Document:

exv10w26

Exhibit 10.26

EXECUTION VERSION

Accretive Health

401 North Michigan Avenue

Suite 2700

Chicago, IL 60604

March 20, 2011

To the Parties Listed on

Schedule A Attached Hereto

Reference is made to that certain Third Amended and Restated Stockholders’ Agreement, dated as of
February 22, 2009, by and among Accretive Health, Inc., a Delaware corporation formerly known as
Healthcare Services, Inc. (the “Company”), Accretive Investors SBIC, L.P., a Delaware
limited partnership, Accretive Investors V, LLC, a Delaware limited liability company, FW Oak Hill
Accretive Healthcare Investors, L.P., a Delaware limited partnership, Mary Tolan, an individual
resident of the State of Illinois, and the other parties to the Agreement, as amended from time to
time (the “Agreement”).

Whereas, in accordance with Section 6.2(g) of the Agreement, the Company has permitted the parties
listed on Schedule A attached hereto (each an “Additional Seller” and together the
“Additional Sellers”) to include shares (the “Shares”) of Common Stock in the
registration statement for the Underwritten Offering (as defined in the Agreement) contemplated by
the Registration Statement on Form S-1 filed with the U.S. Securities and Exchange Commission on
March 9, 2011, this letter hereby confirms that each Additional Seller shall be entitled to the
benefits, and subject to the obligations, of Sections 6.4 and 6.5 of the Agreement with respect to
the Shares as if such Additional Seller were a party to the Agreement and the Shares were
“Registrable Securities” under the Agreement.

This letter agreement may be executed in any number of counterpart signature pages, each of which
shall be deemed to be an original, and all of which together shall constitute one and the same
document. This letter agreement may be executed by exchange of signatures by facsimile.

This letter agreement shall be governed by and construed in accordance with the laws of the State
of Delaware, without giving effect to the conflicts of laws principles thereof.

[signature pages follow]

 

 

     IN WITNESS WHEREOF, the parties hereto have executed this letter agreement or caused this
letter agreement to be executed by their duly authorized representatives, as of the date first
written above.

	 	 	 	 	 
	 	ACCRETIVE HEALTH, INC.

 	 
	 	By:  	/s/  John Staton
 	 
	 	Name:   John Staton  	 
	 	Title:   CFO  	 
	 
	 	ASCENSION HEALTH

 	 
	 	By:  	/s/ Anthony J. Speranzo
 	 
	 	Name:   Anthony J. Speranzo  	 
	 	Title:   Senior Vice President and Chief Financial Officer 	 
	 
	 	MICHAEL E. ZIMMERMAN

 	 
	 	/s/ Michael E. Zimmerman
 	 
	 	 	 
	 	 	 
	 	ZIMMERMAN IRREVOCABLE CHILDREN’S TRUST

 	 
	 	By:  	/s/ Michael E. Zimmerman
 	 
	 	Name:   Michael E. Zimmerman  	 
	 	Title:   Trustee 		 
	 

 

 

	 	 	 	 	 
	 	MICHAEL E. ZIMMERMAN GRANTOR-RETAINED
 ANNUITY TRUST

 	 
	 	By:  	/s/ Bridget A. Zimmerman
 	 
	 	Name:   Bridget A. Zimmerman  	 
	 	Title:   Trustee 	 
	 
	 	MICHAEL E. ZIMMERMAN GRANTOR-RETAINED
 ANNUITY TRUST II

 	 
	 	By:  	/s/ Bridget A. Zimmerman
 	 
	 	Name:   Bridget A. Zimmerman  	 
	 	Title:   Trustee 	 
	 
	 	THE ANNE T. AND ROBERT M. BASS FOUNDATION

 	 
	 	By:  	/s/ John Fant
 	 
	 	Name:   John Fant  	 
	 	Title:   Vice President 	 
	 
	 	KNIGHT FOUNDATION

 	 
	 	By:  	/s/ Lisa G. McKillips
 	 
	 	Name:   Lisa G. McKillips 	 
	 	Title:   Assistant
Secretary  	 
	 

 

