Document:

Loan and Security Agreement by and among PainCare Holdings, Inc

 Exhibit 10.08 
 LOAN AND SECURITY AGREEMENT 
 by and among 
 PAINCARE HOLDINGS, INC. 
 as Parent

 and 
 EACH OF ITS
SUBSIDIARIES THAT ARE SIGNATORIES HERETO 
 as Borrowers, 
 THE LENDERS THAT ARE SIGNATORIES HERETO 
 as the Lenders, 
 and 
 HBK INVESTMENTS L.P.

 as the Arranger and Administrative Agent 
 Dated as of May 10, 2005 
  

 LOAN AND SECURITY AGREEMENT 
 THIS LOAN AND SECURITY AGREEMENT (this “Agreement”), is entered into as of May 10, 2005, between and among, on the one hand,
the lenders identified on the signature pages hereof (such lenders, together with their respective successors and assigns, are referred to hereinafter each individually as a “Lender” and collectively as the
“Lenders”), HBK INVESTMENTS L.P., a Texas limited partnership, as the arranger and administrative agent for the Lenders (in such capacity, together with its successors and assigns in such capacity, “Agent”),
and, on the other hand, PAINCARE HOLDINGS, INC., a Florida corporation (“Parent”), and each of Parent’s Subsidiaries identified on the signature pages hereof (such Subsidiaries are referred to hereinafter each
individually as a “Borrower”, and individually and collectively, jointly and severally, as the “Borrowers”). 
 The parties agree as follows: 
  

	1.	DEFINITIONS AND CONSTRUCTION. 

 1.1
Definitions. As used in this Agreement, the following terms shall have the following definitions: 
 “2003 Subordinated
Note Refinance Date” means the date that is 90 days before the date when all or any portion of the principal balance of the Indebtedness evidenced by the 2003 Subordinated Notes is due and payable. 
 “2003 Subordinated Notes” means the notes issued by Parent in connection with that certain Securities Purchase Agreement dated as of
December 17, 2003, by and among Parent and the Subordinated Lenders. 
 “2004 Subordinated Note Refinance Date” means
the date that is 90 days before the date when all or any portion of the principal balance of the Indebtedness evidenced by the 2004 Subordinated Notes is due and payable. 
 “2004 Subordinated Notes” means the notes issued by Parent in connection with that certain Securities Purchase Agreement dated as of July 1, 2004, by and among Parent and the Subordinated
Lenders. 
 “Account” means an account (as that term is defined in the Code). 
 “Account Debtor” means any Person who is obligated on an Account, chattel paper, or a General Intangible. 
 “Acquisition” means (a) any Stock Acquisition, or (b) any Asset Acquisition. 
 “Acquisition Documents” means each agreement or other document executed or delivered in connection with any Acquisition that was
consummated on or before the Closing Date, which shall be in form and substance satisfactory to Agent. 
  

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 “Additional Documents” has the meaning set forth in Section 4.4(c).

 “Administrative Borrower” has the meaning set forth in Section 17.9. 
 “Affiliate” means, as applied to any Person, any other Person who, directly or indirectly through one or more intermediaries, controls,
is controlled by, or is under common control with, such Person. For purposes of this definition, “control” means the possession, directly or indirectly through one or more intermediaries, of the power to direct the management and policies
of a Person, whether through the ownership of Stock, by contract, or otherwise; provided, however, that, for purposes of Section 7.13 hereof: (a) any Person which owns directly or indirectly 10% or more of the Stock having
ordinary voting power for the election of directors or other members of the governing body of a Person or 10% or more of the partnership or other ownership interests of a Person (other than as a limited partner of such Person) shall be deemed an
Affiliate of such Person, (b) each director (or comparable manager) of a Person shall be deemed to be an Affiliate of such Person, and (c) each partnership or joint venture in which a Person is a partner or joint venturer shall be deemed
an Affiliate of such Person. 
 “Agent” has the meaning set forth in the preamble to this Agreement. 
 “Agent Advances” has the meaning set forth in Section 2.3(e)(i). 
 “Agent-Related Persons” means Agent, together with its Affiliates, officers, directors, employees, attorneys, and agents. 
 “Agent’s Account” means the Deposit Account of Agent identified on Schedule A-1. 
 “Agent’s Liens” means the Liens granted by Borrowers or their Subsidiaries to Agent under this Agreement or the other Loan
Documents. 
 “Agreement” has the meaning set forth in the preamble hereto. 
 “Applicable Prepayment Premium” means, as of any date of determination, an amount equal to (a) during the period from and after the
date of the execution and delivery of this Agreement up to the date that is the first anniversary of the Closing Date, the greater of (i) the Yield Maintenance Amount, and (ii) $750,000, (b) during the period from and including the
date that is the first anniversary of the Closing Date up to the date that is the second anniversary of the Closing Date, $500,000, and (c) during the period of time from and including the date that is the second anniversary of the Closing Date
up to the date that is the third anniversary of the Closing Date, $250,000. 
 “Asset Acquisition” means any purchase or
other acquisition by any Borrower, any Guarantor, or any of their respective wholly-owned Subsidiaries of all or substantially all of the assets of any other Person or the operations of a Medical Practice from any other Person. 
  

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 “Assignee” has the meaning set forth in Section 14.1(a). 
 “Assignment and Acceptance” means an Assignment and Acceptance Agreement substantially in the form of Exhibit A-1. 
 “Authorized Person” means any officer or employee of Administrative Borrower. 
 “Bankruptcy Code” means title 11 of the United States Code, as in effect from time to time. 
 “Base LIBOR Rate” means the rate per annum, determined by Agent in accordance with its customary procedures, and utilizing such
electronic or other quotation sources as it considers appropriate (rounded upwards, if necessary, to the next 1/100%), to be the rate at which Dollar deposits (for delivery on the first day of the requested Interest Period) are offered to major
banks in the London interbank market 2 Business Days prior to the commencement of the requested Interest Period, for a term and in an amount comparable to the Interest Period and the amount of the LIBOR Rate Loan requested (whether as an initial
LIBOR Rate Loan or as a continuation of a LIBOR Rate Loan or as a conversion of a Base Rate Loan to a LIBOR Rate Loan) by Administrative Borrower in accordance with this Agreement, which determination shall be conclusive in the absence of manifest
error. 
 “Base Rate” means, the rate of interest announced, from time to time, by JPMorgan Chase Bank, or any successor
thereto, as its “prime rate”, with the understanding that the “prime rate” is not necessarily the lowest rate available from such financial institution. 
 “Base Rate Loan” means the portion of the Term Loans that bears interest at a rate determined by reference to the Base Rate. 

“Base Rate Term Loan Margin” means 4.50 percentage points. 
 “Benefit Plan” means a “defined benefit plan” (as defined in Section 3(35) of ERISA) for which Parent, any
Borrower or any Subsidiary or ERISA Affiliate of Parent or any Borrower has been an “employer” (as defined in Section 3(5) of ERISA) within the past six years. 
 “Board of Directors” means the board of directors (or comparable managers) of Parent or any committee thereof duly authorized to act on
behalf of the board of directors (or comparable managers). 
 “Books” means all of Parent’s and its Subsidiaries’
now owned or hereafter acquired books and records (including all of their Records indicating, summarizing, or evidencing their assets (including the Collateral) or liabilities, all of Parent’s and its Subsidiaries’ Records relating to
their business operations or financial condition, and all of their goods or General Intangibles related to such information). 
  

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 “Borrower” and “Borrowers” have the respective meanings set forth in
the preamble to this Agreement. 
 “Borrower Collateral” means all of each Borrower’s now owned or hereafter acquired
right, title, and interest in and to each of the following: 
 (a) all of its Accounts, 
 (b) all of its Books, 
 (c) all of its
commercial tort claims described on Schedule 5.7(d), 
 (d) all of its Deposit Accounts, 
 (e) all of its Equipment, 
 (f) all of its
General Intangibles, 
 (g) all of its Inventory, 
 (h) all of its Investment Property (including all of its securities and Securities Accounts), 
 (i) all of
its Negotiable Collateral, 
 (j) all of its Supporting Obligations, 
 (k) money or other assets of each such Borrower that now or hereafter come into the possession, custody, or control of any member of the Lender Group,
and 
 (l) the proceeds and products, whether tangible or intangible, of any of the foregoing, including proceeds of insurance covering any
or all of the foregoing, and any and all Accounts, Books, Deposit Accounts, Equipment, General Intangibles, Inventory, Investment Property, Negotiable Collateral, Real Property, Supporting Obligations, money, or other tangible or intangible property
resulting from the sale, exchange, collection, or other disposition of any of the foregoing, or any portion thereof or interest therein, and the proceeds thereof. 
 The foregoing to the contrary notwithstanding, Borrower Collateral shall not include the Excluded Assets. 
 “Borrowing” means a borrowing hereunder consisting of term loans made on the same day by the Lenders (or Agent on behalf thereof), or by Agent in the case of an Agent Advance, in each case, to Administrative Borrower.

 “Business Day” means any day that is not a Saturday, Sunday, or other day on which banks are authorized or required to
close in the state of New York, except that, if a 
  

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 determination of a Business Day shall relate to a LIBOR Rate Loan, the term “Business Day” also shall exclude
any day on which banks are closed for dealings in Dollar deposits in the London interbank market. 
 “Canadian Guarantor”
means Rothbart Pain Management Clinic, Inc., an Ontario corporation. 
 “Canadian Guarantor Security Agreement” means the
security agreement executed and delivered by Canadian Guarantor in favor of Agent, in form and substance satisfactory to Agent. 
 “Canadian Guaranty” means the guaranty executed and delivered by Canadian Guarantor in favor of Agent, in form and substance satisfactory to Agent. 
 “Capital Expenditures” means, with respect to any Person for any period, the aggregate of all expenditures by such Person and its
Subsidiaries during such period that are capital expenditures as determined in accordance with GAAP, whether such expenditures are paid in cash or financed, excluding all expenditures in respect of Permitted Acquisitions. 
 “Capitalized Lease Obligation” means that portion of the obligations under a Capital Lease that is required to be capitalized in
accordance with GAAP. 
 “Capital Lease” means a lease that is required to be capitalized for financial reporting purposes
in accordance with GAAP. 
 “Cash Equivalents” means (a) marketable direct obligations issued by, or unconditionally
guaranteed by, the United States or issued by any agency thereof and backed by the full faith and credit of the United States, in each case maturing within 1 year from the date of acquisition thereof, (b) marketable direct obligations issued by
any state of the United States or any political subdivision of any such state or any public instrumentality thereof maturing within 1 year from the date of acquisition thereof and, at the time of acquisition, having one of the two highest ratings
obtainable from either Standard & Poor’s Rating Group (“S&P”) or Moody’s Investors Service, Inc. (“Moody’s”), (c) commercial paper maturing no more than 270 days from the date of creation thereof
and, at the time of acquisition, having a rating of at least A-1 from S&P or at least P-1 from Moody’s, (d) certificates of deposit or bankers’ acceptances maturing within 1 year from the date of acquisition thereof issued by any
bank organized under the laws of the United States or any state thereof having at the date of acquisition thereof combined capital and surplus of not less than $250,000,000, (e) Deposit Accounts maintained with (i) any bank that satisfies
the criteria described in clause (d) above, or (ii) any other bank organized under the laws of the United States or any state thereof so long as the amount maintained with any such other bank is less than or equal to $100,000 and is
insured by the Federal Deposit Insurance Corporation, and (f) Investments in money market funds substantially all of whose assets are invested in the types of assets described in clauses (a) through (e) above. 
 “Cash Management Account” has the meaning set forth in Section 2.7(a). 
  

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 “Cash Management Agreements” means those certain cash management agreements, in form and
substance satisfactory to Agent, each of which is among Parent or one of its Subsidiaries, Agent, and one of the Cash Management Banks. 
 “Cash Management Bank” has the meaning set forth in Section 2.7(a). 
 “Change of
Control” means that (a) Permitted Holders sell, dispose or otherwise transfer, directly or indirectly, more than 33% of the Stock of Parent held by Permitted Holders on the Closing Date, (b) any “person” or
“group” (within the meaning of Sections 13(d) and 14(d) of the Exchange Act), other than Permitted Holders, becomes the beneficial owner (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of 20%, or more, of the
Stock of Parent having the right to vote for the election of members of the Board of Directors, or (c) a majority of the members of the Board of Directors do not constitute Continuing Directors, or (d) any Borrower or any Guarantor ceases
to own, directly or indirectly, and control (i) 100% of the outstanding Stock of each of its Subsidiaries (other than PSHS Alpha Partners, Ltd.) in existence as of the Closing Date, and (ii) 67.5% of the outstanding Stock of PSHS Alpha
Partners, Ltd. 
 “Closing Date” means the date of the making of the initial Term Loan (or other extension of credit)
hereunder. 
 “Closing Date Business Plan” means the set of Projections of Borrowers for the 4 year period following the
Closing Date (on a year by year basis, and for the 1 year period following the Closing Date, on a month by month basis), in form and substance (including as to scope and underlying assumptions) satisfactory to Agent. 
 “Code” means the New York Uniform Commercial Code, as in effect from time to time; provided, however, that in the event
that, by reason of mandatory provisions of law, any or all of the attachment, perfection, priority, or remedies with respect to Agent’s Lien on any Collateral is governed by the Uniform Commercial Code as enacted and in effect in a jurisdiction
other than the State of New York, the term “Code” shall mean the Uniform Commercial Code as enacted and in effect in such other jurisdiction solely for purposes of the provisions thereof relating to such attachment, perfection, priority,
or remedies. 
 “Collateral” means all assets and interests in assets and proceeds thereof now owned or hereafter acquired
by Administrative Borrower or its Subsidiaries in or upon which a Lien is granted under any of the Loan Documents. 
 “Collateral
Access Agreement” means a landlord waiver, bailee letter, or acknowledgement agreement of any lessor, warehouseman, processor, consignee, or other Person in possession of, having a Lien upon, or having rights or interests in Administrative
Borrower’s or its Subsidiaries’ Books, Equipment or Inventory, in each case, in form and substance satisfactory to Agent. 
  

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 “Collections” means all cash, checks, notes, instruments, and other items of
payment (including insurance proceeds, proceeds of cash sales, rental proceeds, and tax refunds). 
 “Commercial Tort Claim
Assignment” has the meaning set forth in Section 4.4(b). 
 “Commitment” means, with respect to each
Lender, its Term Loan Commitment, or its Total Commitment, as the context requires, and, with respect to all Lenders, their Term Loan Commitments, or their Total Commitments, as the context requires, in each case as such Dollar amounts are set forth
beside such Lender’s name under the applicable heading on Schedule C-1 or in the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as such amounts may be reduced or increased from time to time pursuant to
assignments made in accordance with the provisions of Section 14.1. 
 “Compliance Certificate” means a
certificate substantially in the form of Exhibit C-1 delivered by the chief financial officer of Parent to Agent. 
 “Continuing Director” means (a) any member of the Board of Directors who was a director (or comparable manager) of Parent on the Closing Date, and (b) any individual who becomes a member of the Board of Directors
after the Closing Date if such individual was appointed or nominated for election to the Board of Directors by a majority of the Continuing Directors, but excluding any such individual originally proposed for election in opposition to the Board of
Directors in office at the Closing Date in an actual or threatened election contest relating to the election of the directors (or comparable managers) of Parent and whose initial assumption of office resulted from such contest or the settlement
thereof. 
 “Control Agreement” means a control agreement, in form and substance satisfactory to Agent, executed and
delivered by Parent or one of its Subsidiaries, Agent, and the applicable securities intermediary (with respect to a Securities Account) or bank (with respect to a Deposit Account). 
 “Daily Balance” means, as of any date of determination and with respect to any Obligation, the amount of such Obligation owed at the end
of such day. 
 “Default” means an event, condition, or default that, with the giving of notice, the passage of time, or
both, would be an Event of Default. 
 “Defaulting Lender” means any Lender that fails to make any Term Loan (or other
extension of credit) that it is required to make hereunder on the date that it is required to do so hereunder. 
 “Defaulting Lender
Rate” means (a) for the first 3 days from and after the date the relevant payment is due, the Base Rate, and (b) thereafter, the interest rate then applicable to portions of the Term Loans that are Base Rate Loans (inclusive of
the Base Rate Margin applicable thereto). 
  

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 “Deposit Account” means any deposit account (as that term is defined in the Code).

 “Designated Account” means the Deposit Account of Administrative Borrower identified on Schedule D-1. 

“Designated Account Bank” has the meaning ascribed thereto on Schedule D 1. 
 “Designated Stock” means the Stock that has been pledged by Parent or one of its Subsidiaries to secure any outstanding Indebtedness in
respect of Existing Seller Notes and Earn-Out Obligations, Seller Notes or Earn-Out Arrangements that has not expired. 
 “Diagnostic
Center” means a Person which provides medical diagnostic services. 
 “Disbursement Letter” means an instructional
letter executed and delivered by Borrowers to Agent regarding the extensions of credit to be made on the Closing Date, the form and substance of which is satisfactory to Agent. 
 “Doctor Departures” means the failure of one or more doctors who were employed by Parent or any of its Subsidiaries or any Medical PC on
or after the Closing Date to continue to be so employed for any period of time. 
 “Dollars” or “$” means
United States dollars. 
 “Earn-Out Arrangements” shall mean payments pursuant to a Purchase Agreement to be made by a
Borrower or a Guarantor (other than any Existing Seller Notes and Earn-Out Obligations) based on the performance of the entity acquired (or allocated to assets acquired) in connection therewith (or the related Medical PC). 
 “EBITDA” means, with respect to any Person for any fiscal period, such Person’s and its Subsidiaries’ consolidated net
earnings (or loss), minus extraordinary gains and interest income, plus interest expense, income taxes, and depreciation and amortization for such period, in each case, as determined in accordance with GAAP. 
 “Eligible Transferee” means (a) a commercial bank organized under the laws of the United States, or any state thereof, and having
total assets in excess of $250,000,000, (b) a commercial bank organized under the laws of any other country which is a member of the Organization for Economic Cooperation and Development or a political subdivision of any such country and which
has total assets in excess of $250,000,000, provided that such bank is acting through a branch or agency located in the United States, (c) a finance company, insurance company, or other financial institution or fund that is engaged in

  

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 making, purchasing, or otherwise investing in commercial loans in the ordinary course of its business and having
(together with its Affiliates) total assets in excess of $250,000,000, (d) any Affiliate (other than individuals) of a Lender, (e) so long as no Event of Default has occurred and is continuing, any other Person approved by Agent and
Administrative Borrower (which approval of Administrative Borrower shall not be unreasonably withheld, delayed, or conditioned), and (f) during the continuation of an Event of Default, any other Person approved by Agent. 
 “Employment Agreements” means the employment agreements executed by Parent or any of its Subsidiaries with respect to the officers or
senior management employees of Parent and such Subsidiaries, including without limitation, Randy Lubinsky, Mark Szporka and Ronald Riewold. 
 “Environmental Actions” means any complaint, summons, citation, notice, directive, order, claim, litigation, investigation, judicial or administrative proceeding, judgment, letter, or other communication from any
Governmental Authority, or any third party involving violations of Environmental Laws or releases of Hazardous Materials from (a) any assets, properties, or businesses of Parent, any Borrower, any other Subsidiary of Parent, or any of their
predecessors in interest, (b) from adjoining properties or businesses, or (c) from or onto any facilities which received Hazardous Materials generated by Parent, any Borrower, any other Subsidiary of Parent, or any of their predecessors in
interest. 
 “Environmental Law” means any applicable federal, state, provincial, foreign or local statute, law, rule,
regulation, ordinance, code, binding and enforceable guideline, binding and enforceable written policy or rule of common law now or hereafter in effect and in each case as amended, or any judicial or administrative interpretation thereof, including
any judicial or administrative order, consent decree or judgment, in each case, to the extent binding on Parent, any Borrower or any other Subsidiary of Parent, relating to the environment, the effect of the environment on employee health, or
Hazardous Materials, including the Comprehensive Environmental Response Compensation and Liability Act, 42 USC §9601 et seq. (“CERCLA”); the Resource Conservation and Recovery Act, 42 USC §6901 et seq.
(“RCRA”); the Federal Water Pollution Control Act, 33 USC § 1251 et seq; the Toxic Substances Control Act, 15 USC § 2601 et seq; the Clean Air Act, 42 USC § 7401 et seq.; the Safe Drinking Water Act, 42
USC § 3803 et seq.; the Oil Pollution Act of 1990, 33 USC § 2701 et seq.; the Emergency Planning and the Community Right-to-Know Act of 1986, 42 USC § 11001 et seq.; the Hazardous Material Transportation Act, 49
USC § 1801 et seq.; and the Occupational Safety and Health Act, 29 USC §651 et seq. (to the extent it regulates occupational exposure to Hazardous Materials); any state and local or foreign counterparts or equivalents, in
each case as amended from time to time. 
 “Environmental Liabilities and Costs” means all liabilities, monetary
obligations, losses, damages, punitive damages, consequential damages, treble damages, costs and expenses (including all reasonable fees, disbursements and expenses of counsel, experts, or consultants, and costs of investigation and feasibility
studies), fines, penalties, sanctions, and interest incurred as a result of any claim or demand, or Remedial Action required, by any Governmental Authority or any third party, and which relate to any Environmental Action. 
  

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 “Environmental Lien” means any Lien in favor of any Governmental Authority for
Environmental Liabilities and Costs. 
 “Equipment” means equipment (as that term is defined in the Code), and includes
machinery, machine tools, motors, furniture, furnishings, fixtures, vehicles (including motor vehicles), computer hardware, tools, parts, and goods (other than consumer goods, farm products, or Inventory), wherever located, including all
attachments, accessories, accessions, replacements, substitutions, additions, and improvements to any of the foregoing. 
 “ERISA” means the Employee Retirement Income Security Act of 1974, as amended, and any successor statute thereto. 
 “ERISA Affiliate” means (a) any Person subject to ERISA whose employees are treated as employed by the same employer as the employees of Parent, a Borrower or any other Subsidiary of Parent under IRC
Section 414(b), (b) any trade or business subject to ERISA whose employees are treated as employed by the same employer as the employees of Parent, a Borrower or any other Subsidiary of Parent under IRC Section 414(c), (c) solely
for purposes of Section 302 of ERISA and Section 412 of the IRC, any organization subject to ERISA that is a member of an affiliated service group of which a Borrower or a Subsidiary of a Borrower is a member under IRC Section 414(m),
or (d) solely for purposes of Section 302 of ERISA and Section 412 of the IRC, any Person subject to ERISA that is a party to an arrangement with Parent, a Borrower or any other Subsidiary of Parent and whose employees are aggregated
with the employees of Parent, a Borrower or any other Subsidiary of Parent under IRC Section 414(o). 
 “Event of
Default” has the meaning set forth in Section 8. 
 “Excess Cash Flow” means, with respect to Parent
and its Subsidiaries for any period, (a) EBITDA of Parent and its Subsidiaries for such period, less (b) all scheduled and optional cash principal payments on the Term Loans made during such period, and all scheduled and mandatory cash
principal payments on other Indebtedness (including Capitalized Lease Obligations) of Borrower or any of its Subsidiaries during such period to the extent such other Indebtedness is permitted to be incurred, and such payments are permitted to be
made, under this Agreement or any other Loan Document, less (c) the cash portion of Capital Expenditures made by Borrower and its Subsidiaries during such period to the extent permitted to be made under this Agreement. 
 “Exchange Act” means the Securities Exchange Act of 1934, as in effect from time to time. 
 “Excluded Assets” means the Designated Stock, solely to the extent that any Indebtedness in respect of the Existing Seller Notes and
Earn-Out Obligations, Seller Notes or Earn-Out Arrangements that is secured by such Designated Stock remains outstanding and 
  

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 has not expired; provided, however, that to the extent that all such Indebtedness in respect of the
Existing Seller Notes and Earn-Out Obligations, Seller Notes or Earn-Out Arrangements that is secured by any Designated Stock but is no longer outstanding or has expired, thereafter the Excluded Assets shall not include (and therefore Borrower
Collateral shall include) such Designated Stock without any further action on the part of the owner of such Designated Stock or Agent. 
 “Existing Lenders” means South Louisiana Bank and Fifth Third Bank. 
 “Existing Seller Notes and Earn-Out
Obligations” means those obligations described on Schedule E-1. 
 “Extraordinary Receipts” means any
Collections received by a Person or any of its Subsidiaries not in the ordinary course of business (and not consisting of proceeds described in Section 2.4(c)(i) hereof), including, (a) foreign, United States, state or local tax
refunds, (b) pension plan reversions, (c) proceeds of insurance (including proceeds of key man life insurance policies), (d) proceeds of judgments, proceeds of settlements, or other consideration of any kind in connection with any
cause of action, (e) condemnation awards (and payments in lieu thereof), (f) indemnity payments, and (g) any purchase price adjustment received in connection with any purchase agreement. 
 “Family Member” means, with respect to any individual, any other individual having a relationship by blood (to the second degree of
consanguinity), marriage, or adoption to such individual. 
 “Family Trusts” means, with respect to any individual, trusts
or other estate planning vehicles established for the benefit of such individual or Family Members of such individual and in respect of which such individual serves as trustee or in a similar capacity. 
 “Fee Letter” means that certain fee letter, dated as of even date herewith, between Borrowers and Agent, in form and substance
satisfactory to Agent. 
 “Filing Authorization Letter” means a letter duly executed by each Borrower and each Guarantor
authorizing Agent to file appropriate financing statements without the signature of such Borrower or such Guarantor, as applicable, in such office or offices as may be necessary or, in the opinion of Agent, desirable to perfect the security
interests purported to be created by the Loan Documents. 
 “Free Cash Flow” means with respect to Parent and its
Subsidiaries for any period, the result of (a) EBITDA for such period minus (b) the aggregate amount of all payments required to be made during such period in respect of (i) Indebtedness in respect of Earn-Out Arrangements,
(ii) Existing Seller Notes and Earn-Out Obligations, or (iii) Indebtedness evidenced by Seller Notes. 
 “Funded
Debt” of any Person means Indebtedness of such Person that by its terms matures more than one year after the date of creation or matures within one year from 
  

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 such date but is renewable or extendible, at the option of such Person, to a date more than one year after such date or
arises under a revolving credit or similar agreement that obligates the lender or lenders to extend credit during a period of more than one year after such date, including all amounts of Funded Debt of such Person required to be paid or prepaid
within one year after the date of determination. 
 “Funding Date” means the date on which a Borrowing occurs. 

“Funding Losses” has the meaning set forth in Section 2.13(b)(ii). 
 “GAAP” means generally accepted accounting principles as in effect from time to time in the United States, consistently applied.

 “General Intangibles” means general intangibles (as that term is defined in the Code), including payment intangibles,
contract rights, rights to payment, rights arising under common law, statutes, or regulations, choses or things in action, goodwill, patents, trade names, trade secrets, trademarks, servicemarks, copyrights, blueprints, drawings, purchase orders,
customer lists, monies due or recoverable from pension funds, route lists, rights to payment and other rights under any royalty or licensing agreements, infringement claims, computer programs, information contained on computer disks or tapes,
software, literature, reports, catalogs, insurance premium rebates, tax refunds, and tax refund claims and any other personal property other than Accounts, Deposit Accounts, goods, Investment Property, and Negotiable Collateral. 
 “Georgia Surgical” means Georgia Surgical Center, Inc., a Georgia corporation. 
 “Governing Documents” means, with respect to any Person, the certificate or articles of incorporation, by-laws, or other organizational
documents of such Person. 
 “Governmental Authority” means any federal, state, local, or other governmental or
administrative body, instrumentality, board, department, or agency or any court, tribunal, administrative hearing body, arbitration panel, commission, or other similar dispute-resolving panel or body. 
 “Governmental Receivables” means Accounts owing to Parent or any of its Subsidiaries on which any Governmental Authority is the Account
Debtor. 
 “Guarantors” means (a) Parent and each Subsidiary of Parent that is not a Borrower and
“Guarantor” means any one of them. 
 “Guarantor Security Agreement” means one or more security agreements
executed and delivered by each Guarantor other than Canadian Guarantor in favor of Agent, in each case, in form and substance satisfactory to Agent. 
  

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 “Guaranty” means that certain general continuing guaranty executed and delivered by each
Guarantor other than Canadian Guarantor in favor of Agent, in form and substance satisfactory to Agent. 
 “Hazardous
Materials” means (a) substances that are defined or listed in, or otherwise classified pursuant to, any applicable laws or regulations as “hazardous substances,” “hazardous materials,” “hazardous wastes,”
“toxic substances,” or any other formulation intended to define, list, or classify substances by reason of deleterious properties such as ignitability, corrosivity, reactivity, carcinogenicity, reproductive toxicity, or “EP
toxicity”, (b) oil, petroleum, or petroleum derived substances, natural gas, natural gas liquids, synthetic gas, drilling fluids, produced waters, and other wastes associated with the exploration, development, or production of crude oil,
natural gas, or geothermal resources, (c) any flammable substances or explosives or any radioactive materials, and (d) asbestos in any form or electrical equipment that contains any oil or dielectric fluid containing levels of
polychlorinated biphenyls in excess of 50 parts per million. 
 “HBK” means HBK Investments L.P., a Texas limited
partnership. 
 “Hedge Agreement” means any and all agreements, or documents now existing or hereafter entered into by
Parent or any of its Subsidiaries that provide for an interest rate, credit, commodity or equity swap, cap, floor, collar, forward foreign exchange transaction, currency swap, cross currency rate swap, currency option, or any combination of, or
option with respect to, these or similar transactions, for the purpose of hedging Parent’s or any of its Subsidiaries’ exposure to fluctuations in interest or exchange rates, loan, credit exchange, security or currency valuations or
commodity prices. 
 “Holdout Lender” has the meaning set forth in Section 15.2(a). 
 “Indebtedness” means (a) all obligations for borrowed money, (b) all obligations evidenced by bonds, debentures, notes, or
other similar instruments and all reimbursement or other obligations in respect of letters of credit, bankers acceptances, interest rate swaps, or other financial products, (c) all obligations as a lessee under Capital Leases, (d) all
obligations or liabilities of others secured by a Lien on any asset of a Person or its Subsidiaries, irrespective of whether such obligation or liability is assumed, (e) all obligations to pay the deferred purchase price of assets (including
all Existing Seller Notes and Earn-Out Obligations, and Seller Notes and Earn-Out Arrangements but excluding trade payables incurred in the ordinary course of business and repayable in accordance with customary trade practices), (f) all
obligations owing under Hedge Agreements, and (g) any obligation guaranteeing or intended to guarantee (whether directly or indirectly guaranteed, endorsed, co-made, discounted, or sold with recourse) any obligation of any other Person that
constitutes Indebtedness under any of clauses (a) through (f) above. 
 “Indebtedness Documents” means any
agreement or other document executed or delivered with respect to or in connection with the Indebtedness described in Section 7.1(b) of this Agreement, which shall be in form and substance satisfactory to Agent. 
  

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 “Indemnified Liabilities” has the meaning set forth in Section 11.3.

 “Indemnified Person” has the meaning set forth in Section 11.3. 
 “Insolvency Proceeding” means any proceeding commenced by or against any Person under any provision of the Bankruptcy Code or under any
other state or federal bankruptcy or insolvency law, assignments for the benefit of creditors, formal or informal moratoria, compositions, extensions generally with creditors, or proceedings seeking reorganization, arrangement, or other similar
relief. 
 “Intercompany Subordination Agreement” means a subordination agreement executed and delivered by Parent,
Borrowers and each of their respective Subsidiaries and Agent, the form and substance of which is satisfactory to Agent. 
 “Interest
Period” means, with respect to each LIBOR Rate Loan, a period commencing on the date of the making of such LIBOR Rate Loan (or the continuation of a LIBOR Rate Loan or the conversion of a Base Rate Loan to a LIBOR Rate Loan) and ending 1,
2, or 3 months thereafter; provided, however, that (a) if any Interest Period would end on a day that is not a Business Day, such Interest Period shall be extended (subject to clauses (c)-(e) below) to the next succeeding
Business Day, (b) interest shall accrue at the applicable rate based upon the LIBOR Rate from and including the first day of each Interest Period to, but excluding, the day on which any Interest Period expires, (c) any Interest Period that
would end on a day that is not a Business Day shall be extended to the next succeeding Business Day unless such Business Day falls in another calendar month, in which case such Interest Period shall end on the next preceding Business Day,
(d) with respect to an Interest Period that begins on the last Business Day of a calendar month (or on a day for which there is no numerically corresponding day in the calendar month at the end of such Interest Period), the Interest Period
shall end on the last Business Day of the calendar month that is 1, 2, or 3 months after the date on which the Interest Period began, as applicable, and (e) Borrowers (or Administrative Borrower on behalf thereof) may not elect an Interest
Period which will end after the Maturity Date. 
 “Inventory” means inventory (as that term is defined in the Code).

 “Investment” means, with respect to any Person, any investment by such Person in any other Person (including Affiliates)
in the form of loans, guarantees, advances, or capital contributions (excluding (a) commission, travel, and similar advances to officers and employees of such Person made in the ordinary course of business, and (b) bona fide Accounts
arising in the ordinary course of business consistent with past practice), purchases or other acquisitions of Indebtedness, Stock, or all or substantially all of the assets of such other Person (or of any division or business line of such other
Person), and any other items that are or would be classified as investments on a balance sheet prepared in accordance with GAAP. 
 “Investment Property” means investment property (as that term is defined in the Code). 
  

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 “IRC” means the Internal Revenue Code of 1986, as in effect from time to time.

