial information of each Borrower and its Consolidated
Entities furnished pursuant to SECTION 7.1.1 have been and will for periods
following the Effective Date be prepared in accordance with GAAP consistently
applied with the financial statements delivered pursuant to clause (a) of

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Section 5.1.12 of the Existing Credit Agreement, and in each case do or will
present fairly the consolidated financial condition of the Persons covered
thereby as at the dates thereof and the results of their operations for the
periods then ended.

         SECTION 6.6. NO MATERIAL ADVERSE CHANGE. There has been no material
adverse change in the condition (financial or otherwise), results of operations,
assets, business, properties or prospects of either Borrower or the Borrowers
and their Consolidated Entities, taken as a whole, since December 31, 2000.

         SECTION 6.7. LITIGATION, LABOR CONTROVERSIES, ETC. There is no pending
or, to the knowledge of the Borrowers or any of their Consolidated Entities,
threatened litigation, action, proceeding or labor controversy

                  (a) except as disclosed in ITEM 6.7 of the Disclosure
         Schedule, affecting any Obligor or any of its properties, businesses,
         assets or revenues, which could reasonably be expected to have a
         Material Adverse Effect, and no adverse development has occurred in any
         labor controversy, litigation, arbitration or governmental
         investigation or proceeding disclosed in ITEM 6.7; or

                   (b)  which purports to affect the legality, validity or
         enforceability of any Loan Document.

         SECTION 6.8. SUBSIDIARIES. Neither Borrower has any Subsidiaries,
except those Subsidiaries which are identified in ITEM 6.8 of the Disclosure
Schedule, or which are permitted to have been organized or acquired in
accordance with SECTIONS 7.2.5 or 7.2.10. ITEM 6.8 of the Disclosure Schedule
sets forth each Consolidated Entity, Non-Consolidated Entity, Operating Entity
and Restricted Entities.

         SECTION 6.9. OWNERSHIP OF PROPERTIES. Each Borrower and each of its
Consolidated Entities owns (a) in the case of owned real property, good fee
title to, and (b) in the case of owned personal property, good and valid title
to, or, in the case of leased real or personal property, valid and enforceable
leasehold interests (as the case may be) in, all of its properties and assets,
real and personal, tangible and intangible, of any nature whatsoever, free and
clear in each case of all Liens or claims, except for Liens permitted pursuant
to SECTION 7.2.3.

         SECTION 6.10. TAXES. Each Borrower and each of its Consolidated
Entities has filed all tax returns and reports required by law to have been
filed by it and has paid all material Taxes thereby shown to be due and owing,
except any such Taxes which are being diligently contested in good faith by
appropriate proceedings and for which adequate reserves in accordance with GAAP
shall have been set aside on its books.

         SECTION 6.11. PENSION AND WELFARE PLANS. Except as disclosed in ITEM
6.11 of the Disclosure Schedule, during the twelve-consecutive-month period
prior to the Amendment

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Effective Date and prior to the date of any Credit Extension hereunder, no
steps have been taken to terminate any Pension Plan, and no contribution
failure has occurred with respect to any Pension Plan sufficient to give rise
to a Lien under Section 302(f) of ERISA. No condition exists or event or
transaction has occurred with respect to any Pension Plan which might result
in the incurrence by either Borrower or any member of the Controlled Group of
any material liability, fine or penalty. Except as disclosed in ITEM 6.11 of
the Disclosure Schedule, neither Borrower nor any member of the Controlled
Group has any contingent liability with respect to any post-retirement
benefit under a Welfare Plan, other than liability for continuation coverage
described in Part 6 of Title I of ERISA.

         SECTION 6.12. ENVIRONMENTAL WARRANTIES. Except as set forth in ITEM
6.12 of the Disclosure Schedule:

                  (a) all facilities and property (including underlying
         groundwater) owned or leased by either Borrower or any of its
         Consolidated Entities have been, and continue to be, owned or leased by
         such Borrower and its Consolidated Entities in material compliance with
         all Environmental Laws;

                  (b) there have been no past, and there are no pending or
         threatened (i) claims, complaints, notices or requests for information
         received by either Borrower or any of its Consolidated Entities with
         respect to any alleged violation of any Environmental Law, or (ii)
         complaints, notices or inquiries to the Borrowers or any of their
         Consolidated Entities regarding potential liability under any
         Environmental Law;

                  (c) there have been no Releases of Hazardous Materials at, on
         or under any property now or previously owned or leased by either
         Borrower or any of its Consolidated Entities that have, or could
         reasonably be expected to have, a Material Adverse Effect;

                  (d) each Borrower and its Consolidated Entities have been
         issued and are in material compliance with all permits, certificates,
         approvals, licenses and other authorizations relating to environmental
         matters;

                  (e) no property now or previously owned or leased by either
         Borrower or any of its Consolidated Entities is listed or proposed for
         listing (with respect to owned property only) on the National
         Priorities List pursuant to CERCLA, on the CERCLIS or on any similar
         state list of sites requiring investigation or clean-up;

                  (f) there are no underground storage tanks, active or
         abandoned, including petroleum storage tanks, on or under any property
         now or previously owned or leased by either Borrower or any of its
         Consolidated Entities that, singly or in the aggregate, have, or could
         reasonably be expected to have, a Material Adverse Effect;

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                  (g) neither Borrower nor any Consolidated Entity has directly
         transported or directly arranged for the transportation of any
         Hazardous Material to any location which is listed or proposed for
         listing on the National Priorities List pursuant to CERCLA, on the
         CERCLIS or on any similar state list or which is the subject of
         federal, state or local enforcement actions or other investigations
         which may lead to material claims against such Borrower or such
         Consolidated Entity for any remedial work, damage to natural resources
         or personal injury, including claims under CERCLA;

                  (h) there are no polychlorinated biphenyls or friable asbestos
         present at any property now or previously owned or leased by either
         Borrower or any Consolidated Entity that, singly or in the aggregate,
         have, or could reasonably be expected to have, a Material Adverse
         Effect; and

                  (i) no conditions exist at, on or under any property now or
         previously owned or leased by either Borrower which, with the passage
         of time, or the giving of notice or both, would give rise to material
         liability under any Environmental Law.

         SECTION 6.13. ACCURACY OF INFORMATION. The factual information
heretofore or contemporaneously furnished in writing to the Agents by or on
behalf of any Obligor, taken as a whole, in connection with any Loan Document or
any transaction contemplated hereby does not contain any untrue statement of a
material fact, or omits to state any fact necessary to make any material
statement contained therein not misleading in any material respect, and no other
factual information hereafter furnished in connection with any Loan Document by
or on behalf of any Obligor to any Secured Party will contain any untrue
statement of a material fact or will omit to state any fact necessary to make
any material information contained therein not misleading in any material
respect on the date as of which such information is dated or certified.

         SECTION 6.14. REGULATIONS T, U AND X. No Obligor is engaged in the
business of extending credit for the purpose of purchasing or carrying margin
stock, and no proceeds of any Credit Extensions will be used to purchase or
carry margin stock or otherwise for a purpose which violates, or would be
inconsistent with, F.R.S. Board Regulations T, U or X. Terms for which meanings
are provided in F.R.S. Board Regulations T, U or X or any regulations
substituted therefor, as from time to time in effect, are used in this Section
with such meanings.

         SECTION 6.15. ABSENCE OF ANY UNDISCLOSED LIABILITIES. As of the
Amendment Effective Date, there are no material liabilities of any Obligor of
any kind whatsoever, whether accrued, contingent, absolute, determined,
determinable or otherwise, and there is no existing condition, situation or set
of circumstances which could be expected to result in such a liability, other
than those liabilities provided for or disclosed in the most recently delivered
financial statements or those liabilities that have been disclosed to the
Administrative Agent prior to the Amendment Effective Date.

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         SECTION 6.16. ISSUANCE OF SUBORDINATED DEBT; STATUS OF OBLIGATIONS AS
SENIOR INDEBTEDNESS, ETC. The Borrowers and their Consolidated Entities, as
applicable, have the power and authority to incur the Subordinated Debt as
provided for under the Sub Debt Documents applicable thereto and have duly
authorized, executed and delivered the Sub Debt Documents applicable to such
Subordinated Debt. The Borrowers and their Consolidated Entities, as applicable,
have issued, pursuant to due authorization, the Subordinated Debt under the
applicable Sub Debt Documents, and such Sub Debt Documents constitute the legal,
valid and binding obligations of the Borrowers and their Consolidated Entities,
as applicable, enforceable against the Borrowers and their Consolidated
Entities, as applicable, in accordance with their terms (except as such
enforceability may be limited by applicable bankruptcy, insolvency,
reorganization or similar laws affecting creditors' rights generally and by
principles of equity). The subordination provisions of the Subordinated Debt
contained in the Sub Debt Documents are enforceable against the holders of the
Subordinated Debt by the holder of any "Designated Senior Indebtedness" or
similar term referring to the Obligations (as defined in the Sub Debt
Documents). All Obligations, including those to pay principal of and interest
(including post-petition interest, whether or not allowed as a claim under
bankruptcy or similar laws) on the Loans and Reimbursement Obligations, and fees
and expenses in connection therewith, constitute "Designated Senior
Indebtedness" or similar term relating to the Obligations (as defined in the Sub
Debt Documents) and all such Obligations are entitled to the benefits of the
subordination created by the Sub Debt Documents. The Borrowers acknowledge that
the Administrative Agent, each Lender and each Issuer is entering into this
Agreement and is extending its Commitments in reliance upon the subordination
provisions of the Sub Debt Documents.

                                   ARTICLE VII
                                    COVENANTS

         SECTION 7.1. AFFIRMATIVE COVENANTS. Each Borrower agrees with each
Lender, each Issuer and the Administrative Agent that until the Termination Date
has occurred, each Borrower will, and will cause its Consolidated Entities to,
perform or cause to be performed the obligations set forth below.

         SECTION 7.1.1. FINANCIAL INFORMATION, REPORTS, NOTICES, ETC. The
Borrowers will furnish to the Administrative Agent, for distribution to each
Lender, copies of the following financial statements, reports, notices and
information:

                  (a) as soon as available and in any event within 45 days after
         the end of each Fiscal Quarter of each Fiscal Year, (i) unaudited
         consolidated and consolidating balance sheets of the Borrowers and
         their Consolidated Entities as of the end of such Fiscal Quarter and
         consolidated statements of income and cash flow of the Borrowers and
         their Consolidated Entities for such Fiscal Quarter and for the period
         commencing at the end of the previous Fiscal Year and ending with the
         end of such Fiscal Quarter, and including (in

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         each case), in comparative form the figures for the corresponding
         Fiscal Quarter in, and year to date portion of, the immediately
         preceding Fiscal Year, (ii) unaudited consolidated and consolidating
         balance sheets of Parent and its Subsidiaries as of the end of such
         Fiscal Quarter and consolidated and consolidating statements of
         income and cash flow of Parent and its Subsidiaries for such Fiscal
         Quarter and for the period commencing at the end of the previous
         Fiscal Year and ending with the end of such Fiscal Quarter, and
         including (in each case), in comparative form the figures for the
         corresponding Fiscal Quarter in, and year to date portion of, the
         immediately preceding Fiscal Year, in the case of each of CLAUSES
         (i) and (ii) certified as presenting fairly the consolidated
         financial condition of the Persons covered thereby by the chief
         financial or accounting Authorized Officer of each Borrower, and
         (iii) copies of the monthly facility reports prepared during such
         Fiscal Quarter;

                  (b) as soon as available and in any event within 90 days after
         the end of each Fiscal Year, a copy of the consolidated balance sheet
         of the Borrowers and their Consolidated Entities, and the related
         consolidated statements of income and cash flow of the Borrowers and
         their Consolidated Entities for such Fiscal Year, setting forth in
         comparative form the figures for the immediately preceding Fiscal Year,
         audited (without any Impermissible Qualification) by independent public
         accountants acceptable to the Administrative Agent, which shall include
         a calculation of the financial covenants set forth in SECTION 7.2.4 and
         a statement by such accountants that, in performing the examination
         necessary to deliver the audited financial statements of the Borrowers,
         no knowledge was obtained of any Event of Default;

                  (c) concurrently with the delivery of the financial
         information pursuant to CLAUSES (A) and (b), a Compliance Certificate,
         executed by the chief financial or accounting Authorized Officer of
         each Borrower, showing compliance with the financial covenants set
         forth in SECTION 7.2.4 and stating that no Default has occurred and is
         continuing (or, if a Default has occurred, specifying the details of
         such Default and the action that the Borrowers or an Obligor has taken
         or proposes to take with respect thereto);

                  (d) as soon as possible and in any event within three days
         after either Borrower or any other Obligor obtains knowledge of the
         occurrence of a Default, a statement of an Authorized Officer of the
         applicable Borrower setting forth details of such Default and the
         action which such Borrower or such Obligor has taken and proposes to
         take with respect thereto;

                  (e) as soon as possible and in any event within three days
         after either Borrower or any other Obligor obtains knowledge of (i) the
         occurrence of any material adverse development with respect to any
         litigation, action, proceeding or labor controversy described in ITEM
         6.7 of the Disclosure Schedule or (ii) the commencement of any
         litigation, action, proceeding or labor controversy of the type and
         materiality described in

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         SECTION 6.7, notice thereof and, to the extent the Administrative
         Agent requests, copies of all documentation relating thereto;

                  (f) promptly after the sending or filing thereof, copies of
         all reports, notices, prospectuses and registration statements which
         any Obligor files with the SEC or any national securities exchange;

                  (g) immediately upon becoming aware of (i) the institution of
         any steps by any Person to terminate any Pension Plan, (ii) the failure
         to make a required contribution to any Pension Plan if such failure is
         sufficient to give rise to a Lien under Section 302(f) of ERISA, (iii)
         the taking of any action with respect to a Pension Plan which could
         result in the requirement that any Obligor furnish a bond or other
         security to the PBGC or such Pension Plan, or (iv) the occurrence of
         any event with respect to any Pension Plan which could result in the
         incurrence by any Obligor of any material liability, fine or penalty,
         notice thereof and copies of all documentation relating thereto;

                  (h) promptly upon receipt thereof, copies of all "management
         letters" submitted to either Borrower or any other Obligor by the
         independent public accountants referred to in CLAUSE (B) in connection
         with each audit made by such accountants;

                  (i) promptly following the mailing or receipt of any notice or
         report delivered under the terms of any Subordinated Debt, copies of
         such notice or report; and

                  (j) such other financial and other information as any Lender
         or Issuer through the Administrative Agent may from time to time
         reasonably request (including information and reports in such detail as
         the Administrative Agent may request with respect to the terms of and
         information provided pursuant to the Compliance Certificate).

         SECTION 7.1.2. MAINTENANCE OF EXISTENCE; COMPLIANCE WITH LAWS, ETC.
Each Borrower will, and will cause each of its Consolidated Entities to,
preserve and maintain its legal existence (except as otherwise permitted by
SECTION 7.2.10), and comply in all material respects with all applicable laws,
rules, regulations and orders, including the payment (before the same become
delinquent), of all Taxes, imposed upon such Borrower or its Consolidated
Entities or upon their property except to the extent being diligently contested
in good faith by appropriate proceedings and for which adequate reserves in
accordance with GAAP have been set aside on the books of such Borrower or its
Consolidated Entities, as applicable.