 

Schedule A

Ascension Health

Michael E. Zimmerman

Zimmerman Irrevocable Children’s Trust

Michael E. Zimmerman Grantor-Retained Annuity Trust

Michael E. Zimmerman Grantor-Retained Annuity Trust II

The Anne T. and Robert M. Bass Foundation

Knight Foundationexv10w6

Exhibit 10.6

SECOND AMENDMENT TO SERVICE AGREEMENT

     This Second Amendment to Service Agreement (this “Amendment”) is made and entered into as of this
27th day of November, 2002 between First Data Merchant Services Corporation (“FDMS”) and
iPayment, Inc., formerly known as iPayment Holdings, Inc. (“Customer”).

RECITALS

     A. Customer and FDMS have previously entered into a Service Agreement dated as of
July 1, 2002, as amended by an amendment dated October 25, 2002 (the “Service Agreement”).

     B. Pursuant to Section 12.14 of the Service Agreement. Customer and FDMS now desire
to amend the Service Agreement as set forth herein.

     C. Unless otherwise amended herein, the remaining terms of the Service
Agreement shall remain the same.

AGREEMENT

     In consideration of the foregoing, Customer and FDMS hereby agree as follows:

     1. The terms of this Amendment will be effective as of July 1, 2002.

     2. Article. 4. Section 4.4 of the Service Agreement is hereby amended in its entirety to
read as follows:

     “4.4 Minimum Authorization Commitment. In Processing Year 1, Customer
will submit to FDMS for processing authorization inquiries (which are identified in Exhibit “B”
and currently billed as items number 300, 305, 317, 318, 1101, 1102, 6601, 6602, 6603, 6604,
6605, 6606, 6607, 6611, 6621 and 6624 (which numbers may change during the Term of this
Agreement), and collectively referred to as the “Authorizations”) in an amount equal to
thirty-two million (32,000,000) Authorizations (the “Year 1 Minimum Authorizations”). In
Processing Year 2, Customer will submit to FDMS for processing at least thirty-six million eight
hundred thousand (36,800,000) Authorizations (the “Year 2 Minimum Authorizations”). In
Processing Year 3, Customer will submit to FDMS for processing at least forty-one million six
hundred thousand (41,600,000) Authorizations (the “Year 3 Minimum Authorizations”). In
Processing Year 4, Customer will submit to FDMS for processing at least forty-six million four
hundred thousand (46,400,000) Authorizations (the “Year 4 Minimum Authorizations”). In each
Processing Year after Processing Year 4, Customer will submit to FDMS for processing
Authorizations at least equal to one hundred percent (100%) of the actual Authorizations
submitted during the immediately preceding Processing Year (the “Minimum Authorizations”). FDMS
shall calculate the total Authorizations submitted by Customer during each Processing Year (the
“Total Annual

1

 

Authorizations”) within ninety (90) days after the end of each Processing Year and will, after
ten (10) days written notice to Customer, draw upon Customer’s account pursuant to Section 4.5 of
this Agreement for the dollar amount, if any, equal to the product of (i) the amount by which the
Year 1 Minimum Authorizations, Year 2 Minimum Authorizations, Year 3 Minimum Authorizations, Year 4
Minimum Authorizations or the Minimum Authorizations, as applicable, for the Processing Year exceed
the Total Annual Authorizations for the Processing Year, multiplied
by (ii) * ($*).
For the avoidance of doubt and based on economic assumptions material to each party underlying this
transaction, Customer and FDMS expressly agree that Customer shall submit to FDMS Authorizations
each Processing Year in an amount at least equal to the Year 1 Minimum Authorizations, Year 2
Minimum Authorizations, Year 3 Minimum Authorizations, Year 4 Minimum Authorizations or the Minimum
Authorizations, as applicable, until this Agreement is terminated by Customer solely pursuant to
the provisions of Section 9.2 of this Agreement or until FDMS terminates this Agreement and invokes
compensatory payments pursuant to Section 9.4 of this Agreement. Further, and for the avoidance of
doubt, that parties agree that in order for an authorization inquiry submitted to FDMS to be
counted in the total number of Authorizations for purposes of this Agreement, FDMS must also
perform core merchant settlement services with respect to the Transaction so authorized, including
Interchange Settlement and Merchant statementing.”