 “Lender” and “Lenders” have the respective meanings set forth in the preamble to this Agreement, and
shall include any other Person made a party to this Agreement in accordance with the provisions of Section 14.1. 
 “Lender Group” means, individually and collectively, each of the Lenders and Agent. 
 “Lender Group
Expenses” means all (a) costs or expenses (including taxes, and insurance premiums) required to be paid by a Borrower or its Subsidiaries under any of the Loan Documents that are paid, advanced, or incurred by the Lender Group,
(b) fees or charges paid or incurred by Agent in connection with the Lender Group’s transactions with Borrowers or their Subsidiaries, including, fees or charges for photocopying, notarization, couriers and messengers, telecommunication,
public record searches (including tax lien, litigation, and UCC searches and including searches with the patent and trademark office, the copyright office, or the department of motor vehicles), filing, recording, publication, appraisal (including
periodic collateral appraisals or business valuations to the extent of the fees and charges (and up to the amount of any limitation) contained in this Agreement, real estate surveys, real estate title policies and endorsements, and environmental
audits, (c) costs and expenses incurred by Agent in the disbursement of funds to or for the account of Borrowers or other members of the Lender Group (by wire transfer or otherwise), (d) charges paid or incurred by Agent resulting from the
dishonor of checks, (e) reasonable costs and expenses paid or incurred by the Lender Group to correct any default or enforce any provision of the Loan Documents, or in gaining possession of, maintaining, handling, preserving, storing, shipping,
selling, preparing for sale, or advertising to sell the Collateral, or any portion thereof, irrespective of whether a sale is consummated, (f) audit fees and expenses of Agent related to audit examinations of the Books to the extent of the fees
and charges (and up to the amount of any limitation) contained in this Agreement, (g) reasonable costs and expenses of third party claims or any other suit paid or incurred by the Lender Group in enforcing or defending the Loan Documents or in
connection with the transactions contemplated by the Loan Documents or the Lender Group’s relationship with any Borrower or any Subsidiary of a Borrower, (h) Agent’s and each Lender’s reasonable costs and expenses (including
reasonable attorneys fees) incurred in advising, structuring, drafting, reviewing, administering, syndicating, or amending the Loan Documents, and (i) Agent’s and each Lender’s reasonable costs and expenses (including reasonable
attorneys, accountants, consultants, and other advisors fees and expenses) incurred in terminating, enforcing (including reasonable attorneys, accountants, consultants, and other advisors fees and expenses incurred in connection with a
“workout,” a “restructuring,” or an Insolvency Proceeding concerning any Borrower or any Subsidiary of a Borrower or in exercising rights or remedies under the Loan Documents), or defending the Loan Documents, irrespective of
whether suit is brought, or in taking any Remedial Action concerning the Collateral. 
  

 15 

 “Lender-Related Person” means, with respect to any Lender, such Lender, together with
such Lender’s Affiliates, officers, directors, employees, attorneys, and agents. 
 “Leverage Ratio” means, on any date
with respect Parent and its Subsidiaries, the ratio of (a) the outstanding balance of the Obligations on such date, to (b) the TTM EBITDA of Parent and its Subsidiaries as of such date. 
 “LIBOR Deadline” has the meaning set forth in Section 2.13(b)(i). 
 “LIBOR Notice” means a written notice in the form of Exhibit L-1. 
 “LIBOR Option” has the meaning set forth in Section 2.13(a). 
 “LIBOR Rate” means, for each Interest Period for each LIBOR Rate Loan, the rate per annum determined by Agent (rounded upwards, if
necessary, to the next 1/100%) by dividing (a) the Base LIBOR Rate for such Interest Period, by (b) 100% minus the Reserve Percentage. The LIBOR Rate shall be adjusted on and as of the effective day of any change in the
Reserve Percentage. 
 “LIBOR Rate Loan” means each portion of the Term Loans that bears interest at a rate determined by
reference to the LIBOR Rate. 
 “LIBOR Rate Term Loan Margin” means 7.25 percentage points. 
 “Lien” means any interest in an asset securing an obligation owed to, or a claim by, any Person other than the owner of the asset,
irrespective of whether (a) such interest is based on the common law, statute, or contract, (b) such interest is recorded or perfected, and (c) such interest is contingent upon the occurrence of some future event or events or the
existence of some future circumstance or circumstances. Without limiting the generality of the foregoing, the term “Lien” includes the lien or security interest arising from a mortgage, deed of trust, encumbrance, pledge, hypothecation,
assignment, deposit arrangement, security agreement, conditional sale or trust receipt, or from a lease, consignment, or bailment for security purposes and also includes reservations, exceptions, encroachments, easements, rights-of-way, covenants,
conditions, restrictions, leases, and other title exceptions and encumbrances affecting Real Property. 
 “Loan Account” has
the meaning set forth in Section 2.10. 
 “Loan Documents” means this Agreement, the Canadian Guarantor Security
Agreement, the Canadian Guaranty, the Cash Management Agreements, the Control Agreements, the Disbursement Letter, the Fee Letter, the Guarantor Security Agreement, the Guaranty, the Intercompany Subordination Agreement, the Stock Pledge Agreement,
the Subordination Agreement, any note or notes executed by a Borrower in connection with this Agreement and payable to a member of the Lender Group, and any other agreement entered into, now or in the future, by any Borrower and the Lender Group in
connection with this Agreement. 
  

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 “Management Agreements” means those certain management agreements entered into from time
to time by a Borrower and a Person which owns or operates a Medical Practice which the business operations are managed (in whole or in part) by Parent or any of its Subsidiaries. 
 “Market Capitalization” means, as of any date, the product of (a) the aggregate number of shares of common Stock of Parent
outstanding as of such date times (b) the price per share at which the common Stock of Parent is available on any public stock exchange as of the close of business on such date. 
 “Material Adverse Change” means (a) a material adverse change in the business, prospects, operations, results of operations,
assets, liabilities or condition (financial or otherwise) of Borrowers and their Subsidiaries, taken as a whole, (b) a material impairment of a Borrower’s or any of its Subsidiaries’ ability to perform its obligations under the Loan
Documents to which it is a party or of the Lender Group’s ability to enforce the Obligations or realize upon the Collateral, or (c) a material impairment of the enforceability or priority of the Agent’s Liens with respect to the
Collateral. 
 “Maturity Date” has the meaning set forth in Section 3.4. 
 “Medical PC” means a medical professional corporation, association or limited liability company which has entered into a Management
Agreement with Parent or any of its Subsidiaries in connection with an Acquisition. 
 “Medical Practice” means a Person
that provides medical services (including without limitation a Diagnostic Center and a Surgery Practice). 
 “Negotiable
Collateral” means letters of credit, letter of credit rights, instruments, promissory notes, drafts, documents, and chattel paper (including electronic chattel paper and tangible chattel paper). 
 “Net Cash Proceeds” means, (i) with respect to any disposition by any Person or any of its Subsidiaries, the amount of cash
received (directly or indirectly) from time to time (whether as initial consideration or through the payment or disposition of deferred consideration) by or on behalf of such Person or such Subsidiary, in connection therewith after deducting
therefrom only (A) the amount of any Indebtedness secured by any Permitted Lien on any asset (other than Indebtedness assumed by the purchaser of such asset) which is required to be, and is, repaid in connection with such disposition (other
than Indebtedness under this Agreement), (B) reasonable expenses related thereto incurred by such Person or such Subsidiary in connection therewith, (C) transfer taxes paid to any taxing authorities by such Person or such Subsidiary in
connection therewith, and (D) net income taxes to be paid in connection with such disposition (after taking into account any tax credits or deductions and any tax sharing arrangements) and (ii) with respect to the issuance or incurrence of
any Indebtedness by any Person or any of its Subsidiaries, or the sale or issuance by any Person or any of its Subsidiaries of any shares of its Stock, the aggregate amount of cash received (directly or indirectly) from time to time (whether as
initial consideration or through the 
  

 17 

 payment or disposition of deferred consideration) by or on behalf of such Person or such Subsidiary in connection
therewith, after deducting therefrom only (A) reasonable expenses related thereto incurred by such Person or such Subsidiary in connection therewith, (B) transfer taxes paid by such Person or such Subsidiary in connection therewith and
(C) net income taxes to be paid in connection therewith (after taking into account any tax credits or deductions and any tax sharing arrangements); in each case of clause (i) and (ii) to the extent, but only to the extent, that the
amounts so deducted are (x) actually paid to a Person that, except in the case of reasonable out-of-pocket expenses, is not an Affiliate of such Person or any of its Subsidiaries and (y) properly attributable to such transaction or to the
asset that is the subject thereof. 
 “Obligations” means all loans (including the Term Loans), debts, principal, interest
(including any interest that accrues after the commencement of an Insolvency Proceeding, regardless of whether allowed or allowable in whole or in part as a claim in any such Insolvency Proceeding), premiums, liabilities (including all amounts
charged to Borrowers’ Loan Account pursuant hereto), obligations (including indemnification obligations), fees (including the fees provided for in the Fee Letter), charges, costs, Lender Group Expenses (including any fees or expenses that
accrue after the commencement of an Insolvency Proceeding, regardless of whether allowed or allowable in whole or in part as a claim in any such Insolvency Proceeding), lease payments, guaranties, covenants, and duties of any kind and description
owing by Borrowers to the Lender Group pursuant to or evidenced by the Loan Documents and irrespective of whether for the payment of money, whether direct or indirect, absolute or contingent, due or to become due, now existing or hereafter arising,
and including all interest not paid when due and all Lender Group Expenses that Borrowers are required to pay or reimburse by the Loan Documents, by law, or otherwise. Any reference in this Agreement or in the Loan Documents to the Obligations shall
include all extensions, modifications, renewals, or alterations thereof, both prior and subsequent to any Insolvency Proceeding. 
 “Originating Lender” has the meaning set forth in Section 14.1(e). 
 “Overadvance”
has the meaning set forth in Section 2.5. 
 “Parent” has the meaning set forth in the preamble to this
Agreement. 
 “Participant” has the meaning set forth in Section 14.1(e). 
 “Pay-Off Letters” means one or more letters, each in form and substance satisfactory to Agent, from each Existing Lender to Agent
respecting the amount necessary to repay in full all of the obligations of Parent, Borrowers and their respective Subsidiaries owing to such Existing Lender and obtain a release of all of the Liens (if any) existing in favor of such Existing Lender
in and to the assets of Parent, Borrowers and their respective Subsidiaries. 
 “PCRL” means PCRL Investments L.P., a Texas
limited partnership. 
  

 18 

 “Permitted Acquired Indebtedness” means Indebtedness assumed in connection with an
Acquisition so long as (a) such Indebtedness is Funded Debt, and (b) such Indebtedness exists at the time the Stock or assets are acquired and is not created in anticipation of such Acquisition. 
 “Permitted Acquisition” means any Acquisition so long as: 
 (a) after giving effect to the proposed Acquisition, Borrower has Qualified Cash of at least $2,000,000, 
 (b) the consideration is payable in cash (except for any Earn-Out Arrangements, Seller Notes or Permitted Acquired Indebtedness) or in Stock in Parent, which shall be allocated as follows, unless the prior written consent of Agent is
obtained (which consent shall not be unreasonably withheld): 
 (i) with respect to an Acquisition of a Medical Practice that does not
constitute a Surgery Practice or a Diagnostic Center: (A) up to 75% of the purchase price consideration is payable at the closing of such Acquisition (the “Closing Consideration”), (B) between 40% and 60% of the Closing
Consideration is payable in cash and the balance of the Closing Consideration is payable in Stock of Parent, (C) the balance of the consideration is payable in cash over time in between two and four annual installments (the “Installment
Payments”), and (D) between 40% and 60% of the Installment Payments are payable in cash and the balance of such Installment Payments are payable in Stock of Parent; (ii) with respect to an Acquisition of a Surgery Practice or a
Diagnostic Center: (A) up to 100% of the purchase price consideration is payable at the closing of such Acquisition in any combination of cash and Stock of Parent, and (B) the balance, if any, of such consideration is payable in up to four
annual installments of any combination of cash and Stock of Parent; 
 (c) the total value of the consideration (including any Earn-Out
Arrangements, Seller Notes, or Permitted Acquired Indebtedness) payable by Parent or its Subsidiaries in connection with the proposed Acquisition and all other related Acquisitions does not exceed $40,000,000 in the aggregate (of which not more than
$20,000,000 is payable in cash or Cash Equivalents), 
 (d) the total value of the consideration (including any Earn-Out Arrangements, Seller
Notes or Permitted Acquired Indebtedness) payable by Parent or its Subsidiaries in connection with all Acquisitions (including the proposed Acquisition) consummated since the Closing Date does not exceed $200,000,000 in the aggregate (of which not
more than $100,000,000 is payable in cash or Cash Equivalents), 
 (e) no Default or Event of Default has occurred and is continuing as of
the date of consummation of the proposed Acquisition or would result therefrom, 
  

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 (f) the assets being acquired, or the Person whose Stock is being acquired, (i) are useful in or
engaged in, as applicable, the health care services performed by Parent and its Subsidiaries as of the date of this Agreement, and (ii) shall be located or organized, as applicable, within the United States or Canada, 
 (g) Parent has provided Agent with written confirmation, supported by reasonably detailed calculations (unless Agent determines in its Permitted
Discretion that the delivery of such calculations is not warranted), that (i) on a pro forma basis (with giving effect to all Indebtedness and Fixed Charges of the Person being acquired but not the historical EBITDA of such Person),
Parent and its Subsidiaries will be in compliance with each of the financial covenants in Section 7.18 hereof, and an Event of Default under Section 8.14 will not have occurred, in each case, after giving effect to such
Acquisition and as of the last day of each quarter during the 12 month period following the date of such acquisition, and (ii) the EBITDA of such Person being acquired is projected to be greater than zero for each twelve month period ending on
the last day of any fiscal quarter during the following twelve months, 
 (h) Agent has completed any due diligence as it determines in its
Permitted Discretion to be appropriate with respect to the assets or Person that is to be the subject of the proposed Acquisition and the results thereof are reasonably satisfactory to Agent, with the understanding that unless the Agent provides
written notice of its objection to such Acquisition to the Administrative Borrower within 15 days after the date when Agent has received (i) the documents required to be delivered pursuant to clause (i)(i) below, and (ii) the written
notice required to be delivered pursuant to subsection (r) below, then such proposed Acquisition shall deemed to be satisfactory solely for the purposes of this clause (h) (and subject to the satisfaction of each of the other conditions
set forth in this definition), 
 (i) (i) promptly following a request therefor, Agent has received copies of such information or
documents relating to such Acquisition as Agent shall have reasonably requested, and (ii) within 30 days after the consummation of such Acquisition, Agent shall have received certified copies of the agreements, instruments and documents in
connection with such Acquisition, which shall be substantively identical to the documents provided pursuant to subclause (i) of this clause (i), 
 (j) in the case of an Asset Acquisition, the subject assets are being acquired by a Borrower, 
 (k) in the
case of a Stock Acquisition, the subject Stock is being acquired in such Acquisition directly by a Borrower, 
 (l) the Pro Forma TTM EBITDA
of the subject Person(s) of the Acquisition, shall be positive (on a combined basis for all Persons subject of the Acquisition) as determined based upon such Person’s financial statements for its most recently completed interim financial period
as of the consummation of the Acquisition, 
  

 20 

 (m) in the case of an Asset Acquisition, the applicable Borrower shall have executed and delivered or
authorized, as applicable, any and all security agreements, UCC-1 financing statements, fixture filings, and other documentation reasonably requested by Agent in order to include the newly acquired assets within the Collateral, 
 (n) in the case of a Stock Acquisition, the applicable Borrower shall have executed and delivered a supplement to the Stock Pledge Agreement in order to
include the Stock being acquired thereunder (or in the case of a merger whereby a Subsidiary of Parent is the surviving Person, the Stock of such Subsidiary) and shall have delivered to Agent possession of the original Stock certificates respecting
all of the issued and outstanding shares of Stock of such acquired Person (or in the case of a merger whereby a Subsidiary of Parent is the surviving Person, the Stock of such Subsidiary), together with stock powers with respect thereto endorsed in
blank, in each case, to the extent that such Stock does not constitute Excluded Assets, 
 (o) in the case of a Wholly Owned Stock
Acquisition, the applicable Borrower shall have caused such acquired Person (or in the case of a merger whereby a Subsidiary of Parent is the surviving Person, such Subsidiary) to execute and deliver a joinder to the Guaranty in order to make such
Person a party thereto, together with a joinder to the Guarantor Security Agreement (or a joinder to this Agreement, if the acquired Person (or in the case of a merger whereby a Subsidiary of Parent is the surviving Person, such Subsidiary) is to
become a Borrower hereunder), any and all UCC-1 financing statements, fixture filings, and other documentation reasonably requested by Agent in order to cause such cause acquired Person (or in the case of a merger whereby a Subsidiary of Parent is
the surviving Person, such Subsidiary) to be obligated with respect to the Obligations and to include the assets of the acquired Person (or in the case of a merger whereby a Subsidiary of Parent is the surviving Person, such Subsidiary) within the
Collateral; provided, that in each case, such security documents shall not include any assets in the Collateral that constitute Excluded Assets, 
 (p) any Indebtedness or Liens assumed in connection with the proposed Acquisition are otherwise permitted under Section 7.1 or 7.2, respectively and no additional Indebtedness or other liabilities
shall be incurred, assumed or otherwise be reflected on a consolidated balance sheet of Parent and its Subsidiaries after giving effect to such Acquisition, except to the extent expressly permitted by the terms of the Agreement, 
 (q) the proposed Acquisition shall be consensual and shall have been approved by the board of directors of the Person whose Stock or assets are proposed
to be acquired and shall not have been preceded by an unsolicited tender offer for such Stock by, or proxy contest initiated by, Parent or any of its Subsidiaries, 
 (r) Parent shall provide Agent and each Lender with prior written notice (which notice shall not be less than 15 days prior to the closing date of the proposed Acquisition and which notice shall include, without
limitation, a reasonably detailed description of such Acquisition) of such Acquisition, together with copies of all financial information, financial analysis, documentation and other information relating to such acquisition as Agent or any Lender
shall reasonably request, 
  

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 (s) on or prior to the date of the proposed Acquisition, Agent and each Lender shall have received copies
of the acquisition agreement, related contracts and instruments and all opinions, certificates, lien search results and other documents reasonably requested by Agent and any Lender and any such opinion shall be addressed to Agent and Lenders or
accompanied by a written authorization from the firm or Persons delivering such opinion stating that Agent and Lenders may rely on such opinion as though it were addressed to them, 
 (t) at the time of the proposed Acquisition and after giving effect thereto, all representations and warranties contained in Section 5 of
this Agreement and in the other Loan Documents shall be true and correct in all respects (which in each case shall be deemed to have been made on the date of such Acquisition after giving effect thereto), and 
 (u) prior to the closing of the proposed Acquisition, the chief executive officer or the chief financial officer of Borrower shall have delivered to
Agent a certificate as to each of the items set for in the foregoing clauses (a), (b), (c), (d), (e), (f), (g), (l), (p), (q) and (t). 
 “Permitted Discretion” means a determination made in the exercise of reasonable (from the perspective of a secured lender) business judgment. 
 “Permitted Dispositions” means (a) sales or other dispositions of Equipment that is substantially worn, damaged, no longer in use or obsolete in the ordinary course of business, (b) sales of
Inventory to buyers and patients in the ordinary course of business, (c) the use or transfer of money or Cash Equivalents in a manner that is not prohibited by the terms of this Agreement or the other Loan Documents, and (d) the licensing,
on a non-exclusive basis, of patents, trademarks, copyrights, and other intellectual property rights in the ordinary course of business. 
 “Permitted Holders” means Randy Lubinsky, Mark Szporka, Ronald Riewold, their respective Family Members, and Family Trusts. 
 “Permitted Investments” means (a) Investments in cash and Cash Equivalents, (b) Investments in negotiable instruments for collection, (c) advances made in connection with purchases of
goods or services in the ordinary course of business, (d) Investments received in settlement of amounts due to a Borrower or any Subsidiary of a Borrower effected in the ordinary course of business or owing to a Borrower or any Subsidiary of a
Borrower as a result of Insolvency Proceedings involving an Account Debtor or upon the foreclosure or enforcement of any Lien in favor of a Borrower or any Subsidiary of a Borrower, and (e) Permitted Acquisitions. 
 “Permitted Liens” means (a) Liens held by Agent, (b) Liens for unpaid taxes that either (i) are not yet delinquent, or
(ii) do not constitute an Event of Default hereunder 
  

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 and are the subject of Permitted Protests, (c) Liens set forth on Schedule P-1, (d) the interests of
lessors under operating leases, (e) purchase money Liens or the interests of lessors under Capital Leases to the extent that such Liens or interests secure Permitted Purchase Money Indebtedness and so long as such Lien attaches only to the
asset purchased or acquired and the proceeds thereof, (f) Liens arising by operation of law in favor of warehousemen, landlords, carriers, mechanics, materialmen, laborers, or suppliers, incurred in the ordinary course of Borrowers’
business and not in connection with the borrowing of money, and which Liens either (i) are for sums not yet delinquent, or (ii) are the subject of Permitted Protests, (g) Liens on amounts deposited in connection with obtaining
worker’s compensation or other unemployment insurance, (h) Liens on amounts deposited in connection with the making or entering into of bids, tenders, or leases in the ordinary course of business and not in connection with the borrowing of
money, (i) Liens on amounts deposited as security for surety or appeal bonds in connection with obtaining such bonds in the ordinary course of business, (j) Liens resulting from any judgment or award that is not an Event of Default
hereunder, (k) with respect to any Real Property, easements, rights of way, and zoning restrictions that do not materially interfere with or impair the use or operation thereof, (l) Liens granted in and to the Excluded Assets, solely to
the extent that such assets constitute Excluded Assets, and (m) Liens securing Permitted Acquired Indebtedness in an aggregate outstanding amount not in excess of $200,000. 
 “Permitted Protest” means the right of Administrative Borrower or any of its Subsidiaries to protest any Lien (other than any Lien that
secures the Obligations), taxes (other than payroll taxes or taxes that are the subject of a United States federal tax lien), or rental payment, provided that (a) a reserve with respect to such obligation is established on the Books in such
amount as is required under GAAP, (b) any such protest is instituted promptly and prosecuted diligently by Administrative Borrower or any of its Subsidiaries, as applicable, in good faith, and (c) Agent is satisfied that, while any such
protest is pending, there will be no impairment of the enforceability, validity, or priority of any of the Agent’s Liens. 
 “Permitted Purchase Money Indebtedness” means, as of any date of determination, Purchase Money Indebtedness incurred after the Closing Date in an aggregate amount outstanding at any one time not in excess of $4,800,000.

 “Person” means natural persons, corporations, limited liability companies, limited partnerships, general partnerships,
limited liability partnerships, joint ventures, trusts, land trusts, business trusts, or other organizations, irrespective of whether they are legal entities, and governments and agencies and political subdivisions thereof. 
 “Projections” means Parent’s forecasted (a) balance sheets, (b) profit and loss statements, and (c) cash flow
statements, all prepared on a basis consistent with Parent’s historical financial statements, together with appropriate supporting details and a statement of underlying assumptions. 
  

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 “Pro Forma EBITDA” means, with respect to any Person that is the subject of a Permitted
Acquisition for any period ending on or before the date of the consummation of such Permitted Acquisition, (a) such Person’s EBITDA for such period, plus (b) the aggregate amount of expenditures deducted in the calculation of such
Person’s EBITDA for such period that constitute compensation, benefits or perquisites paid to or for the benefit of the owners of such Person or one of the doctors employed by such Person, minus (c) the salary projected to be paid to the
doctors who will be employed by the acquired Person after giving effect to the proposed Acquisition (for a period comparable to the applicable measurement period), and as further adjusted in a manner which is mutually acceptable to Agent and Parent,
by taking into consideration such other reasonable assumptions, events and conditions as are mutually acceptable to Agent and Parent. 
 “Pro Rata Share” means, as of any date of determination: 
 (a) with respect to a Lender’s obligation to make a
Term Loan and receive payments of interest, fees, and principal with respect thereto, (i) prior to the Term Loan Expiration Date, the percentage obtained by dividing (y) the sum of (A) such Lender’s remaining Term Loan
Commitment, and (B) the outstanding principal balance of such Lender’s Term Loans, by (z) the sum of (A) the aggregate amount of all Lenders’ remaining Term Loan Commitments, and (B) the aggregate outstanding principal
balance of all Term Loans, and (ii) from and after the Term Loan Expiration Date, the percentage obtained by dividing (y) the outstanding principal balance of such Lender’s Term Loans by (z) the aggregate outstanding principal
balance of all Term Loans, and 
 (b) with respect to all other matters as to a particular Lender (including the indemnification obligations
arising under Section 16.7), the percentage obtained by dividing (i) the sum of (A) such Lender’s remaining Term Loan Commitment (if any), and (B) the outstanding principal balance of such Lender’s Term Loans, by
(ii) the sum of (A) the aggregate amount of all Lenders’ remaining Term Loan Commitments (if any), and (B) the aggregate outstanding principal balance of all Term Loans. 
 “Purchase Agreement” means an agreement entered into by Parent or any of its Subsidiaries and a Medical Practice or a manager of Medical
Practices whereby Parent or such Subsidiary has acquired or will acquire all or substantially all of the assets or stock of such Medical Practice or such manager of Medical Practices. 
 “Purchase Money Indebtedness” means Indebtedness (other than the Obligations, but including Capitalized Lease Obligations), incurred at
the time of, or within 20 days after, the acquisition of any fixed assets for the purpose of financing all or any part of the acquisition cost thereof. 
 “Qualified Cash” means, as of any date of determination, the amount of unrestricted cash and Cash Equivalents of Borrowers and their Subsidiaries that is in Deposit Accounts or in Securities Accounts,
or any combination thereof, and which such Deposit Account or Securities Account is the subject of a Control Agreement and is maintained by a branch office of the bank or securities intermediary located within the United States. 
  

 24 

 “Real Property” means any estates or interests in real property now owned or hereafter
acquired by any Borrower or a Subsidiary of any Borrower and the improvements thereto. 
 “Record” means information that is
inscribed on a tangible medium or which is stored in an electronic or other medium and is retrievable in perceivable form. 
 “Related Fund” means a fund, money market account, investment account or other account managed by a Lender or an Affiliate of a Lender or its investment manager or an Affiliate of its investment manager. 
 “Remedial Action” means all actions taken to (a) clean up, remove, remediate, contain, treat, monitor, assess, evaluate, or in any
way address Hazardous Materials in the indoor or outdoor environment, (b) prevent or minimize a release or threatened release of Hazardous Materials so they do not migrate or endanger or threaten to endanger public health or welfare or the
indoor or outdoor environment, (c) restore or reclaim natural resources or the environment, (d) perform any pre-remedial studies, investigations, or post-remedial operation and maintenance activities, or (e) conduct any other actions
with respect to Hazardous Materials authorized by Environmental Laws. 
 “Replacement Lender” has the meaning set forth in
Section 15.2(a). 
 “Report” has the meaning set forth in Section 16.17. 
 “Required Lenders” means, at any time, Lenders whose aggregate Pro Rata Shares (calculated under clause (b) of the definition of
Pro Rata Shares) equal or exceed 50.1%. 
 “Required Liquidity” means that the result of (a) Borrowers’ Qualified
Cash minus (b) the aggregate amount, if any, of all trade payables of Parent and its Subsidiaries aged in excess of historical levels with respect thereto and all book overdrafts of Parent and its Subsidiaries in excess of historical
practices with respect thereto, in each case as determined by Agent in its Permitted Discretion, exceeds $2,500,000. 
 “Required
Locations” means the locations of Borrowers representing, in the aggregate, at least 67% of the EBITDA of Parent and its Subsidiaries for the fiscal year ending December 31, 2004. 
 “Reserve Percentage” means, on any day, for any Lender, the maximum percentage prescribed by the Board of Governors of the Federal
Reserve System (or any successor Governmental Authority) for determining the reserve requirements (including any basic, supplemental, marginal, or emergency reserves) that are in effect on such date with respect to eurocurrency funding (currently
referred to as “eurocurrency liabilities”) of that Lender, but so long as such Lender is not required or directed under applicable regulations to maintain such reserves, the Reserve Percentage shall be zero. 
  

 25 

 “SEC” means the United States Securities and Exchange Commission and any successor
thereto. 
 “Securities Account” means a “securities account” as that term is defined in the Code. 
 “Seller Notes” shall mean those promissory notes delivered by Parent or a Borrower in connection with the closing of an acquisition
pursuant to a Purchase Agreement. 
 “Solvent” means, with respect to any Person on a particular date, that, at fair
valuations, the sum of such Person’s assets is greater than all of such Person’s debts. 
 “Stock” means all
shares, options, warrants, interests, participations, or other equivalents (regardless of how designated) of or in a Person, whether voting or nonvoting, including common stock, preferred stock, or any other “equity security” (as such term
is defined in Rule 3a11-1 of the General Rules and Regulations promulgated by the SEC under the Exchange Act). 
 “Stock
Acquisition” means (a) a Wholly Owned Stock Acquisition, or (b) solely with respect to an acquisition of a Surgery Practice or a Diagnostic Center, the purchase or other acquisition by Parent or its wholly-owned Subsidiaries of at
least (i) 51% of the Stock in the Person which is the owner of such Surgery Practice or Diagnostic Center, or (ii) if such Person is a limited partnership, at least 100% of the general partnership interest in such Person. 
 “Stock Pledge Agreement” means a stock pledge agreement, in form and substance satisfactory to Agent, executed and delivered by each
Borrower and each Guarantor. 
 “Subordination Agreement” means that certain subordination agreement dated contemporaneously
herewith by and between Agent and Subordinated Lenders, which is in form and substance satisfactory to Agent. 
 “Subordinated
Lenders” means Midsummer Investment, Ltd., a Bermuda limited partnership, and Islandia, L.P., a Delaware limited partnership. 
 “Subsidiary” of a Person means a corporation, partnership, limited liability company, or other entity in which that Person directly or indirectly owns or controls the shares of Stock having ordinary voting power to elect a
majority of the board of directors (or appoint other comparable managers) of such corporation, partnership, limited liability company, or other entity. 
 “Supporting Obligation” means a letter-of-credit right or secondary obligation that supports the payment or performance of an Account, chattel paper, document, General Intangible, instrument, or
Investment Property. 
  

 26 

 “Surgery” means PainCare Surgery Centers, Inc., a Florida corporation. 
 “Surgery Practice” means a Person which provides surgical services. 
 “Taxes” has the meaning set forth in Section 16.11. 
 “Term Loan” and “Term Loans” have the respective meanings set forth in Section 2.2. 
 “Term Loan Amount” means $25,000,000. 
 “Term Loan Commitment” means, with respect to each Lender, its Term Loan Commitment, and, with respect to all Lenders, their Term Loan Commitments, in each case as such Dollar amounts are set forth
beside such Lender’s name under the applicable heading on Schedule C-1 or in the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as such amounts may be reduced or increased from time to time pursuant to
assignments made in accordance with the provisions of Section 14.1. 
 “Term Loan Expiration Date” means the
earlier to occur of (a) November 10, 2006, and (b) the date of termination of this Agreement, whether by its terms, by prepayment, or by acceleration. 
 “Total Commitment” means, with respect to each Lender, its Total Commitment, and, with respect to all Lenders, their Total Commitments, in each case as such Dollar amounts are set forth beside such
Lender’s name under the applicable heading on Schedule C-1 attached hereto or on the signature page of the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as such amounts may be reduced or increased
from time to time pursuant to assignments made in accordance with the provisions of Section 14.1. 
 “TTM
EBITDA” means, as of any date of determination with respect to any Person, the EBITDA of such Person and its Subsidiaries for the 12 consecutive month period most recently ended on or prior to such date of determination. 
 “United States” means the United States of America. 
 “Voidable Transfer” has the meaning set forth in Section 17.6. 
 “Wholly Owned Stock Acquisition” means the purchase or other acquisition by Parent or its wholly-owned Subsidiaries of all of the Stock of any other Person. 
 “Yield Maintenance Amount” means, as of any date prior to the first anniversary of the Closing Date, an amount equal to the product of
(a) the greater of (i) $10,000,000 and (ii) the outstanding principal balance of the Term Loan as of such date times (b) a per annum rate for the period between such date and the first anniversary of the Closing Date equal to the
LIBOR Rate as of such date plus the LIBOR Rate Term Loan Margin. 
  

 27 

 1.2 Accounting Terms. All accounting terms not specifically defined herein shall be
construed in accordance with GAAP. When used herein, the term “financial statements” shall include the notes and schedules thereto. Whenever the term “Borrowers” or the term “Parent” is used in respect of a financial
covenant or a related definition, it shall be understood to mean Parent and its Subsidiaries on a consolidated basis unless the context clearly requires otherwise. 
 1.3 Code. Any terms used in this Agreement that are defined in the Code shall be construed and defined as set forth in the Code unless otherwise defined herein, provided, however, that to
the extent that the Code is used to define any term herein and such term is defined differently in different Articles of the Code, the definition of such term contained in Article 9 shall govern. 
 1.4 Construction. Unless the context of this Agreement or any other Loan Document clearly requires otherwise, references to the plural
include the singular, references to the singular include the plural, the terms “includes” and “including” are not limiting, and the term “or” has, except where otherwise indicated, the inclusive meaning represented by
the phrase “and/or.” The words “hereof,” “herein,” “hereby,” “hereunder,” and similar terms in this Agreement or any other Loan Document refer to this Agreement or such other Loan Document, as the
case may be, as a whole and not to any particular provision of this Agreement or such other Loan Document, as the case may be. Section, subsection, clause, schedule, and exhibit references herein are to this Agreement unless otherwise specified. Any
reference in this Agreement or in the other Loan Documents to any agreement, instrument, or document shall include all alterations, amendments, changes, extensions, modifications, renewals, replacements, substitutions, joinders, and supplements,
thereto and thereof, as applicable (subject to any restrictions on such alterations, amendments, changes, extensions, modifications, renewals, replacements, substitutions, joinders, and supplements set forth herein). Any reference herein to the
satisfaction or repayment in full of the Obligations shall mean the repayment in full in cash of all Obligations. Any reference herein to any Person shall be construed to include such Person’s successors and assigns. Any requirement of a
writing contained herein or in the other Loan Documents shall be satisfied by the transmission of a Record and any Record transmitted shall constitute a representation and warranty as to the accuracy and completeness of the information contained
therein. 
 1.5 Schedules and Exhibits. All of the schedules and exhibits attached to this Agreement shall be deemed
incorporated herein by reference. 
  

