Document:

EX-10.1.1

 Exhibit 10.1.1 

FIRST AMENDMENT TO CREDIT AGREEMENT 

AND 
 LIMITED WAIVER

 THIS FIRST AMENDMENT TO CREDIT AGREEMENT AND LIMITED WAIVER (this “Agreement”) dated as of
September 4, 2013 (the “Effective Date”), is entered into by and among AMEDISYS HOLDING, L.L.C., a Louisiana limited liability company (the “Co-Borrower”), AMEDISYS, INC., a Delaware corporation
(the “Lead Borrower”, together with the Co-Borrower, the “Borrowers”), each of the Subsidiaries of the Borrowers listed on the signature pages hereof (the “Guarantors”), each of the Lenders (as such
term is hereafter defined) party hereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Lenders (the “Agent”). 

PRELIMINARY STATEMENT 

WHEREAS, the Borrowers, the lenders party thereto (the “Lenders”) and the Agent entered into that
certain Credit Agreement dated as of October 26, 2012 (as amended from time to time, the “Credit Agreement”; capitalized terms used in this Agreement and not otherwise defined herein shall have the meanings ascribed to such
terms in the Credit Agreement); and 
 WHEREAS, the Borrowers have requested that the Lenders clarify that existing
and proposed rights granted with respect to certain Securities do not constitute Liens in violation of Section 7.3 of the Credit Agreement; and 

WHEREAS, the Borrowers have requested that the Lenders waive any Event of Default which may arise under
Section 7.3 of the Credit Agreement; and 
 WHEREAS, the Borrowers and the Lenders party hereto have agreed to
amend the definition of “Lien” set forth in the Credit Agreement to make such clarification; and 

WHEREAS, the Agent and Lenders party hereto are willing to make the waiver and amendment, in each case, on the terms
and conditions contained in this Agreement; 
 NOW, THEREFORE, in consideration of the premises and further valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 
 1.
Limited Waiver. Subject to the terms and conditions set forth herein, the Lenders party hereto hereby waive any Event of Default which may arise under Section 7.3 of the Credit Agreement as a result of the existence of certain rights
which may constitute Liens on the Securities of the Specified Entities and Amedisys Home Health, a Lawrence Medical Center Partner, LLC which may not be permitted by Section 7.3 of the Credit Agreement. The waiver set forth in this
Section 1 (the “Waiver”) is limited to the extent specifically set forth above and no other terms, covenants or provisions of the Credit Agreement or any other Loan Document are intended to be affected hereby. The Waiver
is granted only with respect to any failure of the Borrowers to comply with Section 7.3 of the Credit Agreement as a result of the existence of certain rights which may constitute Liens on the Securities of the Specified Entities and 

 
Amedisys Home Health, a Lawrence Medical Center Partner, LLC that are not permitted by Section 7.3 of the Credit Agreement and shall not apply to any violation of Section 7.3 with
respect to any Liens other than the existing rights on the Securities of the Specified Entities and Amedisys Home Health, a Lawrence Medical Center Partner, LLC, in each case, as of the Effective Date, or any actual or prospective default or
violation of any other provision of the Credit Agreement or any other Loan Document. The Waiver shall not in any manner create a course of dealing or otherwise impair the future ability of the Agent or the Lenders to declare a Default or Event of
Default under or otherwise enforce the terms of the Credit Agreement or any other Loan Document with respect to any matter other than those specifically and expressly waived in the Waiver. 

2. Amendment to the Credit Agreement. Section 1.1 of the Credit Agreement is hereby amended by amending and
restating the definition of “Lien” in its entirety as follows: 
 “Lien”: (a) any
lien, mortgage, pledge, assignment, security interest, charge or encumbrance of any kind (including any agreement to give any of the foregoing, any conditional sale or other title retention agreement, and any lease in the nature thereof) and any
option, trust or other preferential arrangement having the practical effect of any of the foregoing and (b) in the case of Securities, any purchase option, call or similar right of a third party with respect to such Securities, other than any
such existing rights with respect to the Securities of the Specified Entities and Amedisys Home Health, a Lawrence Medical Center Partner, LLC and any purchase option, call or rights similar thereto with respect to the Securities of Amedisys Private
Duty, LLC, Georgetown Hospital Home Health, LLC, Morgantown Hospice, LLC and the joint venture to be formed between Amedisys Wyoming, L.L.C. and Memorial Hospital Laramie County dba Cheyenne Regional Medical Center. 

3. Conditions Precedent. The effectiveness of this Agreement and of the Waiver are subject to the satisfaction of the
following conditions precedent: 
 (a) the Agent shall have received counterparts of this Agreement, duly executed by the
Borrowers, each Guarantor and the Required Lenders; and 
 (b) all fees and expenses payable to the Agent and the Lenders
(including the fees and expenses of counsel to the Agent) accrued to date shall have been paid in full. 
 4.
Ratification. Each of the Borrowers and Guarantors hereby ratifies all of its obligations under the Credit Agreement and each of the Loan Documents to which it is a party, and agrees and acknowledges that the Credit Agreement and each of the
Loan Documents to which it is a party are and shall continue to be in full force and effect as amended and modified by this Agreement. Nothing in this Agreement extinguishes, novates or releases any right, claim or entitlement of any of the Lenders
or the Agent created by or contained in any of such documents nor is any Borrower or any Guarantor released from any covenant, warranty or obligation created by or contained herein or therein. 

  
 -2- 

 5. Representations and Warranties. Each of the Borrowers and Guarantors
hereby represents and warrants to the Agent and the Lenders that (a) this Agreement has been duly executed and delivered on behalf of the Borrowers and each of the Guarantors, (b) this Agreement constitutes a valid and legally binding
agreement enforceable against each of the Borrowers and Guarantors in accordance with its terms, subject to applicable bankruptcy, insolvency, fraudulent transfer, reorganization, moratorium or other laws affecting creditors’ rights generally
and subject to general principles of equity, regardless of whether considered in a proceeding in equity or at law, (c) the representations and warranties made by it in the Credit Agreement and the Loan Documents to which it is a party are true
and correct on and as of the date hereof in all material respects as though made as of the date hereof except to the extent that such representations and warranties expressly relate to an earlier date in which case they are true and correct as of
such earlier date, (d) after giving effect to this Agreement, no Default or Event of Default exists under the Credit Agreement or under any Loan Document; (e) the Persons appearing as Guarantors on the signature pages to this Amendment
constitute all Persons who are required to be Guarantors pursuant to the terms of the Credit Agreement and each such Person has executed and delivered a Guaranty Agreement; and (e) the execution, delivery and performance of this Agreement has
been duly authorized by each of the Borrowers and Guarantors. 
 6. Release and Indemnity. 

(a) Each of the Borrowers and Guarantors hereby releases and forever discharges the Agent and each of the Lenders and each
Affiliate thereof and each of their respective employees, officers, directors, trustees, agents, attorneys, successors, assigns or other representatives from any and all claims, demands, damages, actions, cross-actions, causes of action, costs and
expenses (including legal expenses), of any kind or nature whatsoever, whether based on law or equity, which any of said parties has held or may now own or hold, whether known or unknown, for or because of any matter or thing done, omitted or
suffered to be done on or before the actual date upon which this Agreement is signed by any of such parties (i) arising directly or indirectly out of the Loan Documents, or any other documents, instruments or any other transactions relating
thereto and/or (ii) relating directly or indirectly to all transactions by and between the Borrowers, the Guarantors, or their representatives and the Agent, and each Lender or any of their respective directors, officers, agents, employees,
attorneys or other representatives. Such release, waiver, acquittal and discharge shall and does include, without limitation, any claims of usury, fraud, duress, misrepresentation, lender liability, control, exercise of remedies and all similar
items and claims, which may, or could be, asserted by any Borrower or any Guarantor including any such caused by the actions or negligence of the indemnified party (other than its gross negligence or willful misconduct). 

(b) Each of the Borrowers and Guarantors hereby ratifies the indemnification provisions contained in the Loan Documents,
including, without limitation, Section 10.5(b) of the Credit Agreement, and agrees that this Agreement and losses, claims, damages and expenses related thereto shall be covered by such indemnities. 

  
 -3- 

 7. Counterparts. This Agreement may be signed in any number of
counterparts, which may be delivered in original, facsimile or electronic form each of which shall be construed as an original, but all of which together shall constitute one and the same instrument. 

8. Governing Law. THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF
THE STATE OF NEW YORK. 
 9. Integration. This Agreement and the other Loan Documents represent the entire
agreement of the parties hereto with respect to the subject matter hereof and thereof and there are no promises, undertakings, representations or warranties by the Agent or any Lender relative to the subject matter hereof not expressly set forth or
referred to herein or in the other Loan Documents. 
 [Signature pages follow] 

  
 -4- 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their respective officers thereunto duly authorized as of the date first above written. 
  

