Document:

exv4w3

 

EXHIBIT 4.3

EXECUTION COPY

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

87/8% Senior Subordinated Notes due 2017

91/4%/10% Senior Subordinated Toggle Notes due 2017

REGISTRATION RIGHTS AGREEMENT

April 19, 2007

Citigroup Global Markets Inc.

Lehman Brothers Inc.

	 
	as Representatives of the Initial Purchasers

c/o Citigroup Global Markets Inc.

388 Greenwich Street

New York, New York 10013

Ladies and Gentlemen:

          United Surgical Partners International, Inc., a corporation organized under the laws of
Delaware (the “Company”), proposes to issue and sell to certain purchasers (the “Initial
Purchasers”), for whom you (the “Representatives”) are acting as representatives, its 87/8% Senior
Subordinated Notes due 2017 (the “Cash Pay Notes”) and 91/4%/10% Senior Subordinated Toggle Notes due
2017 (the “Toggle Notes” and, together with the Cash Pay Notes, the “Notes”), upon the terms set
forth in the Purchase Agreement between the Company (as successor to UNCN Acquisition Corp.) and
the Representatives dated as of April 11, 2007 (the “Purchase Agreement”) relating to the initial
placement (the “Initial Placement”) of the Securities. The Securities will be unconditionally
guaranteed (the “Guarantees” and together with the Notes, the “Securities”) by the guarantors
listed on the signature pages hereto (the “Guarantors” and, together with the Company, the
“Issuers”). To induce the Initial Purchasers to enter into the Purchase Agreement and to satisfy a
condition to your obligations thereunder, the Issuers agree with you for your benefit and the
benefit of the holders from time to time of the Securities (including the Initial Purchasers) (each
a “Holder” and, collectively, the “Holders”), as follows:

          1. Definitions. Capitalized terms used herein without definition shall have their
respective meanings set forth in the Purchase Agreement. As used in this Agreement, the following
capitalized defined terms shall have the following meanings:

          “Act” shall mean the Securities Act of 1933, as amended, and the rules and regulations of the
Commission promulgated thereunder.

Schedule I-1

 

          “Affiliate” shall have the meaning specified in Rule 405 under the Act and the terms
“controlling” and “controlled” shall have meanings correlative thereto.

          “Broker-Dealer” shall mean any broker or dealer registered as such under the Exchange Act.

          “Business Day” shall mean any day other than a Saturday, a Sunday or a legal holiday or a day
on which banking institutions or trust companies are authorized or obligated by law to close in New
York City.

          “Cash Pay Notes” shall have the meaning set forth in the preamble hereto.

          “Closing Date” shall mean the date of the first issuance of the Securities.

          “Commission” shall mean the Securities and Exchange Commission.

          “Exchange Act” shall mean the Securities Exchange Act of 1934, as amended, and the rules and
regulations of the Commission promulgated thereunder.

          “Exchange Offer Registration Period” shall mean the period following the consummation of the
Registered Exchange Offer and ending on the earlier of (i) the 90th day following consummation of
the Registered Exchange Offer or such longer period if extended pursuant to Section 4(k) as a
result of the occurrence of any of the events set forth in Sections 4(c)(ii) through (v) hereof and
(ii) such time as no Exchanging Dealer holds Registrable Securities, exclusive of any period during
which any stop order shall be in effect suspending the effectiveness of the Exchange Offer
Registration Statement.

          “Exchange Offer Registration Statement” shall mean a registration statement of the Issuers on
an appropriate form under the Act with respect to the Registered Exchange Offer, all amendments and
supplements to such registration statement, including post-effective amendments thereto, in each
case including the Prospectus contained therein, all exhibits thereto and all material incorporated
by reference therein.

          “Exchanging Dealer” shall mean any Holder (which may include any Initial Purchaser) that is a
Broker-Dealer and elects to exchange for New Securities any Securities that it acquired for its
own account as a result of market-making activities or other trading activities (but not directly
from any Issuer or any Affiliate of any Issuer) for New Securities.

          “Final Memorandum” shall mean the offering memorandum, dated April 11, 2007, relating to offer
and sale of the Securities, including any and all exhibits thereto and any information incorporated
by reference therein as of such date.

          “Guarantees” shall have the meaning set forth in the preamble hereto.

          “Guarantors” shall have the meaning set forth in the preamble hereto.

          “Holder” shall have the meaning set forth in the preamble hereto.

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          “Indenture” shall mean the Indenture relating to the Securities, dated as of April 19, 2007,
between the Company and U.S. Bank National Association, as trustee, as the same may be amended from
time to time in accordance with the terms thereof.

          “Initial Placement” shall have the meaning set forth in the preamble hereto.

          “Initial Purchaser” shall have the meaning set forth in the preamble hereto.

          “Issuers” shall have the meaning set forth in the preamble hereto.

          “Losses” shall have the meaning set forth in Section 6(d) hereof.

          “Majority Holders” shall mean, on any date, Holders of a majority of the aggregate principal
amount of Securities registered under a Registration Statement.

          “Managing Underwriters” shall mean the investment banker or investment bankers and manager or
managers that administer an underwritten offering, if any, under a Registration Statement.

          “NASD Rules” shall mean the Conduct Rules and the By-Laws of the National Association of
Securities Dealers, Inc.

          “New Securities” shall mean debt securities of the Company, and guarantees by the Guarantors,
in each case identical in all material respects to the Cash Pay Notes or the Toggle Notes, as
applicable (except that the transfer restrictions shall be modified or eliminated, as appropriate)
to be issued under the Indenture.

          “Notes” shall have the meaning set forth in the preamble hereto.

          “Prospectus” shall mean the prospectus included in any Registration Statement (including,
without limitation, a prospectus that discloses information previously omitted from a prospectus
filed as part of an effective registration statement in reliance upon Rule 430A under the Act), as
amended or supplemented by any prospectus supplement, with respect to the terms of the offering of
any portion of the Securities or the New Securities covered by such Registration Statement, and all
amendments and supplements thereto, including any and all exhibits thereto and any information
incorporated by reference therein.

          “Purchase Agreement” shall have the meaning set forth in the preamble hereto.

          “Registered Exchange Offer” shall mean the proposed offer of the Issuers to issue and deliver
to the Holders of the Securities that are not prohibited by any law or policy of the Commission
from participating in such offer, in exchange for the Securities, a like aggregate principal amount
of the New Securities.

          “Registrable Securities” shall mean (i) Securities other than those that have been (A)
registered under a Registration Statement and disposed of in accordance therewith or (B)
distributed to the public pursuant to Rule 144 under the Act or any successor rule or regulation

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thereto that may be adopted by the Commission and (ii) any New Securities resale of which by
the Holder thereof requires compliance with the prospectus delivery requirements of the Act.

          “Registration Default Damages” shall have the meaning set forth in Section 8 hereof.

          “Registration Statement” shall mean any Exchange Offer Registration Statement or Shelf
Registration Statement that covers any of the Securities or the New Securities pursuant to the
provisions of this Agreement, any amendments and supplements to such registration statement,
including post-effective amendments (in each case including the Prospectus contained therein), all
exhibits thereto and all material incorporated by reference therein.

          “Securities” shall have the meaning set forth in the preamble hereto.

          “Shelf Registration” shall mean a registration effected pursuant to Section 3 hereof.

          “Shelf Registration Period” has the meaning set forth in Section 3(b) hereof.

          “Shelf Registration Statement” shall mean a “shelf” registration statement of the Company
pursuant to the provisions of Section 3 hereof which covers some or all of the Securities or New
Securities, as applicable, on an appropriate form under Rule 415 under the Act, or any similar rule
that may be adopted by the Commission, amendments and supplements to such registration statement,
including post-effective amendments, in each case including the Prospectus contained therein, all
exhibits thereto and all material incorporated by reference therein.

          “Toggle Notes” shall have the meaning set forth in the preamble hereto.

          “Trustee” shall mean the trustee with respect to the Securities under the Indenture.

          “Trust Indenture Act” shall mean the Trust Indenture Act of 1939, as amended, and the rules
and regulations of the Commission promulgated thereunder.

          “Underwriter” shall mean any underwriter of Securities in connection with an offering thereof
under a Shelf Registration Statement.

          2. Registered Exchange Offer. (a) Unless otherwise not permitted by applicable law,
the Company shall prepare and, not later than 365 days following the Closing Date (or if such day
is not a Business Day, the next succeeding Business Day), shall file with the Commission the
Exchange Offer Registration Statement with respect to the Registered Exchange Offer. The Issuers
shall use their commercially reasonable efforts to cause the Exchange Offer Registration Statement
to become effective under the Act within 455 days of the Closing Date (or if such day is not a
Business Day, the next succeeding Business Day).

          (b) Upon the effectiveness of the Exchange Offer Registration Statement, the Issuers shall, as
soon as practicable, commence the Registered Exchange Offer, it being the objective of such
Registered Exchange Offer to enable each Holder electing to exchange Securities

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for New Securities (assuming that such Holder is not an Affiliate of any Issuer, acquires the
New Securities in the ordinary course of such Holder’s business, has no arrangements with any
person to participate in the distribution of the New Securities and is not prohibited by any law or
policy of the Commission from participating in the Registered Exchange Offer) to trade such New
Securities from and after their receipt without any limitations or restrictions under the Act and
without material restrictions under the securities laws of a substantial proportion of the several
states of the United States.

     (c) In connection with the Registered Exchange Offer, the Company shall:

     (i) mail to each Holder a copy of the Prospectus forming part of the Exchange Offer
Registration Statement, together with an appropriate letter of transmittal and related
documents; provided that the Company shall only be required to mail such Prospectus
to Holders of which the Company is aware after reasonable inquiry;

     (ii) keep the Registered Exchange Offer open for not less than 20 Business Days and not
more than 30 Business Days after the date notice thereof is mailed to the Holders (or, in
each case, longer if required by applicable law);

     (iii) use its commercially reasonable efforts to keep the Exchange Offer Registration
Statement continuously effective under the Act, supplemented and amended as required, under
the Act to ensure that it is available for sales of New Securities by Exchanging Dealers
during the Exchange Offer Registration Period;

     (iv) utilize the services of a depositary for the Registered Exchange Offer with an
address in the Borough of Manhattan in New York City, which may be the Trustee or an
Affiliate of the Trustee;

     (v) permit Holders to withdraw tendered Securities at any time prior to the close of
business, New York time, on the last Business Day on which the Registered Exchange Offer is
open;

     (vi) prior to effectiveness of the Exchange Offer Registration Statement, provide a
supplemental letter to the Commission (A) stating that the Company is conducting the
Registered Exchange Offer in reliance on the position of the Commission in Exxon Capital
Holdings Corporation (pub. avail. May 13, 1988), Morgan Stanley and Co., Inc.
(pub. avail. June 5, 1991); and (B) including a representation that the Issuers have not
entered into any arrangement or understanding with any person to distribute the New
Securities to be received in the Registered Exchange Offer and that, to the best of the
Issuers’ information and belief, each Holder participating in the Registered Exchange Offer
is acquiring the New Securities in the ordinary course of business and has no arrangement or
understanding with any person to participate in the distribution of the New Securities; and

     (vii) comply in all material respects with all applicable laws.

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          (d) As soon as practicable after the close of the Registered Exchange Offer, the Issuers
shall:

     (i) accept for exchange all Securities tendered and not validly withdrawn pursuant to
the Registered Exchange Offer;

     (ii) deliver to the Trustee for cancellation in accordance with Section 4(s) all
Securities so accepted for exchange; and

     (iii) use its commercially reasonable efforts to cause the Trustee to promptly
authenticate and deliver to each Holder of Securities a principal amount of New Securities
equal to the principal amount of the Securities of such Holder so accepted for exchange.

          (e) Each Holder hereby acknowledges and agrees that any Broker-Dealer and any such Holder
using the Registered Exchange Offer to participate in a distribution of the New Securities (x)
could not under Commission policy as in effect on the date of this Agreement rely on the position
of the Commission in Exxon Capital Holdings Corporation (pub. avail. May 13, 1988) and
Morgan Stanley and Co., Inc. (pub. avail. June 5, 1991), as interpreted in the Commission’s
letter to Shearman & Sterling dated July 2, 1993 and similar no-action letters; and (y) must comply
with the registration and prospectus delivery requirements of the Act in connection with any
secondary resale transaction, which must be covered by an effective registration statement
containing the selling security holder information required by Item 507 or 508, as applicable, of
Regulation S-K under the Act if the resales are of New Securities obtained by such Holder in
exchange for Securities acquired by such Holder directly from the Issuers or one of their
Affiliates. Accordingly, each Holder participating in the Registered Exchange Offer shall be
required to represent to the Issuers that, at the time of the consummation of the Registered
Exchange Offer:

     (i) any New Securities received by such Holder will be acquired in the ordinary course
of business;

     (ii) such Holder will have no arrangement or understanding with any person to
participate in the distribution of the Securities or the New Securities within the meaning
of the Act; and

     (iii) such Holder is not an Affiliate of the Issuers.

          (f) If any Initial Purchaser determines that it is not eligible to participate in the
Registered Exchange Offer with respect to the exchange of Securities constituting any portion of an
unsold allotment, at the request of such Initial Purchaser, the Issuers shall issue and deliver to
such Initial Purchaser (exclusively for resale under a Shelf Registration Statement) or the person
purchasing New Securities registered under a Shelf Registration Statement as contemplated by
Section 3 hereof from such Initial Purchaser, in exchange for such Securities, a like principal
amount of New Securities. The Issuers shall use their commercially reasonable efforts to cause the
CUSIP Service Bureau to issue the same CUSIP number for such New Securities as for New Securities
issued pursuant to the Registered Exchange Offer.

Sch. I-6

 

          3. Shelf Registration. (a) If (i) due to any change in law or applicable
interpretations thereof by the Commission’s staff, the Issuers determine upon advice of their
outside counsel they are not permitted to effect the Registered Exchange Offer as contemplated by
Section 2 hereof; or (ii) for any other reason the Registered Exchange Offer is not consummated
within 485 days of the Closing Date; (iii) any Initial Purchaser so requests with respect to
Securities that are not eligible to be exchanged for New Securities in the Registered Exchange
Offer and that are held by it following consummation of the Registered Exchange Offer; (iv) any
Holder (other than an Initial Purchaser) is not eligible to participate in the Registered Exchange
Offer other than by reason of such Holder being an affiliate of the Company (it being understood
that the requirement that an Exchanging Dealer deliver the prospectus contained in the Exchange
Offer Registration Statement in connection with the sale of New Securities shall not result in such
New Securities being not “freely tradeable”); or (v) in the case of any Initial Purchaser that
participates in the Registered Exchange Offer or acquires New Securities pursuant to Section 2(f)
hereof, such Initial Purchaser does not receive freely tradeable New Securities in exchange for
Securities constituting any portion of an unsold allotment (it being understood that (x) the
requirement that an Initial Purchaser deliver a Prospectus containing the information required by
Item 507 or 508 of Regulation S-K under the Act in connection with sales of New Securities acquired
in exchange for such Securities shall result in such New Securities being not “freely tradeable”;
and (y) the requirement that an Exchanging Dealer deliver a Prospectus in connection with sales of
New Securities acquired in the Registered Exchange Offer in exchange for Securities acquired as a
result of market-making activities or other trading activities shall not result in such New
Securities being not “freely tradeable”), the Issuers shall effect a Shelf Registration Statement
in accordance with subsection (b) below.

          (b) (i) The Issuers shall as promptly as practicable (but in no event more than 365 days
after so required or requested pursuant to this Section 3), file with the Commission and shall use
their reasonable best efforts to cause to be declared effective under the Act within 455 days after
so required or requested, a Shelf Registration Statement, or shall, if permitted by Rule 430B under
the Act, otherwise designate an existing registration statement filed with the Commission for use
by the Holders as a Shelf Registration Statement, relating to the offer and sale of the Securities
or the New Securities, as applicable, by the Holders thereof from time to time in accordance with
the methods of distribution elected by such Holders and set forth in such Shelf Registration
Statement; provided, however, that no Holder (other than an Initial Purchaser) shall be entitled to
have the Securities held by it covered by such Shelf Registration Statement unless such Holder
agrees in writing to be bound by all of the provisions of this Agreement applicable to such Holder
(with the Initial Purchasers’ agreement thereto being evidenced by their execution of this
Agreement); and provided further, that with respect to New Securities received by an Initial
Purchaser in exchange for Securities constituting any portion of an unsold allotment, the Issuers
may, if permitted by current interpretations by the Commission’s staff, file a post-effective
amendment to the Exchange Offer Registration Statement containing the information required by Item
507 or 508 of Regulation S-K, as applicable, in satisfaction of its obligations under this
subsection with respect thereto, and any such Exchange Offer Registration Statement, as so amended,
shall be referred to herein as, and governed by the provisions herein applicable to, a Shelf
Registration Statement.

Sch. I-7

 

          (ii) Subject to Section 4(k), the Issuers shall use their reasonable best efforts to keep the
Shelf Registration Statement continuously effective, supplemented and amended as required by the
Act, in order to permit the Prospectus forming part thereof to be usable by Holders for a period
(the “Shelf Registration Period”) from the date the Shelf Registration Statement is declared
effective by the Commission until the earlier of (A) the second anniversary thereof, (B) the date
upon which all the Securities or New Securities, as applicable, covered by the Shelf Registration
Statement have been sold pursuant to the Shelf Registration Statement or (C) the date upon which
all the Securities and New Securities are no longer restricted securities (as defined in Rule 144
under the Act). The Issuers shall be deemed not to have used their reasonable best efforts to keep
the Shelf Registration Statement effective during the Shelf Registration Period if they voluntarily
take any action that would result in Holders of Securities covered thereby not being able to offer
and sell such Securities at any time during the Shelf Registration Period, unless such action is
(x) required by applicable law or otherwise undertaken by the Issuers in good faith and for valid
business reasons (not including avoidance of the Issuers’ obligations hereunder), including the
acquisition or divestiture of assets, and (y) permitted pursuant to Section 4(k)(ii) hereof.

          (iii) The Issuers shall cause the Shelf Registration Statement and the related Prospectus and
any amendment or supplement thereto, as of the effective date of the Shelf Registration Statement
or such amendment or supplement, (A) to comply in all material respects with the applicable
requirements of the Act; and (B) not to contain any untrue statement of a material fact or omit to
state a material fact required to be stated therein or necessary in order to make the statements
therein (in the case of the Prospectus, in the light of the circumstances under which they were
made) not misleading, it being understood and agreed that the Issuers shall not be responsible for
information provided by or on behalf of Holders.

          4. Additional Registration Procedures. In connection with any Shelf Registration
Statement and, to the extent applicable, any Exchange Offer Registration Statement, the following
provisions shall apply.

          (a) The Issuers shall:

     (i) furnish, in each case if requested in writing, to each of the
Representatives, in the case of an Exchange Offer Registration Statement, and to
counsel for the Holders of Registrable Securities, in the case of a Shelf
Registration Statement, not less than five Business Days prior to the filing or
designation thereof with the Commission, a copy of any Exchange Offer Registration
Statement and any Shelf Registration Statement, as applicable, and each amendment
thereof and each amendment or supplement, if any, to the Prospectus included therein
(including all documents incorporated by reference therein after the initial filing)
and shall use their commercially reasonable efforts to reflect in each such
document, when so filed with the Commission, such comments as the Representatives
reasonably propose;

     (ii) include the information set forth in Annex A hereto on the facing page of
the Exchange Offer Registration Statement, in Annex B hereto in the forepart of the
Exchange Offer Registration Statement in a section setting forth

Sch. I-8

 

details of the Exchange Offer, in Annex C hereto in the underwriting or plan of
distribution section of the Prospectus contained in the Exchange Offer Registration
Statement, and in Annex D hereto in the letter of transmittal delivered pursuant to
the Registered Exchange Offer;

     (iii) if requested by an Initial Purchaser, include the information required by
Item 507 or 508 of Regulation S-K, as applicable, in the Prospectus contained in the
Exchange Offer Registration Statement; and

     (iv) in the case of a Shelf Registration Statement, include the names of the
Holders that propose to sell Securities pursuant to the Shelf Registration Statement
as selling security holders in such a manner as to permit such Holders to deliver
the Prospectus contained therein to purchasers of Securities or New Securities, as
applicable, in accordance with applicable law.

     (b) The Issuers shall use their commercially reasonable efforts to ensure that:

     (i) any Registration Statement and any amendment thereto and any Prospectus
forming part thereof and any amendment or supplement thereto complies in all
material respects with the Act; and

     (ii) any Registration Statement and any amendment thereto does not, when it
becomes effective, contain an untrue statement of a material fact or omit to state a
material fact required to be stated therein or necessary to make the statements
therein not misleading.

     (c) The Company shall advise the Representatives, the Holders of Securities covered by
any Shelf Registration Statement (but only to such Holders as are named as selling security
holders in the prospectus forming part of such Shelf Registration Statement) and any
Exchanging Dealer under any Exchange Offer Registration Statement that has provided in
writing to the Issuers a telephone or facsimile number and address for notices, and, if
requested by any Representative or any such Holder or Exchanging Dealer, shall confirm such
advice in writing (which notice pursuant to clauses (ii) through (v) hereof shall be
accompanied by an instruction to suspend the use of the Prospectus until the Issuers shall
have remedied the basis for such suspension) or the Issuers decide to resume the use of the
Prospectus, as the case may be:

     (i) when a Registration Statement and any amendment thereto has been filed with
the Commission or any Registration Statement has been designated for use by the
Holders and when the Registration Statement or any post effective amendment thereto
has become effective;

     (ii) of any request by the Commission for any amendment or supplement to the
Registration Statement or the Prospectus or for additional information;

Sch. I-9

 

     (iii) of the issuance by the Commission of any stop order suspending the
effectiveness of the Registration Statement or the institution or threatening of any
proceeding for that purpose;

     (iv) of the receipt by the Company of any notification with respect to the
suspension of the qualification of the securities included therein for sale in any
jurisdiction or the institution or threatening of any proceeding for such purpose;
and

     (v) unless notice has been provided pursuant to Section 4(k)(ii), of the
happening of any event that requires any change in the Registration Statement or the
Prospectus so that, as of such date, they (A) do not contain any untrue statement of
a material fact and (B) do not omit to state a material fact required to be stated
therein or necessary to make the statements therein (in the case of the Prospectus,
in the light of the circumstances under which they were made) not misleading.

     (d) The Issuers shall use their commercially reasonable efforts to prevent the issuance
of any order suspending the effectiveness of any Registration Statement or the qualification
of the securities therein for sale in any jurisdiction and, if issued, to obtain as soon as
practicable the withdrawal thereof.

     (e) The Issuers shall furnish to each Holder of Securities covered by any Shelf
Registration Statement, without charge, at least one copy of such Shelf Registration
Statement and any post-effective amendment thereto, including all material incorporated
therein by reference, and, if the Holder so requests in writing, all exhibits thereto
(including exhibits incorporated by reference therein).

     (f) The Company shall, during the Shelf Registration Period, deliver to each Holder of
Securities covered by any Shelf Registration Statement, without charge, as many copies of
the Prospectus (including any preliminary Prospectus) included in such Shelf Registration
Statement and any amendment or supplement thereto as such Holder may reasonably request in
writing. Subject to the provisions of this Agreement, the Company consents to the use of
the Prospectus or any amendment or supplement thereto by each of the selling Holders of
Securities in connection with the offering and sale of the Securities covered by the
Prospectus, or any amendment or supplement thereto, included in the Shelf Registration
Statement.

     (g) The Issuers shall furnish to each Exchanging Dealer which so requests, without
charge, at least one copy of the Exchange Offer Registration Statement and any
post-effective amendment thereto, including all material incorporated by reference therein,
and, if the Exchanging Dealer so requests in writing, all exhibits thereto (including
exhibits incorporated by reference therein).

     (h) The Issuers shall promptly deliver to each Initial Purchaser, each Exchanging
Dealer and each other person required to deliver a Prospectus during the Exchange Offer
Registration Period, without charge, as many copies of the Prospectus

Sch. I-10

 

included in such Exchange Offer Registration Statement and any amendment or supplement
thereto as any such person may reasonably request in writing. Subject to the provisions of
this Agreement, the Issuers consent to the use of the Prospectus or any amendment or
supplement thereto by any Initial Purchaser, any Exchanging Dealer and any such other person
that may be required to deliver a Prospectus following the Registered Exchange Offer in
connection with the offering and sale of the New Securities covered by the Prospectus, or
any amendment or supplement thereto, included in the Exchange Offer Registration Statement.

     (i) Prior to the Registered Exchange Offer or any other offering of Securities pursuant
to any Registration Statement, the Issuers shall use their commercially reasonable efforts
to arrange, if necessary, for the qualification of the Securities or the New Securities, as
applicable, for sale under the laws of such jurisdictions as any Holder shall reasonably
request and shall maintain such qualification in effect so long as required; provided that
in no event shall the Issuers be obligated to qualify to do business in any jurisdiction
where they are not then so qualified or to take any action that would subject it to service
of process in suits or to taxation, other than those arising out of the Initial Placement,
the Registered Exchange Offer or any offering pursuant to a Shelf Registration Statement, in
any such jurisdiction where they are not then so subject.

     (j) The Issuers shall cooperate with the Holders of Securities to facilitate the timely
preparation and delivery of certificates representing New Securities or Securities to be
issued or sold pursuant to any Registration Statement free of any restrictive legends and in
such denominations and registered in such names as Holders may request in a reasonable
period of time prior to sales of Securities pursuant to such Registration Statement.

     (k) (i) Upon the occurrence of any event contemplated by subsections (c)(ii) through
(v) above, the Issuers shall promptly (or within the time period provided for by clause
(ii) hereof, if applicable) prepare a post-effective amendment to the applicable
Registration Statement or an amendment or supplement to the related Prospectus or file any
other required document so that, as thereafter delivered to Initial Purchasers of the
Securities included therein, the Prospectus will not include an untrue statement of a
material fact or omit to state any material fact required to be stated therein or necessary
to make the statements therein, in the light of the circumstances under which they were
made, not misleading. In such circumstances, the period of effectiveness of the Exchange
Offer Registration Statement provided for in Section 2 shall be extended by the number of
days from and including the date of the giving of a notice of suspension pursuant to Section
4(c) to and including the date when the Initial Purchasers, the Holders of the Securities
and any known Exchanging Dealer shall have received such amended or supplemented Prospectus
pursuant to this Section.

     (ii) Upon the occurrence or existence of any pending corporate development or any other
material event that, in the reasonable judgment of the Issuers, makes it appropriate to
suspend the availability of a Shelf Registration Statement and the related Prospectus, the
Issuers shall give notice (without notice of the nature or details of such

Sch. I-11

 

events) to the Holders (but only to such Holders as are named as selling security
holders in the prospectus forming part of such Shelf Registration Statement) that the
availability of the Shelf Registration is suspended and, upon actual receipt of any such
notice each Holder agrees not to sell any Registrable Securities pursuant to the Shelf
Registration until such Holder’s receipt of copies of the supplemented or amended Prospectus
provided for in Section 3(i) hereof, or until it is advised in writing by the Issuers that
the Prospectus may be used, and has received copies of any additional or supplemental
filings that are incorporated or deemed incorporated by reference in such Prospectus. The
period during which the availability of the Shelf Registration and any Prospectus is
suspended shall not exceed 45 days in any three-month period or 90 days in any twelve-month
period.

     (l) Not later than the effective or designation date of any Registration Statement, the
Issuers shall provide a CUSIP number for the Securities or the New Securities, as the case
may be, registered under such Registration Statement and provide the Trustee with printed
certificates for such Securities or New Securities, in a form eligible for deposit with The
Depository Trust Company.

     (m) The Issuers shall comply with all applicable rules and regulations of the
Commission and shall make generally available to its security holders an earnings statement
satisfying the provisions of Section 11(a) of the Act as soon as practicable after the
effective or designation date of the applicable Registration Statement and in any event no
later than 45 days after the end of a 12-month period (or 90 days, if such period is a
fiscal year) beginning with the first month of the Company’s first fiscal quarter commencing
after the effective or designation date of the applicable Registration Statement.

     (n) The Issuers shall cause the Indenture to be qualified under the Trust Indenture Act
in a timely manner.

     (o) The Issuers may require each Holder of securities to be sold pursuant to any Shelf
Registration Statement to furnish to the Issuers such information regarding the Holder and
the distribution of such securities as the Company may from time to time reasonably require
for inclusion in such Registration Statement. The Issuers may exclude from such Shelf
Registration Statement the Securities of any Holder that unreasonably fails to furnish such
information within a reasonable time after receiving such request.

     (p) In the case of any Shelf Registration Statement, the Issuers shall enter into
customary agreements (including, if requested, an underwriting agreement in customary form)
and take all other appropriate actions, if any, as the Holders of a majority of the
Securities to be included in the Shelf Registration Statement shall reasonably request in
order to facilitate the disposition of the Securities or New Securities, as applicable.

     (q) In the case of any Shelf Registration Statement, the Issuers shall:

     (i) make reasonably available for inspection by the Holders of Securities to be
registered thereunder, any underwriter participating in any disposition pursuant to
such Registration Statement, and any attorney, accountant or other

Sch. I-12

 

agent retained by the Holders or any such underwriter all relevant financial
and other records and pertinent corporate documents of the Issuers and their
subsidiaries;

     (ii) cause each Issuer’s officers, directors, employees, accountants and
auditors to supply all relevant information reasonably requested by the Holders or
any such underwriter, attorney, accountant or agent in connection with any such
Registration Statement as is customary for similar due diligence examinations;
provided, however, that the foregoing inspection and information gathering shall be
coordinated on behalf of the Initial Purchasers by the Representatives and on behalf
of the other parties, by one counsel designated by and on behalf of such other
parties as described in Section 5 hereof (all such information shall be kept
confidential by the recipients pursuant to a customary confidentiality agreement to
be executed by such recipients prior to receiving such information);

     (iii) make such representations and warranties to the Holders of Securities
registered thereunder and the underwriters, if any, in form, substance and scope as
are customarily made by issuers to underwriters in primary underwritten offerings
and covering matters including, but not limited to, those set forth in the Purchase
Agreement;

     (iv) obtain opinions of counsel to the Issuers and updates thereof (which
counsel and opinions (in form, scope and substance) shall be reasonably satisfactory
to the Managing Underwriters, if any) addressed to each selling Holder and the
underwriters, if any, covering such matters as are customarily covered in opinions
requested in underwritten offerings and such other matters as may be reasonably
requested by such Holders and underwriters;

     (v) obtain “comfort” letters and updates thereof from the independent certified
public accountants of the Issuers (and, if necessary, any other independent
certified public accountants of any subsidiary of the Issuers or of any business
acquired by the Company for which financial statements and financial data are, or
are required to be, included in the Registration Statement), addressed to each
selling Holder of Securities registered thereunder and the underwriters, if any, in
customary form and covering matters of the type customarily covered in “comfort”
letters in connection with primary underwritten offerings; and

     (vi) deliver such documents and certificates as may be reasonably requested by
the Majority Holders or the Managing Underwriters, if any, including those to
evidence compliance with Section 4(k) and with any customary conditions contained in
the underwriting agreement or other agreement entered into by the Issuers.

The actions set forth in clauses (iii), (iv), (v) and (vi) of this paragraph (q) shall be
performed at (A) the effectiveness or designation of such Registration Statement and each
post-effective amendment thereto; and (B) each closing under any underwriting or similar
agreement as and to the extent required thereunder.

Sch. I-13

 

     (r) In the case of any Exchange Offer Registration Statement, the Issuers shall, if
requested by an Initial Purchaser, or by a Broker-Dealer that holds Securities that were
acquired as a result of market making or other trading activities:

     (i) make reasonably available for inspection by the requesting party, and any
attorney, accountant or other agent retained by the requesting party, all relevant
financial and other records, pertinent corporate documents and properties of the
Issuers and their subsidiaries;

     (ii) cause each Issuer’s officers, directors, employees, accountants and
auditors to supply all relevant information reasonably requested by the requesting
party or any such attorney, accountant or agent in connection with any such
Registration Statement as is customary for similar due diligence examinations;

     (iii) make such representations and warranties to the requesting party, in
form, substance and scope as are customarily made by issuers to underwriters in
primary underwritten offerings and covering matters including, but not limited to,
those set forth in the Purchase Agreement;

     (iv) obtain opinions of counsel to the Issuers and updates thereof (which
counsel and opinions (in form, scope and substance) shall be reasonably satisfactory
to the requesting party and its counsel, addressed to the requesting party, covering
such matters as are customarily covered in opinions requested in underwritten
offerings and such other matters as may be reasonably requested by the requesting
party or its counsel;

     (v) obtain “comfort” letters and updates thereof from the independent certified
public accountants of the Company (and, if necessary, any other independent
certified public accountants of any subsidiary of the Company or of any business
acquired by the Company for which financial statements and financial data are, or
are required to be, included in the Registration Statement), addressed to the
requesting party, in customary form and covering matters of the type customarily
covered in “comfort” letters in connection with primary underwritten offerings, or
if requested by the requesting party or its counsel in lieu of a “comfort” letter,
an agreed-upon procedures letter under Statement on Auditing Standards No. 35,
covering matters requested by the requesting party or its counsel; and

     (vi) deliver such documents and certificates as may be reasonably requested by
the requesting party or its counsel, including those to evidence compliance with
Section 4(k) and with conditions customarily contained in underwriting agreements.

     The foregoing actions set forth in clauses (iii), (iv), (v), and (vi) of this Section
shall be performed at the close of the Registered Exchange Offer and the effective date of
any post-effective amendment to the Exchange Offer Registration Statement.

Sch. I-14

 

     (s) If a Registered Exchange Offer is to be consummated, upon delivery of the
Securities by Holders to the Issuers (or to such other person as directed by the Issuers) in
exchange for the New Securities, the Issuers shall mark, or caused to be marked, on the
Securities so exchanged that such Securities are being cancelled in exchange for the New
Securities. In no event shall the Securities be marked as paid or otherwise satisfied.