	2.	LOAN AND TERMS OF PAYMENT. 

 2.1 [Intentionally
Omitted] 
 2.2 Term Loans. Subject to the terms and conditions of this Agreement, each Lender with a Term Loan Commitment
agrees (severally, not jointly or jointly and severally) to make term loans (each a “Term Loan” and collectively, the “Term Loans”) to Borrowers from time to time from the Closing Date until the Term Loan Expiration
Date, or until the earlier reduction of its Term Loan Commitment to zero in accordance with the terms hereof, 
  

 28 

 in an aggregate principal amount not to exceed the unused portion of such Lender’s Term Loan Commitment. The
aggregate principal amount of the Term Loans (based on initial principal amount) shall not exceed the Term Loan Amount. The Term Loan Commitment of each Lender shall (x) automatically and permanently be reduced to the extent that such Lender
makes a Term Loan to Borrowers, and (y) automatically and permanently be reduced to zero on the Term Loan Expiration Date. Each Term Loan requested by Borrowers pursuant to this Section 2.2 shall be in a minimum amount of
$2,500,000. Any principal amount of the Term Loans that is repaid or prepaid may not be reborrowed. The outstanding principal of the Term Loans shall be repayable by the Borrowers in consecutive quarterly installments, on the first day of each
April, July, October and January, commencing on April 1, 2006 and ending on the Maturity Date (or if earlier than the Maturity Date, the date that the Term Loans have been repaid in full) consisting of (i) during the period from
April 1, 2006 to January 1, 2007, quarterly payments of $625,000, (ii) during the period from April 1, 2007 to January 1, 2008, quarterly payments of $1,250,000, and (iii) during the period from April 1, 2008 to
the Maturity Date, equal quarterly payments which, in the aggregate, equal the remaining outstanding principal balance of the Term Loans; provided, that the last such installment shall be in the amount necessary to repay in full the unpaid principal
amount of the Term Loans; provided, further, for the avoidance of doubt, no installment shall be due during any period where the outstanding principal amount of the Term Loans has been repaid in full. The outstanding unpaid principal balance and all
accrued and unpaid interest under the Term Loans shall be due and payable on the date of termination of this Agreement, whether by its terms, by prepayment, or by acceleration. All amounts outstanding under the Term Loans shall constitute
Obligations. 
  

	 	2.3	Borrowing Procedures and Settlements. 

 (a)
Procedure for Borrowing. Each Borrowing shall be made by an irrevocable written request by an Authorized Person delivered to Agent. Such notice must be received by Agent no later than 11:00 a.m. (Texas time) on the Business Day that is three
(3) Business Days prior to the requested Funding Date specifying (i) the amount of such Borrowing, and (ii) the requested Funding Date, which shall be a Business Day. At Agent’s election, in lieu of delivering the above-described
written request, any Authorized Person may give Agent telephonic notice of such request by the required time. In such circumstances, Borrowers agree that any such telephonic notice will be confirmed in writing within 24 hours of the giving of such
telephonic notice, but the failure to provide such written confirmation shall not affect the validity of the request. 
 (b)
[Intentionally Omitted] 
 (c) Making of Loans. 
 (i) Promptly after receipt of a request for a Borrowing pursuant to Section 2.3(a), Agent shall notify the Lenders, not later than 2:00 p.m. (Texas time) on the Business Day that is three (3) Business
Days prior to the Funding Date applicable thereto, by telecopy, telephone, or other similar form of transmission, of the requested Borrowing. Each 
  

 29 

 Lender shall make the amount of such Lender’s Pro Rata Share of the requested Borrowing available to Agent in
immediately available funds, to Agent’s Account, not later than 10:00 a.m. (Texas time) on the Funding Date applicable thereto. After Agent’s receipt of the proceeds of such Borrowing, Agent shall make the proceeds thereof available to
Administrative Borrower on the applicable Funding Date by transferring immediately available funds equal to such proceeds received by Agent to Administrative Borrower’s Designated Account; provided, however, that, subject to the
provisions of Section 2.3(i), Agent shall not request any Lender to make, and no Lender shall have the obligation to make, any Term Loan if Agent shall have actual knowledge that (1) one or more of the applicable conditions
precedent set forth in Section 3 will not be satisfied on the requested Funding Date for the applicable Borrowing unless such condition has been waived, or (2) the requested Borrowing would exceed the unused portion of the Term Loan
Commitments. 
 (ii) Unless Agent receives notice from a Lender prior to 5:00 p.m. (Texas time) on the Business Day immediately preceding
the Funding Date with respect to such Borrowing, that such Lender will not make available as and when required hereunder to Agent for the account of Administrative Borrower the amount of that Lender’s Pro Rata Share of the Borrowing, Agent may
assume that each Lender has made or will make such amount available to Agent in immediately available funds on the Funding Date. If and to the extent any Lender shall not have made its full amount available to Agent in immediately available funds,
Agent shall not be obligated to make such amount available to Borrowers. The failure of any Lender to make any Term Loan on any Funding Date shall not relieve any other Lender of any obligation hereunder to make its Term Loan on such Funding Date,
but no Lender shall be responsible for the failure of any other Lender to make the its Term Loan to be made by such other Lender on any Funding Date. 
 (iii) Agent shall not be obligated to transfer to a Defaulting Lender any payments made by Borrowers to Agent for the Defaulting Lender’s benefit, and, in the absence of such transfer to the Defaulting Lender,
Agent shall transfer any such payments to each other non-Defaulting Lender member of the Lender Group ratably in accordance with their Commitments (but only to the extent that such Defaulting Lender’s Term Loan was funded by the other members
of the Lender Group) or, if so directed by Administrative Borrower and if no Default or Event of Default had occurred and is continuing (and to the extent such Defaulting Lender’s Term Loan was not funded by the Lender Group), retain same to be
re-advanced to Borrower as if such Defaulting Lender had made such Term Loan to Borrowers. Subject to the foregoing, Agent may hold and, in its Permitted Discretion, re-lend to Borrowers for the account of such Defaulting Lender the amount of all
such payments received and retained by Agent for the account of such Defaulting Lender. Solely for the purposes of voting or consenting to matters with respect to the Loan Documents, such Defaulting Lender shall be deemed not to be a
“Lender” and such Lender’s Commitment shall be deemed to be zero. This Section shall remain effective with respect to such Lender until (x) the Obligations under this Agreement shall have been declared or shall have become
immediately due and payable, (y) the non-Defaulting Lenders, Agent, and Administrative Borrower shall have waived such Defaulting Lender’s default in writing, or (z) the Defaulting Lender makes its Pro Rata Share of the applicable
Term Loan and pays to Agent 
  

 30 

 all amounts owing by Defaulting Lender in respect thereof. The operation of this Section shall not be construed to
increase or otherwise affect the Commitment of any Lender, to relieve or excuse the performance by such Defaulting Lender or any other Lender of its duties and obligations hereunder, or to relieve or excuse the performance by Borrowers of their
duties and obligations hereunder to Agent or to the Lenders other than such Defaulting Lender. Any such failure to fund by any Defaulting Lender shall constitute a material breach by such Defaulting Lender of this Agreement and shall entitle
Administrative Borrower at its option, upon written notice to Agent, to arrange for a substitute Lender to assume the Commitment of such Defaulting Lender, such substitute Lender to be acceptable to Agent. In connection with the arrangement of such
a substitute Lender, the Defaulting Lender shall have no right to refuse to be replaced hereunder, and agrees to execute and deliver a completed form of Assignment and Acceptance in favor of the substitute Lender (and agrees that it shall be deemed
to have executed and delivered such document if it fails to do so) subject only to being repaid its share of the outstanding Obligations without any premium or penalty of any kind whatsoever; provided, however, that any such assumption of the
Commitment of such Defaulting Lender shall not be deemed to constitute a waiver of any of the Lender Groups’ or Borrowers’ rights or remedies against any such Defaulting Lender arising out of or in relation to such failure to fund.

 (d) [Intentionally Omitted] 
 (e) Agent Advances. 
 (i) Agent hereby is authorized by Borrowers and the Lenders, from time to time in Agent’s sole
discretion, (1) after the occurrence and during the continuance of a Default or an Event of Default, or (2) at any time that any of the other applicable conditions precedent set forth in Section 3 have not been satisfied, to
make additional term loans to Borrowers on behalf of the Lenders that Agent, in its Permitted Discretion deems necessary or desirable (A) to preserve or protect the Collateral, or any portion thereof, (B) to enhance the likelihood of
repayment of the Obligations, or (C) to pay any other amount chargeable to Borrowers pursuant to the terms of this Agreement, including Lender Group Expenses and the costs, fees, and expenses described in Section 10 (any of the term
loans described in this Section 2.3(e) shall be referred to as “Agent Advances”). Each Agent Advance shall be deemed to be a portion of the Term Loans hereunder, except that (without the prior written consent of Agent)
no such Agent Advance shall be eligible to be a LIBOR Rate Loan and all payments thereon shall be payable to Agent solely for its own account. 
 (ii) The Agent Advances shall be repayable on demand, secured by the Agent’s Liens granted to Agent under the Loan Documents, constitute Obligations hereunder, and bear interest at the rate applicable from time to time to portions of
the Term Loans that are Base Rate Loans. 
 (f) [Intentionally Omitted] 
 (g) Notation. Agent shall record on its books the principal amount of the Term Loans owing to each Lender, including Agent Advances owing to
Agent, and the 
  

 31 

 interests therein of each Lender, from time to time and such records shall, absent manifest error, conclusively be
presumed to be correct and accurate. In addition, each Lender is authorized, at such Lender’s option, to note the date and amount of each payment or prepayment of principal of such Lender’s Term Loans in its books and records, including
computer records. 
 (h) Lenders’ Failure to Perform. All Term Loans (other than Agent Advances) shall be made by the Lenders
contemporaneously and in accordance with their Pro Rata Shares. It is understood that (i) no Lender shall be responsible for any failure by any other Lender to perform its obligation to make any Term Loan (or other extension of credit)
hereunder, nor shall any Commitment of any Lender be increased or decreased as a result of any failure by any other Lender to perform its obligations hereunder, and (ii) no failure by any Lender to perform its obligations hereunder shall excuse
any other Lender from its obligations hereunder. 
  

	 	2.4	Payments. 

 (a) Payments by Borrowers.

 (i) (i) Except as otherwise expressly provided herein, all payments by Borrower shall be made to Agent’s Account for the
account of the Lender Group and shall be made in immediately available funds, no later than 2:00 p.m. (Texas time) on the date specified herein. Any payment received by Agent later than 2:00 p.m. (Texas time) shall be deemed to have been received on
the following Business Day and any applicable interest or fee shall continue to accrue until such following Business Day. 
 (ii) Unless
Agent receives notice from Administrative Borrower prior to the date on which any payment is due to the Lenders that Borrowers will not make such payment in full as and when required, Agent may assume that Borrowers have made (or will make) such
payment in full to Agent on such date in immediately available funds and Agent may (but shall not be so required), in reliance upon such assumption, distribute to each Lender on such due date an amount equal to the amount then due such Lender. If
and to the extent Borrowers do not make such payment in full to Agent on the date when due, each Lender severally shall repay to Agent on demand such amount distributed to such Lender, together with interest thereon at the Defaulting Lender Rate for
each day from the date such amount is distributed to such Lender until the date repaid. 
 (b) Apportionment and Application.

 (i) Except as otherwise provided with respect to Defaulting Lenders and except as otherwise provided in the Loan Documents (including
agreements between Agent and individual Lenders), aggregate principal and interest payments shall be apportioned ratably among the Lenders (according to the unpaid principal balance of the Obligations to which such payments relate held by each
Lender) and payments of fees and expenses (other than fees or expenses that are for Agent’s separate account, after giving effect to any agreements between Agent and individual Lenders) shall be apportioned ratably 
  

 32 

 among the Lenders having a Pro Rata Share of the type of Commitment or Obligation to which a particular fee relates. All
payments shall be remitted to Agent and all such payments, and all proceeds of Collateral received by Agent, shall be applied as follows: 
 (A) first, to pay any Lender Group Expenses then due to Agent under the Loan Documents, until paid in full, 
 (B)
second, to pay any Lender Group Expenses then due to the Lenders under the Loan Documents, on a ratable basis, until paid in full, 
 (C) third, to pay any fees then due to Agent (for its separate accounts, after giving effect to any agreements between Agent and individual Lenders) under the Loan Documents until paid in full, 
 (D) fourth, to pay any fees then due to any or all of the Lenders (after giving effect to any agreements between Agent and individual Lenders)
under the Loan Documents, on a ratable basis, until paid in full, 
 (E) fifth, to pay interest due in respect of all Agent Advances,
until paid in full, 
 (F) sixth, ratably to pay interest due in respect of the Term Loans (other than portions of the Term Loans
consisting of Agent Advances) until paid in full, 
 (G) seventh, to pay the principal of all Agent Advances until paid in full,

 (H) eighth, ratably to pay all principal amounts then due and payable (other than as a result of an acceleration thereof) with
respect to the Term Loans until paid in full, 
 (I) ninth, if an Event of Default has occurred and is continuing, to pay the
outstanding principal balance of the Term Loans (in the inverse order of the maturity of the installments due thereunder) until the Term Loans are paid in full, 
 (J) tenth, if an Event of Default has occurred and is continuing, to pay any other Obligations, and 
 (K) eleventh, to Borrowers (to be wired to the Designated Account) or such other Person entitled thereto under applicable law. 
 (ii) Agent promptly shall distribute to each Lender, pursuant to the applicable wire instructions received from each Lender in writing, such funds as it may be entitled to receive. 
  

 33 

 (iii) In each instance, so long as no Event of Default has occurred and is continuing, this
Section 2.4(b) shall not apply to any payment made by Borrowers to Agent and specified by Borrowers to be for the payment of specific Obligations then due and payable (or prepayable) under any provision of this Agreement. 
 (iv) For purposes of the foregoing, “paid in full” means payment of all amounts owing under the Loan Documents according to the terms thereof,
including loan fees, service fees, professional fees, interest (and specifically including interest accrued after the commencement of any Insolvency Proceeding), default interest, interest on interest, and expense reimbursements, whether or not any
of the foregoing would be or is allowed or disallowed in whole or in part in any Insolvency Proceeding. 
 (v) In the event of a direct
conflict between the priority provisions of this Section 2.4 and other provisions contained in any other Loan Document, it is the intention of the parties hereto that such priority provisions in such documents shall be read together and
construed, to the fullest extent possible, to be in concert with each other. In the event of any actual, irreconcilable conflict that cannot be resolved as aforesaid, the terms and provisions of this Section 2.4 shall control and govern.

  

	 	(c)	Mandatory Prepayments. 

 (i) Immediately upon any
sale or disposition by Parent or any of its Subsidiaries of property or assets (other than sales or dispositions which qualify as Permitted Dispositions under clauses (b) and (c) of the definition of Permitted Dispositions), Borrowers
shall prepay the Term Loans in an amount equal to 100% of the Net Cash Proceeds received by such Person in connection with such sales or dispositions. Nothing contained in this subclause (ii) shall permit Parent or any of its
Subsidiaries to sell or otherwise dispose of any property or assets other than in accordance with Section 7.4. 
 (ii)
Immediately upon the receipt by Parent or any of its Subsidiaries of any Extraordinary Receipts, Borrowers shall prepay the Term Loans in an amount equal to 100% of such Extraordinary Receipts, net of any reasonable expenses incurred in collecting
such Extraordinary Receipts. 
 (iii) Immediately upon (A) the issuance or incurrence by Parent or any of its Subsidiaries of any
Indebtedness (other than Indebtedness permitted to be incurred pursuant to Section 7.1), or (B) the sale or issuance by Borrower or any of its Subsidiaries of any shares of its Stock, Borrower shall prepay the Term Loans in an
amount equal to 100% of the Net Cash Proceeds received by Parent or its Subsidiaries in connection with such sale, issuance, or incurrence. The provisions of this subsection (iv) shall not be deemed to be implied consent to any such
sale, issuance, or incurrence otherwise prohibited by the terms and conditions of this Agreement. 
 (iv) Each prepayment of the Term Loans
pursuant to Section 2.4(c) shall be accompanied by the payment of interest accrued to the date of such prepayment on the amount prepaid, and shall be applied against the remaining installments of principal of the Term Loans in the
inverse order of maturity. 
  

 34 

	 	2.5	[Intentionally Omitted].  

  

	 	2.6	Interest Rates: Rates, Payments, and Calculations. 

 (a) Interest Rates. Except as provided in clause (c) below, all Obligations that have been charged to the Loan Account pursuant to the terms hereof shall bear interest on the Daily Balance thereof as follows (i) if the
relevant Obligation is a portion of the Term Loans that is a LIBOR Rate Loan, at a per annum rate equal to the LIBOR Rate plus the LIBOR Rate Term Loan Margin and (ii) if the relevant Obligation is a portion of the Term Loans that is a Base
Rate Loan, at a per annum rate equal to the Base Rate plus the Base Rate Term Loan Margin. 
 (b) [Intentionally Omitted] 

(c) Default Rate. Upon the occurrence and during the continuation of an Event of Default (and at the election of Agent or the Required
Lenders), all Obligations that have been charged to the Loan Account pursuant to the terms hereof shall bear interest on the Daily Balance thereof at a per annum rate equal to 3 percentage points above the per annum rate otherwise applicable
hereunder. 
 (d) Payment. Except as provided to the contrary in Section 2.11, interest, and all other fees payable
hereunder shall be due and payable, in arrears, on the first day of each month at any time that Obligations or Commitments are outstanding. Borrowers hereby authorize Agent, from time to time, without prior notice to Borrowers, to charge all
interest and fees (when due and payable), all Lender Group Expenses (as and when incurred), all fees and costs provided for in Section 2.11 (as and when accrued or incurred), and all other payments as and when due and payable under any
Loan Document (including the amounts due and payable with respect to the Term Loans) to Borrowers’ Loan Account, which amounts thereafter shall constitute Term Loans hereunder and shall accrue interest at the rate then applicable to the Term
Loans hereunder. Any interest not paid when due shall be compounded by being charged to Borrowers’ Loan Account and shall thereafter accrue interest at the rate then applicable to the Term Loans that are Base Rate Loans hereunder. 

(e) Computation. All interest and fees chargeable under the Loan Documents shall be computed on the basis of a 360 day year for the actual
number of days elapsed. In the event the Base Rate is changed from time to time hereafter, the rates of interest hereunder based upon the Base Rate automatically and immediately shall be increased or decreased by an amount equal to such change in
the Base Rate. 
 (f) Intent to Limit Charges to Maximum Lawful Rate. In no event shall the interest rate or rates payable under this
Agreement, plus any other amounts paid in connection herewith, exceed the highest rate permissible under any law that a court of competent jurisdiction shall, in a final determination, deem applicable. Borrowers and the 
  

 35 

 Lender Group, in executing and delivering this Agreement, intend legally to agree upon the rate or rates of interest and
manner of payment stated within it; provided, however, that, anything contained herein to the contrary notwithstanding, if said rate or rates of interest or manner of payment exceeds the maximum allowable under applicable law, then,
ipso facto, as of the date of this Agreement, Borrowers are and shall be liable only for the payment of such maximum as allowed by law, and payment received from Borrowers in excess of such legal maximum, whenever received, shall be applied
to reduce the principal balance of the Obligations to the extent of such excess. 
  

	 	2.7	Cash Management. 

 (a) Administrative
Borrower shall establish and maintain cash management services of a type and on terms satisfactory to Agent at one or more of the banks set forth on Schedule 2.7(a) (each, a “Cash Management Bank”), and deposit or cause to be
deposited promptly, and in any event no later than the first Business Day after the date of receipt thereof, all Collections received by Administrative Borrower into a bank account in Administrative Borrower’s name (a “Cash Management
Account”) at one of the Cash Management Banks. 
 (b) Each Cash Management Bank shall establish and maintain Cash Management
Agreements with Agent and Borrower, in form and substance acceptable to Agent. Each such Cash Management Agreement shall provide, among other things, that (i) all items of payment deposited in such Cash Management Account and proceeds thereof
are held by such Cash Management Bank as agent or bailee-in-possession for Lender, (ii) the Cash Management Bank has no rights of setoff or recoupment or any other claim against the applicable Cash Management Account other than for payment of
its service fees and other charges directly related to the administration of such Cash Management Account and for returned checks or other items of payment, and (iii) from and after the giving of notice by Agent to the Cash Management Bank, the
Cash Management Bank shall immediately comply with any instructions originated by Agent directing the disposition of the funds in the Cash Management Account without further consent of Parent or any of its Subsidiaries. Agent agrees that it will not
give such notice to the Cash Management Bank unless an Event of Default has occurred and is continuing. Except as set forth in Section 2.7(c), no arrangement contemplated by this Section 2.7 shall be modified without the
prior written consent of Agent. Upon the occurrence and during the continuance of an Event of Default, Agent may elect to notify the Cash Management Bank (without notice to any Borrower, to any Guarantor or to any other Person) to remit all amounts
received in the Cash Management Account to the Agent’s Account. 
 (c) At any time that the balance in any Deposit Account or
Securities Account of Parent or any of its Subsidiaries (other a Deposit Account or Securities Account that is subject to a Control Agreement) exceeds the amount set forth on Schedule 2.7(c) with respect to such Subsidiary of Parent,
Administrative Borrower shall immediately (i) transfer or cause to be transferred into the Cash Management Account all such excess amounts in 
  

 36 

 such Deposit Account or Securities Account, or (ii) deliver a Control Agreement to Agent with respect to such
Deposit Account or Securities Account. 
 (d) So long as no Default or Event of Default has occurred and is continuing, Administrative
Borrower may amend Schedule 2.7(a) to add or replace a Cash Management Bank or Cash Management Account; provided, however, that (i) such prospective Cash Management Bank shall be reasonably satisfactory to Agent, and
(ii) prior to the time of the opening of such Cash Management Account, Parent (or its Subsidiary, as applicable) and such prospective Cash Management Bank shall have executed and delivered to Agent a Cash Management Agreement. Parent (or its
Subsidiaries, as applicable) shall close any of its Cash Management Accounts (and establish replacement cash management accounts in accordance with the foregoing sentence) promptly and in any event within 30 days of notice from Agent that the
creditworthiness of any Cash Management Bank is no longer acceptable in Agent’s reasonable judgment, or as promptly as practicable and in any event within 60 days of notice from Agent that the operating performance, funds transfer, or
availability procedures or performance of the Cash Management Bank with respect to Cash Management Accounts or Agent’s liability under any Cash Management Agreement with such Cash Management Bank is no longer acceptable in Agent’s
reasonable judgment. 
 (e) The Cash Management Accounts shall be cash collateral accounts subject to a Control Agreement, with all cash,
checks and similar items of payment in such accounts securing payment of the Obligations, and in which each Borrower hereby grants a Lien to Agent. 
 2.8 Crediting Payments. The receipt of any payment item by Agent (whether from transfers to Agent by the Cash Management Banks pursuant to the Cash Management Agreements or otherwise) shall not be considered a payment on
account unless such payment item is a wire transfer of immediately available federal funds made to the Agent’s Account or unless and until such payment item is honored when presented for payment. Should any payment item not be honored when
presented for payment, then Borrowers shall be deemed not to have made such payment and interest shall be calculated accordingly. Anything to the contrary contained herein notwithstanding, any payment item shall be deemed received by Agent only if
it is received into the Agent’s Account on a Business Day on or before 11:00 a.m. (Texas time). If any payment item is received into the Agent’s Account on a non-Business Day or after 11:00 a.m. (Texas time) on a Business Day, it shall be
deemed to have been received by Agent as of the opening of business on the immediately following Business Day. 
 2.9 Designated
Account. Agent is authorized to make the Term Loans under this Agreement based upon telephonic or other instructions received from anyone purporting to be an Authorized Person or, without instructions, if pursuant to
Section 2.6(d). Administrative Borrower agrees to establish and maintain the Designated Account with the Designated Account Bank for the purpose of receiving the proceeds of the Term Loans requested by Borrowers and made by Agent or the
Lenders hereunder. Unless otherwise agreed by Agent and Administrative Borrower, any Agent Advance or the Term Loans requested by Borrowers and made by Agent or the Lenders hereunder shall be made to the Designated Account. 
  

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 2.10 Maintenance of Loan Account; Statements of Obligations. Agent shall maintain an
account on its books in the name of Borrowers (the “Loan Account”) on which Borrowers will be charged with the Term Loans (including Agent Advances) made by Agent or the Lenders to Borrowers or for Borrowers’ account and with
all other payment Obligations hereunder or under the other Loan Documents, including, accrued interest, fees and expenses, and Lender Group Expenses. In accordance with Section 2.8, the Loan Account will be credited with all payments
received by Agent from Borrowers or for Borrowers’ account, including all amounts received in the Agent’s Account from any Cash Management Bank. Agent shall render statements regarding the Loan Account to Administrative Borrower, including
principal, interest, fees, and including an itemization of all charges and expenses constituting Lender Group Expenses owing, and such statements, absent manifest error, shall be conclusively presumed to be correct and accurate and constitute an
account stated between Borrowers and the Lender Group unless, within 30 days after receipt thereof by Administrative Borrower, Administrative Borrower shall deliver to Agent written objection thereto describing the error or errors contained in any
such statements. 
 2.11 Fees. Borrowers shall pay to Agent the following fees and charges, which fees and charges shall be
non-refundable when paid (irrespective of whether this Agreement is terminated thereafter) and shall be apportioned among the Lenders in accordance with the terms of agreements between Agent and individual Lenders: 
 (a) Fee Letter Fees. As and when due and payable under the terms of the Fee Letter, the fees set forth in the Fee Letter, and 
 (b) Audit, Appraisal, and Valuation Charges. Audit, appraisal, and valuation fees and charges as follows (i) a fee of $850 per day, per
auditor, plus out-of-pocket expenses for each financial audit of a Borrower performed by personnel employed by Agent, (ii) if implemented, a fee of $850 per day, per applicable individual, plus out of pocket expenses for the establishment of
electronic collateral reporting systems, (iii) a fee of $1,500 per day per appraiser, plus out-of-pocket expenses, for each appraisal of the Collateral, or any portion thereof, performed by personnel employed by Agent, and (iv) the actual
charges paid or incurred by Agent if it elects to employ the services of one or more third Persons to perform financial audits of Borrowers or their Subsidiaries, to establish electronic collateral reporting systems, to appraise the Collateral, or
any portion thereof, or to assess Borrowers’ and their Subsidiaries’ business valuation; provided, however, that so long as no Default or Event of Default has occurred and is continuing, Borrowers shall not be required to
reimburse Agent for more than two (2) such financial audits or appraisals and two (2) such business valuations during any fiscal year of Parent. 
  

	 	2.12	[Intentionally Omitted] 

  

	 	2.13	LIBOR Option. 

  

 38 

 (a) Interest and Interest Payment Dates. In lieu of having interest charged at the rate based upon
the Base Rate, Borrowers shall have the option (the “LIBOR Option”) to have interest on all or a portion of the Term Loans be charged at a rate of interest based upon the LIBOR Rate. Interest on LIBOR Rate Loans shall be payable in
accordance with Section 2.6(d). On the last day of each applicable Interest Period, unless Administrative Borrower properly has exercised the LIBOR Option with respect thereto, the interest rate applicable to such LIBOR Rate Loan
automatically shall convert to the rate of interest then applicable to Base Rate Loans of the same type hereunder. At any time that an Event of Default has occurred and is continuing, Borrowers no longer shall have the option to request that the
Term Loans bear interest at a rate based upon the LIBOR Rate and Agent shall have the right to convert the interest rate on all outstanding LIBOR Rate Loans to the rate then applicable to Base Rate Loans hereunder. 
 (b) LIBOR Election. 
 (i)
Administrative Borrower may, at any time and from time to time, so long as no Event of Default has occurred and is continuing, elect to exercise the LIBOR Option by notifying Agent prior to 11:00 a.m. (Texas time) at least 3 Business Days prior to
the commencement of the proposed Interest Period (the “LIBOR Deadline”). Notice of Administrative Borrower’s election of the LIBOR Option for a permitted portion of the Term Loans and an Interest Period pursuant to this Section
shall be made by delivery to Agent of a LIBOR Notice received by Agent before the LIBOR Deadline, or by telephonic notice received by Agent before the LIBOR Deadline (to be confirmed by delivery to Agent of a LIBOR Notice received by Agent prior to
5:00 p.m. (Texas time) on the same day). Promptly upon its receipt of each such LIBOR Notice, Agent shall provide a copy thereof to each of the Lenders. 
 (ii) Each LIBOR Notice shall be irrevocable and binding on Borrowers. In connection with each LIBOR Rate Loan, each Borrower shall indemnify, defend, and hold Agent and the Lenders harmless against any loss, cost, or
expense incurred by Agent or any Lender as a result of (a) the payment of any principal of any LIBOR Rate Loan other than on the last day of an Interest Period applicable thereto (including as a result of an Event of Default), (b) the
conversion of any LIBOR Rate Loan other than on the last day of the Interest Period applicable thereto, or (c) the failure to borrow, convert, continue or prepay any LIBOR Rate Loan on the date specified in any LIBOR Notice delivered pursuant
hereto (such losses, costs, and expenses, collectively, “Funding Losses”). Funding Losses shall, with respect to Agent or any Lender, be deemed to equal the amount determined by Agent or such Lender to be the excess, if any, of
(i) the amount of interest that would have accrued on the principal amount of such LIBOR Rate Loan had such event not occurred, at the LIBOR Rate that would have been applicable thereto, for the period from the date of such event to the last
day of the then current Interest Period therefor (or, in the case of a failure to borrow, convert or continue, for the period that would have been the Interest Period therefor), minus (ii) the amount of interest that would accrue on such
principal amount for such period at the interest rate which Agent or such Lender would be offered were it to be offered, at the commencement of such period, Dollar deposits of a comparable amount and 
  

 39 

 period in the London interbank market. A certificate of Agent or a Lender delivered to Administrative Borrower setting
forth any amount or amounts that Agent or such Lender is entitled to receive pursuant to this Section 2.13 shall be conclusive absent manifest error. 
 (iii) Borrowers shall have not more than 5 LIBOR Rate Loans in effect at any given time. Borrowers only may exercise the LIBOR Option for LIBOR Rate Loans of at least $1,000,000 and integral multiples of $500,000 in
excess thereof. 
 (c) Prepayments. Borrowers may prepay LIBOR Rate Loans at any time; provided, however, that in the
event that LIBOR Rate Loans are prepaid on any date that is not the last day of the Interest Period applicable thereto, including as a result of any automatic prepayment through the required application by Agent of proceeds of Borrowers’ and
their Subsidiaries’ Collections in accordance with Section 2.4(b) or for any other reason, including early termination of the term of this Agreement or acceleration of all or any portion of the Obligations pursuant to the terms
hereof, each Borrower shall indemnify, defend, and hold Agent and the Lenders and their Participants harmless against any and all Funding Losses in accordance with clause (b)(ii) above. 
 (d) Special Provisions Applicable to LIBOR Rate. 
 (i) The LIBOR Rate may be adjusted by Agent with respect to any Lender on a prospective basis to take into account any additional or increased costs to such Lender of maintaining or obtaining any eurodollar deposits
or increased costs, in each case, due to changes in applicable law occurring subsequent to the commencement of the then applicable Interest Period, including changes in tax laws (except changes of general applicability in corporate income tax laws)
and changes in the reserve requirements imposed by the Board of Governors of the Federal Reserve System (or any successor), excluding the Reserve Percentage, which additional or increased costs would increase the cost of funding loans bearing
interest at the LIBOR Rate. In any such event, the affected Lender shall give Administrative Borrower and Agent notice of such a determination and adjustment and Agent promptly shall transmit the notice to each other Lender and, upon its receipt of
the notice from the affected Lender, Administrative Borrower may, by notice to such affected Lender (y) require such Lender to furnish to Administrative Borrower a statement setting forth the basis for adjusting such LIBOR Rate and the method
for determining the amount of such adjustment, or (z) repay the LIBOR Rate Loans with respect to which such adjustment is made (together with any amounts due under clause (b)(ii) above). 
 (ii) In the event that any change in market conditions or any law, regulation, treaty, or directive, or any change therein or in the interpretation of
application thereof, shall at any time after the date hereof, in the reasonable opinion of any Lender, make it unlawful or impractical for such Lender to fund or maintain LIBOR Rate Loans or to continue such funding or maintaining, or to determine
or charge interest rates at the LIBOR Rate, such Lender shall give notice of such changed circumstances to Agent and Administrative Borrower and Agent promptly shall transmit the notice to each other Lender and (y) in the case of any LIBOR Rate
Loans of such Lender that are outstanding, the date 
  

 40 

 specified in such Lender’s notice shall be deemed to be the last day of the Interest Period of such LIBOR Rate
Loans, and interest upon the LIBOR Rate Loans of such Lender thereafter shall accrue interest at the rate then applicable to Base Rate Loans, and (z) Borrowers shall not be entitled to elect the LIBOR Option until such Lender determines that it
would no longer be unlawful or impractical to do so. 
 (e) No Requirement of Matched Funding. Anything to the contrary contained
herein notwithstanding, neither Agent, nor any Lender, nor any of their Participants, is required actually to acquire eurodollar deposits to fund or otherwise match fund any Obligation as to which interest accrues at the LIBOR Rate. The provisions
of this Section shall apply as if each Lender or its Participants had match funded any Obligation as to which interest is accruing at the LIBOR Rate by acquiring eurodollar deposits for each Interest Period in the amount of the LIBOR Rate Loans.

 2.14 Capital Requirements. If, after the date hereof, any Lender determines that (i) the adoption of or change in any
law, rule, regulation or guideline regarding capital requirements for banks or bank holding companies, or any change in the interpretation or application thereof by any Governmental Authority charged with the administration thereof, or
(ii) compliance by such Lender or its parent bank holding company with any guideline, request or directive of any such entity regarding capital adequacy (whether or not having the force of law), has the effect of reducing the return on such
Lender’s or such holding company’s capital as a consequence of such Lender’s Commitments hereunder to a level below that which such Lender or such holding company could have achieved but for such adoption, change, or compliance
(taking into consideration such Lender’s or such holding company’s then existing policies with respect to capital adequacy and assuming the full utilization of such entity’s capital) by any amount deemed by such Lender to be material,
then such Lender may notify Administrative Borrower and Agent thereof. Following receipt of such notice, Borrowers agree to pay such Lender on demand the amount of such reduction of return of capital as and when such reduction is determined, payable
within 90 days after presentation by such Lender of a statement in the amount and setting forth in reasonable detail such Lender’s calculation thereof and the assumptions upon which such calculation was based (which statement shall be deemed
true and correct absent manifest error). In determining such amount, such Lender may use any reasonable averaging and attribution methods. The foregoing to the contrary notwithstanding, no Lender shall make any such demand for payment if such demand
is not generally consistent with such Lender’s treatment of similarly situated customers of such Lender whose transactions with such Lender are similarly affected by the change in circumstances giving rise to such demand for payment.

  

	 	2.15	Joint and Several Liability of Borrowers. 

 (a) Each Borrower is accepting joint and several liability hereunder and under the other Loan Documents in consideration of the financial accommodations to be provided by the Lender Group under this Agreement, for the mutual benefit,
directly and indirectly, of each Borrower and in consideration of the undertakings of the other Borrowers to accept joint and several liability for the Obligations. 
  