         SECTION 7.1.3. MAINTENANCE OF PROPERTIES. Each Borrower will, and will
cause each of its Consolidated Entities to, maintain, preserve, protect and keep
its and their respective properties in good repair, working order and condition
(ordinary wear and tear excepted), and make necessary repairs, renewals and
replacements so that the business carried on by such Borrower and its
Consolidated Entities may be properly conducted at all times, unless such

                                      -59-
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Borrower or such Consolidated Entity determines in good faith that the continued
maintenance of such property is no longer economically desirable.

         SECTION 7.1.4. INSURANCE. Each Borrower will, and will cause each of
its Consolidated Entities to:

                  (a) maintain insurance on its property with financially sound
         and reputable insurance companies against loss and damage in at least
         the amounts (and with only those deductibles) customarily maintained,
         and against such risks as are typically insured against in the same
         general area, by Persons of comparable size engaged in the same or
         similar business as such Borrower and its Consolidated Entities; and

                  (b) all worker's compensation, employer's liability insurance
         or similar insurance as may be required under the laws of any state or
         jurisdiction in which it may be engaged in business.

Without limiting the foregoing, all insurance policies required pursuant to this
Section that are maintained by the Borrowers and the Subsidiary Guarantors with
respect to their operations and assets shall, if requested by the Administrative
Agent, (i) name the Administrative Agent on behalf of the Secured Parties as
loss payee (in the case of property insurance) or additional insured (in the
case of liability insurance), as applicable, and provide that no cancellation or
modification of the policies will be made without thirty days' prior written
notice to the Administrative Agent and (ii) be in addition to any requirements
to maintain specific types of insurance contained in the other Loan Documents.

         SECTION 7.1.5. BOOKS AND RECORDS. Each Borrower will, and will cause
each of its Consolidated Entities to, keep books and records in accordance with
GAAP which accurately reflect all of its business affairs and transactions and
permit each Secured Party or any of its representatives, at reasonable times and
intervals upon reasonable notice to such Borrower, to visit each Obligor's
offices, to discuss such Obligor's financial matters with its officers,
employees and independent public accountants (and each Borrower hereby
authorizes such independent public accountant to discuss each Obligor's
financial matters with each Secured Party and its representatives whether or not
any representative of such Obligor is present) and to examine (and photocopy
extracts from) any of its books and records. The applicable Borrower shall pay
any fees of such independent public accountant incurred in connection with any
Secured Party's exercise of its rights, with respect to such Borrower, pursuant
to this Section.

         SECTION 7.1.6. ENVIRONMENTAL LAW COVENANT. Each Borrower will, and will
cause each of its Consolidated Entities to,

                  (a) use and operate all of its and their facilities and
         properties in material compliance with all Environmental Laws, keep all
         necessary permits, approvals, certificates, licenses and other
         authorizations relating to environmental matters in effect

                                     -60-

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         and remain in material compliance therewith, and handle all Hazardous
         Materials in material compliance with all applicable Environmental
         Laws; and

                  (b) promptly notify the Administrative Agent and provide
         copies upon receipt of all written claims, complaints, notices or
         inquiries relating to the condition of its facilities and properties in
         respect of, or as to compliance with, Environmental Laws, and shall
         promptly resolve any non-compliance with Environmental Laws and keep
         its property free of any Lien imposed by any Environmental Law.

         SECTION 7.1.7. USE OF PROCEEDS. Each Borrower has or will apply the
proceeds of the Credit Extensions as follows:

                  (a)  for working capital and general corporate purposes of
         the Borrowers and the Subsidiary Guarantors, including Investments
         permitted by this Agreement; and

                  (b)  for issuing Letters of Credit for the account of the
         Borrowers and the Subsidiary Guarantors.

         SECTION 7.1.8. FUTURE GUARANTORS, SECURITY, ETC. Each Borrower will,
and will cause each Subsidiary Guarantor to, execute any documents, Filing
Statements, agreements (including any guaranty, security and/or pledge
agreement) and instruments, and take all further action (including filing
Mortgages within 150 days of the acquisition of any real property) that may be
required under applicable law, or that the Administrative Agent may reasonably
request, in order to effectuate the transactions contemplated by the Loan
Documents and in order to grant, preserve, protect and perfect the validity and
first priority (subject to Liens permitted by Section 7.2.3) of the Liens
created or intended to be created by the Loan Documents. Each Borrower will
cause any subsequently acquired or organized Wholly-Owned Subsidiary to execute
the Subsidiary Guaranty (or a supplement thereto) and each applicable Loan
Document in favor of the Secured Parties. In addition, from time to time, each
Borrower will, and will cause each Subsidiary Guarantor to, at such Borrower's
cost and expense, promptly secure the Obligations by pledging or creating, or
causing to be pledged or created, perfected Liens with respect to such of its
assets and properties as the Administrative Agent or the Required Lenders shall
designate, it being agreed that it is the intent of the parties that the
Obligations shall be secured by, among other things, substantially all the
assets of the Borrowers and the Subsidiary Guarantors, including real and
personal property acquired subsequent to the Amendment Effective Date. Such
Liens will be created under the Loan Documents in form and substance
satisfactory to the Administrative Agent, and the applicable Borrower shall
deliver or cause to be delivered to the Administrative Agent all such
instruments and documents (including legal opinions, title insurance policies
and lien searches) as the Administrative Agent shall reasonably request to
evidence compliance with this Section. Notwithstanding the foregoing, (a) the
obligation to grant a Mortgage with respect to any real property shall be
subject to SECTION 7.1.10, (b) this SECTION 7.1.8 shall not apply to any
Subsidiary Guarantor that is an Operating Entity (or which becomes an Operating
Entity within six months after the formation or initial acquisition of

                                     -61-

<Page>

an Equity Interest in such Subsidiary) and (c) no Subsidiary Guarantor shall
be obligated to grant a Lien with respect to any Equity Interest in a
partnership, joint venture or limited liability company in which an Equity
Interest is also held by a Person that owns or is affiliated with a
non-profit hospital.

         SECTION 7.1.9. RATE PROTECTION AGREEMENTS. The Borrowers shall maintain
interest rate swap, cap, collar or similar arrangements (including such
Indebtedness accruing interest at a fixed rate by its terms) designed to protect
the Borrowers against fluctuations in interest rates with respect to at least
50% of the average outstanding amount of the Borrowers' Indebtedness for a
period and on terms satisfactory to the Administrative Agent.

         SECTION 7.1.10. DISPOSITIONS OF REAL PROPERTY. The Borrowers shall
Dispose of, or cause to be Disposed, the properties listed on ITEM 7.1.10 of the
Disclosure Schedule no later than 120 days after the Amendment Effective Date
or, if not Disposed of by such time, the Borrowers shall deliver to the
Administrative Agent, as mortgagee for the ratable benefit of the Secured
Parties, counterparts of a Mortgage relating to each such property, each dated
as of the date of such delivery, duly executed by the applicable Borrower or the
applicable Subsidiary Guarantor, together with (a) evidence of the completion
(or satisfactory arrangements for the completion) of all recordings and filings
of such Mortgage as may be necessary or, in the reasonable opinion of the
Administrative Agent, desirable effectively to create a valid, perfected first
priority Lien, subject to Liens permitted by SECTION 7.2.3, against the
properties purported to be covered thereby and (b) such other approvals,
opinions or documents as the Agents may reasonably request.

         SECTION 7.1.11. RESTRICTED ENTITY ACKNOWLEDGMENTS. The Borrowers shall
use commercially reasonable efforts to, no later than 90 days after the
Amendment Effective Date, have an acknowledgment in form and substance
reasonably satisfactory to the Administrative Agent executed by each holder of
Equity Interests of each Restricted Entity (other than any Obligor) with respect
to the restriction on the ability to pledge the Equity Interests of such
Restricted Entity and the agreement of such holder not to consent to the pledge
by any Obligor of its Equity Interests in such Restricted Entity.

         SECTION 7.1.12. FOREIGN COLLATERAL. The Borrowers shall provide, or
cause to be provided, to the Administrative Agent (a) no later than January 31,
2002, the pledge of the Equity Interests required pursuant to Section 5.3, and
(b) no later than February 28, 2002, all other collateral required pursuant to,
and fulfill all other conditions set forth in, Section 5.3.

         SECTION 7.2. NEGATIVE COVENANTS. Each Borrower covenants and agrees
with each Lender, each Issuer and the Administrative Agent that until the
Termination Date has occurred, such Borrower will, and will cause its
Consolidated Entities to, perform or cause to be performed the obligations set
forth below.

                                     -62-

<Page>

         SECTION 7.2.1. BUSINESS ACTIVITIES. Neither Borrower will, and will not
permit any of their Consolidated Entities to, engage in any business activity
except those business activities engaged in on the Closing Date and activities
reasonably related thereto.

         SECTION 7.2.2. INDEBTEDNESS. Neither Borrower will, and will not permit
any of their Consolidated Entities to, create, incur, assume or permit to exist
any Indebtedness, other than:

                  (a)  Indebtedness in respect of the Obligations;

                  (b)  until the Amendment Effective Date, Indebtedness that is
         to be repaid in full as further identified in ITEM 7.2.2(b) of the
         Disclosure Schedule;

                  (c) Indebtedness existing as of the Amendment Effective Date
         which is identified in ITEM 7.2.2(c) of the Disclosure Schedule, and
         refinancing of such Indebtedness in a principal amount not in excess of
         that which is outstanding on the Effective Date (as such amount has
         been reduced following the Effective Date);

                  (d) unsecured Indebtedness (i) incurred in the ordinary course
         of business of either Borrower and its Consolidated Entities (including
         open accounts extended by suppliers on normal trade terms in connection
         with purchases of goods and services which are not overdue for a period
         of more than 90 days or, if overdue for more than 90 days, as to which
         a dispute exists and adequate reserves in conformity with GAAP have
         been established on the books of such Borrower or such Consolidated
         Entity) and (ii) in respect of performance, surety or appeal bonds
         provided in the ordinary course of business, but excluding (in each
         case), Indebtedness incurred through the borrowing of money or
         Contingent Liabilities in respect thereof;

                  (e) Indebtedness of any Subsidiary Guarantor owing to either
         Borrower or any other Subsidiary Guarantor, which Indebtedness shall be
         either (i) evidenced by one or more promissory notes in form and
         substance satisfactory to the Administrative Agent, duly executed and
         delivered in pledge to the Administrative Agent pursuant to a Loan
         Document, or (ii) reflected in an open account on the books and records
         of such Person, and shall, in each case, not be forgiven or otherwise
         discharged for any consideration other than payment in full or in part
         in cash (PROVIDED that only the amount repaid in part shall be
         discharged);

                  (f) unsecured subordinated Indebtedness (not evidenced by a
         note or other instrument) of either Borrower owing to a Subsidiary so
         long as the agreement pursuant to which such Indebtedness was incurred
         contains subordination provisions and other terms which are reasonably
         satisfactory in all respects to the Administrative Agent;

                                     -63-

<Page>

                  (g) Indebtedness in respect of the Subordinated Intercompany
         Notes and the Holdings Notes Guaranties, and refinancings of such
         Subordinated Debt which continue to satisfy the terms of the definition
         of "Subordinated Debt";

                  (h) Indebtedness consisting of obligations of the Borrowers to
         Operating Entities in connection with any cash management system
         operated by the Borrowers in the ordinary course of business under
         which the Borrowers receive and hold cash that belongs to such
         Operating Entities pending disbursement of such cash to or for the
         benefit of the respective Operating Entities;

                  (i) other Indebtedness of the Borrowers and their Consolidated
         Entities in an aggregate amount at any time outstanding not to exceed
         the greater of (i) $35,000,000 and (ii) an amount equal to 1.25
         multiplied by the amount of EBITDA (plus amounts attributable to
         Minority Interests) of the Borrowers and their Consolidated Entities
         for the four Fiscal Quarters for which the most recent Compliance
         Certificate was delivered to the Administrative Agent by the Borrowers
         pursuant to CLAUSE (c) of SECTION 7.1.1; PROVIDED that such
         Indebtedness shall, if payable to either Borrower or a Subsidiary
         Guarantor, be either (A) evidenced by one or more promissory notes in
         form and substance satisfactory to the Administrative Agent, duly
         executed and delivered in pledge to the Administrative Agent pursuant
         to a Loan Document, or (B) reflected in an open account on the books
         and records of such Person, and shall, in each case, not be forgiven or
         otherwise discharged for any consideration other than payment in full
         or in part in cash (PROVIDED that only the amount repaid in part shall
         be discharged);

PROVIDED that no Indebtedness otherwise permitted by CLAUSES (c), (e), (g) or
(i) shall be assumed, created or otherwise incurred if a Default has occurred
and is then continuing or would result therefrom.

         SECTION 7.2.3. LIENS. Neither Borrower will, and will not permit any of
their Consolidated Entities to, create, incur, assume or permit to exist any
Lien upon any of its property (including Equity Interests of any Person),
revenues or assets, whether now owned or hereafter acquired, except:

                  (a)  Liens securing payment of the Obligations;

                  (b) until the Amendment Effective Date, Liens securing
         payment of Indebtedness of the type described in CLAUSE (b) of
         SECTION 7.2.2;

                  (c) Liens existing as of the Amendment Effective Date and
         disclosed in ITEM 7.2.3(c) of the Disclosure Schedule securing
         Indebtedness described in CLAUSE (c) of SECTION 7.2.2, and refinancings
         of such Indebtedness; PROVIDED that no such Lien shall encumber any
         additional property and the amount of Indebtedness secured by such Lien
         is

                                     -64-

<Page>

         not increased from that existing on the Effective Date (as such
         Indebtedness may have been permanently reduced subsequent to the
         Effective Date);

                  (d) Liens securing Indebtedness of the type permitted under
         CLAUSE (i) of SECTION 7.2.2; PROVIDED that (i) such Lien is granted
         within 60 days after such Indebtedness is incurred and (ii) such Lien
         secures only the assets that are the subject of the Indebtedness
         referred to in such clause;

                  (e) Liens in favor of carriers, warehousemen, mechanics,
         materialmen and landlords granted in the ordinary course of business
         for amounts not overdue or being diligently contested in good faith by
         appropriate proceedings and for which adequate reserves in accordance
         with GAAP shall have been set aside on its books;

                  (f) Liens incurred or deposits made in the ordinary course of
         business in connection with worker's compensation, unemployment
         insurance or other forms of governmental insurance or benefits, or to
         secure performance of tenders, statutory obligations, bids, leases or
         other similar obligations (other than for borrowed money) entered into
         in the ordinary course of business or to secure obligations on surety
         and appeal bonds or performance bonds;

                  (g) judgment Liens in existence for less than 45 days after
         the entry thereof or with respect to which execution has been stayed or
         the payment of which is covered in full (subject to a customary
         deductible) by insurance maintained with responsible insurance
         companies and which do not otherwise result in an Event of Default
         under SECTION 8.1.6;

                  (h) easements, rights-of-way, zoning restrictions, minor
         defects or irregularities in title and other similar encumbrances not
         interfering in any material respect with the value or use of the
         property to which such Lien is attached; and

                  (i) Liens for Taxes not at the time delinquent or thereafter
         payable without penalty or being diligently contested in good faith by
         appropriate proceedings and for which adequate reserves in accordance
         with GAAP shall have been set aside on its books.