     (t) The Issuers shall use their commercially reasonable efforts if the Securities have
been rated prior to the initial sale of such Securities, to confirm such ratings will apply
to the Securities or the New Securities, as the case may be, covered by a Registration
Statement.

     (u) In the event that any Broker-Dealer shall underwrite any Securities or participate
as a member of an underwriting syndicate or selling group or “assist in the distribution”
(within the meaning of the NASD Rules) thereof, whether as a Holder of such Securities or as
an underwriter, a placement or sales agent or a broker or dealer in respect thereof, or
otherwise, the Issuers shall assist such Broker-Dealer in complying with the NASD Rules.

     (v) The Issuers shall use their commercially reasonable efforts to take all other steps
necessary to effect the registration of the Securities or the New Securities, as the case
may be, covered by a Registration Statement.

          5. Registration Expenses. The Issuers shall bear all expenses incurred in connection
with the performance of their obligations under Sections 2, 3 and 4 hereof (other than any
underwriter discounts or commissions) and, in the event of any Shelf Registration Statement, will
reimburse the Holders for the reasonable fees and disbursements of one firm or counsel (which shall
initially be Cahill Gordon & Reindel llp, but which may be another nationally recognized
law firm experienced in securities matters designated by the Majority Holders) to act as counsel
for the Holders in connection therewith, and, in the case of any Exchange Offer Registration
Statement, will reimburse the Initial Purchasers for the reasonable fees and disbursements of
counsel acting in connection therewith.

          6. Indemnification and Contribution. (a) The Issuers agree, jointly and severally,
to indemnify and hold harmless each Holder of Securities or New Securities, as the case may be,
covered by any Registration Statement, each Initial Purchaser and, with respect to any Prospectus
delivery as contemplated in Section 4(h) hereof, each Exchanging Dealer, the directors, officers,
employees, Affiliates and agents of each such Holder, Initial Purchaser or Exchanging Dealer and
each person who controls any such Holder, Initial Purchaser or Exchanging Dealer within the meaning
of either the Act or the Exchange Act against any and all losses, claims, damages or liabilities,
joint or several, to which they or any of them may become subject under the Act, the Exchange Act
or other federal or state statutory law or regulation, at common law or otherwise, insofar as such
losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based
upon any untrue statement or alleged untrue statement of a material fact contained in the
Registration Statement as originally filed or in any amendment thereof, or in any preliminary
Prospectus or the Prospectus, or in any amendment thereof or supplement thereto, or arise out of or
are based upon the omission or alleged omission to state therein a material fact required to be
stated therein or necessary to make the statements therein

Sch. I-15

 

(in the case of any preliminary Prospectus or the Prospectus, in the light of the
circumstances under which they were made) not misleading, and agrees to reimburse each such
indemnified party, as incurred, for any legal or other expenses reasonably incurred by it in
connection with investigating or defending any such loss, claim, damage, liability or action;
provided, however, that no Issuer will be liable in any such case to the extent
that any such loss, claim, damage or liability arises out of or is based upon any such untrue
statement or alleged untrue statement or omission or alleged omission made therein in reliance upon
and in conformity with written information furnished to the Issuers by or on behalf of the party
claiming indemnification specifically for inclusion therein. This indemnity agreement shall be in
addition to any liability that the Issuers may otherwise have.

          Each Issuer also jointly and severally agrees to indemnify as provided in this Section 6(a) or
contribute as provided in Section 6(d) hereof to Losses of each underwriter, if any, of Securities
or New Securities, as the case may be, registered under a Shelf Registration Statement, their
directors, officers, employees, Affiliates or agents and each person who controls such underwriter
on substantially the same basis as that of the indemnification of the Initial Purchasers and the
selling Holders provided in this Section 6(a) and shall, if requested by any Holder, enter into an
underwriting agreement reflecting such agreement, as provided in Section 4(p) hereof.

          (b) Each Holder of Securities covered by a Registration Statement (including each Initial
Purchaser that is a Holder, in such capacity) severally and not jointly agrees to indemnify and
hold harmless the Issuers, each of its directors, each of their officers who signs such
Registration Statement and each person who controls any Issuer within the meaning of either the Act
or the Exchange Act, to the same extent as the foregoing indemnity from the Issuers to each such
Holder, but only with reference to written information relating to such Holder furnished to the
Issuers by or on behalf of such Holder specifically for inclusion in the documents referred to in
the foregoing indemnity; and, subject to the forgoing clause, shall reimburse, as incurred, the
Issuers for any legal or other expenses reasonably incurred by the Issuers or any such controlling
person in connection with investigation or defending any loss, claim, damage, liability or action
in respect thereof. This indemnity agreement will be in addition to any liability that any such
Holder may otherwise have.

          (c) Promptly after receipt by an indemnified party under this Section 6 or notice of the
commencement of any action, such indemnified party will, if a claim in respect thereof is to be
made against the indemnifying party under this Section, notify the indemnifying party in writing of
the commencement thereof; but the failure so to notify the indemnifying party (i) will not relieve
it from liability under paragraph (a) or (b) above unless and to the extent it did not otherwise
learn of such action and such failure results in the forfeiture by the indemnifying party of
substantial rights and defenses; and (ii) will not, in any event, relieve the indemnifying party
from any obligations to any indemnified party other than the indemnification obligation provided in
paragraph (a) or (b) above. The indemnifying party shall be entitled to appoint counsel (including
local counsel) of the indemnifying party’s choice at the indemnifying party’s expense to represent
the indemnified party in any action for which indemnification is sought (in which case the
indemnifying party shall not thereafter be responsible for the fees and expenses of any separate
counsel, other than local counsel if not appointed by the indemnifying party, retained by the
indemnified party or parties except as set forth below); provided, however, that

Sch. I-16

 

such counsel shall be reasonably satisfactory to the indemnified party. Notwithstanding the
indemnifying party’s election to appoint counsel (including local counsel) to represent the
indemnified party in an action, the indemnified party shall have the right to employ separate
counsel (including local counsel), and the indemnifying party shall bear the reasonable fees, costs
and expenses of such separate counsel if (i) the use of counsel chosen by the indemnifying party to
represent the indemnified party would present such counsel with a conflict of interest; (ii) the
actual or potential defendants in, or targets of, any such action include both the indemnified
party and the indemnifying party and the indemnified party shall have reasonably concluded that
there may be legal defenses available to it and/or other indemnified parties that are different
from or additional to those available to the indemnifying party; (iii) the indemnifying party shall
not have employed counsel satisfactory to the indemnified party to represent the indemnified party
within a reasonable time after notice of the institution of such action; or (iv) the indemnifying
party shall authorize the indemnified party to employ separate counsel at the expense of the
indemnifying party. An indemnifying party will not, without the prior written consent of the
indemnified parties (such consent not to be unreasonably withheld or delayed), settle or compromise
or consent to the entry of any judgment with respect to any pending or threatened claim, action,
suit or proceeding in respect of which indemnification or contribution may be sought hereunder
(whether or not the indemnified parties are actual or potential parties to such claim or action)
unless such settlement, compromise or consent includes an unconditional release of each indemnified
party from all liability arising out of such claim, action, suit or proceeding. The Issuers shall
not be liable under this Section 6 for any settlement or compromise or consent to the entry of
judgment of any claim, action, suit or proceeding effected without its prior written consent, which
consent shall not be reasonably withheld.

          (d) In the event that the indemnity provided in paragraph (a) or (b) of this Section is
unavailable to or insufficient to hold harmless an indemnified party for any reason, then each
applicable indemnifying party shall have a joint and several obligation to contribute to the
aggregate losses, claims, damages and liabilities (including legal or other expenses reasonably
incurred in connection with investigating or defending any loss, claim, liability, damage or
action) (collectively “Losses”) to which such indemnified party may be subject in such proportion
as is appropriate to reflect the relative benefits received by such indemnifying party, on the one
hand, and such indemnified party, on the other hand, from the Initial Placement and the
Registration Statement which resulted in such Losses; provided, however, that in no
case shall any Initial Purchaser be responsible, in the aggregate, for any amount in excess of the
purchase discount or commission applicable to such Security, or in the case of a New Security,
applicable to the Security that was exchangeable into such New Security, as set forth in the Final
Memorandum, nor shall any underwriter be responsible for any amount in excess of the underwriting
discount or commission applicable to the securities purchased by such underwriter under the
Registration Statement which resulted in such Losses. If the allocation provided by the
immediately preceding sentence is unavailable for any reason, the indemnifying party and the
indemnified party shall contribute in such proportion as is appropriate to reflect not only such
relative benefits but also the relative fault of such indemnifying party, on the one hand, and such
indemnified party, on the other hand, in connection with the statements or omissions which resulted
in such Losses as well as any other relevant equitable considerations. Benefits received by the
Issuers shall be deemed to be equal to the total net proceeds from the Initial Placement (before
deducting expenses) as set forth in the Final Memorandum. Benefits received by the Initial
Purchasers shall

Sch. I-17

 

be deemed to be equal to the total purchase discounts and commissions as set forth on the
cover page of the Final Memorandum, and benefits received by any other Holders shall be deemed to
be equal to the value of receiving Securities or New Securities, as applicable, registered under
the Act. Benefits received by any underwriter shall be deemed to be equal to the total
underwriting discounts and commissions, as set forth on the cover page of the Prospectus forming a
part of the Registration Statement which resulted in such Losses. Relative fault shall be
determined by reference to, among other things, whether any untrue or any alleged untrue statement
of a material fact or omission or alleged omission to state a material fact relates to information
provided by the indemnifying party, on the one hand, or by the indemnified party, on the other
hand, the intent of the parties and their relative knowledge, access to information and opportunity
to correct or prevent such untrue statement or omission. The parties agree that it would not be
just and equitable if contribution were determined by pro rata allocation (even if the Holders were
treated as one entity for such purpose) or any other method of allocation which does not take
account of the equitable considerations referred to above. Notwithstanding the provisions of this
paragraph (d), no person guilty of fraudulent misrepresentation (within the meaning of Section
11(f) of the Act) shall be entitled to contribution from any person who was not guilty of such
fraudulent misrepresentation. For purposes of this Section, each person who controls a Holder
within the meaning of either the Act or the Exchange Act and each director, officer, employee and
agent of such Holder shall have the same rights to contribution as such Holder, and each person who
controls any Issuer within the meaning of either the Act or the Exchange Act, each officer,
director, employee and agent of any Issuer who shall have signed the Registration Statement and
each director of the Issuers shall have the same rights to contribution as the Issuers, subject in
each case to the applicable terms and conditions of this paragraph (d).

          (e) The provisions of this Section will remain in full force and effect, regardless of any
investigation made by or on behalf of any Holder or the Issuers or any of the indemnified persons
referred to in this Section 6, and will survive the sale by a Holder of securities covered by a
Registration Statement.

          7. Underwritten Registrations. (a) If any of the Securities or New Securities, as
the case may be, covered by any Shelf Registration Statement are to be sold in an underwritten
offering, the Managing Underwriters shall be selected by the Majority Holders and shall be
reasonably acceptable to the Issuers.

          (b) No person may participate in any underwritten offering pursuant to any Shelf Registration
Statement, unless such person (i) agrees to sell such person’s Securities or New Securities, as the
case may be, on the basis reasonably provided in any underwriting arrangements approved by the
persons entitled hereunder to approve such arrangements; and (ii) completes and executes all
questionnaires, powers of attorney, indemnities, underwriting agreements and other documents
reasonably required under the terms of such underwriting arrangements.

          8. Registration Defaults. If:

     (a) on or prior to the 365th day following the Closing Date, neither the Exchange Offer
Registration Statement nor the Shelf Registration Statement has been filed or designated, as
the case may be, with the Commission; or

Sch. I-18

 

     (b) on or prior to the 455th day following the Closing Date, neither the Exchange Offer
Registration Statement nor the Shelf Registration Statement has been declared effective; or

     (c) on or prior to the 485th day after the Exchange Offer Registration Statement is
declared effective, the Registered Exchange Offer has not been consummated;

     (d) notwithstanding that the Issuers have consummated the Exchange Offer, if the
Issuers are required to file a Shelf Registration Statement, such Shelf Registration
Statement is not filed or has not been declared effective or designated within the time
period provided for in this Agreement; or

     (e) after either the Exchange Offer Registration Statement or the Shelf Registration
Statement has been declared effective, such Registration Statement thereafter ceases to be
effective or usable (subject to the exceptions contained in this Agreement) in connection
with resales of the securities in accordance with and during the periods specified in this
Agreement;

(each such event referred to in clauses (a) through (e) a “Registration Default”), interest
(“Registration Default Damages”) will accrue on the principal amount of the securities (in addition
to the stated interest on the securities) from and including the date on which any Registration
Default shall occur to but excluding the date on which all Registration Defaults have been cured.
Registration Default Damages will accrue at a rate of 0.25% per annum during the 90-day period
immediately following the occurrence of such Registration Default and shall increase by 0.25% per
annum at the end of each subsequent 90-day period, but in no event shall such rate exceed 1.00% per
annum; provided, however, that (i) upon the filing or designation of the Registration Statement (in
the case of clause (a) above), (ii) upon the effectiveness of the Registration Statement (in the
case of clause (b) above), (iii) upon the consummation of the Registered Exchange Offer (in the
case of clause (c) above), (iv) upon the filing, effectiveness or designation of a Shelf
Registration Statement, as the case may be (in the case of clause (d) above), or (v) upon the
effectiveness of the Registration Statement which had ceased to remain effective (in the case of
clause (e) above), Registration Default Damages shall cease to accrue. Notwithstanding any
provision herein to the contrary, Registration Default Damages shall not accrue on any Security
that is no longer a Registrable Security, nor shall the amount of Registration Default Damages
increase because more than one of the circumstances described in clauses (a) through (e) above has
occurred and is pending.

          9. No Inconsistent Agreements. The Issuers have not entered into, and agrees not to
enter into, any agreement with respect to their securities that is inconsistent with the rights
granted to the Holders herein or that otherwise conflicts with the provisions hereof.

          10. Amendments and Waivers. The provisions of this Agreement may not be amended,
qualified, modified or supplemented, and waivers or consents to departures from the provisions
hereof may not be given, unless the Company has obtained the written consent of the Holders of a
majority of the aggregate principal amount of the Registrable Securities outstanding;
provided that, with respect to any matter that directly or indirectly affects the rights of
any Initial Purchaser hereunder, the Company shall obtain the written consent of each such

Sch. I-19

 

Initial Purchaser against which such amendment, qualification, supplement, waiver or consent is
to be effective; provided, further, that no amendment, qualification, supplement,
waiver or consent with respect to Section 8 hereof shall be effective as against any Holder of
Registered Securities unless consented to in writing by such Holder; and provided,
further, that the provisions of this Section 10 may not be amended, qualified, modified or
supplemented, and waivers or consents to departures from the provisions hereof may not be given,
unless the Company has obtained the written consent of the Initial Purchasers and each Holder.
Notwithstanding the foregoing (except the foregoing provisos), a waiver or consent to departure
from the provisions hereof with respect to a matter that relates exclusively to the rights of
Holders whose Securities or New Securities, as the case may be, are being sold pursuant to a
Registration Statement and that does not directly or indirectly affect the rights of other Holders
may be given by the Majority Holders, determined on the basis of Securities or New Securities, as
the case may be, being sold rather than registered under such Registration Statement.

          11. Notices. All notices, requests and other communications provided for or permitted
hereunder shall be made in writing by hand-delivery, first-class mail, telex, telecopier or air
courier guaranteeing overnight delivery:

     (a) if to a Holder, at the most current address given by such Holder to the Issuers in
accordance with the provisions of this Section 11, which address initially is, with respect
to each Holder, the address of such Holder maintained by the Registrar under the Indenture;

     (b) if to the Representatives, initially at the address or addresses set forth in the
Purchase Agreement; and

     (c) if to the Issuers, initially at the Company’s address set forth in the Purchase
Agreement.

          All such notices and communications shall be deemed to have been duly given when received.

          The Initial Purchasers or the Issuers by notice to the other parties may designate additional
or different addresses for subsequent notices or communications.

          12. Remedies. Each Holder, in addition to being entitled to exercise all rights
provided to it herein, in the Indenture or in the Purchase Agreement or granted by law, including
recovery of liquidated or other damages, will be entitled to specific performance of its rights
under this Agreement. The Issuers agree that monetary damages would not be adequate compensation
for any loss incurred by reason of a breach by it of the provisions of this Agreement and hereby
agrees to waive in any action for specific performance the defense that a remedy at law would be
adequate. Notwithstanding the foregoing, the Registration Default Damages are intended to
constitute the sole monetary damages that a Holder may collect as a result of the occurrence of any
of the conditions described in Section 8 and any obligations that result in any such condition.

Sch. I-20

 

          13. Successors. This Agreement shall inure to the benefit of and be binding upon the
parties hereto, their respective successors and assigns, including, without the need for an express
assignment or any consent by the Issuers thereto, subsequent Holders of Securities and the New
Securities, and the indemnified persons referred to in Section 6 hereof. The Issuers hereby agree
to extend the benefits of this Agreement to any Holder of Securities and the New Securities, and
any such Holder may specifically enforce the provisions of this Agreement as if an original party
hereto.

          14. Counterparts. This Agreement may be signed in one or more counterparts, each of
which shall constitute an original and all of which together shall constitute one and the same
agreement.

          15. Headings. The section headings used herein are for convenience only and shall not
affect the construction hereof.

          16. Applicable Law. This Agreement shall be governed by and construed in accordance
with the laws of the State of New York applicable to contracts made and to be performed in the
State of New York. The parties hereto each hereby waive any right to trial by jury in any action,
proceeding or counterclaim arising out of or relating to this Agreement.

          17. Severability. In the event that any one of more of the provisions contained
herein, or the application thereof in any circumstances, is held invalid, illegal or unenforceable
in any respect for any reason, the validity, legality and enforceability of any such provision in
every other respect and of the remaining provisions hereof shall not be in any way impaired or
affected thereby, it being intended that all of the rights and privileges of the parties shall be
enforceable to the fullest extent permitted by law.

          18. Securities Held by the Issuers, etc. Whenever the consent or approval of Holders
of a specified percentage of principal amount of Securities or New Securities is required
hereunder, Securities or New Securities, as applicable, held by the Issuers or their Affiliates
(other than subsequent Holders of Securities or New Securities if such subsequent Holders are
deemed to be Affiliates solely by reason of their holdings of such Securities or New Securities)
shall not be counted in determining whether such consent or approval was given by the Holders of
such required percentage.

Sch. I-21

 

          If the foregoing is in accordance with your understanding of our agreement, please sign and
return to us the enclosed duplicate hereof, whereupon this letter and your acceptance shall
represent a binding agreement between the Issuers and the several Initial Purchasers.

	 	 	 	 	 
	 	Very truly yours,

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

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

Sch. I-22

 

	 	 	 	 	 

	 	 	 	 	 
	 	THE GUARANTORS SET FORTH ON
EXHIBIT I HERETO,

    as Guarantors

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

Sch. I-23

 

	 	 	 	 	 

EXHIBIT I

GUARANTORS

Georgia Musculoskeletal Network, Inc.

Health Horizons of Kansas City, Inc.

Health Horizons of Murfreesboro, Inc.

Health Horizons of Nashville, Inc.

Medcenter Management Services, Inc.

North MacArthur Surgery Center, LLC

Ortho Excel, Inc.

OrthoLink ASC Corporation

OrthoLink Physicians Corporation

OrthoLink Radiology Services Corporation

OrthoLink/Georgia ASC, Inc.

OrthoLink/New Mexico ASC, Inc.

OrthoLink/TN ASC, Inc.

Same Day Surgery, L.L.C.

Specialty Surgicenters, Inc.

SSI Holdings, Inc.

Surginet of Northwest Houston, Inc.

Surginet of Rivergate, Inc.

Surginet, Inc.

Surgis Management Services, Inc.

Surgis of Chico, Inc.

Surgis of Pearland, Inc.

Surgis of Phoenix, Inc.

Surgis of Redding, Inc.

Surgis of Sand Lake, Inc.

Surgis of Sonoma, Inc.

Surgis of Victoria, Inc.

Surgis of Willowbrook, Inc.

Surgis, Inc.

United Surgical of Atlanta, Inc.

United Surgical Partners Holdings, Inc.

USP Alexandria, Inc.

USP Austin, Inc.

USP Austintown, Inc.

USP Baltimore, Inc.

USP Baton Rouge, Inc.

USP Bridgeton, Inc.

USP Cedar Park, Inc

USP Central New Jersey, Inc.

USP Chesterfield, Inc.

USP Chicago, Inc.

USP Cleveland, Inc.

Sch. I-24

 

USP Coast, Inc.

USP Columbia, Inc.

USP Corpus Christi, Inc.

USP Cottonwood, Inc.

USP Creve Coeur, Inc.

USP Decatur, Inc.

USP Des Peres, Inc.

USP Destin, Inc.

USP Domestic Holdings, Inc.

USP Florissant, Inc.

USP Fredericksburg, Inc.

USP Glendale, Inc.

USP Harbour View, Inc.

USP Houston, Inc.

USP Indiana, Inc.

USP International Holdings, Inc.

USP Kansas City, Inc.

USP Las Cruces, Inc.

USP Long Island, Inc.

USP Lyndhurst, Inc.

USP Mason Ridge, Inc.

USP Michigan, Inc.

USP Midwest, Inc.

USP Mission Hills, Inc.

USP Nevada, Inc.

USP New Jersey, Inc.

USP Newport News, Inc.

USP North Kansas City, Inc.

USP North Texas, Inc.

USP Oklahoma, Inc.

USP Olive, Inc.

USP Oxnard, Inc.

USP Phoenix, Inc.

USP Reading, Inc.

USP Richmond II, Inc.

USP Richmond, Inc.

USP Sacramento, Inc.

USP San Antonio, Inc.

USP San Gabriel, Inc.

USP Sarasota, Inc.

USP St. Peters, Inc.

USP Sunset Hills, Inc.

USP Tennessee, Inc.

USP Torrance, Inc.

USP Virginia Beach, Inc.

USP Webster Groves, Inc.

Sch. I-25

 

USP West Covina, Inc.

USP Westwood, Inc.

USP Winter Park, Inc.

USPI San Diego, Inc.

Sch. I-26

 

	 	 	 	 	 
	 	USP ASSURANCE COMPANY,

 	 
	 	By:  	/s/ John J. Wellik
 	 
	 	 	Title: President 	 
	 	 	 	 

 

 

	 	 	 	 	 

	 	 	 	 	 
	 	PHYSICIANS DATA PROFESSIONALS, INC.,

 	 
	 	By:  	/s/ John J. Wellik
 	 
	 	 	Title: Secretary 	 
	 	 	 	 

-2-

 

	 	 	 	 	 

	 	 	 	 	 
	 	USP SECURITIES CORPORATION

 	 
	 	By:  	/s/ Kim Tillett
 	 
	 	 	Title: President 	 
	 	 	 	 

-3-

 

	 	 	 	 	 

	 	 	 	 	 
	 	PASADENA HOLDINGS, LLC

USP NEVADA HOLDINGS, LLC,

By: USP North Texas, Inc., its manager

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

-4-

 

	 	 	 	 	 

	 	 	 	 	 
	 	SAME DAY MANAGEMENT, L.L.C.,

By: Same Day Surgery LLC, its sole member

 	 
	 	By:  	/s/  William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

-5-

 

	 	 	 	 	 

	 	 	 	 	 
	 	WHASA, L.C.,

By: Surginet, Inc., its sole member

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

-6-

 

	 	 	 	 	 

	 	 	 	 	 
	 	USP TEXAS, L.P.,

By: USP North Texas, Inc., its general partner

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

-7-

 

	 	 	 	 	 

	 	 	 	 	 
	 	USP TEXAS AIR, LLC

By: USP North Texas, Inc., its sole member

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: President 	 
	 	 	 	 

-8-

 

	 	 	 	 	 

	 	 	 	 	 
	 	SURGERY CENTERS OF AMERICA II, L.L.C.,

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: Manager 	 
	 	 	 	 

-9-

 

	 	 	 	 	 

	 	 	 	 	 
	 	ISS-ORLANDO, LLC

 	 
	 	By:  	/s/ William H. Wilcox
 	 
	 	 	Title: Manager 	 
	 	 	 	 

-10-

 

	 	 	 	 	 

	 	 	 	 	 
	 	SURGERY CENTERS HOLDINGS COMPANY, L.L.C.,

By: Surgery Centers of America II, L.L.C., its sole

member

 	 
	 	By:  	/s/ John J. Wellik
 	 
	 	 	Title: Manager 	 
	 	 	 	 

-11-

 

	 	 	 	 	 

The foregoing Agreement is hereby confirmed and

accepted as of the date first above written.

Citigroup Global Markets Inc.

Lehman Brothers Inc.

	 	 	 	 	 
	By:

	 	Citigroup Global Markets Inc.
	 	 
	 
	 	 	 	 
	By:

	 	/s/ John Peruzzi	 	 
	 

	 	 	 	 
	 

	 	Title: Managing Director	 	 
	 
	 	 	 	 
	By:

	 	Lehman Brothers Inc.	 	 
	 
	 	 	 	 
	By:

	 	/s/ Ben Burton	 	 
	 

	 	 	 	 
	 

	 	Title: Senior Vice President	 	 

For themselves and the other several

Initial Purchasers named in Schedule I

to the Purchase Agreement.

-12-

 

ANNEX A

          Each broker-dealer that receives new securities for its own account pursuant to the Exchange
Offer must acknowledge that it will deliver a prospectus in connection with any resale of such new
securities. The Letter of Transmittal states that by so acknowledging and by delivering a
prospectus, a broker-dealer will not be deemed to admit that it is an “underwriter” within the
meaning of the Act. This prospectus, as it may be amended or supplemented from time to time, may
be used by a broker-dealer in connection with resales of new securities received in exchange for
securities where such securities were acquired by such broker-dealer as a result of market-making
activities or other trading activities. The issuers have agreed that, starting on the expiration
date and ending on the close of business one year after the expiration date, it will make this
prospectus available to any broker-dealer for use in connection with any such resale. See “Plan of
Distribution”.

A-1 

 

ANNEX B

          Each broker-dealer that receives new securities for its own account in exchange for
securities, where such securities were acquired by such broker-dealer as a result of market-making
activities or other trading activities, must acknowledge that it will deliver a prospectus in
connection with any resale of such new securities. See “Plan of Distribution”.

B-1 

 

ANNEX C

PLAN OF DISTRIBUTION

          Each broker-dealer that receives new securities for its own account pursuant to the Exchange
Offer must acknowledge that it will deliver a prospectus in connection with any resale of such new
securities. This prospectus, as it may be amended or supplemented from time to time, may be used
by a broker-dealer in connection with resales of new securities received in exchange for securities
where such securities were acquired as a result of market-making activities or other trading
activities. The issuers have has agreed that, starting on the expiration date and ending on the
close of business one year after the expiration date, it will make this prospectus, as amended or
supplemented, available to any broker-dealer for use in connection with any such resale. In
addition, until ___, ___, all dealers effecting transactions in the new securities may be
required to deliver a prospectus.

          The company will not receive any proceeds from any sale of new securities by brokers-dealers.
New securities received by broker-dealers for their own account pursuant to the Exchange Offer may
be sold from time to time in one or more transactions in the over-the-counter market, in negotiated
transactions, through the writing of options on the new securities or a combination of such methods
of resale, at market prices prevailing at the time of resale, at prices related to such prevailing
market prices or negotiated prices. Any such resale may be made directly to purchasers or to or
through brokers or dealers who may receive compensation in the form of commissions or concessions
from any such broker-dealer and/or the purchasers of any such new securities. Any broker-dealer
that resells new securities that were received by it for its own account pursuant to the Exchange
Offer and any broker or dealer that participates in a distribution of such new securities may be
deemed to be an “underwriter” within the meaning of the Act and any profit of any such resale of
new securities and any commissions or concessions received by any such persons may be deemed to be
underwriting compensation under the Act. The Letter of Transmittal states that by acknowledging
that it will deliver and by delivering a prospectus, a broker-dealer will not be deemed to admit
that it is an “underwriter” within the meaning of the Act.

          For a period of one year after the expiration date, the issuers will promptly send additional
copies of this prospectus and any amendment or supplement to this prospectus to any broker-dealer
that requests such documents in the Letter of Transmittal. The issuers have agreed to pay all
expenses incident to the Exchange Offer (including the expenses of one counsel for the holder of
the securities) other than commissions or concessions of any brokers or dealers and will indemnify
the holders of the securities (including any broker-dealers) against certain liabilities, including
liabilities under the Act.

          [If applicable, add information required by Regulation S-K Items 507 and/or 508.]

C-1 

 

ANNEX D

Rider A

PLEASE FILL IN YOUR NAME AND ADDRESS BELOW IF YOU ARE A BROKER-DEALER AND WISH TO RECEIVE 10
ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR SUPPLEMENTS THERETO.

	 	 	 	 	 
	Name:

	 	 	 	 
	 

	 	 	 	 
	Address:
	 	 	 	 
	 

	 	 	 	 
	 
	 	 	 	 
	 

	 	 	 	 

Rider B

If the undersigned is not a Broker-Dealer, the undersigned represents that it acquired the New
Securities in the ordinary course of its business, it is not engaged in, and does not intend to
engage in, a distribution of New Securities and it has no arrangements or understandings with any
person to participate in a distribution of the New Securities. If the undersigned is a
Broker-Dealer that will receive New Securities for its own account in exchange for Securities, it
represents that the Securities to be exchange for New Securities were acquired by it as a result of
market-making activities or other trading activities and acknowledges that it will deliver a
prospectus in connection with any resale of such New Securities; however, by so acknowledging and
by delivering a prospectus, the undersigned will not be deemed to admit that it is an “underwriter”
within the meaning of the Act.