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 (b) Each Borrower, jointly and severally, hereby irrevocably and unconditionally accepts, not merely as a
surety but also as a co-debtor, joint and several liability with the other Borrowers, with respect to the payment and performance of all of the Obligations (including, without limitation, any Obligations arising under this Section 2.15),
it being the intention of the parties hereto that all the Obligations shall be the joint and several obligations of each Borrower without preferences or distinction among them. 
 (c) If and to the extent that any Borrower shall fail to make any payment with respect to any of the Obligations as and when due or to perform any of the
Obligations in accordance with the terms thereof, then in each such event the other Borrowers will make such payment with respect to, or perform, such Obligation. 
 (d) The Obligations of each Borrower under the provisions of this Section 2.15 constitute the absolute and unconditional, full recourse Obligations of each Borrower enforceable against each Borrower to the
full extent of its properties and assets, irrespective of the validity, regularity or enforceability of this Agreement or any other circumstances whatsoever. 
 (e) Except as otherwise expressly provided in this Agreement, each Borrower hereby waives notice of acceptance of its joint and several liability, notice of any Term Loan issued under or pursuant to this Agreement,
notice of the occurrence of any Default, Event of Default, or of any demand for any payment under this Agreement, notice of any action at any time taken or omitted by Agent or Lenders under or in respect of any of the Obligations, any requirement of
diligence or to mitigate damages and, generally, to the extent permitted by applicable law, all demands, notices and other formalities of every kind in connection with this Agreement (except as otherwise provided in this Agreement). Each Borrower
hereby assents to, and waives notice of, any extension or postponement of the time for the payment of any of the Obligations, the acceptance of any payment of any of the Obligations, the acceptance of any partial payment thereon, any waiver, consent
or other action or acquiescence by Agent or Lenders at any time or times in respect of any default by any Borrower in the performance or satisfaction of any term, covenant, condition or provision of this Agreement, any and all other indulgences
whatsoever by Agent or Lenders in respect of any of the Obligations, and the taking, addition, substitution or release, in whole or in part, at any time or times, of any security for any of the Obligations or the addition, substitution or release,
in whole or in part, of any Borrower. Without limiting the generality of the foregoing, each Borrower assents to any other action or delay in acting or failure to act on the part of any Agent or Lender with respect to the failure by any Borrower to
comply with any of its respective Obligations, including, without limitation, any failure strictly or diligently to assert any right or to pursue any remedy or to comply fully with applicable laws or regulations thereunder, which might, but for the
provisions of this Section 2.15 afford grounds for terminating, discharging or relieving any Borrower, in whole or in part, from any of its Obligations under this Section 2.15, it being the intention of each Borrower that, so
long as any of the Obligations hereunder remain unsatisfied, the Obligations of each Borrower under this Section 2.15 shall not be discharged except by performance and then only to the extent of such performance. The Obligations of each
Borrower under this Section  
  

 42 

 2.15 shall not be diminished or rendered unenforceable by any winding up, reorganization, arrangement,
liquidation, reconstruction or similar proceeding with respect to any Borrower or any Agent or Lender. 
 (f) Each Borrower represents and
warrants to Agent and Lenders that such Borrower is currently informed of the financial condition of Borrowers and of all other circumstances which a diligent inquiry would reveal and which bear upon the risk of nonpayment of the Obligations. Each
Borrower further represents and warrants to Agent and Lenders that such Borrower has read and understands the terms and conditions of the Loan Documents. Each Borrower hereby covenants that such Borrower will continue to keep informed of
Borrowers’ financial condition, the financial condition of other guarantors, if any, and of all other circumstances which bear upon the risk of nonpayment or nonperformance of the Obligations. 
 (g) Each Borrower waives all rights and defenses arising out of an election of remedies by Agent or any Lender, even though that election of remedies,
such as a nonjudicial foreclosure with respect to security for a guaranteed obligation, has destroyed Agent’s or such Lender’s rights of subrogation and reimbursement against such Borrower by the operation of Section 580(d) of the
California Code of Civil Procedure or otherwise: 
 (h) Each Borrower waives all rights and defenses that such Borrower may have because the
Obligations are secured by Real Property. This means, among other things: 
 (i) Agent and Lenders may collect from such Borrower without
first foreclosing on any Collateral pledged by Borrowers. 
 (ii) If Agent or any Lender forecloses on any Real Property pledged by
Borrowers: 
 (A) The amount of the Obligations may be reduced only by the price for which that collateral is sold at the foreclosure sale,
even if the collateral is worth more than the sale price. 
 (B) Agent and Lenders may collect from such Borrower even if Agent or Lenders,
by foreclosing on the Real Property Collateral, has destroyed any right such Borrower may have to collect from the other Borrowers. 
 This is an
unconditional and irrevocable waiver of any rights and defenses such Borrower may have because the Obligations are secured by Real Property. These rights and defenses include, but are not limited to, any rights or defenses based upon
Section 580a, 580b, 580d or 726 of the California Code of Civil Procedure. 
 (i) The provisions of this Section 2.15 are
made for the benefit of Agent, Lenders and their respective successors and assigns, and may be enforced by it or them from time to time against any or all Borrowers as often as occasion therefor may arise and without requirement on the part of any
such Agent, Lender, successor or assign first to marshal any 
  

 43 

 of its or their claims or to exercise any of its or their rights against any Borrower or to exhaust any remedies
available to it or them against any Borrower or to resort to any other source or means of obtaining payment of any of the Obligations hereunder or to elect any other remedy. The provisions of this Section 2.15 shall remain in effect
until all of the Obligations shall have been paid in full or otherwise fully satisfied. If at any time, any payment, or any part thereof, made in respect of any of the Obligations, is rescinded or must otherwise be restored or returned by any Agent
or Lender upon the insolvency, bankruptcy or reorganization of any Borrower, or otherwise, the provisions of this Section 2.15 will forthwith be reinstated in effect, as though such payment had not been made. 
 (j) Each Borrower hereby agrees that it will not enforce any of its rights of contribution or subrogation against any other Borrower with respect to any
liability incurred by it hereunder or under any of the other Loan Documents, any payments made by it to Agent or Lenders with respect to any of the Obligations or any collateral security therefor until such time as all of the Obligations have been
paid in full in cash. Any claim which any Borrower may have against any other Borrower with respect to any payments to any Agent or Lender hereunder or under any other Loan Documents are hereby expressly made subordinate and junior in right of
payment, without limitation as to any increases in the Obligations arising hereunder or thereunder, to the prior payment in full in cash of the Obligations and, in the event of any insolvency, bankruptcy, receivership, liquidation, reorganization or
other similar proceeding under the laws of any jurisdiction relating to any Borrower, its debts or its assets, whether voluntary or involuntary, all such Obligations shall be paid in full in cash before any payment or distribution of any character,
whether in cash, securities or other property, shall be made to any other Borrower therefor. 
 (k) Each Borrower hereby agrees that, after
the occurrence and during the continuance of any Default or Event of Default, the payment of any amounts due with respect to the indebtedness owing by any Borrower to any other Borrower is hereby subordinated to the prior payment in full in cash of
the Obligations. Each Borrower hereby agrees that after the occurrence and during the continuance of any Default or Event of Default, such Borrower will not demand, sue for or otherwise attempt to collect any indebtedness of any other Borrower owing
to such Borrower until the Obligations shall have been paid in full in cash. If, notwithstanding the foregoing sentence, such Borrower shall collect, enforce or receive any amounts in respect of such indebtedness, such amounts shall be collected,
enforced and received by such Borrower as trustee for Agent, and such Borrower shall deliver any such amounts to Agent for application to the Obligations in accordance with Section 2.4(b). 
 2.16 Registration of Notes. Agent, acting solely for this purpose as a non-fiduciary agent for Borrowers, agrees to record each Term Loan
on the Register referred to in Section 14.1(h). Each Term Loan recorded on the Register may not be evidenced by promissory notes other than Registered Notes (as defined below). Upon the registration of each Term Loan, each Borrower
agrees, at the request of any Lender, to execute and deliver to such Lender a promissory note, in conformity with the terms of this Agreement, in registered form to evidence such Registered Loan, in form and substance reasonably 
  

 44 

 satisfactory to such Lender, and registered as provided in Section 14.1(h) (a “Registered
Note”), payable to the order of such Lender and otherwise duly completed. Once recorded on the Register (or comparable register), each Term Loan may not be removed from the Register (or comparable register) so long as it or they remain
outstanding, and a Registered Note may not be exchanged for a promissory note that is not a Registered Note. 
 2.17
Securitization. Each Borrower hereby acknowledges that each Lender with a Term Loan Commitment and each of its Affiliates and Related Funds may sell or securitize the Term Loans (a “Securitization”) through the pledge
of the Term Loans as collateral security for loans to such Lender or its Affiliates or Related Funds or through the sale of the Term Loans or the issuance of direct or indirect interests in the Term Loans, which loans to such Lender or its
Affiliates or Related Funds or direct or indirect interests will be rated by Moody’s, S&P or one or more other rating agencies (the “Rating Agencies”). Borrowers agree to cooperate with such Lenders and their Affiliates and
Related Funds to effect the Securitization by (a) executing such additional documents, as reasonably requested by such Lenders in connection with the Securitization, provided that (i) any such additional documentation does not, in the
aggregate, impose additional costs or liabilities on Borrowers (other than costs or liabilities of a de minimis nature), and (ii) any such additional documentation does not, in the aggregate, adversely affect the rights (other than affects of a
de minimis nature), or increase the obligations, of Borrowers under the Loan Documents (other than increases of a de minimis nature) or change or affect in a manner adverse to Borrowers the financial terms of the Term Loans (other than changes or
affects of a de minimis nature) and (b) providing such written information as may be reasonably requested by such Lenders in connection with the rating of the Term Loans or the Securitization. 
  

	3.	CONDITIONS; TERM OF AGREEMENT. 

 3.1
Conditions Precedent to the Initial Extension of Credit. The obligation of each Lender to make its initial extension of credit provided for hereunder, is subject to the fulfillment, to the satisfaction of Agent and each Lender (the
making of such initial extension of credit by a Lender being conclusively deemed to be its satisfaction or waiver of the following), of each of the following conditions precedent: 
 (a) the Closing Date shall occur on or before May 11, 2005; 
 (b) Agent shall have received a Filing Authorization Letter, duly executed by each Borrower and each Guarantor, together with appropriate financing statements duly filed in such office or offices as may be necessary
or, in the opinion of Agent, desirable to perfect the Agent’s Liens in and to the Collateral, and Agent shall have received searches reflecting the filing of all such financing statements; 
 (c) Agent shall have received each of the following documents, in form and substance satisfactory to Agent, duly executed, and each such document shall
be in full force and effect: 
 (i) the Canadian Guarantor Security Agreement, 
  

 45 

 (ii) the Canadian Guaranty, 
 (iii) the Cash Management Agreements, 
 (iv) the Disbursement Letter, 
 (v) the Fee Letter, 
 (vi) the Guarantor Security Agreement, 
 (vii) the Guaranty, 
 (viii) the Intercompany Subordination Agreement, 
 (ix) the Pay-Off Letters, together with termination statements and other documentation evidencing the termination by Existing Lenders of their Liens in
and to the properties and assets of Borrowers and their Subsidiaries, 
 (x) the Stock Pledge Agreement, together with all certificates
representing the shares of Stock pledged thereunder, as well as Stock powers with respect thereto endorsed in blank, 
 (xi) the
Subordination Agreement, and 
 (d) Agent shall have received a certificate from the Secretary of each Borrower (i) attesting to the
resolutions of such Borrower’s Board of Directors authorizing its execution, delivery, and performance of this Agreement and the other Loan Documents to which such Borrower is a party, (ii) authorizing specific officers of such Borrower to
execute the same, and (iii) attesting to the incumbency and signatures of such specific officers of such Borrower; 
 (e) Agent shall
have received copies of each Borrower’s Governing Documents, as amended, modified, or supplemented to the Closing Date, certified by the Secretary of such Borrower; 
 (f) Agent shall have received a certificate of status with respect to each Borrower, dated within 10 days of the Closing Date, such certificate to be issued by the appropriate officer of the jurisdiction of
organization of such Borrower, which certificate shall indicate that such Borrower is in good standing in such jurisdiction; 
 (g) Agent
shall have received certificates of status with respect to each Borrower, each dated within 30 days of the Closing Date, such certificates to be issued by the appropriate officer of the jurisdictions (other than the jurisdiction of organization of
such Borrower) in which its failure to be duly qualified or licensed would constitute a Material Adverse Change, which certificates shall indicate that such Borrower is in good standing in such jurisdictions; 
  

 46 

 (h) Agent shall have received a certificate from the Secretary of each Guarantor (i) attesting to
the resolutions of such Guarantor’s board of directors authorizing its execution, delivery, and performance of the Loan Documents to which such Guarantor is a party, (ii) authorizing specific officers of such Guarantor to execute the same,
and (iii) attesting to the incumbency and signatures of such specific officers of such Guarantor; 
 (i) Agent shall have received
copies of each Guarantor’s Governing Documents, as amended, modified, or supplemented to the Closing Date, certified by the Secretary of such Guarantor; 
 (j) Agent shall have received a certificate of status with respect to each Guarantor, dated within 10 days of the Closing Date, such certificate to be issued by the appropriate officer of the jurisdiction of
organization of such Guarantor, which certificate shall indicate that such Guarantor is in good standing in such jurisdiction; 
 (k) Agent
shall have received certificates of status with respect to each Guarantor, each dated within 30 days of the Closing Date, such certificates to be issued by the appropriate officer of the jurisdictions (other than the jurisdiction of organization of
such Guarantor) in which its failure to be duly qualified or licensed would constitute a Material Adverse Change, which certificates shall indicate that such Guarantor is in good standing in such jurisdictions; 
 (l) [Intentionally Omitted] 
 (m)
[Intentionally Omitted] 
 (n) Agent shall have received opinions of Borrowers’ counsel in form and substance satisfactory to Agent;

 (o) Agent shall have received satisfactory evidence (including a certificate of the chief financial officer of Parent) that all tax
returns required to be filed by Borrowers and their Subsidiaries have been timely filed (or if not filed, extensions for such tax returns have been filed) and all taxes upon Borrowers and their Subsidiaries or their properties, assets, income, and
franchises (including Real Property taxes, sales taxes, and payroll taxes) have been paid prior to delinquency, except such taxes that are the subject of a Permitted Protest; 
 (p) Borrowers shall have the Required Liquidity after the payment of all fees and expenses required to be paid by Borrowers on the Closing Date under
this Agreement or the other Loan Documents, and after giving effect to the payments and transactions contemplated by this Agreement; 
 (q)
Agent shall have completed its business, legal, and collateral due diligence, the results of which shall be satisfactory to Agent; 
  

 47 

 (r) Agent shall have received completed reference checks with respect to Borrowers’ senior
management, the results of which are satisfactory to Agent in its sole discretion; 
 (s) Agent shall have received Borrowers’ Closing
Date Business Plan; 
 (t) Borrowers shall have paid all Lender Group Expenses incurred in connection with the transactions evidenced by this
Agreement; 
 (u) Agent shall have received copies of each of the Acquisition Documents, the Management Agreements, the Employment
Agreements, and the Indebtedness Documents, together with a certificate of the Secretary of Parent certifying each such document as being a true, correct, and complete copy thereof; 
 (v) Borrowers and each of their Subsidiaries shall have received all licenses, approvals or evidence of other actions required by any Governmental
Authority in connection with the execution and delivery by Borrowers or their Subsidiaries of the Loan Document or with the consummation of the transactions contemplated thereby; and 
 (w) all other documents and legal matters in connection with the transactions contemplated by this Agreement shall have been delivered, executed, or
recorded and shall be in form and substance satisfactory to Agent. 
 3.2 Conditions Subsequent to the Initial Extension of Credit.
The obligation of the Lender Group (or any member thereof) to continue to make the Term Loans (or otherwise extend credit hereunder) is subject to the fulfillment, on or before the date applicable thereto, of each of the conditions subsequent
set forth below (the failure by Borrowers to so perform or cause to be performed constituting an Event of Default): 
 (a) within 10 days of
the Closing Date, deliver to Agent opinions of counsel to Parent and its Subsidiaries which is reasonably satisfactory to Agent with respect to (i) the due incorporation, valid existence and good standing of Georgia Surgical, the power and
authority of Georgia Surgical to execute the Loan Documents to which it is a party, the execution of such Loan Documents by Georgia Surgical, the perfection of the Liens granted by Georgia Surgical to Agent, the lack of any conflict between the Loan
Documents executed by Georgia Surgical with any of its Governing Documents, and any other matters with respect to Georgia Surgical as may be reasonably requested by Agent (each such opinion being provided under the laws of the state of Georgia), in
form and substance satisfactory to Agent, and (ii) with respect to each Borrower and each Guarantor, such opinions as Agent shall require with respect to Regulations T, U and X of the Board of Governors of the Federal Reserve System of the
United States, in form and substance satisfactory to Agent; 
 (b) within 30 days of the Closing Date, Agent shall have received such
evidence as it shall require to evidence the termination of the following Uniform Commercial Code financing statements: (i) the initial financing statement filed by Fleet National Bank 
  

 48 

 with the Main Secretary of State on or about March 14, 2003, identified as initial filing number 2030001583778-94
and naming Bejamin Zolper, M.D., LLC as the debtor, (ii) the initial financing statement filed by CIT Financial USA Inc. in Barrow County, Georgia with the Georgia Cooperative Authority on or about June 29, 2005, identified as initial
filing number 007-2000-007840 and naming Georgia Pain Physicians, P.C. as the debtor, and (iii) any and all filings in respect of tax liens or other judgments naming Christopher E. Cenac M.D. as the debtor; 
 (c) within 30 days of the Closing Date, Parent shall cause the Governing Documents of Parent or any of its Subsidiaries that provide for preemptive
rights for such Person’s shareholders to be amended to eliminate any such provision, in each case in form and substance satisfactory to Agent; 
 (d) Parent and Borrowers shall use their best efforts to deliver to Agent within 60 days of the Closing Date Collateral Access Agreements with respect to the location of Parent’s chief executive office, as well as each of the Required
Locations; and 
 (e) within 60 days of the Closing Date, deliver to Agent certificates of insurance, together with certified copies of the
policies of insurance, together with the endorsements thereto, in each case as are required by Section 6.8, the form and substance of each of which shall be satisfactory to Agent and its counsel. 
 3.3 Conditions Precedent to all Extensions of Credit. The obligation of the Lender Group (or any member thereof) to make the Term Loans
hereunder at any time (or to extend any other credit hereunder) shall be subject to the following conditions precedent: 
 (a) the
representations and warranties contained in this Agreement and the other Loan Documents shall be true and correct in all material respects on and as of the date of such extension of credit, as though made on and as of such date (except to the extent
that such representations and warranties relate solely to an earlier date); 
 (b) no Default or Event of Default shall have occurred and be
continuing on the date of such extension of credit, nor shall either result from the making thereof; 
 (c) no injunction, writ, restraining
order, or other order of any nature restricting or prohibiting, directly or indirectly, the extending of such credit shall have been issued and remain in force by any Governmental Authority against any Borrower, Agent, any Lender, or any of their
Affiliates; and 
 (d) no Material Adverse Change shall have occurred. 
 3.4 Term. This Agreement shall continue in full force and effect for a term ending on May 10, 2009 (the “Maturity
Date”). The foregoing notwithstanding, the Lender Group, upon the election of the Required Lenders, shall have the right to terminate its obligations under this Agreement immediately and without notice upon the occurrence and during the
continuation of an Event of Default. 
  

 49 

 3.5 Effect of Termination. On the date of termination of this Agreement, all Obligations
immediately shall become due and payable without notice or demand. No termination of this Agreement, however, shall relieve or discharge Borrowers or their Subsidiaries of their duties, Obligations, or covenants hereunder or under any other Loan
Document and the Agent’s Liens in the Collateral shall remain in effect until all Obligations have been paid in full and the Lender Group’s obligations to provide additional credit hereunder have been terminated. When this Agreement has
been terminated and all of the Obligations have been paid in full and the Lender Group’s obligations to provide additional credit under the Loan Documents have been terminated irrevocably, Agent will, at Borrowers’ sole expense, execute
and deliver any termination statements, lien releases, re-assignments of trademarks, discharges of security interests, and other similar discharge or release documents (and, if applicable, in recordable form) as are reasonably necessary to release,
as of record, the Agent’s Liens and all notices of security interests and liens previously filed by Agent with respect to the Obligations. 
 3.6 Early Termination by Borrowers. Borrowers have the option, at any time upon 30 days prior written notice by Administrative Borrower to Agent, to terminate this Agreement by paying to Agent, in cash, the Obligations, in
full, together with the Applicable Prepayment Premium (to be allocated based upon agreements between Agent and individual Lenders). If Administrative Borrower has sent a notice of termination pursuant to the provisions of this Section, then the
Commitments shall terminate and Borrowers shall be obligated to repay the Obligations, in full, together with the Applicable Prepayment Premium, on the date set forth as the date of termination of this Agreement in such notice. In the event of the
termination of this Agreement and repayment of the Obligations at any time prior to the Maturity Date, for any other reason, including (a) termination upon the election of the Required Lenders to terminate after the occurrence and during the
continuation of an Event of Default, (b) foreclosure and sale of Collateral, (c) sale of the Collateral in any Insolvency Proceeding, or (d) restructure, reorganization or compromise of the Obligations by the confirmation of a plan of
reorganization or any other plan of compromise, restructure, or arrangement in any Insolvency Proceeding, then, in view of the impracticability and extreme difficulty of ascertaining the actual amount of damages to the Lender Group or profits lost
by the Lender Group as a result of such early termination, and by mutual agreement of the parties as to a reasonable estimation and calculation of the lost profits or damages of the Lender Group, Borrowers shall pay the Applicable Prepayment Premium
to Agent (to be allocated based upon agreements between Agent and individual Lenders), measured as of the date of such termination. 
  

	4.	CREATION OF SECURITY INTEREST. 

 4.1 Grant of
Security Interest. Each Borrower hereby grants to Agent, for the benefit of the Lender Group, a continuing security interest in all of its right, title, and interest in all currently existing and hereafter acquired or arising Borrower
Collateral in order to secure prompt repayment of any and all of the Obligations in accordance with the terms and conditions of the Loan Documents and in order to secure prompt performance by Borrowers of each of their covenants and duties under the
Loan Documents. The Agent’s Liens in and 
  

 50 

 to the Borrower Collateral shall attach to all Borrower Collateral without further act on the part of Agent or Borrowers.
Anything contained in this Agreement or any other Loan Document to the contrary notwithstanding, except for Permitted Dispositions, Borrowers and their Subsidiaries have no authority, express or implied, to dispose of any item or portion of the
Collateral. 
 4.2 Negotiable Collateral. In the event that any Borrower Collateral, including proceeds, is evidenced by or
consists of Negotiable Collateral, and if and to the extent that Agent determines that perfection or priority of Agent’s security interest is dependent on or enhanced by possession, the applicable Borrower, promptly upon the request of Agent,
shall endorse and deliver physical possession of such Negotiable Collateral to Agent. 
 4.3 Collection of Accounts, General
Intangibles, and Negotiable Collateral. At any time after the occurrence and during the continuation of an Event of Default, Agent or Agent’s designee may (a) notify Account Debtors of Borrowers that Borrowers’ Accounts,
chattel paper, or General Intangibles have been assigned to Agent or that Agent has a security interest therein, or (b) collect Borrowers’ Accounts, chattel paper, or General Intangibles directly and charge the collection costs and
expenses to the Loan Account. Upon the occurrence and during the continuance of and Event of Default, each Borrower agrees that it will hold in trust for the Lender Group, as the Lender Group’s trustee, any of its or its Subsidiaries’
Collections that it receives and immediately will deliver such Collections to Agent or a Cash Management Bank in their original form as received by such Borrower or its Subsidiaries (except for those amounts required by mandatory provisions of
applicable law or by a Governmental Authority to be retained by such Borrower). 
 4.4 Filing of Financing Statements; Commercial Tort
Claims; Delivery of Additional Documentation Required. 
 (a) Borrowers authorize Agent to file any financing statement necessary or
desirable to effectuate the transactions contemplated by the Loan Documents, and any continuation statement or amendment with respect thereto, in any appropriate filing office without the signature of Borrowers where permitted by applicable law.
Borrowers hereby ratify the filing of any financing statement filed without the signature of Borrowers prior to the date hereof. 
 (b) If
Borrowers or their Subsidiaries acquire any commercial tort claims after the date hereof, Borrowers shall promptly (but in any event within 3 Business Days after such acquisition) deliver to Agent a written description of such commercial tort claim
and shall deliver a written agreement, in form and substance satisfactory to Agent, pursuant to which such Borrower or its Subsidiary, as applicable, shall grant a perfected security interest in all of its right, title and interest in and to such
commercial tort claim to Agent, as security for the Obligations (a “Commercial Tort Claim Assignment”). 
 (c) At any time
upon the request of Agent, Borrowers shall execute or deliver to Agent and shall cause their Subsidiaries to execute or deliver to Agent any and all financing statements, original financing statements in lieu of continuation statements, 

 

 51 

 amendments to financing statements, fixture filings, security agreements, pledges, assignments, Commercial Tort Claim
Assignments, endorsements of certificates of title, and all other documents (collectively, the “Additional Documents”) that Agent may request in its Permitted Discretion, in form and substance satisfactory to Agent, to create,
perfect, and continue perfected or to better perfect the Agent’s Liens in the assets of Borrowers and their Subsidiaries (whether now owned or hereafter arising or acquired, tangible or intangible, real or personal), to create and perfect Liens
in favor of Agent in any owned Real Property acquired after the Closing Date, and in order to fully consummate all of the transactions contemplated hereby and under the other Loan Documents. To the maximum extent permitted by applicable law, each
Borrower authorizes Agent to execute any such Additional Documents in the applicable Borrower’s name and authorizes Agent to file such executed Additional Documents in any appropriate filing office. In addition, on such periodic basis as Agent
shall require, Borrowers shall (i) provide Agent with a report of all new material patentable, copyrightable, or trademarkable materials acquired or generated by any Borrower or its Subsidiaries during the prior period, (ii) cause all
material patents, copyrights, and trademarks acquired or generated by Borrowers or their Subsidiaries that are not already the subject of a registration with the appropriate filing office (or an application therefor diligently prosecuted) to be
registered with such appropriate filing office in a manner sufficient to impart constructive notice of such Borrower’s or such Subsidiary’s ownership thereof, and (iii) cause to be prepared, executed, and delivered to Agent
supplemental schedules to the applicable Loan Documents to identify such patents, copyrights, and trademarks as being subject to the security interests created thereunder; provided, however, that none of Borrowers or their Subsidiaries
shall register with the U.S. Copyright Office any unregistered copyrights (whether in existence on the Closing Date or thereafter acquired, arising, or developed) unless (i) the applicable Person provides Agent with written notice of its intent
to register such copyrights not less than 30 days prior to the date of the proposed registration, and (ii) prior to such registration, the applicable Person executes and delivers to Agent a copyright security agreement in form and substance
satisfactory to Agent, supplemental schedules to any existing copyright security agreement, or such other documentation as Agent reasonably deems necessary in order to perfect and continue perfected Agent’s Liens on such copyrights following
such registration. 
 4.5 Power of Attorney. Each Borrower hereby irrevocably makes, constitutes, and appoints Agent (and any
of Agent’s officers, employees, or agents designated by Agent) as such Borrower’s true and lawful attorney, with power to (a) if such Borrower refuses to, or fails timely to execute and deliver any of the documents described in
Section 4.4, sign the name of such Borrower on any of the documents described in Section 4.4, (b) at any time that an Event of Default has occurred and is continuing, sign such Borrower’s name on any invoice or bill
of lading relating to the Borrower Collateral, drafts against Account Debtors, or notices to Account Debtors, (c) send requests for verification of Borrowers’ or their Subsidiaries’ Accounts, (d) endorse such Borrower’s name
on any of its payment items (including all of its Collections) that may come into the Lender Group’s possession, (e) at any time that an Event of Default has occurred and is continuing, make, settle, and adjust all claims under such
Borrower’s policies of insurance and make all determinations and decisions with respect to such policies of insurance, and (f) at any time that an Event of 
  

 52 

 Default has occurred and is continuing, settle and adjust disputes and claims respecting Borrowers’ or their
Subsidiaries’ Accounts, chattel paper, or General Intangibles directly with Account Debtors, for amounts and upon terms that Agent determines to be reasonable, and Agent may cause to be executed and delivered any documents and releases that
Agent determines to be necessary. The appointment of Agent as each Borrower’s attorney, and each and every one of its rights and powers, being coupled with an interest, is irrevocable until all of the Obligations have been fully and finally
repaid and performed and the Lender Group’s obligations to extend credit hereunder are terminated. 
 4.6 Right to Inspect.
Agent and each Lender (through any of their respective officers, employees, or agents) shall have the right, from time to time hereafter to inspect the Books and make copies or abstracts thereof and to check, test, and appraise the Collateral,
or any portion thereof, in order to verify Borrowers’ and their Subsidiaries’ financial condition or the amount, quality, value, condition of, or any other matter relating to, the Collateral. 
 4.7 Control Agreements. Borrowers agree that they will and will cause their Subsidiaries to take any or all reasonable steps in order for
Agent to obtain control in accordance with Sections 8-106, 9-104, 9-105, 9-106, and 9-107 of the Code with respect to (subject to the proviso contained in Section 7.12) all of their Securities Accounts, Deposit Accounts, electronic
chattel paper, Investment Property, and letter-of-credit rights. Upon the occurrence and during the continuance of a Default or Event of Default, Agent may notify any bank or securities intermediary to liquidate the applicable Deposit Account or
Securities Account or any related Investment Property maintained or held thereby and remit the proceeds thereof to the Agent’s Account. 
 4.8 Governmental Receivables. Notwithstanding any provision in the Loan Documents to the contrary, neither the Agent nor any Lender shall have any rights (whether by power of attorney or other provision of any Loan Document)
with respect to any Governmental Receivables or any Deposit Account into which any proceeds of any Governmental Receivables are initially deposited, solely to the extent of such proceeds of Governmental Receivables (it being understood that the
foregoing shall not limit the rights of the Agent or the Lenders with respect to proceeds of Governmental Receivables which have been transferred from the Deposit Account into which such Governmental Receivables were initially deposited to any other
Deposit Account (including without limitation, any Cash Management Account)).  
  

	5.	REPRESENTATIONS AND WARRANTIES. 

 In order to induce
the Lender Group to enter into this Agreement, Parent and each Borrower makes the following representations and warranties to the Lender Group which shall be true, correct, and complete, in all material respects, as of the date hereof, and shall be
true, correct, and complete, in all material respects, as of the Closing Date, and at and as of the date of the making of each Term Loan (or other extension of credit) made thereafter, as though made on and as of the date of such Term Loan (or other
extension of credit) (except to the extent that such representations and warranties relate solely to an earlier date) and such representations and warranties shall survive the execution and delivery of this Agreement: 
  

 53 

 5.1 No Encumbrances. Parent, each Borrower and their respective Subsidiaries each have good
and indefeasible title to, or a valid leasehold interest in, their personal property assets and good and marketable title to, or a valid leasehold interest in, their Real Property, in each case, free and clear of Liens except for Permitted Liens.

 5.2 [Intentionally Omitted].  
 5.3 [Intentionally Omitted].  
 5.4 Equipment. All of the Equipment of Parent,
Borrowers and their respective Subsidiaries is used or held for use in their business and is fit for such purposes, ordinary wear and tear excepted. 
 5.5 Location of Equipment. The Equipment of Parent, Borrowers and their respective Subsidiaries are not stored with a bailee, warehouseman, or similar party and are located only at, or in-transit
between, the locations identified on Schedule 5.5 (as such Schedule may be updated pursuant to Section 6.9). 
 5.6
[Intentionally Omitted].  
 5.7 State of Incorporation; Location of Chief Executive Office; Organizational
Identification Number; Commercial Tort Claims. 
 (a) The jurisdiction of organization of Parent, each Borrower and each of their
respective Subsidiaries is set forth on Schedule 5.7(a). 
 (b) The chief executive office of Parent, each Borrower and each of their
respective Subsidiaries is located at the address indicated on Schedule 5.7(b) (as such Schedule may be updated pursuant to Section 6.9). 
 (c) Parent, each Borrower’s and each of their respective Subsidiaries’ organizational identification number, if any, are identified on Schedule 5.7(c). 
 (d) As of the Closing Date, Parent, Borrowers and their respective Subsidiaries do not hold any commercial tort claims, except as set forth on
Schedule 5.7(d). 
 5.8 Due Organization and Qualification; Subsidiaries. 
 (a) Parent and each Borrower is duly organized and existing and in good standing under the laws of the jurisdiction of its organization and qualified to
do business in any state where the failure to be so qualified reasonably could be expected to result in a Material Adverse Change. 
  

 54 

 (b) Set forth on Schedule 5.8(b), is a complete and accurate description of the authorized capital
Stock of Parent and each Borrower, by class, and, as of the Closing Date, a description of the number of shares of each such class that are issued and outstanding. Other than as described on Schedule 5.8(b), there are no subscriptions,
options, warrants, or calls relating to any shares of Parent’s and each Borrower’s capital Stock, including any right of conversion or exchange under any outstanding security or other instrument. None of Parent or any Borrower is subject
to any obligation (contingent or otherwise) to repurchase or otherwise acquire or retire any shares of its capital Stock or any security convertible into or exchangeable for any of its capital Stock. 
 (c) Set forth on Schedule 5.8(c), is a complete and accurate list of Parent’s direct and indirect Subsidiaries (other than Borrowers),
showing: (i) the jurisdiction of their organization, (ii) the number of shares of each class of common and preferred Stock authorized for each of such Subsidiaries, and (iii) the number and the percentage of the outstanding shares of
each such class owned directly or indirectly by Parent. All of the outstanding capital Stock of each such Subsidiary has been validly issued and is fully paid and non-assessable. 
 (d) Except as set forth on Schedule 5.8(c), there are no subscriptions, options, warrants, or calls relating to any shares of Parent’s
Subsidiaries’ capital Stock, including any right of conversion or exchange under any outstanding security or other instrument. None of Parent, any Borrower or any of their respective Subsidiaries is subject to any obligation (contingent or
otherwise) to repurchase or otherwise acquire or retire any shares of Parent’s or any Borrower’s Subsidiaries’ capital Stock or any security convertible into or exchangeable for any such capital Stock. 
  