			
	LEAD BORROWER:
	
	 AMEDISYS, INC.,

a Delaware corporation

		
	 By:
	 	 /s/ Ronald A. LaBorde

		 	 Ronald A. LaBorde

		 	 President and Chief Financial Officer

	
	CO-BORROWER:
	
	 AMEDISYS HOLDING, L.L.C.,

a Louisiana limited liability company

		
	 By:
	 	 /s/ Ronald A. LaBorde

		 	 Ronald A. LaBorde

		 	 Vice President

 Signature Page to First Amendment to Credit Agreement and Limited Waiver 

 GUARANTORS: 

ADVENTA HOSPICE SERVICES OF FLORIDA, INC., 

a Florida corporation; 

AMEDISYS HOME HEALTH, INC. OF ALABAMA, 

an Alabama corporation; 

AMEDISYS HOME HEALTH, INC. OF SOUTH CAROLINA, 

a South Carolina corporation; 

AMEDISYS HOME HEALTH, INC. OF VIRGINIA, 

a Virginia corporation; 

BEACON PALLIATIVE CARE SERVICES, INC., 

a Delaware corporation; 

HMA HOLDING, INC., 

a Delaware corporation; 

HMR ACQUISITION, INC., 

a Delaware corporation; 

ACCUMED HOLDING, L.L.C., 

a Delaware limited liability company; 

ACCUMED GENPAR, L.L.C., 

a Texas limited liability company; 

ACCUMED HOME HEALTH OF GEORGIA, L.L.C., 

a Georgia limited liability company; 

ACCUMED HOME HEALTH OF NORTH TEXAS, L.L.C., 

a Texas limited liability company; 

ADVENTA HOSPICE, L.L.C., 

a Florida limited liability company; 

ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC, 

a Delaware limited liability company; 

AMEDISYS AIR, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS ALABAMA, L.L.C., 

a Delaware limited liability company; 

AMEDISYS ALASKA, LLC, 

an Alaska limited liability company; 

AMEDISYS ARIZONA, L.L.C., 

an Arizona limited liability company; 

AMEDISYS ARKANSAS, LLC, 

an Arkansas limited liability company; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 AMEDISYS BA, LLC, 

a Delaware limited liability company; 

AMEDISYS CALIFORNIA, L.L.C., 

a California limited liability company; 

AMEDISYS COLORADO, L.L.C., 

a Colorado limited liability company; 

AMEDISYS CONNECTICUT, L.L.C., 

a Connecticut limited liability company; 

AMEDISYS DELAWARE, L.L.C., 

a Delaware limited liability company; 

AMEDISYS FLORIDA, L.L.C., 

a Florida limited liability company; 

AMEDISYS GEORGIA, L.L.C., 

a Georgia limited liability company; 

AMEDISYS HMA ACQUISITION, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS HOSPICE, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS IDAHO, L.L.C., 

an Idaho limited liability company; 

AMEDISYS ILLINOIS, L.L.C., 

an Illinois limited liability company; 

AMEDISYS INDIANA, L.L.C., 

an Indiana limited liability company; 

AMEDISYS IOWA, L.L.C., 

an Iowa limited liability company; 

AMEDISYS KANSAS, L.L.C., 

a Kansas limited liability company; 

AMEDISYS LA ACQUISITIONS, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS LOUISIANA, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS MAINE, P.L.L.C., 

a Maine professional limited liability company; 

AMEDISYS MARYLAND, L.L.C., 

a Maryland limited liability company; 

AMEDISYS MASSACHUSETTS, L.L.C., 

a Massachusetts limited liability company; 

AMEDISYS MICHIGAN, L.L.C., 

a Michigan limited liability company; 

AMEDISYS MINNESOTA, L.L.C., 

a Minnesota limited liability company; 

AMEDISYS MISSISSIPPI, L.L.C., 

a Mississippi limited liability company; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 AMEDISYS MISSOURI, L.L.C., 

a Missouri limited liability company; 

AMEDISYS NEBRASKA, L.L.C., 

a Nebraska limited liability company; 

AMEDISYS NEVADA, L.L.C., 

a Nevada limited liability company; 

AMEDISYS NEW HAMPSHIRE, L.L.C., 

a New Hampshire limited liability company; 

AMEDISYS NEW JERSEY, L.L.C., 

a New Jersey limited liability company; 

AMEDISYS NEW MEXICO, L.L.C., 

a New Mexico limited liability company; 

AMEDISYS NORTH CAROLINA, L.L.C., 

a North Carolina limited liability company; 

AMEDISYS NORTH DAKOTA, L.L.C., 

a North Dakota limited liability company; 

AMEDISYS NORTHWEST, L.L.C., 

a Georgia limited liability company; 

AMEDISYS OHIO, L.L.C., 

an Ohio limited liability company; 

AMEDISYS OKLAHOMA, L.L.C., 

an Oklahoma limited liability company; 

AMEDISYS OREGON, L.L.C., 

an Oregon limited liability company; 

AMEDISYS PENNSYLVANIA, L.L.C., 

a Pennsylvania limited liability company; 

AMEDISYS PRIVATE DUTY, LLC, 

a Delaware limited liability company; 

AMEDISYS PROPERTY, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS PUERTO RICO, L.L.C., 

a Puerto Rican limited liability company; 

AMEDISYS QUALITY OKLAHOMA, L.L.C., 

an Oklahoma limited liability company; 

AMEDISYS RHODE ISLAND, L.L.C., 

a Rhode Island limited liability company; 

AMEDISYS SC, L.L.C., 

a South Carolina limited liability company; 

AMEDISYS SOUTH DAKOTA, L.L.C., 

a South Dakota limited liability company; 

AMEDISYS SOUTH FLORIDA, L.L.C., 

a Florida limited liability company; 

AMEDISYS SPECIALIZED MEDICAL SERVICES, L.L.C., 

a Louisiana limited liability company; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 AMEDISYS SP-IN, L.L.C., 

an Indiana limited liability company; 

AMEDISYS SP-KY, L.L.C., 

a Kentucky limited liability company; 

AMEDISYS SP-OH, L.L.C., 

an Ohio limited liability company; 

AMEDISYS SP-TN, L.L.C., 

a Tennessee limited liability company; 

AMEDISYS TENNESSEE, L.L.C., 

a Tennessee limited liability company; 

AMEDISYS TEXAS, L.L.C., 

a Texas limited liability company; 

AMEDISYS TLC ACQUISITION, L.L.C., 

a Louisiana limited liability company; 

AMEDISYS UTAH, L.L.C., 

a Utah limited liability company; 

AMEDISYS VENTURES, L.L.C., 

a Delaware limited liability company; 

AMEDISYS VIRGINIA, L.L.C., 

a Virginia limited liability company; 

AMEDISYS WASHINGTON, L.L.C., 

a Washington limited liability company; 

AMEDISYS WESTERN, L.L.C., 

a Delaware limited liability company; 

AMEDISYS WEST VIRGINIA, L.L.C., 

a West Virginia limited liability company; 

AMEDISYS WISCONSIN, L.L.C., 

a Wisconsin limited liability company; 

AMEDISYS WYOMING, L.L.C., 

a Wyoming limited liability company; 

ANMC VENTURES, L.L.C., 

a Louisiana limited liability company; 

ARNICA THERAPY SERVICES, L.L.C., 

a Louisiana limited liability company; 

AVENIR VENTURES, L.L.C., 

a Louisiana limited liability company; 

BEACON HOSPICE, L.L.C., 

a Delaware limited liability company; 

BROOKSIDE HOME HEALTH, LLC, 

a Virginia limited liability company; 

COMPREHENSIVE HOME HEALTHCARE SERVICES, L.L.C., 

a Tennessee limited liability company; 

EMERALD CARE, L.L.C., 

a North Carolina limited liability company; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 FAMILY HOME HEALTH CARE, L.L.C., 

a Kentucky limited liability company; 

HHC, L.L.C., 

a Tennessee limited liability company; 

HOME HEALTH OF ALEXANDRIA, L.L.C., 

a Louisiana limited liability company; 

HORIZONS HOSPICE CARE, L.L.C., 

an Alabama limited liability company; 

HOUSECALL, L.L.C., 

a Tennessee limited liability company; 

HOUSECALL HOME HEALTH, L.L.C., 

a Tennessee limited liability company; 

HOUSECALL MEDICAL RESOURCES, L.L.C., 

a Delaware limited liability company; 

HOUSECALL MEDICAL SERVICES, L.L.C., 

a Tennessee limited liability company; 

HOUSECALL SUPPORTIVE SERVICES, L.L.C., 

a Florida limited liability company; 

MC VENTURES, LLC, 

a Mississippi limited liability company; 

M.M. ACCUMED VENTURES, L.L.C., 

a Texas limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES INTERNATIONAL, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES MIDWEST, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF BROWARD, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF DADE, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF ERIE NIAGARA, LLC, 

a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF FLORIDA, LLC, 

a Delaware limited liability company; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF ILLINOIS, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF LONG ISLAND, LLC, 

a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF MICHIGAN, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF NASSAU SUFFOLK, LLC, 

a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF PA, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF WEST VIRGINIA, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC, 

a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC, 

a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC, 

a Delaware limited liability company; 

TLC HOLDINGS I, L.L.C., 

a Delaware limited liability company; 

TLC HEALTH CARE SERVICES, L.L.C., 

a Delaware limited liability company; 

ACCUMED HEALTH SERVICES, L.P., 

a Texas limited partnership 

By: ACCUMED GENPAR, LLC, its general partner; 

NINE PALMS 1, LP, 

a Virginia limited partnership 

By: BROOKSIDE HOME HEALTH, LLC, its general 

partner; 

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	NINE PALMS 2, LLP,
		 	 a Mississippi limited liability partnership

		 	 By: MC VENTURES, LLC, its general partner

		
	 By:
	 	 /s/ Ronald A. LaBorde

		 	 Ronald A. LaBorde

		 	 Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	AGENT AND LENDER:
	
	JPMORGAN CHASE BANK, N.A.
		
	 By:
	 	 /s/ John Kushnerick

	 Name:
	 	 John Kushnerick

	 Title
	 	 Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	BANK OF AMERICA, N.A.
		
	 By:
	 	 /s/ Daniel Penkar

	 Name:
	 	 Daniel Penkar

	 Title
	 	 Senior Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	FIFTH THIRD BANK
		
	 By:
	 	 /s/ Joshua N. Livingston

	 Name:
	 	 Joshua N. Livingston

	 Title
	 	 Duly Authorized Signatory

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	COMPASS BANK
		
	 By:
	 	 /s/ Latrice Tubbs

	 Name:
	 	 Latrice Tubbs

	 Title
	 	 Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	BOKF, NA dba BANK OF TEXAS
		
	 By:
	 	 /s/ Gary K. Whitt

	 Name:
	 	 Gary K. Whitt

	 Title
	 	 SVP

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	RBS CITIZENS, N.A.
		