         SECTION 7.2.4. FINANCIAL CONDITION AND OPERATIONS. Neither Borrower
will permit any of the events set forth below to occur.

                  (a) Neither Borrower will permit the Total Debt to EBITDA
         Ratio as of the last day of any Fiscal Quarter set forth below to be
         greater than the ratio set forth opposite such Fiscal Quarter:

                                     -65-

<Page>

<Table>
<Caption>
                                                              Total Debt
                         Fiscal Quarter                    to EBITDA Ratio
                         --------------                    ---------------
<S>                                                             <C>
                  June 30 , 2001                                4.50:1
                  September 30, 2001                            4.50:1
                  December 31, 2001                             4.50:1
                  March 31, 2002                                4.50:1
                  June 30, 2002                                 4.50:1
                  September 30, 2002                            4.50:1
                  December 31, 2002                             4.25:1
                  March 31, 2003                                 4.251
                  June 20, 2003 and each Fiscal                 4.00:1
                  Quarter thereafter
</Table>

                  (b) Neither Borrower will permit the Senior Debt to EBITDA
         Ratio as of the last day of any Fiscal Quarter set forth below to be
         greater than the ratio set forth opposite such Fiscal Quarter:

<Table>
<Caption>
                                                             Senior Debt
                         Fiscal Quarter                    to Ebitda Ratio
                         --------------                    ---------------
<S>                                                            <C>
                  June 30, 2001                                3.00:1
                  September 30, 2001                           3.00:1
                  December 31, 2001                            2.75:1
                  March 31, 2002                               2.75:1
                  June 30, 2002                                2.75:1
                  September 30, 2002                           2.75:1
                  December 31, 2002 and each Fiscal            2.50:1
                  Quarter thereafter
</Table>

                  (c) Neither Borrower will permit the Fixed Charge Coverage
         Ratio as of the last day of any Fiscal Quarter set forth below to be
         less than the ratio set forth opposite such Fiscal Quarter:

                                     -66-

<Page>

<Table>
<Caption>
                                                            Fixed Charge
                          Fiscal Quarter                   Coverage Ratio
                          --------------                   --------------
<S>                                                            <C>
                  June 30, 2001                                1.00:1
                  September 30, 2001                           1.10:1
                  December 31, 2001                            1.25:1
                  March 31, 2002                               1.25:1
                  June 30, 2002                                1.25:1
                  September 30, 2002                           1.25:1
                  December 31, 2002 and each Fiscal            1.50:1
                  Quarter thereafter
</Table>

                  (d) Neither Borrower will permit the Interest Coverage Ratio
         as of the last day of any Fiscal Quarter set forth below to be less
         than the ratio set forth opposite such Fiscal Quarter:

<Table>
<Caption>
                                                              Interest
                          Fiscal Quarter                   Coverage Ratio
                          --------------                   --------------
<S>                                                            <C>
                  June 30, 2001                                1.85:1
                  September 30, 2001                           1.85:1
                  December 31, 2001                            2.25:1
                  March 31, 2002                               2.25:1
                  June 30, 2002                                2.25:1
                  September 30, 2002                           2.25:1
                  December 31, 2002 and each Fiscal            2.50:1
                  Quarter thereafter
</Table>

         SECTION 7.2.5. INVESTMENTS. Neither Borrower will, and will not permit
any of their Consolidated Entities to, purchase, make, incur, assume or permit
to exist any Investment in any other Person, except:

                                     -67-

<Page>

                  (a)  Investments existing on the Amendment Effective Date
         and identified in ITEM 7.2.5(a) of the Disclosure Schedule;

                  (b)  Cash Equivalent Investments;

                  (c) Investments received in connection with the bankruptcy or
         reorganization of, or settlement of delinquent accounts and disputes
         with, customers and suppliers, in each case in the ordinary course of
         business;

                  (d)  Investments permitted as Capital Expenditures pursuant
         to SECTION 7.2.7;

                  (e) Investments (i) by either Borrower in any Consolidated
         Entity, (ii) by any Consolidated Entity in either Borrower or another
         Consolidated Entity, or (iii) by either Borrower or any Consolidated
         Entity in any Non-Consolidated Entity to which such Borrower or a
         Consolidated Entity provides management services and receives a fee
         therefor and which Non-Consolidated Entity has no restrictions on the
         payment of dividends or distributions to holders of its Equity
         Interests; PROVIDED that the aggregate amount of Investments under this
         CLAUSE (iii) (in addition to any such Investments permitted pursuant to
         CLAUSE (a) of this SECTION 7.2.5) at any time outstanding shall not
         exceed $20,000,000 PLUS 50% of the cumulative Net Income received by
         the Borrowers and their Consolidated Entities (as of the most recent
         Compliance Certificate delivered pursuant to CLAUSE (c) of SECTION
         7.1.1) from and after October 1, 2001;

                  (f) Investments constituting (i) accounts receivable arising,
         (ii) trade debt granted, or (iii) deposits made in connection with the
         purchase price of goods or services, in each case in the ordinary
         course of business;

                  (g) Investments by way of the acquisition of Equity Interests
         constituting Permitted Acquisitions not to exceed an aggregate amount
         in cash (net of any amounts that have been syndicated to other
         investors) equal to EBITDA of the Borrowers and their Consolidated
         Entities for the four Fiscal Quarters for which the most recent
         Compliance Certificate was delivered to the Administrative Agent by the
         Borrowers pursuant to CLAUSE (c) of SECTION 7.1.1 during any twelve
         month period following the Closing Date; PROVIDED that (i) no one such
         Investment shall exceed $15,000,000, (ii) the aggregate amount of such
         Investments made in Persons which had negative Acquired Person EBITDAM
         shall not exceed $10,000,000 during the term of this Agreement, (iii)
         any such Investments shall result in the acquisition of a Wholly-Owned
         Subsidiary and (iv) upon making such Investments, the provisions of
         SECTION 7.1.8 are complied with;

                  (h) Investments consisting of any deferred portion of the
         sales price received by either Borrower or any Consolidated Entity in
         connection with any Disposition permitted under SECTION 7.2.11;

                                     -68-

<Page>

                  (i)  Investments constituting Permitted Foreign Investments
         in an aggregate amount not to exceed $10,000,000 during the term of
         this Agreement;

                  (j)  Investments constituting Indebtedness permitted pursuant
         to SECTION 7.2.2; and

                  (k)  other Investments in an amount not to exceed $1,000,000
         over the term of this Agreement;

PROVIDED that

                  (l) any Investment which when made complies with the
         requirements of the definition of the term "Cash Equivalent Investment"
         may continue to be held notwithstanding that such Investment if made
         thereafter would not comply with such requirements; and

                  (m) no Investment otherwise permitted by CLAUSES (d), (e)(i),
         (e)(ii), (g), (i), (j) or (l) shall be permitted to be made if any
         Default has occurred and is continuing or would result therefrom.

         SECTION 7.2.6. RESTRICTED PAYMENTS. Neither Borrower will, and will not
permit any of their Consolidated Entities to, declare or make a Restricted
Payment, or make any deposit for any Restricted Payment, other than Restricted
Payments made (a) by Consolidated Entities to holders of their Equity Interests,
(b) in connection with the repurchase of individual investors' Equity Interests
in Operating Entities and (c) so long as no Event of Default has occurred and is
continuing, to Holdings and to USP International (for subsequent payment to
Holdings) for the payment of interest on the Holdings Notes (PROVIDED that the
amount of Restricted Payments permitted by this CLAUSE (c) shall be reduced by
the amount of interest paid by the US Borrower and USP International to Holdings
with respect to the Subordinated Intercompany Notes).

         SECTION 7.2.7. CAPITAL EXPENDITURES. Neither Borrower will, and will
not permit any of their Consolidated Entities to, make or commit to make Capital
Expenditures in any Fiscal Year in an aggregate amount in excess of (a) in
respect of Maintenance Capital Expenditures, an amount equal to the amount
attributable to depreciation of assets in determining Net Income of the
Borrowers and their Consolidated Entities for such Fiscal Year and (b) in
respect of Capital Expenditures other than Maintenance Capital Expenditures,
$12,500,000 in the aggregate during any Fiscal Year.

         SECTION 7.2.8. NO PREPAYMENT OF SUBORDINATED DEBT. Neither Borrower
will, and will not permit any of their Consolidated Entities to,

                  (a) make any payment or prepayment of principal of, or premium
         or interest on, any Subordinated Debt (i) other than the stated,
         scheduled date for payment of interest set

                                     -69-
<Page>

         forth in the applicable Sub Debt Documents or as otherwise required
         thereunder, or (ii) which would violate the terms of this Agreement
         or the applicable Sub Debt Documents;\

                  (b) redeem, retire, purchase, defease or otherwise acquire any
         Subordinated Debt other than pursuant to the terms of the applicable
         Sub Debt Documents; or

                  (c) make any deposit (including the payment of amounts into a
         sinking fund or other similar fund) for any of the foregoing purposes.

Furthermore, neither Borrower nor any of their Consolidated Entities will
designate any Indebtedness other than the Obligations as "Designated Senior
Indebtedness" (or any analogous term) in any Sub Debt Document.

         SECTION 7.2.9. ISSUANCE OF EQUITY INTERESTS. Neither Borrower will,
and will not permit any of their Consolidated Entities to, issue any Equity
Interests (whether for value or otherwise) to any Person other than (i) in
the case of Consolidated Entities, to either Borrower or a Subsidiary
Guarantor, (ii) in the case of either Borrower, if the Net Equity Proceeds
from such issuance are applied to prepay the Loans as required by the terms
of this Agreement or (iii) in the case of Operating Entities, to physicians
in the ordinary course of business.

         SECTION 7.2.10. CONSOLIDATION, MERGER, ETC. Neither Borrower will,
and will not permit any of their Consolidated Entities to, liquidate or
dissolve, consolidate with, or merge into or with, any other Person, or
purchase or otherwise acquire all or substantially all of the assets of any
Person (or any division thereof), except

                  (a) any Consolidated Entity may liquidate or dissolve
         voluntarily into, and may merge with and into, the US Borrower or any
         of its Consolidated Entities (PROVIDED that a Subsidiary Guarantor may
         only liquidate or dissolve into, or merge with and into, the US
         Borrower or another Subsidiary Guarantor), and the assets or Equity
         Interests of any Subsidiary may be purchased or otherwise acquired by
         the US Borrower or any other Subsidiary (PROVIDED that the assets or
         Equity Interests of any Subsidiary Guarantor may only be purchased or
         otherwise acquired by the US Borrower or another Subsidiary Guarantor);
         PROVIDED that in no event shall any Pledged Subsidiary consolidate with
         or merge with and into any Subsidiary other than another Pledged
         Subsidiary unless after giving effect thereto, the Administrative Agent
         shall have a perfected pledge of, and security interest in and to, at
         least the same percentage of the issued and outstanding interests of
         Equity Interests (on a fully diluted basis) of the surviving Person as
         the Administrative Agent had immediately prior to such merger or
         consolidation in form and substance satisfactory to the Administrative
         Agent and its counsel, pursuant to such documentation and opinions as
         shall be necessary in the opinion of the Administrative Agent to
         create, perfect or maintain the collateral position of the Secured
         Parties therein;

                  (b) so long as no Default has occurred and is continuing or
         would occur after giving effect thereto, either Borrower or any of its
         Consolidated Entities may (to the

                                     -70-
<Page>

         extent permitted by CLAUSES (e) or (g) of SECTION 7.2.5) purchase
         all or substantially all of the assets or Equity Interests of any
         Person (or any division thereof), or acquire such Person by merger;
         and

                  (c)  as permitted by SECTION 7.2.11.

         SECTION 7.2.11. PERMITTED DISPOSITIONS. Neither Borrower will, and
will not permit any of their Consolidated Entities to, Dispose of any of such
Borrower's or such Consolidated Entity's assets (including accounts
receivable and Equity Interests of Consolidated Entities) to any Person in
one transaction or series of transactions unless such Disposition is (a)
inventory or obsolete property Disposed of in the ordinary course of its
business, (b) permitted by SECTION 7.2.10, (c) Dispositions of Equity
Interests in Operating Entities to physicians in the ordinary course of
business or (d) (i) such Disposition is for fair market value and, unless
otherwise agreed to by the Administrative Agent, the consideration received
shall consist of no less than 80% in cash, (ii) the Net Disposition Proceeds
received from such Disposition, together with the Net Disposition Proceeds of
all other assets Disposed of pursuant to this clause since the Closing Date,
does not exceed (individually or in the aggregate) $10,000,000 in any Fiscal
Year and (iii) the Net Disposition Proceeds from such Disposition are applied
pursuant to SECTIONS 3.1.1 and 3.1.2.

         SECTION 7.2.12. MODIFICATION OF CERTAIN AGREEMENTS. Neither Borrower
will, and will not permit any of their Consolidated Entities to, consent to
any amendment, supplement, waiver or other modification of, or enter into any
forbearance from exercising any rights with respect to the terms or
provisions contained in,

                  (a) the Sub Debt Documents, other than any amendment,
         supplement, waiver or modification for which no fee is payable to the
         holders of the Subordinated Debt and which (i) extends the date or
         reduces the amount of any required repayment, prepayment or redemption
         of the principal of such Subordinated Debt, (ii) reduces the rate or
         extends the date for payment of the interest, premium (if any) or fees
         payable on such Subordinated Debt or (iii) makes the covenants, events
         of default or remedies in such Sub Debt Documents less restrictive on
         the US Borrower;

                  (b)  any of the Transaction Documents (as defined in the
         Existing Credit Agreement).

         SECTION 7.2.13. TRANSACTIONS WITH AFFILIATES. Neither Borrower will,
and will not permit any of their Consolidated Entities to, enter into or
cause or permit to exist any arrangement, transaction or contract (including
for the purchase, lease or exchange of property or the rendering of services)
with any of its other Affiliates, unless such arrangement, transaction or
contract (a) is on fair and reasonable terms no less favorable to the
applicable Borrower or such Consolidated Entity than it could obtain in an
arm's-length transaction with a Person that is not an Affiliate and (b) is of
the kind which would be entered into by a prudent Person in the position of
such Borrower or such Consolidated Entity with a Person that is not one of
its Affiliates.