	 	5.9	Due Authorization; No Conflict. 

 (a) As to
each Borrower, the execution, delivery, and performance by such Borrower of this Agreement and the other Loan Documents to which it is a party have been duly authorized by all necessary action on the part of such Borrower. 
 (b) As to each Borrower, the execution, delivery, and performance by such Borrower of this Agreement and the other Loan Documents to which it is a party
do not and will not (i) violate any provision of federal, state, or local law or regulation applicable to any Borrower, the Governing Documents of any Borrower, or any order, judgment, or decree of any court or other Governmental Authority
binding on any Borrower, (ii) conflict with, result in a breach of, or constitute (with due notice or lapse of time or both) a default under any material contractual obligation of any Borrower, (iii) result in or require the creation or
imposition of any Lien of any nature whatsoever upon any properties or assets of Borrower, other than Permitted Liens, or (iv) require any approval of any Borrower’s interestholders or any approval or consent of any Person under any
material contractual obligation of any Borrower, other than consents or approvals that have been obtained and that are still in force and effect. 
  

 55 

 (c) Other than the filing of financing statements, the execution, delivery, and performance by each
Borrower of this Agreement and the other Loan Documents to which such Borrower is a party do not and will not require any registration with, consent, or approval of, or notice to, or other action with or by, any Governmental Authority, other than
consents or approvals that have been obtained and that are still in force and effect. 
 (d) As to each Borrower, this Agreement and the
other Loan Documents to which such Borrower is a party, and all other documents contemplated hereby and thereby, when executed and delivered by such Borrower will be the legally valid and binding obligations of such Borrower, enforceable against
such Borrower in accordance with their respective terms, except as enforcement may be limited by equitable principles or by bankruptcy, insolvency, reorganization, moratorium, or similar laws relating to or limiting creditors’ rights generally.

 (e) The Agent’s Liens are validly created, perfected, and first priority Liens, subject only to Permitted Liens. 
 (f) The execution, delivery, and performance by each Guarantor of the Loan Documents to which it is a party have been duly authorized by all necessary
action on the part of such Guarantor. 
 (g) The execution, delivery, and performance by each Guarantor of the Loan Documents to which it is
a party do not and will not (i) violate any provision of federal, state, or local law or regulation applicable to such Guarantor, the Governing Documents of such Guarantor, or any order, judgment, or decree of any court or other Governmental
Authority binding on such Guarantor, (ii) conflict with, result in a breach of, or constitute (with due notice or lapse of time or both) a default under any material contractual obligation of such Guarantor, (iii) result in or require the
creation or imposition of any Lien of any nature whatsoever upon any properties or assets of such Guarantor, other than Permitted Liens, or (iv) require any approval of such Guarantor’s interestholders or any approval or consent of any
Person under any material contractual obligation of such Guarantor, other than consents or approvals that have been obtained and that are still in force and effect. 
 (h) Other than the filing of financing statements, the execution, delivery, and performance by each Guarantor of the Loan Documents to which such Guarantor is a party do not and will not require any registration with,
consent, or approval of, or notice to, or other action with or by, any Governmental Authority, other than consents or approvals that have been obtained and that are still in force and effect. 
 (i) The Loan Documents to which each Guarantor is a party, and all other documents contemplated hereby and thereby, when executed and delivered by such
Guarantor will be the legally valid and binding obligations of such Guarantor, enforceable against such Guarantor in accordance with their respective terms, except as enforcement may be limited by equitable principles or by bankruptcy, insolvency,
reorganization, moratorium, or similar laws relating to or limiting creditors’ rights generally. 
  

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 5.10 Litigation. Other than those matters disclosed on Schedule 5.10, and other than
matters arising after the Closing Date that reasonably could not be expected to result in a Material Adverse Change, there are no actions, suits, or proceedings pending or, to the best knowledge of Parent and each Borrower, threatened against
Parent, any Borrower or any of their respective Subsidiaries. 
 5.11 No Material Adverse Change. All financial statements
relating to Borrowers and their Subsidiaries or Guarantors that have been delivered by Borrowers to the Lender Group have been prepared in accordance with GAAP (except, in the case of unaudited financial statements, for the lack of footnotes and
being subject to year-end audit adjustments) and present fairly in all material respects, Borrowers’ and their Subsidiaries’ (or any Guarantor’s, as applicable) financial condition as of the date thereof and results of operations for
the period then ended. There has not been a Material Adverse Change with respect to Borrowers and their Subsidiaries (or any Guarantor, as applicable) since the date of the latest financial statements submitted to Agent on or before the Closing
Date. 
 5.12 Fraudulent Transfer. 
 (a) Parent and each of its Subsidiaries is Solvent. 
 (b) No transfer of property is being made by Parent or
any of its Subsidiaries and no obligation is being incurred by Parent or any of its Subsidiaries in connection with the transactions contemplated by this Agreement or the other Loan Documents with the intent to hinder, delay, or defraud either
present or future creditors of Parent or any of its Subsidiaries. 
 5.13 Employee Benefits. None of Parent, Borrowers, any of
their respective Subsidiaries, or any of their ERISA Affiliates maintains or contributes to any Benefit Plan. 
 5.14 Environmental
Condition. Except as set forth on Schedule 5.14, (a) to Parent’s or Borrowers’ knowledge, none of Parent, Borrowers’ or their respective Subsidiaries’ properties or assets has ever been used by Parent,
Borrowers, their respective Subsidiaries, or by previous owners or operators in the disposal of, or to produce, store, handle, treat, release, or transport, any Hazardous Materials, where such production, storage, handling, treatment, release or
transport was in violation, in any material respect, of applicable Environmental Law, (b) to Parent’s or Borrowers’ knowledge, none of Parent’s, Borrowers’ nor their respective Subsidiaries’ properties or assets has
ever been designated or identified in any manner pursuant to any environmental protection statute as a Hazardous Materials disposal site, (c) none of Parent, Borrowers nor any of their respective Subsidiaries have received notice that a Lien
arising under any Environmental Law has attached to any revenues or to any Real Property owned or operated by Parent, Borrowers or their respective Subsidiaries, and (d) none of Parent, Borrowers nor any of their respective Subsidiaries have
received a summons, citation, notice, or directive from the United States Environmental Protection Agency or any other federal or state governmental agency concerning any action or omission by Parent, any Borrower or any Subsidiary of Parent or a
Borrower resulting in the releasing or disposing of Hazardous Materials into the environment. 
  

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 5.15 Brokerage Fees. Except as set forth on Schedule 5.15, Parent, Borrowers and
their respective Subsidiaries have not utilized the services of any broker or finder in connection with obtaining financing from the Lender Group under this Agreement and no brokerage commission or finders fee is payable by Parent, Borrowers or
their respective Subsidiaries in connection herewith. 
 5.16 Intellectual Property. Parent, each Borrower and each Subsidiary
of Parent or a Borrower owns, or holds licenses in, all trademarks, trade names, copyrights, patents, patent rights, and licenses that are necessary to the conduct of its business as currently conducted, and attached hereto as Schedule 5.16
(as updated from time to time) is a true, correct, and complete listing of all material patents, patent applications, trademarks, trademark applications, copyrights, and copyright registrations as to which Parent, any Borrower or one of their
respective Subsidiaries is the owner or is an exclusive licensee. 
 5.17 Leases. Parent, Borrowers and their respective
Subsidiaries are in possession of all leased properties under all leases material to their business and to which they are parties or under which they are operating (which possession has not been interrupted, interfered with or otherwise disturbed
(whether by an action by the owner of the leased premises to regain possession of such premises or otherwise)) and all of such leases are valid and subsisting and no material default by Parent, Borrowers or their respective Subsidiaries exists under
any of them. 
 5.18 Deposit Accounts and Securities Accounts. Set forth on Schedule 5.18 is a listing of all of
Parent’s, Borrowers’ and their respective Subsidiaries’ Deposit Accounts and Securities Accounts, including, with respect to each bank or securities intermediary (a) the name and address of such Person, and (b) the account
numbers of the Deposit Accounts or Securities Accounts maintained with such Person. 
 5.19 Complete Disclosure. All factual
information (taken as a whole) furnished by or on behalf of Parent, Borrowers or their respective Subsidiaries in writing to Agent or any Lender (including all information contained in the Schedules hereto or in the other Loan Documents) for
purposes of or in connection with this Agreement, the other Loan Documents or any transaction contemplated herein or therein is, and all other such factual information (taken as a whole) hereafter furnished by or on behalf of Parent, Borrowers or
their respective Subsidiaries in writing to Agent or any Lender will be, true and accurate in all material respects on the date as of which such information is dated or certified and not incomplete by omitting to state any fact necessary to make
such information (taken as a whole) not misleading in any material respect at such time in light of the circumstances under which such information was provided. On the Closing Date, the Closing Date Projections represent, and as of the date on which
any other Projections are delivered to Agent, such additional Projections represent Borrowers’ good faith best estimate of Parent’s and its Subsidiaries’ future performance for the periods covered thereby. 
 5.20 Indebtedness. Set forth on Schedule 5.20 is a true and complete list of all Indebtedness of Parent or any of its Subsidiaries
outstanding immediately prior to the Closing Date that is to remain outstanding after the Closing Date and such Schedule accurately reflects the aggregate principal amount of such Indebtedness and describes the principal terms thereof. 

 

 58 

	6.	AFFIRMATIVE COVENANTS. 

 Parent and each Borrower
covenants and agrees that, until termination of all of the Commitments and payment in full of the Obligations, Parent and Borrowers shall and shall cause each of their respective Subsidiaries to do all of the following: 
 6.1 Accounting System. Maintain a system of accounting that enables Parent and its Subsidiaries to produce financial statements in
accordance with GAAP and maintain records pertaining to the Collateral that contain information as from time to time reasonably may be requested by Agent. 
 6.2 Collateral Reporting. Provide Agent (and if so requested by Agent, with copies for each Lender) with the following documents at the following times in form satisfactory to Agent: 
  

			
	 Monthly (not later
 than the 10th day
 of each month)
	 	 (a) a detailed list of all Medical PCs and new medical
offices or laboratories opened or acquired by Parent or its Subsidiaries during such period,
  
 (b) a detailed list of all Doctor Departures since the Closing Date, and
  
 (c) a
detailed report regarding Borrowers’ and their Subsidiaries’ cash and Cash Equivalents including an indication of which amounts constitute Qualified Cash, and
  

	 Upon request by
 Agent
	 	(d) such other reports as to the Collateral or the financial condition
of Borrowers and their Subsidiaries, as Agent may reasonably request.

 6.3 Financial Statements, Reports, Certificates. Deliver to Agent, with copies to
each Lender: 
 (a) as soon as available, but in any event within 45 days after the end of each month during each of Parent’s fiscal
years, 
 (i) an unaudited consolidated and consolidating balance sheet, income statement, and statement of cash flow covering Parent’s
and its Subsidiaries’ operations during such period, and 
  

 59 

 (ii) a Compliance Certificate, 
 (b) as soon as available, but in any event within 90 days after the end of each of Parent’s fiscal years, 
 (i) consolidated and consolidating financial statements of Parent and its Subsidiaries for each such fiscal year, audited by independent certified
public accountants reasonably acceptable to Agent and certified, without any qualifications, (including any (A) ”going concern” or like qualification or exception, (B) qualification or exception as to the scope of such audit, or
(C) qualification which relates to the treatment or classification of any item and which, as a condition to the removal of such qualification, would require an adjustment to such item, the effect of which would be to cause any noncompliance
with the provisions of Section 7.18 or 8.14), by such accountants to have been prepared in accordance with GAAP (such audited financial statements to include a balance sheet, income statement, and statement of cash flow and, if
prepared, such accountants’ letter to management), 
 (ii) a certificate of such accountants addressed to Agent and the Lenders stating
that such accountants do not have knowledge of the existence of any Default or Event of Default under Section 7.18 or 8.14, and 
 (iii) a Compliance Certificate, 
 (c) as soon as available, but in any event within 30 days prior to the start of each of
Parent’s fiscal years, copies of Borrowers’ Projections, in form and substance (including as to scope and underlying assumptions) satisfactory to Agent, in its Permitted Discretion, for the forthcoming 4 years, year by year, and for the
forthcoming fiscal year, quarter by quarter, certified by the chief financial officer of Parent as being such officer’s good faith estimate of the financial performance of Parent and its Subsidiaries during the period covered thereby,

 (d) if and when filed by any Borrower, 
 (i) Form 10-Q quarterly reports, Form 10-K annual reports, and Form 8-K current reports, 
 (ii) any other
filings made by any Borrower with the SEC, 
 (iii) copies of Borrowers’ federal income tax returns, and any amendments thereto, filed
with the Internal Revenue Service, and 
 (iv) any other information that is provided by Parent to its shareholders generally, 

(e) promptly, but in any event within 5 Business Days after Parent or any Borrower has knowledge of any event or condition that constitutes a Default
or an Event of Default, notice thereof and a statement of the curative action that Borrowers propose to take with respect thereto, 
  

 60 

 (f) promptly, but in any event within 1 Business Day after Parent has knowledge of any event or condition
that would result in the obligation of Parent to make a payment to a Subordinated Lender which constitutes Liquidated Damages (as such term is defined in the Subordination Agreement), 
 (g) promptly after the commencement thereof, but in any event within 5 Business Days after the service of process with respect thereto on Parent or any
Borrower or any Subsidiary of a Borrower, notice of all actions, suits, or proceedings brought by or against any Borrower or any Subsidiary of a Borrower before any Governmental Authority which, if determined adversely to such Borrower or such
Subsidiary, reasonably could be expected to result in a Material Adverse Change, and 
 (h) upon the request of Agent, any other information
reasonably requested relating to the financial condition of Parent, Borrowers or their respective Subsidiaries. 
 In addition, Parent agrees
that no Subsidiary of Parent will have a fiscal year different from that of Parent. Borrowers agree to cooperate with Agent to allow Agent to consult with their independent certified public accountants if Agent reasonably requests the right to do so
and that, in such connection, their independent certified public accountants are authorized to communicate with Agent and to release to Agent whatever financial information concerning Borrowers or their Subsidiaries that Agent reasonably may
request. 
 6.4 Guarantor Reports. Cause each Guarantor to deliver its annual financial statements at the time when Parent
provides its audited financial statements to Agent, but only to the extent such Guarantor’s financial statements are not consolidated with Parent’s financial statements, and copies of all federal income tax returns as soon as the same are
available and in any event no later than 30 days after the same are required to be filed by law. 
 6.5 [Intentionally Omitted].
 
 6.6 Maintenance of Properties. Maintain and preserve all of their properties which are necessary or useful in the
proper conduct to their business in good working order and condition, ordinary wear and tear excepted, and comply at all times with the provisions of all leases to which it is a party as lessee, so as to prevent any loss or forfeiture thereof or
thereunder. 
 6.7 Taxes. Cause all assessments and taxes, whether real, personal, or otherwise, due or payable by, or imposed,
levied, or assessed against Parent, Borrowers, their respective Subsidiaries, or any of their respective assets to be paid in full, before delinquency or before the expiration of any extension period, except to the extent that the validity of such
assessment or tax shall be the subject of a Permitted Protest. Parent and Borrowers will and will cause their respective Subsidiaries to make timely payment or deposit of all tax payments and withholding taxes required of them by applicable laws,
including those laws 
  

 61 

 concerning F.I.C.A., F.U.T.A., state disability, and local, state, and federal income taxes, and will, upon request,
furnish Agent with proof satisfactory to Agent indicating that Parent, the applicable Borrower or Subsidiary of Parent or a Borrower has made such payments or deposits. 
 6.8 Insurance. 
 (a) At Borrowers’ expense, maintain insurance respecting their and their
Subsidiaries’ assets wherever located, covering loss or damage by fire, theft, explosion, and all other hazards and risks as ordinarily are insured against by other Persons engaged in the same or similar businesses in the same or similar
geographic location. Parent and Borrowers also shall maintain business interruption, public liability, and malpractice insurance, as well as insurance against larceny, embezzlement, and criminal misappropriation. All such policies of insurance shall
be in such amounts and with such insurance companies as are reasonably satisfactory to Agent. Borrowers shall deliver copies of all such policies to Agent with an endorsement naming Agent as the sole (or if another Person is also required to be a
loss payee, an additional) loss payee (under a satisfactory lender’s loss payable endorsement) or additional insured, as appropriate. Each policy of insurance or endorsement shall contain a clause requiring the insurer to give not less than 30
days prior written notice to Agent in the event of cancellation of the policy for any reason whatsoever. 
 (b) Administrative Borrower shall
give Agent prompt notice of any loss covered by such insurance. Agent shall have the exclusive right to adjust any losses claimed under any such insurance policies in excess of $250,000 (or in any amount after the occurrence and during the
continuation of an Event of Default), without any liability to Borrowers whatsoever in respect of such adjustments. Any monies received as payment for any loss under any insurance policy mentioned above (other than liability insurance policies) or
as payment of any award or compensation for condemnation or taking by eminent domain, shall be paid over to Agent to be applied at the option of the Required Lenders either to the prepayment of the Obligations or shall be disbursed to Administrative
Borrower under staged payment terms reasonably satisfactory to the Required Lenders for application to the cost of repairs, replacements, or restorations. Any such repairs, replacements, or restorations shall be effected with reasonable promptness
and shall be of a value at least equal to the value of the items or property destroyed prior to such damage or destruction. 
 (c) Parent and
Borrowers will not, and will not suffer or permit their respective Subsidiaries to, take out separate insurance concurrent in form or contributing in the event of loss with that required to be maintained under this Section 6.8, unless
Agent is included thereon as an additional insured or loss payee under a lender’s loss payable endorsement. Administrative Borrower promptly shall notify Agent whenever such separate insurance is taken out, specifying the insurer thereunder and
full particulars as to the policies evidencing the same, and copies of such policies promptly shall be provided to Agent. 
 6.9
Location of Equipment. Keep Parent’s Borrowers’ and their respective Subsidiaries’ Equipment only at the locations identified on Schedule 5.5 and their chief 
  

 62 

 executive offices only at the locations identified on Schedule 5.7(b); provided, however, that
Administrative Borrower may amend Schedule 5.5 and Schedule 5.7 so long as such amendment occurs by written notice to Agent not less than 30 days prior to the date on which such Equipment is moved to such new location or such chief
executive office is relocated, so long as such new location is within the continental United States, and so long as, at the time of such written notification, the applicable Borrower provides Agent a Collateral Access Agreement with respect thereto.

 6.10 Compliance with Laws. Comply with the requirements of all applicable laws, rules, regulations, and orders of any
Governmental Authority (including, without limitation, Section 1877 of Title 18 of the Social Security Act, 42 U.S.C. §1320a-7b, the Health Insurance Portability and Accountability Act of 1996, Fla. Stat. §456.053, and any other
federal, state or local “anti-kickback statutes” or “self-referral” statutes applicable to Parent or any of its Subsidiaries), other than laws, rules, regulations, and orders the non-compliance with which, individually or in the
aggregate, could not reasonably be expected to result in a Material Adverse Change. 
 6.11 Leases. Pay when due all rents and
other amounts payable under any material leases to which Parent, any Borrower or any of their respective Subsidiaries is a party or by which Parent’s, any Borrower’s or any of their respective Subsidiaries’ properties and assets are
bound, unless such payments are the subject of a Permitted Protest. 
 6.12 Existence. At all times preserve and keep in full
force and effect Parent’s, each Borrower’s and each of their respective Subsidiaries’ valid existence and good standing and any rights and franchises material to their businesses. 
 6.13 Environmental. 
 (a) Keep
any property either owned or operated by Parent, any Borrower or any of their respective Subsidiaries free of any Environmental Liens or post bonds or other financial assurances sufficient to satisfy the obligations or liability evidenced by such
Environmental Liens, (b) comply, in all material respects, with Environmental Laws and provide to Agent documentation of such compliance which Agent reasonably requests, (c) promptly notify Agent of any release of a Hazardous Material in
any reportable quantity from or onto property owned or operated by Parent, any Borrower or any of their respective Subsidiaries and take any Remedial Actions required to abate said release or otherwise to come into compliance with applicable
Environmental Law, and (d) promptly, but in any event within 5 Business Days of its receipt thereof, provide Agent with written notice of any of the following: (i) notice that an Environmental Lien has been filed against any of the real or
personal property of Parent, any Borrower or any of their respective Subsidiaries, (ii) commencement of any Environmental Action or notice that an Environmental Action will be filed against Parent, any Borrower or any of their respective
Subsidiaries, and (iii) notice of a violation, citation, or other administrative order which reasonably could be expected to result in a Material Adverse Change. 
  

 63 

 6.14 Disclosure Updates. Promptly and in no event later than 5 Business Days after
obtaining knowledge thereof, notify Agent if any written information, exhibit, or report furnished to the Lender Group contained, at the time it was furnished, any untrue statement of a material fact or omitted to state any material fact necessary
to make the statements contained therein not misleading in light of the circumstances in which made. The foregoing to the contrary notwithstanding, any notification pursuant to the foregoing provision will not cure or remedy the effect of the prior
untrue statement of a material fact or omission of any material fact nor shall any such notification have the affect of amending or modifying this Agreement or any of the Schedules hereto. 
 6.15 Formation of Subsidiaries; Additional Collateral.  
 (a) At the time that any Borrower or any Guarantor forms any direct or indirect Subsidiary or acquires any direct or indirect Subsidiary after the Closing Date, such Borrower or such Guarantor shall (i) cause
such new Subsidiary to provide to Agent a joinder to this Agreement or the Guaranty and the Guarantor Security Agreement, together with such other security documents (including mortgages or deeds of trust with respect to any Real Property of such
new Subsidiary), as well as appropriate financing statements (and with respect to all Real Property that forms part of the Collateral, fixture filings), all in form and substance satisfactory to Agent (including being sufficient to grant Agent a
first priority Lien (subject to Permitted Liens) in and to the assets of such newly formed or acquired Subsidiary), (ii) other than with respect to Excluded Assets (subject to the provisions of Section 6.15(b) below), provide to
Agent a pledge agreement and appropriate certificates and powers or financing statements, hypothecating all of the direct or beneficial ownership interest in such new Subsidiary, in form and substance satisfactory to Agent, and (iii) provide to
Agent all other documentation, including one or more opinions of counsel satisfactory to Agent, which in its opinion is appropriate with respect to the execution and delivery of the applicable documentation referred to above (including policies of
title insurance or other documentation with respect to all Real Property that forms part of the Collateral). Any document, agreement, or instrument executed or issued pursuant to this Section 6.15(a) shall be a Loan Document. 

(b) At any time that any Designated Stock no longer constitutes a portion of the Excluded Assets, each Borrower or Guarantor which has an interest in
such Designated Stock shall (i) provide to Agent a pledge agreement and appropriate certificates and powers or financing statements, hypothecating all of the direct or beneficial ownership interest in such Designated Stock, in form and
substance satisfactory to Agent, and (ii) provide to Agent all other documentation, including one or more opinions of counsel satisfactory to Agent, which in its opinion is appropriate with respect to the execution and delivery of the
applicable documentation referred to above. Any document, agreement, or instrument executed or issued pursuant to this Section 6.15(b) shall be a Loan Document. 
  

 64 

	7.	NEGATIVE COVENANTS. 

 Parent and each Borrower
covenants and agrees that, until termination of all of the Commitments and payment in full of the Obligations, Parent and Borrowers will not and will not permit any of their respective Subsidiaries to do any of the following: 
 7.1 Indebtedness. Create, incur, assume, suffer to exist, guarantee, or otherwise become or remain, directly or indirectly, liable with
respect to any Indebtedness, except: 
 (a) Indebtedness evidenced by this Agreement and the other Loan Documents, 
 (b) Indebtedness set forth on Schedule 5.20, 
 (c) Permitted Purchase Money Indebtedness, 
 (d) refinancings, renewals, or extensions of Indebtedness permitted under clauses
(b) and (c) of this Section 7.1 (and continuance or renewal of any Permitted Liens associated therewith) so long as: (i) the terms and conditions of such refinancings, renewals, or extensions do not, in Agent’s
reasonable judgment, materially impair the prospects of repayment of the Obligations by Borrowers or materially impair Borrowers’ creditworthiness, (ii) such refinancings, renewals, or extensions do not result in an increase in the
principal amount of, or interest rate with respect to, the Indebtedness so refinanced, renewed, or extended or add one or more Borrowers as liable with respect thereto if such additional Borrowers were not liable with respect to the original
Indebtedness, (iii) such refinancings, renewals, or extensions do not result in a shortening of the average weighted maturity of the Indebtedness so refinanced, renewed, or extended, nor are they on terms or conditions, that, taken as a whole,
are materially more burdensome or restrictive to the applicable Borrower, (iv) if the Indebtedness that is refinanced, renewed, or extended was subordinated in right of payment to the Obligations, then the terms and conditions of the
refinancing, renewal, or extension Indebtedness must include subordination terms and conditions that are at least as favorable to the Lender Group as those that were applicable to the refinanced, renewed, or extended Indebtedness, and (v) the
Indebtedness that is refinanced, renewed, or extended is not recourse to any Person that is liable on account of the Obligations other than those Persons which were obligated with respect to the Indebtedness that was refinanced, renewed, or
extended, 
 (e) Existing Seller Notes and Earn-Out Obligations, 
 (f) Earn-Out Arrangements and Seller Notes not in excess of the amounts set forth in clause (c) and (d) of the definition of Permitted
Acquisition and to the extent permitted under Section 7.12, 
 (g) Indebtedness constituting Permitted Acquired Indebtedness not
in excess of the amounts set forth in clause (c) and (d) of the definition of Permitted Acquisition, 
 (h) endorsement of
instruments or other payment items for deposit, and 
  

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 (i) Indebtedness composing Permitted Investments. 
 7.2 Liens. Create, incur, assume, or suffer to exist, directly or indirectly, any Lien on or with respect to any of its assets, of any
kind, whether now owned or hereafter acquired, or any income or profits therefrom, except for Permitted Liens (including Liens that are replacements of Permitted Liens to the extent that the original Indebtedness is refinanced, renewed, or extended
under Section 7.1(d) and so long as the replacement Liens only encumber those assets that secured the refinanced, renewed, or extended Indebtedness). 
 7.3 Restrictions on Fundamental Changes. 
 (a) Enter into any merger, consolidation,
reorganization, or recapitalization, or reclassify its Stock, other than in connection with Permitted Acquisitions (so long as (x) with respect to any merger, consolidation, reorganization, or recapitalization involving a Borrower, either such
Borrower is the survivor thereof or the survivor thereof is joined to this Agreement and each other Loan Document to which a Borrower is a party as a Borrower, (y) with respect to any merger, consolidation, reorganization, or recapitalization
involving a Guarantor and any Person other than a Borrower or another Guarantor, such Guarantor is the survivor thereof or the survivor thereof is joined to the Guaranty and each other Loan Document to which a Guarantor (other than Parent) is a
party as a Guarantor, and (z) any such merger, consolidation, reorganization, or recapitalization does not impair or otherwise impact the corporate existence of Parent or PainCare, Inc.), and stock splits (forward or reverse) involving the
Stock of the Parent. 
 (b) Liquidate, wind up, or dissolve itself (or suffer any liquidation or dissolution). 
 (c) Convey, sell, lease, license, assign, transfer, or otherwise dispose of, in one transaction or a series of transactions, all or any substantial part
of its assets. 
 7.4 Disposal of Assets. Other than Permitted Dispositions, convey, sell, lease, license, assign, transfer, or
otherwise dispose of any of the assets of Parent, any Borrower or any of their respective Subsidiaries. 
 7.5 Change Name.
Change Parent’s, any Borrower’s or any of their respective Subsidiaries’ name, organizational identification number, state of organization, or organizational identity; provided, however, that Parent, a Borrower or a
Subsidiary of Parent or a Borrower may change its name upon at least 30 days prior written notice by Administrative Borrower to Agent of such change and so long as, at the time of such written notification, Parent, such Borrower or such Subsidiary
provides any financing statements necessary to perfect and continue perfected the Agent’s Liens. 
 7.6 Nature of Business.
Make any material change in the principal nature of their business. 
  

 66 

 7.7 Prepayments and Amendments; Agreements With Medical PCs.  
 (a) Except in connection with a refinancing permitted by Section 7.1(d), 
 (i) optionally prepay, redeem, defease, purchase, or otherwise acquire any Indebtedness of any Borrower or any Subsidiary of a Borrower, other than the
Obligations in accordance with this Agreement, or 
 (ii) directly or indirectly, amend, modify, alter, increase, or change any of the terms
or conditions of any agreement, instrument, document, indenture, or other writing evidencing or concerning Indebtedness permitted under Section 7.1(b), (c), (e), (f) or (g) in a manner that is adverse to the interests of
Parent or any of its Subsidiaries or to the interests of the Lender Group, 
 (b) Make any payments in respect of any Indebtedness that is
owed by Parent to any Subordinated Lender in any form other than the issuance of common Stock of Parent to such Subordinated Lenders, to the extent that such payments in respect of such Indebtedness may be paid by Parent in the form of common Stock
in Parent, 
 (c) directly or indirectly, amend, modify, alter, increase, or change any of the terms or conditions of any agreement,
instrument, document, or other writing evidencing or concerning the relationship between each Medical PC and Parent or any of its Subsidiaries except (i) to the extent required by any Governmental Authority’s interpretation of law or
regulatory determination if disclosed to Borrowers after the Closing Date, (ii) required by mandatory provisions of applicable law effective after the Closing Date, or (iii) such other amendments, modifications, alterations, increases, or
changes that do not adversely affect the interests of the Agent or any Lender in any respect, or 
 (d) enter into a new Management Agreement
or other agreement with a Medical PC which is on terms materially less favorable to Parent and its Subsidiaries or the Lender Group than the agreements previously entered into with other Medical PCs prior to the Closing Date. 
 7.8 Change of Control. Cause, permit, or suffer, directly or indirectly, any Change of Control. 
 7.9 [Intentionally Omitted]  
 7.10 Distributions. Other than distributions or declaration and payment of dividends by a Borrower or a Guarantor to a Borrower, or distributions or declaration and payment of dividends by a Borrower or a Guarantor to a
Guarantor for the purpose of (x) funding the purchase price permitted to be paid hereunder with respect to a Permitted Acquisition or (y) making payments in respect to administrative expenses incurred on behalf of the Borrowers in an
aggregate amount not in excess of $30,000,000, make any distribution or declare or pay any dividends (in cash or other property, other than common Stock) on, or purchase, acquire, redeem, or retire any of Parent’s, any Borrower’s or any of
their respective Subsidiaries’ Stock, of any class, whether now or hereafter outstanding. 
  

 67 

 7.11 Accounting Methods. Modify or change their fiscal year or their method of accounting
(other than as may be required to conform to GAAP) or enter into, modify, or terminate any agreement currently existing, or at any time hereafter entered into with any third party accounting firm or service bureau for the preparation or storage of
Parent’s, Borrowers’ or their respective Subsidiaries’ accounting records without said accounting firm or service bureau agreeing to provide Agent information regarding Parent’s, Borrowers’ and their respective
Subsidiaries’ financial condition. 
 7.12 Investments. Except for Permitted Investments, directly or indirectly, make or
acquire any Investment, or incur any liabilities (including contingent obligations) for or in connection with any Investment; provided, however, that Parent and its Subsidiaries shall not have Permitted Investments (other than in the
Cash Management Accounts) in Deposit Accounts or Securities Accounts in an aggregate amount with respect to any Medical Practice in excess of the applicable amount set forth on Schedule 2.7(c) at any one time unless Parent or its Subsidiary,
as applicable, and the applicable securities intermediary or bank have entered into Control Agreements governing such Permitted Investments in order to perfect (and further establish) the Agent’s Liens in such Permitted Investments. Subject to
the foregoing proviso, Borrowers shall not and shall not permit their Subsidiaries to establish or maintain any Deposit Account or Securities Account unless Agent shall have received a Control Agreement in respect of such Deposit Account or
Securities Account. 
 7.13 Transactions with Affiliates. Directly or indirectly enter into or permit to exist any transaction
with any Affiliate of any Borrower except for transactions that (a) are in the ordinary course of Borrowers’ business, (b) are upon fair and reasonable terms, (c) if they involve one or more payments by Parent, any Borrower or
any of their respective Subsidiaries in excess of $250,000, are fully disclosed to Agent, and (d) are no less favorable to Parent, Borrowers or their respective Subsidiaries, as applicable, than would be obtained in an arm’s length
transaction with a non-Affiliate. 
 7.14 Suspension. Suspend or go out of a substantial and material portion of their
business. 
 7.15 Compensation. Increase the annual fee or per-meeting fees paid to the members of its board of directors
during any year by more than 25% over the prior year; pay or accrue total cash compensation, during any year, to its officers and senior management employees in an aggregate amount in excess of the amount provided for in the Employment Agreements
(as the Employment Agreements are in effect on the date hereof), or amend or agree to amend any such Employment Agreement to the extent that such amendment would permit such compensation to be increased, or would otherwise be materially adverse to
the interests of Parent and its Subsidiaries or the Lender Group. 
 7.16 Use of Proceeds. Use the proceeds of the Term Loans
for any purpose other than (a) on the Closing Date, (i) to repay in full the outstanding principal, accrued interest, and accrued fees and expenses owing to Existing Lenders, and (ii) to pay transactional fees, costs, and expenses
incurred in connection with this Agreement, the other Loan Documents, 
  

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 and the transactions contemplated hereby and thereby, and (b) to finance Permitted Acquisitions described on
Schedule 7.16 or which are consummated on or after the Closing Date (including costs and expenses incurred in connection therewith). 
 7.17 Equipment with Bailees. Store the Equipment of Parent, Borrowers or their respective Subsidiaries at any time now or hereafter with a bailee, warehouseman, or similar party. 
 7.18 Financial Covenants. 
 (a) Fail to maintain or achieve: 
 (i) Minimum EBITDA. EBITDA for Parent and its Subsidiaries, measured on a month-end
basis, of at least the required amount set forth in the following table for the applicable period set forth opposite thereto: 
  

			
	Applicable Amount	  	Applicable Period
	 $4,700,000.00
	  	 For the 3 month period ending June 30,
2005

	 $6,000,000.00
	  	 For the 3 month period ending September 30,
2005

	 $7,000,000.00
	  	 For the 3 month period ending December 31,
2005

	 $8,000,000.00
	  	 For the 3 month period ending March 31,
2006

	 $8,000,000.00
	  	 For the 3 month period ending June 30,
2006

	 $8,000,000.00
	  	 For the 3 month period ending September 30,
2006

	 $9,000,000.00
	  	 For the 3 month period ending December 31,
2006

	 $10,000,000.00
	  	 For the 3 month period ending March 31,
2007

	 $10,000,000.00
	  	 For the 3 month period ending June 30,
2007

	 $11,000,000.00
	  	 For the 3 month period ending September 30,
2007

	 $11,000,000.00
	  	 For the 3 month period ending December 31,
2007

	 $11,000,000.00
	  	 For the 3 month period ending March 31,
2008

	 $12,000,000.00
	  	 For the 3
month period ending June 30, 2008, and for each
 3 month period ending on the last day of any fiscal
quarter
 thereafter

  

 69 

 (ii) Minimum Free Cash Flow. Free Cash Flow, measured on a month-end basis, of at least the
required amount set forth in the following table for the applicable period set forth opposite thereto: 
  

			
	Applicable Amount	  	Applicable Period
	$9,000,000.00	  	For the 12 month period ending June 30, 2005
	$12,000,000.00	  	For the 12 month period ending September 30, 2005
	$13,000,000.00	  	For the 12 month period ending December 31, 2005
	$17,000,000.00	  	For the 12 month period ending March 31, 2006
	$19,000,000.00	  	For the 12 month period ending June 30, 2006
	$20,000,000.00	  	For the 12 month period ending September 30, 2006
	$20,000,000.00	  	For the 12 month period ending December 31, 2006
	$20,000,000.00	  	For the 12 month period ending March 31, 2007
	$20,000,000.00	  	For the 12 month period ending June 30, 2007
	$24,000,000.00	  	For the 12 month period ending September 30, 2007
	$25,000,000.00	  	For the 12 month period ending December 31, 2007, and for each 12 month period ending on the last day
of any fiscal quarter thereafter

 (iii) Leverage Ratio. A Leverage Ratio of not more than 2.25:1.00 as of any date.