	 By:
	 	 /s/ Cheryl Carangelo

	 Name:
	 	 Cheryl Carangelo

	 Title
	 	 Senior Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	UNION BANK, N.A.
		
	 By:
	 	 /s/ Richard A. Lopatt

	 Name:
	 	 Richard A. Lopatt

	 Title
	 	 Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	REGIONS BANK
		
	 By:
	 	 /s/ Peter Little

	 Name:
	 	 Peter Little

	 Title
	 	 Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited Waiver 

 
			
	LENDER:
	
	RAYMOND JAMES BANK, N.A.
		
	 By:
	 	 /s/ Alexander L. Rody

	 Name:
	 	 Alexander L. Rody

	 Title
	 	 Senior Vice President

  
 Signature Page to
First Amendment to Credit Agreement and Limited WaiverEX-10.1.2

			
	EXECUTION VERSION	  	Exhibit 10.1.2

 SECOND AMENDMENT TO CREDIT AGREEMENT 

THIS SECOND AMENDMENT TO CREDIT AGREEMENT (this “Agreement”) dated as of November 11, 2013 (the
“Effective Date”), is entered into by and among AMEDISYS HOLDING, L.L.C., a Louisiana limited liability company (the “Co-Borrower”), AMEDISYS, INC., a Delaware corporation (the “Lead
Borrower”, together with the Co-Borrower, the “Borrowers”), each of the Subsidiaries of the Borrowers listed on the signature pages hereof (the “Guarantors”), each of the Lenders (as such term is hereafter
defined) party hereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Lenders (the “Administrative Agent”). 

PRELIMINARY STATEMENT 

WHEREAS, the Borrowers, the lenders party thereto (the “Lenders”) and the Administrative Agent entered
into that certain Credit Agreement dated as of October 26, 2012 (as amended by that certain First Amendment to Credit Agreement and Limited Waiver dated as of September 4, 2013, and as further amended from time to time, the “Credit
Agreement”; capitalized terms used in this Agreement and not otherwise defined herein shall have the meanings ascribed to such terms in the Credit Agreement); and 

WHEREAS, the Borrowers, the Lenders party hereto and the Administrative Agent desire to amend the Credit Agreement as
hereinafter provided; 
 NOW, THEREFORE, in consideration of the premises and further valuable consideration, the
receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 
 1. Amendments to
Section 1.1. Section 1.1 of the Credit Agreement is hereby amended as follows: 
 (a) The definitions of
“Applicable Margin” and “Applicable Commitment Fee” are hereby amended to restate the pricing grid contained therein as follows: 
  

									
	 Pricing

Level
	  	 Total Leverage

Ratio
	  	 Applicable Margin

for Eurodollar
 Loans
	 	 Applicable Margin

for ABR Loans
	 	Applicable
Commitment Fee
					
	 I
	  	3 2.50	  	3.25%	 	2.25%	 	0.50%
					
	 II
	  	< 2.50 and 3 2.00	  	3.00%	 	2.00%	 	0.50%
					
	 III
	  	< 2.00 and 3 1.50	  	2.75%	 	1.75%	 	0.50%
					
	 IV
	  	< 1.50	  	2.50%	 	1.50%	 	0.45%

 (b) The definitions of “Applicable Margin” and “Applicable Commitment Fee”
are hereby further amended to add the following new sentence at the end of said definitions: 

 “Notwithstanding the foregoing or anything else in this
Agreement to the contrary, for the period from the Second Amendment Effective Date through the date the financial statements and Compliance Certificate are required to be delivered pursuant to Section 6.1(b) and
Section 6.2(b) for the Fiscal Quarter ending March 31, 2014, the Applicable Margin and Applicable Commitment Fee shall be determined at Pricing Level I.” 

(c) The last sentence of the definition of “Consolidated Adjusted EBITDA” is hereby deleted in its entirety and
replaced with the following: 
 “Consolidated Adjusted EBITDA shall be adjusted to add back to
Consolidated Net Income, to the extent deducted therefrom, (a) any one-time expenses relating to restructuring (not to exceed $10,000,000 in the aggregate during the term hereof) and discontinued operations and any payments in respect of either
of the foregoing, in each case, that are approved by the Administrative Agent, which approval shall not be unreasonably withheld or delayed and (b) reserves set aside in anticipation of the settlement agreement with respect to the U.S.
Department of Justice Civil Investigative Demand Pursuant to False Claims Act and Stark Law Matters, as disclosed to the Administrative Agent in writing by the Borrowers prior to the Second Amendment Effective Date, together with associated fees and
expenses, in a maximum aggregate amount not to exceed $175,000,000. 
 (d) The definition of “Consolidated Cash
Interest Expense” is hereby amended to add the following new sentence at the end of said definition: 

“For purposes hereof, Consolidated Cash Interest Expense shall not include amounts accrued as interest
prior to the execution of the settlement agreement with respect to the U.S. Department of Justice Civil Investigative Demand Pursuant to False Claims Act and Stark Law Matters, as disclosed to the Administrative Agent in writing by the Borrowers
prior to the Second Amendment Effective Date, that are paid simultaneously with the execution thereof, such amounts not to exceed $1,700,000 in the aggregate.” 

(e) The definition of “Consolidated Net Income” is hereby amended to insert the following new clause (vi) at
the end of said definition: 
 “and (vi) income from discontinued operations.” 

(f) The definition of “Fixed Charge Coverage Ratio” is hereby deleted in its entirety and replaced with the
following: 
 “Fixed Charge Coverage Ratio”: the ratio as of the last day of any
Fiscal Quarter of (i) Consolidated Adjusted EBITDAR minus 

  
 -2- 

 
Consolidated Capital Expenditures (not to exceed $30,000,000) minus Taxes based on income that are paid in cash, all for the four-Fiscal Quarter period then ending, to (ii) scheduled
payments of principal on Indebtedness of Borrower and its Subsidiaries (other than such payments in respect of the Senior Notes) plus Consolidated Cash Interest Expense plus Consolidated Rent, all for such four-Fiscal Quarter period. 

(g) The definition of “Guaranty Agreement” is hereby deleted in its entirety and replaced with the following: 

“Guaranty Agreement”: each Guaranty Agreement executed and delivered by each
Guarantor, substantially in the form of Exhibit A. 
 (h) The definition of “Liens” is hereby
deleted in its entirety and replaced with the following: 
 “Lien”: (a) any
lien, mortgage, pledge, assignment, security interest, charge or encumbrance of any kind (including any agreement to give any of the foregoing, any conditional sale or other title retention agreement, and any lease in the nature thereof) and any
option, trust or other preferential arrangement having the practical effect of any of the foregoing and (b) in the case of Securities, any purchase option, call or similar right of a third party with respect to such Securities, other than any
such rights with respect to the Securities of Persons owned by the Borrowers as a result of Investments made in accordance with Section 7.7(j) and any purchase option, call or rights similar thereto with respect to the Securities
of such Persons. 
 (i) The definition of “Liquidity” is hereby deleted in its entirety and replaced with the
following: 
 “Liquidity”: at any time, the sum of the aggregate Available
Revolving Commitments plus unrestricted cash and Cash Equivalents of the Borrowers minus the aggregate amount of payments due pursuant to contractual settlement agreements, binding arbitration awards and judicial or administrative judgments
or awards within twelve (12) months after the date of determination. 
 (j) The definition of “Material Adverse
Effect” is hereby deleted in its entirety and replaced with the following: 
 “Material
Adverse Effect”: any event, development or circumstance that has had or would reasonably be expected to have a material adverse effect on (a) the business, property, operations, 

  
 -3- 

 
condition (financial or otherwise) or prospects of the Borrowers and their Subsidiaries taken as a whole (provided that the investigation of any Governmental Authority with respect to the U.S.
Department of Justice Civil Investigative Demand Pursuant to False Claims Act and Stark Law Matters, as disclosed to the Administrative Agent in writing by the Borrowers prior to the Second Amendment Effective Date, and any related settlement
agreements and payments in respect thereof in an aggregate amount not to exceed $175,000,000 shall not be deemed a material adverse effect hereunder), (b) the ability of the Loan Parties to fully and timely perform their obligations under the
Loan Documents, (c) the legality, validity, binding effect or enforceability of this Agreement or any of the other Loan Documents against the Loan Parties or the rights and remedies of the Administrative Agent or the Lenders hereunder or
thereunder or (d) the rights, remedies and benefits available to, or conferred upon, the Administrative Agent, Issuing Lender and the Lenders thereunder. 

(k) The definition of “Obligations” is hereby amended to insert the following new phrase at the end of said
definition: 
 “; provided that the Obligations shall specifically exclude the Excluded Swap
Obligations” 
 (l) The definition of “Permitted Acquisition” is hereby amended to restate clause
(b) thereof as follows: 
 “(b) the Borrowers and their Subsidiaries shall have delivered to
the Administrative Agent at least five Business Days prior to such proposed acquisition, a certificate evidencing compliance with Sections 7.1(a) and (b) on a pro forma basis after giving effect to such
acquisition,”. 
 (m) The definition of “Security and Pledge Agreement” is hereby deleted in its entirety and
replaced with the following: 
 “Security and Pledge Agreement”: the security and
pledge agreement dated as of the Second Amendment Effective Date, executed by the Borrowers and each Guarantor in favor of the Administrative Agent. 

(n) The definition of “Total Leverage Ratio” is hereby deleted in its entirety and replaced with the following: 

“Total Leverage Ratio”: the ratio as of the last day of any Fiscal Quarter of
(a) the sum of (i) Consolidated Total Debt as of such day plus (ii) the then outstanding aggregate amount owing by the 

  
 -4- 

 
Borrowers and their Subsidiaries pursuant to contractual settlement agreements, binding arbitration awards and judicial or administrative judgments or awards, plus, without duplication, the
aggregate amount of reserves set aside in anticipation thereof, to (b) Consolidated Adjusted EBITDA for the four-Fiscal Quarter period ending on such date. 