D-1exv10w1

 

EXHIBIT 10.1

Execution
Copy

CREDIT AGREEMENT

dated as of

April 19, 2007

among

USPI HOLDINGS, INC.,

as Holdings

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.,

as the Borrower

The Lenders Party Hereto from Time to Time

CITIBANK, N.A.,

as Administrative Agent and Collateral Agent

LEHMAN BROTHERS INC.,

as Syndication Agent

and

BEAR STEARNS CORPORATE LENDING INC.,

SUNTRUST BANK

and

UBS SECURITIES LLC,

as Co-Documentation Agents

 

CITIGROUP GLOBAL MARKETS INC.

and

LEHMAN BROTHERS INC.,

as Joint Lead Arrangers and Joint Bookrunners

and

BEAR, STEARNS & CO. INC.

and

UBS SECURITIES LLC,

as Joint Bookrunners

Cahill Gordon & Reindel llp

80 Pine Street

New York, NY 10005

 

 

TABLE OF CONTENTS

	 	 	 	 	 
	 	 	Page	 
	ARTICLE I
	 	 	 	 
	 
	 	 	 	 
	Definitions
	 	 	 	 
	 
	 	 	 	 
	SECTION 1.01. Defined Terms
	 	 	2	 
	SECTION 1.02. Classification of Loans and Borrowings
	 	 	33	 
	SECTION 1.03. Terms Generally
	 	 	33	 
	SECTION 1.04. Accounting Terms; GAAP
	 	 	33	 
	SECTION 1.05. Pro Forma Calculations
	 	 	33	 
	 
	 	 	 	 
	ARTICLE II
	 	 	 	 
	 
	 	 	 	 
	The Credits
	 	 	 	 
	 
	 	 	 	 
	SECTION 2.01. Commitments
	 	 	34	 
	SECTION 2.02. Loans and Borrowings
	 	 	34	 
	SECTION 2.03. Requests for Borrowings
	 	 	35	 
	SECTION 2.04. Swingline Loans
	 	 	35	 
	SECTION 2.05. Letters of Credit
	 	 	36	 
	SECTION 2.06. Funding of Borrowings
	 	 	40	 
	SECTION 2.07. Interest Elections
	 	 	40	 
	SECTION 2.08. Termination and Reduction of Commitments
	 	 	41	 
	SECTION 2.09. Repayment of Loans; Evidence of Debt
	 	 	42	 
	SECTION 2.10. Amortization of Term Loans
	 	 	43	 
	SECTION 2.11. Prepayment of Loans
	 	 	44	 
	SECTION 2.12. Fees
	 	 	46	 
	SECTION 2.13. Interest
	 	 	47	 
	SECTION 2.14. Alternate Rate of Interest
	 	 	47	 
	SECTION 2.15. Increased Costs
	 	 	48	 
	SECTION 2.16. Break Funding Payments
	 	 	48	 
	SECTION 2.17. Taxes
	 	 	49	 
	SECTION 2.18. Payments Generally; Pro Rata Treatment; Sharing of Setoffs
	 	 	50	 
	SECTION 2.19. Mitigation Obligations; Replacement of Lenders
	 	 	52	 
	SECTION 2.20. Incremental Extensions of Credit
	 	 	52	 
	 
	 	 	 	 
	ARTICLE III
	 	 	 	 
	 
	 	 	 	 
	Representations and Warranties
	 	 	 	 
	 
	 	 	 	 
	SECTION 3.01. Organization; Power
	 	 	54	 
	SECTION 3.02. Authorization; Enforceability
	 	 	54	 
	SECTION 3.03. Governmental Approvals; No Conflicts
	 	 	54	 
	SECTION 3.04. Financial Condition; No Material Adverse Change
	 	 	55	 
	SECTION 3.05. Properties
	 	 	55	 
	SECTION 3.06. Litigation
	 	 	56	 
	SECTION 3.07. Compliance with Laws and Agreements
	 	 	56	 

-i-

 

	 	 	 	 	 
	 	 	Page	 
	SECTION 3.08. Investment Company Status
	 	 	56	 
	SECTION 3.09. Taxes
	 	 	56	 
	SECTION 3.10. ERISA
	 	 	56	 
	SECTION 3.11. Disclosure
	 	 	56	 
	SECTION 3.12. Subsidiaries
	 	 	57	 
	SECTION 3.13. Insurance
	 	 	57	 
	SECTION 3.14. Labor Matters
	 	 	57	 
	SECTION 3.15. Solvency
	 	 	57	 
	SECTION 3.16. Senior Indebtedness
	 	 	57	 
	SECTION 3.17. Reimbursement from Third Party Payors
	 	 	57	 
	SECTION 3.18. Fraud and Abuse; Licenses
	 	 	58	 
	SECTION 3.19. Margin Regulations
	 	 	59	 
	SECTION 3.20. Patriot Act
	 	 	59	 
	SECTION 3.21. Intellectual Property; Licenses, Etc.
	 	 	59	 
	SECTION 3.22. Security Documents
	 	 	60	 
	SECTION 3.23. Environmental Compliance
	 	 	61	 
	 
	 	 	 	 
	ARTICLE IV
	 	 	 	 
	 
	 	 	 	 
	Conditions
	 	 	 	 
	 
	 	 	 	 
	SECTION 4.01. Effective Date
	 	 	62	 
	SECTION 4.02. Each Credit Event
	 	 	64	 
	 
	 	 	 	 
	ARTICLE V
	 	 	 	 
	 
	 	 	 	 
	Affirmative Covenants
	 	 	 	 
	 
	 	 	 	 
	SECTION 5.01. Financial Statements and Other Information
	 	 	65	 
	SECTION 5.02. Notices of Material Events
	 	 	67	 
	SECTION 5.03. Information Regarding Collateral
	 	 	67	 
	SECTION 5.04. Existence; Conduct of Business
	 	 	68	 
	SECTION 5.05. Payment of Obligations
	 	 	68	 
	SECTION 5.06. Maintenance of Properties
	 	 	68	 
	SECTION 5.07. Insurance
	 	 	68	 
	SECTION 5.08. Casualty and Condemnation
	 	 	69	 
	SECTION 5.09. Books and Records; Inspection and Audit Rights
	 	 	69	 
	SECTION 5.10. Compliance with Laws
	 	 	69	 
	SECTION 5.11. Use of Proceeds and Letters of Credit
	 	 	69	 
	SECTION 5.12. Additional Subsidiaries
	 	 	69	 
	SECTION 5.13. Further Assurances
	 	 	70	 
	SECTION 5.14. Environmental Matters
	 	 	70	 
	SECTION 5.15. Designation of Subsidiaries
	 	 	70	 
	 
	 	 	 	 
	ARTICLE VI
	 	 	 	 
	 
	 	 	 	 
	Negative Covenants
	 	 	 	 
	 
	 	 	 	 
	SECTION 6.01. Indebtedness; Certain Equity Securities
	 	 	72	 
	SECTION 6.02. Liens
	 	 	75	 

-ii-

 

	 	 	 	 	 
	 	 	Page	 
	SECTION 6.03. Fundamental Changes
	 	 	77	 
	SECTION 6.04. Investments, Loans, Advances, Guarantees and Acquisitions
	 	 	78	 
	SECTION 6.05. Asset Sales
	 	 	80	 
	SECTION 6.06. Sale and Leaseback Transactions
	 	 	81	 
	SECTION 6.07. Swap Agreements
	 	 	82	 
	SECTION 6.08. Restricted Payments; Certain Payments of Indebtedness
	 	 	82	 
	SECTION 6.09. Transactions with Affiliates
	 	 	84	 
	SECTION 6.10. Restrictive Agreements
	 	 	86	 
	SECTION 6.11. Amendment of Material Documents
	 	 	87	 
	SECTION 6.12. Secured Leverage Ratio
	 	 	87	 
	SECTION 6.13. Fiscal Year
	 	 	87	 
	 
	 	 	 	 
	ARTICLE VII
	 	 	 	 
	 
	 	 	 	 
	Events of Default
	 	 	 	 
	 
	 	 	 	 
	SECTION 7.01. Events of Default
	 	 	87	 
	SECTION 7.02. Borrower’s Right to Cure
	 	 	90	 
	SECTION 7.03. Exclusion of Immaterial Subsidiaries
	 	 	90	 
	 
	 	 	 	 
	ARTICLE VIII
	 	 	 	 
	 
	 	 	 	 
	The Agents
	 	 	 	 
	 
	 	 	 	 
	SECTION 8.01. The Agents
	 	 	91	 
	 
	 	 	 	 
	ARTICLE IX
	 	 	 	 
	 
	 	 	 	 
	Miscellaneous
	 	 	 	 
	 
	 	 	 	 
	SECTION 9.01. Notices
	 	 	93	 
	SECTION 9.02. Waivers; Amendments
	 	 	94	 
	SECTION 9.03. Expenses; Indemnity; Damage Waiver
	 	 	97	 
	SECTION 9.04. Successors and Assigns
	 	 	98	 
	SECTION 9.05. Survival
	 	 	101	 
	SECTION 9.06. Counterparts; Integration; Effectiveness
	 	 	101	 
	SECTION 9.07. Severability
	 	 	102	 
	SECTION 9.08. Right of Setoff
	 	 	102	 
	SECTION 9.09. Governing Law; Jurisdiction; Consent to Service of Process
	 	 	102	 
	SECTION 9.10. WAIVER OF JURY TRIAL
	 	 	103	 
	SECTION 9.11. Headings
	 	 	103	 
	SECTION 9.12. Confidentiality
	 	 	103	 
	SECTION 9.13. Interest Rate Limitation
	 	 	103	 
	SECTION 9.14. USA Patriot Act
	 	 	104	 
	SECTION 9.15. Release of Collateral
	 	 	104	 

-iii-

 

	 	 	 
	SCHEDULES:
	 	 
	 
	Schedule 1.01(a)

	 	— Existing Letters of Credit
	Schedule 1.01(b)

	 	— St. Louis Investments
	Schedule 1.01(c)

	 	— Specified Subsidiaries
	Schedule 2.01

	 	— Commitments
	Schedule 3.05

	 	— Real Property
	Schedule 3.03

	 	— No Conflicts
	Schedule 3.06

	 	— Litigation
	Schedule 3.12

	 	— Subsidiaries
	Schedule 3.13

	 	— Insurance
	Schedule 4.01

	 	— Local Counsel Jurisdictions
	Schedule 6.01

	 	— Existing Indebtedness
	Schedule 6.02

	 	— Existing Liens
	Schedule 6.04

	 	— Existing Investments
	Schedule 6.09

	 	— Existing Transactions with Affiliates
	Schedule 6.10

	 	— Existing Restrictions

	 	 	 
	EXHIBITS:
	 	 
	 
	 	 
	Exhibit A

	 	— Form of Assignment and Assumption
	Exhibit B

	 	— Form of Opinion of Ropes & Gray LLP
	Exhibit C

	 	— Form of Collateral Agreement
	Exhibit D

	 	— Form of Perfection Certificate
	Exhibit E

	 	— Form of Borrowing Request
	Exhibit F

	 	— Form of Interest Election Request
	Exhibit G-1

	 	— Form of Term Loan Note
	Exhibit G-2

	 	— Form of Revolving Credit Note

-iv-

 

          CREDIT AGREEMENT dated as of April 19, 2007, among UNITED SURGICAL PARTNERS INTERNATIONAL,
INC., a Delaware corporation (the “Borrower”), USPI HOLDINGS, INC., a Delaware corporation
(“Holdings”), the LENDERS party hereto from time to time, CITIBANK, N.A., as Administrative
Agent, CITIGROUP GLOBAL MARKETS INC. and LEHMAN BROTHERS INC., as joint lead arrangers and joint
bookrunners, BEAR, STEARNS & CO. INC. and UBS SECURITIES, LLC, as joint bookrunners, LEHMAN
BROTHERS INC., as Syndication Agent, and BEAR STEARNS CORPORATE LENDING INC., SUNTRUST BANK and UBS
SECURITIES LLC, as Co-Documentation Agents.

          Pursuant to the Agreement and Plan of Merger dated as of January 7, 2007 (the “Merger
Agreement”), by and among the Borrower, Holdings and UNCN Acquisition Corp., a Delaware
corporation (“Acquisition Corp.”), Acquisition Corp. will merge with and into the Borrower
(the “Merger”), with the Borrower surviving the Merger.

          Immediately prior to or substantially concurrently with the consummation of the Merger, (a)
the Permitted Investors will contribute cash to Holdings (the “Equity Contributions”) in an
aggregate amount that together with the value of the equity of Holdings held by members of
management (the “Rollover Equity”) will be equal to at least 35% of the consolidated
capitalization of Holdings and its subsidiaries after giving effect to the Transactions, and
Holdings will contribute to the Borrower the portion of such cash contributions not used to pay
Transaction Expenses; (b) the Borrower will cause the repayment of, and terminate all commitments
under and all liens in connection with, the Existing Credit Facilities (the “Repayment”);
(c) the Borrower will issue the Senior Subordinated Notes; and (d) Subsidiaries of the Borrower
will enter into and borrow under the UK Facility.

          The Borrower has requested that the Lenders extend credit in the form of (a) Delayed Draw Term
Loans from time to time during the Delayed Draw Availability Period in an aggregate principal
amount not to exceed $100,000,000; (b) Tranche B Term Loans on the Effective Date in an aggregate
principal amount not to exceed $430,000,000 and (c) Revolving Loans, Swingline Loans and Letters of
Credit at any time and from time to time during the Revolving Availability Period, in an aggregate
principal amount at any time outstanding not to exceed $100,000,000.

          The proceeds of the Tranche B Term Loans and any Revolving Loans borrowed on the Effective
Date will be used by the Borrower on the Effective Date, solely (i) first, to pay the
Transaction Costs, (ii) second, to pay all principal, interest, fees and other amounts
outstanding under the Existing Credit Facilities and (iii) third, together with the Equity
Contributions, to pay the merger consideration (the “Merger Consideration”) required by the
Merger Agreement. The proceeds of Revolving Loans borrowed after the Effective Date, Swingline
Loans and Letters of Credit will be used by the Borrower for working capital and general corporate
purposes (including Permitted Acquisitions).

          The proceeds of the Delayed Draw Term Loans will be used by the Borrower to finance the St.
Louis Investments.

          The Lenders are willing to extend such credit to the Borrower, and the Issuing Bank is willing
to issue Letters of Credit for the account of the Borrower, on the terms and subject to the
conditions set forth herein. Accordingly, the parties hereto agree as follows:

 

 

ARTICLE I

Definitions

          SECTION 1.01. Defined Terms. As used in this Agreement, the following terms have the
meanings specified below:

          “ABR”, when used in reference to any Loan or Borrowing, refers to whether such Loan,
or the Loans comprising such Borrowing, are bearing interest at a rate determined by reference to
the Alternate Base Rate.

          “Acquisition Corp.” has the meaning set forth in the preamble to this Agreement.

          “Acquisition Documents” means the Merger Agreement, the other agreements to be entered
into in connection with the Merger, all schedules, exhibits and annexes to each of the foregoing
and all side letters, instruments and agreements affecting the terms of any of the foregoing or
entered into in connection therewith.

          “Additional Lender” has the meaning set forth in Section 2.20.

          “Additional Subordinated Debt” means unsecured Indebtedness of the Borrower (that may
be guaranteed by Holdings and those Subsidiaries that are Loan Parties) that (a) does not have a
stated maturity date prior to the date that is 90 days after the Tranche B Maturity Date, (b) does
not require any scheduled payment of principal (including pursuant to a sinking fund obligation) or
amortization prior to the date that is 90 days after the Tranche B Maturity Date, (c) is (and all
guarantees with respect thereto are) subordinated to the Obligations on terms no less favorable to
the Lenders than the terms of the Senior Subordinated Notes, (d) contains non-pricing terms
(including covenants, events of default, remedies, redemption provisions and sinking fund
provisions) no less favorable to the Lenders than the terms of the Senior Subordinated Notes and
(e) bears a market rate of interest as determined by the Borrower’s Board of Directors.

          “Adjusted LIBO Rate” means, with respect to any Eurodollar Borrowing for any Interest
Period, an interest rate per annum (rounded upwards, if necessary, to the next 1/100 of 1%) equal
to (a) the LIBO Rate for such Interest Period multiplied by (b) the Statutory Reserve Rate.

          “Administrative Agent” means Citibank, N.A., in its capacity as administrative agent
for the Lenders under the Loan Documents.

          “Administrative Questionnaire” means an administrative questionnaire in a form
supplied by the Administrative Agent.

          “Affiliate” means, with respect to a specified Person, any other Person that directly,
or indirectly through one or more intermediaries, Controls, is Controlled by or is under common
Control with the Person specified.

          “Agent Affiliates” has the meaning set forth in Section 8.01.

          “Agents” means the Administrative Agent, the Collateral Agent, the Syndication Agent
and the Documentation Agents.

-2-

 

          “Agreement” means this Credit Agreement, as the same may be renewed, extended,
modified, supplemented or amended from time to time.

          “Alternate Base Rate” means, for any day, a rate per annum equal to the greater of (a)
the Prime Rate in effect on such day and (b) the Federal Funds Effective Rate in effect on such day
plus 1/2 of 1%. Any change in the Alternate Base Rate due to a change in the Prime Rate or
the Federal Funds Effective Rate shall be effective from and including the effective date of such
change in the Prime Rate or the Federal Funds Effective Rate, respectively.

          “Anti-Terrorism Laws” has the meaning set forth in Section 3.20.

          “Applicable Percentage” means, with respect to any Revolving Lender, the percentage of
the aggregate Revolving Commitments represented by such Lender’s Revolving Commitment. If the
Revolving Commitments have terminated or expired, the Applicable Percentages shall be determined
based upon the Revolving Commitments most recently in effect, giving effect to any assignments that
occur thereafter.

          “Applicable Rate” means, for any day with respect to (a) any ABR Loan or Eurodollar
Loan that is a Revolving Loan or (b) the commitment fees payable hereunder in respect of the
Revolving Commitments, as applicable, the applicable rate per annum set forth below under the
caption “Revolving Loan ABR Spread”, “Revolving Loan Eurodollar Spread” or “Revolving Commitment
Fee Rate”, as applicable, in each case, based upon the Leverage Ratio as of the most recent
determination date, provided that prior to the date of delivery to the Administrative
Agent, pursuant to Section 5.01, of the Borrower’s consolidated financial information for the
Borrower’s first full fiscal quarter ending at least three months after the Effective Date, the
“Applicable Rate” for purposes of clauses (a) and (b) above shall be the applicable rate per annum
set forth below in Category 1:

	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	Revolving	 	 	 	 
	 	 	Revolving	 	 	Loan	 	 	Revolving	 
	 	 	Loan ABR	 	 	Eurodollar	 	 	Commitment	 
	    Leverage Ratio	 	Spread	 	 	Spread	 	 	Fee Rate	 
	Category 1

	 	 	1.25%	 	 	2.25%	 	 	0.500%
	3  5.00x
	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Category 2

	 	 	1.00%	 	 	2.00%	 	 	0.500%
	3 4.50x and < 5.00x
	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Category 3

	 	 	0.75%	 	 	1.75%	 	 	0.375%
	3 4.00x and < 4.50x
	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Category 4

	 	 	0.50%	 	 	1.50%	 	 	0.375%
	3 3.50x and < 4.00x
	 	 	 	 	 	 
	 
	 	 	 	 	 	 
	Category 5

	 	 	0.25%	 	 	1.25%	 	 	0.375%
	< 3.50x
	 	 	 	 	 	 

          The Applicable Rate for Term Loans shall at all times be 2.00% per annum for Eurodollar
Loans and 1.00% per annum for ABR Loans.

          For purposes of the foregoing, (a) the Leverage Ratio shall be determined on a Pro Forma Basis
as of the end of each fiscal quarter of the Borrower based upon the Borrower’s consolidated
financial statements delivered pursuant to Section 5.01(a) or (b), and (b) each change in the
Applicable Rate resulting from a change in the Leverage Ratio shall be effective during the period
commencing on and

-3-

 

including the date of delivery to the Administrative Agent of such consolidated financial
statements indicating such change and ending on the date immediately preceding the effective date
of the next such change, provided that the Leverage Ratio, for purposes of determining the
Applicable Rate, shall be deemed to be in Category 1 (i) at any time that an Event of Default
pursuant to Section 7.01(a), (b), (h) or (i) has occurred and is continuing or (ii) at the option
of the Administrative Agent or at the request of the Required Revolving Lenders if the Borrower
fails to deliver the consolidated financial statements required to be delivered by it pursuant to
Section 5.01(a) or (b), during the period from the expiration of the time for delivery thereof
until such consolidated financial statements are delivered. The Administrative Agent shall notify
the Borrower upon any change in the Applicable Rate in accordance with the proviso in the
immediately preceding sentence.

          “Approved Electronic Communications” means each notice, demand, communication,
information, document and other material that any Loan Party is obligated to, or otherwise chooses
to, provide to the Administrative Agent pursuant to any Loan Document or the transactions
contemplated therein, including (a) any supplement, joinder or amendment to the Security Documents
and any other written contractual obligation delivered or required to be delivered in respect of
any Loan Document or the transactions contemplated therein and (b) any financial statement,
financial and other report, notice, request, certificate and other information material.

          “Approved Electronic Platform” has the meaning set forth in Section 8.01.

          “Approved Fund” has the meaning set forth in Section 9.04(b).

          “Arrangers” means Citigroup Global Markets Inc. and Lehman Brothers Inc.

          “Assignment and Assumption” means an assignment and assumption entered into by a
Lender and an assignee (with the consent of any party whose consent is required by Section 9.04)
and accepted by the Administrative Agent, in the form of Exhibit A or any other form
approved by the Administrative Agent.

          “Available Amount” means, the sum, without duplication, of:

     (a) 50% of Cumulative Consolidated Net Income (or, in the case Cumulative Consolidated
Net Income at the time of determination is a deficit, minus 100% of such deficit,
provided that the amount in this clause (a) shall only be available if immediately
prior to and after giving effect on a Pro Forma Basis to any Investment, Restricted Payment
or prepayment, redemption or repurchase actually made pursuant to Section 6.04(xv),
6.08(a)(ix) or 6.08(b)(iii), the Borrower could incur $1.00 of Indebtedness under Section
6.01(a)(xi), plus

     (b) the amount of Net Proceeds actually received by the Borrower from the issuance of
any Equity Interests other than Disqualified Equity Interests (or capital contribution in
respect thereof or otherwise) after the Effective Date that was not otherwise applied
pursuant to Section 6.08(b)(ii) or Section 7.02 or to repay Revolving Exposure to comply
with Section 6.12, plus

     (c) the amount of Net Proceeds actually received by the Borrower from the issuance
after the Effective Date of Qualified Holdings Debt that was not otherwise applied pursuant
to Section 6.08(b)(ii) or to repay Revolving Exposure to comply with Section 6.12,
plus

     (d) an amount equal to any returns (including dividends, interest, distributions,
returns of principal and profits on sale) actually received by the Borrower or any of the
Restricted

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Subsidiaries in cash in respect of any Investments made after the Effective Date
pursuant to Section 6.04(xv), minus

     (e) the sum of (i) the aggregate amount of Investments made after the Effective Date
pursuant to Section 6.04(xv), (ii) the aggregate amount of Restricted Payments made after
the Effective Date pursuant to Section 6.08(a)(ix) and (iii) the aggregate amount of
payments made after the Effective Date pursuant to Section 6.08(b)(iii).

          “Board” means the Board of Governors of the Federal Reserve System of the United
States of America.

          “Board of Directors” shall mean, with respect to any Person, (i) in the case of any
corporation, the board of directors of such Person, (ii) in the case of any limited liability
company, the board of managers of such Person, (iii) in the case of any partnership, the board of
directors or board of managers of the general partner of such Person and (iv) in any other case,
the functional equivalent of the foregoing.

          “Borrower” has the meaning set forth in the preamble to this Agreement.

          “Borrowing” means (a) Loans of the same Class and Type made, converted or continued on
the same date and, in the case of Eurodollar Loans, as to which a single Interest Period is in
effect, or (b) a Swingline Loan.

          “Borrowing Request” means a request by the Borrower for a Borrowing in accordance with
Section 2.03, provided that a written Borrowing Request shall be substantially in the form
of Exhibit E, or such other form as shall be approved by the Administrative Agent.

          “Business Day” means any day that is not a Saturday, Sunday or other day on which
commercial banks in New York City are authorized or required by law to remain closed,
provided that when used in connection with a Eurodollar Loan, the term “Business Day” shall
also exclude any day on which banks are not open for dealings in dollar deposits in the London
interbank market.

          “Calculation Date” means the date on which any event for which the calculation of the
Fixed Charge Coverage Ratio, the Secured Leverage Ratio, the Leverage Ratio or Facility-Level
EBITDA is required occurs.

          “Capital Expenditures” means, for any period (and without duplication), (a) the
additions to property, plant and equipment and other capital expenditures of the Borrower and any
of the Restricted Subsidiaries that are (or would be) set forth in a consolidated statement of cash
flows of the Borrower for such period prepared in accordance with GAAP and (b) Capital Lease
Obligations incurred by the Borrower and the Restricted Subsidiaries during such period.

          “Capital Lease Obligations” of any Person means the obligations of such Person to pay
rent or other amounts under any lease of (or other arrangement conveying the right to use) real or
personal property, or a combination thereof, which obligations are required to be classified and
accounted for as capital leases on a balance sheet of such Person under GAAP, and the amount of
such obligations shall be the capitalized amount thereof determined in accordance with GAAP.

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

-5-

 

          “CERCLIS” means the Comprehensive Environmental Response, Compensation and Liability
Information System maintained by the U.S. Environmental Protection Agency.

          “Change in Control” means:

     (a) prior to an IPO, the Borrower ceasing to be a direct or indirect wholly owned
subsidiary of Holdings,

     (b) prior to an IPO, the failure by the Permitted Investors to own, directly or
indirectly, beneficially or of record, Equity Interests in Holdings representing a majority
of the aggregate ordinary voting power represented by the issued and outstanding Equity
Interests in Holdings,

     (c) after an IPO, (i) the acquisition of ownership, directly or indirectly,
beneficially or of record, by any Person or group (within the meaning of the Securities
Exchange Act of 1934, as amended, and the rules of the SEC thereunder as in effect on the
date hereof) of Equity Interests in Holdings representing more than 35% of the aggregate
ordinary voting power represented by the issued and outstanding Equity Interests in Holdings
and (ii) the ownership, directly or indirectly, beneficially or of record, by the Permitted
Investors of Equity Interests in Holdings representing in the aggregate a lesser percentage
of the aggregate ordinary voting power represented by the issued and outstanding Equity
Interests in Holdings than such Person or group,

     (d) occupation of a majority of the seats (other than vacant seats) on the Board of
Directors of Holdings by Persons who were not (i) nominated by the Board of Directors of
Holdings, (ii) appointed by directors so nominated or (iii) nominated by the Permitted
Investors or

     (e) the occurrence of a “Change of Control”, as defined in any Material Indebtedness.

          “Change in Law” means (a) the adoption of any law, rule or regulation after the date
of this Agreement, (b) any change in any law, rule or regulation or in the interpretation or
application thereof by any Governmental Authority after the date of this Agreement or (c)
compliance by any Lender or the Issuing Bank (or, for purposes of Section 2.15(b), by any lending
office of such Lender or by such Lender’s or the Issuing Bank’s holding company, if any) with any
request, guideline or directive (whether or not having the force of law) of any Governmental
Authority made or issued after the date of this Agreement.

          “Charges” has the meaning set forth in Section 9.13.

          “Class”, when used in reference to any Loan or Borrowing, refers to whether such Loan,
or the Loans comprising such Borrowing, are Revolving Loans, Tranche B Term Loans, Delayed Draw
Term Loans or Swingline Loans and, when used in reference to any Commitment, refers to whether such
Commitment is a Revolving Commitment, a Tranche B Commitment or a Delayed Draw Commitment.

          “CLO” has the meaning set forth in Section 9.04(b).

          “Code” means the Internal Revenue Code of 1986 and the rules and regulations
promulgated thereunder, as amended from time to time.

-6-

 

          “Collateral” means any and all “Collateral”, as defined in any applicable Security
Document (which shall include the Mortgaged Properties) and all other property of whatever kind
subject or purported to be subject from time to time to a Lien under any Security Document.

          “Collateral Agent” means Citibank, N.A. in its capacity as collateral agent for the
Lenders under this Agreement and any Security Document.

          “Collateral Agreement” means the Guarantee and Collateral Agreement among the Loan
Parties and the Collateral Agent, substantially in the form of Exhibit C.

          “Collateral and Guarantee Requirement” means the requirement that:

     (a) the Collateral Agent shall have received from each Loan Party either (i) a
counterpart of the Collateral Agreement duly executed and delivered on behalf of such Loan
Party or (ii) in the case of any Person that becomes a Loan Party after the Effective Date,
a supplement to the Collateral Agreement, in the form specified therein, duly executed and
delivered on behalf of such Loan Party;

     (b) all outstanding Equity Interests (other than Equity Interests of any Restricted
Subsidiary pledged to secure Indebtedness permitted under Section 6.01(a)(vii)) of (i) the
Borrower and (ii) each wholly owned Restricted Subsidiary owned directly by any Loan Party
shall have been pledged pursuant to the Collateral Agreement (except that the Loan Parties
(i) shall not be required to pledge more than 65% of the outstanding voting Equity Interests
of any first-tier Foreign Subsidiary and (ii) shall not be required to pledge or otherwise
grant security interests in any assets of a Foreign Subsidiary) and the Collateral Agent
shall have received certificates or other instruments (if any) representing all such Equity
Interests, together with undated stock powers or other instruments of transfer with respect
thereto endorsed in blank;

     (c) all Indebtedness of a Loan Party that is owing to any other Loan Party shall be
evidenced by a promissory note and shall have been pledged pursuant to the Collateral
Agreement, and the Collateral Agent shall have received all such promissory notes and other
promissory notes required to be delivered pursuant to the Collateral Agreement, together
with undated instruments of transfer with respect thereto;

     (d) all documents and instruments, including Uniform Commercial Code financing
statements and control agreements, required by law or reasonably requested by the Collateral
Agent to be executed, filed, registered or recorded to create the Liens intended to be
created by the Collateral Agreement and perfect such Liens to the extent required by the
Collateral Agreement, shall have been executed, filed, registered or recorded or delivered
to the Collateral Agent for filing, registration or recording;

     (e) the Collateral Agent shall have received (i) counterparts of a Mortgage with
respect to each Mortgaged Property duly executed and delivered by the record owner of such
Mortgaged Property, (ii) a policy or policies of title insurance issued by a nationally
recognized title insurance company, in an amount not to exceed 105% of the Fair Market Value
of such Mortgaged Property, insuring the Lien of each such Mortgage as a valid
first-priority Lien on the Mortgaged Property described therein, free of any other Liens
except as expressly permitted by Section 6.02, together with such customary endorsements,
coinsurance and reinsurance in such amount as the Collateral Agent or the Required Lenders
may reasonably request, and such surveys, appraisals, legal opinions (excluding zoning and
land use opinions if the title insurance policy includes a zoning endorsement), completed
Federal Emergency Management Agency

-7-

 

Standard Flood Hazard Determination with respect to each Mortgaged Property and other
documents as the Collateral Agent or the Required Lenders may reasonably request with
respect to any such Mortgage or Mortgaged Property; and

     (f) each Loan Party shall have obtained all material consents and approvals required to
be obtained by it in connection with the execution and delivery of all Security Documents to
which it is a party, the performance of its obligations thereunder and the granting by it of
the Liens thereunder.

Notwithstanding anything to the contrary in this Agreement or any Security Document, no Loan Party
shall be required to pledge or grant security interests in particular assets if, in the reasonable
judgment of the Administrative Agent or the Collateral Agent, the costs of creating or perfecting
such pledges or security interests in such assets (including any mortgage, stamp, intangibles or
other tax) are excessive in relation to the benefits to the Lenders therefrom. The Administrative
Agent may grant extensions of time for the perfection of security interests in or the obtaining of
title insurance or surveys with respect to particular assets (including extensions beyond the
Effective Date for the perfection of security interests in the assets of the Loan Parties on such
date) where it reasonably determines, in consultation with the Borrower, that perfection cannot be
accomplished without undue effort or expense by the time or times at which it would otherwise be
required by this Agreement or the Security Documents. Notwithstanding the foregoing provisions of
this definition or anything in this Agreement or any other Loan Document to the contrary, Liens
required to be granted from time to time pursuant to the Collateral and Guarantee Requirement shall
be subject to exceptions and limitations set forth in the Security Documents.

          “Commitment” means a Revolving Commitment, a Tranche B Commitment, a Delayed Draw
Commitment, a Commitment in respect of an Incremental Extension of Credit (if any) or any
combination thereof (as the context requires).

          “Consolidated EBITDA” means, for any period, Consolidated Net Income for such period
plus

     (a) without duplication and to the extent deducted in determining such Consolidated Net
Income for such period, the sum of: (i) consolidated interest expense (and solely for
purposes of calculating the Fixed Charge Coverage Ratio, other Fixed Charges) of the
Borrower and its Restricted Subsidiaries for such period and, to the extent not reflected in
such total interest expense, increased by payments made in respect of hedging obligations or
other derivative instruments entered into for the purpose of hedging interest rate risk,
minus any payments received in respect of such hedging obligations or other derivative
instruments, (ii) consolidated tax expense of the Borrower and its Restricted Subsidiaries
based on income, profits or capital, including state, franchise, capital and similar taxes
and withholding taxes paid or accrued during such period, (iii) all amounts attributable to
depreciation and amortization expense of the Borrower and its Restricted Subsidiaries for
such period, (iv) any Non-Cash Charges for such period, (v) Transaction Costs made or
incurred by the Borrower and its Restricted Subsidiaries in connection with the Transactions
that are paid, accrued or reserved for within 365 days of the consummation of the
Transactions, (vi) any non-recurring fees, cash charges and other cash expenses (A) made or
incurred by the Borrower and its Restricted Subsidiaries in connection with any Permitted
Acquisition, including severance, relocation and facilities closing costs, that are paid,
accrued or reserved for within 365 days of such transaction or (B) incurred in connection
with the issuance of Equity Interests or Indebtedness or the extinguishment of Indebtedness,
(vii) cash expenses incurred during such period in connection with a Permitted Acquisition
to the extent that such expenses are reimbursed in cash during such period pursuant to
indemnification provisions

-8-

 

of any agreement relating to such transaction, (viii) fees paid to any Sponsor or
Sponsor Affiliate under Section 6.09(i) and (ix) cash expenses incurred during such period
in connection with extraordinary casualty events to the extent such expenses are reimbursed
in cash by insurance during such period minus

     (b) without duplication and to the extent included in determining such Consolidated Net
Income, (i) any cash payments made during such period in respect of Non-Cash Charges
described in clause (a)(iv) taken in a prior period or taken in such period and (ii) any
non-cash items of income for such period, all determined on a consolidated basis in
accordance with GAAP, and

     (c) (without duplication) plus unrealized losses and minus unrealized
gains in each case in respect of Swap Agreements, as determined in accordance with GAAP.

The Borrower’s Consolidated EBITDA for the fiscal quarters ended September 30, 2006, December 31,
2006 and March 31, 2007 shall be $40.492 million, $41.661 million and $45.147 million, respectively
(subject to adjustment on a Pro Forma Basis for transactions other than the Transactions);
provided that if the Borrower’s financial statements with respect to any of the foregoing
periods shall be restated or otherwise amended, Consolidated EBITDA shall be adjusted for such
periods to the extent necessary to give effect to such restatement or amendment.

          For the purpose of the definition of Consolidated EBITDA, “Non-Cash Charges” means (a)
losses on asset sales, disposals or abandonments, (b) any impairment charge or asset write-off or
write-down related to intangible assets, long-lived assets, and investments in debt and equity
securities pursuant to GAAP, (c) all losses from investments recorded using the equity method, (d)
stock-based awards compensation expense, and (e) other non-cash charges (provided that if any
non-cash charges, expenses and write-downs referred to in this clause (e) represent an accrual or
reserve for potential cash items in any future period, the cash payment in respect thereof in such
future period shall be subtracted from Consolidated EBITDA to such extent, and excluding
amortization of a prepaid cash item that was paid in a prior period).