 (iv) Market Capitalization. A Market Capitalization of at least $50,000,000 as of any date. 
 (b) Make: 
  

 70 

 (i) Capital Expenditures. Capital Expenditures in any fiscal year in excess of the amount set
forth in the following table for the applicable period: 
  

													
	 Fiscal Year
 2005
	  	Fiscal Year
2006	  	Fiscal Year
2007	  	Fiscal Year
2008	  	Fiscal Year
2009
	 $2,250,000.00
	  	$	3,500,000.00	  	$	4,000,000.00	  	$	4,500,000.00	  	$	4,500,000.00

 (c) Trading of Stock. Permit, at any time, the trading of the common Stock of Parent to be
halted or suspended for more than five (5) consecutive Business Days, or for such common Stock to be delisted (and not be listed for trading on another similar public stock exchange within five (5) Business Days of such delisting), in each
case by any public stock exchange on which its shares of common Stock were being traded at the time of such halt, suspension or delisting. 
  

	8.	EVENTS OF DEFAULT. 

 Any one or more of the
following events shall constitute an event of default (each, an “Event of Default”) under this Agreement: 
 8.1 If
Borrowers fail to pay (a) within 3 days of the date when due and payable or when declared due and payable, all or any portion of the Obligations in respect of interest, fees or reimbursement of Lender Group Expenses (including any of the
foregoing that accrue after the commencement of an Insolvency Proceeding, regardless of whether allowed or allowable in whole or in part as a claim in any such Insolvency Proceeding) and said amount remains unpaid for 3 days after the date when such
amount is due and payable, or (b) when due and payable or when declared due and payable, all or any portion of the Obligations in respect of principal or any other amount constituting Obligations; 
 8.2 If Parent, Borrowers or any of their respective Subsidiaries (a) fail to perform, keep, or observe any term, provision, condition, covenant, or
agreement contained in Sections 6.6, 6.9, 6.10 or 6.11 of this Agreement and such failure continues for a period of 5 days, or (b) fail to perform, keep, or observe any other term, provision, condition, covenant, or
agreement contained in this Agreement or in any of the other Loan Documents not described above in Section 8.2(a); 
 8.3 If any
material portion of Parent’s, any Borrower’s or any of their respective Subsidiaries’ assets, taken as a whole, is attached, seized, subjected to a writ or distress warrant, levied upon, or comes into the possession of any third
Person; 
 8.4 If an Insolvency Proceeding is commenced by Parent, any Borrower or any of their respective Subsidiaries; 
 8.5 If an Insolvency Proceeding is commenced against Parent, any Borrower or any of their respective Subsidiaries, and any of the following events occur:
(a) Parent, the 
  

 71 

 applicable Borrower or the applicable Subsidiary consents to the institution of the Insolvency Proceeding against it,
(b) the petition commencing the Insolvency Proceeding is not timely controverted; provided, however, that, during the pendency of such period, each member of the Lender Group shall be relieved of its obligations to extend credit hereunder,
(c) the petition commencing the Insolvency Proceeding is not dismissed within 60 calendar days of the date of the filing thereof; provided, however, that, during the pendency of such period, each member of the Lender Group shall be relieved of
its obligation to extend credit hereunder, (d) an interim trustee is appointed to take possession of all or any substantial portion of the properties or assets of, or to operate all or any substantial portion of the business of, Parent, any
Borrower or any of their respective Subsidiaries, or (e) an order for relief shall have been entered therein; 
 8.6 If Parent, any
Borrower or any of their respective Subsidiaries is enjoined, restrained, or in any way prevented by court order from continuing to conduct all or any material part of its business affairs; 
 8.7 If a notice of Lien, levy, or assessment is filed of record with respect to Parent’s, any Borrower’s or any of their respective
Subsidiaries’ assets by the United States, or any department, agency, or instrumentality thereof, or by any state, county, municipal, or governmental agency, or if any taxes or debts owing at any time hereafter to any one or more of such
entities becomes a Lien, whether choate or otherwise, upon Parent’s, any Borrower’s or any of their respective Subsidiaries’ assets and the same is not paid before such payment is delinquent; 
 8.8 If a judgment or other claim for the payment of money exceeding $1,000,000 in the aggregate becomes a Lien or encumbrance upon any portion of
Parent’s, any Borrower’s or any of their respective Subsidiaries’ assets; 
 8.9 If there is a default in any material
agreement to which Parent, any Borrower or any of their respective Subsidiaries is a party (including, in the case of the Subordinated Debt Documents (as such term is defined in the Subordination Agreement), any default thereunder, and failure to
comply therewith, or any other event which results in an obligation of the Parent to make one or more payments to any Subordinated Lender which constitute Liquidated Damages (as such term is defined in the Subordination Agreement)), and such
default, failure or event (a) occurs at the final maturity of the obligations thereunder, (b) results in a right by the other party thereto, irrespective of whether exercised, to accelerate the maturity of Parent, the applicable
Borrower’s or the applicable Subsidiary’s obligations thereunder, or to terminate such agreement, or (c) in the case of Indebtedness owed by Parent to the Subordinated Lenders, such default, failure or event results in an obligation
of Parent to make any payment which constitutes Liquidated Damages (as such term is defined in the Subordination Agreement); 
 8.10 If
Parent, any Borrower or any of their respective Subsidiaries makes any payment on account of Indebtedness that has been contractually subordinated in right of payment to the payment of the Obligations, except to the extent such payment is permitted
by the terms of the subordination provisions applicable to such Indebtedness; 
  

 72 

 8.11 If any misstatement or misrepresentation exists as of the date when made or deemed made, in any
warranty, representation, statement, or Record made to the Lender Group by Parent, any Borrower, or any their respective Subsidiaries, or any officer, employee, agent, or director of Parent, any Borrower or any of their respective Subsidiaries;

 8.12 If the obligation of any Guarantor under the Guaranty is limited or terminated by operation of law or by such Guarantor thereunder;

 8.13 If this Agreement or any other Loan Document that purports to create a Lien, shall, for any reason, fail or cease to create a valid
and perfected and, except to the extent permitted by the terms hereof or thereof, first priority Lien on or security interest in the Collateral covered hereby or thereby, except as a result of a disposition of the applicable Collateral in a
transaction permitted under this Agreement; 
 8.14 If, at any time (each, a “Measurement Time”), the aggregate number of
Doctor Departures since the Closing Date exceeds 33% of the aggregate number of doctors employed by Parent, any of its Subsidiaries or any Medical PC at such Measurement Time; 
 8.15 If (a) at any time on or after the 2003 Subordinated Note Refinance Date, any Indebtedness owing to any Subordinate Lender and evidenced by the
2003 Subordinated Notes has not been converted into common Stock of Parent, refinanced in its entirety on terms that are satisfactory to Agent and the Required Lenders, or amended such that no portion of the principal balance of such Indebtedness is
due and payable on or before the date that is 90 days after the 2003 Subordinated Note Refinance Date, or (b) at any time on or after the 2004 Subordinated Note Refinance Date, any Indebtedness owing to any Subordinate Lender evidenced by the
2004 Subordinated Notes has not been converted into common Stock of Parent, refinanced in its entirety on terms that are satisfactory to Agent and the Required Lenders, or amended such that no portion of the principal balance of such Indebtedness is
due and payable on or before the date that is 90 days after the 2004 Subordinated Note Refinance Date; or 
 8.16 Any provision of any Loan
Document shall at any time for any reason be declared to be null and void, or the validity or enforceability thereof shall be contested by Parent, any Borrower or any of their respective Subsidiaries, or a proceeding shall be commenced by Parent,
any Borrower or any of their respective Subsidiaries, or by any Governmental Authority having jurisdiction over Parent, any Borrower or any of their respective Subsidiaries, seeking to establish the invalidity or unenforceability thereof, or Parent,
any Borrower or any of their respective Subsidiaries shall deny that it has any liability or obligation purported to be created under any Loan Document. 
  

 73 

	9.	THE LENDER GROUP’S RIGHTS AND REMEDIES. 

 9.1
Rights and Remedies. Upon the occurrence, and during the continuation, of an Event of Default, the Required Lenders (at their election but without notice of their election and without demand) may authorize and instruct Agent to do any
one or more of the following on behalf of the Lender Group (and Agent, acting upon the instructions of the Required Lenders, shall do the same on behalf of the Lender Group), all of which are authorized by Borrowers: 
 (a) Declare all or any portion of the Obligations, whether evidenced by this Agreement, by any of the other Loan Documents, or otherwise, immediately due
and payable; 
 (b) Cease advancing money or extending credit to or for the benefit of Borrowers under this Agreement, under any of the Loan
Documents, or under any other agreement between Borrowers and the Lender Group; 
 (c) Terminate this Agreement and any of the other Loan
Documents as to any future liability or obligation of the Lender Group, but without affecting any of the Agent’s Liens in the Collateral and without affecting the Obligations; 
 (d) Settle or adjust disputes and claims directly with Borrowers’ Account Debtors for amounts and upon terms which Agent considers advisable, and in
such cases, Agent will credit the Loan Account with only the net amounts received by Agent in payment of such disputed Accounts after deducting all Lender Group Expenses incurred or expended in connection therewith; 
 (e) Cause Borrowers to hold all of their returned Inventory in trust for the Lender Group and segregate all such Inventory from all other assets of
Borrowers or in Borrowers’ possession; 
 (f) Without notice to or demand upon any Borrower, make such payments and do such acts as
Agent considers necessary or reasonable to protect its security interests in the Collateral. Each Borrower agrees to assemble the Collateral if Agent so requires, and to make the Collateral available to Agent at a place that Agent may designate
which is reasonably convenient to both parties. Each Borrower authorizes Agent to enter the premises where the Collateral is located, to take and maintain possession of the Collateral, or any part of it, and to pay, purchase, contest, or compromise
any Lien that in Agent’s determination appears to conflict with the priority of the Agent’s Liens in and to the Collateral and to pay all expenses incurred in connection therewith and to charge Borrowers’ Loan Account therefor. With
respect to any of Borrowers’ owned or leased premises, each Borrower hereby grants Agent a license to enter into possession of such premises and to occupy the same, without charge, in order to exercise any of the Lender Group’s rights or
remedies provided herein, at law, in equity, or otherwise; 
 (g) Without notice to any Borrower (such notice being expressly waived), and
without constituting an acceptance of any collateral in full or partial satisfaction of an obligation (within the meaning of the Code), set off and apply to the Obligations any and all 
  

 74 

 (i) balances and deposits of any Borrower held by the Lender Group (including any amounts received in the Cash Management
Accounts), or (ii) Indebtedness at any time owing to or for the credit or the account of any Borrower held by the Lender Group; 
 (h)
Hold, as cash collateral, any and all balances and deposits of any Borrower held by the Lender Group, and any amounts received in the Cash Management Accounts, to secure the full and final repayment of all of the Obligations; 
 (i) Ship, reclaim, recover, store, finish, maintain, repair, prepare for sale, advertise for sale, and sell (in the manner provided for herein) the
Borrower Collateral. Each Borrower hereby grants to Agent a license or other right to use, without charge, such Borrower’s labels, patents, copyrights, trade secrets, trade names, trademarks, service marks, and advertising matter, or any
property of a similar nature, as it pertains to the Borrower Collateral, in completing production of, advertising for sale, and selling any Borrower Collateral and such Borrower’s rights under all licenses and all franchise agreements shall
inure to the Lender Group’s benefit; 
 (j) Sell the Borrower Collateral at either a public or private sale, or both, by way of one or
more contracts or transactions, for cash or on terms, in such manner and at such places (including Borrowers’ premises) as Agent determines is commercially reasonable. It is not necessary that the Borrower Collateral be present at any such
sale; 
 (k) Except in those circumstances where no notice is required under the Code, Agent shall give notice of the disposition of the
Borrower Collateral as follows: 
 (i) Agent shall give Administrative Borrower (for the benefit of the applicable Borrower) a notice in
writing of the time and place of public sale, or, if the sale is a private sale or some other disposition other than a public sale is to be made of the Borrower Collateral, the time on or after which the private sale or other disposition is to be
made; and 
 (ii) The notice shall be personally delivered or mailed, postage prepaid, to Administrative Borrower as provided in
Section 12, at least 10 days before the earliest time of disposition set forth in the notice; no notice needs to be given prior to the disposition of any portion of the Borrower Collateral that is perishable or threatens to decline
speedily in value or that is of a type customarily sold on a recognized market; 
 (l) Agent, on behalf of the Lender Group may credit bid
and purchase at any public sale; 
 (m) Agent may seek the appointment of a receiver or keeper to take possession of all or any portion of
the Borrower Collateral or to operate same and, to the maximum extent permitted by law, may seek the appointment of such a receiver without the requirement of prior notice or a hearing; and 
 (n) The Lender Group shall have all other rights and remedies available at law or in equity or pursuant to any other Loan Document. 
  

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 The foregoing to the contrary notwithstanding, upon the occurrence of any Event of Default described in
Section 8.4 or Section 8.5, in addition to the remedies set forth above, without any notice to Borrowers or any other Person or any act by the Lender Group, the Commitments shall automatically terminate and the Obligations
then outstanding, together with all accrued and unpaid interest thereon and all fees and all other amounts due under this Agreement and the other Loan Documents, shall automatically and immediately become due and payable, without presentment,
demand, protest, or notice of any kind, all of which are expressly waived by Borrowers. 
 9.2 Remedies Cumulative. The rights
and remedies of the Lender Group under this Agreement, the other Loan Documents, and all other agreements shall be cumulative. The Lender Group shall have all other rights and remedies not inconsistent herewith as provided under the Code, by law, or
in equity. No exercise by the Lender Group of one right or remedy shall be deemed an election, and no waiver by the Lender Group of any Event of Default shall be deemed a continuing waiver. No delay by the Lender Group shall constitute a waiver,
election, or acquiescence by it. 
  

	10.	TAXES AND EXPENSES. 

 If any Borrower fails to pay
any monies (whether taxes, assessments, insurance premiums, or, in the case of leased properties or assets, rents or other amounts payable under such leases) due to third Persons, or fails to make any deposits or furnish any required proof of
payment or deposit, all as required under the terms of this Agreement, then, Agent, in its sole discretion and without prior notice to any Borrower, may do any or all of the following: (a) make payment of the same or any part thereof, or
(b) in the case of the failure to comply with Section 6.8 hereof, obtain and maintain insurance policies of the type described in Section 6.8 and take any action with respect to such policies as Agent deems prudent. Any
such amounts paid by Agent shall constitute Lender Group Expenses and any such payments shall not constitute an agreement by the Lender Group to make similar payments in the future or a waiver by the Lender Group of any Event of Default under this
Agreement. Agent need not inquire as to, or contest the validity of, any such expense, tax, or Lien and the receipt of the usual official notice for the payment thereof shall be conclusive evidence that the same was validly due and owing.

 11. WAIVERS; INDEMNIFICATION. 
 11.1 Demand; Protest; etc. Each Borrower waives demand, protest, notice of protest, notice of default or dishonor, notice of payment and nonpayment, nonpayment at maturity, release, compromise, settlement, extension, or
renewal of documents, instruments, chattel paper, and guarantees at any time held by the Lender Group on which any such Borrower may in any way be liable. 
 11.2 The Lender Group’s Liability for Borrower Collateral. Each Borrower hereby agrees that: (a) so long as Agent complies with its obligations, if any, under the Code, the Lender Group shall
not in any way or manner be liable or responsible for: (i) the safekeeping of the Borrower Collateral, (ii) any loss or damage thereto occurring or arising 
  

 76 

 in any manner or fashion from any cause, (iii) any diminution in the value thereof, or (iv) any act or default
of any carrier, warehouseman, bailee, forwarding agency, or other Person, and (b) all risk of loss, damage, or destruction of the Borrower Collateral shall be borne by Borrowers. 
 11.3 Indemnification. Each Borrower shall pay, indemnify, defend, and hold the Agent-Related Persons, the Lender-Related Persons, and each
Participant (each, an “Indemnified Person”) harmless (to the fullest extent permitted by law) from and against any and all claims, demands, suits, actions, investigations, proceedings, and damages, and all reasonable attorneys fees
and disbursements and other costs and expenses actually incurred in connection therewith or in connection with the enforcement of this indemnification (as and when they are incurred and irrespective of whether suit is brought), at any time asserted
against, imposed upon, or incurred by any of them (a) in connection with or as a result of or related to the execution, delivery, enforcement, performance, or administration (including any restructuring or workout with respect hereto) of this
Agreement, any of the other Loan Documents, or the transactions contemplated hereby or thereby or the monitoring of Borrowers’ and their Subsidiaries’ compliance with the terms of the Loan Documents, and (b) with respect to any
investigation, litigation, or proceeding related to this Agreement, any other Loan Document, or the use of the proceeds of the credit provided hereunder (irrespective of whether any Indemnified Person is a party thereto), or any act, omission,
event, or circumstance in any manner related thereto (all the foregoing, collectively, the “Indemnified Liabilities”). The foregoing to the contrary notwithstanding, Borrowers shall have no obligation to any Indemnified Person under
this Section 11.3 with respect to any Indemnified Liability that a court of competent jurisdiction finally determines to have resulted from the gross negligence or willful misconduct of such Indemnified Person. This provision shall
survive the termination of this Agreement and the repayment of the Obligations. If any Indemnified Person makes any payment to any other Indemnified Person with respect to an Indemnified Liability as to which Borrowers were required to indemnify the
Indemnified Person receiving such payment, the Indemnified Person making such payment is entitled to be indemnified and reimbursed by Borrowers with respect thereto. WITHOUT LIMITATION, THE FOREGOING INDEMNITY SHALL APPLY TO EACH INDEMNIFIED
PERSON WITH RESPECT TO INDEMNIFIED LIABILITIES WHICH IN WHOLE OR IN PART ARE CAUSED BY OR ARISE OUT OF ANY NEGLIGENT ACT OR OMISSION OF SUCH INDEMNIFIED PERSON OR OF ANY OTHER PERSON. 
  

	12.	NOTICES. 

 Unless otherwise provided in this
Agreement, all notices or demands by Borrowers or Agent to the other relating to this Agreement or any other Loan Document shall be in writing and (except for financial statements and other informational documents which may be sent by first-class
mail, postage prepaid) shall be personally delivered or sent by registered or certified mail (postage prepaid, return receipt requested), overnight courier, electronic mail (at such email addresses as Administrative Borrower or Agent, as applicable,

  

 77 

 may designate to each other in accordance herewith), or telefacsimile to Borrowers in care of Administrative Borrower or
to Agent, as the case may be, at its address set forth below: 
  

			
	 If to Administrative
 Borrower:
	  	PAINCARE SURGERY CENTERS, INC.
		  	 1030 North Orange Avenue
 Suite 105
 Orlando, Florida 32801
 Attn: Randy Lubinsky, Chief Executive
Officer
 Fax No.: (407) 926-6616
 Email:
randy@paincare.com

		
	 with copies to:
	  	 E. Nicholas Davis, III
 12200 West Colonial Drive,
Suite 303
 Winter Garden, Florida 34787
 Fax No.: (407)
905-9695
 Email: ndavis@cloverleafcapital.com

		
	 If to Agent:
	  	 HBK INVESTMENTS L.P.
 300 Crescent

Court Suite 700
 Dallas, Texas 75201
 Attn: Legal Department
 Fax No.: (214) 758-1207

		
	 with copies to:
	  	 PAUL, HASTINGS, JANOFSKY & WALKER, LLP
 Twenty-Fifth Floor
 515 South Flower Street
 Los
Angeles, CA 90071
 Attn: John Francis Hilson, Esq.
 Fax No.:
(213) 996-3300

 Agent and Borrowers may change the address at which they are to receive notices hereunder, by
notice in writing in the foregoing manner given to the other party. All notices or demands sent in accordance with this Section 12, other than notices by Agent in connection with enforcement rights against the Borrower Collateral under
the provisions of the Code, shall be deemed received on the earlier of the date of actual receipt or 3 Business Days after the deposit thereof in the mail. Each Borrower acknowledges and agrees that notices sent by the Lender Group in connection
with the exercise of enforcement rights against Borrower Collateral under the provisions of the Code shall be deemed sent when deposited in the mail or personally delivered, or, where permitted by law, transmitted by telefacsimile or any other
method set forth above. 
  

 78 

	13.	CHOICE OF LAW AND VENUE; JURY TRIAL WAIVER. 

 (a) PURSUANT TO THE PROVISIONS OF THE SECTION 5-1401 OF THE NEW YORK GENERAL OBLIGATIONS LAWS, THE VALIDITY OF THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS (UNLESS EXPRESSLY PROVIDED TO THE CONTRARY IN ANOTHER LOAN DOCUMENT IN
RESPECT OF SUCH OTHER LOAN DOCUMENT), THE CONSTRUCTION, INTERPRETATION, AND ENFORCEMENT HEREOF AND THEREOF, AND THE RIGHTS OF THE PARTIES HERETO AND THERETO WITH RESPECT TO ALL MATTERS ARISING HEREUNDER OR THEREUNDER OR RELATED HERETO OR THERETO
SHALL BE DETERMINED UNDER, GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 
 (b) PURSUANT TO
THE PROVISIONS OF THE SECTION 5-1402 OF THE NEW YORK GENERAL OBLIGATIONS LAWS, THE PARTIES AGREE THAT ALL ACTIONS OR PROCEEDINGS ARISING IN CONNECTION WITH THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS SHALL BE TRIED AND LITIGATED ONLY IN THE STATE
AND TO THE EXTENT PERMITTED BY APPLICABLE LAW, FEDERAL COURTS LOCATED IN THE COUNTY OF NEW YORK, STATE OF NEW YORK, PROVIDED, HOWEVER, THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT
AGENT’S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE AGENT ELECTS TO BRING SUCH ACTION OR WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. BORROWERS AND EACH MEMBER OF THE LENDER GROUP WAIVE, TO THE EXTENT PERMITTED UNDER APPLICABLE
LAW, ANY RIGHT EACH MAY HAVE TO ASSERT THE DOCTRINE OF FORUM NON CONVENIENS OR TO OBJECT TO VENUE TO THE EXTENT ANY PROCEEDING IS BROUGHT IN ACCORDANCE WITH THIS SECTION 13(b). 
 (c) BORROWERS AND EACH MEMBER OF THE LENDER GROUP HEREBY WAIVE THEIR RESPECTIVE RIGHTS TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF ACTION BASED
UPON OR ARISING OUT OF ANY OF THE LOAN DOCUMENTS OR ANY OF THE TRANSACTIONS CONTEMPLATED THEREIN, INCLUDING CONTRACT CLAIMS, TORT CLAIMS, BREACH OF DUTY CLAIMS, AND ALL OTHER COMMON LAW OR STATUTORY CLAIMS. BORROWERS AND EACH MEMBER OF THE LENDER
GROUP REPRESENT THAT EACH HAS REVIEWED THIS WAIVER AND EACH KNOWINGLY AND VOLUNTARILY WAIVES ITS JURY TRIAL RIGHTS FOLLOWING CONSULTATION WITH LEGAL COUNSEL. IN THE EVENT OF LITIGATION, A COPY OF THIS AGREEMENT MAY BE FILED AS A WRITTEN CONSENT TO A
TRIAL BY THE COURT. 
  

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	14.	ASSIGNMENTS AND PARTICIPATIONS; SUCCESSORS. 

  

	 	14.1	Assignments and Participations. 

 (a) Any
Lender may assign and delegate to one or more assignees (each an “Assignee”) that are Eligible Transferees all, or any ratable part of all, of the Obligations, the Commitments and the other rights and obligations of such Lender
hereunder and under the other Loan Documents, in a minimum amount of $5,000,000 (except such minimum amount shall not apply to (x) an assignment or delegation by any Lender to any other Lender or an Affiliate of any Lender or any Related Fund
or (y) a group of new Lenders, each of whom is an Affiliate of each other or a fund or account managed by any such new Lender or an Affiliate of such new Lender to the extent that the aggregate amount to be assigned to all such new Lenders is
at least $5,000,000); provided, however, that Borrowers and Agent may continue to deal solely and directly with such Lender in connection with the interest so assigned to an Assignee until (i) written notice of such assignment,
together with payment instructions, addresses, and related information with respect to the Assignee, have been given to Administrative Borrower and Agent by such Lender and the Assignee, (ii) such Lender and its Assignee have delivered to
Administrative Borrower and Agent an Assignment and Acceptance, and (iii) the assigning Lender or Assignee has paid to Agent for Agent’s separate account a processing fee in the amount of $5,000. Anything contained herein to the contrary
notwithstanding, the payment of any fees shall not be required and the Assignee need not be an Eligible Transferee if such assignment is in connection with any merger, consolidation, sale, transfer, or other disposition of all or any substantial
portion of the business or loan portfolio of the assigning Lender. 
 (b) From and after the date that Agent notifies the assigning Lender
that it has received an executed Assignment and Acceptance and payment of the above-referenced processing fee, (i) the Assignee thereunder shall be a party hereto and, to the extent that rights and obligations hereunder have been assigned to it
pursuant to such Assignment and Acceptance, shall have the rights and obligations of a Lender under the Loan Documents, and (ii) the assigning Lender shall, to the extent that rights and obligations hereunder and under the other Loan Documents
have been assigned by it pursuant to such Assignment and Acceptance, relinquish its rights (except with respect to Section 11.3 hereof) and be released from any future obligations under this Agreement (and in the case of an Assignment
and Acceptance covering all or the remaining portion of an assigning Lender’s rights and obligations under this Agreement and the other Loan Documents, such Lender shall cease to be a party hereto and thereto), and such assignment shall effect
a novation between Borrowers and the Assignee; provided, however, that nothing contained herein shall release any assigning Lender from obligations that survive the termination of this Agreement, including such assigning Lender’s
obligations under Article 16 and Section 17.7 of this Agreement. 
 (c) By executing and delivering an Assignment and
Acceptance, the assigning Lender thereunder and the Assignee thereunder confirm to and agree with each other and the other parties hereto as follows: (1) other than as provided in such Assignment 
  

 80 

 and Acceptance, such assigning Lender makes no representation or warranty and assumes no responsibility with respect to
any statements, warranties or representations made in or in connection with this Agreement or the execution, legality, validity, enforceability, genuineness, sufficiency or value of this Agreement or any other Loan Document furnished pursuant
hereto, (2) such assigning Lender makes no representation or warranty and assumes no responsibility with respect to the financial condition of Borrowers or the performance or observance by Borrowers of any of their obligations under this
Agreement or any other Loan Document furnished pursuant hereto, (3) such Assignee confirms that it has received a copy of this Agreement, together with such other documents and information as it has deemed appropriate to make its own credit
analysis and decision to enter into such Assignment and Acceptance, (4) such Assignee will, independently and without reliance upon Agent, such assigning Lender or any other Lender, and based on such documents and information as it shall deem
appropriate at the time, continue to make its own credit decisions in taking or not taking action under this Agreement, (5) such Assignee appoints and authorizes Agent to take such actions and to exercise such powers under this Agreement as are
delegated to Agent, by the terms hereof, together with such powers as are reasonably incidental thereto, and (6) such Assignee agrees that it will perform all of the obligations which by the terms of this Agreement are required to be performed
by it as a Lender. 
 (d) Immediately upon Agent’s receipt of the required processing fee payment and the fully executed Assignment and
Acceptance, this Agreement shall be deemed to be amended to the extent, but only to the extent, necessary to reflect the addition of the Assignee and the resulting adjustment of the Commitments arising therefrom. The Commitment allocated to each
Assignee shall reduce such Commitments of the assigning Lender pro tanto. 
 (e) Any Lender may at any time, with the written consent
of Agent, sell to one or more commercial banks, financial institutions, or other Persons not Affiliates of such Lender (a “Participant”) participating interests in all or any portion of its Obligations, the Commitment, and the other
rights and interests of that Lender (the “Originating Lender”) hereunder and under the other Loan Documents (provided that no written consent of Agent shall be required in connection with any sale of any such participating interests
by a Lender to an Eligible Transferee); provided, however, that (i) the Originating Lender shall remain a “Lender” for all purposes of this Agreement and the other Loan Documents and the Participant receiving the
participating interest in the Obligations, the Commitments, and the other rights and interests of the Originating Lender hereunder shall not constitute a “Lender” hereunder or under the other Loan Documents and the Originating
Lender’s obligations under this Agreement shall remain unchanged, (ii) the Originating Lender shall remain solely responsible for the performance of such obligations, (iii) Borrowers, Agent, and the Lenders shall continue to deal
solely and directly with the Originating Lender in connection with the Originating Lender’s rights and obligations under this Agreement and the other Loan Documents, (iv) no Lender shall transfer or grant any participating interest under
which the Participant has the right to approve any amendment to, or any consent or waiver with respect to, this Agreement or any other Loan Document, except to the extent such amendment to, or consent or waiver with respect to this Agreement or of
any other Loan Document would (A)
  

 81 

 extend the final maturity date of the Obligations hereunder in which such Participant is participating, (B) reduce
the interest rate applicable to the Obligations hereunder in which such Participant is participating, (C) release all or substantially all of the Collateral or guaranties (except to the extent expressly provided herein or in any of the Loan
Documents) supporting the Obligations hereunder in which such Participant is participating, (D) postpone the payment of, or reduce the amount of, the interest or fees payable to such Participant through such Lender, or (E) change the
amount or due dates of scheduled principal repayments or prepayments or premiums, and (v) all amounts payable by Borrowers hereunder shall be determined as if such Lender had not sold such participation, except that, if amounts outstanding
under this Agreement are due and unpaid, or shall have been declared or shall have become due and payable upon the occurrence of an Event of Default, each Participant shall be deemed to have the right of set off in respect of its participating
interest in amounts owing under this Agreement to the same extent as if the amount of its participating interest were owing directly to it as a Lender under this Agreement. The rights of any Participant only shall be derivative through the
Originating Lender with whom such Participant participates and no Participant shall have any rights under this Agreement or the other Loan Documents or any direct rights as to the other Lenders, Agent, Borrowers, the Collections of Borrowers or
their Subsidiaries, the Collateral, or otherwise in respect of the Obligations. No Participant shall have the right to participate directly in the making of decisions by the Lenders among themselves. 
 (f) In connection with any such assignment or participation or proposed assignment or participation, a Lender may, subject to the provisions of
Section 17.7, disclose all documents and information which it now or hereafter may have relating to Borrowers and their Subsidiaries and their respective businesses. 
 (g) Any other provision in this Agreement notwithstanding, any Lender may at any time create a security interest in, or pledge, all or any portion of its
rights under and interest in this Agreement in favor of (i) any Federal Reserve Bank in accordance with Regulation A of the Federal Reserve Bank or U.S. Treasury Regulation 31 CFR § 203.24, and such Federal Reserve Bank may enforce such
pledge or security interest in any manner permitted under applicable law, and (ii) any Person providing financing or other credit support to a Lender or any of its Affiliates or Related Funds, including as contemplated by
Section 2.17. 
 (h) Agent (acting solely for this purpose as a non-fiduciary agent for Borrowers) shall maintain, or cause to be
maintained, a register (the “Register”) on which it enters the name of a Lender as the registered owner of each Term Loan held by such Lender. Other than in connection with an assignment by a Lender of all or any portion of its Term
Loan to an Affiliate of such Lender or a Related Fund of such Lender (i) a Registered Loan (and the Registered Note, if any, evidencing the same) may be assigned or sold in whole or in part only by registration of such assignment or sale on the
Register (and each Registered Note shall expressly so provide) and (ii) any assignment or sale of all or part of such Registered Loan (and the Registered Note, if any, evidencing the same) may be effected only by registration of such assignment
or sale on the Register, together with the surrender of the 
  

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 Registered Note, if any, evidencing the same duly endorsed by (or accompanied by a written instrument of assignment or
sale duly executed by) the holder of such Registered Note, whereupon, at the request of the designated assignee(s) or transferee(s), one or more new Registered Notes in the same aggregate principal amount shall be issued to the designated
assignee(s) or transferee(s). Prior to the registration of assignment or sale of any Registered Loan (and the Registered Note, if any evidencing the same), Borrowers shall treat the Person in whose name such Loan (and the Registered Note, if any,
evidencing the same) is registered as the owner thereof for the purpose of receiving all payments thereon and for all other purposes, notwithstanding notice to the contrary. 
 (i) In the event that a Lender sells participations in the Registered Loan, such Lender, acting solely for this purpose as a non-fiduciary agent for
Borrowers, shall maintain a register on which it enters the name of all participants in the Registered Loans held by it (the “Participant Register”). A Registered Loan (and the Registered Note, if any, evidencing the same) may be
participated in whole or in part only by registration of such participation on the Participant Register (and each Registered Note shall expressly so provide). Any participation of such Registered Loan (and the Registered Note, if any, evidencing the
same) may be effected only by the registration of such participation on the Participant Register. 
 14.2 Successors. This
Agreement shall bind and inure to the benefit of the respective successors and assigns of each of the parties; provided, however, that Borrowers may not assign this Agreement or any rights or duties hereunder without the Lenders’
prior written consent and any prohibited assignment shall be absolutely void ab initio. No consent to assignment by the Lenders shall release any Borrower from its Obligations unless otherwise agreed in writing by each member of the Lender
Group. A Lender may assign this Agreement and the other Loan Documents and its rights and duties hereunder and thereunder pursuant to Section 14.1 hereof and, except as expressly required pursuant to Section 14.1 hereof, no
consent or approval by any Borrower is required in connection with any such assignment. 
  