(o) The following new definitions are hereby added to Section 1.1 of the Credit Agreement in proper alphabetical order:

 “Commodity Exchange Act” means the Commodity Exchange Act (7 U.S.C. § 1 et
seq.), as amended from time to time, and any successor statute. 
 “Excluded Swap
Obligation” means, with respect to any Guarantor, any Swap Obligation if, and to the extent that, all or a portion of the guarantee of such Guarantor of, or the grant by such Guarantor of a security interest to secure, such Swap
Obligation (or any guarantee thereof) is or becomes illegal under the Commodity Exchange Act or any rule, regulation or order of the Commodity Futures Trading Commission (or the application or official interpretation of any thereof) by virtue of
such Guarantor’s failure for any reason to constitute an “eligible contract participant” as defined in the Commodity Exchange Act and the regulations thereunder at the time the guarantee of such Guarantor or the grant of such security
interest becomes effective with respect to such Swap Obligation. If a Swap Obligation arises under a master agreement governing more than one swap, such exclusion shall apply only to the portion of such Swap Obligation that is attributable to swaps
for which such guarantee or security interest is or becomes illegal. 
 “Joinder
Agreement”: the Joinder to the Security and Pledge Agreement substantially in the form of Exhibit I. 

“Second Amendment Effective Date”: November 11, 2013. 

“Swap Obligation” means, with respect to any Guarantor, any obligation to pay or
perform under any agreement, contract or transaction that constitutes a “swap” within the meaning of section 1a(47) of the Commodity Exchange Act. 

2. Amendment to Section 4.5. Section 4.5 of the Credit Agreement is hereby amended to delete the phrase
“and in favor of the holders of the Senior Notes as contemplated by Section 6.14”. 
 3.
Amendment to Section 4.16. Section 4.16 of the Credit Agreement is hereby deleted in its entirety and replaced with the following: 

  
 -5- 

 “4.16 Intentionally Deleted.” 

4. Amendment to Section 6.10. Section 6.10 of the Credit Agreement is amended to delete the last sentence of
subsection (a) thereof in its entirety and restate subsection (b) in its entirety as follows: 

“(b) Within thirty days after the Borrowers create or acquire a new Subsidiary that is required to be a
Guarantor pursuant to paragraph (a) above, the Borrowers shall (i) cause such new Subsidiary to become a Guarantor by executing and delivering to the Administrative Agent a Guaranty Agreement, (ii) cause such new
Subsidiary to grant a security interest in all Collateral owned by such new Subsidiary by executing and delivering to Administrative Agent a Joinder Agreement and to comply with the terms of the Security and Pledge Agreement, (iii) deliver to
the Administrative Agent such original Capital Stock or other certificates and stock or other transfer powers evidencing the Capital Stock of such new Subsidiary and (iv) deliver such documents and certificates as are similar to those described
in Section 5.1(h), together with such other documents relating to such new Subsidiary as the Administrative Agent shall reasonably request in order to comply with the requirements of this Section and of the Security and Pledge
Agreement. With respect to each new Subsidiary, whether or not such Subsidiary is required to provide a Guaranty Agreement pursuant to paragraph (a) above, the Borrowers shall promptly send to Administrative Agent written notice
setting forth with respect to such Person (i) the date on which such Person became a Subsidiary of the Borrowers and (ii) all of the data required to be set forth in Schedule 4.15 with respect to all Subsidiaries of the
Borrowers; provided, such written notice shall be deemed to supplement Schedule 4.15 for all purposes hereof.” 

5. Amendment to Section 6.14. Section 6.14 of the Credit Agreement is hereby deleted in its entirety and
replaced with the following: 
 “6.14 Intentionally Deleted.” 

6. Amendment to Article 6. Article 6 of the Credit Agreement is hereby amended to add the following new
Section 6.16 in proper numerical order: 
 “6.16 Use of Proceeds. The proceeds of
the Initial Term Loan and the initial Revolving Loans shall be used to refinance the Original Agreement and a portion of the Indebtedness evidenced by the Senior Notes. The proceeds of the Revolving Loans, the Swingline Loans, the Letters of Credit
and any Incremental Term Loans shall be used (a) to finance the working capital needs and 

  
 -6- 

 
for general corporate purposes of the Borrowers and their Subsidiaries in the ordinary course of business and (b) until October 31, 2014, to pay amounts owing pursuant to the settlement
agreement with respect to the U.S. Department of Justice Civil Investigative Demand Pursuant to False Claims Act and Stark Law Matters, as disclosed to the Administrative Agent in writing by the Borrowers prior to the Second Amendment Effective
Date, together with associated fees and expenses; provided that the aggregate amount of proceeds of the Loans used for the purposes described in this clause (b) shall not exceed $175,000,000.” 

7. Amendment to Section 7.1. Section 7.1 of the Credit Agreement is hereby amended to restate subsections
(a) and (b) thereof in their entirety as follows: 
 “(a) Total Leverage
Ratio. The Borrowers and their Subsidiaries will not permit the Total Leverage Ratio as of the last day of any Fiscal Quarter to be greater than (i) 3.50 to 1.0 for the Fiscal Quarter ending September 30, 2013, for the Fiscal
Quarter ending December 31, 2013, for the Fiscal Quarter ending March 31, 2014 and for the Fiscal Quarter ending June 30, 2014, (ii) 3.25 to 1.0 for the Fiscal Quarter ending September 30, 2014, (iii) 3.00 to 1.0 for
the Fiscal Quarter ending December 31, 2014, (iv) 2.50 to 1.0 for the Fiscal Quarter ending March 31, 2015 and for the Fiscal Quarter ending June 30, 2015 and (v) 2.00 to 1.0 for each Fiscal Quarter ending thereafter. With
respect to any rolling four quarter period during which a Material Asset Sale, a Material Acquisition or, in the Lead Borrower’s discretion, any other Permitted Acquisition has occurred (each, a “Subject Transaction”),
for purposes of determining compliance with Total Leverage Ratio, Consolidated Adjusted EBITDA shall be calculated on a pro forma basis (without duplication) giving effect to such Subject Transaction as if it had been consummated or incurred or
repaid at the beginning of the relevant four quarter period. The determination of such pro forma Consolidated Adjusted EBITDA shall be further modified pursuant to Section 7.1(c)(i). 

(b) Fixed Charge Coverage Ratio. The Borrowers and their Subsidiaries will not permit the Fixed
Charge Coverage Ratio as of the last day of any Fiscal Quarter to be less than (i) 1.20 to 1.0 for the Fiscal Quarter ending September 30, 2013, for the Fiscal Quarter ending December 31, 2013 and for the Fiscal Quarter ending
March 31, 2014, (ii) 1.10 to 1.0 for the Fiscal Quarter ending June 30, 2014 and for the Fiscal Quarter ending September 30, 2014, (iii) 1.15 to 1.0 for the Fiscal Quarter ending December 31, 2014, (iv) 1.20 to 1.0
for the Fiscal Quarter ending March 31, 2015 and for the Fiscal Quarter ending June 30, 2015 and (v) 1.25 to 1.0 for each Fiscal Quarter ending thereafter.” 

  
 -7- 

 8. Amendment to Section 7.2. Section 7.2 of the Credit Agreement
is hereby amended to restate subsections (f), (h), (i), (m) and (p) thereof in their entirety as follows: 

“(f) Indebtedness (including, without limitation, Capital Lease Obligations) secured by Liens permitted
by Section 7.3(g) in an aggregate principal amount not to exceed $5,000,000 at any one time outstanding; 

“(h) additional Indebtedness of the Borrowers or any of their Subsidiaries in an unsecured aggregate
principal amount (for the Borrowers and all Subsidiaries) not to exceed $20,000,000 at any one time outstanding, excluding Indebtedness permitted by clause (o) below; 

(i)(i) Indebtedness of a Person that becomes a Subsidiary or Indebtedness incurred to finance assets of a
Person that are acquired by the Borrowers or any of their Subsidiaries, in either case, as the result of a Permitted Acquisition in an aggregate amount not to exceed at any time $5,000,000; provided that (x) such Indebtedness existed at
the time such Person became a Subsidiary or at the time such assets were acquired by the Borrowers or any of their Subsidiaries and, in each case, was not created in anticipation thereof and (y) such Indebtedness is not guaranteed in any
respect by the Borrowers or any of their Subsidiaries (other than by any such Person that so becomes a Subsidiary), and (ii) any refinancing, refunding, renewal or extension of any Indebtedness specified in Section 7.2(f) or
subclause (i) of this Section 7.2(i); provided, that (1) the principal amount of any such Indebtedness is not increased above the principal amount thereof outstanding immediately prior to such
refinancing, refunding, renewal or extension, (2) the direct and contingent obligors with respect to such Indebtedness are not changed and (3) such Indebtedness shall not be secured by any assets other than the assets securing the
Indebtedness being renewed, extended or refinanced; 
 (m) other secured Indebtedness of the Borrowers or
any of their Subsidiaries in an aggregate amount not to exceed at any time $5,000,000 in addition to Indebtedness described in Schedule 7.2; 

(p) intentionally deleted.” 

9. Amendment to Section 7.3. Section 7.3 of the Credit Agreement is hereby amended to restate subsections
(m) and (o) thereof in their entirety as follows: 

  
 -8- 

 “(m) Liens related to Indebtedness permitted under
Section 7.2(m) not otherwise permitted by this Section so long as neither (i) the aggregate outstanding principal amount of the obligations secured thereby nor (ii) the aggregate fair market value (determined as of the
date such Lien is incurred) of the assets subject thereto exceeds (as to the Borrowers and all Subsidiaries) $5,000,000 at any one time; 

(o) intentionally deleted.” 