     3. Capitalized terms used but not otherwise defined in this Amendment will have the
meanings set forth in the Service Agreement.

     4. In the event of a conflict between this Amendment and the Service Agreement as it
relates to the subject matter hereof, the terms of this Amendment will control. Otherwise, Unless
otherwise amended herein, all terms and conditions of the Service Agreement will remain in full
force and effect and likewise apply to this Amendment.

     The parties have executed this Amendment as of the date first above written.

FIRST DATA MERCHANT SERVICES CORPORATION

	 	 	 	 	 

	BY:

	 	/s/ Richard Learch
 

	 	 
	Name:

	 	Richard Learch	 	 
	Title:

	 	Vice President	 	 
	 
	 	 	 	 
	iPAYMENT, INC.	 	 
	 
	 	 	 	 
	By:

	 	/s/ Joseph Jorling
 

	 	 
	Name:

	 	Joseph Jorling	 	 
	Title:

	 	COO	 	 

 

			
	*	 	Omitted pursuant to a
confidential treatment request. The confidential portion has been filed separately with the SEC.

2exv10w7

Exhibit
10.7

THIRD AMENDMENT TO SERVICE AGREEMENT

     This Third Amendment to Service Agreement (this “Amendment”) is
made and
entered into as of this 8th day of January, 2004 between First Data
Merchant
Services Corporation (“FDMS”) and iPayment, Inc., formerly known as iPayment
Holdings, Inc. (“Customer”).

RECITALS

     A. Customer and FDMS have previously entered into a Service Agreement dated
as of July 1, 2002, as amended by amendments dated October 25, 2002, November 27,
2002 and                                          (the “Service Agreement”).

     B. Customer and FDMS now desire to amend the Service Agreement as set forth
herein.

AGREEMENT

     In consideration of the foregoing, Customer and FDMS hereby agree
as follows:

     1. The terms of this Amendment will be effective as of January 8, 2004.

     2. Article 2 of the Service Agreement is hereby amended by the addition of the
following:

     “2.7 Portfolio Conversion;

          (a) Customer has Acquired a Non-FDMS Portfolio from Nobell (the “Existing
Nobell Portfolio”). Customer has elected to and will convert the Existing Nobell
Portfolio to the FDMS System for processing pursuant to the terms of and under this
Agreement. The parties will expeditiously and in good faith agree to and document a
conversion plan with respect to the Existing Nobell Portfolio, including allocation of
all related fees and costs. For the avoidance of doubt, the parties acknowledge and
agree that (i) in conjunction with its acquisition of the Existing Nobell Portfolio,
Customer acquired ongoing relationships with two independent
sales organizations/member service providers known as “On-Line Data Corp” and
“CardSync,” and (ii) any new Merchant Accounts sourced and established after the
initial conversion of the Existing Nobell Portfolio solely by On-Line Data Corp and
CardSync shall be known as the “New Nobell Portfolio.”

          (b)  At Customer’s sole expense, all Merchant Accounts in the Existing Nobell
Portfolio will be set up and reside under principal bank numbers * or * of
Customer’s system number * on the FDMS system, and no other Merchant Accounts
of Customer will reside under such principal bank/system numbers. At Customer’s sole
expense, all

 

			
	*	 	Omitted pursuant to a confidential treatment request. The confidential portion has been
filed separately with the SEC.

1

 

Merchant Accounts in the New Nobell Portfolio will be set up and reside
under principal bank numbers * or * of Customer’s system number * on the FDMS
system, and no other Merchant Accounts of Customer will reside under such
principal bank/system numbers.