                                     -71-
<Page>

         SECTION 7.2.14. RESTRICTIVE AGREEMENTS, ETC. Neither Borrower will,
and will not permit any of their Consolidated Entities to, enter into any
agreement prohibiting

                  (a) the creation or assumption of any Lien upon its
         properties, revenues or assets, whether now owned or hereafter
         acquired, other than with respect to Restricted Entities;

                  (b)  the ability of any Obligor to amend or otherwise modify
         any Loan Document; or

                  (c) the ability of any Consolidated Entity to make any
         payments, directly or indirectly, to either Borrower, including by way
         of dividends, advances, repayments of loans, reimbursements of
         management and other intercompany charges, expenses and accruals or
         other returns on investments.

The foregoing prohibitions shall not apply to restrictions contained in (i)
any Loan Document, (ii) the Holdings Notes Indenture or (iii) in the case of
CLAUSE (a), any agreement governing any Indebtedness permitted by CLAUSE (i)
of SECTION 7.2.2 as to the assets financed with the proceeds of such
Indebtedness.

         SECTION 7.2.15. SALE AND LEASEBACK. Neither Borrower will, and will
not permit any of their Consolidated Entities to, directly or indirectly
enter into any agreement or arrangement providing for the sale or transfer by
it of any property (other than real property), now owned or hereafter
acquired, to a Person and the subsequent lease or rental of such property or
other similar property from such Person.

         SECTION 7.2.16. FOREIGN SUBSIDIARIES. Notwithstanding any other
provisions of this Agreement to the contrary, the US Borrower will not, and
will not permit any of its Consolidated Entities to, organize or acquire any
Foreign Subsidiaries.

         SECTION 7.2.17. AMENDMENT OF ORGANIC DOCUMENTS. Neither Borrower
will, and will not permit any of their Consolidated Entities to, amend,
supplement or otherwise modify, or permit, consent or suffer to occur any
amendment, supplement or modification of, any terms or provisions contained
in, or applicable to, any Organic Document of such Borrower or such
Consolidated Entity if the effect thereof is to impair, or is in any manner
adverse to, the rights, interests or obligations of any Secured Party under
any Loan Document.

         SECTION 7.2.18.  FISCAL YEAR.  Neither Borrower will change its
Fiscal Year.

         SECTION 7.2.19. LIMITATIONS ON INTERCOMPANY LOANS AND TRANSFERS.
Neither Borrower will, and will not permit any of their Consolidated Entities
(other than an Unrestricted Subsidiary (as defined in the Holdings Notes
Indenture)) to, make any loans or advances, or transfer any of its property
or assets, to Parent or any of its Restricted Subsidiaries (as defined in the
Holdings Notes Indenture) if the loan, advance or transfer would contravene
such Borrower's or

                                     -72-
<Page>

Consolidated Entity's Organic Documents or any agreement relating to
Indebtedness of such Person.

                                  ARTICLE VIII
                                EVENTS OF DEFAULT

         SECTION 8.1. LISTING OF EVENTS OF DEFAULT. Each of the following
events or occurrences described in this Article shall constitute an "EVENT OF
DEFAULT".

         SECTION 8.1.1. NON-PAYMENT OF OBLIGATIONS. Either Borrower shall
default in the payment or prepayment when due of

                  (a)  any principal of any Loan, or any Reimbursement
         Obligation or any deposit of cash for collateral purposes pursuant to
         SECTION 2.6.4; or

                  (b) any interest on any Loan or any fee described in ARTICLE
         III or any other monetary Obligation, and such default shall continue
         unremedied for a period of four days after such amount was due.

         SECTION 8.1.2. BREACH OF WARRANTY. Any representation or warranty of
any Obligor made or deemed to be made in any Loan Document (including any
certificates delivered pursuant to ARTICLE V) is or shall be incorrect when
made or deemed to have been made in any material respect.

         SECTION 8.1.3. NON-PERFORMANCE OF CERTAIN COVENANTS AND OBLIGATIONS.
Either Borrower shall default in the due performance or observance of any of
its obligations under SECTION 7.1.1, SECTION 7.1.7 or SECTION 7.2, or any
Obligor shall default in the due performance or observance of its obligations
under Article IV of the Subsidiary Guaranty or Article IV of a Pledge
Agreement.

         SECTION 8.1.4. NON-PERFORMANCE OF OTHER COVENANTS AND OBLIGATIONS.
Any Obligor shall default in the due performance and observance of any other
agreement contained in any Loan Document executed by it, and such default
shall continue unremedied for a period of 30 days after notice thereof shall
have been given to the Borrowers by the Administrative Agent or any Lender.

         SECTION 8.1.5. DEFAULT ON OTHER INDEBTEDNESS. A default shall occur
in the payment of any amount when due (subject to any applicable grace
period), whether by acceleration or otherwise, of any principal or stated
amount of, or interest or fees on, any Indebtedness (other than Indebtedness
described in SECTION 8.1.1) of any Obligor having a principal or stated
amount, individually or in the aggregate, in excess of $2,500,000, or a
default shall occur in the performance or observance of any obligation or
condition with respect to such Indebtedness if the effect of such default is
to accelerate the maturity of any such Indebtedness or such default shall

                                     -73-
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continue unremedied for any applicable period of time sufficient to permit
the holder or holders of such Indebtedness, or any trustee or agent for such
holders, to cause or declare such Indebtedness to become due and payable or
to require such Indebtedness to be prepaid, redeemed, purchased or defeased,
or require an offer to purchase or defease such Indebtedness to be made,
prior to its expressed maturity.

         SECTION 8.1.6. JUDGMENTS. Any judgment or order for the payment of
money individually or in the aggregate in excess of $1,000,000 (exclusive of
any amounts fully covered by insurance (less any applicable deductible) and
as to which the insurer has acknowledged its responsibility to cover such
judgment or order) shall be rendered against any Obligor and such judgment
shall not have been vacated or discharged or stayed or bonded pending appeal
within 30 days after the entry thereof or enforcement proceedings shall have
been commenced by any creditor upon such judgment or order.

         SECTION 8.1.7. PENSION PLANS. Any of the following events shall
occur with respect to any Pension Plan

                  (a) the institution of any steps by either Borrower, any
         member of its Controlled Group or any other Person to terminate a
         Pension Plan if, as a result of such termination, such Borrower or any
         such member could be required to make a contribution to such Pension
         Plan, or could reasonably expect to incur a liability or obligation to
         such Pension Plan, in excess of $1,000,000; or

                  (b) a contribution failure occurs with respect to any Pension
         Plan sufficient to give rise to a Lien under section 302(f) of ERISA.

         SECTION 8.1.8.  CHANGE IN CONTROL.  Any Change in Control shall
occur.

         SECTION 8.1.9.  BANKRUPTCY, INSOLVENCY, ETC.  Any Obligor shall

                  (a) become insolvent or generally fail to pay, or admit in
         writing its inability or unwillingness generally to pay, debts as they
         become due;

                  (b) apply for, consent to, or acquiesce in the appointment of
         a trustee, receiver, sequestrator or other custodian for any
         substantial part of the property of any thereof, or make a general
         assignment for the benefit of creditors;

                  (c) in the absence of such application, consent or
         acquiescence in or permit or suffer to exist the appointment of a
         trustee, receiver, sequestrator or other custodian for a substantial
         part of the property of any thereof, and such trustee, receiver,
         sequestrator or other custodian shall not be discharged within 60 days;
         PROVIDED that each Obligor hereby expressly authorizes each Secured
         Party to appear in any court conducting any relevant

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         proceeding during such 60-day period to preserve, protect and defend
         its rights under the Loan Documents;

                  (d) permit or suffer to exist the commencement of any
         bankruptcy, reorganization, debt arrangement or other case or
         proceeding under any bankruptcy or insolvency law or any dissolution,
         winding up or liquidation proceeding, in respect thereof, and, if any
         such case or proceeding is not commenced by either Borrower, any
         Consolidated Entity or any Obligor, such case or proceeding shall be
         consented to or acquiesced in by such Borrower, such Consolidated
         Entity or such Obligor, as the case may be, or shall result in the
         entry of an order for relief or shall remain for 60 days undismissed;
         PROVIDED that each Borrower, each Consolidated Entity and each Obligor
         hereby expressly authorizes each Secured Party to appear in any court
         conducting any such case or proceeding during such 60-day period to
         preserve, protect and defend their rights under the Loan Documents; or

                  (e)  take any action authorizing, or in furtherance of, any
         of the foregoing.

         SECTION 8.1.10. IMPAIRMENT OF SECURITY, ETC. Any Loan Document or
any Lien granted thereunder shall (except in accordance with its terms), in
whole or in part, terminate, cease to be effective or cease to be the legally
valid, binding and enforceable obligation of any Obligor party thereto; any
Obligor or any other party shall, directly or indirectly, contest in any
manner such effectiveness, validity, binding nature or enforceability; or,
except as permitted under any Loan Document, any Lien securing any Obligation
shall, in whole or in part, cease to be a perfected first priority Lien.

         SECTION 8.1.11. FAILURE OF SUBORDINATION. Unless otherwise waived or
consented to by the Administrative Agent, the Lenders and the Issuer in
writing, the subordination provisions relating to any Subordinated Debt (the
"SUBORDINATION PROVISIONS") shall fail to be enforceable by the
Administrative Agent, the Lenders and the Issuer in accordance with the terms
thereof, or the monetary Obligations shall fail to constitute "Senior
Indebtedness" (or similar term) referring to the Obligations; or either
Borrower or any of their Consolidated Entities shall, directly or indirectly,
disavow or contest in any manner (i) the effectiveness, validity or
enforceability of any of the Subordination Provisions, (ii) that the
Subordination Provisions exist for the benefit of the Administrative Agent,
the Lenders and the Issuer or (iii) that all payments of principal of or
premium and interest on the Subordinated Debt, or realized from the
liquidation of any property of any Obligor, shall be subject to any of such
Subordination Provisions.

         SECTION 8.1.12. PARENT TOTAL DEBT TO PARENT TOTAL CAPITALIZATION
RATIO. The Parent Total Debt to Parent Total Capitalization Ratio shall
exceed 0.60:1, and such default shall continue unremedied for a period of 30
days.

         SECTION 8.2. ACTION IF BANKRUPTCY. If any Event of Default described
in CLAUSES (a) through (d) of SECTION 8.1.9 with respect to either Borrower
shall occur, the Commitments (if not

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theretofore terminated) shall automatically terminate and the outstanding
principal amount of all outstanding Loans and all other Obligations
(including Reimbursement Obligations) shall automatically be and become
immediately due and payable, without notice or demand to any Person and each
Obligor shall automatically and immediately be obligated to Cash
Collateralize all Letter of Credit Outstandings.

         SECTION 8.3. ACTION IF OTHER EVENT OF DEFAULT. If any Event of
Default (other than any Event of Default described in CLAUSES (a) through (d)
of SECTION 8.1.9 with respect to either Borrower) shall occur for any reason,
whether voluntary or involuntary, and be continuing, the Administrative
Agent, upon the direction of the Required Lenders, shall by notice to the
Borrowers declare all or any portion of the outstanding principal amount of
the Loans and other Obligations (including Reimbursement Obligations) to be
due and payable and/or the Commitments (if not theretofore terminated) to be
terminated, whereupon the full unpaid amount of such Loans and other
Obligations which shall be so declared due and payable shall be and become
immediately due and payable, without further notice, demand or presentment,
and/or, as the case may be, the Commitments shall terminate and the Borrowers
shall automatically and immediately be obligated to Cash Collateralize all
Letter of Credit Outstandings; PROVIDED that if less than the total principal
amount of all Loans and other Obligations are declared to be due and payable,
the amount so declared due and payable shall be allocated PRO RATA between
the Borrowers in accordance with their respective Borrowings.

                                   ARTICLE IX
                            THE ADMINISTRATIVE AGENT

         SECTION 9.1. ACTIONS. Each Lender hereby appoints CSFB as its
Administrative Agent under and for purposes of each Loan Document. Each
Lender authorizes the Administrative Agent to act on behalf of such Lender
under each Loan Document and, in the absence of other written instructions
from the Required Lenders received from time to time by the Administrative
Agent (with respect to which the Administrative Agent agrees that it will
comply, except as otherwise provided in this Section or as otherwise advised
by counsel in order to avoid contravention of applicable law), to exercise
such powers hereunder and thereunder as are specifically delegated to or
required of the Administrative Agent by the terms hereof and thereof,
together with such powers as may be incidental thereto. Each Lender hereby
indemnifies (which indemnity shall survive any termination of this Agreement)
the Administrative Agent, PRO RATA according to such Lender's proportionate
Total Exposure Amount, from and against any and all liabilities, obligations,
losses, damages, claims, costs or expenses of any kind or nature whatsoever
which may at any time be imposed on, incurred by, or asserted against, the
Administrative Agent in any way relating to or arising out of any Loan
Document, (including attorneys' fees), and as to which the Administrative
Agent is not reimbursed by a Borrower; PROVIDED that no Lender shall be
liable for the payment of any portion of such liabilities, obligations,
losses, damages, claims, costs or expenses which are determined by a court of
competent jurisdiction in a final proceeding to have resulted from the
Administrative Agent's

                                     -76-
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gross negligence or wilful misconduct. The Administrative Agent shall not be
required to take any action under any Loan Document, or to prosecute or
defend any suit in respect of any Loan Document, unless it is indemnified
hereunder to its satisfaction. If any indemnity in favor of the
Administrative Agent shall be or become, in the Administrative Agent's
determination, inadequate, the Administrative Agent may call for additional
indemnification from the Lenders and cease to do the acts indemnified against
hereunder until such additional indemnity is given.

         SECTION 9.2. FUNDING RELIANCE, ETC. Unless the Administrative Agent
shall have been notified in writing by any Lender by 3:00 p.m. on the
Business Day prior to a Borrowing that such Lender will not make available
the amount which would constitute its Percentage of such Borrowing on the
date specified therefor, the Administrative Agent may assume that such Lender
has made such amount available to the Administrative Agent and, in reliance
upon such assumption, make available to the applicable Borrower a
corresponding amount. If and to the extent that such Lender shall not have
made such amount available to the Administrative Agent, such Lender and such
Borrower severally agree to repay the Administrative Agent forthwith on
demand such corresponding amount together with interest thereon, for each day
from the date the Administrative Agent made such amount available to such
Borrower to the date such amount is repaid to the Administrative Agent, at
the interest rate applicable at the time to Loans comprising such Borrowing
(in the case of a Borrower) and (in the case of a Lender), at the Federal
Funds Rate (for the first two Business Days after which such amount has not
been repaid), and thereafter at the interest rate applicable to Loans
comprising such Borrowing.

         SECTION 9.3. EXCULPATION. Neither the Administrative Agent nor any
of its directors, officers, employees or agents shall be liable to any
Secured Party for any action taken or omitted to be taken by it under any
Loan Document, or in connection therewith, except for its own wilful
misconduct or gross negligence, nor responsible for any recitals or
warranties herein or therein, nor for the effectiveness, enforceability,
validity or due execution of any Loan Document, nor for the creation,
perfection or priority of any Liens purported to be created by any of the
Loan Documents, or the validity, genuineness, enforceability, existence,
value or sufficiency of any collateral security, nor to make any inquiry
respecting the performance by any Obligor of its Obligations. Any such
inquiry which may be made by the Administrative Agent shall not obligate it
to make any further inquiry or to take any action. The Administrative Agent
shall be entitled to rely upon advice of counsel concerning legal matters and
upon any notice, consent, certificate, statement or writing which the
Administrative Agent believes to be genuine and to have been presented by a
proper Person.