          “Consolidated Net Income” means, with respect to any specified Person for any period,
the aggregate of the Net Income of such specified Person and its Restricted Subsidiaries for such
period, on a consolidated basis, determined in accordance with GAAP; provided that:

     (1) the Net Income (but not loss) of any other Person that is not a Restricted
Subsidiary of such specified Person or that is accounted for by the equity method of
accounting will be excluded; provided that Consolidated Net Income of the Borrower will be
increased by the amount of dividends or other distributions or other payments actually paid
in cash (or to the extent converted into cash) or Permitted Investments to the Borrower or a
Restricted Subsidiary thereof in respect of such period, to the extent not already included
therein;

     (2) solely for purposes of determining the “Available Amount”, the Net Income for such
period of any Restricted Subsidiary (other than any Guarantor) shall be excluded to the
extent that the declaration or payment of dividends or similar distributions by that
Restricted Subsidiary of its Net Income is not at the date of determination wholly permitted
without any prior governmental approval (which has not been obtained) or, directly or
indirectly, by the operation of the terms of its charter or any agreement, instrument,
judgment, decree, order, statute, rule, or governmental regulation applicable to that
Restricted Subsidiary or its stockholders, unless such restriction with respect to the
payment of dividends or similar distributions has been legally waived; provided that,
Consolidated Net Income of the Borrower shall be increased by the amount of dividends or
other distributions or other payments actually paid in cash (or to the

-9-

 

extent converted into cash) or Permitted Investments to the Borrower or a Qualified
Restricted Subsidiary in respect of such period, to the extent not already included therein;

     (3) the cumulative effect of a change in accounting principles will be excluded;

     (4) the amortization of any premiums, fees or expenses incurred in connection with the
Transactions or any amounts required or permitted by Accounting Principles Board Opinions
Nos. 16 (including non-cash write-ups and non-cash charges relating to inventory and fixed
assets, in each case arising in connection with the Transactions) and 17 (including non-cash
charges relating to intangibles and goodwill), in each case in connection with the
Transactions, will be excluded;

     (5) any gain or loss, together with any related provision for taxes on such gain or
loss, realized in connection with: (a) any sales of assets out of the ordinary course of
business; or (b) the disposition of any securities by such Person or any of its Restricted
Subsidiaries or the extinguishment of any Indebtedness of such Person or any of its
Restricted Subsidiaries will be excluded;

     (6) any extraordinary gain or loss, together with any related provision for taxes on
such extraordinary gain or loss will be excluded;

     (7) income or losses attributable to discontinued operations (including, without
limitation, operations disposed during such period whether or not such operations were
classified as discontinued) will be excluded;

     (8) any non-cash charges (i) attributable to applying the purchase method of accounting
in accordance with GAAP, (ii) resulting from the application of FAS 142 or FAS 144, and
(iii) relating to the amortization of intangibles resulting from the application of FAS 141,
will be excluded;

     (9) all non-cash charges relating to employee benefit or other management or stock
compensation plans of the Borrower or a Restricted Subsidiary (excluding any such non-cash
charge to the extent that it represents an accrual of or reserve for cash expenses in any
future period or amortization of a prepaid cash expense incurred in a prior period) will be
excluded to the extent that such non-cash charges are deducted in computing such
Consolidated Net Income; provided, further, that if the Borrower or any Restricted
Subsidiary of the Borrower makes a cash payment in respect of such non-cash charge in any
period, such cash payment will (without duplication) be deducted from the Consolidated Net
Income of the Borrower for such period; and

     (10) all unrealized gains and losses relating to hedging transactions and
mark-to-market of Indebtedness denominated in foreign currencies resulting from the
application of FAS 52 shall be excluded.

          “Control” means the possession, directly or indirectly, of the power to direct or
cause the direction of the management or policies of a Person, whether through the ability to
exercise voting power, by contract or otherwise. “Controlling” and “Controlled”
have meanings correlative thereto.

          “Cumulative Consolidated Net Income” means, as of any date of determination,
Consolidated Net Income of the Borrower and its Restricted Subsidiaries for the period (taken as
one accounting period) commencing on April 1, 2007 and ending on the last day of the most recent
fiscal quarter for which financial statements required to be delivered pursuant to Section 5.01(a)
or (b) have been received

-10-

 

by the Administrative Agent; provided that the amount of Consolidated Net Income from
the final fiscal quarter of any fiscal year shall only be included in such calculation to the
extent that Section 2.11(d) has been complied with for such fiscal year.

          “Default” means any event or condition that constitutes an Event of Default or which
upon notice, lapse of time or both would, unless cured or waived, become an Event of Default.

          “Delayed Draw Availability Period” means the period commencing on the Effective Date
and ending on December 31, 2008.

          “Delayed Draw Commitment” means, with respect to each Lender, the commitment, if any,
of such Lender to make a Delayed Draw Term Loan hereunder from time to time during the Delayed Draw
Availability Period, expressed as an amount representing the maximum principal amount of the
Delayed Draw Term Loan to be made by such Lender hereunder, as such commitment may be (a) reduced
from time to time pursuant to Section 2.08 and (b) reduced or increased from time to time pursuant
to assignments by or to such Lender pursuant to Section 9.04. The initial amount of each Lender’s
Delayed Draw Commitment is set forth on Schedule 2.01 or in the Assignment and Assumption
pursuant to which such Lender shall have assumed its Delayed Draw Commitment, as applicable. The
initial aggregate amount of the Lenders’ Delayed Draw Commitments is $100,000,000.

          “Delayed Draw Commitment Fee Rate” means 1.25% per annum, with such rate increasing by
0.25% at the beginning of each fiscal quarter starting at the beginning of the third fiscal quarter
ending after the Effective Date up to a maximum of 1.75% per annum.

          “Delayed Draw Lender” means a Lender with a Delayed Draw Commitment or an outstanding
Delayed Draw Term Loan.

          “Delayed Draw Maturity Date” means the seventh anniversary of the Effective Date.

          “Delayed Draw Term Loan” means a Loan made pursuant to Section 2.01(b).

          “Designation Date” has the meaning set forth in Section 5.15(a).

          “Disqualified Equity Interests” means any Equity Interest that, by its terms (or by
the terms of any security into which it is convertible, or for which it is exchangeable, in each
case, at the option of the holder of the Equity Interest), or upon the happening of any event,
matures or is mandatorily redeemable, pursuant to a sinking fund obligation or otherwise, or
redeemable at the option of the holder of the Equity Interest, in whole or in part, other than in
each case solely in exchange for Qualified Equity Interests, on or prior to the date that is 90
days after the Tranche B Maturity Date. Notwithstanding the preceding sentence, (x) any Equity
Interest that would constitute Disqualified Equity Interests solely because the holders of the
Equity Interest have the right to require the Borrower or the Subsidiary that issued such Equity
Interest to repurchase such Equity Interest upon the occurrence of a change of control or an asset
sale will not constitute Disqualified Equity Interests if the terms of such Equity Interest provide
that the Borrower may not repurchase such Equity Interest unless the Borrower would be permitted to
do so in compliance with Section 6.08, (y) any Equity Interest that would constitute Disqualified
Equity Interests solely as a result of any redemption feature that is conditioned upon, and subject
to, compliance with Section 6.08 will not constitute Disqualified Equity Interests and (z) any
Equity Interest issued to any plan for the benefit of employees will not constitute Disqualified
Equity Interests solely because it may be required to be repurchased by the Borrower or the
Subsidiary that issued such Equity Interest in order to satisfy applicable statutory or regulatory
obligations. The amount of Disqualified Equity Interests deemed to be outstanding at any time for
purposes of this Agreement will be the maximum amount

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that the Borrower and its Restricted Subsidiaries may become obligated to pay upon the
maturity of, or pursuant to any mandatory redemption provisions of, such Disqualified Equity
Interests, exclusive of accrued dividends.

          “Documentation Agents” means Bear Stearns Corporate Lending Inc., SunTrust Bank and
UBS Securities LLC, as Co-Documentation Agents.

          “dollars” or “$” refers to lawful money of the United States of America.

          “Domestic Subsidiary” means any Subsidiary incorporated or organized under the laws of
the United States of America, any State thereof or the District of Columbia.

          “Effective Date” means April 19, 2007.

          “Environmental Laws” means all laws (including the common law), rules, regulations,
codes, ordinances, orders, decrees, judgments, injunctions, notices or binding agreements issued,
promulgated or entered into by or with any Governmental Authority, relating in any way to the
environment, preservation or reclamation of natural resources, the presence, management, Release or
threatened Release of any Hazardous Material, or to health and safety matters.

          “Environmental Liability” means liabilities, obligations, damages, claims, actions,
suits, judgments, orders, fines, penalties, fees, expenses and costs (including administrative
oversight costs, natural resource damages and medical monitoring, investigation or remediation
costs), whether contingent or otherwise, arising out of or relating to (a) compliance or
non-compliance with any Environmental Law, (b) the generation, use, handling, transportation,
storage, treatment or disposal of any Hazardous Materials, (c) exposure to any Hazardous Materials,
(d) the Release or threatened Release of any Hazardous Materials or (e) any contract, agreement or
other consensual arrangement pursuant to which liability is assumed or imposed with respect to any
of the foregoing.

          “Environmental Permit” means any permit, approval, identification number, license or
other authorization required under any Environmental Law.

          “Equity Contributions” has the meaning set forth in the preamble to this Agreement.

          “Equity Interests” means shares of capital stock, partnership interests, membership
interests in a limited liability company, beneficial interests in a trust or other equity ownership
interests in a Person, and any warrants, options or other rights entitling the holder thereof to
purchase or acquire any such equity interest from the issuer thereof.

          “ERISA” means the Employee Retirement Income Security Act of 1974 and the regulations
promulgated thereunder, as amended from time to time.

          “ERISA Affiliate” means any trade or business (whether or not incorporated) that,
together with the Borrower, is treated as a single employer under Section 414 of the Code.

          “ERISA Event” means (a) any “reportable event”, as defined in Section 4043 of ERISA or
the regulations issued thereunder, with respect to a Plan (other than an event for which the 30 day
notice period is waived), (b) the failure to satisfy the minimum funding standard of Section 412 of
the Code or Section 302 of ERISA, whether or not waived, (c) the failure to make by its due date a
required installment under Section 412(m) of the Code (or Section 430(j) of the Code, as amended by
the Pension Protection Act of 2006) with respect to any Plan or the failure to make any required
contribution to a

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Multiemployer Plan, (d) the filing pursuant to Section 412(d) of the Code or Section 303(d) of
ERISA of an application for a waiver of the minimum funding standard with respect to any Plan, (e)
the incurrence by the Borrower or any of its ERISA Affiliates of any liability under Title IV of
ERISA, other than for PBGC premiums due but not delinquent under Section 4007 of ERISA, with
respect to the termination of any Plan, (f) the receipt by the Borrower or any ERISA Affiliate from
the PBGC or a plan administrator of any notice relating to an intention to terminate any Plan or
Plans or to appoint a trustee to administer any Plan, (g) the incurrence by the Borrower or any of
its ERISA Affiliates of any liability with respect to the withdrawal or partial withdrawal from any
Plan or Multiemployer Plan, (h) the receipt by the Borrower or any ERISA Affiliate of any notice,
or the receipt by any Multiemployer Plan from the Borrower or any ERISA Affiliate of any notice,
concerning the imposition of Withdrawal Liability or a determination that a Multiemployer Plan is,
or is expected to be, insolvent or in reorganization, within the meaning of Title IV of ERISA, (i)
the “substantial cessation of operations” within the meaning of Section 4062(e) of ERISA with
respect to a Plan, (j) the making of any amendment to any Plan which could directly result in the
imposition of a lien or the posting of a bond or other security; or (k) the occurrence of a
nonexempt prohibited transaction (within the meaning of Section 4975 of the Code or Section 406 of
ERISA) which, individually or in the aggregate, is reasonably likely to result in a Material
Adverse Effect.

          “Eurodollar”, when used in reference to any Loan or Borrowing, refers to whether such
Loan, or the Loans comprising such Borrowing, are bearing interest at a rate determined by
reference to the Adjusted LIBO Rate.

          “Event of Default” has the meaning set forth in Section 7.01.

          “Excess Cash Flow” means, for any fiscal year, the sum (without duplication) of:

     (a) Consolidated Net Income for such fiscal year, adjusted to exclude any gains or
losses attributable to Prepayment Events; plus

     (b) depreciation, amortization and other non-cash charges or losses (including deferred
income taxes) deducted in determining such Consolidated Net Income for such fiscal year;
plus

     (c) the amount, if any, by which Net Working Capital decreased during such fiscal year
(except as a result of reclassification of items from short-term to long-term);
minus

     (d) the sum of (i) any non-cash gains or non-cash items of income included in
determining Consolidated Net Income for such fiscal year plus (ii) the amount, if
any, by which Net Working Capital increased during such fiscal year (except as a result of
reclassification of items from long-term to short-term); minus

     (e) the amount of cash Capital Expenditures of the Borrower and its Restricted
Subsidiaries in such fiscal year financed with Internally Generated Funds; minus 

     (f) the aggregate principal amount of Long-Term Indebtedness repaid or prepaid by the
Borrower and its Restricted Subsidiaries during such fiscal year, excluding (i) Indebtedness
in respect of Revolving Loans, Swingline Loans and Letters of Credit (unless there is a
corresponding reduction in the aggregate Revolving Commitments), (ii) Tranche B Term Loans
prepaid pursuant to Section 2.11(a), (c) or (d), and (iii) repayments or prepayments of
Long-Term Indebtedness financed other than with Internally Generated Funds; minus

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     (g) the amount of Restricted Payments made by a Loan Party in such fiscal year pursuant
to Sections 6.08(a)(iii) or (vii) financed with Internally Generated Funds; minus

     (h) cash Taxes paid in such fiscal year that did not reduce Consolidated Net Income for
such fiscal year; minus

     (i) cash payments financed with Internally Generated Funds made during such period in
respect of long-term liabilities other than Indebtedness; minus

     (j) without duplication of amounts deducted pursuant to clause (k) below in prior
fiscal years, the amount of Investments and acquisitions made during such period pursuant
to Section 6.04 financed with Internally Generated Funds (other than any Investment in
Holdings, the Borrower or any Restricted Subsidiary); minus

     (k) the amount of Restricted Payments paid during such period pursuant to Section
6.08(a)(viii), Section 6.08(a)(ix) or Section 6.08(b)(iii) financed with Internally
Generated Funds; minus

     (l) Transaction Costs made or incurred by the Borrower and its Restricted Subsidiaries
in connection with the Transactions that are paid, accrued or reserved for within 365 days
of the consummation of the Transactions; minus

     (m) any non-recurring fees, cash charges and other cash expenses financed with
Internally Generated Funds (A) made or incurred by the Borrower and its Restricted
Subsidiaries in connection with any Permitted Acquisition, including severance, relocation
and facilities closing costs, that are paid, accrued or reserved for within 365 days of such
transaction or (B) incurred in connection with the issuance of Equity Interests or
Indebtedness or the extinguishment of Indebtedness; minus

     (n) without duplication of amounts deducted from Excess Cash Flow in prior periods,
the aggregate consideration required to be paid in cash by the Company or any of the
Restricted Subsidiaries pursuant to binding contracts (the “Contract
Consideration”) entered into prior to or during such period relating to Permitted
Acquisitions or Capital Expenditures to be consummated or made during the period of four
consecutive fiscal quarters of the Company following the end of such period, provided that
to the extent the aggregate amount of internally generated cash actually utilized to
finance such Permitted Acquisitions during such period of four consecutive fiscal quarters
is less than the Contract Consideration, the amount of such shortfall shall be added to the
calculation of Excess Cash Flow at the end of such period of four consecutive fiscal
quarters; minus

     (o) cash payments made during such fiscal year in respect of non-cash charges that
increased Excess Cash Flow in any prior fiscal year.

          “Excess Net Proceeds” has the meaning set forth in Section 2.11(c).

          “Excluded Taxes” means, with respect to the Administrative Agent, any Lender, the
Issuing Bank or any other recipient of any payment to be made by or on account of any obligation of
the Borrower hereunder, (a) income or franchise taxes imposed on (or measured by) its net income by
the United States of America, or by the jurisdiction under the laws of which such recipient is
organized or in which its principal office is located or, in the case of any Lender, in which its
applicable lending office is located, (b) any branch profits taxes imposed by the United States of
America or any similar tax imposed by

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any other jurisdiction described in clause (a) above, (c) in the case of a Foreign Lender
(other than an assignee pursuant to a request by the Borrower under Section 2.19(b)), any
withholding tax that is in effect and would apply to amounts payable to such Foreign Lender at the
time such Foreign Lender becomes a party to this Agreement (or designates a new lending office),
except to the extent that such Foreign Lender (or its assignor, if any) was entitled, at the time
of designation of a new lending office (or assignment), to receive additional amounts from the
Borrower with respect to any withholding tax pursuant to Section 2.17(a), (d) any withholding tax
that is attributable to a Lender’s failure to comply with Section 2.17(e), and (e) any penalty or
interest that is attributable to the foregoing taxes.

          “Executive Order” has the meaning set forth in Section 3.20.

          “Existing Credit Facilities” means the Existing Revolving Facility and the Existing
Term Facility.

          “Existing Extensions of Credit” has the meaning set forth in Section 2.20(c).

          “Existing Issuing Bank” means SunTrust Bank.

          “Existing Lender” has the meaning set forth in Section 2.20.

          “Existing Letters of Credit” means those letters of credit outstanding on the
Effective Date and listed on Schedule 1.01(a).

          “Existing Revolving Facility” means that certain Credit Agreement dated as of February
21, 2006, as amended, among USP Domestic Holdings Inc., as Borrower, the lenders and other parties
from time to time party thereto, and SunTrust Bank, as Administrative Agent.

          “Existing Term Facility” means that certain Credit Agreement dated as of August 7,
2006, as amended, among USP Domestic Holdings Inc., as Borrower, the lenders and other parties from
time to time party thereto, Bear Stearns Corporate Lending Inc., as Administrative Agent, and
SunTrust Bank, as Collateral Agent and Documentation Agent.

          “Facility-Level EBITDA” means, for any period, the sum of (a) Consolidated EBITDA of
the Borrower and its Restricted Subsidiaries, plus (b) minority interest in income of
consolidated Subsidiaries, plus (c) corporate level general and administrative expenses,
minus (d) equity in unconsolidated Affiliates, in each case for such period on a
consolidated basis determined in accordance with GAAP.

          “Fair Market Value” means the value that would be paid by a willing buyer to an
unaffiliated willing seller in a transaction not involving distress or necessity of either party,
determined in good faith by the Board of Directors, chief executive officer or chief financial
officer of the Borrower.

          “Federal Funds Effective Rate” means, for any day, the weighted average (rounded
upwards, if necessary, to the next 1/100 of 1%) of the rates on overnight Federal funds
transactions with members of the Federal Reserve System arranged by Federal funds brokers, as
published on the next succeeding Business Day by the Federal Reserve Bank of New York, or, if such
rate is not so published for any day that is a Business Day, the average (rounded upwards, if
necessary, to the next 1/100 of 1%) of the quotations for such day for such transactions received
by the Administrative Agent from three Federal funds brokers of recognized standing selected by it.

          “Financial Officer” means the chief financial officer, principal accounting officer,
treasurer or controller of the Borrower, in each case in his or her capacity as such.

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          “Financial Performance Covenant” means the covenant of the Borrower set forth in
Section 6.12.

          “Fixed Charge Coverage Ratio” means the ratio of (a) Consolidated EBITDA for the most
recent period of four consecutive fiscal quarters of the Borrower for which internal financial
statements are available ended prior to any applicable date to (b) the Fixed Charges of the
Borrower and its Restricted Subsidiaries for such period.

          “Fixed Charges” means, with respect to any specified Person for any period, the sum,
without duplication, of:

     (1) the consolidated interest expense of such Person and its Restricted Subsidiaries
for such period, net of interest income, whether paid or accrued, including, without
limitation, original issue discount, non-cash interest payments, the interest component of
any deferred payment obligations, the interest component of all payments associated with
Capital Lease Obligations, commissions, discounts and other fees and charges incurred in
respect of letter of credit or bankers’ acceptance financings, and net of the effect of all
cash payments made or received pursuant to hedging obligations in respect of interest rates,
and excluding amortization of deferred financing costs; plus

     (2) any interest on Indebtedness of another Person that is guaranteed by such Person or
one of its Restricted Subsidiaries or secured by a Lien on assets of such Person or one of
its Restricted Subsidiaries, but only to the extent that such Guarantee or Lien is called
upon; plus

     (3) the product of (A) all cash dividends paid on any series of preferred stock of such
Person or any of its Restricted Subsidiaries (other than to any Loan Party or a Qualified
Restricted Subsidiary of the Borrower), in each case, determined on a consolidated basis in
accordance with GAAP multiplied by (B) a fraction, the numerator of which is one and the
denominator of which is one minus the then current combined federal, state and local
statutory tax rate of the Borrower and its Restricted Subsidiaries expressed as a decimal.

          “Foreign Lender” means any Lender that is organized under the laws of a jurisdiction
other than that in which the Borrower is located. For purposes of this definition, the United
States of America, each State thereof and the District of Columbia shall be deemed to constitute a
single jurisdiction.

          “Foreign Subsidiary” means any Subsidiary that is not a Domestic Subsidiary.

          “GAAP” means generally accepted accounting principles in the United States of America,
as in effect from time to time.

          “Government Programs” means (i) the Medicare and Medicaid Programs, (ii) the United
States Department of Defense Civilian Health Program for Uniformed Services and (iii) other similar
foreign or domestic Federal, state or local reimbursement or governmental health care programs.

          “Governmental Authority” means the government of the United States of America, any
other nation or any political subdivision thereof, whether state or local, and any agency,
authority, instrumentality, regulatory body, court, central bank or other entity exercising
executive, legislative, judicial, taxing, regulatory or administrative powers or functions of or
pertaining to government.

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          “Guarantee” of or by any Person (the “Guarantor”) means any obligation,
contingent or otherwise, of the guarantor guaranteeing or having the economic effect of
guaranteeing any Indebtedness or other obligation of any other Person (the “primary
obligor”) in any manner, whether directly or indirectly, and including any obligation of the
guarantor, direct or indirect, (a) to purchase or pay (or advance or supply funds for the purchase
or payment of) such Indebtedness or other obligation or to purchase (or to advance or supply funds
for the purchase of) any security for the payment thereof, (b) to purchase or lease property,
securities or services for the purpose of assuring the owner of such Indebtedness or other
obligation of the payment thereof, (c) to maintain working capital, equity capital or any other
financial statement condition or liquidity of the primary obligor so as to enable the primary
obligor to pay such Indebtedness or other obligation or (d) as an account party or applicant in
respect of any letter of credit or letter of guaranty issued to support such Indebtedness or
obligation, provided that the term “Guarantee” shall not include endorsements for
collection or deposit in the ordinary course of business. The amount of any Guarantee of any
guaranteeing person shall be deemed to be the lower of (a) an amount equal to the stated or
determinable amount of the primary obligation in respect of which the Guarantee is made and (b) the
maximum amount for which such guaranteeing person may be liable pursuant to the terms of the
instrument embodying such Guarantee.

          “Hazardous Materials” means all explosive, radioactive, infectious, chemical,
biological, medical or toxic materials, and all other chemicals, materials, substances, wastes,
pollutants or contaminants in any form, including petroleum or petroleum byproducts, asbestos or
asbestos-containing materials, polychlorinated biphenyls, radon gas and all other materials,
substances or wastes of any nature regulated pursuant to any Environmental Law.

          “Holdings” has the meaning set forth in the preamble to this Agreement.

          “Inactive Subsidiary” means a wholly owned Domestic Subsidiary that (a) conducts no
business operations, (b) has total assets with a Fair Market Value of not more than $500,000
individually and not more than $5,000,000 in the aggregate and (c) has no Indebtedness outstanding.

          “Incremental Extensions of Credit” has the meaning set forth in Section 2.20.

          “Incremental Facility Amendment” has the meaning set forth in Section 2.20.

          “Incremental Facility Closing Date” has the meaning set forth in Section 2.20.

          “Indebtedness” of any Person means, without duplication, (a) all obligations of such
Person for borrowed money or with respect to deposits or advances of any kind, (b) all obligations
of such Person evidenced by bonds, debentures, notes or similar instruments, (c) all obligations of
such Person upon which interest charges are customarily paid, (d) all obligations of such Person
under conditional sale or other title retention agreements relating to property acquired by such
Person, (e) all obligations of such Person in respect of the deferred purchase price of property or
services (excluding trade accounts payable and accrued obligations incurred in the ordinary course
of business), (f) all obligations of others secured by (or for which the holder of such obligations
has an existing right, contingent or otherwise, to be secured by) any Lien on property owned or
acquired by such Person, whether or not the obligations secured thereby have been assumed, but
limited, in the event such secured obligations are nonrecourse to such Person, to the fair value of
such property, (g) all Guarantees by such Person of the Indebtedness of any other Person, (h) all
Capital Lease Obligations of such Person, (i) all obligations, contingent or otherwise, of such
Person as an account party or applicant in respect of letters of credit and letters of guaranty,
(j) all obligations, contingent or otherwise, of such Person in respect of bankers’ acceptances and
(k) all obligations of such Person in respect of Disqualified Equity Interests. The Indebtedness
of any Person shall include the Indebtedness of any other entity (including any partnership in
which such Person is a general

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partner) to the extent such Person is liable therefor as a result of such Person’s ownership
interest in or other relationship with such entity, except to the extent the terms of such
Indebtedness provide that such Person is not liable therefor. Notwithstanding the foregoing, the
term “Indebtedness” shall not include post-closing payment adjustments, earn-outs or non-compete
payments to which the seller in any Permitted Acquisition is or may become entitled or amounts that
any member of management, the employees or consultants of Holdings, the Borrower or any of the
Subsidiaries may become entitled to under any cash incentive plan in existence from time to time.

          “Indemnified Taxes” means Taxes other than Excluded Taxes.

          “Indemnitee” has the meaning set forth in Section 9.03(b).

          “Information” has the meaning set forth in Section 9.12.

          “Information Memorandum” means the Confidential Information Memorandum dated March
2007, relating to Holdings, the Borrower, its subsidiaries and the Transactions.

          “Insurance Subsidiary” means a Subsidiary of the Borrower established for the sole
purpose of providing insurance benefits to the Borrower and its Subsidiaries.

          “Interest Election Request” means a request by the Borrower to convert or continue a
Revolving Borrowing or a Term Borrowing in accordance with Section 2.07, provided that a
written Interest Election Request shall be substantially in the form of Exhibit F, or such
other form as shall be approved by the Administrative Agent.

          “Interest Payment Date” means (a) with respect to any ABR Loan (including a Swingline
Loan), the last day of each March, June, September and December and (b) with respect to any
Eurodollar Loan, the last day of the Interest Period applicable to the Borrowing of which such Loan
is a part and, in the case of a Eurodollar Borrowing with an Interest Period of more than three
months’ duration, each day prior to the last day of such Interest Period that occurs at intervals
of three months’ duration after the first day of such Interest Period.

          “Interest Period” means, with respect to any Eurodollar Borrowing, the period
commencing on the date of such Borrowing and ending on the numerically corresponding day in the
calendar month that is one, two, three or six months thereafter (or nine or twelve months
thereafter if, at the time of the relevant Borrowing, all Lenders participating therein agree to
make an interest period of such duration available), as the Borrower may elect, provided
that (a) if any Interest Period would end on a day other than a Business Day, such Interest Period
shall be extended to the next succeeding Business Day unless such next succeeding Business Day
would fall in the next calendar month, in which case such Interest Period shall end on the next
preceding Business Day, and (b) any Interest Period that commences on the last Business Day of a
calendar month (or on a day for which there is no numerically corresponding day in the last
calendar month of such Interest Period) shall end on the last Business Day of the last calendar
month of such Interest Period. For purposes hereof, the date of a Borrowing initially shall be the
date on which such Borrowing is made and thereafter shall be the effective date of the most recent
conversion or continuation of such Borrowing.

          “Internally Generated Funds” means any amount expended by the Borrower and its
Restricted Subsidiaries and not representing (i) the proceeds of Capital Lease Obligations or
Long-Term Indebtedness (other than Indebtedness under a revolving line of credit, including the
Revolving Loans), (ii) the proceeds of the issuance of Equity Interests (or capital contributions
in respect thereof) or (iii) Net

-18-

 

Proceeds from a Prepayment Event or other credit received from a disposition, sale or other
transfer or exchange of assets outside the ordinary course of business.

          “Investment” has the meaning set forth in Section 6.04.

          “IPO” means a bona fide underwritten initial public offering of Equity Interests of
Holdings, the Borrower or a Parent after the Effective Date.

          “IP Rights” has the meaning set forth in Section 3.21.

          “Issuing Bank” means Citibank, N.A. or such other Lender designated as an “Issuing
Bank” pursuant to Section 2.05(k) and, with respect to each Existing Letter of Credit, the Existing
Issuing Bank. The Issuing Bank may, in its discretion, arrange for one or more Letters of Credit
to be issued by Affiliates of the Issuing Bank, in which case the term “Issuing Bank” shall include
any such Affiliate with respect to Letters of Credit issued by such Affiliate.

          “LC Disbursement” means a payment made by the Issuing Bank pursuant to a Letter of
Credit.

          “LC Exposure” means, at any time, the sum of (a) the aggregate undrawn amount of all
outstanding Letters of Credit at such time plus (b) the aggregate amount of all LC
Disbursements that have not yet been reimbursed by or on behalf of the Borrower at such time. The
LC Exposure of any Revolving Lender at any time shall be its Applicable Percentage of the aggregate
LC Exposure at such time.

          “Lenders” means the Persons listed on Schedule 2.01 and any other Person that
shall have become a party hereto pursuant to an Assignment and Assumption or an Incremental
Facility Amendment, other than any such Person that ceases to be a party hereto pursuant to an
Assignment and Assumption. Unless the context otherwise requires, the term “Lenders” includes the
Swingline Lender.

          “Letter of Credit” means any letter of credit issued pursuant to this Agreement or any
Existing Letter of Credit.

          “Leverage Ratio” means, on any date, the ratio of (a) Total Indebtedness on such date
to (b) Consolidated EBITDA for the period of four consecutive fiscal quarters of the Borrower ended
on such date (or, if such date is not the last day of a fiscal quarter, ended on the last day of
the fiscal quarter of the Borrower most recently ended prior to such date).

          “LIBO Rate” means, with respect to any Eurodollar Borrowing for any Interest Period,
the rate appearing on Page 3750 of the Dow Jones Market Service (or on any successor or substitute
page of such service, or any successor to or substitute for such service, providing rate quotations
comparable to those currently provided on such page of such Service, as determined by the
Administrative Agent from time to time for purposes of providing quotations of interest rates
applicable to dollar deposits in the London interbank market) at approximately 11:00 a.m., London
time, two Business Days prior to the commencement of such Interest Period, as the rate for dollar
deposits with a maturity comparable to such Interest Period. In the event that such rate is not
available at such time for any reason, then the “LIBO Rate” with respect to such Eurodollar
Borrowing for such Interest Period shall be the rate at which dollar deposits for a comparable
amount and for a maturity comparable to such Interest Period are offered by the principal London
office of the Administrative Agent in immediately available funds in the London interbank market at
approximately 11:00 a.m., London time, two Business Days prior to the commencement of such Interest
Period.

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          “Lien” means, with respect to any asset, (a) any mortgage, deed of trust, lien,
pledge, hypothecation, encumbrance, charge or security interest in, on or of such asset or other
arrangement to provide priority or preference with respect to such asset, (b) the interest of a
vendor or a lessor under any conditional sale agreement, capital lease or title retention agreement
(or any financing lease having substantially the same economic effect as any of the foregoing)
relating to such asset or (c) in the case of securities, any purchase option, call or similar right
of a third party (other than customary rights of first refusal and tag, drag and similar rights in
joint venture agreements (other than any such agreement in respect of any Subsidiary)) with respect
to such securities.

          “Limitation” means a revocation, suspension, termination, impairment, probation,
limitation, nonrenewal, forfeiture, declaration of ineligibility, loss of status as a participating
provider in any Third Party Payor Arrangement, and the loss of any other rights.

          “Loan Documents” means this Agreement, the promissory notes, if any, executed and
delivered pursuant to Section 2.09(e), any Incremental Facility Amendment, the Collateral Agreement
and the other Security Documents.

          “Loan Parties” means Holdings (other than for purposes of Article VI and terms used
therein), the Borrower and the Subsidiary Loan Parties.

          “Loans” means the loans made by the Lenders to the Borrower pursuant to this Agreement
or an Incremental Facility Amendment.

          “Long-Term Indebtedness” means any Indebtedness that, in accordance with GAAP,
constitutes (or, when incurred, constituted) a long-term liability.

          “Material Adverse Effect” means a material adverse effect on (a) the business,
operations, assets, properties, contingent liabilities or condition (financial or otherwise) of
Holdings, the Borrower and its Restricted Subsidiaries, taken as a whole, (b) the ability of any
Loan Party to perform any obligation under any Loan Document or (c) the rights of or benefits
available to the Lenders and Agents under any Loan Document or the ability of the Agent and the
Lenders to enforce the Loan Documents.

          “Material Indebtedness” means Indebtedness (other than the Loans and Letters of
Credit), or obligations in respect of one or more Swap Agreements, of any one or more of Holdings,
the Borrower and the Restricted Subsidiaries in an aggregate principal amount, individually or in
the aggregate, exceeding $20,000,000. For purposes of determining Material Indebtedness, the
“principal amount” of the obligations of the Borrower or any Restricted Subsidiary in respect of
any Swap Agreement at any time shall be the maximum aggregate amount (giving effect to any netting
agreements) that the Borrower or such Restricted Subsidiary would be required to pay if such Swap
Agreement were terminated at such time.

          “Maximum Rate” has the meaning set forth in Section 9.13.

          “Medicare and Medicaid Programs” means the programs established under Title XVIII and
XIX of the Social Security Act and any successor programs performing similar functions.

          “Merger” has the meaning set forth in the preamble to this Agreement.

          “Merger Agreement” has the meaning set forth in the preamble to this Agreement.

          “Merger Consideration” has the meaning set forth in the preamble to this Agreement.

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          “Moody’s” means Moody’s Investors Service, Inc.

          “Mortgage” means a mortgage, deed of trust, assignment of leases and rents or other
security document granting a Lien on any Mortgaged Property to secure the Obligations. Each
Mortgage shall be reasonably satisfactory in form and substance to the Collateral Agent.

          “Mortgaged Property” means each parcel of or other interests in real property owned by
a Loan Party and improvements thereto owned by a Loan Party with respect to which a Mortgage is
granted pursuant to Section 4.01, 5.12 or 5.13. In no event shall Mortgaged Property include, or
shall any Loan Party be obligated to grant a Mortgage with respect to, any leasehold.

          “Multiemployer Plan” means a multiemployer plan as defined in Section 4001(a)(3) of
ERISA, to which the Borrower or any ERISA Affiliate makes or is obligated to make contributions.

          “Net Income” means, with respect to any specified Person, the net income (loss) of
such Person, determined in accordance with GAAP and before any reduction in respect of preferred
stock dividends.