10. Amendment to Section 7.4. Section 7.4 of the Credit Agreement is hereby amended to restate subsections
(c), (e) and (g) thereof in their entirety as follows: 
 “(c)(i) Asset Sales pending
as of the Second Amendment Effective Date and described on Schedule 7.4 and (ii) other Asset Sales not permitted by any other clause of this Section 7.4 made after the Second Amendment Effective Date, the
proceeds of which (valued at the principal amount thereof in the case of non-cash proceeds consisting of notes or other debt Securities and valued at fair market value in the case of other non-cash proceeds) when aggregated with the proceeds of all
other Asset Sales made pursuant to this clause (ii) after the Second Amendment Effective Date and prior to the date of determination, are less than $10,000,000; provided (A) the consideration received for such assets
shall be in an amount at least equal to the fair market value thereof (if the value is greater than $5,000,000, as determined in good faith by the Board of Directors of the Lead Borrower) and (B) no less than 90% of such consideration shall be
paid in cash or in Cash Equivalents; 
 (e) Permitted Acquisitions; provided that the aggregate
consideration for all Permitted Acquisitions in any Fiscal Year ending after the Second Amendment Effective Date shall not exceed $10,000,000; 

(g)(i) Asset Sales by the Borrowers or Guarantors to any of their Subsidiaries that are not Guarantors
or to any Person in which the Borrowers or one or more Wholly-Owned Subsidiaries of the Borrowers own or will own upon consummation of the Asset Sale 50% of the Capital Stock of such Person and (ii) Dispositions of no more than 50% of the
Capital Stock of a Wholly-Owned Subsidiary that is not a Guarantor to any Person; provided (A) the consideration received for such assets or Dispositions in the case of the foregoing clauses (i) and (ii),
as applicable, shall be in an amount at least equal to the fair market value thereof (if the value is greater than $5,000,000, as determined in good faith by the Board of Directors of the Lead Borrower) and (B) the aggregate fair market value
of the assets sold or otherwise disposed of pursuant to this Section 7.4(g) from and after the Second Amendment Effective Date shall not exceed $10,000,000 during the term of this Agreement;”. 

  
 -9- 

 11. Amendment to Section 7.6. Section 7.6 of the Credit
Agreement is hereby amended to restate subsection (a) thereof in its entirety as follows: 
 “(a)
the Lead Borrower may make Restricted Payments in an aggregate amount during the term hereof not to exceed at the time of such Restricted Payment, 50% of Consolidated Net Income for each Fiscal Quarter ending on or after September 30, 2013, to
the extent positive, minus 100% of Consolidated Net Income for each Fiscal Quarter ending on or after September 30, 2013, to the extent negative; provided, immediately prior to, and after giving pro forma effect to such Restricted
Payment, (A) no Default or Event of Default shall have occurred and be continuing or would result therefrom, (B) the Total Leverage Ratio is less than 1.50 to 1.0 and (C) Liquidity is greater than or equal to $50,000,000; and”.

 12. Amendment to Section 7.7. Section 7.7 of the Credit Agreement is hereby amended to restate
subsections (f) and (j) thereof in their entirety as follows: 
 “(f) Consolidated Capital
Expenditures in an amount not to exceed (i) $17,000,000 in the Fiscal Quarter ending December 31, 2013 and (ii) $35,000,000 in the Fiscal Year ending December 31, 2014 and in any Fiscal Year ending thereafter; and 

(j)(i) equity Investments owned as of the Second Amendment Effective Date in Persons that are not
Wholly-Owned Subsidiaries of the Borrowers and additional Investments in such Persons to be made on or before March 31, 2014, in each case, as described on Schedule 7.7, and (ii) other Investments not permitted by any other
clause of this Section 7.7 made after the Second Amendment Effective Date in Persons that are not Wholly-Owned Subsidiary Guarantors in an aggregate amount under this clause (ii) not to exceed at any time
$30,000,000, net of amounts realized in respect of such Investments upon the sale, collection or return of capital (not to exceed the original amount invested).” 

13. Amendment to Section 7.14. Section 7.14 of the Credit Agreement is hereby deleted in its entirety and
replaced with the following: 
 “7.14 No Foreign Subsidiaries or Certain Other
Subsidiaries. No Loan Party shall, nor shall it permit any of its Subsidiaries to, create, acquire or otherwise own directly or indirectly: 

(a) any Foreign Subsidiary; and 

  
 -10- 

 (b) from and after the Second Amendment Effective Date and
except with respect to the Specified Entities and Immaterial Subsidiaries, any Subsidiary that is not a Wholly-Owned Subsidiary with respect to which the Borrowers have not obtained consents to the following actions from all of the owners of Capital
Stock therein: (i) to pledge the Capital Stock of such Subsidiary owned by the Borrowers or any of their Subsidiaries to secure the Obligations and (ii) to admit the Administrative Agent or its designee as a substitute member or partner, as the
case may be, following any foreclosure on such Capital Stock.” 
 14. Amendment to Article 8. Article 8 of the
Credit Agreement is hereby amended to restate subsection (c) thereof in its entirety as follows, add the word “or” at the end of subsection (m) thereof, add the following new subsection (n) immediately after subsection
(m) thereof and delete “(n)” at the beginning of the last paragraph thereof: 
 “(c)
any Loan Party shall default in the observance or performance of any agreement contained in clause (i) or (ii) of Section 6.4(a) (with respect to Co-Borrower and Lead Borrower only),
Sections 6.7(a), 6.10(b), 6.16, 7.1, 7.4, 7.5, 7.6, 7.7, 7.10, 7.11, 7.12, 7.13,
7.14, 7.15 and 7.16 of this Agreement or any Incorporated Covenant (after giving effect to the grace period (if applicable) in respect of such comparable covenant in the Note Purchase Agreement, without
duplication of any grace period contained herein); or 
 (n) a default, event of default or similar event,
however so defined under the terms thereof, shall occur under the settlement agreement between the Lead Borrower and the relevant Governmental Authority in respect of the U.S. Department of Justice Civil Investigative Demand Pursuant to False Claims
Act and Stark Law Matters;” 
 15. Amendment to Section 10.14. Section 10.14 of the Credit Agreement
is hereby amended to restate subsection (a) thereof in its entirety as follows: 
 “(a)
Notwithstanding anything to the contrary contained herein or in any other Loan Document, the Administrative Agent is hereby irrevocably authorized by each Lender (without requirement of notice to or consent of any Lender except as expressly required
by Section 10.1) and agrees to take any action requested by the Borrowers having the effect of releasing any Guarantee Obligations and/or any Collateral (i) to the extent necessary to permit consummation of any transaction
not prohibited by any Loan Document or that has been consented to in accordance with Section 10.1 or (ii) under the circumstances described in paragraph (b) below.” 

  
 -11- 

 16. Amendment to Exhibit A. Exhibit A attached to the Credit Agreement is
hereby amended to add the following new Section 19 immediately after Section 18 of said Exhibit: 

“Section 19. Keepwell. Each Qualified ECP Guarantor (as hereinafter defined) hereby jointly and
severally absolutely, unconditionally and irrevocably undertakes to provide such funds or other support as may be needed from time to time by each other Loan Party to honor all of its obligations under this Guaranty in respect of Swap Obligations
(provided, however, that each Qualified ECP Guarantor shall only be liable under this Section 19 for the maximum amount of such liability that can be hereby incurred without rendering its obligations under this Section 19, or
otherwise under this Guaranty, voidable under applicable law relating to fraudulent conveyance or fraudulent transfer, and not for any greater amount). The obligations of each Qualified ECP Guarantor under this Section shall remain in full force and
effect until termination of this Guaranty as described in Section 4 hereof. Each Qualified ECP Guarantor intends that this Section 19 constitute, and this Section 19 shall be deemed to constitute, a
“keepwell, support, or other agreement” for the benefit of each other Loan Party for all purposes of Section 1a(18)(A)(v)(II) of the Commodity Exchange Act. As used herein, “Qualified ECP Guarantor” means, in respect
of any Swap Obligation, each Loan Party that has total assets exceeding $10,000,000 at the time the relevant Guarantee Obligation or grant of the relevant security interest becomes effective with respect to such Swap Obligation or such other Person
as constitutes an “eligible contract participant” under the Commodity Exchange Act or any regulations promulgated thereunder and can cause another person to qualify as an “eligible contract participant” at such time by entering
into a keepwell under Section 1a(18)(A)(v)(II) of the Commodity Exchange Act.” 
 17. Amendment to Credit
Agreement. The Credit Agreement is hereby amended to (a) add thereto Exhibit I and Schedule 7.4 in the forms attached hereto and (b) delete therefrom Schedule 7.7 in its entirety and insert in place thereof Schedule 7.7 in the form
attached hereto. 
 18. Keepwell. By its execution hereof, each Qualified ECP Guarantor (as hereinafter defined)
hereby jointly and severally absolutely, unconditionally and irrevocably undertakes to provide such funds or other support as may be needed from time to time by each other Loan Party to honor all of its obligations under the Guaranty Agreement in
respect of Swap Obligations (provided, however, that each Qualified ECP Guarantor shall only be liable under this Section 18 for the maximum amount of such liability that can be hereby incurred without rendering its obligations under
this Section 18, or otherwise under the Guaranty Agreement, voidable under applicable law relating to fraudulent conveyance or fraudulent transfer, and not 

  
 -12- 

 
for any greater amount). The obligations of each Qualified ECP Guarantor under this Section shall remain in full force and effect until termination of the Guaranty Agreement as described in
Section 4 thereof. Each Qualified ECP Guarantor intends that this Section 18 constitute, and this Section 18 shall be deemed to constitute, a “keepwell, support, or other agreement” for the benefit of each other Loan Party
for all purposes of Section 1a(18)(A)(v)(II) of the Commodity Exchange Act. As used herein, “Qualified ECP Guarantor” means, in respect of any Swap Obligation, each Loan Party that has total assets exceeding $10,000,000 at the time
the relevant Guarantee Obligation or grant of the relevant security interest becomes effective with respect to such Swap Obligation or such other Person as constitutes an “eligible contract participant” under the Commodity Exchange Act or
any regulations promulgated thereunder and can cause another person to qualify as an “eligible contract participant” at such time by entering into a keepwell under Section 1a(18)(A)(v)(II) of the Commodity Exchange Act. 