         SECTION 9.4. SUCCESSOR. The Administrative Agent may resign as such
at any time upon at least 30 days' prior notice to the Borrowers and all
Lenders. If the Administrative Agent at any time shall resign, the Required
Lenders may appoint another Lender as a successor Administrative Agent which
shall thereupon become the Administrative Agent hereunder. If no successor
Administrative Agent shall have been so appointed by the Required Lenders,
and shall have accepted such appointment, within 30 days after the retiring
Administrative Agent's giving notice of resignation, then the retiring
Administrative Agent may, on behalf of the Lenders,

                                     -77-
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appoint a successor Administrative Agent, which shall be one of the Lenders
or a commercial banking institution organized under the laws of the United
States (or any State thereof) or a United States branch or agency of a
commercial banking institution, and having a combined capital and surplus of
at least $250,000,000; PROVIDED that if, such retiring Administrative Agent
is unable to find a commercial banking institution which is willing to accept
such appointment and which meets the qualifications set forth in above, the
retiring Administrative Agent's resignation shall nevertheless thereupon
become effective and the Lenders shall assume and perform all of the duties
of the Administrative Agent hereunder until such time, if any, as the
Required Lenders appoint a successor as provided for above. Upon the
acceptance of any appointment as Administrative Agent hereunder by a
successor Administrative Agent, such successor Administrative Agent shall be
entitled to receive from the retiring Administrative Agent such documents of
transfer and assignment as such successor Administrative Agent may reasonably
request, and shall thereupon succeed to and become vested with all rights,
powers, privileges and duties of the retiring Administrative Agent, and the
retiring Administrative Agent shall be discharged from its duties and
obligations under the Loan Documents. After any retiring Administrative
Agent's resignation hereunder as the Administrative Agent, the provisions of
this Article shall inure to its benefit as to any actions taken or omitted to
be taken by it while it was the Administrative Agent under the Loan
Documents, and SECTION 11.3 and SECTION 11.4 shall continue to inure to its
benefit.

         SECTION 9.5. CREDIT EXTENSIONS BY CSFB. CSFB shall have the same
rights and powers with respect to (x) the Credit Extensions made by it or any
of its Affiliates, and (y) the Revolving Notes held by it or any of its
Affiliates as any other Lender and may exercise the same as if it were not
the Administrative Agent. CSFB and its Affiliates may accept deposits from,
lend money to, and generally engage in any kind of business with either
Borrower or any Consolidated Entity or Affiliate of either Borrower as if
CSFB were not the Administrative Agent hereunder.

         SECTION 9.6. CREDIT DECISIONS. Each Lender acknowledges that it has,
independently of the Administrative Agent and each other Lender, and based on
such Lender's review of the financial information of each Borrower, the Loan
Documents (the terms and provisions of which being satisfactory to such
Lender) and such other documents, information and investigations as such
Lender has deemed appropriate, made its own credit decision to extend its
Commitments. Each Lender also acknowledges that it will, independently of the
Administrative Agent and each other Lender, and based on such other
documents, information and investigations as it shall deem appropriate at any
time, continue to make its own credit decisions as to exercising or not
exercising from time to time any rights and privileges available to it under
the Loan Documents.

         SECTION 9.7. COPIES, ETC. The Administrative Agent shall give prompt
notice to each Lender of each notice or request required or permitted to be
given to the Administrative Agent by the applicable Borrower pursuant to the
terms of the Loan Documents (unless concurrently delivered to the Lenders by
such Borrower). The Administrative Agent will distribute to each Lender each
document or instrument received for its account and copies of all other

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communications received by the Administrative Agent from either Borrower for
distribution to the Lenders by the Administrative Agent in accordance with
the terms of the Loan Documents.

         SECTION 9.8. RELIANCE BY ADMINISTRATIVE AGENT. The Administrative
Agent shall be entitled to rely upon any certification, notice or other
communication (including any thereof by telephone, telecopy, telegram or
cable) believed by it to be genuine and correct and to have been signed or
sent by or on behalf of the proper Person, and upon advice and statements of
legal counsel, independent accountants and other experts selected by the
Administrative Agent. As to any matters not expressly provided for by the
Loan Documents, the Administrative Agent shall in all cases be fully
protected in acting, or in refraining from acting, thereunder in accordance
with instructions given by the Required Lenders or all of the Lenders as is
required in such circumstance, and such instructions of such Lenders and any
action taken or failure to act pursuant thereto shall be binding on all
Secured Parties. For purposes of applying amounts in accordance with this
Section, the Administrative Agent shall be entitled to rely upon any Secured
Party that has entered into a Rate Protection Agreement with any Obligor for
a determination (which such Secured Party agrees to provide or cause to be
provided upon request of the Administrative Agent) of the outstanding
Obligations owed to such Secured Party under any Rate Protection Agreement.
Unless it has actual knowledge evidenced by way of written notice from any
such Secured Party and either Borrower to the contrary, the Administrative
Agent, in acting in such capacity under the Loan Documents, shall be entitled
to assume that no Rate Protection Agreements or Obligations in respect
thereof are in existence or outstanding between any Secured Party and any
Obligor.

         SECTION 9.9. DEFAULTS. The Administrative Agent shall not be deemed
to have knowledge or notice of the occurrence of a Default unless the
Administrative Agent has received a written notice from any Lender or either
Borrower specifying such Default and stating that such notice is a "Notice of
Default". In the event that the Administrative Agent receives such a notice
of the occurrence of a Default, the Administrative Agent shall give prompt
notice thereof to the Lenders. The Administrative Agent shall (subject to
SECTION 10.1) take such action with respect to such Default as shall be
directed by the Required Lenders; PROVIDED that unless and until the
Administrative Agent shall have received such directions, the Administrative
Agent may (but shall not be obligated to) take such action, or refrain from
taking such action, with respect to such Default as it shall deem advisable
in the best interest of the Secured Parties except to the extent that this
Agreement expressly requires that such action be taken, or not be taken, only
with the consent or upon the authorization of the Required Lenders or all
Lenders.

         SECTION 9.10. SYNDICATION AGENT AND DOCUMENTATION AGENT. The Lenders
identified on the signature pages of this Agreement as the "Syndication
Agent" and the "Documentation Agent" shall not have any right, power,
obligation, liability, responsibility or duty under this Agreement (or any
other Loan Document) other than those applicable to all Lenders as such.
Without limiting the foregoing, the Lenders so identified as the "Syndication
Agent" and the "Documentation Agent" shall not have or be deemed to have any
fiduciary relationship with any other Lender. Each Lender acknowledges that
it has not relied, and will not rely, on the Lenders

                                     -79-
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so identified as the "Syndication Agent" and as the "Documentation Agent" in
deciding to enter into this Agreement and each other Loan Document to which
it is a party or in taking or not taking action hereunder or thereunder.

                                    ARTICLE X
                              US BORROWER GUARANTY

         SECTION 10.1. GUARANTY. The US Borrower hereby absolutely,
unconditionally and irrevocably

                  (a) guarantees the full and punctual payment when due, whether
         at stated maturity, by required prepayment, declaration, acceleration,
         demand or otherwise, of all Obligations of the UK Borrower now or
         hereafter existing under this Agreement and each other Loan Document to
         which the UK Borrower is or may become a party, whether for principal,
         interest, fees, expenses or otherwise (including all such amounts which
         would become due but for the operation of the automatic stay under
         Section 362(a) of the United States Bankruptcy Code, 11 U.S.C.
         ss.362(z), and the operation of Section 502(b) and 506(b) of the United
         States Bankruptcy Code, 11 U.S.C. ss.502(b) and ss.506(b)), and

                  (b) indemnifies and holds harmless each Lender for any and all
         costs and expenses (including reasonable attorney's fees and expense)
         incurred by such Lender, in enforcing any rights under this ARTICLE X.

This ARTICLE X constitutes a guaranty of payment when due and not of
collection, and the US Borrower specifically agrees that it shall not be
necessary or required that any Lender exercise any right, assert any claim or
demand or enforce any remedy whatsoever against any other Obligor (or any
other Person) before or as a condition to the obligations of the US Borrower
hereunder.

         SECTION 10.2. ACCELERATION OF OBLIGATIONS HEREUNDER. The US Borrower
agrees that, in the event of the dissolution or insolvency of the UK
Borrower, or the inability or failure of the UK Borrower to pay its debts as
they become due, or an assignment by the UK Borrower for the benefit of
creditors, or the commencement of any case or proceeding in respect of the UK
Borrower under any bankruptcy, insolvency or similar laws, and if such event
shall occur at a time when any of the Obligations of the UK Borrower may not
then be due and payable, the US Borrower agrees that it will pay to the
Lenders forthwith the full amount which would be payable hereunder by the UK
Borrower if all such Obligations were then due and payable. The foregoing
provisions of this SECTION 10.2 shall not be applicable if the dissolution,
insolvency or other events described above relate to an Immaterial Subsidiary.

         SECTION 10.3. OBLIGATIONS HEREUNDER ABSOLUTE, ETC. The obligations of
the US Borrower under this ARTICLE X shall in all respects be a continuing,
absolute, unconditional and irrevocable guaranty of payment, and shall remain in
full force and effect until all Obligations of

                                     -80-
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the UK Borrower have been paid in full and all Commitments shall have
terminated. The US Borrower guarantees that the Obligations of the UK
Borrower will be paid strictly in accordance with the terms of this Agreement
and each other Loan Document under which they arise, regardless of any law,
regulation or order now or hereafter in effect in any jurisdiction affecting
any of such terms or the rights of any Lender or any holder of any Note with
respect thereto. The liability of the US Borrower under this ARTICLE X shall
be absolute, unconditional and irrevocable irrespective of:

                  (a)  any lack of validity, legality or enforceability of the
         other provisions of this Agreement or any other Loan Document;

                  (b)  the failure of any Lender

                           (i) to assert any claim or demand or to enforce any
                  right or remedy against the UK Borrower or any other Person
                  (including any other guarantor) under the provisions of any
                  Loan Document or otherwise, or

                           (ii)  to exercise any right or remedy against the
                  other guarantor of, or Collateral securing, any Obligations
                  of the UK Borrower;

                  (c) any change in the time, manner or place of payment of, or
         in any term of, all or any of the Obligations of the UK Borrower, or
         any other extension, compromise or renewal of any Obligation of the UK
         Borrower;

                  (d) any reduction, limitation, impairment or termination of
         any Obligation of the UK Borrower for any reason, including any claim
         of waiver, release, surrender, alteration or compromise, and shall not
         be subject to (and the US Borrower hereby waives any right to or claim
         of) any defense or setoff, counterclaim, recoupment or termination
         whatsoever by reason of the invalidity, illegality, nongenuineness,
         irregularity, compromise, unenforceability of, or any other event or
         occurrence affecting, any Obligation of the UK Borrower or otherwise;

                  (e) any amendment to, rescission, waiver, or other
         modification of, or any consent to departure from, any of the other
         terms of this Agreement or any other Loan Document;

                  (f) any addition, exchange, release, surrender or
         non-perfection of any Collateral, or any amendment to or waiver or
         release or addition of, or consent to departure from, any other
         guaranty, held by any Lender securing any of the Obligations of the UK
         Borrower; or

                  (g) any other circumstance which might otherwise constitute a
         defense available to, or a legal or equitable discharge of, the UK
         Borrower, any surety or any guarantor.

                                     -81-
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         SECTION 10.4. REINSTATEMENT, ETC. The US Borrower agrees that this
ARTICLE X shall continue to be effective or be reinstated, as the case may
be, if at any time any payment (in whole or in part) of any of the
Obligations of the UK Borrower is rescinded or must otherwise be restored by
any Lender upon the insolvency, bankruptcy or reorganization of the UK
Borrower or otherwise, all as though such payment had not been made.

         SECTION 10.5. WAIVER, ETC. The US Borrower hereby waives promptness,
diligence, notice of acceptance and any other notice with respect to any of
the Obligations of the UK Borrower and this ARTICLE X and any requirement
that the Administrative Agent and any other Lender protect, secure or perfect
or insure any security interest or Lien, or any property subject thereto, or
exhaust any right or take any action against the UK Borrower or any other
Person (including any other guarantor) or entity or any Collateral securing
the Obligations of the UK Borrower.

         SECTION 10.6. POSTPONEMENT OF SUBROGATION. The US Borrower agrees
that it will not exercise any rights which it may acquire by way of
subrogation under this ARTICLE X, by any payment made hereunder or otherwise,
until the prior payment, in full and in cash, of all Obligations of the UK
Borrower. Any amount paid to the US Borrower on account of any such
subrogation rights prior to the Termination Date shall be held in trust for
the benefit of the Lenders and shall immediately be paid to the Lenders and
credited and applied against the Obligations of the UK Borrower whether
matured or unmatured, in accordance with the terms of this Agreement;
PROVIDED, HOWEVER, that if all Obligations of the UK Borrower have been paid
in full and all Commitments have been permanently terminated, each Lender
agrees that, at the US Borrower's request, the Lenders will execute and
deliver to the US Borrower appropriate documents (without recourse and
without representation or warranty) necessary to evidence the transfer by
subrogation to the US Borrower of an interest in the Obligations of the UK
Borrower resulting from such payment by the US Borrower. In furtherance of
the foregoing, for so long as any Obligations of the UK Borrower or any
Commitments remain outstanding, the US Borrower shall refrain from taking any
action or commencing any proceeding against the UK Borrower (or its
successors or assigns), whether in connection with a bankruptcy proceeding or
otherwise to recover any amounts in respect of payments made under this
ARTICLE X to any Lender.

         SECTION 10.7. SUCCESSORS, TRANSFEREES AND ASSIGNS; TRANSFERS OF
NOTES, ETC. Without limiting the generality of SECTION 11.11, any Lender may
assign or otherwise transfer (in whole or in part) any Obligation of the UK
Borrower held by it to any other Person, and such other Person shall
thereupon become vested with all rights and benefits in respect thereof
granted to such Lender under any Loan Document (including this ARTICLE X) or
otherwise, subject, however, to any contrary provisions in such assignment or
transfer, and to the provisions of SECTION 11.11 and ARTICLE IX of this
Agreement.