          “Net Proceeds” means, with respect to any event, (a) the cash proceeds received in
respect of such event including (i) any cash received in respect of any non-cash proceeds
(including any cash payments received by way of deferred payment of principal pursuant to a note or
installment receivable or purchase price adjustment receivable or otherwise, but excluding any
interest payments), but only as and when received, (ii) in the case of a casualty, insurance
proceeds and (iii) in the case of a condemnation or similar event, condemnation awards and similar
payments, net of (b) the sum of (i) all reasonable fees and out-of-pocket expenses paid to third
parties (other than Affiliates) in connection with such event, (ii) in the case of a sale, transfer
or other disposition of an asset (including pursuant to a sale and leaseback transaction or a
casualty or a condemnation or similar proceeding), (X) the amount of all payments required to be
made as a result of such event to repay Indebtedness (other than Loans) secured by such asset or
otherwise subject to mandatory prepayment as a result of such event and, in the case of any such
sale, transfer or other disposition of an asset of a Subsidiary that is not a Guarantor, the amount
of any repayments of Indebtedness of such Subsidiary other than intercompany Indebtedness made with
the proceeds of such sale, transfer or other disposition and (Y) in the event that a Restricted
Subsidiary makes a pro rata payment of dividends to all of its stockholders from any cash proceeds,
the amount of dividends paid to any stockholder other than the Borrower or any other Restricted
Subsidiary, provided that any cash proceeds of a sale, transfer or other disposition of an
asset by a Subsidiary that is not a Subsidiary Loan Party that are subject to legal or contractual
restrictions on repatriation to the Borrower will not be considered Net Proceeds for so long as
such proceeds are subject to such restrictions; provided however that any such contractual
restrictions on repatriation were not entered into in contemplation of such sale, transfer or other
disposition of assets and (iii) the amount of all taxes paid (or reasonably estimated to be
payable) and the amount of any reserves established to fund liabilities reasonably estimated to be
payable, in each case during the year that such event occurred or the next succeeding year and that
are directly attributable to such event (as determined reasonably and in good faith by a Financial
Officer), provided that no net proceeds calculated in accordance with the foregoing of less
than $500,000 realized in a single transaction or series of related transactions shall constitute
Net Proceeds.

          “Net Working Capital” means, at any date, (a) the consolidated current assets of the
Borrower and its Restricted Subsidiaries as of such date (excluding cash and Permitted Investments
and current deferred tax assets) minus (b) the consolidated current liabilities of the
Borrower and its Restricted Subsidiaries as of such date (excluding current liabilities in respect
of Indebtedness and current deferred tax liabilities). Net Working Capital at any date may be a
positive or negative number. Net Working

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Capital increases when it becomes more positive or less negative and decreases when it becomes
less positive or more negative.

          “Non-Cash Charges” has the meaning specified in the definition of the term
“Consolidated EBITDA.”

          “Non-Consenting Lender” has the meaning set forth in Section 9.02(b).

          “Non-Consolidated Entity” means each of the operating partnerships, limited liability
companies, limited liability partnerships, joint ventures or similar entities in which the Borrower
or its Restricted Subsidiaries, directly or indirectly, own Equity Interests, other than
Subsidiaries.

          “NPL” means the National Priorities List under CERCLA.

          “Obligations” has the meaning set forth in the Collateral Agreement.

          “OFAC” has the meaning set forth in Section 3.20.

          “Other Taxes” means any and all present or future recording, stamp, documentary,
excise, transfer, sales, property or similar Taxes, charges or levies arising from any payment made
under any Loan Document or from the execution, delivery or enforcement of, or from the filing or
recording of or otherwise with respect to the exercise by the Administrative Agent or the Lenders
of their rights under, any Loan Document.

          “Parent” means any direct or indirect parent of which Holdings is a wholly owned
subsidiary.

          “Participant” has the meaning set forth in Section 9.04(c).

          “Participant Register” has the meaning set forth in Section 9.04(c).

          “PBGC” means the Pension Benefit Guaranty Corporation referred to and defined in ERISA
and any successor entity performing similar functions.

          “Perfection Certificate” means a certificate in the form of Exhibit D or any
other form approved by the Collateral Agent.

          “Permitted Acquisitions” means any acquisition by the Borrower or any Qualified
Restricted Subsidiary of Equity Interests in, all or substantially all the assets of, or all or
substantially all the assets constituting a division or line of business of, a Person (that in the
case of an acquisition of Equity Interests, is or becomes a Qualified Restricted Subsidiary) if (a)
such acquisition was not preceded by, or consummated pursuant to, a hostile offer (including a
proxy contest), (b) no Default has occurred and is continuing or would result therefrom, (c) such
acquisition and all transactions related thereto are consummated in accordance in all material
respects with all applicable laws, (d) any Person or assets or division as acquired in accordance
herewith shall be in similar lines of business or lines of business related to or incidental to
those businesses in which the Borrower and/or its Restricted Subsidiaries are engaged as of the
Effective Date, (e) the Borrower is in compliance with the Financial Performance Covenant (such
covenant to be applied even if no Revolving Loan or Swingline Loan and less than $7.5 million of LC
Exposure is outstanding) on a Pro Forma Basis after giving effect to such Permitted Acquisition and
(f) the Borrower has delivered to the Administrative Agent an officer’s certificate to the effect
set forth in

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clauses (a), (b), (c), (d) and (e) above, together with, if such acquisition exceeds
$1,000,000 in aggregate consideration, all relevant financial information for the Person or assets
to be acquired.

          “Permitted Encumbrances” means:

     (a) Liens imposed by law for taxes that are not yet due or are being contested in
compliance with Section 5.05;

     (b) carriers’, warehousemen’s, mechanics’, materialmen’s, repairmen’s, construction
contractors and other like Liens imposed by law, arising in the ordinary course of business
and securing obligations that are not overdue by more than 30 days or that are being
contested in good faith;

     (c) (i) pledges and deposits made in the ordinary course of business in compliance with
workers’ compensation, unemployment insurance and other social security laws or regulations
and (ii) pledges and deposits in the ordinary course of business securing liability for
reimbursement or indemnification obligations of (including obligations in respect of letters
of credit or bank guarantees for the benefit of) insurance carriers providing property,
casualty or liability insurance to Holdings, the Borrower or any Restricted Subsidiary;

     (d) deposits to secure the performance of bids, trade contracts, government contracts,
leases, statutory obligations, surety, stay, customs and appeal bonds, performance bonds and
other obligations of a like nature (including those to secure health, safety and
environmental obligations);

     (e) judgment liens in respect of judgments that do not constitute an Event of Default
under Section 7.01(k);

     (f) easements, zoning restrictions, rights-of-way, encroachments, protrusions, minor
defects or irregularities of title and other similar encumbrances on real property imposed
by law or arising in the ordinary course of business that do not secure any monetary
obligations and do not either detract from the value of the affected property or interfere
with the ordinary conduct of business of the Borrower or any Restricted Subsidiary, in each
case in any material respect;

     (g) landlords’ and lessors’ and other like Liens in respect of rent not in default;

     (h) any Liens shown on the title insurance policies in favor of the Collateral Agent
insuring the Liens of the Mortgages;

     (i) leases or subleases which are subordinate in all respects to the Lien of any
Mortgage and, in the case of any lease or sublease entered into after the Effective Date
affecting any Mortgaged Property, such lease or sublease shall also be entered into in
compliance with the provisions of the applicable Mortgage and (ii) do not, individually or
in the aggregate, (A) interfere in any material respect with the ordinary conduct of the
business of the Borrower or any Restricted Subsidiary or (B) materially impair the use (for
its intended purposes) or the value of the assets or property subject thereto; and

     (j) Liens securing the Obligations;

provided that the term “Permitted Encumbrances” shall not include any Lien securing
Indebtedness.

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          “Permitted Investments” means:

     (a) direct obligations of, or obligations the principal of and interest on which are
unconditionally guaranteed by, the United States of America (or by any agency thereof to the
extent such obligations are backed by the full faith and credit of the United States of
America), in each case maturing within one year from the date of acquisition thereof;

     (b) investments in commercial paper maturing within 365 days from the date of
acquisition thereof and having, at such date of acquisition, a credit rating from S&P or
Moody’s of at least A2 or P2, respectively;

     (c) investments in certificates of deposit, banker’s acceptances and time deposits
maturing within 365 days from the date of acquisition thereof issued or guaranteed by or
placed with, and money market deposit accounts issued or offered by, any domestic office of
any commercial bank organized under the laws of the United States of America or any State
thereof that has a combined capital and surplus and undivided profits of not less than
$500,000,000;

     (d) fully collateralized repurchase agreements with a term of not more than 30 days for
securities described in clause (a) above and entered into with a financial institution
satisfying the criteria described in clause (c) above; and

     (e) investments in money market funds that comply with the criteria set forth in SEC
Rule 2a-7 under the Investment Company Act of 1940, as amended, substantially all of whose
assets are invested in investments of the type described in clauses (a) through (d) above.

          “Permitted Investors” means (i) the Sponsor and its Sponsor Affiliates (including any
investment partnership under common Control with the Sponsor), (ii) any officer, director,
employee, partner, member of stockholder of the manager or general partner of the foregoing
persons, and (iii) any Related Parties with respect to any of the foregoing persons.

          “Permitted Payment Restriction” means any consensual encumbrance or restriction (each,
a “restriction”) on the ability of any Restricted Subsidiary to (a) pay dividends or make any other
distributions on its Equity Interest to the Borrower or a Restricted Subsidiary or pay any
Indebtedness owed to the Borrower or a Restricted Subsidiary or (b) make any loans or advances to
the Borrower or a Restricted Subsidiary, which restriction satisfies all of the following
conditions: (i) (A) such restriction becomes effective only upon the occurrence of (x) specified
events under its charter or (y) a default by such Restricted Subsidiary in the payment of principal
of or interest, a bankruptcy default, a default on any financial covenant or any other material
default, in each case on Indebtedness that was incurred by such Restricted Subsidiary in compliance
with Section 6.01 or (B) such restriction is permitted under the UK Facility as in effect on the
Effective Date and (ii) such restriction would not materially impair the Borrower’s ability to make
scheduled payments of cash interest and to make required principal payments on the Loans, as
determined in good faith by the Board of Directors whose determination shall be conclusive.

          “Person” means any natural person, corporation, limited liability company, trust,
joint venture, association, company, partnership, Governmental Authority or other entity.

          “Plan” means any employee pension benefit plan subject to the provisions of Title IV
or Section 302 of ERISA or Section 412 of the Code, and in respect of which the Borrower or any
ERISA Affiliate is (or, if such plan were terminated, would under Section 4069 of ERISA be deemed
to be) an “employer” as defined in Section 3(5) of ERISA.

-24-

 

          “Prepayment Event” means:

     (a) any sale, transfer or other disposition (excluding pursuant to a sale and leaseback
transaction permitted under Section 6.06) of any property or asset of Holdings, the Borrower
or any Restricted Subsidiary resulting in Net Proceeds in excess of $250,000 (in any single
transaction or series of related transactions), other than dispositions described in clauses
(a)(i), (b), (c), (d), (h), (i), (j) and (k) of Section 6.05; or

     (b) any casualty or other insured damage to, or any taking under power of eminent
domain or by condemnation or similar proceeding of, any property or asset of Holdings, the
Borrower or any Restricted Subsidiary resulting in Net Proceeds in excess of $1,000,000; or

     (c) the incurrence by Holdings, the Borrower or any Restricted Subsidiary of any
Indebtedness, other than Indebtedness permitted under Section 6.01 or, in the case of
Holdings, Section 6.03(c), or permitted by the Required Lenders pursuant to Section 9.02;

     provided that any Prepayment Event at a UK Subsidiary shall only constitute a
Prepayment Event after the terms of the UK Facility have been complied with.

          “Prime Rate” means the rate of interest per annum publicly announced from time to time
by Citibank, N.A. as its base rate in effect for dollars at its principal office in New York, New
York; each change in the Prime Rate shall be effective from and including the date such change is
publicly announced as being effective.

          “Pro Forma Basis” means, for purposes of calculating the Fixed Charge Coverage Ratio,
the Secured Leverage Ratio, the Leverage Ratio or Facility-Level EBITDA (the “Relevant
Calculation”) for any period, in the event that the Borrower or any of its Restricted Subsidiaries
incurs, assumes, guarantees, repays, repurchases, redeems, defeases or otherwise discharges any
Indebtedness (other than ordinary working capital borrowings) or issues, repurchases or redeems
preferred stock or Disqualified Equity Interests subsequent to the commencement of the period for
which the Relevant Calculation is being calculated and on or prior to the date on which the event
for which the Relevant Calculation is made, then the Relevant Calculation will be calculated giving
pro forma effect to such incurrence, assumption, guarantee, repayment, repurchase, redemption,
defeasance or other discharge of Indebtedness, or such issuance, repurchase or redemption of
preferred stock or Disqualified Equity Interests, and the use of the proceeds therefrom, as if the
same had occurred at the beginning of the applicable four-quarter reference period.

          In addition, for purposes of the Relevant Calculation:

     (1) Investments, acquisitions, mergers, consolidations and dispositions that have been
made by the Borrower or any of its Restricted Subsidiaries, or any Person or any of its
Restricted Subsidiaries acquired by, merged or consolidated with the Borrower or any of its
Restricted Subsidiaries, and including any related financing transactions and including
increases in ownership of Restricted Subsidiaries, during the four-quarter reference period
or subsequent to such reference period and on or prior to the Calculation Date will be given
pro forma effect, including giving effect to Pro Forma Cost Savings, as if they had occurred
on the first day of the four-quarter reference period;

     (2) the Consolidated EBITDA attributable to discontinued operations, as determined in
accordance with GAAP, and operations or businesses (and ownership interests therein)
disposed of prior to the Calculation Date, will be excluded;

-25-

 

     (3) the Fixed Charges attributable to discontinued operations, as determined in
accordance with GAAP, and operations or businesses (and ownership interests therein)
disposed of prior to the Calculation Date, will be excluded, but only to the extent that the
obligations giving rise to such Fixed Charges will not be obligations of the Borrower or any
of its Restricted Subsidiaries following the Calculation Date;

     (4) any Person that is a Restricted Subsidiary on the Calculation Date will be deemed
to have been a Restricted Subsidiary at all times during such four-quarter period;

     (5) any Person that is not a Restricted Subsidiary on the Calculation Date will be
deemed not to have been a Restricted Subsidiary at any time during such four-quarter period;
and

     (6) if any Indebtedness bears a floating rate of interest, the interest expense on such
Indebtedness will be calculated as if the rate in effect on the Calculation Date had been
the applicable rate for the entire period (taking into account any Swap Agreement applicable
to such Indebtedness).

          For purposes of this definition, whenever pro forma effect is given to a transaction, the pro
forma calculations shall be made in good faith by a Financial Officer. For purposes of determining
whether any Indebtedness constituting a Guarantee may be incurred, the interest on the Indebtedness
to be guaranteed shall be included in calculating the Fixed Charge Coverage Ratio on a Pro Forma
Basis. Interest on a Capital Lease Obligation shall be deemed to accrue at an interest rate
reasonably determined by a Financial Officer to be the rate of interest implicit in such Capital
Lease Obligation in accordance with GAAP. For purposes of making the computation referred to
above, interest on any Indebtedness under a revolving credit facility computed on a pro forma basis
shall be computed based upon the average daily balance of such Indebtedness during the applicable
period. Interest on Indebtedness that may optionally be determined at an interest rate based upon
a factor of a prime or similar rate, a eurocurrency interbank offered rate, or other rate, shall be
deemed to have been based upon the rate actually chosen, or, if none, then based upon such optional
rate chosen as the Borrower may designate.

          “Pro Forma Cost Savings” means, with respect to any period, the reduction in net costs
and related adjustments that (i) were directly attributable to an acquisition, merger,
consolidation or disposition that occurred during the four-quarter reference period or subsequent
to the four-quarter reference period and on or prior to the Calculation Date and calculated on a
basis that is consistent with Regulation S-X under the Securities Act of 1933 as in effect and
applied as of the Effective Date, (ii) were actually implemented by the business that was the
subject of any such acquisition, merger, consolidation or disposition within 12 months after the
date of the acquisition, merger, consolidation or disposition and prior to the Calculation Date
that are supportable and quantifiable by the underlying accounting records of such business or
(iii) for all purposes other than determining the “Applicable Rate”, relate to the business that is
the subject of any such acquisition, merger, consolidation or disposition and that the Borrower
reasonably determines are probable based upon specifically identifiable actions to be taken within
12 months of the date of the acquisition, merger, consolidation or disposition and, in the case of
each of (i), (ii) and (iii), are described in a certificate signed by a Financial Officer, as if
all such reductions in costs had been effected as of the beginning of such period.

          “Proposed Change” has the meaning set forth in Section 9.02(b).

          “Qualified Equity Interests” means any Equity Interests that are not Disqualified
Equity Interests.

-26-

 

          “Qualified Holdings Debt” means unsecured Indebtedness of Holdings or a Parent that
(a) is not subject to any Guarantee by the Borrower or any Subsidiary, (b) does not mature prior to
the date that is 180 days after the Tranche B Maturity Date, (c) has no scheduled amortization or
payments of principal prior to such 180th day (it being understood that such Indebtedness may have
mandatory prepayment, repurchase or redemption provisions satisfying the requirements of clause (d)
hereof), (d) has mandatory prepayment, repurchase or redemption, covenant, default and remedy
provisions customary for senior notes of an issuer that is the parent of a borrower under senior
secured credit facilities and in any event, with respect to default and remedy provisions, not
materially more restrictive than those set forth in the Senior Subordinated Notes, taken as a whole
(other than provisions customary for senior notes of a holding company) and (e) if applicable, has
subordination provisions and other non-pricing terms and conditions that are no less favorable to
the Lenders than the analogous provisions of the Senior Subordinated Notes.

          “Qualified Restricted Subsidiary” means any Restricted Subsidiary that satisfies all
of the following requirements: (1) except for Permitted Payment Restrictions, there are no
restrictions, directly or indirectly, on the ability of such Restricted Subsidiary to pay dividends
or make distributions to the holders of its Equity Interests; (2) except to the extent restricted
pursuant to a Permitted Payment Restriction, such Restricted Subsidiary customarily declares and
pays regular monthly, quarterly or semi-annual dividends or distributions to the holders of its
Equity Interests in an amount equal to substantially all of the available cash flow of such
Restricted Subsidiary for such period, as determined in good faith by the board of directors, board
of governors or such other individuals performing similar functions, subject to such ordinary and
customary reserves and other amounts as, in the good faith judgment of such individuals, may be
necessary so that the business of such Restricted Subsidiary may be properly and advantageously
conducted at all times, and the Borrower intends to cause such Restricted Subsidiary to continue to
declare and pay such regular dividends or distributions in the manner set forth above; and (3) the
Equity Interests of such Restricted Subsidiary consist solely of (A) Equity Interests owned by the
Borrower and its Qualified Restricted Subsidiaries, (B) Equity Interests owned by Strategic
Investors and (C) directors’ qualifying shares.

          “Register” has the meaning set forth in Section 9.04(b).

          “Reimbursement Approvals” means, with respect to all Government Programs, any and all
certifications, provider numbers, provider agreements, participation agreements, accreditations and
any other similar agreements with or approvals by any Governmental Authority or other Person.

          “Related Parties” means, with respect to any specified Person, such Person’s
Affiliates and the respective directors, officers, employees, agents, trustees and advisors of such
Person and such Person’s Affiliates.

          “Release” means any release, spill, emission, leaking, dumping, injection, pouring,
deposit, disposal, discharge, dispersal, leaching or migration into or through the environment or
within or upon any building, structure, facility or fixture.

          “Repayment” has the meaning set forth in the preamble to this Agreement.

          “Required Lenders” means, at any time, Lenders having Revolving Exposures, Term Loans,
Loans in respect of Incremental Extensions of Credit (if any) and unused Commitments representing
more than 50% of the aggregate Revolving Exposures, outstanding Term Loans, outstanding Loans in
respect of Incremental Extensions of Credit (if any) and unused Commitments at such time.

-27-

 

          “Required Revolving Lenders” means, at any time, Revolving Lenders having Revolving
Exposures and unused Revolving Commitments representing more than 50% of the aggregate Revolving
Exposures and unused Revolving Commitments at such time.

          “Requirement of Law” means, with respect to any Person, (i) the charter, articles or
certificate of organization or incorporation and bylaws or other organizational or governing
documents of such Person and (ii) any statute, law, treaty, rule, regulation, order, decree, writ,
injunction or determination of any arbitrator or court or other Governmental Authority, in each
case applicable to or binding upon such Person or any of its property or to which such Person or
any of its property is subject.

          “Restricted Payment” means any dividend or other distribution (whether in cash,
securities or other property) with respect to any Equity Interests in Holdings, the Borrower or any
Subsidiary, or any payment thereon (whether in cash, securities or other property), including any
sinking fund or similar deposit, on account of the purchase, redemption, retirement, acquisition,
cancellation or termination of any Equity Interests in Holdings, the Borrower or any Subsidiary or
any option, warrant or other right to acquire any such Equity Interests in Holdings, the Borrower
or any Subsidiary.

          “Restricted Subsidiary” means any Subsidiary of the Borrower other than an
Unrestricted Subsidiary.

          “Revolving Availability Period” means the period from and including the Effective Date
to but excluding the earlier of (a) the Revolving Maturity Date and (b) the date of termination of
the Revolving Commitments.

          “Revolving Commitment” means, with respect to each Lender, the commitment, if any, of
such Lender to make Revolving Loans and to acquire participations in Letters of Credit and
Swingline Loans hereunder, expressed as an amount representing the maximum possible aggregate
amount of such Lender’s Revolving Exposure hereunder, as such commitment may be (a) reduced from
time to time pursuant to Section 2.08 and (b) reduced or increased from time to time pursuant to
assignments by or to such Lender pursuant to Section 9.04. The initial amount of each Lender’s
Revolving Commitment is set forth on Schedule 2.01 or in the Assignment and Assumption
pursuant to which such Lender shall have assumed its Revolving Commitment, as applicable. The
initial aggregate amount of the Lenders’ Revolving Commitments is $100,000,000.

          “Revolving Exposure” means, with respect to any Lender at any time, the sum of the
outstanding principal amount of such Lender’s Revolving Loans and its LC Exposure and Swingline
Exposure at such time.

          “Revolving Lender” means a Lender with a Revolving Commitment or, if the Revolving
Commitments have terminated or expired, a Lender with Revolving Exposure.

          “Revolving Loan” means a Loan made pursuant to Section 2.01(c).

          “Revolving Maturity Date” means the sixth anniversary of the Effective Date.

          “Rollover Equity” has the meaning set forth in the preamble to this Agreement.

          “S&P” means Standard & Poor’s, a division of The McGraw-Hill Companies, Inc.

          “St. Louis Investments” means Investments relating to (x) those certain ambulatory
surgery centers located in St. Louis, Missouri (or Investments in Persons owning such assets) that
are owned

-28-

 

by the Borrower or a Restricted Subsidiary on the Effective Date and listed on Schedule
1.01(b) or (y) one additional surgery center located in St. Louis, Missouri (or Investments in
Persons owning such assets) to be acquired by the Borrower or a Restricted Subsidiary after the
Effective Date.

          “SEC” means the Securities and Exchange Commission or any Governmental Authority
succeeding to any of its principal functions.

          “Secured Leverage Ratio” means, on any date, the ratio of (a) Total Secured
Indebtedness on such date to (b) Consolidated EBITDA for the period of four consecutive fiscal
quarters of the Borrower ended on such date (or, if such date is not the last day of a fiscal
quarter, ended on the last day of the fiscal quarter of the Borrower most recently ended prior to
such date).

          “Security Documents” means the Collateral Agreement, the Perfection Certificate, the
Mortgages and each other security agreement or other instrument or document executed and delivered
pursuant to Section 5.12 or 5.13 to secure any of the Obligations.

          “Senior Subordinated Notes” means the 8.875% Senior Subordinated Notes due 2017 in the
aggregate principal amount of $240,000,000 and the 9.25%/10% Senior Subordinated Toggle Notes due
2017 in the aggregate principal amount of $200,000,000, each issued by the Borrower on the
Effective Date, and the Indebtedness represented thereby.

          “Senior Subordinated Notes Documents” means the indenture dated as of April 19, 2007,
among the Borrower, the Restricted Subsidiaries listed therein and U.S. Bank Trust National
Association, as trustee, in respect of the Senior Subordinated Notes and all other instruments,
agreements and other documents evidencing or governing the Senior Subordinated Notes or providing
for any Guarantee or other right in respect thereof.

          “Specified Subsidiary” means (i) American Endoscopy Services, Inc., (ii) each wholly
owned Domestic Subsidiary listed on Schedule 1.01(c) (provided that if any such Subsidiary
has not been legally dissolved within 180 days after the Effective Date and no Equity Interests
therein are owned by Strategic Investors 180 days after the Effective Date, such Subsidiary shall
no longer constitute a Specified Subsidiary) and (iii) any Qualified Restricted Subsidiary that is
a wholly owned Domestic Subsidiary formed or acquired after the Effective Date if a Financial
Officer or the Chief Development Officer or General Counsel of the Borrower represents in writing
to the Administrative Agent that the Borrower intends in good faith to syndicate the Equity
Interests to Strategic Investors within 180 days of such formation or acquisition (provided
that if no Equity Interests of such Subsidiary have been syndicated to Strategic Investors within
180 days after such formation or acquisition, such Subsidiary shall no longer constitute a
Specified Subsidiary); provided that any Specified Subsidiary shall cease to be a Specified
Subsidiary if the Borrower has opted for it to satisfy the Collateral and Guarantee Requirement.

          “Sponsor” means Welsh, Carson, Anderson & Stowe X, L.P.

          “Sponsor Affiliate” means (i) each Affiliate of the Sponsor that is neither an
operating company nor a company controlled by an operating company, (ii) each partner, officer,
director, principal or member of the Sponsor or any Sponsor Affiliate and (iii) any spouse, parent
or lineal descendant (including by adoption) of any of the foregoing who are natural persons and
any trust for the benefit of such persons.

          “Sponsor Management Agreement” means the Management Agreement between the Borrower and
WCAS Management Corporation dated as of the date hereof, as in effect on the date hereof.

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          “Statutory Reserve Rate” means a fraction (expressed as a decimal), the numerator of
which is the number one and the denominator of which is the number one minus the aggregate
of the maximum reserve percentages (including any marginal, special, emergency or supplemental
reserves) expressed as a decimal established by the Board to which the bank serving as the
Administrative Agent is subject with respect to the Adjusted LIBO Rate, for eurocurrency funding
(currently referred to as “Eurocurrency Liabilities” in Regulation D of the Board). Such reserve
percentages shall include those imposed pursuant to such Regulation D. Eurodollar Loans shall be
deemed to constitute eurocurrency funding and to be subject to such reserve requirements without
benefit of or credit for proration, exemptions or offsets that may be available from time to time
to any Lender under such Regulation D or any comparable regulation. The Statutory Reserve Rate
shall be adjusted automatically on and as of the effective date of any change in any reserve
percentage.

          “Strategic Investors” means physicians, hospitals, health systems, other healthcare
providers, other healthcare companies and other similar strategic joint venture partners which
joint venture partners are actively involved in the day-to-day operations of providing surgical
care and surgery-related services, or, in the case of physicians, that have retired therefrom,
individuals who are former owners or employees of surgical care facilities purchased by the
Borrower or any of its Restricted Subsidiaries, and consulting firms that receive common Equity
Interests solely as consideration for consulting services performed.

          “Subordinated Indebtedness” means Indebtedness of Holdings, the Borrower or any
Subsidiary that is contractually subordinated to the Obligations.

          “subsidiary” means, with respect to any Person (the “parent”) at any date, any
corporation, limited liability company, partnership, association or other entity the accounts of
which would be consolidated with those of the parent in the parent’s consolidated financial
statements if such financial statements were prepared in accordance with GAAP as of such date.

          “Subsidiary” means any subsidiary of the Borrower.

          “Subsidiary Loan Party” means any Domestic Subsidiary that is a Restricted Subsidiary
(other than (a) any Subsidiary that is not a wholly owned Subsidiary, (b) any Subsidiary that is
prohibited by applicable law from guaranteeing the Obligations, (c) any Domestic Subsidiary that is
a Subsidiary of a Foreign Subsidiary, (d) any Inactive Subsidiary for which the Borrower has not
opted to satisfy the Collateral and Guarantee Requirement, (e) any Insurance Subsidiary, (f) any
Restricted Subsidiary that is acquired pursuant to a Permitted Acquisition financed with secured
Indebtedness incurred pursuant to Section 6.01(a)(vii) and each Restricted Subsidiary thereof that
guarantees such Indebtedness if the terms of such Indebtedness or guarantee prohibit such Person
from becoming a Subsidiary Loan Party; provided that each such Restricted Subsidiary shall
cease to be an excluded Subsidiary under this clause (f) if such secured Indebtedness is repaid or
becomes unsecured or if such Restricted Subsidiary ceases to guarantee such secured Indebtedness or
if such Indebtedness or guarantee ceases to prohibit such Person from becoming a Subsidiary Loan
Party, as applicable, (g) any Specified Subsidiary and (h) any other Subsidiary with respect to
which, in the reasonable judgment of the Administrative Agent (confirmed in writing by notice to
the Borrower), the cost or other consequences (including any adverse tax consequences) of providing
a Guarantee shall be excessive in view of the benefits to be obtained by the Lenders therefrom).

          “Swap Agreement” means any agreement with respect to any swap, forward, future or
derivative transaction or option or similar agreement involving, or settled by reference to, one or
more rates, currencies, commodities, equity or debt instruments or securities, or economic,
financial or pricing indices or measures of economic, financial or pricing risk or value or any
similar transaction or any combination of these transactions, provided that no phantom
stock or similar plan providing for payments

-30-

 

only on account of services provided by current or former directors, officers, employees or
consultants of the Borrower or the Subsidiaries shall be a Swap Agreement.

          “Swingline Exposure” means, at any time, the aggregate principal amount of all
Swingline Loans outstanding at such time. The Swingline Exposure of any Lender at any time shall
be its Applicable Percentage of the aggregate Swingline Exposure at such time.

          “Swingline Lender” means Citibank, N.A., in its capacity as lender of Swingline Loans
hereunder.

          “Swingline Loan” means a Loan made pursuant to Section 2.04.

          “Syndication Agent” means Lehman Brothers Inc.

          “Taxes” means any and all present or future taxes, levies, imposts, duties,
deductions, charges or withholdings imposed by any Governmental Authority.

          “Term Lender” means a Tranche B Lender or a Delayed Draw Lender.

          “Term Loan” means a Tranche B Term Loan or a Delayed Draw Term Loan.

          “Third Party Payor” means any Government Program and any quasipublic agency, Blue
Cross, Blue Shield and any managed care plans and organizations, including health maintenance
organizations and preferred provider organizations and private commercial insurance companies and
any similar third party arrangements, plans or programs for payment or reimbursement in connection
with health care services, products or supplies.

          “Third Party Payor Arrangement” means any arrangement, plan or program for payment or
reimbursement by any Third Party Payor in connection with the provision of healthcare services,
products or supplies.

          “Total Assets” means the total assets of the Borrower and its Restricted Subsidiaries
on a consolidated basis as shown on the most recent balance sheet of the Borrower required to be
delivered pursuant to Section 5.01(a) or (b) (it being understood that if such required balance
sheet is not delivered Total Assets shall be deemed to be zero until such balance sheet is
delivered).

          “Total Indebtedness” means, as of any date, the aggregate principal amount of
Indebtedness of the Borrower and the Restricted Subsidiaries outstanding as of such date, in the
amount that would be reflected on a balance sheet prepared as of such date on a consolidated basis
in accordance with GAAP, minus the amount of unrestricted cash and Permitted Investments
that is not subject to any Lien (other than any Lien under the Loan Documents or Liens permitted by
clauses (vi), (x) and (xi) of Section 6.02) held, on such date, by the Borrower and the Subsidiary
Loan Parties.

          “Total Secured Indebtedness” means, as of any date, the aggregate principal amount of
(x) Indebtedness of any Loan Party (other than Holdings) that is secured by a Lien on the assets of
any such Loan Party and (y) Indebtedness of any Restricted Subsidiary that is not a Loan Party, in
each case, outstanding as of such date, in the amount that would be reflected on a balance sheet
prepared as of such date on a consolidated basis in accordance with GAAP plus the aggregate
principal amount of all Guarantees by any Restricted Subsidiary that is not a Loan Party of the
Indebtedness of any other Person to the extent not already included in such amount, minus
the amount of unrestricted cash and Permitted Investments that is not subject to any Lien (other
than any Lien under the Loan Documents or Liens permitted

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by clauses (vi), (x) and (xi) of Section 6.02) held, on such date, by the Borrower and the
Subsidiary Loan Parties.

          “Tranche B Commitment” means, with respect to each Lender, the commitment, if any, of
such Lender to make a Tranche B Term Loan hereunder on the Effective Date, expressed as an amount
representing the maximum principal amount of the Tranche B Term Loan to be made by such Lender
hereunder, as such commitment may be (a) reduced from time to time pursuant to Section 2.08 and (b)
reduced or increased from time to time pursuant to assignments by or to such Lender pursuant to
Section 9.04. The initial amount of each Lender’s Tranche B Commitment is set forth on
Schedule 2.01 or in the Assignment and Assumption pursuant to which such Lender shall have
assumed its Tranche B Commitment, as applicable. The initial aggregate amount of the Lenders’
Tranche B Commitments is $430,000,000.

          “Tranche B Lender” means a Lender with a Tranche B Commitment or an outstanding
Tranche B Term Loan.

          “Tranche B Maturity Date” means the seventh anniversary of the Effective Date.

          “Tranche B Term Loan” means a Loan made pursuant to Section 2.01(a).

          “Transaction Costs” means the payment of fees, expenses and other costs in connection
with the items described in clauses (a)-(f) of the definition of Transactions.