19. Conditions Precedent. The effectiveness of this Agreement is subject to the satisfaction of the following
conditions precedent: 
 (a) The Administrative Agent shall have received (i) counterparts of this Agreement, duly
executed by the Borrowers, each Guarantor and the Required Lenders and (ii) a Security and Pledge Agreement duly executed by the Borrowers and each Guarantor in favor of the Administrative Agent, in form and substance satisfactory to the
Administrative Agent. 
 (b) The Administrative Agent shall have received satisfactory evidence of the redemption,
repurchase or retirement of the Senior Notes in their entirety. 
 (c) All material governmental and third party approvals
necessary in connection with the continuing operations of the Group Members and the transactions contemplated hereby shall have been obtained and be in full force and effect, and all applicable waiting periods shall have expired without any action
being taken or threatened by any competent authority that would restrain, prevent or otherwise impose adverse conditions on the financing contemplated hereby. 

(d) The Administrative Agent shall have received the results of a recent lien search in each of the jurisdictions where assets
of the Loan Parties are located, other than as set forth in Section 20 below, and such search shall reveal no Liens on any of the assets of the Loan Parties except for Liens permitted or created by the Loan Documents or discharged on or
prior to the Effective Date pursuant to documentation satisfactory to the Administrative Agent. 
 (e) The Administrative
Agent shall have received all fees required to be paid to it and to the Lenders, and all expenses for which invoices have been presented (including the reasonable fees and expenses of legal counsel), on or before the Effective Date. 

(f) The Administrative Agent shall have received (i) a certificate of good standing (or equivalent) for each Loan Party
from its jurisdiction of organization, other than as set forth in Section 20 below, and (ii) such other documents and certificates as the Administrative Agent or its counsel may reasonably request relating to the organization,
existence and good standing of each Loan Party, the authorization of the transactions contemplated hereby, the authority of any natural Person executing any of the Loan Documents on behalf of any Loan Party and any other legal matters relating to
the Loan Parties, this Agreement or the transactions contemplated herby, all in form and substance reasonably satisfactory to the Administrative Agent and its counsel. 

  
 -13- 

 (g) The Administrative Agent shall have received the executed legal opinions of
(i) King & Spalding, Delaware and New York counsel to the Borrowers and their Subsidiaries, (ii) Kantrow Spaht Weaver & Blitzer (APLC), Louisiana counsel to the Borrowers and their Subsidiaries and (iii) in-house
counsel to the Borrowers and their Subsidiaries, which opinions shall cover such other matters incident to the transactions contemplated by this Agreement as the Administrative Agent may reasonably require. 

(h) The Administrative Agent shall have received all membership and stock certificates of each Subsidiary of each Loan Party
(other than the Specified Entities and the Immaterial Subsidiaries) together with related stock and membership powers executed in blank by the applicable Loan Party. 

(i) The Administrative Agent shall have received all documents and other information that it may request relating to any other
matter relevant hereto, all in form and substance satisfactory to the Administrative Agent. 
 20. Post-Effective Date
Obligations. The Borrowers shall: 
 (a) within 30 days after the Effective Date (or such longer period of time as may
be agreed to by the Administrative Agent with respect to any of the following items), deliver to the Administrative Agent: 

(i) insurance certificates indicating the coverages required by Exhibit F attached to the Credit Agreement,
which such certificates shall name the Administrative Agent as an additional insured and as a loss payee on the liability and casualty insurance policies; 

(ii) the results of lien searches for the prior names of any Loan Party, as such prior names are listed on
Annex 7 to the Security and Pledge Agreement, and such searches shall reveal no Lien on any of the assets of such Loan Parties except for Liens permitted or created by the Loan Documents, or if any such lien search shall reveal a Lien not permitted
or created by the Loan Documents, the applicable Loan Party shall cause such Lien to be discharged pursuant to documentation satisfactory to the Administrative Agent; and 

(iii) evidence satisfactory to the Administrative Agent of the discharge of the Liens listed in Part A of
Annex I attached hereto; 
 (b) within 45 days after the Effective Date (or such longer period of time as may be
agreed to by the Administrative Agent with respect to either of the following items): 
 (i) deliver to the
Administrative Agent certificates of good standing for the Loan Parties and from the Secretaries of State listed in Part B of Annex I attached hereto; and 

  
 -14- 

 (ii) with respect to that certain location in Baton Rouge,
Louisiana known as Bon Carré Business Center, where certain of the Borrowers’ computer equipment is located, use commercially reasonable efforts to obtain and deliver to the Administrative Agent either (A) a waiver of
landlord’s lien in form and substance reasonably satisfactory to the Administrative Agent or (B) a waiver from any Person that has possession of such computer equipment or on whose real property such computer equipment is located in form
and substance reasonably satisfactory to the Administrative Agent, as applicable; 
 (c) within 60 days after the Effective
Date (or such longer period of time as may be agreed to by the Administrative Agent deliver such documents as the Administrative Agent shall deem necessary or advisable to grant to the Administrative Agent (for the benefit of the Secured Parties) a
Lien on any aircraft owned by any Loan Party, subject to no Liens other than Permitted Liens, and take all actions necessary to cause such Lien to be duly perfected in accordance with applicable law, except in the event any such aircraft is sold by
such Loan Party in accordance with the Credit Agreement during such 60 day period after the Effective Date (or such longer period of time as may be agreed to by the Administrative Agent); and 

(d) within 180 days after the Effective Date, deliver to the Administrative Agent a fully executed copy of the settlement
agreement between the Lead Borrower and the relevant Governmental Authority in respect of the U.S. Department of Justice Civil Investigative Demand Pursuant to False Claims Act and Stark Law Matters, as disclosed to the Administrative Agent in
writing by the Borrowers prior to the Effective Date, such settlement agreement to be in form and substance reasonably satisfactory to the Administrative Agent (such approval not to be unreasonably withheld or delayed), together with
(i) evidence that such Governmental Authority has released the Lead Borrower and its Subsidiaries from any civil or monetary claim it has for the particular covered conduct that is the subject of such settlement agreement under the relevant
statutes and legal theories asserted by such Governmental Authority, subject to customary exclusions and (ii) any corporate integrity or similar agreements agreed to by the Lead Borrower in connection therewith. 

Failure to comply with the obligations set forth in this Section 20 shall be an Event of Default. 

21. Ratification. Each of the Borrowers and Guarantors hereby ratifies all of its obligations under the Credit
Agreement and each of the Loan Documents to which it is a party, and agrees and acknowledges that the Credit Agreement and each of the Loan Documents to which it is a party are and shall continue to be in full force and effect as amended and
modified by this Agreement. Nothing in this Agreement extinguishes, novates or releases any right, claim or entitlement of any of the Lenders or the Administrative Agent created by or contained in any of such documents nor is any Borrower or any
Guarantor released from any covenant, warranty or obligation created by or contained herein or therein. 
 22.
Representations and Warranties. Each of the Borrowers and Guarantors hereby represents and warrants to the Administrative Agent and the Lenders that (a) this Agreement has been duly executed and delivered on behalf of the Borrowers and
each of the Guarantors, (b) this Agreement constitutes a valid and legally binding agreement enforceable against each of the Borrowers and Guarantors in accordance with its terms, subject to applicable 

  
 -15- 

 
bankruptcy, insolvency, fraudulent transfer, reorganization, moratorium or other laws affecting creditors’ rights generally and subject to general principles of equity, regardless of whether
considered in a proceeding in equity or at law, (c) the representations and warranties made by it in the Credit Agreement and the Loan Documents to which it is a party are true and correct on and as of the date hereof in all material respects
as though made as of the date hereof except to the extent that such representations and warranties expressly relate to an earlier date in which case they are true and correct as of such earlier date, (d) after giving effect to this Agreement,
no Default or Event of Default exists under the Credit Agreement or under any Loan Document; (e) the Persons appearing as Guarantors on the signature pages to this Amendment constitute all Persons who are required to be Guarantors pursuant to
the terms of the Credit Agreement and each such Person has executed and delivered a Guaranty Agreement; and (f) the execution, delivery and performance of this Agreement has been duly authorized by each of the Borrowers and Guarantors. 

23. Release and Indemnity. 

(a) Each of the Borrowers and Guarantors hereby releases and forever discharges the Administrative Agent and each of the
Lenders and each Affiliate thereof and each of their respective employees, officers, directors, trustees, agents, attorneys, successors, assigns or other representatives from any and all claims, demands, damages, actions, cross-actions, causes of
action, costs and expenses (including legal expenses), of any kind or nature whatsoever, whether based on law or equity, which any of said parties has held or may now own or hold, whether known or unknown, for or because of any matter or thing done,
omitted or suffered to be done on or before the actual date upon which this Agreement is signed by any of such parties (i) arising directly or indirectly out of the Loan Documents, or any other documents, instruments or any other transactions
relating thereto and/or (ii) relating directly or indirectly to all transactions by and between the Borrowers, the Guarantors, or their representatives and the Administrative Agent, and each Lender or any of their respective directors,
officers, agents, employees, attorneys or other representatives. Such release, waiver, acquittal and discharge shall and does include, without limitation, any claims of usury, fraud, duress, misrepresentation, lender liability, control, exercise of
remedies and all similar items and claims, which may, or could be, asserted by any Borrower or any Guarantor including any such caused by the actions or negligence of the indemnified party (other than its gross negligence or willful
misconduct). 
 (b) Each of the Borrowers and Guarantors hereby ratifies the indemnification provisions contained in the
Loan Documents, including, without limitation, Section 10.5(b) of the Credit Agreement, and agrees that this Agreement and losses, claims, damages and expenses related thereto shall be covered by such indemnities. 