	15.	AMENDMENTS; WAIVERS. 

 15.1 Amendments and
Waivers. No amendment or waiver of any provision of this Agreement or any other Loan Document, and no consent with respect to any departure by Borrowers therefrom, shall be effective unless the same shall be in writing and signed by the
Required Lenders (or by Agent at the written request of the Required Lenders) and Administrative Borrower (on behalf of all Borrowers) and then any such waiver or consent shall be effective, but only in the specific instance and for the specific
purpose for which given; provided, however, that no such waiver, amendment, or consent shall, unless in writing and signed by all of the Lenders affected thereby and Administrative Borrower (on behalf of all Borrowers) and acknowledged
by Agent, do any of the following: 
 (a) increase or extend any Commitment of any Lender, 
  

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 (b) postpone or delay any date fixed by this Agreement or any other Loan Document for any payment of
principal, interest, fees, or other amounts due hereunder or under any other Loan Document, 
 (c) reduce the principal of, or the rate of
interest on, any loan or other extension of credit hereunder, or reduce any fees or other amounts payable hereunder or under any other Loan Document, 
 (d) change the Pro Rata Share that is required to take any action hereunder, 
 (e) amend or modify this
Section or any provision of the Agreement providing for consent or other action by all Lenders, 
 (f) other than as permitted by
Section 16.12, release Agent’s Lien in and to any of the Collateral, 
 (g) change the definition of “Required
Lenders” or “Pro Rata Share”, 
 (h) contractually subordinate any of the Agent’s Liens, 
 (i) release any Borrower or any Guarantor from any obligation for the payment of money, 
 (j) change the definition of Term Loan Amount or Term Loan Expiration Date, or 
 (k) amend any of the provisions of Section 16. 
 and, provided further, however, that no amendment, waiver or consent shall, unless in writing and signed by Agent, affect the rights or duties of Agent under this Agreement or any other Loan Document. The foregoing
notwithstanding, any amendment, modification, waiver, consent, termination, or release of, or with respect to, any provision of this Agreement or any other Loan Document that relates only to the relationship of the Lender Group among themselves, and
that does not affect the rights or obligations of Borrowers, shall not require consent by or the agreement of Borrowers. 
  

	 	15.2	Replacement of Holdout Lender. 

 (a) If any
action to be taken by the Lender Group or Agent hereunder requires the unanimous consent, authorization, or agreement of all Lenders, and a Lender (“Holdout Lender”) fails to give its consent, authorization, or agreement, then
Agent, upon at least 5 Business Days prior irrevocable notice to the Holdout Lender, may permanently replace the Holdout Lender with one or more substitute Lenders (each, a “Replacement Lender”), and the Holdout Lender shall have no
right to refuse to be replaced hereunder. Such notice to replace the Holdout Lender shall specify an effective date for such replacement, which date shall not be later than 15 Business Days after the date such notice is given. 
  

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 (b) Prior to the effective date of such replacement, the Holdout Lender and each Replacement Lender shall
execute and deliver an Assignment and Acceptance, subject only to the Holdout Lender being repaid its share of the outstanding Obligations (including an assumption of its Pro Rata Share of the Risk Participation Liability) without any premium or
penalty of any kind whatsoever. If the Holdout Lender shall refuse or fail to execute and deliver any such Assignment and Acceptance prior to the effective date of such replacement, the Holdout Lender shall be deemed to have executed and delivered
such Assignment and Acceptance. The replacement of any Holdout Lender shall be made in accordance with the terms of Section 14.1. Until such time as the Replacement Lenders shall have acquired all of the Obligations, the Commitments, and
the other rights and obligations of the Holdout Lender hereunder and under the other Loan Documents, the Holdout Lender shall remain obligated to make the Holdout Lender’s Pro Rata Share of the Term Loans. 
 15.3 No Waivers; Cumulative Remedies. No failure by Agent or any Lender to exercise any right, remedy, or option under this Agreement or
any other Loan Document, or delay by Agent or any Lender in exercising the same, will operate as a waiver thereof. No waiver by Agent or any Lender will be effective unless it is in writing, and then only to the extent specifically stated. No waiver
by Agent or any Lender on any occasion shall affect or diminish Agent’s and each Lender’s rights thereafter to require strict performance by Borrowers of any provision of this Agreement. Agent’s and each Lender’s rights under
this Agreement and the other Loan Documents will be cumulative and not exclusive of any other right or remedy that Agent or any Lender may have. 
  

	16.	AGENT; THE LENDER GROUP. 

 16.1 Appointment
and Authorization of Agent. Each Lender hereby designates and appoints HBK as its representative under this Agreement and the other Loan Documents and each Lender hereby irrevocably authorizes Agent to execute and deliver each of the other
Loan Documents on its behalf and to take such other action on its behalf under the provisions of this Agreement and each other Loan Document and to exercise such powers and perform such duties as are expressly delegated to Agent by the terms of this
Agreement or any other Loan Document, together with such powers as are reasonably incidental thereto. Agent agrees to act as such on the express conditions contained in this Section 16. The provisions of this Section 16
(other than the proviso to Section 16.11(a)) are solely for the benefit of Agent, and the Lenders, and Borrowers and their Subsidiaries shall have no rights as a third party beneficiary of any of the provisions contained herein. Any
provision to the contrary contained elsewhere in this Agreement or in any other Loan Document notwithstanding, Agent shall not have any duties or responsibilities, except those expressly set forth herein, nor shall Agent have or be deemed to have
any fiduciary relationship with any Lender, and no implied covenants, functions, responsibilities, duties, obligations or liabilities shall be read into this Agreement or any other Loan Document or otherwise exist against Agent; it being expressly
understood and agreed that the use of the word “Agent” is for convenience only, that HBK is merely the representative of the Lenders, and only has the contractual duties set forth herein. Except as expressly otherwise provided in this
Agreement, Agent shall have and may use its sole discretion with respect to exercising or refraining from 
  

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 exercising any discretionary rights or taking or refraining from taking any actions that Agent expressly is entitled to
take or assert under or pursuant to this Agreement and the other Loan Documents. Without limiting the generality of the foregoing, or of any other provision of the Loan Documents that provides rights or powers to Agent, Lenders agree that Agent
shall have the right to exercise the following powers as long as this Agreement remains in effect: (a) maintain, in accordance with its customary business practices, ledgers and records reflecting the status of the Obligations, the Collateral,
the Collections of Borrowers and their Subsidiaries, and related matters, (b) execute or file any and all financing or similar statements or notices, amendments, renewals, supplements, documents, instruments, proofs of claim, notices and other
written agreements with respect to the Loan Documents, (c) make Term Loans, for itself or on behalf of Lenders as provided in the Loan Documents, (d) exclusively receive, apply, and distribute the Collections of Borrowers and their
Subsidiaries as provided in the Loan Documents, (e) open and maintain such bank accounts and cash management arrangements as Agent deems necessary and appropriate in accordance with the Loan Documents for the foregoing purposes with respect to
the Collateral and the Collections of Borrowers and their Subsidiaries, (f) perform, exercise, and enforce any and all other rights and remedies of the Lender Group with respect to Borrowers, the Obligations, the Collateral, the Collections of
Borrowers and their Subsidiaries, or otherwise related to any of same as provided in the Loan Documents, and (g) incur and pay such Lender Group Expenses as Agent may deem necessary or appropriate for the performance and fulfillment of its
functions and powers pursuant to the Loan Documents. 
 16.2 Delegation of Duties. Agent may execute any of its duties under
this Agreement or any other Loan Document by or through agents, employees or attorneys in fact and shall be entitled to advice of counsel concerning all matters pertaining to such duties. Agent shall not be responsible for the negligence or
misconduct of any agent or attorney in fact that it selects as long as such selection was made without gross negligence or willful misconduct. 
 16.3 Liability of Agent. None of the Agent Related Persons shall (a) be liable for any action taken or omitted to be taken by any of them under or in connection with this Agreement or any other Loan Document or the
transactions contemplated hereby (except for its own gross negligence or willful misconduct), or (b) be responsible in any manner to any of the Lenders for any recital, statement, representation or warranty made by any Borrower or any
Subsidiary or Affiliate of any Borrower, or any officer or director thereof, contained in this Agreement or in any other Loan Document, or in any certificate, report, statement or other document referred to or provided for in, or received by Agent
under or in connection with, this Agreement or any other Loan Document, or the validity, effectiveness, genuineness, enforceability or sufficiency of this Agreement or any other Loan Document, or for any failure of any Borrower or any other party to
any Loan Document to perform its obligations hereunder or thereunder. No Agent Related Person shall be under any obligation to any Lender to ascertain or to inquire as to the observance or performance of any of the agreements contained in, or
conditions of, this Agreement or any other Loan Document, or to inspect the Books or properties of Borrowers or the books or records or properties of any of Borrowers’ Subsidiaries or Affiliates. 
  

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 16.4 Reliance by Agent. Agent shall be entitled to rely, and shall be fully protected in
relying, upon any writing, resolution, notice, consent, certificate, affidavit, letter, telegram, telefacsimile or other electronic method of transmission, telex or telephone message, statement or other document or conversation believed by it to be
genuine and correct and to have been signed, sent, or made by the proper Person or Persons, and upon advice and statements of legal counsel (including counsel to Borrowers or counsel to any Lender), independent accountants and other experts selected
by Agent. Agent shall be fully justified in failing or refusing to take any action under this Agreement or any other Loan Document unless Agent shall first receive such advice or concurrence of the Lenders as it deems appropriate and until such
instructions are received, Agent shall act, or refrain from acting, as it deems advisable. If Agent so requests, it shall first be indemnified to its reasonable satisfaction by the Lenders against any and all liability and expense that may be
incurred by it by reason of taking or continuing to take any such action. Agent shall in all cases be fully protected in acting, or in refraining from acting, under this Agreement or any other Loan Document in accordance with a request or consent of
the requisite Lenders and such request and any action taken or failure to act pursuant thereto shall be binding upon all of the Lenders. 
 16.5 Notice of Default or Event of Default. Agent shall not be deemed to have knowledge or notice of the occurrence of any Default or Event of Default, except with respect to defaults in the payment of principal, interest,
fees, and expenses required to be paid to Agent for the account of the Lenders and, except with respect to Events of Default of which Agent has actual knowledge, unless Agent shall have received written notice from a Lender or Administrative
Borrower referring to this Agreement, describing such Default or Event of Default, and stating that such notice is a “notice of default.” Agent promptly will notify the Lenders of its receipt of any such notice or of any Event of Default
of which Agent has actual knowledge. If any Lender obtains actual knowledge of any Event of Default, such Lender promptly shall notify the other Lenders and Agent of such Event of Default. Each Lender shall be solely responsible for giving any
notices to its Participants, if any. Subject to Section 16.4, Agent shall take such action with respect to such Default or Event of Default as may be requested by the Required Lenders in accordance with Section 9;
provided, however, that unless and until Agent has received any such request, Agent may (but shall not be obligated to) take such action, or refrain from taking such action, with respect to such Default or Event of Default as it shall
deem advisable. 
 16.6 Credit Decision. Each Lender acknowledges that none of the Agent Related Persons has made any
representation or warranty to it, and that no act by Agent hereinafter taken, including any review of the affairs of Borrowers and their Subsidiaries or Affiliates, shall be deemed to constitute any representation or warranty by any Agent-Related
Person to any Lender. Each Lender represents to Agent that it has, independently and without reliance upon any Agent-Related Person and based on such documents and information as it has deemed appropriate, made its own appraisal of and investigation
into the business, prospects, operations, property, financial and other condition and creditworthiness of Borrowers and any other Person party to a Loan Document, and all applicable bank regulatory laws relating to the transactions contemplated
hereby, and made its own decision to enter into this 
  

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 Agreement and to extend credit to Borrowers. Each Lender also represents that it will, independently and without reliance
upon any Agent-Related Person and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit analysis, appraisals and decisions in taking or not taking action under this Agreement and the other
Loan Documents, and to make such investigations as it deems necessary to inform itself as to the business, prospects, operations, property, financial and other condition and creditworthiness of Borrowers and any other Person party to a Loan
Document. Except for notices, reports, and other documents expressly herein required to be furnished to the Lenders by Agent, Agent shall not have any duty or responsibility to provide any Lender with any credit or other information concerning the
business, prospects, operations, property, financial and other condition or creditworthiness of Borrowers and any other Person party to a Loan Document that may come into the possession of any of the Agent Related Persons. 
 16.7 Costs and Expenses; Indemnification. Agent may incur and pay Lender Group Expenses to the extent Agent reasonably deems necessary or
appropriate for the performance and fulfillment of its functions, powers, and obligations pursuant to the Loan Documents, including court costs, attorneys fees and expenses, fees and expenses of financial accountants, advisors, consultants, and
appraisers, costs of collection by outside collection agencies, auctioneer fees and expenses, and costs of security guards or insurance premiums paid to maintain the Collateral, whether or not Borrowers are obligated to reimburse Agent or Lenders
for such expenses pursuant to this Agreement or otherwise. Agent is authorized and directed to deduct and retain sufficient amounts from the Collections of Borrowers and their Subsidiaries received by Agent to reimburse Agent for such out-of-pocket
costs and expenses prior to the distribution of any amounts to Lenders. In the event Agent is not reimbursed for such costs and expenses from the Collections of Borrowers and their Subsidiaries received by Agent, each Lender hereby agrees that it is
and shall be obligated to pay to or reimburse Agent for the amount of such Lender’s Pro Rata Share thereof. Whether or not the transactions contemplated hereby are consummated, the Lenders shall indemnify upon demand the Agent Related Persons
(to the extent not reimbursed by or on behalf of Borrowers and without limiting the obligation of Borrowers to do so), according to their Pro Rata Shares, from and against any and all Indemnified Liabilities; provided, however, that no
Lender shall be liable for the payment to any Agent Related Person of any portion of such Indemnified Liabilities resulting solely from such Person’s gross negligence or willful misconduct nor shall any Lender be liable for the obligations of
any Defaulting Lender in failing to make a Term Loan or other extension of credit hereunder. Without limitation of the foregoing, each Lender shall reimburse Agent upon demand for such Lender’s Pro Rata Share of any costs or out of pocket
expenses (including attorneys, accountants, advisors, and consultants fees and expenses) incurred by Agent in connection with the preparation, execution, delivery, administration, modification, amendment, or enforcement (whether through
negotiations, legal proceedings or otherwise) of, or legal advice in respect of rights or responsibilities under, this Agreement, any other Loan Document, or any document contemplated by or referred to herein, to the extent that Agent is not
reimbursed for such expenses by or on behalf of Borrowers. The undertaking in this Section shall survive the payment of all Obligations hereunder and the resignation or replacement of Agent. 
  

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 16.8 Agent in Individual Capacity. HBK and its Affiliates and Related Funds may make loans
to, issue letters of credit for the account of, accept deposits from, acquire equity interests in, and generally engage in any kind of banking, trust, financial advisory, underwriting, or other business with Borrowers and their Subsidiaries and
Affiliates and any other Person party to any Loan Documents as though HBK were not Agent hereunder, and, in each case, without notice to or consent of the other members of the Lender Group. The other members of the Lender Group acknowledge that,
pursuant to such activities, HBK or its Affiliates or Related Funds may receive information regarding Borrowers or their Affiliates and any other Person party to any Loan Documents that is subject to confidentiality obligations in favor of Borrowers
or such other Person and that prohibit the disclosure of such information to the Lenders, and the Lenders acknowledge that, in such circumstances (and in the absence of a waiver of such confidentiality obligations, which waiver Agent will use its
reasonable best efforts to obtain), Agent shall not be under any obligation to provide such information to them. The terms “Lender” and “Lenders” include HBK in its individual capacity. 
 16.9 Successor Agent. Agent may resign as Agent upon 45 days notice to the Lenders. If Agent resigns under this Agreement, the Required
Lenders shall appoint a successor Agent for the Lenders. If no successor Agent is appointed prior to the effective date of the resignation of Agent, Agent may appoint, after consulting with the Lenders, a successor Agent. If Agent has materially
breached or failed to perform any material provision of this Agreement or of applicable law, the Required Lenders may agree in writing to remove and replace Agent with a successor Agent from among the Lenders. In any such event, upon the acceptance
of its appointment as successor Agent hereunder, such successor Agent shall succeed to all the rights, powers, and duties of the retiring Agent and the term “Agent” shall mean such successor Agent and the retiring Agent’s appointment,
powers, and duties as Agent shall be terminated. After any retiring Agent’s resignation hereunder as Agent, the provisions of this Section 16 shall inure to its benefit as to any actions taken or omitted to be taken by it while it
was Agent under this Agreement. If no successor Agent has accepted appointment as Agent by the date which is 45 days following a retiring Agent’s notice of resignation, the retiring Agent’s resignation shall nevertheless thereupon become
effective and the Lenders shall perform all of the duties of Agent hereunder until such time, if any, as the Lenders appoint a successor Agent as provided for above. 
 16.10 Lender in Individual Capacity. Any Lender and its respective Affiliates and Related Funds may make loans to, issue letters of credit for the account of, accept deposits from, acquire equity
interests in and generally engage in any kind of banking, trust, financial advisory, underwriting or other business with Borrowers and their Subsidiaries and Affiliates and any other Person party to any Loan Documents as though such Lender were not
a Lender hereunder without notice to or consent of the other members of the Lender Group. The other members of the Lender Group acknowledge that, pursuant to such activities, such Lender and its respective Affiliates and Related Funds may receive
information regarding Borrowers or their Affiliates and any other Person party to any Loan Documents that is subject to confidentiality obligations in favor of Borrowers or such other Person and that prohibit the disclosure of such information to
the Lenders, and the Lenders acknowledge that, in such 
  

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 circumstances (and in the absence of a waiver of such confidentiality obligations, which waiver such Lender will use its
reasonable best efforts to obtain), such Lender shall not be under any obligation to provide such information to them. 
 16.11
Withholding Taxes. 
 (a) All payments made by any Borrower hereunder or under any note or other Loan Document will be made
without setoff, counterclaim, or other defense. In addition, all such payments will be made free and clear of, and without deduction or withholding for, any present or future Taxes, and in the event any deduction or withholding of Taxes is required,
each Borrower shall comply with the penultimate sentence of this Section 16.11(a). “Taxes” shall mean, any taxes, levies, imposts, duties, fees, assessments or other charges of whatever nature now or hereafter imposed by any
jurisdiction or by any political subdivision or taxing authority thereof or therein with respect to such payments (but excluding any tax imposed by any jurisdiction or by any political subdivision or taxing authority thereof or therein measured by
or based on the net income or net profits of Lender) and all interest, penalties or similar liabilities with respect thereto. If any Taxes are so levied or imposed, each Borrower agrees to pay the full amount of such Taxes and such additional
amounts as may be necessary so that every payment of all amounts due under this Agreement, any note, or Loan Document, including any amount paid pursuant to this Section 16.11(a) after withholding or deduction for or on account of any
Taxes, will not be less than the amount provided for herein; provided, however, that Borrowers shall not be required to increase any such amounts if the increase in such amount payable results from Agent’s or such Lender’s own willful
misconduct or gross negligence (as finally determined by a court of competent jurisdiction). Each Borrower will furnish to Lender as promptly as possible after the date the payment of any Tax is due pursuant to applicable law certified copies of tax
receipts evidencing such payment by any Borrower. 
 (b) If a Lender claims an exemption from United States withholding tax, Lender agrees
with and in favor of Agent, to deliver to Agent: 
 (i) if such Lender claims an exemption from United States withholding tax pursuant to its
portfolio interest exception, (A) a statement of the Lender, signed under penalty of perjury, that it is not a (I) a “bank” as described in Section 881(c)(3)(A) of the IRC, (II) a 10% shareholder of any Borrower (within the
meaning of Section 871(h)(3)(B) of the IRC), or (III) a controlled foreign corporation related to any Borrower within the meaning of Section 864(d)(4) of the IRC, and (B) a properly completed and executed IRS Form W-8BEN, before
receiving its first payment under this Agreement and at any other time reasonably requested by Agent; 
 (ii) if such Lender claims an
exemption from, or a reduction of, withholding tax under a United States tax treaty, properly completed and executed IRS Form W-8BEN before receiving its first payment under this Agreement and at any other time reasonably requested by Agent;

  

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 (iii) if such Lender claims that interest paid under this Agreement is exempt from United States
withholding tax because it is effectively connected with a United States trade or business of such Lender, two properly completed and executed copies of IRS Form W-8ECI before receiving its first payment under this Agreement and at any other time
reasonably requested by Agent; or 
 (iv) such other form or forms, including IRS Form W-9, as may be required under the IRC or other laws
of the United States as a condition to exemption from, or reduction of, United States withholding or backup withholding tax before receiving its first payment under this Agreement and at any other time reasonably requested by Agent. 
 Lender agrees promptly to notify Agent of any change in circumstances which would modify or render invalid any claimed exemption or reduction. 
 (c) If a Lender claims an exemption from withholding tax in a jurisdiction other than the United States, Lender agrees with and in favor of Agent, to
deliver to Agent any such form or forms, as may be required under the laws of such jurisdiction as a condition to exemption from, or reduction of, foreign withholding or backup withholding tax before receiving its first payment under this Agreement
and at any other time reasonably requested by Agent. 
 Lender agrees promptly to notify Agent of any change in circumstances which would modify or render
invalid any claimed exemption or reduction. 
 (d) If any Lender claims exemption from, or reduction of, withholding tax and such Lender
sells, assigns, grants a participation in, or otherwise transfers all or part of the Obligations of Borrowers to such Lender, such Lender agrees to notify Agent of the percentage amount in which it is no longer the beneficial owner of Obligations of
Borrowers to such Lender. To the extent of such percentage amount, Agent will treat such Lender’s documentation provided pursuant to Sections 16.11(b) or 16.11(c) as no longer valid. With respect to such percentage amount, Lender
may provide new documentation, pursuant to Sections 16.11(b) or 16.11(c), if applicable. 
 (e) If any Lender is entitled to a
reduction in the applicable withholding tax, Agent may withhold from any interest payment to such Lender an amount equivalent to the applicable withholding tax after taking into account such reduction. If the forms or other documentation required by
subsection (b) or (c) of this Section 16.11 are not delivered to Agent, then Agent may withhold from any interest payment to such Lender not providing such forms or other documentation an amount equivalent to the applicable
withholding tax. 
 (f) If the IRS or any other Governmental Authority of the United States or other jurisdiction asserts a claim that Agent
did not properly withhold tax from amounts paid to or for the account of any Lender due to a failure on the part of the Lender (because the appropriate form was not delivered, was not properly executed, or because such Lender failed to notify Agent
of a change in circumstances which rendered the exemption from, or reduction of, withholding tax ineffective, or for any other reason) such Lender shall 
  

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 indemnify and hold Agent harmless for all amounts paid, directly or indirectly, by Agent, as tax or otherwise, including
penalties and interest, and including any taxes imposed by any jurisdiction on the amounts payable to Agent under this Section 16.11, together with all costs and expenses (including attorneys fees and expenses). The obligation of the
Lenders under this subsection shall survive the payment of all Obligations and the resignation or replacement of Agent. 
 16.12
Collateral Matters. 
 (a) The Lenders hereby irrevocably authorize Agent, at its option and in its sole discretion, to release
any Lien on any Collateral (i) upon the termination of the Commitments and payment and satisfaction in full by Borrowers of all Obligations, (ii) constituting property being sold or disposed of if a release is required or desirable in
connection therewith and if Administrative Borrower certifies to Agent that the sale or disposition is permitted under Section 7.4 of this Agreement or the other Loan Documents (and Agent may rely conclusively on any such certificate,
without further inquiry), (iii) constituting property in which no Borrower or its Subsidiaries owned any interest at the time the Agent’s Lien was granted nor at any time thereafter, or (iv) constituting property leased to a Borrower
or its Subsidiaries under a lease that has expired or is terminated in a transaction permitted under this Agreement. Except as provided above, Agent will not execute and deliver a release of any Lien on any Collateral without the prior written
authorization of (y) if the release is of all or substantially all of the Collateral, all of the Lenders, or (z) otherwise, the Required Lenders. Upon request by Agent or Administrative Borrower at any time, the Lenders will confirm in
writing Agent’s authority to release any such Liens on particular types or items of Collateral pursuant to this Section 16.12; provided, however, that (1) Agent shall not be required to execute any document
necessary to evidence such release on terms that, in Agent’s opinion, would expose Agent to liability or create any obligation or entail any consequence other than the release of such Lien without recourse, representation, or warranty, and
(2) such release shall not in any manner discharge, affect, or impair the Obligations or any Liens (other than those expressly being released) upon (or obligations of Borrowers in respect of) all interests retained by Borrowers, including, the
proceeds of any sale, all of which shall continue to constitute part of the Collateral. 
 (b) Agent shall have no obligation whatsoever to
any of the Lenders to assure that the Collateral exists or is owned by Borrowers or is cared for, protected, or insured or has been encumbered, or that the Agent’s Liens have been properly or sufficiently or lawfully created, perfected,
protected, or enforced or are entitled to any particular priority, or to exercise at all or in any particular manner or under any duty of care, disclosure or fidelity, or to continue exercising, any of the rights, authorities and powers granted or
available to Agent pursuant to any of the Loan Documents, it being understood and agreed that in respect of the Collateral, or any act, omission, or event related thereto, subject to the terms and conditions contained herein, Agent may act in any
manner it may deem appropriate, in its sole discretion given Agent’s own interest in the Collateral in its capacity as one of the Lenders and that Agent shall have no other duty or liability whatsoever to any Lender as to any of the foregoing,
except as otherwise provided herein. 
  

 92 

 16.13 Restrictions on Actions by Lenders; Sharing of Payments. 
 (a) Each of the Lenders agrees that it shall not, without the express written consent of Agent, and that it shall, to the extent it is lawfully entitled
to do so, upon the written request of Agent, set off against the Obligations, any amounts owing by such Lender to Borrowers or any deposit accounts of Borrowers now or hereafter maintained with such Lender. Each of the Lenders further agrees that it
shall not, unless specifically requested to do so in writing by Agent, take or cause to be taken any action, including, the commencement of any legal or equitable proceedings, to foreclose any Lien on, or otherwise enforce any security interest in,
any of the Collateral. 
 (b) If, at any time or times any Lender shall receive (i) by payment, foreclosure, setoff, or otherwise, any
proceeds of Collateral or any payments with respect to the Obligations, except for any such proceeds or payments received by such Lender from Agent pursuant to the terms of this Agreement, or (ii) payments from Agent in excess of such
Lender’s ratable portion of all such distributions by Agent, such Lender promptly shall (1) turn the same over to Agent, in kind, and with such endorsements as may be required to negotiate the same to Agent, or in immediately available
funds, as applicable, for the account of all of the Lenders and for application to the Obligations in accordance with the applicable provisions of this Agreement, or (2) purchase, without recourse or warranty, an undivided interest and
participation in the Obligations owed to the other Lenders so that such excess payment received shall be applied ratably as among the Lenders in accordance with their Pro Rata Shares; provided, however, that to the extent that such excess payment
received by the purchasing party is thereafter recovered from it, those purchases of participations shall be rescinded in whole or in part, as applicable, and the applicable portion of the purchase price paid therefor shall be returned to such
purchasing party, but without interest except to the extent that such purchasing party is required to pay interest in connection with the recovery of the excess payment. 
 16.14 Agency for Perfection. Agent hereby appoints each other Lender as its agent (and each Lender hereby accepts such appointment) for the purpose of perfecting the Agent’s Liens in assets which,
in accordance with Article 8 or Article 9, as applicable, of the Code can be perfected only by possession or control. Should any Lender obtain possession or control of any such Collateral, such Lender shall notify Agent thereof, and, promptly upon
Agent’s request therefor shall deliver possession or control of such Collateral to Agent or in accordance with Agent’s instructions. 
 16.15 Payments by Agent to the Lenders. All payments to be made by Agent to the Lenders shall be made by bank wire transfer of immediately available funds pursuant to such wire transfer instructions as each party may designate
for itself by written notice to Agent. Concurrently with each such payment, Agent shall identify whether such payment (or any portion thereof) represents principal, premium, fees, or interest of the Obligations. 
 16.16 Concerning the Collateral and Related Loan Documents. Each member of the Lender Group authorizes and directs Agent to enter into this
Agreement and the other 
  

 93 

 Loan Documents. Each member of the Lender Group agrees that any action taken by Agent in accordance with the terms of
this Agreement or the other Loan Documents relating to the Collateral and the exercise by Agent of its powers set forth therein or herein, together with such other powers that are reasonably incidental thereto, shall be binding upon all of the
Lenders. 
  

	 	16.17	Field Audits and Examination Reports; Confidentiality; Disclaimers by Lenders; Other Reports and Information. By becoming a party to this Agreement, each Lender:

 (a) is deemed to have requested that Agent furnish such Lender, promptly after it becomes available, a copy of each field
audit or examination report (each a “Report” and collectively, “Reports”) prepared by Agent, and Agent shall so furnish each Lender with such Reports, 
 (b) expressly agrees and acknowledges that Agent does not (i) make any representation or warranty as to the accuracy of any Report, and
(ii) shall not be liable for any information contained in any Report, 
 (c) expressly agrees and acknowledges that the Reports are not
comprehensive audits or examinations, that Agent or other party performing any audit or examination will inspect only specific information regarding Borrowers and will rely significantly upon the Books, as well as on representations of
Borrowers’ personnel, 
 (d) agrees to keep all Reports and other material, non-public information regarding Borrowers and their
Subsidiaries and their operations, assets, and existing and contemplated business plans in a confidential manner in accordance with Section 17.7, and 
 (e) without limiting the generality of any other indemnification provision contained in this Agreement, agrees: (i) to hold Agent and any such other Lender preparing a Report harmless from any action the
indemnifying Lender may take or fail to take or any conclusion the indemnifying Lender may reach or draw from any Report in connection with any loans or other credit accommodations that the indemnifying Lender has made or may make to Borrowers, or
the indemnifying Lender’s participation in, or the indemnifying Lender’s purchase of, a loan or loans of Borrowers; and (ii) to pay and protect, and indemnify, defend and hold Agent, and any such other Lender preparing a Report
harmless from and against, the claims, actions, proceedings, damages, costs, expenses, and other amounts (including, attorneys fees and costs) incurred by Agent and any such other Lender preparing a Report as the direct or indirect result of any
third parties who might obtain all or part of any Report through the indemnifying Lender. 
 In addition to the foregoing: (x) any Lender may from time
to time request of Agent in writing that Agent provide to such Lender a copy of any report or document provided by Borrowers to Agent that has not been contemporaneously provided by Borrowers to such Lender, and, upon receipt of such request, Agent
promptly shall provide a copy of same to such Lender, (y) to the extent that Agent is entitled, under any provision of the Loan 
  

 94 

 Documents, to request additional reports or information from Borrowers, any Lender may, from time to time, reasonably
request Agent to exercise such right as specified in such Lender’s notice to Agent, whereupon Agent promptly shall request of Administrative Borrower the additional reports or information reasonably specified by such Lender, and, upon receipt
thereof from Administrative Borrower, Agent promptly shall provide a copy of same to such Lender, and (z) any time that Agent renders to Administrative Borrower a statement regarding the Loan Account, Agent shall send a copy of such statement
to each Lender. 
 16.18 Several Obligations; No Liability. Notwithstanding that certain of the Loan Documents now or hereafter
may have been or will be executed only by or in favor of Agent in its capacity as such, and not by or in favor of the Lenders, any and all obligations on the part of Agent (if any) to make any credit available hereunder shall constitute the several
(and not joint) obligations of the respective Lenders on a ratable basis, according to their respective Commitments, to make an amount of such credit not to exceed, in principal amount, at any one time outstanding, the amount of their respective
Commitments. Nothing contained herein shall confer upon any Lender any interest in, or subject any Lender to any liability for, or in respect of, the business, assets, profits, losses, or liabilities of any other Lender. Each Lender shall be solely
responsible for notifying its Participants of any matters relating to the Loan Documents to the extent any such notice may be required, and no Lender shall have any obligation, duty, or liability to any Participant of any other Lender. Except as
provided in Section 16.7, no member of the Lender Group shall have any liability for the acts or any other member of the Lender Group. No Lender shall be responsible to any Borrower or any other Person for any failure by any other Lender
to fulfill its obligations to make credit available hereunder, nor to advance for it or on its behalf in connection with its Commitment, nor to take any other action on its behalf hereunder or in connection with the financing contemplated herein.

 16.19 Legal Representation of Agent. In connection with the negotiation, drafting, and execution of this Agreement and the
other Loan Documents, or in connection with future legal representation relating to loan administration, amendments, modifications, waivers, or enforcement of remedies, Paul, Hastings, Janofsky & Walker LLP (“PHJW”) only
has represented and only shall represent HBK in its capacity as Agent and PCRL in its capacity as a Lender. Each other Lender hereby acknowledges that PHJW does not represent it in connection with any such matters. 
  

	17.	GENERAL PROVISIONS. 

 17.1 Effectiveness.
This Agreement shall be binding and deemed effective when executed by Borrowers, Agent, and each Lender whose signature is provided for on the signature pages hereof. 
 17.2 Section Headings. Headings and numbers have been set forth herein for convenience only. Unless the contrary is compelled by the context, everything contained in each Section applies equally to this
entire Agreement. 
  