          “Transactions” means (a) the Merger and the other transactions contemplated by the
Acquisition Documents, (b) the Equity Contributions and the rollover of the Rollover Equity, (c)
the Repayment, (d) the execution, delivery and performance by each Loan Party of the Loan Documents
to which it is to be a party, the borrowing of Loans, the use of the proceeds thereof and the
issuance of Letters of Credit hereunder on the Effective Date, (e) the issuance of the Senior
Subordinated Notes, (f) the execution, delivery, performance of, and the borrowings (and use of
proceeds thereof) under, the UK Facility and (g) payment of the Transaction Costs on the Effective
Date.

          “Type”, when used in reference to any Loan or Borrowing, refers to whether the rate of
interest on such Loan, or on the Loans comprising such Borrowing, is determined by reference to the
Adjusted LIBO Rate or the Alternate Base Rate.

          “UK Facility” means that certain Amended and Restated Agreement dated April 12, 2007,
by and among certain UK Subsidiaries and The Governor and Company of the Bank of Scotland, as
amended, restated, modified, renewed, refunded, replaced or refinanced (including by means of sales
of debt securities and including any amendment, restatement, modification, renewal, refunding,
replacement or refinancing that increases the amount to be borrowed thereunder or extends the
maturity thereof) from time to time.

          “UK Facility Debt” has the meaning set forth in Section 6.08(b).

          “UK Subsidiaries” means any Subsidiary organized under the laws of the United Kingdom.

          “Unrestricted Subsidiary” means any Subsidiary of the Borrower designated by the Board
of Directors of the Borrower as an Unrestricted Subsidiary pursuant to Section 5.15(a) subsequent
to the date hereof.

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          “USA Patriot Act” has the meaning set forth in Section 3.20.

          “wholly owned” means with respect to any Person, a subsidiary of such Person all the
outstanding Equity Interests of which (other than (x) directors’ qualifying shares and (y) shares
issued to foreign nationals to the extent required by applicable law) are owned by such Person
and/or by one or more wholly owned subsidiaries of such Person.

          “Withdrawal Liability” means liability to a Multiemployer Plan as a result of a
complete or partial withdrawal from such Multiemployer Plan, as such terms are defined in ERISA.

          SECTION 1.02. Classification of Loans and Borrowings. For purposes of this Agreement,
Loans may be classified and referred to by Class (e.g., a “Revolving Loan”) or by Type
(e.g., a “Eurodollar Loan”) or by Class and Type (e.g., a “Eurodollar Revolving
Loan”). Borrowings also may be classified and referred to by Class (e.g., a “Revolving
Borrowing”) or by Type (e.g., a “Eurodollar Borrowing”) or by Class and Type (e.g.,
a “Eurodollar Revolving Borrowing”).

          SECTION 1.03. Terms Generally. The definitions of terms herein shall apply equally to
the singular and plural forms of the terms defined. Whenever the context may require, any pronoun
shall include the corresponding masculine, feminine and neuter forms. The words “include”,
“includes” and “including” shall be deemed to be followed by the phrase “without limitation”. The
word “will” shall be construed to have the same meaning and effect as the word “shall”. Unless the
context requires otherwise (a) any definition of or reference to any agreement, instrument or other
document herein shall be construed as referring to such agreement, instrument or other document as
from time to time amended, supplemented or otherwise modified (subject to any restrictions on such
amendments, supplements or modifications set forth herein), (b) any reference herein to any Person
shall be construed to include such Person’s successors and assigns, (c) the words “herein”,
“hereof” and “hereunder”, and words of similar import, shall be construed to refer to this
Agreement in its entirety and not to any particular provision hereof, (d) all references herein to
Articles, Sections, Exhibits and Schedules shall be construed to refer to Articles and Sections of,
and Exhibits and Schedules to, this Agreement and (e) the words “asset” and “property” shall be
construed to have the same meaning and effect and to refer to any and all tangible and intangible
assets and properties, including cash, securities, accounts and contract rights.

          SECTION 1.04. Accounting Terms; GAAP. Except as otherwise expressly provided herein,
all terms of an accounting or financial nature shall be construed in accordance with GAAP as in
effect from time to time, provided that if the Borrower notifies the Administrative Agent
that the Borrower requests an amendment to any provision (including any definition) hereof to
eliminate the effect of any change occurring after the date hereof in GAAP or in the application
thereof on the operation of such provision (or if the Administrative Agent notifies the Borrower
that the Required Lenders request an amendment to any provision (including any definition) hereof
for such purpose), regardless of whether any such notice is given before or after such change in
GAAP or in the application thereof, then such provision shall be interpreted on the basis of GAAP
as in effect and applied immediately before such change shall have become effective until such
notice shall have been withdrawn or such provision amended in accordance herewith.

          SECTION 1.05. Pro Forma Calculations. Notwithstanding anything to the contrary herein, the calculation of the Fixed Charge
Coverage Ratio, the Secured Leverage Ratio, the Leverage Ratio and Facility-Level EBITDA on any
Calculation Date for any purpose under this Agreement shall be made on a Pro Forma Basis.

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ARTICLE II

The Credits

          SECTION 2.01. Commitments. Subject to the terms and conditions set forth herein, each
Lender agrees (a) to make a Tranche B Term Loan to the Borrower on the Effective Date in a
principal amount not exceeding its Tranche B Commitment; (b) to make a Delayed Draw Term Loan to
the Borrower from time to time, but on no more than seven (7) occasions, during the Delayed Draw
Availability Period in a principal amount not exceeding its Delayed Draw Commitment; and (c) to
make Revolving Loans to the Borrower from time to time during the Revolving Availability Period in
an aggregate principal amount that will not result in such Lender’s Revolving Exposure exceeding
such Lender’s Revolving Commitment; provided that no more than $5.0 million of Revolving
Loans may be made on the Effective Date. Within the foregoing limits and subject to the terms and
conditions set forth herein, the Borrower may borrow, prepay and reborrow Revolving Loans. Amounts
repaid or prepaid in respect of the Term Loans may not be reborrowed.

          SECTION 2.02. Loans and Borrowings.

          (a) Each Loan (other than a Swingline Loan) shall be made as part of a Borrowing consisting of
Loans of the same Class and Type made by the Lenders ratably in accordance with their respective
Commitments of the applicable Class. The failure of any Lender to make any Loan required to be
made by it shall not relieve any other Lender of its obligations hereunder, provided that
the Commitments of the Lenders are several and no Lender shall be responsible for any other
Lender’s failure to make Loans as required.

          (b) Subject to Section 2.14, each Revolving Borrowing and Term Loan Borrowing shall be
comprised entirely of ABR Loans or Eurodollar Loans as the Borrower may request in accordance
herewith, provided that all Borrowings made on the Effective Date must be made as ABR
Borrowings. Each Swingline Loan shall be an ABR Loan. Each Lender at its option may make any
Eurodollar Loan by causing any domestic or foreign branch or Affiliate of such Lender to make such
Loan, provided that any exercise of such option shall not affect the obligation of the
Borrower to repay such Loan in accordance with the terms of this Agreement.

          (c) At the commencement of each Interest Period for any Eurodollar Borrowing, such Borrowing
shall be in an aggregate amount that is an integral multiple of $500,000 and not less than
$1,000,000. At the time that each ABR Borrowing is made, such Borrowing shall be in an aggregate
amount that is an integral multiple of $500,000 and not less than $1,000,000; provided,
that, notwithstanding the foregoing each Swingline Loan shall be not less than $250,000 and if
greater than such amount shall be in an amount that is an integral multiple of $100,000.
Borrowings of more than one Type and Class may be outstanding at the same time. There shall not at
any time be more than a total of ten Eurodollar Borrowings outstanding. Notwithstanding anything
to the contrary herein, an ABR Revolving Borrowing or Swingline Loan may be in an aggregate amount,
subject in the case of Swingline Loans to the limitations on the amounts thereof set forth in
Section 2.04(a), (i) that is equal to the entire unused
balance of the aggregate Revolving Commitments or (ii) that is required to finance the
reimbursement of an LC Disbursement as contemplated by Section 2.05(e).

          (d) Notwithstanding any other provision of this Agreement, the Borrower shall not be entitled
to request, or to elect to convert or continue, any Borrowing if the Interest Period requested with
respect thereto would end after the Revolving Maturity Date, the Delayed Draw Maturity Date or the
Tranche B Maturity Date, as applicable.

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          SECTION 2.03. Requests for Borrowings. To request a Revolving Borrowing or Term Loan
Borrowing, the Borrower shall notify the Administrative Agent of such request by telephone (a) in
the case of a Eurodollar Borrowing, not later than 1:00 p.m., New York City time, three Business
Days before the date of the proposed Borrowing or (b) in the case of an ABR Borrowing, not later
than 12:00 noon, New York City time, one Business Day before the date of the proposed Borrowing.
Each such telephonic Borrowing Request shall be irrevocable and shall be confirmed promptly by hand
delivery or telecopy to the Administrative Agent of a written Borrowing Request signed by the
Borrower. Each such telephonic and written Borrowing Request shall specify the following
information in compliance with Section 2.02:

     (i) whether the requested Borrowing is to be a Revolving Borrowing, a Delayed Draw Term
Loan Borrowing or a Tranche B Term Loan Borrowing;

     (ii) the aggregate amount of such Borrowing;

     (iii) the date of such Borrowing, which shall be a Business Day;

     (iv) whether such Borrowing is to be an ABR Borrowing or a Eurodollar Borrowing;

     (v) in the case of a Eurodollar Borrowing, the initial Interest Period to be applicable
thereto, which shall be a period contemplated by the definition of the term “Interest
Period”; and

     (vi) the location and number of the Borrower’s account to which funds are to be
disbursed, which shall comply with the requirements of Section 2.06.

If no election as to the Type of Borrowing is specified, then the requested Borrowing shall be an
ABR Borrowing. If no Interest Period is specified with respect to any requested Eurodollar
Borrowing, then the Borrower shall be deemed to have selected an Interest Period of one month’s
duration. Promptly following receipt of a Borrowing Request in accordance with this Section 2.03,
the Administrative Agent shall advise each Lender of the details thereof and of the amount of such
Lender’s Loan to be made as part of the requested Borrowing.

          SECTION 2.04. Swingline Loans.

          (a) Subject to the terms and conditions set forth herein, the Swingline Lender agrees to make
Swingline Loans to the Borrower from time to time during the Revolving Availability Period, in an
aggregate principal amount at any time outstanding that will not result in (i) the aggregate
principal amount of outstanding Swingline Loans exceeding $20,000,000 or (ii) the aggregate
Revolving Exposures exceeding the aggregate Revolving Commitments, provided that the
Swingline Lender shall not be required to make a Swingline Loan to refinance an outstanding
Swingline Loan. Within the foregoing
limits and subject to the terms and conditions set forth herein, the Borrower may borrow,
prepay and reborrow Swingline Loans.

          (b) To request a Swingline Loan, the Borrower shall notify the Administrative Agent of such
request by telephone (confirmed by telecopy), not later than 1:00 p.m., New York City time, on the
day of a proposed Swingline Loan. Each such notice shall be irrevocable and shall specify the
requested date (which shall be a Business Day) and amount of the requested Swingline Loan. The
Administrative Agent will promptly advise the Swingline Lender of any such notice received from the
Borrower. The Swingline Lender shall make each Swingline Loan available to the Borrower by means
of a credit to the general deposit account of the Borrower maintained with the Swingline Lender
(or, in the case of a Swingline Loan made to finance the reimbursement of an LC Disbursement as
provided in Section

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2.05(e), by remittance to the Issuing Bank) by 3:00 p.m., New York City time,
on the requested date of such Swingline Loan.

          (c) The Swingline Lender may by written notice given to the Administrative Agent not later
than 2:00 p.m., New York City time, on any Business Day require the Revolving Lenders to acquire
participations on such Business Day in all or a portion of the Swingline Loans outstanding. Such
notice shall specify the aggregate amount of Swingline Loans in which Revolving Lenders will
participate. Promptly upon receipt of such notice, the Administrative Agent will give notice
thereof to each Revolving Lender, specifying in such notice such Lender’s Applicable Percentage of
such Swingline Loan or Swingline Loans. Each Revolving Lender hereby absolutely and
unconditionally agrees, upon receipt of notice as provided above, to pay to the Administrative
Agent, for the account of the Swingline Lender, such Lender’s Applicable Percentage of such
Swingline Loan or Swingline Loans. Each Revolving Lender acknowledges and agrees that its
obligation to acquire participations in Swingline Loans pursuant to this paragraph is absolute and
unconditional and shall not be affected by any circumstance whatsoever, including the occurrence
and continuance of a Default or reduction or termination of the Commitments, and that each such
payment shall be made without any offset, abatement, withholding or reduction whatsoever. Each
Revolving Lender shall comply with its obligation under this paragraph by wire transfer of
immediately available funds, in the same manner as provided in Section 2.06 with respect to Loans
made by such Lender (and Section 2.06 shall apply, mutatis mutandis, to the payment
obligations of the Revolving Lenders), and the Administrative Agent shall promptly pay to the
Swingline Lender the amounts so received by it from the Revolving Lenders. The Administrative
Agent shall notify the Borrower of any participations in any Swingline Loan acquired pursuant to
this paragraph, and thereafter payments in respect of such Swingline Loan shall be made to the
Administrative Agent and not to the Swingline Lender. Any amounts received by the Swingline Lender
from the Borrower (or other party on behalf of the Borrower) in respect of a Swingline Loan after
receipt by the Swingline Lender of the proceeds of a sale of participations therein shall be
promptly remitted to the Administrative Agent; any such amounts received by the Administrative
Agent shall be promptly remitted by the Administrative Agent to the Revolving Lenders that shall
have made their payments pursuant to this paragraph and to the Swingline Lender, as their interests
may appear, provided that any such payment so remitted shall be repaid to the Swingline
Lender or to the Administrative Agent, as applicable, if and to the extent such payment is required
to be refunded to the Borrower for any reason. The purchase of participations in a Swingline Loan
pursuant to this paragraph shall not relieve the Borrower of any default in the payment thereof.

          SECTION 2.05. Letters of Credit.

          (a) General. Subject to the terms and conditions set forth herein, the Borrower may
request the issuance of Letters of Credit for its own account (or for the account of any of its
Restricted
Subsidiaries so long as the Borrower is a co-applicant), in a form reasonably acceptable to
the Administrative Agent and the Issuing Bank, at any time and from time to time during the
Revolving Availability Period. In the event of any inconsistency between the terms and conditions
of this Agreement and the terms and conditions of any form of letter of credit application or other
agreement submitted by the Borrower to, or entered into by the Borrower with, the Issuing Bank
relating to any Letter of Credit, the terms and conditions of this Agreement shall control. All
Existing Letters of Credit shall be deemed to be issued hereunder and shall constitute Letters of
Credit subject to the terms hereof and, to the extent previously issued for the account of a
Restricted Subsidiary of the Borrower, shall constitute an obligation of the Borrower pursuant to
this Agreement.

          (b) Notice of Issuance, Amendment, Renewal, Extension; Certain Conditions. To request
the issuance of a Letter of Credit (or the amendment, renewal or extension of an outstanding Letter
of Credit), the Borrower shall hand deliver or telecopy (or transmit by electronic communication,
if

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arrangements for doing so have been approved by the Issuing Bank) to the Issuing Bank and the
Administrative Agent (reasonably in advance of the requested date of issuance, amendment, renewal
or extension) a notice requesting the issuance of a Letter of Credit, or identifying the Letter of
Credit to be amended, renewed or extended, and specifying the date of issuance, amendment, renewal
or extension (which shall be a Business Day), the date on which such Letter of Credit is to expire
(which shall comply with Section 2.05(c)), the amount of such Letter of Credit, the name and
address of the beneficiary thereof and such other information as shall be necessary to prepare,
amend, renew or extend such Letter of Credit. If requested by the Issuing Bank, the Borrower also
shall submit a letter of credit application on the Issuing Bank’s standard form in connection with
any request for a Letter of Credit. A Letter of Credit shall be issued, amended, renewed or
extended only if (and upon issuance, amendment, renewal or extension of each Letter of Credit the
Borrower shall be deemed to represent and warrant that), after giving effect to such issuance,
amendment, renewal or extension, (i) the LC Exposure shall not exceed $20,000,000 and (ii) the
aggregate Revolving Exposures shall not exceed the aggregate Revolving Commitments.

          (c) Expiration Date. Each Letter of Credit shall expire at or prior to the close of
business on the earlier of (i) the date that is one year after the date of the issuance of such
Letter of Credit (or, in the case of any renewal or extension thereof, one year after such renewal
or extension) and (ii) the date that is five Business Days prior to the Revolving Maturity Date;
provided that at the option of the Issuing Bank any Letter of Credit may provide for
renewal periods so long as such renewal period does not exceed one year and does not end after the
date described in clause (ii).

          (d) Participations. By the issuance of a Letter of Credit (or an amendment to a
Letter of Credit increasing the amount thereof) and without any further action on the part of the
Issuing Bank or the Lenders, the Issuing Bank hereby grants to each Revolving Lender, and each
Revolving Lender hereby acquires from the Issuing Bank, a participation in such Letter of Credit
equal to such Lender’s Applicable Percentage of the aggregate amount available to be drawn under
such Letter of Credit. In consideration and in furtherance of the foregoing, each Revolving Lender
hereby absolutely and unconditionally agrees to pay to the Administrative Agent, for the account of
the Issuing Bank, such Lender’s Applicable Percentage of each LC Disbursement made by the Issuing
Bank and not reimbursed by the Borrower on the date due as provided in Section 2.05(e), or of any
reimbursement payment required to be refunded to the Borrower for any reason. Each Revolving
Lender acknowledges and agrees that its obligation to acquire participations pursuant to this
paragraph in respect of Letters of Credit is absolute and unconditional and shall not be affected
by any circumstance whatsoever, including any amendment, renewal or extension of any Letter of
Credit or the occurrence and continuance of a Default or reduction or termination of the
Commitments, and that each such payment shall be made without any offset, abatement, withholding or
reduction whatsoever.

          (e) Reimbursement. If the Issuing Bank shall make any LC Disbursement in respect of a
Letter of Credit, the Borrower shall reimburse such LC Disbursement by paying to the Administrative
Agent an amount equal to such LC Disbursement not later than 12:00 noon, New York City time, on (i)
the date that such LC Disbursement is made, if the Borrower shall have received notice of such LC
Disbursement prior to 10:00 a.m., New York City time, on such date, or, if such notice has not been
received by the Borrower prior to such time on such date, then not later than 12:00 noon, New York
City time, on the Business Day that the Borrower receives such notice, if such notice is received
prior to 10:00 a.m., New York City time, on the day of receipt, or (ii) the Business Day
immediately following the day that the Borrower receives such notice, if such notice is not
received prior to such time on the day of receipt; provided that, if such LC Disbursement
is not less than $2,000,000, the Borrower may, subject to the conditions to borrowing set forth
herein, request (and, if the Borrower fails to reimburse such LC Disbursement when due, the
Borrower shall be deemed to have requested) in accordance with Section 2.04 that such LC
Disbursement be financed with a Swingline Loan in an equivalent amount and, to the extent

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so
financed, the Borrower’s obligation to make such payment shall be discharged and replaced by the
resulting Swingline Loan. If the Borrower fails to make such payment when due, the Administrative
Agent shall notify each Revolving Lender of the applicable LC Disbursement, the payment then due
from the Borrower in respect thereof and such Lender’s Applicable Percentage thereof. Promptly
following receipt of such notice, each Revolving Lender shall pay to the Administrative Agent its
Applicable Percentage of the payment then due from the Borrower, in the same manner as provided in
Section 2.06 with respect to Loans made by such Lender (and Section 2.06 shall apply,
mutatis mutandis, to the payment obligations of the Revolving Lenders), and the
Administrative Agent shall promptly pay to the Issuing Bank the amounts so received by it from the
Revolving Lenders. Promptly following receipt by the Administrative Agent of any payment from the
Borrower pursuant to this paragraph, the Administrative Agent shall distribute such payment to the
Issuing Bank or, to the extent that Revolving Lenders have made payments pursuant to this paragraph
to reimburse the Issuing Bank, then to such Lenders and the Issuing Bank as their interests may
appear. Any payment made by a Revolving Lender pursuant to this paragraph to reimburse the Issuing
Bank for any LC Disbursement (other than the funding of a Swingline Loan as contemplated above)
shall not constitute a Loan and shall not relieve the Borrower of its obligation to reimburse such
LC Disbursement.

          (f) Obligations Absolute. The Borrower’s obligation to reimburse LC Disbursements as
provided in Section 2.05(e) shall be absolute, unconditional and irrevocable, and shall be
performed strictly in accordance with the terms of this Agreement under any and all circumstances
whatsoever and irrespective of (i) any lack of validity or enforceability of any Letter of Credit
or this Agreement, or any term or provision therein, (ii) any draft or other document presented
under a Letter of Credit proving to be forged, fraudulent or invalid in any respect or any
statement therein being untrue or inaccurate in any respect, (iii) payment by the Issuing Bank
under a Letter of Credit against presentation of a draft or other document that does not comply
with the terms of such Letter of Credit, or (iv) any other event or circumstance whatsoever,
whether or not similar to any of the foregoing, that might, but for the provisions of this Section
2.05, constitute a legal or equitable discharge of, or provide a right of setoff against, the
Borrower’s obligations hereunder. Neither the Administrative Agent, the Lenders nor the Issuing
Bank, nor any of their Related Parties, shall have any liability or responsibility by reason of or
in connection with the issuance or transfer of any Letter of Credit or any payment or failure to
make any payment thereunder (irrespective of any of the circumstances referred to in the preceding
sentence), or any error, omission, interruption, loss or delay in transmission or delivery of any
draft, notice or other communication under or relating to any Letter of Credit (including any
document required to make a drawing thereunder), any error in interpretation of technical terms or
any consequence arising from causes beyond the control of the Issuing Bank, provided that
the foregoing shall not be construed to excuse the Issuing Bank from liability to the Borrower to
the extent of any direct damages (as opposed to consequential or punitive damages, claims in
respect of which are hereby waived by the Borrower to the extent permitted by applicable law) suffered by the Borrower that are caused by the Issuing Bank’s failure to exercise
care when determining whether drafts and other documents presented under a Letter of Credit comply
with the terms thereof. The parties hereto expressly agree that, in the absence of gross
negligence or willful misconduct on the part of the Issuing Bank (as finally determined by a court
of competent jurisdiction), the Issuing Bank shall be deemed to have exercised care in each such
determination. In furtherance of the foregoing and without limiting the generality thereof, the
parties agree that, with respect to documents presented that appear on their face to be in
substantial compliance with the terms of a Letter of Credit, the Issuing Bank may, in its sole
discretion, either accept and make payment upon such documents without responsibility for further
investigation, regardless of any notice or information to the contrary, or refuse to accept and
make payment upon such documents if such documents are not in strict compliance with the terms of
such Letter of Credit.

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          (g) Disbursement Procedures. The Issuing Bank shall, promptly following its receipt
thereof, examine all documents purporting to represent a demand for payment under a Letter of
Credit. The Issuing Bank shall promptly notify the Administrative Agent and the Borrower by
telephone (confirmed by telecopy) of such demand for payment and whether the Issuing Bank has made
or will make an LC Disbursement thereunder, provided that any failure to give or delay in
giving such notice shall not relieve the Borrower of its obligation to reimburse the Issuing Bank
and the Revolving Lenders with respect to any such LC Disbursement in accordance with Section
2.05(e).

          (h) Interim Interest. If the Issuing Bank shall make any LC Disbursement, then,
unless the Borrower shall reimburse such LC Disbursement in full on the date such LC Disbursement
is made, the unpaid amount thereof shall bear interest, for each day from and including the date
such LC Disbursement is made to but excluding the date that the Borrower reimburses such LC
Disbursement, at the rate per annum then applicable to ABR Revolving Loans, provided that,
if the Borrower fails to reimburse such LC Disbursement when due pursuant to Section 2.05(e), then
Section 2.13(c) shall apply. Interest accrued pursuant to this paragraph shall be for the account
of the Issuing Bank, except that interest accrued on and after the date of payment by any Revolving
Lender pursuant to Section 2.05(e) to reimburse the Issuing Bank shall be for the account of such
Lender to the extent of such payment.

          (i) Replacement of the Issuing Bank. The Issuing Bank may be replaced at any time by
written agreement among the Borrower, the Administrative Agent and the successor Issuing Bank. The
Administrative Agent shall notify the Lenders of any such replacement of the Issuing Bank. At the
time any such replacement shall become effective, the Borrower shall pay all unpaid fees accrued
for the account of the replaced Issuing Bank pursuant to Section 2.12(b). From and after the
effective date of any such replacement, (i) the successor Issuing Bank shall have all the rights
and obligations of the Issuing Bank under this Agreement with respect to Letters of Credit to be
issued thereafter and (ii) references herein to the term “Issuing Bank” shall be deemed to refer to
such successor or to any previous Issuing Bank, or to such successor and all previous Issuing
Banks, as the context shall require. After the replacement of the Issuing Bank hereunder, the
replaced Issuing Bank shall remain a party hereto and shall continue to have all the rights and
obligations of the Issuing Bank under this Agreement with respect to Letters of Credit issued by it
prior to such replacement, but shall not be required to issue additional Letters of Credit.

          (j) Cash Collateralization. If any Event of Default shall occur and be continuing, on
the Business Day that the Borrower receives notice from the Administrative Agent or the Required
Lenders (or, if the maturity of the Loans has been accelerated, Revolving Lenders with LC Exposure
representing greater than 50% of the aggregate LC Exposure) demanding the deposit of cash
collateral pursuant to this paragraph, the Borrower shall deposit in an account with the Collateral
Agent, in the name of the Collateral Agent and for the benefit of the Lenders, an amount in cash
equal to 105% the LC Exposure as of
such date plus any accrued and unpaid interest thereon, provided that the
obligation to deposit such cash collateral shall become effective immediately, and such deposit
shall become immediately due and payable, without demand or other notice of any kind, upon the
occurrence of any Event of Default with respect to the Borrower described in Section 7.01(h) or
(i). The Borrower also shall deposit cash collateral pursuant to this paragraph as and to the
extent required by Section 2.11(b). Each such deposit shall be held by the Collateral Agent as
collateral for the payment and performance of the Obligations of the Borrower under this Agreement.
The Collateral Agent shall have exclusive dominion and control, including the exclusive right of
withdrawal, over such account. Other than any interest earned on the investment of such deposits,
which investments shall be made at the option and sole discretion of the Administrative Agent and
at the Borrower’s risk and expense, such deposits shall not bear interest. Interest or profits, if
any, on such investments shall accumulate in such account. Moneys in such account shall be applied
by the Administrative Agent to reimburse the Issuing Bank for LC Disbursements for which it has not
been

-39-

 

reimbursed and, to the extent not so applied, shall be held for the satisfaction of the
reimbursement obligations of the Borrower for the LC Exposure at such time or, if the maturity of
the Loans has been accelerated (but subject to the consent of Revolving Lenders with LC Exposure
representing greater than 50% of the aggregate LC Exposure), be applied to satisfy other
obligations of the Borrower under this Agreement. If the Borrower is required to provide an amount
of cash collateral hereunder as a result of the occurrence of an Event of Default, such amount (to
the extent not applied as aforesaid) shall be returned to the Borrower within three Business Days
after all Events of Default have been cured or waived.

          (k) Additional Issuing Banks. The Borrower may at any time, and from time to time,
designate one or more additional Lenders to act as an issuing bank under this Agreement with the
consent of the Administrative Agent (which consent shall not be unreasonably withheld) and such
Lender. Any Lender designated as an issuing bank pursuant to this Section 2.05(k) shall be deemed
to be and shall have all the rights and obligations of an “Issuing Bank” hereunder.

          SECTION 2.06. Funding of Borrowings.

          (a) Each Lender shall make each Loan to be made by it hereunder on the proposed date thereof
by wire transfer of immediately available funds by 12:00 noon, New York City time, to the account
of the Administrative Agent most recently designated by it for such purpose by notice to the
Lenders, provided that Swingline Loans shall be made as provided in Section 2.04. The
Administrative Agent will make such Loans available to the Borrower by promptly crediting the
amounts so received, in like funds, to an account of the Borrower maintained with the
Administrative Agent in New York City and designated by the Borrower in the applicable Borrowing
Request, provided that ABR Revolving Loans made to finance the reimbursement of an LC
Disbursement as provided in Section 2.05(e) shall be remitted by the Administrative Agent to the
Issuing Bank.

          (b) Unless the Administrative Agent shall have received notice from a Lender prior to the
proposed Borrowing that such Lender will not make available to the Administrative Agent such
Lender’s share of such Borrowing, the Administrative Agent may assume that such Lender has made
such share available on such date in accordance with Section 2.06(a) and may, in reliance upon such
assumption and in its sole discretion, make available to the Borrower a corresponding amount. In
such event, if a Lender has not in fact made its share of the applicable Borrowing available to the
Administrative Agent, then the applicable Lender and the Borrower severally agree to pay to the
Administrative Agent forthwith on demand such corresponding amount with interest thereon, for each
day from and including the date such amount is made available to the Borrower to but excluding the
date of payment to the Administrative Agent, at (i) in the case of such Lender, the greater of the
Federal Funds Effective Rate and a rate determined by the Administrative Agent in accordance with banking industry rules on interbank
compensation or (ii) in the case of the Borrower, the interest rate applicable to ABR Loans. If
such Lender pays such amount to the Administrative Agent, then such amount shall constitute such
Lender’s Loan included in such Borrowing.

          SECTION 2.07. Interest Elections.

          (a) Each Revolving Borrowing and Term Loan Borrowing initially shall be of the Type specified
in the applicable Borrowing Request and, in the case of a Eurodollar Borrowing, shall have an
initial Interest Period as specified in such Borrowing Request or as designated by Section 2.03.
Thereafter, the Borrower may elect to convert such Borrowing to a different Type or to continue
such Borrowing and, in the case of a Eurodollar Borrowing, may elect Interest Periods therefor, all
as provided in this Section 2.07. The Borrower may elect different options with respect to
different portions of the affected Borrowing, in which case each such portion shall be allocated
ratably among the Lenders holding the Loans comprising such Borrowing, and the Loans comprising
each such portion shall be considered a

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separate Borrowing. This Section 2.07 shall not apply to
Swingline Borrowings, which may not be converted or continued.

          (b) To make an election pursuant to this Section 2.07, the Borrower shall notify the
Administrative Agent of such election by telephone by the time that a Borrowing Request would be
required under Section 2.03 if the Borrower were requesting a Revolving Borrowing of the Type
resulting from such election to be made on the effective date of such election. Each such
telephonic Interest Election Request shall be irrevocable and shall be confirmed promptly by hand
delivery or telecopy to the Administrative Agent of a written Interest Election Request signed by
the Borrower.

          (c) Each telephonic and written Interest Election Request shall specify the following
information in compliance with Section 2.02:

     (i) the Borrowing to which such Interest Election Request applies and, if different
options are being elected with respect to different portions thereof, the portions thereof
to be allocated to each resulting Borrowing (in which case the information to be specified
pursuant to clauses (iii) and (iv) below shall be specified for each resulting Borrowing);

     (ii) the effective date of the election made pursuant to such Interest Election
Request, which shall be a Business Day;

     (iii) whether the resulting Borrowing is to be an ABR Borrowing or a Eurodollar
Borrowing; and

     (iv) if the resulting Borrowing is a Eurodollar Borrowing, the Interest Period to be
applicable thereto after giving effect to such election, which shall be a period
contemplated by the definition of the term “Interest Period”.

If any such Interest Election Request requests a Eurodollar Borrowing but does not specify an
Interest Period, then the Borrower shall be deemed to have selected an Interest Period of one
month’s duration.

          (d) Promptly following receipt of an Interest Election Request, the Administrative Agent shall
advise each Lender of the details thereof and of such Lender’s portion of each resulting Borrowing.

          (e) If the Borrower fails to deliver a timely Interest Election Request with respect to a
Eurodollar Borrowing prior to the end of the Interest Period applicable thereto, then, unless such
Borrowing is repaid as provided herein, at the end of such Interest Period such Borrowing shall be
converted to an ABR Borrowing.

          (f) Notwithstanding any contrary provision hereof, if an Event of Default has occurred and is
continuing and the Administrative Agent, at the request of the Required Lenders, so notifies the
Borrower, then, so long as an Event of Default is continuing, (i) no outstanding Borrowing may be
converted to or continued as a Eurodollar Borrowing and (ii) unless repaid, each Eurodollar
Borrowing shall be converted to an ABR Borrowing at the end of the Interest Period applicable
thereto.

          SECTION 2.08. Termination and Reduction of Commitments.

          (a) Unless previously terminated, (i) the Tranche B Commitments shall terminate at 5:00 p.m.,
New York City time, on the Effective Date, (ii) the Delayed Draw Commitments shall terminate

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at
5:00 p.m., New York City time, on the last day of the Delayed Draw Availability Period and (iii)
the Revolving Commitments shall terminate at the start of the Revolving Maturity Date.

          (b) The Borrower may at any time terminate, or from time to time reduce, the Commitments of
any Class, provided that (i) each reduction of the Commitments of any Class shall be in an
amount that is an integral multiple of $500,000 and not less than $1,000,000 and (ii) the Borrower
shall not terminate or reduce the Revolving Commitments if, after giving effect to any concurrent
prepayment of the Revolving Loans in accordance with Section 2.11, the aggregate Revolving
Exposures would exceed the aggregate Revolving Commitments.

          (c) The Borrower shall notify the Administrative Agent of any election to terminate or reduce
the Commitments under Section 2.08(b) at least three Business Days prior to the effective date of
such termination or reduction, specifying such election and the effective date thereof. Promptly
following receipt of any notice, the Administrative Agent shall advise the Lenders of the contents
thereof. Each notice delivered by the Borrower pursuant to this Section 2.08 shall be irrevocable,
provided that a notice of termination of the Revolving Commitments delivered by the
Borrower may state that such notice is conditioned upon the effectiveness of other credit
facilities, in which case such notice may be revoked by the Borrower (by notice to the
Administrative Agent on or prior to the specified effective date) if such condition is not
satisfied. Any termination or reduction of the Commitments of any Class shall be permanent. Each
reduction of the Commitments of any Class shall be made ratably among the Lenders in accordance
with their respective Commitments of such Class.