                                   ARTICLE XI
                            MISCELLANEOUS PROVISIONS

                                     -82-
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         SECTION 11.1. WAIVERS, AMENDMENTS, ETC. The provisions of each Loan
Document may from time to time be amended, modified or waived, if such
amendment, modification or waiver is in writing and consented to by the
Borrowers and the Required Lenders; PROVIDED that no such amendment,
modification or waiver shall:

                  (a)  modify this Section without the consent of all Lenders;

                  (b) increase the aggregate amount of any Credit Extensions
         required to be made by a Lender pursuant to its Commitments, extend the
         final Commitment Termination Date of Credit Extensions made (or
         participated in) by a Lender or extend the final Stated Maturity Date
         for any Lender's Loan, in each case without the consent of such Lender
         (it being agreed, however, that any vote to rescind any acceleration
         made pursuant to SECTION 8.2 and SECTION 8.3 of amounts owing with
         respect to the Loans and other Obligations shall only require the vote
         of the Required Lenders);

                  (c) reduce the principal amount of or rate of interest on any
         Lender's Loan, reduce any fees described in ARTICLE III payable to any
         Lender or extend the date on which interest or fees are payable in
         respect of such Lender's Loans, in each case without the consent of
         such Lender;

                  (d) reduce the percentage set forth in the definition of
         "Required Lenders" or modify any requirement hereunder that any
         particular action be taken by all Lenders without the consent of all
         Lenders;

                  (e)  increase the Stated Amount of any Letter of Credit
         unless consented to by the Issuer of such Letter of Credit;

                  (f) except as otherwise expressly provided in a Loan Document,
         release (i) either Borrower from its Obligations under the Loan
         Documents, Parent from its obligations under the Parent Guaranty and
         Pledge Agreement, Holdings from its obligations under the Holdings
         Guaranty and Pledge Agreement or any Subsidiary Guarantor from its
         obligations under the Subsidiary Guaranty, or (ii) all or substantially
         all of the collateral security under the Loan Documents, in each case
         without the consent of all Lenders; or

                  (g) affect adversely the interests, rights or obligations of
         the Administrative Agent (in its capacity as the Administrative Agent)
         or any Issuer (in its capacity as Issuer), unless consented to by the
         Administrative Agent or such Issuer, as the case may be.

No failure or delay on the part of any Secured Party in exercising any power
or right under any Loan Document shall operate as a waiver thereof, nor shall
any single or partial exercise of any such power or right preclude any other
or further exercise thereof or the exercise of any other

                                     -83-
<Page>

power or right. No notice to or demand on any Obligor in any case shall
entitle it to any notice or demand in similar or other circumstances. No
waiver or approval by any Secured Party under any Loan Document shall, except
as may be otherwise stated in such waiver or approval, be applicable to
subsequent transactions. No waiver or approval hereunder shall require any
similar or dissimilar waiver or approval thereafter to be granted hereunder.

         SECTION 11.2. NOTICES; TIME. All notices and other communications
provided under each Loan Document shall be in writing or by facsimile and
addressed, delivered or transmitted to the applicable Person at its address
or facsimile number set forth on SCHEDULE II hereto or set forth in a Lender
Assignment Agreement, or at such other address or facsimile number as may be
designated by such Person in a notice to the other parties. Any notice, if
mailed and properly addressed with postage prepaid or if properly addressed
and sent by pre-paid courier service, shall be deemed given when received;
any notice, if transmitted by facsimile, shall be deemed given when the
confirmation of transmission thereof is received by the transmitter. The
parties hereto agree that delivery of an executed counterpart of a signature
page to this Agreement and each other Loan Document by facsimile shall be
effective as delivery of an original executed counterpart of this Agreement
or such other Loan Document. Unless otherwise indicated, all references to
the time of a day in a Loan Document shall refer to New York time.

         SECTION 11.3. PAYMENT OF COSTS AND EXPENSES. Each Borrower agrees to
pay on demand all expenses of the Agents (including the fees and
out-of-pocket expenses of Mayer, Brown & Platt, counsel to the Administrative
Agent and of local counsel, if any, who may be retained by or on behalf of
the Administrative Agent) in connection with

                  (a) the negotiation, preparation, execution, delivery and
         ongoing administration of each Loan Document, including schedules and
         exhibits, and any amendments, waivers, consents, supplements or other
         modifications to any Loan Document as may from time to time hereafter
         be required, whether or not the transactions contemplated hereby are
         consummated; and

                  (b) the filing or recording of any Loan Document (including
         the Filing Statements) and all amendments, supplements, amendment and
         restatements and other modifications to any thereof, searches made
         following the Effective Date in jurisdictions where Filing Statements
         (or other documents evidencing Liens in favor of the Secured Parties)
         have been recorded and any and all other documents or instruments of
         further assurance required to be filed or recorded by the terms of any
         Loan Document; and

                  (c)  the preparation and review of the form of any document
         or instrument relevant to any Loan Document.

Each Borrower further agrees to pay, and to save each Secured Party harmless
from all liability for, any stamp or other taxes which may be payable in
connection with the execution or delivery of each Loan Document, the Credit
Extensions or the issuance of the Revolving Notes. Each

                                     -84-
<Page>

Borrower also agrees to reimburse each Secured Party upon demand for all
reasonable out-of-pocket expenses (including reasonable attorneys' fees and
legal expenses of counsel to each Secured Party) incurred by such Secured
Party in connection with (x) the negotiation of any restructuring or
"work-out" with the applicable Borrower, whether or not consummated, of any
Obligations and (y) the enforcement of any Obligations.

         SECTION 11.4. INDEMNIFICATION. In consideration of the execution and
delivery of this Agreement by each Secured Party, each Borrower hereby
indemnifies, exonerates and holds each Secured Party and each of their
respective officers, directors, employees and agents (collectively, the
"INDEMNIFIED PARTIES") free and harmless from and against any and all
actions, causes of action, suits, losses, costs, liabilities and damages, and
expenses incurred in connection therewith (irrespective of whether any such
Indemnified Party is a party to the action for which indemnification
hereunder is sought), including reasonable attorneys' fees and disbursements,
whether incurred in connection with actions between or among the parties
hereto or the parties hereto and third parties (collectively, the
"INDEMNIFIED LIABILITIES"), incurred by the Indemnified Parties or any of
them as a result of, or arising out of, or relating to

                  (a)  any transaction financed or to be financed in whole or
         in part, directly or indirectly, with the proceeds of any Credit
         Extension;

                  (b) the entering into and performance of any Loan Document by
         any of the Indemnified Parties (including any action brought by or on
         behalf of either Borrower as the result of any determination by the
         Required Lenders pursuant to ARTICLE V not to fund any Credit
         Extension; PROVIDED that any such action is resolved in favor of such
         Indemnified Party);

                  (c) any investigation, litigation or proceeding related to any
         acquisition or proposed acquisition by any Obligor or any Subsidiary
         thereof of all or any portion of the Equity Interests or assets of any
         Person, whether or not an Indemnified Party is party thereto;

                  (d) any investigation, litigation or proceeding related to any
         environmental cleanup, audit, compliance or other matter relating to
         the protection of the environment or the Release by any Obligor or any
         Subsidiary thereof of any Hazardous Material;

                  (e) the presence on or under, or the escape, seepage, leakage,
         spillage, discharge, emission, discharging or releases from, any real
         property owned or operated by any Obligor or any Subsidiary thereof of
         any Hazardous Material (including any losses, liabilities, damages,
         injuries, costs, expenses or claims asserted or arising under any
         Environmental Law), regardless of whether caused by, or within the
         control of, such Obligor or Subsidiary; or

                                     -85-
<Page>

                  (f) each Lender's Environmental Liability (the indemnification
         herein shall survive repayment of the Obligations and any transfer of
         the property of any Obligor or its Subsidiaries by foreclosure or by a
         deed in lieu of foreclosure for any Lender's Environmental Liability,
         regardless of whether caused by, or within the control of, such Obligor
         or such Subsidiary);

except for Indemnified Liabilities arising for the account of a particular
Indemnified Party by reason of the relevant Indemnified Party's gross
negligence or wilful misconduct. Each Obligor and its successors and assigns
hereby waive, release and agree not to make any claim or bring any cost
recovery action against, any Indemnified Party under CERCLA or any state
equivalent, or any similar law now existing or hereafter enacted. It is
expressly understood and agreed that to the extent that any Indemnified Party
is strictly liable under any Environmental Laws, each Obligor's obligation to
such Indemnified Party under this indemnity shall likewise be without regard
to fault on the part of any Obligor with respect to the violation or
condition which results in liability of an Indemnified Party. If and to the
extent that the foregoing undertaking may be unenforceable for any reason,
each Obligor agrees to make the maximum contribution to the payment and
satisfaction of each of the Indemnified Liabilities which is permissible
under applicable law.

         SECTION 11.5. SURVIVAL. The obligations of the Borrowers under
SECTIONS 4.3, 4.4, 4.5, 4.6, 11.3 and 11.4, and the obligations of the
Lenders under SECTION 9.1, shall in each case survive any assignment from one
Lender to another (in the case of SECTIONS 11.3 and 11.4) and the occurrence
of the Termination Date. The representations and warranties made by each
Obligor in each Loan Document shall survive the execution and delivery of
such Loan Document.

         SECTION 11.6. SEVERABILITY. Any provision of any Loan Document which
is prohibited or unenforceable in any jurisdiction shall, as to such
provision and such jurisdiction, be ineffective to the extent of such
prohibition or unenforceability without invalidating the remaining provisions
of such Loan Document or affecting the validity or enforceability of such
provision in any other jurisdiction.

         SECTION 11.7. HEADINGS. The various headings of each Loan Document
are inserted for convenience only and shall not affect the meaning or
interpretation of such Loan Document or any provisions thereof.

         SECTION 11.8. EXECUTION IN COUNTERPARTS, EFFECTIVENESS, ETC. This
Agreement may be executed by the parties hereto in several counterparts, each
of which shall be an original and all of which shall constitute together but
one and the same agreement. This Agreement shall become effective when
counterparts hereof executed on behalf of each Borrower, the Administrative
Agent and each Lender (or notice thereof satisfactory to the Administrative
Agent), shall have been received by the Administrative Agent.

                                     -86-
<Page>

         SECTION 11.9. GOVERNING LAW; ENTIRE AGREEMENT. EACH LOAN DOCUMENT
(OTHER THAN THE LETTERS OF CREDIT, TO THE EXTENT SPECIFIED BELOW AND EXCEPT
AS OTHERWISE EXPRESSLY SET FORTH IN A LOAN DOCUMENT) WILL EACH BE DEEMED TO
BE A CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF
NEW YORK (INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE
GENERAL OBLIGATIONS LAW OF THE STATE OF NEW YORK). EACH LETTER OF CREDIT
SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OR RULES
DESIGNATED IN SUCH LETTER OF CREDIT, OR IF NO LAWS OR RULES ARE DESIGNATED,
THE INTERNATIONAL STANDBY PRACTICES (ISP98--INTERNATIONAL CHAMBER OF COMMERCE
PUBLICATION NUMBER 590 (THE "ISP RULES")) AND, AS TO MATTERS NOT GOVERNED BY
THE ISP RULES, THE INTERNAL LAWS OF THE STATE OF NEW YORK. The Loan Documents
constitute the entire understanding among the parties hereto with respect to
the subject matter thereof and supersede any prior agreements, written or
oral, with respect thereto.

         SECTION 11.10. SUCCESSORS AND ASSIGNS. (a) The provisions of this
Agreement shall be binding upon and inure to the benefit of the parties
hereto and their respective successors and assigns permitted hereby, except
that a Borrower may not assign or otherwise transfer any of its rights or
obligations hereunder without the prior written consent of each Lender (and
any attempted assignment or transfer by such Borrower without such consent
shall be null and void). Nothing in this Agreement, expressed or implied,
shall be construed to confer upon any Person (other than the parties hereto,
their respective successors and assigns permitted hereby and, to the extent
expressly contemplated hereby, the Indemnified Parties) any legal or
equitable right, remedy or claim under or by reason of this Agreement.

         (b) Any Lender may assign to one or more Eligible Assignees all or a
portion of its rights and obligations under this Agreement (including all or
a portion of its Commitments and the Loans at the time owing to it); PROVIDED
that (i) except in the case of an assignment of the entire remaining amount
of the assigning Lender's Commitments and the Loans at the time owing to it
or in the case of an assignment to a Lender or an Affiliate of a Lender or an
Approved Fund with respect to a Lender, the aggregate amount of the
Commitments (which for this purpose includes Loans outstanding thereunder) or
principal outstanding balance of the Loans of the assigning Lender subject to
each such assignment (determined as of the date the Lender Assignment
Agreement with respect to such assignment is delivered to the Administrative
Agent) shall not be less than $1,000,000 unless each of the Agents and, so
long as no Event of Default has occurred and is continuing, the Borrowers
otherwise consent (each such consent not to be unreasonably withheld or
delayed), (ii) each partial assignment shall be made as an assignment of a
proportionate part of all the assigning Lender's rights and obligations under
this Agreement with respect to the Loans and/or the Commitments assigned,
except that this CLAUSE (ii) shall not prohibit any Lender from assigning all
or a portion of its rights and obligations among separate tranches, if
applicable, on a non-PRO RATA basis, and (iii) the parties to each assignment
shall execute and deliver to the Administrative Agent a Lender Assignment
Agreement (including, if

                                     -87-
<Page>

the Eligible Assignee is not a Lender, the completion of the administrative
details information attached thereto and the provision of any required tax
forms), together with, if requested by the Administrative Agent, a processing
and recordation fee of $3,500. Subject to acceptance and recording thereof by
the Administrative Agent pursuant to CLAUSE (c), from and after the effective
date specified in each Lender Assignment Agreement, the Eligible Assignee
thereunder shall be a party hereto and, to the extent of the interest
assigned by such Lender Assignment Agreement, have the rights and obligations
of a Lender under this Agreement, and the assigning Lender thereunder shall,
to the extent of the interest assigned by such Lender Assignment Agreement,
be released from its obligations under this Agreement (and, in the case of a
Lender Assignment Agreement covering all of the assigning Lender's rights and
obligations under this Agreement, such Lender shall cease to be a party
hereto, but shall continue to be entitled to the benefits of any provisions
of this Agreement which by their terms survive the termination of this
Agreement). Any assignment or transfer by a Lender of rights or obligations
under this Agreement that does not comply with this clause shall be treated
for purposes of this Agreement as a sale by such Lender of a participation in
such rights and obligations in accordance with CLAUSE (D). If the consent of
the Borrowers to an assignment or to an Eligible Assignee is required
hereunder (including a consent to an assignment which does not meet the
minimum assignment thresholds specified in this Section), the Borrowers shall
be deemed to have given such consent five Business Days after the date notice
thereof has been delivered by the assigning Lender (through the
Administrative Agent) unless such consent is expressly refused by the
Borrowers prior to such fifth Business Day.

         (c) The Administrative Agent shall record each assignment made in
accordance with this Section in the Register pursuant to CLAUSE (b) of
SECTION 2.7. The Register shall be available for inspection by either
Borrower and any Lender, at any reasonable time and from time to time upon
reasonable prior notice.