24. Counterparts. This Agreement may be signed in any number of counterparts, which may be delivered in original,
facsimile or electronic form each of which shall be construed as an original, but all of which together shall constitute one and the same instrument. 

  
 -16- 

 25. Governing Law. THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED
AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 
 26. Integration. This Agreement and the
other Loan Documents represent the entire agreement of the parties hereto with respect to the subject matter hereof and thereof and there are no promises, undertakings, representations or warranties by the Administrative Agent or any Lender relative
to the subject matter hereof not expressly set forth or referred to herein or in the other Loan Documents. 
 27.
Agreement is a Loan Document. This Agreement is a Loan Document as defined in the Credit Agreement. 
 [Signature pages follow] 

  
 -17- 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their respective officers thereunto duly authorized as of the date first above written. 
 LEAD
BORROWER: 
 AMEDISYS, INC., 

a Delaware corporation 
  

 
 By:     /s/ Ronald A. LaBorde
                                     

           Ronald A. LaBorde 

           President and Chief Financial Officer 

 
 CO-BORROWER: 

AMEDISYS HOLDING, L.L.C., 

a Louisiana limited liability company 
  

 
 By:     /s/ Ronald A. LaBorde
                                     

           Ronald A. LaBorde 

           Vice President 

  
 Signature Page to
Second Amendment to Credit Agreement 

 GUARANTORS: 

ADVENTA HOSPICE SERVICES OF 

FLORIDA, INC., 

            a Florida corporation; 

AMEDISYS HOME HEALTH, INC. OF 

ALABAMA, 

            an Alabama corporation; 

AMEDISYS HOME HEALTH, INC. OF 

SOUTH CAROLINA, 

            a South Carolina corporation; 

AMEDISYS HOME HEALTH, INC. OF 

VIRGINIA, 

            a Virginia corporation; 

HMR ACQUISITION, INC., 

            a Delaware corporation; 

ACCUMED GENPAR, L.L.C., 

            a Texas limited liability company; 

ACCUMED HOLDING, L.L.C., 

            a Delaware limited liability company; 

ACCUMED HOME HEALTH OF 

GEORGIA, L.L.C., 

             a Georgia limited liability company; 

ACCUMED HOME HEALTH OF NORTH 

TEXAS, L.L.C., 

            a Texas limited liability company; 

ADVENTA HOSPICE, L.L.C., 

            a Florida limited liability company; 

ALBERT GALLATIN HOME CARE AND 

HOSPICE SERVICES, LLC, 

            a Delaware limited liability company; 

AMEDISYS AIR, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS ALABAMA, L.L.C., 

            an Alabama limited liability company; 

AMEDISYS ALASKA, LLC, 

            an Alaska limited liability company; 

AMEDISYS ARIZONA, L.L.C., 

            an Arizona limited liability company; 

AMEDISYS ARKANSAS, LLC, 

            an Arkansas limited liability company; 

AMEDISYS BA, LLC, 

            a Delaware limited liability company; 

AMEDISYS CALIFORNIA, L.L.C., 

            a California limited liability company; 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 AMEDISYS COLORADO, L.L.C., 

            a Colorado limited liability company; 

AMEDISYS CONNECTICUT, L.L.C., 

            a Connecticut limited liability company; 

AMEDISYS DELAWARE, L.L.C., 

            a Delaware limited liability company; 

AMEDISYS FLORIDA, L.L.C., 

            a Florida limited liability company; 

AMEDISYS GEORGIA, L.L.C., 

            a Georgia limited liability company; 

AMEDISYS HOSPICE, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS IDAHO, L.L.C., 

            an Idaho limited liability company; 

AMEDISYS ILLINOIS, L.L.C., 

            an Illinois limited liability company; 

AMEDISYS INDIANA, L.L.C., 

            an Indiana limited liability company; 

AMEDISYS IOWA, L.L.C., 

            an Iowa limited liability company; 

AMEDISYS KANSAS, L.L.C., 

            a Kansas limited liability company; 

AMEDISYS LA ACQUISITIONS, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS LOUISIANA, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS MAINE, P.L.L.C., 

            a Maine professional limited liability 

            company; 

AMEDISYS MARYLAND, L.L.C., 

            a Maryland limited liability company; 

AMEDISYS MASSACHUSETTS, L.L.C., 

            a Massachusetts limited liability company; 

AMEDISYS MICHIGAN, L.L.C., 

            a Michigan limited liability company; 

AMEDISYS MINNESOTA, L.L.C., 

            a Minnesota limited liability company; 

AMEDISYS MISSISSIPPI, L.L.C., 

            a Mississippi limited liability company; 

AMEDISYS MISSOURI, L.L.C., 

            a Missouri limited liability company; 

AMEDISYS NEBRASKA, L.L.C., 

            a Nebraska limited liability company; 

AMEDISYS NEVADA, L.L.C., 

            a Nevada limited liability company; 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 AMEDISYS NEW HAMPSHIRE, L.L.C., 

            a New Hampshire limited liability company; 

AMEDISYS NEW JERSEY, L.L.C., 

            a New Jersey limited liability company; 

AMEDISYS NEW MEXICO, L.L.C., 

            a New Mexico limited liability company; 

AMEDISYS NORTH CAROLINA, L.L.C., 

            a North Carolina limited liability company; 

AMEDISYS NORTH DAKOTA, L.L.C., 

            a North Dakota limited liability company; 

AMEDISYS NORTHWEST, L.L.C., 

            a Georgia limited liability company; 

AMEDISYS OHIO, L.L.C., 

            an Ohio limited liability company; 

AMEDISYS OKLAHOMA, L.L.C., 

            an Oklahoma limited liability company; 

AMEDISYS OREGON, L.L.C., 

            an Oregon limited liability company; 

AMEDISYS PENNSYLVANIA, L.L.C., 

            a Pennsylvania limited liability 

            company; 

AMEDISYS PROPERTY, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS PUERTO RICO, L.L.C., 

            a Puerto Rican limited liability 

            company; 

AMEDISYS QUALITY OKLAHOMA, 

L.L.C., 

            an Oklahoma limited liability company; 

AMEDISYS RHODE ISLAND, L.L.C., 

            a Rhode Island limited liability 

            company; 

AMEDISYS SC, L.L.C., 

            a South Carolina limited liability company; 

AMEDISYS SOUTH DAKOTA, L.L.C., 

            a South Dakota limited liability 

company; 

AMEDISYS SOUTH FLORIDA, L.L.C., 

            a Florida limited liability company; 

AMEDISYS SPECIALIZED MEDICAL 

SERVICES, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS SP-IN, L.L.C., 

            an Indiana limited liability company; 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 AMEDISYS SP-KY, L.L.C., 

            a Kentucky limited liability company; 

AMEDISYS SP-OH, L.L.C., 

            an Ohio limited liability company; 

AMEDISYS SP-TN, L.L.C., 

            a Tennessee limited liability company; 

AMEDISYS TENNESSEE, L.L.C., 

            a Tennessee limited liability company; 

AMEDISYS TEXAS, L.L.C., 

            a Texas limited liability company; 

AMEDISYS TLC, ACQUISITION, L.L.C., 

            a Louisiana limited liability company; 

AMEDISYS UTAH, L.L.C., 

            a Utah limited liability company; 

AMEDISYS VENTURES, L.L.C., 

            a Delaware limited liability company; 

AMEDISYS VIRGINIA, L.L.C., 

            a Virginia limited liability company; 

AMEDISYS WASHINGTON, L.L.C., 

            a Washington limited liability company; 

AMEDISYS WESTERN, L.L.C., 

            a Delaware limited liability company; 

AMEDISYS WEST VIRGINIA, L.L.C., 

            a West Virginia limited liability 

            company; 

AMEDISYS WISCONSIN, L.L.C., 

            a Wisconsin limited liability company; 

AMEDISYS WYOMING, L.L.C., 

            a Wyoming limited liability company; 

ANMC VENTURES, L.L.C., 

            a Louisiana limited liability company; 

AVENIR VENTURES, L.L.C., 

            a Louisiana limited liability company; 

BEACON HOSPICE, L.L.C., 

            a Delaware limited liability company; 

BROOKSIDE HOME HEALTH, LLC, 

            a Virginia limited liability company; 

COMPREHENSIVE HOME 

HEALTHCARE SERVICES, L.L.C., 

            a Tennessee limited liability company; 

EMERALD CARE, L.L.C., 

            a North Carolina limited liability company; 

FAMILY HOME HEALTH CARE, L.L.C., 

            a Kentucky limited liability company; 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 HHC, L.L.C., 

            a Tennessee limited liability company; 

HOME HEALTH OF ALEXANDRIA, 

L.L.C., 

            a Louisiana limited liability company; 

HORIZONS HOSPICE CARE, L.L.C., 

            an Alabama limited liability company; 

HOUSECALL, L.L.C., 

            a Tennessee limited liability company; 

HOUSECALL HOME HEALTH, L.L.C., 

            a Tennessee limited liability company; 

HOUSECALL MEDICAL RESOURCES, 

L.L.C., 

            a Delaware limited liability company; 

HOUSECALL MEDICAL SERVICES, 

L.L.C., 

            a Tennessee limited liability company; 

HOUSECALL SUPPORTIVE SERVICES, 

L.L.C., 

            a Florida limited liability company; 