          SECTION 2.09. Repayment of Loans; Evidence of Debt.

          (a) The Borrower hereby unconditionally promises to pay (i) to the Administrative Agent for
the account of each Lender the then unpaid principal amount of each Revolving Loan of such Lender
on the Revolving Maturity Date, (ii) to the Administrative Agent for the account of each Lender the
then unpaid principal amount of each Delayed Draw Term Loan of such Lender as provided in Section
2.10, (iii) to the Administrative Agent for the account of each Lender the then unpaid principal
amount of each Tranche B Term Loan of such Lender as provided in Section 2.10 and (iv) the then
unpaid principal amount of each Swingline Loan on the earlier of the Revolving Maturity Date and
the first date after such Swingline Loan is made that is the 15th or last day of a calendar month
and is at least two
Business Days after such Swingline Loan is made; provided that on each date that a
Revolving Borrowing is made, the Borrower shall repay all Swingline Loans then outstanding.

          (b) Each Lender shall maintain in accordance with its usual practice an account or accounts
evidencing the indebtedness of the Borrower to such Lender resulting from each Loan made by such
Lender, including the amounts of principal and interest payable and paid to such Lender from time
to time hereunder.

          (c) The Administrative Agent shall maintain accounts in which it shall record (i) the amount
of each Loan made hereunder, the Class and Type thereof and the Interest Period applicable thereto,
(ii) the amount of any principal or interest due and payable or to become due and payable from the
Borrower to each Lender hereunder and (iii) the amount of any sum received by the Administrative
Agent hereunder for the account of the Lenders and each Lender’s share thereof.

          (d) The entries made in the accounts maintained pursuant to Section 2.09(b) and (c) shall be
prima facie evidence of the existence and amounts of the obligations recorded
therein, provided that the failure of any Lender or the Administrative Agent to maintain
such accounts or any error therein shall not in any manner affect the obligation of the Borrower to
repay the Loans in accordance with the terms of this Agreement.

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          (e) Any Lender may request that Loans of any Class made by it be evidenced by a promissory
note. In such event, the Borrower shall prepare, execute and deliver to such Lender a promissory
note payable to the order of such Lender (or, if requested by such Lender, to such Lender and its
registered assigns) and in a form approved by the Administrative Agent. Thereafter, the Loans
evidenced by such promissory note and interest thereon shall at all times (including after
assignment pursuant to Section 9.04) be represented by one or more promissory notes in such form
payable to the order of the payee named therein (or, if such promissory note is a registered note,
to such payee and its registered assigns).

          SECTION 2.10. Amortization of Term Loans.

          (a) Subject to adjustment pursuant to Section 2.10(d), the Borrower shall repay Tranche B Term
Loan Borrowings on each date set forth below in the aggregate principal amount set forth opposite
such date (as adjusted from time to time pursuant to Section 2.10(d)):

	 	 	 	 	 
	Date	 	Amount
	June 30, 2007

	 	$	1,075,000	 
	September 30, 2007

	 	$	1,075,000	 
	December 31, 2007

	 	$	1,075,000	 
	March 30, 2008

	 	$	1,075,000	 
	June 30, 2008

	 	$	1,075,000	 
	September 30, 2008

	 	$	1,075,000	 
	December 31, 2008

	 	$	1,075,000	 
	March 31, 2009

	 	$	1,075,000	 
	June 30, 2009

	 	$	1,075,000	 
	September 30, 2009

	 	$	1,075,000	 
	December 31, 2009

	 	$	1,075,000	 
	March 31, 2010

	 	$	1,075,000	 
	June 30, 2010

	 	$	1,075,000	 
	September 30, 2010

	 	$	1,075,000	 
	December 31, 2010

	 	$	1,075,000	 
	March 31, 2011

	 	$	1,075,000	 
	June 30, 2011

	 	$	1,075,000	 
	September 30, 2011

	 	$	1,075,000	 
	December 31, 2011

	 	$	1,075,000	 
	March 31, 2012

	 	$	1,075,000	 
	June 30, 2012

	 	$	1,075,000	 
	September 30, 2012

	 	$	1,075,000	 
	December 31, 2012

	 	$	1,075,000	 
	March 31, 2013

	 	$	1,075,000	 
	June 30, 2013

	 	$	1,075,000	 
	September 30, 2013

	 	$	1,075,000	 
	December 31, 2013

	 	$	1,075,000	 
	Tranche B Maturity Date

	 	$	400,975,000	 

          (b) Subject to adjustment pursuant to Section 2.10(d), the Borrower shall repay Delayed Draw
Term Loan Borrowings in quarterly installments equal to 0.25% per quarter on the last day of each
quarter after the end of the Delayed Draw Availability Period with the balance payable on the
Delayed Draw Maturity Date (as adjusted from time to time pursuant to Section 2.10(d)).

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          (c) To the extent not previously paid, all Tranche B Term Loans shall be due and payable on
the Tranche B Maturity Date and all Delayed Draw Term Loans shall be due and payable on the Delayed
Draw Maturity Date.

          (d) Any mandatory prepayment of a Term Loan Borrowing shall be applied to reduce, in the
direct order of maturity, the scheduled repayments of the Term Loan Borrowings to be made pursuant
to this Section 2.10 on the scheduled payment dates next following the date of such prepayment,
unless and until each such scheduled repayment has been eliminated as a result of reductions
hereunder. Any optional prepayment of a Term Loan Borrowing shall be applied as directed by the
Borrower to do one of the following: (i) to reduce in the direct order of maturity the scheduled
repayments of the Term Loan Borrowings to be made pursuant to this Section 2.10, (ii) to reduce in
the inverse order of maturity the scheduled repayments of the Term Loan Borrowings to be made
pursuant to this Section 2.10 or (iii) to reduce ratably the remaining scheduled repayments of the
Term Loan Borrowings.

          SECTION 2.11. Prepayment of Loans.

          (a) The Borrower shall have the right at any time and from time to time to prepay any
Borrowing in whole or in part, subject to the requirements of this Section 2.11.

          (b) In the event and on such occasion that the aggregate Revolving Exposures exceeds the
aggregate Revolving Commitments, the Borrower shall prepay Revolving Borrowings or Swingline
Borrowings (or, if no such Borrowings are outstanding, deposit cash collateral in an account with
the Collateral Agent pursuant to Section 2.05(j)) in an aggregate amount equal to such excess.

          (c) In the event and on each occasion that any Net Proceeds are received by or on behalf of
Holdings, the Borrower or any Restricted Subsidiary in respect of any Prepayment Event, the
Borrower shall, promptly after such Net Proceeds are received by Holdings, the Borrower or such
Restricted Subsidiary (and in any event not later than the fifth Business Day after such Net
Proceeds are received), prepay Term Loan Borrowings in an aggregate amount equal to 100% of such
Net Proceeds; provided that in the case of any event described in clause (a) or (b) of the
definition of the term “Prepayment Event”, if the Borrower shall deliver to the Administrative
Agent a certificate of a Financial Officer to the effect that the Borrower and the Restricted
Subsidiaries intend to apply the Net Proceeds from such event (or a portion thereof specified in
such certificate), within 360 days after receipt of such Net Proceeds, to acquire or replace real
property, equipment or other tangible assets (excluding inventory) to be used in the business of
the Borrower and the Restricted Subsidiaries, and certifying that no Default has occurred and is
continuing, then no prepayment shall be required pursuant to this paragraph in respect of the Net
Proceeds specified in such certificate, except to the extent that the aggregate amount of such Net
Proceeds that have not been so applied or contractually committed in writing by the end of such
360-day period (and, if so contractually committed in writing but not applied prior to the end of
such 360-day period, applied within 180 days of the end of such period) exceeds $10,000,000
(“Excess Net Proceeds”), promptly after which time a prepayment shall be required in an
amount equal to such Excess Net Proceeds.

          (d) Following the end of each fiscal year of the Borrower, commencing with the fiscal year
ending December 31, 2008, the Borrower shall prepay Borrowings in an aggregate amount equal to:

     (x) the excess of (A) 50% of Excess Cash Flow over (B) prepayments of Loans under
Section 2.11(a) during such fiscal year (other than prepayments funded with the proceeds of
incurrences of Indebtedness and in the case of prepayments of Revolving Loans only so long
as

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the corresponding Commitments are reduced permanently) for any fiscal year for which the
Leverage Ratio at the end of such fiscal year is greater than 5.25 to 1.00,

     (y) the excess of (A) 25% of Excess Cash Flow over (B) prepayments of Loans under
Section 2.11(a) during such fiscal year for any fiscal year (other than prepayments funded
with the proceeds of incurrences of Indebtedness and in the case of prepayments of Revolving
Loans only so long as the corresponding Commitments are reduced permanently) for which the
Leverage Ratio at the end of such fiscal year is less than or equal to 5.25 to 1.00 and
greater than 4.00 to 1.00 and

     (z) none of Excess Cash Flow for any fiscal year for which the Leverage Ratio at the
end of such fiscal year is less than or equal to 4.00 to 1.00.

          Each prepayment pursuant to this paragraph shall be made within five Business Days of the date
on which financial statements are delivered pursuant to Section 5.01 with respect to the fiscal
year for which Excess Cash Flow is being calculated (and in any event within 95 days after the end
of such fiscal year).

          (e) Prior to any optional or mandatory prepayment of Borrowings hereunder, the Borrower shall
determine in accordance with Section 2.10(d) the Borrowing or Borrowings to be prepaid and shall
specify such determination in the notice of such prepayment pursuant to Section 2.11(f).

          (f) The Borrower shall notify the Administrative Agent (and, in the case of prepayment of a
Swingline Loan, the Swingline Lender) by telephone (confirmed by telecopy) of any prepayment
hereunder (i) in the case of prepayment of a Eurodollar Borrowing, not later than 12:00 noon, New
York City time, three Business Days before the date of prepayment, (ii) in the case of
prepayment of an ABR Borrowing, not later than 11:00 a.m., New York City time, one Business Day
before the date of prepayment or (iii) in the case of prepayment of a Swingline Loan, not later
than 2:00 p.m., New York City time, on the date of prepayment. Each such notice shall be
irrevocable and shall specify the prepayment date, the principal amount of each Borrowing or
portion thereof to be prepaid and, in the case of a mandatory prepayment, a reasonably detailed
calculation of the amount of such prepayment, provided that, if a notice of optional
prepayment is given in connection with a conditional notice of termination of the Revolving
Commitments as contemplated by Section 2.08, then such notice of prepayment may be revoked if such
notice of termination is revoked in accordance with Section 2.08. Promptly following receipt of
any such notice (other than a notice relating solely to Swingline Loans), the Administrative Agent
shall advise the Lenders of the contents thereof. Each partial prepayment of any Borrowing shall
be in an amount that would be permitted in the case of an advance of a Borrowing of the same Type
as provided in Section 2.02, except as necessary to apply fully the required amount of a mandatory
prepayment. Each prepayment of a Borrowing shall be applied ratably to the Loans included in the
prepaid Borrowing. Prepayments shall be accompanied by accrued interest to the extent required by
Section 2.13 but shall in no event include premium or penalty. All prepayments of Term Loans under
this Section 2.11 shall be made pro rata amongst the Tranche B Term Loans and the Delayed Draw Term
Loans outstanding at the time of such prepayment and then with respect to such Term Loans, in
accordance with Section 2.10(d).

          (g) All Swap Agreements, if any, between Borrower and any of the Lenders or their respective
affiliates are independent agreements governed by the written provisions of said Swap Agreements,
which will remain in full force and effect, unaffected by any repayment, prepayment, acceleration,
reduction, increase or change in the terms of the Loans, except as otherwise expressly provided in
said written Swap Agreements, and any payoff statement from the Lenders relating to the Loans shall
not apply to said Swap Agreements except as otherwise expressly provided in such payoff statement.

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          SECTION
2.12. Fees.

          (a) The Borrower agrees to pay to the Administrative Agent for the account of each Lender a
commitment fee, which shall accrue at (i) the Applicable Rate on the average daily unused amount of
each Revolving Commitment and (ii) the Delayed Draw Commitment Fee Rate on the average daily unused
amount of each Delayed Draw Commitment of such Lender during the period from and including the
Effective Date to but excluding the date on which the aggregate Revolving Commitments and Delayed
Draw Commitments, as applicable, terminate. Accrued commitment fees shall be payable in arrears in
respect of the Revolving Commitments on the last Business Day of March, June, September and
December of each year and on the date on which the Revolving Commitments terminate, commencing on
the first such date to occur after the date hereof. Accrued commitment fees shall be payable in
arrears in respect of the Delayed Draw Commitments on the last Business Day of March, June,
September and December of each year and on the date on which the Delayed Draw Commitments terminate
if all Loans are repaid and all Commitments terminate on such date, commencing on the first such
date to occur after the date hereof. All commitment fees shall be computed on the basis of a year
of 360 days and shall be payable for the actual number of days elapsed (including the first day but
excluding the last day). For purposes of computing commitment fees with respect to Revolving
Commitments, a Revolving Commitment of a Lender shall be deemed to be used to the extent of the
outstanding Revolving Loans and LC Exposure of such Lender (and the Swingline Exposure of such
Lender shall be disregarded for such purpose).

          (b) The Borrower agrees to pay (i) to the Administrative Agent for the account of each
Revolving Lender a participation fee with respect to its participations in Letters of Credit, which
shall accrue at the same Applicable Rate used to determine the interest rate applicable to
Eurodollar Revolving Loans on the average daily amount of such Lender’s LC Exposure (excluding any
portion thereof attributable to unreimbursed LC Disbursements) during the period from and including
the Effective Date to but excluding the later of the date on which such Lender’s Revolving
Commitment terminates and the date on which such Lender ceases to have any LC Exposure, and (ii) to
the Issuing Bank a fronting fee, which shall accrue at a rate equal to 0.125% per annum on the
average daily amount of the LC Exposure (excluding any portion thereof attributable to unreimbursed
LC Disbursements) during the period from and including the Effective Date to but excluding the
later of the date of termination of the Revolving Commitments and the date on which there ceases to
be any LC Exposure, as well as the Issuing Bank’s standard fees with respect to the issuance,
amendment, renewal or extension of any Letter of Credit or processing of drawings thereunder.
Participation fees and fronting fees shall be payable on the last Business Day of March, June,
September and December of each year, commencing on the first such date to occur after the Effective
Date, provided that all such fees shall be payable on the date on which the Revolving
Commitments terminate and any such fees accruing after the date on which the Revolving Commitments
terminate shall be payable on demand. Any other fees payable to the Issuing Bank pursuant to this
paragraph shall be payable within 10 days after demand. All participation fees and fronting fees
shall be computed on the basis of a year of 360 days and shall be payable for the actual number of
days elapsed (including the first day but excluding the last day).

          (c) The Borrower agrees to pay to the Administrative Agent, for its own account, fees payable
in the amounts and at the times separately agreed upon between the Borrower and the Administrative
Agent.

          (d) All fees payable hereunder shall be paid on the dates due, in immediately available funds,
to the Administrative Agent (or to the Issuing Bank, in the case of fees payable to it) for
distribution, in the case of commitment fees and participation fees, to the Lenders entitled
thereto. Fees paid shall not be refundable under any circumstances.

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          SECTION 2.13. Interest.

          (a) The Loans comprising each ABR Borrowing (including each Swingline Loan) shall bear
interest at the Alternate Base Rate plus the Applicable Rate.

          (b) The Loans comprising each Eurodollar Borrowing shall bear interest at the Adjusted LIBO
Rate for the Interest Period in effect for such Borrowing plus the Applicable Rate.

          (c) Notwithstanding the foregoing, if any principal of or interest on any Loan or any fee or
other amount payable by the Borrower hereunder is not paid when due, whether at stated maturity,
upon acceleration or otherwise, such overdue amount shall bear interest, after as well as before
judgment, at a rate per annum equal to (i) in the case of overdue principal of any Loan, 2%
plus the rate otherwise applicable to such Loan as provided in the preceding paragraphs of
this Section 2.13 or (ii) in the case of any other amount, 2% plus the rate applicable to
ABR Revolving Loans as provided in Section 2.13(a).

          (d) Accrued interest on each Loan shall be payable in arrears on each Interest Payment Date
for such Loan and, in the case of Revolving Loans, upon termination of the Revolving Commitments,
provided that (i) interest accrued pursuant to Section 2.13(c) shall be payable on demand,
(ii) in the event of any repayment or prepayment of any Loan (other than a prepayment of an ABR
Revolving
Loan prior to the end of the Revolving Availability Period), accrued interest on the principal
amount repaid or prepaid shall be payable on the date of such repayment or prepayment and (iii) in
the event of any conversion of any Eurodollar Loan prior to the end of the current Interest Period
therefor, accrued interest on such Loan shall be payable on the effective date of such conversion.

          (e) All interest hereunder shall be computed on the basis of a year of 360 days, except that
interest computed by reference to the Alternate Base Rate at times when the Alternate Base Rate is
based on the Prime Rate shall be computed on the basis of a year of 365 days (or 366 days in a leap
year), and in each case shall be payable for the actual number of days elapsed (including the first
day but excluding the last day). The applicable Alternate Base Rate or Adjusted LIBO Rate shall be
determined by the Administrative Agent, and such determination shall be conclusive absent manifest
error.

          SECTION 2.14. Alternate Rate of Interest. If prior to the commencement of any
Interest Period for a Eurodollar Borrowing:

     (a) the Administrative Agent determines (which determination shall be conclusive absent
manifest error) that adequate and reasonable means do not exist for ascertaining the
Adjusted LIBO Rate for such Interest Period; or

     (b) the Administrative Agent is advised by the Required Lenders that the Adjusted LIBO
Rate for such Interest Period will not adequately and fairly reflect the cost to such
Lenders of making or maintaining their Loans included in such Borrowing for such Interest
Period;

then the Administrative Agent shall give notice thereof to the Borrower and the Lenders by
telephone or telecopy as promptly as practicable thereafter and, until the Administrative Agent
notifies the Borrower and the Lenders that the circumstances giving rise to such notice no longer
exist, (i) any Interest Election Request that requests the conversion of any Borrowing to, or
continuation of any Borrowing as, a Eurodollar Borrowing shall be ineffective and (ii) if any
Borrowing Request requests a Eurodollar Borrowing, such Borrowing shall be made as an ABR
Borrowing.

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          SECTION 2.15. Increased Costs.

          (a) If any Change in Law shall:

     (i) impose, modify or deem applicable any reserve, special deposit or similar
requirement against assets of, deposits with or for the account of, or credit extended by,
any Lender (except any such reserve requirement reflected in the Adjusted LIBO Rate) or the
Issuing Bank; or

     (ii) impose on any Lender or the Issuing Bank or the London interbank market any other
condition affecting this Agreement or Eurodollar Loans made by such Lender or any Letter of
Credit or participation therein;

and the result of any of the foregoing shall be to increase the cost to such Lender of making or
maintaining any Eurodollar Loan (or of maintaining its obligation to make any such Loan) or to
increase the cost to such Lender or the Issuing Bank of participating in, issuing or maintaining
any Letter of Credit or to reduce the amount of any sum received or receivable by such Lender or
the Issuing Bank hereunder (whether of principal, interest or otherwise), then the Borrower will
pay to such Lender or the Issuing
Bank, as applicable, such additional amount or amounts as will compensate such Lender or the
Issuing Bank, as applicable, for such additional costs incurred or reduction suffered.

          (b) If any Lender or the Issuing Bank determines that any Change in Law regarding capital
requirements has or would have the effect of reducing the rate of return on such Lender’s or the
Issuing Bank’s capital or on the capital of such Lender’s or the Issuing Bank’s holding company, if
any, as a consequence of this Agreement or the Loans made by, or participations in Letters of
Credit held by, such Lender, or the Letters of Credit issued by the Issuing Bank, to a level below
that which such Lender or the Issuing Bank or such Lender’s or the Issuing Bank’s holding company
could have achieved but for such Change in Law (taking into consideration such Lender’s or the
Issuing Bank’s policies and the policies of such Lender’s or the Issuing Bank’s holding company
with respect to capital adequacy), then from time to time the Borrower will pay to such Lender or
the Issuing Bank, as applicable, such additional amount or amounts as will compensate such Lender
or the Issuing Bank or such Lender’s or the Issuing Bank’s holding company for any such reduction
suffered.

          (c) A certificate of a Lender or the Issuing Bank setting forth the amount or amounts
necessary to compensate such Lender or the Issuing Bank or its holding company, as applicable, as
specified in Section 2.15(a) or (b) shall be delivered to the Borrower and shall be conclusive
absent manifest error. The Borrower shall pay such Lender or the Issuing Bank, as applicable, the
amount shown as due on any such certificate within 10 days after receipt thereof.

          (d) Failure or delay on the part of any Lender or the Issuing Bank to demand compensation
pursuant to this Section 2.15 shall not constitute a waiver of such Lender’s or the Issuing Bank’s
right to demand such compensation, provided that the Borrower shall not be required to
compensate a Lender or the Issuing Bank pursuant to this Section 2.15 for any increased costs or
reductions incurred more than 270 days prior to the date that such Lender or the Issuing Bank, as
applicable, notifies the Borrower of the Change in Law giving rise to such increased costs or
reductions and of such Lender’s or the Issuing Bank’s intention to claim compensation therefor,
provided, further, that, if the Change in Law giving rise to such increased costs
or reductions is retroactive, then the 270-day period referred to above shall be extended to
include the period of retroactive effect thereof.

          SECTION 2.16. Break Funding Payments. In the event of (a) the payment of any
principal of any Eurodollar Loan other than on the last day of an Interest Period applicable
thereto

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(including as a result of an Event of Default), (b) the conversion of any Eurodollar Loan
other than on the last day of the Interest Period applicable thereto, (c) the failure to borrow,
convert, continue or prepay any Revolving Loan or Term Loan on the date specified in any notice
delivered pursuant hereto (regardless of whether such notice may be revoked under Section 2.11(f)
and is revoked in accordance therewith), or (d) the assignment of any Eurodollar Loan other than on
the last day of the Interest Period applicable thereto as a result of a request by the Borrower
pursuant to Section 2.19, then, in any such event, the Borrower shall compensate each Lender for
the loss, cost and expense attributable to such event. In the case of a Eurodollar Loan, such
loss, cost or expense to any Lender shall be deemed to include an amount determined by such Lender
to be the excess, if any, of (i) the amount of interest that would have accrued on the principal
amount of such Loan had such event not occurred, at the Adjusted LIBO Rate that would have been
applicable to such Loan, for the period from the date of such event to the last day of the then
current Interest Period therefor (or, in the case of a failure to borrow, convert or continue, for
the period that would have been the Interest Period for such Loan), over (ii) the amount of
interest that would accrue on such principal amount for such period at the interest rate that such
Lender would bid were it to bid, at the commencement of such period, for dollar deposits of a
comparable amount and period from other banks in the eurodollar market. A certificate of any
Lender
setting forth any amount or amounts that such Lender is entitled to receive pursuant to this
Section 2.16 shall be delivered to the Borrower and shall be conclusive absent manifest error. The
Borrower shall pay such Lender the amount shown as due on any such certificate within 10 days after
receipt thereof. Notwithstanding the foregoing, no additional amounts shall be due and payable
pursuant to this Section 2.16 to the extent that on the relevant due date the Borrower deposits in
a Prepayment Account an amount equal to any payment of Eurodollar Loans otherwise required to be
made on a date that is not the last day of the applicable Interest Period; provided that on
the last day of the applicable Interest Period, the Administrative Agent shall be authorized,
without any further action by or notice to or from the Borrower or any other Loan Party, to apply
such amount to the prepayment of such Eurodollar Loans. For purposes of this Agreement, the term
“Prepayment Account” shall mean a non-interest bearing account established by the Borrower with the
Administrative Agent and over which the Administrative Agent shall have exclusive dominion and
control, including the right of withdrawal for application in accordance with this Section 2.16.
Anything to the contrary contained herein notwithstanding, no Lender nor any Participant is
required to match fund any Obligation and the provisions of this Section shall apply as if match
funding had occurred by acquiring Eurodollar deposits for each Interest Period in the amount of the
applicable Eurodollar Loans.

          SECTION 2.17. Taxes.

          (a) Any and all payments by or on account of any obligation of any Loan Party hereunder or
under any other Loan Document shall be made free and clear of and without deduction for any
Indemnified Taxes or Other Taxes, provided that if any Loan Party shall be required to
deduct any Indemnified Taxes or Other Taxes from such payments, then (i) the sum payable shall be
increased as necessary so that after making all required deductions (including deductions
applicable to additional sums payable under this Section 2.17) the Administrative Agent, Lender or
Issuing Bank (as applicable) receives an amount equal to the sum it would have received had no such
deductions been made, (ii) such Loan Party shall make such deductions and (iii) such Loan Party
shall pay the full amount deducted to the relevant Governmental Authority in accordance with
applicable law.

          (b) In addition, the applicable Loan Party shall pay any Other Taxes to the relevant
Governmental Authority in accordance with applicable law.

          (c) The applicable Loan Party shall indemnify the Administrative Agent, each Lender and the
Issuing Bank, within 30 days after written demand therefor, for the full amount of any Indemnified
Taxes or Other Taxes paid by the Administrative Agent, such Lender or the Issuing Bank, as

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applicable, on or with respect to any payment by or on account of any obligation of the Borrower
hereunder or under any other Loan Document (including Indemnified Taxes or Other Taxes imposed or
asserted on or attributable to amounts payable under this Section 2.17) and any reasonable expenses
arising therefrom or with respect thereto, whether or not such Indemnified Taxes or Other Taxes
were correctly or legally imposed or asserted by the relevant Governmental Authority. A
certificate as to the amount of such payment or liability delivered to the Borrower by a Lender or
the Issuing Bank, or by the Administrative Agent on its own behalf or on behalf of a Lender or the
Issuing Bank, shall be conclusive absent manifest error.

          (d) As soon as practicable after any payment of Indemnified Taxes or Other Taxes by any Loan
Party to a Governmental Authority, such Loan Party shall deliver to the Administrative Agent the
original or a certified copy of a receipt issued by such Governmental Authority evidencing such
payment, if any, a copy of the return reporting such payment or other evidence of such payment
reasonably satisfactory to the Administrative Agent.

          (e) Any Foreign Lender that is entitled to an exemption from or reduction of withholding tax
under the law of the United States, or any treaty to which the United States is a party, with
respect to payments under this Agreement shall deliver to the Borrower (with a copy to the
Administrative Agent), on or prior to the Effective Date in the case of each Foreign Lender that is
a signatory hereto, and on the date of assignment pursuant to which it becomes a Lender in the case
of each other Lender and from time to time thereafter as reasonably requested by either of the
Borrower or the Administrative Agent, such properly completed, original and executed documentation
prescribed by applicable law or reasonably requested by the Borrower as will permit such payments
to be made without withholding or at a reduced rate. Each Lender who is a U.S. Person within the
meaning of Section 7701(a)(30) of the Code on or prior to the date of its execution and delivery of
this Agreement, on or prior to the date on which it becomes a Lender, in the case of an assignee,
and from time to time thereafter if requested in writing by the Borrower or the Administrative
Agent, shall provide the Borrower and the Administrative Agent with duplicate executed originals of
Internal Revenue Service Form W-9, or any successor form, certifying that such Lender is entitled
to exemption from United States backup withholding tax.

          (f) If the Administrative Agent or a Lender determines, in its sole discretion, that it has
received a refund of any Indemnified Taxes or Other Taxes as to which it has been indemnified by
the Borrower or with respect to which the Borrower has paid additional amounts pursuant to this
Section 2.17, it shall pay over such refund to the Borrower (but only to the extent of indemnity
payments made, or additional amounts paid, by the Borrower under this Section 2.17 with respect to
the Indemnified Taxes or Other Taxes giving rise to such refund), net of all out-of-pocket expenses
of the Administrative Agent or such Lender and without interest (other than any interest paid by
the relevant Governmental Authority with respect to such refund), provided that the
Borrower, upon the request of the Administrative Agent or such Lender, agrees to repay the amount
paid over to the Borrower (plus any penalties, interest or other charges imposed by the
relevant Governmental Authority) to the Administrative Agent or such Lender in the event the
Administrative Agent or such Lender is required to repay such refund to such Governmental
Authority. This Section 2.17 shall not be construed to require the Administrative Agent or any
Lender to make available its tax returns (or any other information relating to its taxes that it
deems confidential) to the Borrower or any other Person.

          SECTION 2.18. Payments Generally; Pro Rata Treatment; Sharing of Setoffs.

          (a) The Borrower shall make each payment required to be made by it hereunder or under any
other Loan Document (whether of principal, interest, fees or reimbursement of LC Disbursements, or
of amounts payable under Section 2.15, 2.16 or 2.17, or otherwise) prior to the time expressly

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required hereunder or under such other Loan Document for such payment (or, if no such time is
expressly required, prior to 3:00 p.m., New York City time), on the date when due, in immediately
available funds, without setoff or counterclaim. Any amounts received after such time on any date
may, in the discretion of the Administrative Agent, be deemed to have been received on the next
succeeding Business Day for purposes of calculating interest thereon. All such payments shall be
made to the Administrative Agent at its offices at 2 Penns Way, Suite 100, New Castle, DE 19720,
except payments to be made directly to the Issuing Bank or Swingline Lender as expressly provided
herein and except that payments pursuant to Sections 2.15, 2.16, 2.17 and 9.03 shall be made
directly to the Persons entitled thereto and payments pursuant to other Loan Documents shall be
made to the Persons specified therein. The Administrative Agent shall distribute any such payments
received by it for the account of any other Person to the appropriate recipient promptly following
receipt thereof. If any payment under any Loan Document shall be due on a day that is not a
Business Day, the date for payment shall be extended to the next succeeding Business
Day, and, in the case of any payment accruing interest, interest thereon shall be payable for
the period of such extension. All payments under each Loan Document shall be made in dollars.

          (b) If at any time insufficient funds are received by and available to the Administrative
Agent to pay fully all amounts of principal, unreimbursed LC Disbursements, interest and fees then
due hereunder, such funds shall be applied (i) first, towards payment of interest and fees then due
hereunder, ratably among the parties entitled thereto in accordance with the amounts of interest
and fees then due to such parties, and (ii) second, towards payment of principal and unreimbursed
LC Disbursements then due hereunder, ratably among the parties entitled thereto in accordance with
the amounts of principal and unreimbursed LC Disbursements then due to such parties.

          (c) If any Lender shall, by exercising any right of setoff or counterclaim or otherwise,
obtain payment in respect of any principal of or interest on any of its Revolving Loans, Tranche B
Term Loans, Delayed Draw Term Loans or participations in LC Disbursements or Swingline Loans
resulting in such Lender receiving payment of a greater proportion of the aggregate amount of its
Revolving Loans, Tranche B Term Loans, Delayed Draw Term Loans and participations in LC
Disbursements and Swingline Loans and accrued interest thereon than the proportion received by any
other Lender, then the Lender receiving such greater proportion shall purchase (for cash at face
value) participations in the Revolving Loans, Tranche B Term Loans, Delayed Draw Term Loans and
participations in LC Disbursements and Swingline Loans of other Lenders to the extent necessary so
that the benefit of all such payments shall be shared by the Lenders ratably in accordance with the
aggregate amount of principal of and accrued interest on their respective Revolving Loans, Tranche
B Term Loans, Delayed Draw Term Loans and participations in LC Disbursements and Swingline Loans,
provided that (i) if any such participations are purchased and all or any portion of the
payment giving rise thereto is recovered, such participations shall be rescinded and the purchase
price restored to the extent of such recovery, without interest, and (ii) the provisions of this
paragraph shall not be construed to apply to any payment made by the Borrower pursuant to and in
accordance with the express terms of this Agreement or any payment obtained by a Lender as
consideration for the assignment of or sale of a participation in any of its Loans or
participations in LC Disbursements to any assignee or participant, other than to the Borrower or
any Subsidiary or Affiliate thereof (as to which the provisions of this paragraph shall apply).
The Borrower consents to the foregoing and agrees, to the extent it may effectively do so under
applicable law, that any Lender acquiring a participation pursuant to the foregoing arrangements
may exercise against the Borrower rights of setoff and counterclaim with respect to such
participation as fully as if such Lender were a direct creditor of the Borrower in the amount of
such participation.

          (d) Unless the Administrative Agent shall have received notice from the Borrower prior to the
date on which any payment is due to the Administrative Agent for the account of the Lenders or the
Issuing Bank hereunder that the Borrower will not make such payment, the Administrative Agent

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may
assume that the Borrower has made such payment on such date in accordance herewith and may, in
reliance upon such assumption and in its sole discretion, distribute to the Lenders or the Issuing
Bank, as applicable, the amount due. In such event, if the Borrower has not in fact made such
payment, then each of the Lenders or the Issuing Bank, as applicable, severally agrees to repay to
the Administrative Agent forthwith on demand the amount so distributed to such Lender or Issuing
Bank with interest thereon, for each day from and including the date such amount is distributed to
it to but excluding the date of payment to the Administrative Agent, at the greater of the Federal
Funds Effective Rate and a rate determined by the Administrative Agent in accordance with banking
industry rules on interbank compensation.

          (e) If any Lender shall fail to make any payment required to be made by it pursuant to Section
2.04(c), 2.05(d) or (e), 2.06(a), 2.18(d) or 9.03(c), then the Administrative Agent may, in its
discretion (notwithstanding any contrary provision hereof), apply any amounts thereafter received
by the
Administrative Agent for the account of such Lender to satisfy such Lender’s obligations under
such Sections until all such unsatisfied obligations are fully paid.