         (d) Any Lender may, without the consent of, or notice to, the
Borrowers or the Agents, sell participations to one or more banks or other
entities (a "PARTICIPANT") in all or a portion of such Lender's rights and/or
obligations under this Agreement (including all or a portion of its
Commitments and/or the Loans owing to it); PROVIDED that (i) such Lender's
obligations under this Agreement shall remain unchanged, (ii) such Lender
shall remain solely responsible to the other parties hereto for the
performance of such obligations and (iii) the Borrowers, the Agents and the
other Lenders shall continue to deal solely and directly with such Lender in
connection with such Lender's rights and obligations under this Agreement.
Any agreement or instrument pursuant to which a Lender sells such a
participation shall provide that such Lender shall retain the sole right to
enforce this Agreement and to approve any amendment, modification or waiver
of any provision of this Agreement; PROVIDED that such agreement or
instrument may provide that such Lender will not, without the consent of the
Participant, agree to any amendment, modification or waiver with respect to
the following: (i) any reduction in the interest rate or amount of fees that
such Participant is otherwise entitled to, (ii) a decrease in the principal
amount of, or an extension of the final Stated Maturity Date of, any Loan in
which such Participant has purchased a participating interest or (iii) a
release of all or substantially all of the

                                     -88-
<Page>

collateral security under the Loan Documents, Parent from its obligations
under the Parent Guaranty and Pledge Agreement, Holdings from its obligations
under the Holdings Guaranty and Pledge Agreement or all or substantially all
of the Subsidiary Guarantors from their obligations under the Subsidiary
Guaranty, in each case except as otherwise specifically provided in a Loan
Document. Subject to CLAUSE (e), each Borrower agrees that each Participant
shall be entitled to the benefits of SECTIONS 4.3, 4.4, 4.5, 4.6, 11.3 and
11.4 to the same extend as if it were a Lender and had acquired its interest
by assignment pursuant to CLAUSE (b). To the extent permitted by law, each
Participant also shall be entitled to the benefits of SECTION 4.9 as though
it were a Lender; PROVIDED such Participant agrees to be subject to SECTION
4.8 as though it were a Lender. Each Lender that sells a participating
interest in all or a portion of such Lender's rights and/or obligations under
this Agreement to a Participant, shall, as agent of the Borrowers solely for
the purpose of this CLAUSE (d) of SECTION 11.10, record in book entries
maintained by such Lender the name and the amount of the participating
interest of each Participant entitled to receive payments in respect of such
participating interests.

         (e) A Participant shall not be entitled to receive any greater
payment under Section SECTIONS 4.3, 4.4, 4.5, 4.6, 11.3 and 11.4 than the
applicable Lender would have been entitled to receive with respect to the
participation sold to such Participant, unless the sale of the participation
to such Participant is made with each Borrower's prior written consent. A
Participant that would be a Non-U.S. Lender if it were a Lender shall not be
entitled to the benefits of CLAUSE (a) of SECTION 4.6 unless the Borrowers
are notified of the participation sold to such Participant and such
Participant agrees, for the benefit of the Borrowers, to comply with CLAUSE
(e) of SECTION 4.6 as though it were a Lender.

         (f) Any Lender may at any time pledge or assign a security interest
in all or any portion of its rights under this Agreement to secure
obligations of such Lender, including any pledge or assignment to secure
obligations to a Federal Reserve Bank; PROVIDED that no such pledge or
assignment of a security interest shall release a Lender from any of its
obligations hereunder or substitute any such pledgee or assignee for such
Lender as a party hereto.

         SECTION 11.11. OTHER TRANSACTIONS. Nothing contained herein shall
preclude the Administrative Agent, any Issuer or any other Lender from
engaging in any transaction, in addition to those contemplated by the Loan
Documents, with either Borrower or any of its Affiliates in which Borrower or
such Affiliate is not restricted hereby from engaging with any other Person.

         SECTION 11.12. FORUM SELECTION AND CONSENT TO JURISDICTION. ANY
LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, ANY
LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT, THE
LENDERS, ANY ISSUER OR EITHER BORROWER IN CONNECTION HEREWITH OR THEREWITH
MAY BE BROUGHT AND MAINTAINED IN THE COURTS OF THE STATE OF NEW YORK OR IN
THE

                                     -89-

<Page>

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDED
THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY
MAY BE BROUGHT, AT THE ADMINISTRATIVE AGENT'S OPTION, IN THE COURTS OF ANY
JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. EACH
BORROWER HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE
COURTS OF THE STATE OF NEW YORK, NEW YORK COUNTY AND OF THE UNITED STATES
DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK FOR THE PURPOSE OF ANY
SUCH LITIGATION AS SET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANY
JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION. EACH BORROWER
IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE
PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF NEW YORK AT
THE ADDRESS FOR NOTICES SPECIFIED IN SECTION 11.2. EACH BORROWER HEREBY
EXPRESSLY AND IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY
OBJECTION WHICH IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF
ANY SUCH LITIGATION BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM
THAT ANY SUCH LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE
EXTENT THAT EITHER BORROWER HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM
JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE
OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR
OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, EACH BORROWER HEREBY
IRREVOCABLY WAIVES TO THE FULLEST EXTENT PERMITTED BY LAW SUCH IMMUNITY IN
RESPECT OF ITS OBLIGATIONS UNDER THE LOAN DOCUMENTS.

         SECTION 11.13. WAIVER OF JURY TRIAL. THE ADMINISTRATIVE AGENT, EACH
LENDER, EACH ISSUER AND EACH BORROWER HEREBY KNOWINGLY, VOLUNTARILY AND
INTENTIONALLY WAIVE TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS THEY
MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR
ARISING OUT OF, UNDER, OR IN CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY
COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR
ACTIONS OF THE ADMINISTRATIVE AGENT, SUCH LENDER, SUCH ISSUER OR SUCH
BORROWER IN CONNECTION THEREWITH. EACH BORROWER ACKNOWLEDGES AND AGREES THAT
IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION (AND
EACH OTHER PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY) AND
THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE ADMINISTRATIVE AGENT,
EACH LENDER AND EACH ISSUER ENTERING INTO THE LOAN DOCUMENTS.

                                     -90-
<Page>

         SECTION 11.14. CONFIDENTIALITY. Each of the Lenders, the Issuer and
the Administrative Agent agrees (on behalf of itself and each of its
affiliates, directors, officers, employees, agents, advisors and
representatives) to (a) use any Confidential Information only in connection
with participating as a Lender, Issuer or the Administrative Agent hereunder
and not for any other purpose and (b) keep confidential any Confidential
Information, and in connection therewith comply with its customary procedures
for handling confidential information of this nature; PROVIDED that nothing
herein shall limit the disclosure of any such information (i) to the extent
required by statute, rule, regulation or judicial process, (ii) as requested
or required by any governmental agency or representative thereof, (iii) to
counsel and other professional advisors for any of the Lenders, the Issuer or
the Administrative Agent, (iv) to any Lender's, the Issuer's or the
Administrative Agent's examiners, auditors or accountants, (v) to the
Administrative Agent, any other Lender or the Issuer, (vi) by the
Administrative Agent, any Lender or the Issuer to an Affiliate of such
Person, (vii) in connection with any litigation relating to enforcement of
the Loan Documents or (viii) to any assignee Lender or Participant (or
prospective assignee Lender or Participant) or to direct contractual
counterparties in Rate Protection Agreements entered into in connection with
a portion or all of a Lender's rights to receive payments hereunder (or such
contractual counterparties' professional advisors); PROVIDED FURTHER that, in
the case of the preceding CLAUSE (i), such Lender, the Issuer or the
Administrative Agent, as the case may be, shall, to the extent legally
permissible, use reasonable efforts to notify the Borrowers of the proposed
disclosure as soon as is reasonably practicable under the circumstances at
such time.

                                     -91-
<Page>

         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to
be executed by their respective Authorized Officers as of the day and year
first above written.

                                       USP DOMESTIC HOLDINGS, INC.,
                                       as the US Borrower

                                       By: /s/ Mark A. Kopser
                                          ------------------------------------
                                          Title: Chief Financial Officer

                                       USPE HOLDINGS LIMITED,
                                       as the UK Borrower

                                       By: /s/ Mark A. Kopser
                                          ------------------------------------
                                          Title: Chief Financial Officer

                                       CREDIT SUISSE FIRST BOSTON,
                                       as the Administrative Agent and a Lender

                                       By: /s/ William S. Lutkins
                                          ------------------------------------
                                          Title: Vice President

                                       By: /s/ Bill O'Daly
                                          ------------------------------------
                                          Title: Vice President

                                       LEHMAN COMMERCIAL PAPER INC.,
                                       as the Syndication Agent and a Lender

                                       By: /s/ [illegible]
                                          ------------------------------------
                                          Title:

                                     -92-
<Page>

                                       SOCIETE GENERALE,
                                       as the Documentation Agent

                                       By: /s/ Richard Bernal
                                          ------------------------------------
                                          Title: Director
                                                 Corporate Banking

                                     -93-
<Page>

                                       SOCIETE GENERALE FINANCIAL
                                       CORPORATION,
                                       as a Lender

                                       By: /s/ [illegible]
                                          ------------------------------------
                                          Title: Vice President

                                     -94-
<Page>

                                                                    SCHEDULE I

                     DISCLOSURE SCHEDULE TO CREDIT AGREEMENT

ITEM 6.7.  Litigation.

ITEM 6.8.  Subsidiaries.

ITEM 6.11.  Employee Benefit Plans.

ITEM 6.12.  Environmental Matters.

ITEM 7.1.10.  Properties.

ITEM 7.2.2(b).  Indebtedness to be Paid.

ITEM 7.2.2(c).  Ongoing Indebtedness.

ITEM 7.2.3(c).  Ongoing Liens.

ITEM 7.2.5(a).  Ongoing Investments.

<Page>

                                                                   SCHEDULE II

                               NOTICE INFORMATION;
                            PERCENTAGES; LIBOR OFFICE

<Table>
<Caption>
NAME AND NOTICE ADDRESS OF LENDER           LIBOR OFFICE             PERCENTAGE
-----------------------------------  ----------------------------   ------------
<S>                                  <C>                            <C>
Credit Suisse First Boston           Credit Suisse First Boston     43.63636364%
Eleven Madison Avenue                Eleven Madison Avenue
New York, NY 10010                   New York, NY 10010
Attention: Chris Kim
Tel:
Fax:

Lehman Commercial Paper Inc.         Lehman Commercial Paper Inc.
3 World Financial Center             3 World Financial Center
New York, NY 10285                   New York, NY 10285             29.09090909%
Attention: Nancy Wong
Tel: 212-526-6535
Fax: 212-526-7365

Societe Generale Financial           Societe Generale Financial     27.27272727%
Corporation                           Corporation
1221 Avenue of the Americas          1221 Avenue of the Americas
New York, NY 10020                   New York, NY 10020
Attention: Paul Sottnik
Tel: 212-278-6446
Fax: 212-278-7320

BORROWER AND ADMINISTRATIVE
AGENT NOTICE ADDRESS
-----------------------------------  ------------------------------------------
US Borrower:                         USP Domestic Holdings, Inc.
                                     17103 Preston Road, Suite 200 North
                                     Dallas, TX 75248
                                     Attention: Donald E. Steen, CEO
                                     Tel: 972-713-3500
                                     Fax: 972-713-3550

UK Borrower:                         USPE Holdings Limited
                                     [Address]

<Page>

                                     Attention:
                                     Tel:
                                     Fax:

Administrative Agent:                Credit Suisse First Boston
                                     Eleven Madison Avenue
                                     New York, NY 10010
                                     Attention: Julia Kingsbury
                                     Tel: 212-325-9937
                                     Fax: 212-325-8304

</Table>Prepared by MERRILL CORPORATION

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Exhibit 4.1
  
    LABOR READY, INC.
  2000 STOCK OPTION PLAN
  (LAST AMENDED NOVEMBER 21, 2001)

SECTION 1.

PURPOSE  

    The purpose of the 2000 Stock Option Plan (the "Plan") is to enhance the long-term shareholder value of Labor Ready, Inc., a Washington
corporation (the "Company"), by further aligning the interests of its employees, officers and directors with those of its shareholders by offering opportunities to all full-time employees
of the Company and its Subsidiaries (as defined in Section 2), and to the Company's officers and directors, to own shares in the Company and thereby participate in the Company's growth and
success, and to encourage them to remain in the service of the Company and its Subsidiaries. 

SECTION 2.

DEFINITIONS  

    For purposes of the Plan, the following terms shall be defined as set forth below: 

    2.1. "Board"
means the Board of Directors of the Company. 

    2.2. "Cause"
means dishonesty, fraud, misconduct, unauthorized use or disclosure of confidential information or trade secrets, or conviction or confession of a crime
punishable by law (except minor violations), in each case as determined by the Plan Administrator, whose determination shall be conclusive and binding. 

    2.3. "Code"
means the Internal Revenue Code of 1986, as amended from time to time. 

    2.4. "Common
Stock" means the common stock of the Company. 

    2.5. "Corporate
Transaction" means any of the following events: 

    2.5.1.  Consummation
of any merger or consolidation of the Company in which the Company is not the continuing or surviving corporation, or pursuant to
which shares of Common Stock are converted into cash, securities, or other property, if following such merger or consolidation the holders of the Company's outstanding voting securities immediately
prior to such merger or consolidation own less than 50% of the outstanding voting securities of the surviving corporation; 

    2.5.2.  Consummation
of any sale, lease, exchange, or other transfer, in one transaction or a series of related transactions, of all or substantially
all of the Company's assets, other than a transfer of the Company's assets to a majority-owned subsidiary corporation of the Company; or 

    2.5.3.  Approval
by the holders of the Common Stock of any plan or proposal for the liquidation or dissolution of the Company. 

    Ownership
of voting securities shall take into account and shall include ownership as determined by applying Rule 13d-3(d)(1)(i) (as in effect on the date of
adoption of the Plan) under the Exchange Act. 

    2.6 "Director"
means an individual duly elected or appointed to the Company's board of directors. 

Exhibit 4.1–1

 

    2.7 "Disability" means "permanent and total disability" as that term is defined for purposes of Section 22(e)(3) of the Code. 

    2.8 "Early
Retirement" means early retirement as that term is defined by the Plan Administrator from time to time for purposes of the Plan. 

    2.9 "Employee"
means a person continuously employed for not less than months by the Company or by any current or future Subsidiary of the Company on a regular basis. 

    2.10 "Exchange
Act" means the Securities Exchange Act of 1934, as amended. 

    2.11 "Fair
Market Value" shall be as established in good faith by the Plan Administrator or (a) if the Common Stock is listed on the Nasdaq National Market, the
closing sale price for the Common Stock as reported by the Nasdaq National Market for the date upon which the "Fair Market Value" is to be determined, or (b) if the Common Stock is listed on
the New York Stock Exchange or the American Stock Exchange, the closing sale price for the Common Stock as such price is officially quoted in the composite tape of transactions on such exchange for
the date upon which the "Fair Market Value" is to be determined. If there is no such reported price for the Common Stock for any date in question, then the reported price available on the last trading
day immediately preceding such date shall be used to determine the Fair Market Value. 

    2.12 "Grant
Date" means the date on which the Plan Administrator adopted the granting resolution or a later date designated in a resolution of the Plan Administrator as
the date an Option is to be granted. 

    2.13 "Officer"
means the Chief Executive Officer, President, Vice-President, Chief Financial Officer and such other executive management persons designated
by the Board of Directors from time to time, all in conformity with NYSE rule 312.03. 