 95 

 17.3 Interpretation. Neither this Agreement nor any uncertainty or ambiguity herein shall
be construed against the Lender Group or Borrowers, whether under any rule of construction or otherwise. On the contrary, this Agreement has been reviewed by all parties and shall be construed and interpreted according to the ordinary meaning of the
words used so as to accomplish fairly the purposes and intentions of all parties hereto. 
 17.4 Severability of Provisions.
Each provision of this Agreement shall be severable from every other provision of this Agreement for the purpose of determining the legal enforceability of any specific provision. 
 17.5 Counterparts; Electronic Execution. This Agreement may be executed in any number of counterparts and by different parties on separate
counterparts, each of which, when executed and delivered, shall be deemed to be an original, and all of which, when taken together, shall constitute but one and the same Agreement. Delivery of an executed counterpart of this Agreement by
telefacsimile or other electronic method of transmission shall be equally as effective as delivery of an original executed counterpart of this Agreement. Any party delivering an executed counterpart of this Agreement by telefacsimile or other
electronic method of transmission also shall deliver an original executed counterpart of this Agreement but the failure to deliver an original executed counterpart shall not affect the validity, enforceability, and binding effect of this Agreement.
The foregoing shall apply to each other Loan Document mutatis mutandis. 
 17.6 Revival and Reinstatement of Obligations.
If the incurrence or payment of the Obligations by any Borrower or any Guarantor or the transfer to the Lender Group of any property should for any reason subsequently be declared to be void or voidable under any state or federal law relating to
creditors’ rights, including provisions of the Bankruptcy Code relating to fraudulent conveyances, preferences, or other voidable or recoverable payments of money or transfers of property (collectively, a “Voidable Transfer”),
and if the Lender Group is required to repay or restore, in whole or in part, any such Voidable Transfer, or elects to do so upon the reasonable advice of its counsel, then, as to any such Voidable Transfer, or the amount thereof that the Lender
Group is required or elects to repay or restore, and as to all reasonable costs, expenses, and attorneys fees of the Lender Group related thereto, the liability of Borrowers or Guarantors automatically shall be revived, reinstated, and restored and
shall exist as though such Voidable Transfer had never been made. 
 17.7 Confidentiality. Agent and Lenders each individually
(and not jointly or jointly and severally) agree that material, non-public information regarding Borrowers and their Subsidiaries, their operations, assets, and existing and contemplated business plans shall be treated by Agent and the Lenders in a
confidential manner, and shall not be disclosed by Agent and the Lenders to Persons who are not parties to this Agreement, except: (a) to attorneys for and other advisors, accountants, auditors, and consultants to any member of the Lender
Group, (b) to Subsidiaries, Affiliates and Related Funds of any member of the Lender Group, provided that any such Subsidiary, Affiliate or Related Fund shall have agreed to receive such information hereunder subject to the terms of this
Section 17.7, (c) as may be required by statute, decision, or judicial or administrative order, rule, or regulation, (d) as 
  

 96 

 may be agreed to in advance by Administrative Borrower or its Subsidiaries or as requested or required by any
Governmental Authority pursuant to any subpoena or other legal process, (e) as to any such information that is or becomes generally available to the public (other than as a result of prohibited disclosure by Agent or the Lenders), (f) in
connection with any assignment, prospective assignment, sale, prospective sale, participation or prospective participations, or pledge or prospective pledge of any Lender’s interest under this Agreement, provided that any such assignee,
prospective assignee, purchaser, prospective purchaser, participant, prospective participant, pledgee, or prospective pledgee shall have agreed in writing to receive such information hereunder subject to the terms of this Section, and (g) in
connection with any litigation or other adversary proceeding involving parties hereto which such litigation or adversary proceeding involves claims related to the rights or duties of such parties under this Agreement or the other Loan Documents. The
provisions of this Section 17.7 shall survive for 2 years after the payment in full of the Obligations. 
 17.8
Integration. This Agreement, together with the other Loan Documents, reflects the entire understanding of the parties with respect to the transactions contemplated hereby and shall not be contradicted or qualified by any other
agreement, oral or written, before the date hereof. 
 17.9 Surgery as Agent for Borrowers. Each Borrower hereby irrevocably
appoints Surgery as the borrowing agent and attorney-in-fact for all Borrowers (the “Administrative Borrower”) which appointment shall remain in full force and effect unless and until Agent shall have received prior written notice
signed by each Borrower that such appointment has been revoked and that another Borrower has been appointed Administrative Borrower. Each Borrower hereby irrevocably appoints and authorizes the Administrative Borrower (i) to provide Agent with
all notices with respect to the Term Loans obtained for the benefit of any Borrower and all other notices and instructions under this Agreement and (ii) to take such action as the Administrative Borrower deems appropriate on its behalf to
obtain Term Loans and to exercise such other powers as are reasonably incidental thereto to carry out the purposes of this Agreement. It is understood that the handling of the Loan Account and Collateral of Borrowers in a combined fashion, as more
fully set forth herein, is done solely as an accommodation to Borrowers in order to utilize the collective borrowing powers of Borrowers in the most efficient and economical manner and at their request, and that Lender Group shall not incur
liability to any Borrower as a result hereof. Each Borrower expects to derive benefit, directly or indirectly, from the handling of the Loan Account and the Collateral in a combined fashion since the successful operation of each Borrower is
dependent on the continued successful performance of the integrated group. To induce the Lender Group to do so, and in consideration thereof, each Borrower hereby jointly and severally agrees to indemnify each member of the Lender Group and hold
each member of the Lender Group harmless against any and all liability, expense, loss or claim of damage or injury, made against the Lender Group by any Borrower or by any third party whosoever, arising from or incurred by reason of (a) the
handling of the Loan Account and Collateral of Borrowers as herein provided, (b) the Lender Group’s relying on any instructions of the Administrative Borrower, or (c) any other action taken by the Lender Group hereunder or under the
other Loan Documents, except that Borrowers will have no liability to the relevant 
  

 97 

 Agent-Related Person or Lender-Related Person under this Section 17.9 with respect to any liability that has
been finally determined by a court of competent jurisdiction to have resulted solely from the gross negligence or willful misconduct of such Agent-Related Person or Lender-Related Person, as the case may be. 
 [Signature pages to follow.] 
  

 98 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and delivered as
of the date first above written. 
  

			
	 PAINCARE HOLDINGS, INC.
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE SURGERY CENTERS, INC.
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 ADVANCED ORTHOPAEDICS OF
SOUTH FLORIDA II,
INC.,
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAIN AND REHABILITATION
NETWORK, INC., 

a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title: 
	 	  
	  
 MEDICAL REHABILITATION
SPECIALISTS II, INC.,

 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  

			
	 PAINCARE ACQUISITION COMPANY
V, INC.,
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
VI, INC.,
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 HEALTH CARE CENTER OF TAMPA, INC., 
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
VIII, INC., 
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
IX, INC. 
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  

			
	 PAINCARE ACQUISITION COMPANY
X, INC.
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
XI, INC.
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	
	 GEORGIA SURGICAL CENTERS, INC. 
 a Georgia corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
XIII, INC., 
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 BENJAMIN ZOLPER, M.D., INC.
 a Florida corporation

		
	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  

			
	 PAINCARE ACQUISITION COMPANY
XV, INC.
 a Florida corporation
  

	 By:
	 	  
	 Name:
	 	  
	 Title: 
	 	  
	  
 PAINCARE ACQUISITION COMPANY
XVII, INC.
 a Florida corporation
  

	 By:
	 	  
	 Name:
	 	  
	 Title: 
	 	  
	  
 PAINCARE ACQUISITION COMPANY
XIX, INC. 
 a Florida corporation
  

	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE ACQUISITION COMPANY
XVIII, INC. 
 a Florida corporation
  

	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  
	  
 PAINCARE SURGERY CENTERS I, INC.
 a Florida corporation
  

	 By:
	 	  
	 Name:
	 	  
	 Title:
	 	  

			
	 HBK INVESTMENTS L.P.,
 a Texas limited partnership, as Agent

		
	 By:
	 	  
		 	  
	 Its authorized signatory

	
	 PCRL INVESTMENTS L.P.,
 a Texas limited partnership, as Lender

		
	 By:
	 	  
		 	  
	 Its authorized signatory

 EXHIBITS AND SCHEDULES 
  

			
		
	Exhibit A-1	  	Form of Assignment and Acceptance
	Exhibit C-1	  	Form of Compliance Certificate
	Exhibit L-1	  	Form of LIBOR Notice
		
	Schedule A-1	  	Agent’s Account
	Schedule C-1	  	Commitments
	Schedule D-1	  	Designated Account
	Schedule E-1	  	Existing Seller Notes and Earn-Out Obligations
	Schedule P-1	  	Permitted Liens
	Schedule 2.7(a)	  	Cash Management Banks
	Schedule 2.7(c)	  	Excess Deposits
	Schedule 5.5	  	Locations of Inventory and Equipment
	Schedule 5.7(a)	  	States of Organization
	Schedule 5.7(b)	  	Chief Executive Offices
	Schedule 5.7(c)	  	Organizational Identification Numbers
	Schedule 5.7(d)	  	Commercial Tort Claims
	Schedule 5.8(b)	  	Capitalization of Borrowers
	Schedule 5.8(c)	  	Capitalization of Borrowers’ Subsidiaries
	Schedule 5.10	  	Litigation
	Schedule 5.14	  	Environmental Matters
	Schedule 5.15	  	Broker Fees
	Schedule 5.16	  	Intellectual Property
	Schedule 5.18	  	Deposit Accounts and Securities Accounts
	Schedule 5.20	  	Permitted Indebtedness
	Schedule 7.16	  	Pre-Closing Permitted Acquisitions

 Schedule A-1 
 Agent’s Account 
 An account at a bank designated by Agent from time to time as the account into
which Borrowers shall make all payments to Agent for the benefit of the Lender Group and into which the Lender Group shall make all payments to Agent under this Agreement and the other Loan Documents; unless and until Agent notifies Administrative
Borrower and the Lender Group to the contrary, Agent’s Account shall be that certain deposit account bearing account number 8900562668 (Ref: Paincare Holdings, Inc.) and maintained by Agent with The Bank of New York, ABA #021-000-018.

 Schedule C-1 
 Commitments 
  

					
	Lender	 	Term Loan
Commitment	 	Total Commitment
	 PCRL INVESTMENTS
L.P.
	 	$25,000,000.00	 	$25,000,000.00
	 	 	 	 	 
	 	 	 	 	 
	 	 	 	 	 
	 	 	 	 	 
	 All
Lenders
	 	$25,000,000.00	 	$25,000,000.00

 Schedule D-1 
 Designated Account 
 Account number
             of Administrative Borrower maintained with Administrative Borrower’s Designated Account Bank, or such other deposit account of Administrative Borrower (located
within the United States) that has been designed as such, in writing, by Administrative Borrower to Agent. 
 “Designated Account
Bank” means                     , whose office is located at
            , and whose ABA number is                     .Amendment Number One to Loan and Security Agreement

 Exhibit 10.09 
 AMENDMENT NUMBER ONE TO LOAN AND SECURITY AGREEMENT 
 THIS AMENDMENT NUMBER ONE TO LOAN AND
SECURITY AGREEMENT (this “Amendment”), dated as of September 15, 2005, is entered into by and among PAINCARE HOLDINGS, INC., a Florida corporation (“Parent”), and each of Parent’s Subsidiaries
identified on the signature pages hereof (such Subsidiaries are referred to hereinafter each individually as a “Borrower”, and individually and collectively, jointly and severally, as the “Borrowers”), each of the
lenders that is a signatory to this Amendment (together with their respective successors and permitted assigns, individually, “Lender” and, collectively, “Lenders”), and HBK INVESTMENTS L.P., a Delaware
limited partnership, as the arranger and administrative agent for the Lenders (in such capacity, together with its successors, if any, in such capacity, “Agent”; and together with each of the Lenders, individually and collectively,
the “Lender Group”), in light of the following: 
 W I T N E S S E
T H 
 WHEREAS, Parent, each Borrower and the Lender Group are parties to that certain Loan and Security Agreement, dated
as of May 10, 2005 (as amended, restated, supplemented, or modified from time to time, the “Loan Agreement”); 
 WHEREAS, Parent and each Borrower has requested that the Lender Group agree to amend the Loan Agreement in accordance with the provisions of this Amendment; and 
 WHEREAS, subject to the terms and conditions set forth in this Amendment, the Lender Group is willing to so amend the Loan Agreement. 
 NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree to amend the Loan Agreement as follows: 
 1. DEFINITIONS. Capitalized terms used herein and not otherwise defined herein shall have the meanings ascribed to them in the Loan Agreement, as amended
hereby. 
 2. AMENDMENTS TO LOAN AGREEMENT. 
 (a) Section 1.1 of the Loan Agreement is hereby amended by inserting the following new definitions in proper alphabetical order: 
 “First Amendment” means that certain Amendment Number One to Loan and Security Agreement dated as of September 15, 2005, by and
among Parent, the Borrowers and the Lender Group. 

 “First Amendment Effective Date” means the date, if ever, that all of the conditions set
forth in Section 3 of the First Amendment shall be satisfied (or waived by Agent in its sole discretion). 
 “Term Loan
A” has the meaning set forth in Section 2.2(a). 
 “Term Loan A Amount” means $25,000,000. 

“Term Loan A Commitment” means, with respect to each Lender, its Term Loan A Commitment, and, with respect to all Lenders, their Term
Loan A Commitments, in each case as such Dollar amounts are set forth beside such Lender’s name under the applicable heading on Schedule C-1 or in the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as
such amounts may be reduced or increased from time to time pursuant to assignments made in accordance with the provisions of Section 14.1. 
 “Term Loan A Yield Maintenance Amount” means, as of any date prior to the first anniversary of the Closing Date, an amount equal to the product of (a) the greater of (i) $10,000,000 and
(ii) the outstanding principal balance of the Term Loan A as of such date times (b) a per annum rate for the period between such date and the first anniversary of the Closing Date equal to the LIBOR Rate as of such date plus the LIBOR Rate
Term Loan Margin. 
 “Term Loan B” has the meaning set forth in Section 2.2(b). 
 “Term Loan B Amount” means $5,000,000. 
 “Term Loan B Closing Fee” has the meaning set forth in Section 2.11(c). 
 “Term Loan B Commitment” means, with respect to each Lender, its Term Loan B Commitment, and, with respect to all Lenders, their Term Loan B Commitments, in each case as such Dollar amounts are set forth beside such
Lender’s name under the applicable heading on Schedule C-1 or in the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as such amounts may be reduced or increased from time to time pursuant to assignments
made in accordance with the provisions of Section 14.1. 
 “Term Loan B Yield Maintenance Amount” means, as of
any date prior to the first anniversary of the First Amendment Effective Date, an amount equal to the product of (a) the outstanding principal balance of the Term Loan B as of such date times (b) a per annum rate for the period between
such date and the first anniversary of the First Amendment Effective Date equal to the LIBOR Rate as of such date plus the LIBOR Rate Term Loan Margin. 
  

 - 2 - 

 (b) Section 1.1 of the Loan Agreement is hereby amended by amending and restating the
following definitions in their entirety as follows: 
 “Applicable Prepayment Premium” means, as of any date of
determination, an amount equal to the sum of (a) with respect to Term Loan A, (i) during the period from and after the date of the execution and delivery of this Agreement up to the date that is the first anniversary of the Closing Date,
the greater of (A) the Term Loan A Yield Maintenance Amount, and (B) $750,000, (ii) during the period from and including the date that is the first anniversary of the Closing Date up to the date that is the second anniversary of the
Closing Date, $500,000, and (iii) during the period of time from and including the date that is the second anniversary of the Closing Date up to the date that is the third anniversary of the Closing Date, $250,000, plus (b) with respect to
Term Loan B, (i) during the period from and after the First Amendment Effective Date up to the date that is the first anniversary of the First Amendment Effective Date, the greater of (A) the Term Loan B Yield Maintenance Amount, and
(B) $150,000, (ii) during the period from and including the date that is the first anniversary of the First Amendment Effective Date up to the date that is the second anniversary of the First Amendment Effective Date, $100,000, and
(iii) during the period of time from and including the date that is the second anniversary of the First Amendment Effective Date up to the date that is the third anniversary of the First Amendment Effective Date, $50,000. 
 “Commitment” means, with respect to each Lender, its Term Loan A Commitment, its Term Loan B Commitment or its Total Commitment, as the
context requires, and, with respect to all Lenders, their Term Loan A Commitments, their Term Loan B Commitments, or their Total Commitments, as the context requires, in each case as such Dollar amounts are set forth beside such Lender’s name
under the applicable heading on Schedule C-1 or in the Assignment and Acceptance pursuant to which such Lender became a Lender hereunder, as such amounts may be reduced or increased from time to time pursuant to assignments made in accordance
with the provisions of Section 14.1. 
 “Pro Rata Share” means, as of any date of determination: 
 (a) with respect to a Lender’s obligation to make a Term Loan A and receive payments of interest, fees, and principal with respect thereto,
(i) priort to the Term Loan Expiration Date, the percentage obtained by dividing (y) the sum of (A) such Lender’s remaining Term Loan A Commitment, and (B) the outstanding principal balance of such Lender’s Term Loans
A, by (z) the sume of (A) the aggregate amount of all Lenders’ remaining Term Loan A Commitments, and (B) the aggregate outstanding principal balance of all Term Loans A, and (ii) from and after the Term Loan Expiration
Date, the percentage obtained by dividing (y) the outstanding principal balance of such Lender’s Term Loans A by (z) the aggregate outstanding principal balance of all Term Loans A, 
 (b) with respect to a Lender’s obligation to make a Term Loan B and receive payments of interest, fees, and principal with respect thereto,
(i) prior to the Term Loan Expiration Date, the percentage obtained by dividing (y) the sum of (A) such Lender’s remaining Term Loan B Commitment, and (B) the outstanding principal balance of such Lender’s Term Loans B,
by (z) the sum of (A) the aggregate amount of 
  

 - 3 - 

 all Lenders’ remaining Term Loan B Commitments, and (B) the aggregate outstanding principal balance of all Term
Loan B, and (ii) from and after the Term Loan Expiration Date, the percentage obtained by dividing (y) the outstanding principal balance of such Lender’s Term Loans B by (z) the aggregate outstanding principal balance of all Term
Loans B, or 
 (c) with respect to all other matters as to a particular Lender (including the indemnification obligations arising under
Section 16.7), the percentage obtained by dividing (i) the sum of (A) such Lender’s remaining Term Loan A Commitment and Term Loan B Commitment (if any), and (B) the outstanding principal balance of such Lender’s
Term Loans A and Term Loans B, by (ii) the sum of (A) the aggregate amount of all Lenders’ remaining Term Loan A Commitments and Term Loan B Commitments (if any), and (B) the aggregate outstanding principal balance of all Term
Loans A and Term Loans B. 
 “Term Loan” and “Term Loans” means Term Loan A and/or Term Loan B, as the
context requires. 
 (c) Section 1.1 of the Loan Agreement is hereby amended by deleting the definitions of the terms “Term
Loan Amount”, “Term Loan Commitment”, and “Yield Maintenance Amount” in their entirety. 
 (d)
Section 2.2 of the Loan Agreement is hereby amended and restated in its entirety as follows: 
 “2.2 Term Loans.

 (a) Term Loan A. Subject to the terms and conditions of this Agreement, each Lender with a Term Loan A Commitment agrees
(severally, not jointly or jointly and severally) to make term loans A (collectively, “Term Loan A”) to Borrowers from time to time from the Closing Date until the Term Loan Expiration Date, or until the earlier reduction of its
Term Loan A Commitment to zero in accordance with the terms hereof, in an aggregate principal amount not to exceed the unused portion of such Lender’s Term Loan A Commitment. The aggregate principal amount of Term Loan A (based on the initial
principal amount) shall not exceed the Term Loan A Amount. The Term Loan A Commitment of each Lender shall (x) automatically and permanently be reduced to the extent that such Lender makes a Term Loan A to Borrowers, and (y) automatically
and permanently be reduced to zero on the Term Loan Expiration Date. Each Term Loan A requested by Borrowers pursuant to this Section 2.2(a) shall be in a minimum amount of $2,500,000. Any principal amount of Term Loan A that is repaid or
prepaid may not be reborrowed. The outstanding principal of the Term Loan A shall be repayable by the Borrowers in consecutive quarterly installments, on the first day of each April, July, October and January, commencing on April 1, 2006 and
ending on the Maturity Date (or if earlier than the Maturity Date, the date that the Term Loans have been repaid in full) consisting of (i) during the period from April 1, 2006 through January 1, 2007, quarterly payments of $625,000,
(ii) during the period from April 1, 2007 through January 1, 2008, quarterly payments of $1,250,000, and 
  

 - 4 - 

 (iii) during the period from April 1, 2008 through the Maturity Date, equal quarterly payments which, in the
aggregate, equal the remaining outstanding principal balance of Term Loan A; provided, that the last such installment shall be in the amount necessary to repay in full the unpaid principal amount of Term Loan A; provided,
further, for the avoidance of doubt, no installment shall be due during any period where the outstanding principal amount of Term Loan A has been repaid in full. The outstanding unpaid principal balance and all accrued and unpaid interest
under Term Loan A shall be due and payable on the date of termination of this Agreement, whether by its terms, by prepayment, or by acceleration. All amounts outstanding under Term Loan A shall constitute Obligations. 
 (b) Term Loan B. Subject to the terms and conditions of this Agreement, each Lender with a Term Loan B Commitment agrees (severally, not jointly
or jointly and severally) to make term loans B (collectively, “Term Loan B”) to Borrowers from time to time from the First Amendment Effective Date until the Term Loan Expiration Date, or until the earlier reduction of its Term Loan
B Commitment to zero in accordance with the terms hereof, in an aggregate principal amount not to exceed the unused portion of such Lender’s Term Loan B Commitment. The aggregate principal amount of Term Loan B (based on the initial principal
amount) shall not exceed the Term Loan B Amount. The Term Loan B Commitment of each Lender shall (x) automatically and permanently be reduced to the extent that such Lender makes a Term Loan B to Borrowers, and (y) automatically and
permanently be reduced to zero on the Term Loan Expiration Date. Each Term Loan B requested by Borrowers pursuant to this Section 2.2(b) shall be in a minimum amount of $2,500,000. Any principal amount of Term Loan B that is repaid or prepaid
may not be reborrowed. The outstanding principal of the Term Loan B shall be repayable by the Borrowers in consecutive quarterly installments, on the first day of each April, July, October and January, commencing on April 1, 2006 and ending on
the Maturity Date (or if earlier than the Maturity Date, the date that the Term Loans have been repaid in full) consisting of (i) during the period from April 1, 2006 through January 1, 2007, quarterly payments of $125,000,
(ii) during the period from April 1, 2007 through January 1, 2008, quarterly payments of $250,000, and (iii) during the period from April 1, 2008 through the Maturity Date, equal quarterly payments which, in the aggregate,
equal the remaining outstanding principal balance of Term Loan B; provided, that the last such installment shall be in the amount necessary to repay in full the unpaid principal amount of Term Loan B; provided, further, for the
avoidance of doubt, no installment shall be due during any period where the outstanding principal amount of Term Loan B has been repaid in full. The outstanding unpaid principal balance and all accrued and unpaid interest under Term Loan B shall be
due and payable on the date of termination of this Agreement, whether by its terms, by prepayment, or by acceleration. All amounts outstanding under Term Loan B shall constitute Obligations.” 
  

 - 5 - 

 (e) Section 2.3(c)(i)(2) of the Loan Agreement is hereby amended and restated in its entirety
as follows: 
 “(2) the requested Borrowing would exceed the unused portion of the Term Loan A Commitments or the Term Loan B
Commitments, as applicable.” 
 (f) Section 2.11 of the Loan Agreement is hereby amended (i) by deleting the word
“and” at the end of clause (a), (ii) by deleting the period at the end of clause (b) and replacing it with “, and”, and (iv) by adding the following new clause (c): 
 “(c) Term Loan B Closing Fee. An amendment fee in the amount of $100,000 (the “Term Loan B Closing Fee”), which amendment fee
shall be fully earned on the First Amendment Effective Date, and shall be charged to Borrowers’ Loan Account on such date.” 
 (g)
Section 2.17 of the Loan Agreement is hereby amended by deleting the phrase “each Lender with a Term Loan Commitment” and replacing it with the phrase “each Lender with a Term Loan A Commitment or a Term Loan B
Commitment”. 
 (h) Section 15.1(j) of the Loan Agreement is hereby amended and restated in its entirety as follows:

 “(j) change the definition of Term Loan A Amount, Term Loan B Amount or Term Loan Expiration Date, or” 
 (i) Schedule C-1 to the Loan Agreement is hereby amended and restated in its entirety as set forth on Exhibit A to this Amendment.

 3. CONDITIONS PRECEDENT TO THIS AMENDMENT. The satisfaction of each of the following shall constitute conditions precedent to the
effectiveness of this Amendment and each and every provision hereof: 
 (a) After giving effect to this Amendment, the representations and
warranties in this Amendment, the Loan Agreement and the other Loan Documents shall be true and correct in all material respects on and as of the date hereof, as though made on such date (except to the extent that such representations and warranties
relate solely to an earlier date); 
 (b) Agent shall have received the reaffirmation and consent of each Guarantor attached hereto as
Exhibit B (the “Consent”), duly executed and delivered by an authorized official of each Guarantor; 
 (c) Agent shall have
received a certificate of status with respect to each Borrower and each Guarantor, dated within 10 days of the date hereof, such certificate to be issued by the appropriate officer of the jurisdiction of organization of such Borrower or Guarantor,
as applicable, which certificate shall indicate that such Borrower or Guarantor, as applicable, is in good standing in such jurisdiction; 
  

 - 6 - 

 (d) Agent shall have received a certificate from the secretary of Parent certifying that, except as
disclosed therein, the Governing Documents of the Borrowers and the Guarantors have not been amended since the Closing Date; 
 (e) After
giving effect to this Amendment, no Default or Event of Default shall have occurred and be continuing on the date hereof or as of the date of the effectiveness of this Amendment; and 
 (f) No injunction, writ, restraining order, or other order of any nature prohibiting, directly or indirectly, the consummation of the transactions
contemplated herein shall have been issued and remain in force by any Governmental Authority against any Borrower, any Guarantor or any member of the Lender Group. 
 4. REPRESENTATIONS AND WARRANTIES. Parent and each Borrower hereby represents and warrants to the Lender Group as follows: 
 (a) After giving effect to this Amendment, the representations and warranties in this Amendment, the Loan Agreement and the other Loan Documents are true and correct in all material respects on and as of the date hereof, as though made on
such date (except to the extent that such representations and warranties relate solely to an earlier date); 
 (b) The execution, delivery,
and performance of this Amendment and of the Loan Agreement, as amended by this Amendment, are within Parent’s and each Borrower’s corporate powers, have been duly authorized by all necessary corporate action, and are not in contravention
of any law, rule, or regulation, or any order, judgment, decree, writ, injunction, or award of any arbitrator, court, or governmental authority, or of the terms of its charter or bylaws, or of any contract or undertaking to which it is a party or by
which any of its properties may be bound or affected, 
 (c) This Amendment and the Loan Agreement, as amended by this Amendment, constitute
Parent’s and each Borrower’s legal, valid, and binding obligation, enforceable against Parent and such Borrower in accordance with its terms, 
 (d) This Amendment has been duly executed and delivered by Parent and each Borrower, 
 (e) The execution,
delivery, and performance of the Consent is within each Guarantor’s corporate power, has been duly authorized by all necessary corporate action, and is not in contravention of any law, rule or regulation, or any order, judgment, decree, writ,
injunction, or award of any arbitrator, court or governmental authority, or of the terms of its charter or bylaws, or of any contract or undertaking to which it is a party or by which any of its properties may be bound or affected, 
 (f) The Consent constitutes each Guarantor’s legal, valid, and binding obligations, enforceable against each such Person in accordance with its
terms, 
  

 - 7 - 

 (g) After giving effect to this Amendment, no Default or Event of Default has occurred and is continuing
on the date hereof or as of the date of the effectiveness of this Amendment, 
 (h) No injunction, writ, restraining order, or other order of
any nature prohibiting, directly or indirectly, the consummation of the transactions contemplated herein has been issued and remains in force by any Governmental Authority against any Borrower, any Guarantor, or any member of the Lender Group, and

 (i) The Consent has been duly executed and delivered by each Guarantor. 
 5. CONSTRUCTION. THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF CALIFORNIA APPLICABLE TO CONTRACTS MADE AND TO BE PERFORMED IN THE STATE OF NEW YORK.

 6. ENTIRE AMENDMENT; EFFECT OF AMENDMENT. This Amendment, and terms and provisions hereof, constitute the entire agreement among the parties
pertaining to the subject matter hereof and supersedes any and all prior or contemporaneous amendments relating to the subject matter hereof. Except for the amendments to the Loan Agreement expressly set forth in Section 2 hereof, the
Loan Agreement and other Loan Documents shall remain unchanged and in full force and effect. The execution, delivery, and performance of this Amendment shall not operate as a waiver of or, except as expressly set forth herein, as an amendment of,
any right, power, or remedy of the Lender Group as in effect prior to the date hereof. The amendments set forth herein are limited to the specifics hereof, shall not apply with respect to any facts or occurrences other than those on which the same
are based, and except as expressly set forth herein, shall neither excuse any future non-compliance with the Loan Agreement, nor shall operate as a waiver of any Default or Event of Default. To the extent any terms or provisions of this Amendment
conflict with those of the Loan Agreement or other Loan Documents, the terms and provisions of this Amendment shall control. This Amendment is a Loan Document. 
 7. COUNTERPARTS; TELEFACSIMILE EXECUTION. This Amendment may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this
Amendment by signing any such counterpart. Delivery of an executed counterpart of this Amendment by telefacsimile shall be equally as effective as delivery of an original executed counterpart of this Amendment. Any party delivering an executed
counterpart of this Amendment by telefacsimile also shall deliver an original executed counterpart of this Amendment, but the failure to deliver an original executed counterpart shall not affect the validity, enforceability, and binding effect of
this Amendment. 
 8. MISCELLANEOUS. 
 (a) Upon the effectiveness of this Amendment, each reference in the Loan Agreement to “this Agreement”, “hereunder”, “herein”, “hereof” or words of like import referring to the Loan Agreement shall
mean and refer to the Loan Agreement as amended by this Amendment. 
  

 - 8 - 

 (b) Upon the effectiveness of this Amendment, each reference in the Loan Documents to the “Loan
Agreement”, “thereunder”, “therein”, “thereof” or words of like import referring to the Loan Agreement shall mean and refer to the Loan Agreement as amended by this Amendment. 
  

 - 9 - 

 IN WITNESS WHEREOF, the parties have caused this Amendment to be executed and delivered as of the date
first written above. 
  

			
	 PAINCARE HOLDINGS, INC.
 a Florida
corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE SURGERY CENTERS, INC.
 a
Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 ADVANCED ORTHOPAEDICS OF
 SOUTH
FLORIDA II, INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAIN AND REHABILITATION
 NETWORK,
INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 MEDICAL REHABILITATION
 SPECIALISTS
II, INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer

			
	 PAINCARE ACQUISITION COMPANY
 V,
INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 VI,
INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 HEALTH CARE CENTER OF TAMPA,
 INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 VIII,
INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 IX,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer

			
	 PAINCARE ACQUISITION COMPANY
 X,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 XI,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 GEORGIA SURGICAL CENTERS, INC.
 a
Georgia corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 XIII,
INC.,
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 BENJAMIN ZOLPER, M.D., INC.
 a Florida
corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 XV,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer

			
	 PAINCARE ACQUISITION COMPANY
 XVII,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 XIX,
INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE ACQUISITION COMPANY
 XVIII, INC.
 a Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE SURGERY CENTERS I, INC.
 a
Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer
	
	 PAINCARE SURGERY CENTERS II, INC.
 a
Florida corporation

		
	By:	 	 /s/ Randy Lubinsky

	Name:	 	Randy Lubinsky
	Title:	 	Chief Executive Officer

			
	 HBK INVESTMENTS L.P.,
 a Delaware
limited partnership, as Agent

		
	By:	 	 /s/ David C. Haly

	Its authorized signatory
	
	 PCRL INVESTMENTS L.P.,
 a Delaware
limited partnership, as Lender

		
	By:	 	 /s/ David C. Haly

	Its authorized signatory

 Exhibit A 
 Schedule C-1 
 Commitments 
  

										
	 Lender
	  	Term Loan A
Commitment	  	Term Loan B
Commitment	  	Total
Commitment
	PCRL INVESTMENTS L.P.	  	$	25,000,000.00	  	$	5,000,000.00	  	$	30,000,000.00
				
	 All Lenders
	  	$	25,000,000.00	  	$	5,000,000.00	  	$	30,000,000.00

 Exhibit B 
 REAFFIRMATION AND CONSENT 
 All capitalized terms used herein but not otherwise defined herein shall
have the meanings ascribed to them in that certain Loan and Security Agreement by and among PAINCARE HOLDINGS, INC., a Florida corporation (“Parent”), and each of Parent’s Subsidiaries identified on the signature pages
thereof (such Subsidiaries are referred to hereinafter each individually as a “Borrower”, and individually and collectively, jointly and severally, as the “Borrowers”), each of the lenders that is a signatory to
thereto (together with their respective successors and permitted assigns, individually, “Lender” and, collectively, “Lenders”), and HBK INVESTMENTS L.P., a Delaware limited partnership, as the arranger and
administrative agent for the Lenders (in such capacity, together with its successors, if any, in such capacity, “Agent”; and together with each of the Lenders, individually and collectively, the “Lender Group”),
dated as of May 10, 2005 (as amended, restated, supplemented or otherwise modified, the “Loan Agreement”), or in Amendment Number Three to Loan and Security Agreement, dated as of August     , 2005
(the “Amendment”), among Parent, the Borrowers and the Lender Group. The undersigned each hereby (a) represents and warrants to the Lender Group that the execution, delivery, and performance of this Reaffirmation and Consent
are within its powers, have been duly authorized by all necessary action, and are not in contravention of any law, rule, or regulation, or any order, judgment, decree, writ, injunction, or award of any arbitrator, court, or governmental authority,
or of the terms of its charter or bylaws, or of any contract or undertaking to which it is a party or by which any of its properties may be bound or affected; (b) consents to the amendment of the Loan Agreement by the Amendment;
(c) acknowledges and reaffirms its obligations owing to the Lender Group under any Loan Documents to which it is a party; and (d) agrees that each of the Loan Documents to which it is a party is and shall remain in full force and effect.
Although the undersigned has been informed of the matters set forth herein and has acknowledged and agreed to same, it understands that the Lender Group has no obligations to inform it of such matters in the future or to seek its acknowledgment or
agreement to future amendments, and nothing herein shall create such a duty. Delivery of an executed counterpart of this Reaffirmation and Consent by telefacsimile shall be equally as effective as delivery of an original executed counterpart of this
Reaffirmation and Consent. Any party delivering an executed counterpart of this Reaffirmation and Consent by telefacsimile also shall deliver an original executed counterpart of this Reaffirmation and Consent but the failure to deliver an original
executed counterpart shall not affect the validity, enforceability, and binding effect of this Reaffirmation and Consent. This Reaffirmation and Consent shall be governed by the laws of the State of New York. 
 [signature page follows] 

 IN WITNESS WHEREOF, the undersigned have each caused this Reaffirmation and Consent to be executed as of
the date of the Amendment. 
  

			
	PAINCARE HOLDINGS, INC.,
	a Florida corporation
		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	 PAINCARE, INC.,
 a Nevada
corporation

		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	 PAINCARE MANAGEMENT SERVICES,
 INC.,
 a Florida corporation

		
	By:	 	  

	Name:	 	  

	Title:	 	  

	
	 CAPERIAN, INC.,
 a Florida
corporation

		
	By:	 	  

	Name:	 	  

	Title:

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