MC VENTURES, LLC, 

            a Mississippi limited liability company; 

M.M. ACCUMED VENTURES, L.L.C., 

            a Texas limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES INTERNATIONAL, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES MIDWEST, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF BROWARD, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF DADE, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF ERIE NIAGARA, LLC, 

            a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF FLORIDA, LLC, 

            a Delaware limited liability company; 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 TENDER LOVING CARE HEALTH CARE 

SERVICES OF GEORGIA, LLC, 

    a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF ILLINOIS, LLC, 

    a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF LONG ISLAND, LLC, 

            a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF MICHIGAN, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF NASSAU SUFFOLK, LLC, 

            a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF NEW ENGLAND, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF PA, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF WEST VIRGINIA, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES OF WESTERN NEW YORK, 

LLC, 

            a New York limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES SOUTHEAST, LLC, 

            a Delaware limited liability company; 

TENDER LOVING CARE HEALTH CARE 

SERVICES WESTERN, LLC, 

            a Delaware limited liability company; 

TLC HOLDINGS I, L.L.C., 

            a Delaware limited liability company; 

TLC HEALTH CARE SERVICES, L.L.C., 

            a Delaware limited liability company; 

ACCUMED HEALTH SERVICES, L.P., 

            a Texas limited partnership 

            By: ACCUMED GENPAR, L.L.C., its 

            general partner; 

NINE PALMS 1, LP, 

            a Virginia limited partnership, 

            By: BROOKSIDE HOME HEALTH, 

            LLC, its general partner; and 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 NINE PALMS 2, LLP, 

            a Mississippi limited liability partnership 

            By: MC VENTURES, LLC, its general 

            partner 

 
  

By:     /s/ Ronald A.
LaBorde                                      

           Ronald A. LaBorde 

           Vice President 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 ADMINISTRATIVE AGENT: 

JPMORGAN CHASE BANK, N.A., 

Not in its individual capacity but solely as 

Administrative Agent 
  

By:      /s/ John
Kushnerick                                      

Name: John Kushnerick 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 AGENT AND LENDER: 

JPMORGAN CHASE BANK, N.A. 
  

By:      /s/ John
Kushnerick                                      

Name: John Kushnerick 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

BANK OF AMERICA, N.A. 
  

By:      /s/ James P.
Harbeson                                      

Name: James P. Harbeson 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

FIFTH THIRD BANK 
  

By:      /s/ Joshua N.
Livingston                                      

Name: Joshua N. Livingston 

Title    Duly Authorized Signatory 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

COMPASS BANK 
  

By:      /s/ Latrice
Tubbs                                      

Name: Latrice Tubbs 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

BOKF, NA dba BANK OF TEXAS 
  

By:      /s/ Gary K.
Whitt                                      

Name: Gary K. Whitt 

Title    Senior Vice President 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

RBS CITIZENS, N.A. 
  

By:      /s/ Cheryl
Carangelo                                      

Name: Cheryl Carangelo 

Title    Senior Vice President 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

UNION BANK, N.A. 
  

By:      /s/ Michael
Tschida                                      

Name: Michael Tschida 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

REGIONS BANK 
  

By:      /s/ Peter
Little                                      

Name: Peter Little 

Title    Vice President 
  

  
 Signature Page to
Second Amendment to Credit Agreement 

 LENDER: 

RAYMOND JAMES BANK, N.A. 
  

By:      /s/ Alexander L.
Rody                                      

Name: Alexander L. Rody 

Title    Senior Vice President 

 

  
 Signature Page to
Second Amendment to Credit Agreement 

 EXHIBIT I 

FORM OF JOINDER AGREEMENT 

JOINDER TO SECURITY AND PLEDGE AGREEMENT 

THIS JOINDER TO SECURITY AND PLEDGE AGREEMENT (this “Joinder”) dated as of ____________, 201_, is executed by
____________________, a ______________ (the “New Debtor”) in favor of the Secured Parties (as hereinafter defined) and JPMorgan Chase Bank, N.A., not in its individual capacity, but solely as collateral agent for the Lenders and the
other Secured Parties (as such terms are defined herein) (in such capacity, together with its successors in such capacity, the “Administrative Agent”). 

WHEREAS, Amedisys Holding, L.L.C. (the “Co-Borrower”), Amedisys, Inc. (together with the Co-Borrower, the
“Borrowers”), the lenders party thereto (the “Lenders”) and the Administrative Agent are parties to that certain Credit Agreement dated as of October 26, 2012 (as the same has been or may be amended, modified
or supplemented from time to time, the “Credit Agreement”); 
 WHEREAS, the Borrowers and certain of their
Subsidiaries are parties to that certain Security and Pledge Agreement dated November 11, 2013 (as the same has been or may be amended, modified or supplemented from time to time, the “Security Agreement”); 

WHEREAS, pursuant to Section 6.10(b) of the Credit Agreement, the New Debtor is required to become a party to the
Security Agreement as a “Debtor”; and 
 WHEREAS, the New Debtor has agreed to execute and deliver this Joinder in
order to become a party to the Security Agreement as a “Debtor”; 
 NOW, THEREFORE, for good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the New Debtor hereby agrees as follows: 
 1.
Capitalized Terms. Capitalized terms used herein and not otherwise defined herein shall have the meanings ascribed to such terms in the Security Agreement. 

2. Joinder to Security Agreement. By executing and delivering this Joinder, the New Debtor hereby (a) becomes a
party to the Security Agreement as a Debtor as if the New Debtor had originally signed the Security Agreement and (b) expressly assumes all obligations and liabilities of a Debtor thereunder. The New Debtor hereby makes as of the date hereof
each of the representations and warranties made by the Debtors in the Security Agreement; provided that (i) any such representations and warranties that were made by the other Debtors as of an earlier specific date are (A) deemed to
be made by the New Debtor as of the date hereof rather than as of such earlier date and (B) deemed to be made by the New Debtor only as to information, disclosures and matters as it relates to such New Debtor, and (ii) any such
representations and warranties made as to matters disclosed or set forth in an Annex to the Security Agreement are deemed to be made as to the corresponding Annex attached hereto. 

 3. Security Interest. As security for the Secured Obligations, the New
Debtor hereby grants to the Administrative Agent, for the benefit of the Secured Parties, to the maximum extent allowed by applicable law, a lien and security interest on all of the assets of the New Debtor described as Collateral in the Security
Agreement, subject to the exclusions contained in the Security Agreement, whether now held or hereafter acquired, of any kind, pursuant to, and in accordance with the terms of the Security Agreement. 

4. Authorization to Take Further Action. The New Debtor hereby authorizes the Administrative Agent to file such
financing statements and any amendments and extensions thereof as may be necessary or desirable in order to perfect the Liens under the Security Agreement or any modification, extension or ratification thereof. 

5. Warranties. The New Debtor (a) represents and warrants that it is legally authorized to enter into this Joinder
and (b) confirms that it has received copies of the Security Agreement and other Loan Documents, and that on the basis of its review and analysis of such information has decided to enter into this Joinder. 

6. Updated Information. Concurrently with this Joinder, the New Debtor is delivering a completed New Debtor Information
List, attached as Attachment A hereto. The New Debtor acknowledges and agrees that Annexes 1 thorough 15, inclusive, of the Security Agreement, have been updated with respect to the New Debtor only by the information contained in
Attachment A hereto, and, with respect to the New Debtor only, are true, accurate and complete representations of the information described and referenced in the corresponding sections of the Security Agreement, after giving effect to this
Joinder. 
 7. Choice of Law. This Joinder shall be governed by and construed under the laws of the State of New
York. 
 [Signature page follows] 

 IN WITNESS WHEREOF, the New Debtor has executed this Joinder and agreed to the
provisions contained herein effective as of ________________, 201_. 
  

					
	NEW DEBTOR:	 	
			
	 	 	 	 	,
	a	 	______________________________	 	

  

			
		
	By:	 	 
	Name:  	 	 
	Title:	 	 

 ATTACHMENT A 

ADDITIONAL INFORMATION REGARDING THE NEW DEBTOR 

The following Annexes as described in the Security Agreement: 
  

							
	 Annex 1
	  	 Intellectual Property Licenses
	  	
	 Annex 2
	  	 Patent Collateral
	  	
	 Annex 3
 Annex
4
 Annex 5
 Annex 6

Annex 7
 Annex 8

Annex 9
 Annex 10

Annex 11
 Annex 12

Annex 13
 Annex 14

Annex 15
	  	 Securities Collateral

Trademark Collateral
 Filing
Offices
 Debtor Information

Previous Names and Transactions

Offices and Locations of Records

Locations of Inventory and Equipment

Deposit Accounts
 Securities
Accounts and Commodity Accounts
 Instruments and Tangible Chattel Paper

Electronic Chattel Paper
 Letters
of Credit
 Commercial Tort Claims
	  	

 ANNEX I 

PART A 
  

			
	 Loan Party
	  	 Lien

		
	             Amedisys South Florida, L.L.C.
	  	             Judgment Lien in favor of State of Florida,

            Department of Revenue, filed 1/30/2013

		
	             Housecall Supportive Services, L.L.C.
	  	             Judgment Lien in favor of State of Florida,

            Department of Revenue, filed 12/19/12

		
	             Housecall Supportive Services, L.L.C.
	  	             Judgment Lien in favor of State of Florida,

            Department of Revenue, filed 3/6/2013

  
 PART B 

 

			
	 Loan Party
	  	 Secretary of State

		
	             Amedisys Holding, L.L.C.
	  	Tennessee
		
	             Comprehensive Home Healthcare Services, L.L.C.
	  	Tennessee
		
	             HHC, L.L.C.
	  	Tennessee
		
	             Housecall, L.L.C.
	  	Tennessee

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00223-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00223-of-00352.parquet"}]]