    2.14 "Option"
means a nonqualified stock option granted under this Plan, which grants the recipient the right to purchase Common Stock. 

    2.15 "Optionee"
means (i) the person to whom an Option is granted; (ii) for an Optionee who has died, the personal representative of the Optionee's
estate, the person(s) to whom the Optionee's rights under the Option have passed by will or by the applicable laws of descent and distribution, or the beneficiary designated in accordance with
Section 9; or (iii) person(s) to whom an Option has been transferred in accordance with Section 9. 

    2.16 "Plan
Administrator" means the Board or any committee of the Board designated to administer the Plan under Section 3.1. 

    2.17 "Retirement"
means retirement as of the individual's normal retirement date as that term is defined by the Plan Administrator from time to time for purposes of the
Plan. 

    2.18 "Securities
Act" means the Securities Act of 1933, as amended. 

    2.19 "Subsidiary",
except as provided in Section 8.3 in connection with Incentive Stock Options, means any entity that is directly or indirectly controlled by
the Company or in which the Company has a significant ownership interest, as determined by the Plan Administrator, and any entity that may become a direct or indirect parent of the Company. 

    2.20 "Successor
Corporation" has the meaning set forth under Section 10.2. 

SECTION 3.

ADMINISTRATION  

    3.1.  Plan Administrator.  The Plan shall be administered by the Board or a committee or committees
(which term includes subcommittees) appointed by, and consisting of one or more members 

Exhibit 4.1–2

 

of, the Board. The Board may delegate the responsibility for administering the Plan with respect to designated classes of eligible persons to different committees consisting of two or more members of
the Board, subject to such limitations as the Board deems appropriate. Committee members shall serve for such term as the Board may determine, subject to removal by the Board at any time. 

    3.2.  Administration and Interpretation by the Plan Administrator.  Except for the terms and conditions
explicitly set forth in the Plan, the Plan Administrator shall have exclusive authority, in its discretion, to determine all matters relating to Options under the Plan, including the selection of
Employees to be granted Options, the number of shares of Common Stock subject to an Option, all terms, conditions, restrictions and limitations, if any, of an Option and the terms of any instrument
that evidences the Option. The Plan Administrator shall also have exclusive authority to interpret the Plan and may from time to time adopt, and change, rules and regulations of general application
for the Plan's administration. The Plan Administrator's interpretation of the Plan and its rules and regulations, and all actions taken and determinations made by the Plan Administrator pursuant to
the Plan, shall be conclusive and binding on all parties involved or affected. The Plan Administrator may delegate administrative duties to such of the Company's officers as it so determines. 

SECTION 4.

STOCK SUBJECT TO THE PLAN  

    4.1.  Authorized Number of Shares.  Subject to adjustment from time to time as provided in
Section 9., a maximum of 3,750,000 shares of Common Stock (subject to appropriate adjustment in the case of stock splits, stock dividends and the like) shall be available for issuance under the
Plan. Shares issued under the Plan shall be drawn from authorized and unissued shares or shares now held or subsequently acquired by the Company. 

    4.2.  Reuse of Shares.  Any shares of Common Stock that have been made subject to an Option but that
cease to be subject to the Option (other than by reason of exercise of the Option to the extent it is exercised for shares) shall again be available for issuance in connection with future grants of
Options under the Plan. 

SECTION 5.

ELIGIBILITY  

    Options may be granted under the Plan to Employees, Officers and Directors as the Plan Administrator from time to time selects. The foregoing notwithstanding,
at least a majority of all options granted under the Plan during any three-year period must be granted to Employees who are not Officers or Directors. 

SECTION 6.

ACQUISITIONS  

    6.1.  Acquired Company Option Awards.  Notwithstanding anything in the Plan to the contrary, the Plan
Administrator may grant Options under the Plan in substitution for awards issued under other plans, or assume under the Plan awards issued under other plans, if the other plans are or were plans of
other acquired entities ("Acquired Entities") (or the parent of the Acquired Entity) and the new Option is substituted, or the old award is assumed, by reason of a merger, consolidation, acquisition
of property or of stock, reorganization or liquidation (the "Acquisition Transaction"). In the event that a written agreement pursuant to which the Acquisition Transaction is completed is approved by
the Board and said agreement sets forth the terms and conditions of the substitution for or assumption of outstanding awards of the Acquired Entity, said terms and conditions shall be deemed to be the
action of the Plan
Administrator without any further action by the Plan Administrator, and the persons holding such awards shall be deemed to be Optionees. 

Exhibit 4.1–3

 
SECTION 7.

TERMS AND CONDITIONS OF OPTIONS  

    7.1  Form and Grant of Options.  The Plan Administrator shall have the authority, in its sole discretion,
to determine the amount of Options to be made under the Plan. Options may be granted singly or in combination. 

    7.2  Option Exercise Price.  The exercise price for shares purchased under an Option shall be as
determined by the Plan Administrator, but shall not be less than 100% of the Fair Market Value of the Common Stock on the Grant Date. 

    7.3  Term of Options.  The term of each Option shall be as established by the Plan Administrator or, if
not so established, shall be 5 years from the Grant Date. 

    7.4  Exercise of Options.  The Plan Administrator shall establish and set forth in each instrument that
evidences an Option the time at which or the installments in which the Option shall become exercisable, which provisions may be waived or modified by the Plan Administrator at any time. If not so
established in the instrument evidencing the Option, the Option will become exercisable according to the following schedule, which may be waived or modified by the Plan Administrator at any time: 

	Period of Holder's Continuous Employment or

Service With the Company or Its Subsidiaries

From the Option Grant Date
	 	Percent of Total Option

That Is Exercisable

	After 1 year	 	25%
	

Each l year period of continuous service completed thereafter	
 	

An additional 25%
	

After 4 years	
 	

100%

To
the extent that the right to purchase shares has accrued thereunder, an Option may be exercised from time to time by written notice to the Company, in accordance with procedures established by the
Plan Administrator, setting forth the number of shares with respect to which the Option is being exercised and accompanied by payment in full as described in Section 7.5. 

    7.5  Payment of Exercise Price.  The exercise price for shares purchased under an Option shall be paid in
full to the Company by delivery of consideration equal to the product of the Option exercise price and the number of shares purchased. Such consideration must be paid in cash or by check or, unless
the Plan Administrator in its sole discretion determines otherwise, either at the time the Option is granted or at any time before it is exercised, a combination of cash and/or check and if and so
long as the Common Stock is registered under Section 12(b) or 12(g) of the Exchange Act, delivery of a properly executed exercise notice, together with irrevocable instructions, to (i) a
brokerage firm designated by the Company to deliver promptly to the Company the aggregate amount of sale or loan proceeds to pay the Option exercise price and any withholding tax obligations that may
arise in connection with the exercise and (ii) the Company to deliver the certificates for such purchased shares directly to such brokerage firm, all in accordance with the regulations of the
Federal Reserve Board. In addition, the exercise price for shares purchased under an Option may be paid, either singly or in combination with one or more of the alternative forms of payment authorized
by this Section 7.5, by: (y) a promissory note delivered pursuant to Section 12 or (z) such other consideration as the Plan Administrator may permit. 

    7.6  Post-Termination Exercises.  The Plan Administrator shall establish and set forth in
each instrument that evidences an Option whether the Option will continue to be exercisable, and the terms and conditions of such exercise, if an Optionee ceases to be employed by, or to provide
services to, the Company or its Subsidiaries, which provisions may be waived or modified by the Plan Administrator at any time. If not so established in the instrument evidencing the Option, the
Option will be exercisable 

Exhibit 4.1–4

 

according to the following terms and conditions, which may be waived or modified by the Plan Administrator at any time. 

    Any
portion of an Option that is not exercisable on the date of termination of the Optionee's employment or services shall terminate on such date. A transfer of employment or services
between or among the Company and its Subsidiaries shall not be considered a termination of employment or services. The effect of a Company-approved leave of absence on the terms and conditions of an
Option shall be determined by the Plan Administrator, in its sole discretion. 

SECTION 8.

ASSIGNABILITY  

    No Option granted under the Plan may be assigned, pledged, or transferred by the Optionee other than by will or by the applicable laws of descent and
distribution, and, during the Optionee's lifetime, such Option may be exercised only by the Optionee or a permitted assignee or transferee of the Optionee (as provided below). 

SECTION 9.

ADJUSTMENTS  

    9.1  Adjustment of Shares.  In the event that, at any time or from time to time, a stock dividend, stock
split, spin-off, combination or exchange of shares, recapitalization, merger, consolidation, distribution to shareholders other than a normal cash dividend, or other change in the
Company's corporate or capital structure results in (a) the outstanding shares, or any securities exchanged therefor or received in their place, being exchanged for a different number or class
of securities of the Company or of any other corporation or (b) new, different or additional securities of the Company or of any other corporation being received by the holders of shares of
Common Stock of the Company, then the Plan Administrator shall make proportional adjustments in (i) the maximum number and kind of securities subject to the Plan as set forth in
Section 4.1 and (ii) the number and kind of securities that are subject to any outstanding Option and the per share price of such securities, without any change in the aggregate price to
be paid therefor. The determination by the Plan Administrator as to the terms of any of the foregoing adjustments shall be conclusive and binding. 

    9.2  Adjustment of Options.  The Plan Administrator shall have the discretion, exercisable at any time
before a sale, merger, consolidation, reorganization, liquidation, or change in control of the Company, as defined by the Plan Administrator, to take such further action as it determines to be
necessary or advisable, and fair and equitable to Optionees, with respect to Options. Such authorized action may include (but shall not be limited to) establishing, amending or waiving the type,
terms, conditions or duration of, or restrictions on, Options so as to provide for earlier, later, extended or additional time
for exercise and other modifications, and the Plan Administrator may take such actions with respect to all Optionees, to certain categories of Optionees or only to individual Optionees. The Plan
Administrator may take such action before or after granting Options to which the action relates and before or after any public announcement with respect to such sale, merger, consolidation,
reorganization, liquidation, or change in control that is the reason for such action. 

    9.3  Limitations.  The grant of Options will in no way affect the Company's right to adjust, reclassify,
reorganize, or otherwise change its capital or business structure or to merge, consolidate, dissolve, liquidate or sell or transfer all or any part of its business or assets. 

SECTION 10.

WITHHOLDING  

    The Company may require the Optionee to pay to the Company the amount of any withholding taxes that the Company is required to withhold with respect to the
grant or exercise of any Option. 

Exhibit 4.1–5

 

Subject to the Plan and applicable law, the Plan Administrator may, in its sole discretion, permit the Optionee to satisfy withholding obligations, in whole or in part, by paying cash, by electing to
have the Company withhold shares of Common Stock or by transferring shares of Common Stock to the Company, in such amounts as are equivalent to the Fair Market Value of the withholding obligation. The
Company shall have the right to withhold from any shares of Common Stock issuable pursuant to an Option or from any cash amounts otherwise due or to become due from the Company to the Optionee an
amount equal to such taxes. The Company may also deduct from any Option any other amounts due from the Optionee to the Company or a Subsidiary. 

SECTION 11.

AMENDMENT AND TERMINATION OF PLAN  

    11.1  Amendment of Plan.  The Plan may be amended only by the Board in such respects as it shall deem
advisable. 

    11.2  Termination of Plan.  The Board may suspend or terminate the Plan at any time. The Plan will have
no fixed expiration date. 

    11.3  Consent of Optionee.  The amendment or termination of the Plan shall not, without the consent of
the Optionee, impair or diminish any rights or obligations under any Option theretofore granted under the Plan. 

 
 

SECTION 12.
  GENERAL    
  

    12.1  Option Agreements.  Options granted under the Plan shall be evidenced by a written grant in such
form as approved by the Plan Administrator from time to time. 

    12.2  Continued Employment or Services; Rights in Options.  None of the Plan, participation in the Plan,
or any action of the Plan Administrator taken under the Plan shall be construed as giving any person any right to be retained in the employ of the Company or limit the Company's right to terminate the
employment or services of any person. 

    12.3  No Rights as a Shareholder.  No Option shall entitle the Optionee to any dividend, voting, or other
right of a shareholder unless and until the date of issuance under the Plan of the shares that are the subject of such Option, free of all applicable restrictions. 

    12.4  No Trust or Fund.  The Plan is intended to constitute an "unfunded" plan. Nothing contained herein
shall require the Company to segregate any monies or other property, or shares of Common Stock, or to create any trusts, or to make any special deposits for any immediate or deferred amounts payable
to any Optionee, and no Optionee shall have any rights that are greater than those of a general unsecured creditor of the Company. 

    12.5  Costs and Expenses.  Except as provided herein with respect to the payment of taxes, all costs and
expenses of administering the Plan shall be borne by the Company and shall not be charged to any grant nor any employee receiving a grant. 

    12.6  Golden Parachute Taxes.  In the event that any amounts paid or deemed paid to an employee under
this Plan are deemed to constitute "excess parachute payments" as defined in Section 280G of the Code (taking into account any other payments made under this Plan and any other compensation
paid or deemed paid to an employee), or if any employee is deemed to receive an "excess parachute payment" by reason of his or her vesting of Options pursuant to Section 10 hereof, the amount
of such payments or deemed payments shall be reduced (or, alternatively the provisions of Section 10 shall not act to vest
options to such employee), so that no such payments or deemed payments shall constitute excess parachute payments. The determination of whether a payment or 

Exhibit 4.1–6

 

deemed payment constitutes an excess parachute payment shall be in the sole discretion of the Plan Administrator. 

    12.7  Foreign Employees.  Without amending the Plan, the Board may authorize the Plan Administrator to
grant options to eligible employees who are foreign nationals on such terms and conditions different from those specified in this Plan as may in the judgment of the Board be necessary or desirable to
foster and promote achievement of the purposes of the Plan, and, in furtherance of such purposes the Board may make such modifications, amendments, procedures, subplans, and the like as may be
necessary or advisable to comply with the provisions of the laws in other countries in which the Company operates or has employees. 

    12.8  Governing Law.  This Plan shall be governed by and construed in accordance with the laws of the
State of Washington. 

    12.9  Severability.  If any provision of the Plan or any Option is determined to be invalid, illegal or
unenforceable in any jurisdiction, or as to any person, or would disqualify the Plan or any Option under any law deemed applicable by the Plan Administrator, such provision shall be construed or
deemed amended to conform to applicable laws, or, if it cannot be so construed or deemed amended without, in the Plan Administrator's determination, materially altering the intent of the Plan or the
Option, such provision shall be stricken as to such jurisdiction, person or Option, and the remainder of the Plan and any such Option shall remain in full force and effect. 

SECTION 15.

EFFECTIVE DATE  

    The effective date of the Plan is the date on which it is adopted by the Board. 

Adopted by the Board on 14 March, 2000 and as amended on February 20, 2001 and November 21, 2001

Exhibit 4.1–7

QuickLinks

Exhibit 4.1 LABOR READY, INC. 2000 STOCK OPTION PLAN (LAST AMENDED NOVEMBER 21, 2001)

SECTION 12. GENERAL

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