          (c) The prices charged to Customer for the services performed by FDMS with
respect to Customer’s Existing Nobell Portfolio and New Nobell Portfolio operations
shall be the same as for Customer’s other Merchant Transaction Card operations with
the exception of those prices labeled as “Existing Nobell Portfolio” or “New Nobell
Portfolio” in Exhibit “B.”

          (d) Upon the conclusion of each month during the Term of this Agreement, FDMS
shall calculate the total monthly Processing Fees paid to FDMS by Customer
hereunder during such month solely with respect to the Existing Nobell Portfolio
and the New Nobell Portfolio (“Total Monthly Nobell Portfolio Processing Fees”).
*

          (e) The parties acknowledge and agree that the provisions of Section 3.2(a)
will not be applicable to the Existing Nobell Portfolio or the New Nobell
Portfolio.”

     3. Section II of Exhibit “B” to the Service Agreement, Item
3514-External Authorization Processing, is hereby amended to read as follows:

	 	 	 	 	 	 	 

	3514	 	External
Authorization
Processing	 	The fee
associated with the
point-of-sale
authorization of a
transaction to an
account of Customer
by a third party
where notice of
such authorization
is delivered to
FDMS via a
transmission medium
from the third
party.	 	-Existing
Nobell Portfolio
and New Nobell
Portfolio @ $ *
/ authorization

	 

	 	 	 	 	 	-All Others @ $ * / authorization

 

			
	*	 	Omitted pursuant to a confidential treatment request. The confidential portion has been
filed separately with the SEC.

2

 

     4. Section II of Exhibit “B” to the Service Agreement is hereby
amended by the addition of the following:

	 	 	 	 	 	 	 

	5550	 	Enhanced
Recover
Reduced	 	Enhanced
Recover Reduced
allows Customer the
flexibility to
assess a surcharge
in the form of a
percentage applied
to the dollar
amount of
downgraded sales
transactions for
selected merchants.
Customer
understands that
Enhanced Recover
Reduced can only be
used on merchants
that are set up
on the FDMS
System using
Recover Reduced
(Interchange Fee
Flag setting of
“3”) with a
Statement Print
Option of “0”. The
surcharge amount is
added to the actual
Recover Reduced
amount and
displayed on the
merchant’s
statement under the
heading of
“Non-Qualified
Fees.” FDMS’s fees
for Enhanced
Recover Reduced are
calculated by
applying a fixed
percentage to the
dollar amount of
the downgraded
sales transaction
volume for
merchants enrolled
by Customer in this
program.	 	-Existing
Nobell
Portfolio @ *
basis points (
*%) on the
downgraded
sales transaction
dollar
volume

-All Others @ *
basis points (
*%) on the
downgraded
sales transaction
dollar
volume

     5. Capitalized terms used but not otherwise defined in this Amendment
will have the meanings set forth in the Service Agreement.

     6. In the event of a conflict between this Amendment and the Service Agreement
as it relates to the subject matter hereof, the terms of this Amendment will control.
Otherwise, all terms and conditions of the Service Agreement will remain in full
force and effect and likewise apply to this Amendment.

     The parties have executed this Amendment as of the date first above
written.

	 	 	 	 	 

	FIRST DATA MERCHANT SERVICES CORPORATION	 	 
	 
	 	 	 	 
	By:

	 	/s/ Rick Learch	 	 
	 

	 	 	 	 
	Name:

	 	Rick Learch	 	 
	Title:

	 	VP	 	 
	 
	 	 	 	 
	iPAYMENT, INC.	 	 
	 
	 	 	 	 
	By:

	 	/s/ Joseph Jorling	 	 
	 

	 	 	 	 
	Name:

	 	Joseph Jorling	 	 
	Title:

	 	C.O.O.	 	 

 

			
	*	 	Omitted pursuant to a confidential treatment request. The confidential
portion has been filed separately with the SEC.

3

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