          SECTION 2.19. Mitigation Obligations; Replacement of Lenders.

          (a) If any Lender requests compensation under Section 2.15, or if the Borrower is required to
pay any additional amount to any Lender or any Governmental Authority for the account of any Lender
pursuant to Section 2.17, then such Lender shall use reasonable efforts to designate a different
lending office for funding or booking its Loans hereunder or to assign its rights and obligations
hereunder to another of its offices, branches or affiliates, if, in the judgment of such Lender,
such designation or assignment (i) would eliminate or reduce amounts payable pursuant to Section
2.15 or 2.17, as applicable, in the future and (ii) would not subject such Lender to any
unreimbursed cost or expense and would not otherwise be disadvantageous to such Lender. The
Borrower hereby agrees to pay all reasonable costs and expenses incurred by any Lender in
connection with any such designation or assignment.

          (b) If any Lender requests compensation under Section 2.15, or if the Borrower is required to
pay any additional amount to any Lender or any Governmental Authority for the account of any Lender
pursuant to Section 2.17, or if any Lender defaults in its obligation to fund Loans hereunder, then
the Borrower may, at its sole expense and effort, upon notice to such Lender and the Administrative
Agent, require such Lender to assign and delegate, without recourse (in accordance with and subject
to the restrictions contained in Section 9.04), all its interests, rights and obligations under
this Agreement to an assignee that shall assume such obligations (which assignee may be another
Lender, if a Lender accepts such assignment), provided that (i) the Borrower shall have
received the prior written consent of the Administrative Agent (and if a Revolving Commitment is
being assigned, the Issuing Bank and the Swingline Lender), which consent shall not unreasonably be
withheld, (ii) such Lender shall have received payment of an amount equal to the outstanding
principal of its Loans and participations in LC Disbursements and Swingline Loans, accrued interest
thereon, accrued fees and all other amounts payable to it hereunder, from the assignee (to the
extent of such outstanding principal and accrued interest and fees) or the Borrower (in the case of
all other amounts) and (iii) in the case of any such assignment resulting from a claim for
compensation under Section 2.15 or payments required to be made pursuant to Section 2.17, such
assignment will result in a material reduction in such compensation or payments. A Lender shall
not be required to make any such assignment and delegation if, prior thereto, as a result of a
waiver by such Lender or otherwise, the circumstances entitling the Borrower to require such
assignment and delegation cease to apply.

          SECTION 2.20. Incremental Extensions of Credit. At any time during the Revolving
Availability Period, subject to the terms and conditions set forth herein, the Borrower may at any
time and from time to time, by notice to the Administrative Agent (whereupon the Administrative
Agent shall

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promptly deliver a copy to each of the Lenders), request to add additional term loans
or additional revolving commitments (together, the “Incremental Extensions of Credit”) in
minimum principal amounts of $5,000,000; provided that such amount may be less than
$5,000,000 if such amount represents all the remaining availability under the aggregate principal
amount set forth below; provided, further, that (x) immediately prior to and after
giving effect to any Incremental Facility Amendment (as defined below), no Default has occurred or
is continuing or shall result therefrom and (y) the Borrower shall be in compliance on a Pro Forma
Basis with the Financial Performance Covenant (such covenant to be applied even if no Revolving
Loan or Swingline Loan and less than $7.5 million of LC Exposure is outstanding). The Incremental
Extensions of Credit:

     (a) shall be in an aggregate principal amount not exceeding $150,000,000 since the
Effective Date,

     (b) shall rank pari passu in right of payment and right of security
with the Revolving Loans and Term Loans in respect of the Collateral, and

     (c) other than amortization, pricing or maturity date, shall have the same terms as
the Term Loans or Revolving Commitments, as applicable, existing immediately prior to the
effectiveness of such Incremental Facility Amendment (the “Existing Extensions of
Credit”);

provided that (i) the Incremental Extensions of Credit in the form of term loans shall not
have a final maturity date earlier than the Tranche B Maturity Date, (ii) the Incremental
Extensions of Credit in the form of revolving loans shall not have a final maturity date earlier
than the Revolving Maturity Date, (iii) the Incremental Extensions of Credit in the form of term
loans shall not have a weighted average life that is shorter than that of the then-remaining
weighted average life of the Existing Extensions of Credit that are Tranche B Term Loans (without
giving effect to any reductions of such weighted average life caused by voluntary or mandatory
prepayments of Tranche B Term Loans pursuant to Section 2.11) and (v) the Incremental Extensions of
Credit shall be, in the case of revolving loan extensions, on the terms and pursuant to the
documentation applicable to the Revolving Loans. The Borrower shall by written notice offer each
Lender providing Existing Extensions of Credit (an “Existing Lender”) the opportunity for
no less than ten (10) Business Days after delivery of the notice to commit to provide its pro rata
portion (based on the amount of its outstanding Tranche B Term Loans or outstanding Revolving Loans
and unused Revolving Commitments, as applicable, on the date of such notice) of any requested
Incremental Extension of Credit, provided that no Existing Lender shall be obligated to
provide any Incremental Extension of Credit unless it so agrees. Any additional bank, financial
institution, Existing Lender or other Person that elects to extend Incremental Extensions of Credit
shall be reasonably satisfactory to the Borrower and the Administrative Agent and, in the case of
Incremental Extensions of Credit in the form of revolving loans, the Issuing Bank (any such bank,
financial institution, Existing Lender or other Person being called an “Additional Lender”)
and shall become a Lender under this Agreement pursuant to an amendment (an “Incremental
Facility Amendment”) to this Agreement giving effect to the modifications permitted by this
Section 2.20 and, as appropriate, the other Loan Documents and executed by the Borrower, each
Additional Lender and the Administrative Agent. Commitments in respect of Incremental Extensions
of Credit shall be Commitments under this Agreement. An Incremental Facility Amendment may,
without the consent of any other Lenders, effect such amendments to this Agreement and the other
Loan Documents as may be necessary or appropriate, in the opinion of the Administrative Agent, to
effect the provisions of this Section 2.20 (including voting provisions applicable to the
Additional Lenders comparable to the provisions of clause (B) of the second proviso of Section
9.02(b)). The effectiveness of any Incremental Facility Amendment shall be subject to the
satisfaction on the date thereof (each, an “Incremental Facility Closing Date”) of each of
the conditions set forth in Section 4.02 (it being understood that all references to “the date of
such Borrowing” in such Section 4.02 shall be deemed to refer to the Incremental

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Facility Closing
Date). The proceeds of the Incremental Extensions of Credit shall be used for working capital and
general corporate purposes (including Permitted Acquisitions).

ARTICLE III

Representations and Warranties

          The Borrower and Holdings represent and warrant to the Lenders that:

          SECTION 3.01.  Organization; Power. Each of Holdings, the Borrower and the Subsidiaries (a) is duly organized, validly existing
and in good standing under the laws of the jurisdiction of its organization, (b) has the power and
authority and all governmental rights, qualifications, approvals, authorizations, permits,
accreditations, Reimbursement Approvals, licenses and franchises material to the business of the
Borrower and the Subsidiaries taken as a whole that are necessary to own its assets, to carry on
its business as now conducted and as proposed to be conducted and to execute, deliver and perform
its obligations under each Loan Document to which it is a party and (c) except where the failure to
do so, individually or in the aggregate, is not reasonably likely to result in a Material Adverse
Effect, is qualified to do business in, and is in good standing in, every jurisdiction where such
qualification is required.

          SECTION 3.02. Authorization; Enforceability. The Transactions to be entered into by
each Loan Party have been duly authorized by all necessary corporate or other action and, if
required, stockholder action. This Agreement has been duly executed and delivered by each of
Holdings and the Borrower and constitutes, and each other Loan Document to which any Loan Party is
to be a party, when executed and delivered by such Loan Party, will constitute, a legal, valid and
binding obligation of Holdings, the Borrower or such Loan Party, as applicable, enforceable in
accordance with its terms, subject to applicable bankruptcy, insolvency, 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.

          SECTION 3.03. Governmental Approvals; No Conflicts. Except as set forth in
Schedule 3.03 the Transactions (a) do not require any consent or approval of, registration
or filing with, or any other action by, any Governmental Authority, except such as have been
obtained or made and are in full force and effect and except those that are required or permitted
to be obtained following consummation of the Transactions, the absence of which individually or in
the aggregate are not reasonably likely to result in a Material Adverse Effect and filings
necessary to perfect Liens created under the Loan Documents, (b) will not violate any Requirement
of Law applicable to Holdings, the Borrower or any of the Subsidiaries, as applicable, (c) will not
violate or result in a default under any indenture or other material agreement or instrument
binding upon Holdings, the Borrower or any of the Subsidiaries or its assets, or give rise to a
right thereunder to require any payment to be made by Holdings, the Borrower or any of the
Subsidiaries or give rise to a right of, or result in, termination, cancellation or acceleration of
any material obligation thereunder, (d) will not result in a Limitation on any right,
qualification, approval, permit, accreditation, authorization, Reimbursement Approval, license or
franchise or authorization granted by any Governmental Authority, Third Party Payor or other Person
applicable to the business, operations or assets of the Borrower or any of the Subsidiaries or
adversely affect the ability of the Borrower or any of the Subsidiaries to participate in any Third
Party Payor Arrangement except for Limitations, individually or in the aggregate, that are not
material to the business of the Borrower and the Restricted Subsidiaries, taken as a whole, and (e)
will not result in the creation or imposition of any Lien on any asset of Holdings, the Borrower or
any of the Subsidiaries, except Liens created under the Loan Documents. There is no pending or, to
the knowledge of the Borrower, threatened Limitation by any Governmental Authority,

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Third Party
Payor or any other Person of any right, qualification, approval, permit, authorization,
accreditation, Reimbursement Approval, license or franchise of the Borrower, or any Subsidiary,
except for such Limitations, individually or in the aggregate, as are not reasonably likely to
result in a Material Adverse Effect. No certifications by any Governmental Authority or any Third
Party Payor are required for operation of the business of the Borrower and the Subsidiaries that
are not in place, except for such certifications or agreements, the absence of which do not
materially and adversely affect the operation of the business.

          SECTION 3.04. Financial Condition; No Material Adverse Change.

          (a) The Borrower has heretofore furnished to the Lenders its consolidated balance sheet and
consolidated statements of operations and comprehensive income, stockholders’ equity and cash flows
as of and for the fiscal years ended December 31, 2004, December 31, 2005, and December 31, 2006,
reported on by KPMG LLP, independent public accountants. Such financial statements present fairly,
in all material respects, the financial position and results of operations and cash flows of the
Borrower and its subsidiaries as of such dates and for such periods in accordance with GAAP
consistently applied.

          (b) The Borrower has heretofore furnished to the Lenders its pro forma consolidated balance
sheet as of December 31, 2006 prepared giving effect to the Transactions as if the Transactions had
occurred on such date. Such pro forma consolidated balance sheet (i) has been prepared in good
faith based on assumptions (which are believed by the Borrower to be reasonable), (ii) accurately
reflects all adjustments necessary to give effect to the Transactions and (iii) presents fairly, in
all material respects, the pro forma financial position of the Borrower and its subsidiaries as of
December 31, 2006 as if the Transactions had occurred on such date.

          (c) Except for (i) liabilities reflected in or reserved against in the financial statements
referred to above or the notes thereto, (ii) liabilities incurred in the ordinary course of
business and (iii) liabilities incurred in connection with the Transactions, after giving effect to
the Transactions, none of Holdings, the Borrower or its subsidiaries has, as of the Effective Date,
any liabilities that are, individually or in the aggregate, reasonably likely to result in a
Material Adverse Effect.

          (d) No event, change, condition or state of facts has occurred that has resulted in, or is
reasonably likely to result in, individually or in the aggregate, a Material Adverse Effect since
December 31, 2006.

          SECTION 3.05. Properties.

          (a) Each of Holdings, the Borrower and the Subsidiaries has good title to, or valid leasehold
interests in, all its real and personal property material to its business, free and clear of all
Liens, except for Liens expressly permitted pursuant to Section 6.02.

          (b) Each of Holdings, the Borrower and the Subsidiaries owns, licenses or possesses the right
to use all trademarks, trade names, copyrights, patents and other intellectual property material to
its business, and the use thereof by Holdings, the Borrower and the Subsidiaries does not, to the
knowledge of Holdings and the Borrower, infringe upon the rights of any other Person, except for
any such infringements that, individually or in the aggregate, are not reasonably likely to result
in a Material Adverse Effect.

          (c) Schedule 3.05 sets forth the address of each real property owned, leased or
otherwise held by any of the Loan Parties as of the Effective Date after giving effect to the
Transactions.

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          (d) No Mortgage encumbers improved real property that is located in an area that has been
identified by the Secretary of Housing and Urban Development as an area having special flood
hazards within the meaning of the National Flood Insurance Act of 1968 unless flood insurance
available
under such Act has been obtained in accordance with Section 5.07 unless waived by the
Administrative Agent in its sole discretion.

          SECTION 3.06. Litigation.

Except as set forth on Schedule 3.06, there are no actions, suits or proceedings by or
before any arbitrator or Governmental Authority pending against or, to the knowledge of Holdings
and the Borrower, threatened against or affecting Holdings, the Borrower or any Subsidiary that
would reasonably be likely to, individually or in the aggregate, (i) result in a Material Adverse
Effect or (ii) adversely affect in any material respect the ability of the Loan Parties to
consummate the Transactions or the other transactions contemplated hereby.

          SECTION 3.07. Compliance with Laws and Agreements. Except as is not reasonably likely
to result in, individually or in the aggregate, a Material Adverse Effect, each of Holdings, the
Borrower and the Subsidiaries is in compliance with all Requirements of Law applicable to it or its
property and all indentures, agreements and other instruments binding upon it or its property.

          SECTION 3.08. Investment Company Status. Neither Holdings, the Borrower nor any
Subsidiary is an “investment company” as defined in, or subject to regulation under, the Investment
Company Act of 1940, as amended.

          SECTION 3.09. Taxes. Each of Holdings, the Borrower and the Subsidiaries has timely
filed or caused to be filed all Federal and other material Tax returns and reports required to have
been filed and has paid or caused to be paid all Taxes required to have been paid by it, except (a)
any Taxes that are being contested in good faith by appropriate proceedings and for which Holdings,
the Borrower or such Subsidiary, as applicable, has set aside on its books adequate reserves in
accordance with GAAP or (b) to the extent that the failure to do so is not reasonably likely,
individually or in the aggregate, to result in a Material Adverse Effect.

          SECTION 3.10. ERISA. No ERISA Event has occurred, or is reasonably expected to occur
that, when taken together with all other such ERISA Events for which liability is reasonably
expected to occur, is reasonably likely, individually or in the aggregate, to result in a Material
Adverse Effect. The present value of all accumulated benefit obligations under each Plan (based on
the assumptions used for purposes of Statement of Financial Accounting Standards No. 87) did not,
as of the date of the most recent financial statements reflecting such amounts, exceed the fair
value of the assets of such Plan. Except as would not be reasonably likely to result in,
individually or in the aggregate, a Material Adverse Effect, each employee benefit plan maintained
or contributed to by the Borrower or any Subsidiary and each Plan is in compliance with the
applicable provisions of ERISA and the Code. Using actuarial assumptions and computation methods
consistent with subpart 1 of subtitle E of Title IV of ERISA, the aggregate liabilities of each
ERISA Affiliate to all Multiemployer Plans in the event of a complete withdrawal therefrom, as of
the close of the most recent fiscal year of each such Multiemployer Plan, are not reasonably
likely, individually or in the aggregate, to result in a Material Adverse Effect.

          SECTION 3.11. Disclosure. Neither the Information Memorandum nor any of the other
reports, financial statements, certificates or other information furnished by or on behalf of any
Loan Party to the Administrative Agent or any Lender in connection with the negotiation of this
Agreement or any other Loan Document or delivered hereunder or thereunder (as modified or
supplemented by other information so furnished and taken as a whole) contains any material
misstatement of fact or omits to

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state any material fact necessary to make the statements therein,
in the light of the circumstances under which they were made, not misleading, provided that
the foregoing shall not apply to any projected financial information other than the projected
financial information included in the Information Memorandum, and with respect to such projected
financial information, Holdings and the Borrower represent only that such information was prepared
in good faith based upon assumptions believed by them to be reasonable at the time delivered and as
of the Effective Date.

          SECTION 3.12. Subsidiaries. After giving effect to the Merger, as of the Effective
Date, Holdings does not have any subsidiaries other than the Borrower and the Subsidiaries and
Inactive Subsidiaries listed on Schedule 3.12. Schedule 3.12 sets forth the name
of, and the ownership or beneficial interest of Holdings in, each subsidiary, including the
Borrower, and identifies each Subsidiary that is a Subsidiary Loan Party, in each case as of the
Effective Date.

          SECTION 3.13. Insurance. Schedule 3.13 sets forth a description of all
insurance maintained by or on behalf of Holdings, the Borrower and the Subsidiaries as of the
Effective Date. As of the Effective Date, all premiums in respect of such insurance have been
paid. Holdings and the Borrower believe that the insurance maintained by or on behalf of the
Borrower and the Subsidiaries is adequate.

          SECTION 3.14. Labor Matters. As of the Effective Date, there are no strikes, lockouts
or slowdowns against Holdings, the Borrower or any Subsidiary pending or, to the knowledge of
Holdings and the Borrower, threatened. The hours worked by and payments made to employees of the
Borrower and the Subsidiaries have not been in violation of the Fair Labor Standards Act or any
other applicable Federal, state, local or foreign law dealing with such matters. All payments due
from Holdings, the Borrower or any Subsidiary, or for which any claim may be made against Holdings,
the Borrower or any Subsidiary, on account of wages and employee health and welfare insurance and
other benefits, have been paid or accrued as a liability on the books of Holdings, the Borrower or
such Subsidiary. The consummation of the Transactions will not give rise to any right of
termination or right of renegotiation on the part of any union under any collective bargaining
agreement to which Holdings, the Borrower or any Subsidiary is bound.

          SECTION 3.15. Solvency. Immediately after the consummation of the Transactions to
occur on the Effective Date, (a) the fair value of the assets of the Loan Parties, taken as a
whole, at a fair valuation, will exceed their debts and liabilities, subordinated, contingent or
otherwise, (b) the present fair saleable value of the property of the Loan Parties, taken as a
whole, will be greater than the amount that will be required to pay the probable liability of their
debts and other liabilities, subordinated, contingent or otherwise, as such debts and other
liabilities become absolute and matured, (c) the Loan Parties, taken as a whole, will be able to
pay their debts and liabilities, subordinated, contingent or otherwise, as such debts and
liabilities become
absolute and matured, and (d) the Loan Parties, taken as a whole, will not have unreasonably
small capital with which to conduct the business in which they are engaged as such business is now
conducted and is proposed to be conducted following the Effective Date, in each case after giving
effect to any rights of indemnification, contribution or subrogation arising among the Subsidiary
Loan Parties pursuant to the Collateral Agreement or by law.

          SECTION 3.16. Senior Indebtedness. The Obligations constitute “Senior Debt” under and
as defined in the Senior Subordinated Notes Documents.

          SECTION 3.17. Reimbursement from Third Party Payors. The accounts receivable of
Holdings, the Borrower and the Subsidiaries have been and will continue to be adjusted to reflect
the reimbursement policies required by all applicable Requirements of Law and other Third Party
Payor Arrangements to which Holdings, the Borrower or such Subsidiary is subject, and do not exceed
in any material respect amounts the Borrower or such Subsidiary is entitled to receive under any
capitation

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arrangement, fee schedule, discount formula, cost-based reimbursement or other
adjustment or limitation to usual charges. To the knowledge of the Borrower and Holdings, all
billings by Holdings, the Borrower and each Subsidiary pursuant to any Third Party Payor
Arrangements have been made in compliance with all applicable Requirements of Law, except where
failure to comply would not, individually or in the aggregate, be reasonably likely to result in a
Material Adverse Effect. To the knowledge of the Borrower and Holdings, there has been no
intentional or material over-billing or over-collection by the Borrower or any Subsidiary pursuant
to any Third Party Payor Arrangements, other than as created by routine adjustments and
disallowances made in the ordinary course of business by the Third Party Payors with respect to
such billings.

          SECTION 3.18. Fraud and Abuse; Licenses. To the knowledge of the Borrower and
Holdings, none of Holdings, the Borrower or any Subsidiary, nor any of their respective partners,
members, stockholders, officers or directors, acting on behalf of Holdings, the Borrower or any
Subsidiary, have engaged on behalf of Holdings, the Borrower or any Subsidiary in any activities
that are prohibited under 42 U.S.C. § 1320a-7, 42 U.S.C. § 1320a-7a, 42 U.S.C. § 1320a-7b, 42
U.S.C. § 1395nn, 31 U.S.C. § 3729 et seq., or the regulations promulgated
thereunder, or related Requirements of Law, or under any similar state law or regulation, or that
are prohibited by binding rules of professional conduct, including (a) knowingly and willfully
making or causing to be made a false statement or misrepresentation of a material fact in any
application for any benefit or payment, (b) knowingly and willfully making or causing to be made
any false statement or misrepresentation of a material fact for use in determining rights to any
benefit or payment, (c) failing to disclose knowledge by a claimant of the occurrence of any event
affecting the initial or continued right to any benefit or payment on its own behalf or on behalf
of another, with intent to secure such benefit or payment fraudulently, (d) knowingly and willfully
soliciting or receiving any remuneration (including any kickback, bribe or rebate), directly or
indirectly, overtly or covertly, in cash or in kind, or offering to pay or receive such
remuneration (i) in return for referring an individual to a Person for the furnishing or arranging
for the furnishing of any item or service for which payment may be made, in whole or in part,
pursuant to any Third Party Payor Arrangement to which the foregoing rules and regulations apply or
(ii) in return for purchasing, leasing or ordering or arranging for or recommending purchasing,
leasing or ordering any good, facility, service or item for which payment may be made, in whole or
in part, pursuant to any Third Party Payor Arrangement to which the foregoing rules and regulations
apply and (e) making any prohibited referral for designated health services, or presenting or
causing to be presented a claim or bill to any individual, Third Party Payor or other entity for
designated health services furnished pursuant
to a prohibited referral. Neither Holdings, the Borrower nor any Subsidiary shall be
considered to be in breach of this Section 3.18 so long as (a) it shall have taken such actions
(including implementation of appropriate internal controls) as may be reasonably necessary to
prevent such prohibited actions and (b) such prohibited actions as have occurred, individually or
in the aggregate, are not reasonably likely result in a Material Adverse Effect.

          The facilities operated by the Borrower and its Subsidiaries are qualified for participation
in the Government Programs in which they participate, and comply in all material respects with the
conditions of participation in all Government Programs in which they participate or have
participated, except for the fact that facilities newly developed by any such Person may from time
to time be awaiting an initial Medicare certification and/or initial Medicare or Medicaid provider
number in accordance with customary processing and certification timeframes of such Government
Programs. There is no pending or, to the Borrower’s and Holdings’ knowledge, threatened proceeding
or investigation by any of the Government Programs with respect to (i) the Borrower’s or any
Subsidiary’s qualification or right to participate in any Government Program in which it
participates or has participated, (ii) the compliance or non-compliance by any such Person with the
terms or provisions of any Government Program in which it participates or has participated, or
(iii) the right of any such Person to receive or retain amounts received or due or to become due
from any Government Program in which it participates or has participated, which

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proceeding or
investigation, together with all other such proceedings and investigations, would be reasonably
likely to result in a Material Adverse Effect.

          SECTION 3.19. Margin Regulations. The Borrower is not engaged nor will it engage,
principally or as one of its important activities, in the business of purchasing or carrying margin
stock (within the meaning of Regulation U issued by the Board), or extending credit for the purpose
of purchasing or carrying margin stock, and no proceeds of any Borrowings or drawings under any
Letter of Credit will be used for any purpose that violates Regulation U.

          SECTION 3.20. Patriot Act.

          (a) Neither Holdings, the Borrower nor any Subsidiary nor, to the knowledge of Borrower or
Holdings, any Non-Consolidated Entity, is in violation of any requirement of applicable Law
relating to terrorism or money laundering (“Anti-Terrorism Laws”), including Executive
Order No. 13224 on Terrorist Financing, effective September 24, 2001 (the “Executive
Order”), and the Uniting and Strengthening America by Providing Appropriate Tools Required to
Intercept and Obstruct Terrorism Act of 2001, Public Law 107-56 (the “USA Patriot Act”).

          (b) Neither Holdings, the Borrower nor any Subsidiary nor, to the knowledge of Borrower or
Holdings, any Non-Consolidated Entity or broker or other agent of Holdings, the Borrower or any of
its Subsidiaries acting or benefiting in any capacity in connection with the Loans is any of the
following:

     (i) a Person that is listed in the annex to, or is otherwise subject to the provisions
of, the Executive Order;

     (ii) a Person owned or controlled by, or acting for or on behalf of, any Person that is
listed in the annex to, or is otherwise subject to the provisions of, the Executive Order;

     (iii) a Person with which any Lender is prohibited from dealing or otherwise engaging
in any transaction by any Anti-Terrorism Law;

     (iv) a Person that commits, threatens or conspires to commit or supports “terrorism” as
defined in the Executive Order; or

     (v) a Person that is named as a “specially designated national and blocked person” on
the most current list published by the U.S. Treasury Department Office of Foreign Assets
Control (“OFAC”) at its official website or any replacement website or other
replacement official publication of such list.

          (c) Neither the Holdings, the Borrower nor any of its Subsidiaries and, to the knowledge of
the Borrower and Holdings, no broker or other agent of the Holdings, the Borrower or any of its
Subsidiaries acting in any capacity in connection with the Loans (i) conducts any business or
engages in making or receiving any contribution of funds, goods or services to or for the benefit
of any person described in Section 3.20(b) above, (ii) deals in, or otherwise engages in any
transaction relating to, any property or interests in property blocked pursuant to the Executive
Order, or (iii) engages in or conspires to engage in any transaction that evades or avoids, or has
the purpose of evading or avoiding, or attempts to violate, any of the prohibitions set forth in
any Anti-Terrorism Law.

          SECTION 3.21. Intellectual Property; Licenses, Etc. Holdings, the Borrower and each
of its Subsidiaries own, license or possess the right to use, all of the trademarks, service marks,
trade

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names, domain names, copyrights, patents, patent rights, licenses, technology, software,
know-how database rights, design rights and other intellectual property rights (collectively,
“IP Rights”) that are reasonably necessary for the operation of their respective businesses
as currently conducted, and, without conflict with the rights of any Person, except to the extent
such conflicts, either individually or in the aggregate, are not reasonably likely to result in a
Material Adverse Effect. Holdings, the Borrower and its Subsidiaries in the operation of their
respective businesses as currently conducted do not infringe upon any rights held by any Person
except for such infringements, individually or in the aggregate, which are not reasonably likely to
result in a Material Adverse Effect. No claim or litigation regarding any of the IP Rights, owned
by Holdings, the Borrower and each of its Subsidiaries, is pending or, to the knowledge of the
Borrower and Holdings, threatened against Holdings, the Borrower or any of its Subsidiaries, which,
either individually or in the aggregate, is reasonably likely to result in a Material Adverse
Effect.

          Except pursuant to licenses and other user agreements entered into by each Loan Party in the
ordinary course of business, on and as of the date hereof (i) each Loan Party owns and possesses
the right to use, and has done nothing to authorize or enable any other Person to use, any
copyright, patent or trademark listed in Schedule 9(a) or 9(b) to the Perfection Certificate and
(ii) all registrations listed in Schedule 9(a) or 9(b) to the Perfection Certificate are valid and
in full force and effect, except, in each case, to the extent failure to own or possess such right
to use or of such registrations to be valid and in full force and effect is not reasonably likely,
individually or in the aggregate, to result in a Material Adverse Effect.

          SECTION 3.22. Security Documents.

          (a) Security Agreement. The Security Documents are effective to create in favor of
the Collateral Agent for the benefit of the Lenders, legal, valid and enforceable Liens on, and
security
interests in, the Collateral described therein to the extent intended to be created thereby
and (i) when financing statements and other filings in appropriate form are filed in the offices
specified on Schedule 7 to the Perfection Certificate and (ii) upon the taking of possession or
control by the Collateral Agent of such Collateral with respect to which a security interest may be
perfected only by possession or control (which possession or control shall be given to the
Collateral Agent to the extent possession or control by the Collateral Agent is required by the
Security Documents), the Liens created by the Security Documents shall constitute fully perfected
Liens on, and security interests in (to the extent intended to be created thereby), all right,
title and interest of the grantors in such Collateral to the extent perfection can be obtained by
filing financing statements or possession or control, as applicable, in each case subject to no
Liens other than Liens permitted hereunder.

          (b) PTO Filing; Copyright Office Filing. When the Collateral Agreement or a short
form thereof is properly filed in the United States Patent and Trademark Office and the United
States Copyright Office, the Liens created by the Collateral Agreement shall, to the extent allowed
by law, constitute fully perfected Liens on, and security interests in, all right, title and
interest of the grantors thereunder (to the extent intended to be created thereby) in Patents and
Trademarks (each as defined in the Collateral Agreement) registered or applied for with the United
States Patent and Trademark Office or Copyrights (as defined in the Collateral Agreement)
registered or applied for with the United States Copyright Office, as the case may be, in each case
subject to no Liens other than Liens permitted hereunder (it being understood that subsequent
recordings in the United States Patent and Trademark Office and the United States Copyright Office
may be necessary to perfect a Lien on registered Patents, Trademarks and Copyrights acquired by the
grantors thereof after the Effective Date).

          (c) Valid Liens. Each Security Document delivered pursuant to Sections 5.12 and 5.13
will, upon execution and delivery thereof, be effective to create in favor of the Collateral Agent,
for

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the benefit of the Lenders, legal, valid and enforceable Liens on, and security interests in
(to the extent intended to be created thereby), all of the Loan Parties’ right, title and interest
in and to the Collateral thereunder and (i) when all appropriate filings, recordings, registrations
or notifications are made as may be required under applicable law and (ii) upon the taking of
possession or control by the Collateral Agent of such Collateral with respect to which a security
interest may be perfected only by possession or control (which possession or control shall be given
to the Collateral Agent to the extent required by any such Security Document), such Security
Document will constitute fully perfected Liens on, and security interests in (to the extent
intended to be created thereby), all right, title and interest of the Loan Parties in such
Collateral to the extent perfection can be obtained by filing financing statements or possession or
control, in each case subject to no Liens other than Liens permitted hereunder.

          (d) Each Mortgage is effective to create, in favor of the Collateral Agent, for the benefit of
the Lenders, legal, valid and enforceable first priority Liens on, and security interests in, all
of the Loan Parties’ right, title and interest in and to the Mortgaged Properties thereunder and
the proceeds thereof, subject only to Permitted Encumbrances or other Liens acceptable to the
Collateral Agent, and when the Mortgages are filed in the applicable offices (or, in the case of
any Mortgage executed and delivered after the date hereof in accordance with the provisions of
Sections 5.12 and 5.13, when such Mortgage is filed in the offices specified in the local counsel
opinion delivered with respect thereto in accordance with the provisions of Sections 5.12 and
5.13), the Mortgages shall constitute fully perfected Liens on, and security interests in, all
right, title and interest of the Loan Parties in the Mortgaged Properties and the proceeds thereof,
in each case prior and superior in right to any other Person, other than Liens permitted by such
Mortgage.

          SECTION 3.23. Environmental Compliance.

          (a) Except with respect to any other matters that, individually or in the aggregate, are not
reasonably likely to result in a Material Adverse Effect, neither Holdings, the Borrower nor any
Subsidiary (i) has failed to comply with any Environmental Law or to obtain, maintain or comply
with any Environmental Permit or to provide any notification required under any Environmental Law
or has become subject to any Environmental Liability or is conducting or financing any
investigation, response or corrective action pursuant to any Environmental Law at any location; or
(ii) knows of any basis for Environmental Liability. There are no claims, actions, suits, or
proceedings alleging potential liability or violation of, or otherwise relating to, any
Environmental Law that are, individually or in the aggregate, reasonably likely to result in a
Material Adverse Effect.

          (b) Except as not reasonably likely to result in, individually or in the aggregate, a Material
Adverse Effect, (i) none of the properties currently or formerly owned, leased or operated by
Holdings, the Borrower or any of its Subsidiaries is listed or proposed for listing on the NPL or
on the CERCLIS or any analogous foreign, state or local list or is adjacent to any such property;
(ii) there are no and never have been any underground or aboveground storage tanks or any surface
impoundments, septic tanks, pits, sumps or lagoons in which Hazardous Materials are being or have
been treated, stored or disposed on any property currently owned, leased or operated by Holdings,
the Borrower or any of its Subsidiaries or, to the Borrower’s and Holdings’ knowledge, on any
property formerly owned or operated by Holdings, the Borrower or any of its Subsidiaries; (iii)
there is no asbestos or asbestos-containing material at or on any facility, equipment or property
currently owned or operated by Holdings, the Borrower or any of its Subsidiaries; and (iv) there
has been no Release of Hazardous Materials by any Person on any property currently or formerly
owned, leased or operated by Holdings, the Borrower or any of its Subsidiaries and there has been
no Release of Hazardous Materials by Holdings, the Borrower or any of its Subsidiaries at any other
location.

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          (c) The properties owned, leased or operated by Holdings, the Borrower and its Subsidiaries do
not contain any Hazardous Materials in amounts or concentrations which (i) constitute, or
constituted a violation of, (ii) require remedial action under, or (iii) could give rise to
liability under, Environmental Laws, which violations, remedial actions and liabilities,
individually or in the aggregate, are reasonably likely to result in a Material Adverse Effect.

          (d) Holdings, the Borrower and its Subsidiaries are not conducting or financing, either
individually or together with other potentially responsible parties, any investigation or
assessment or remedial or response action relating to any actual or threatened Release of Hazardous
Materials at any site, location or operation, either voluntarily or pursuant to the order of any
Governmental Authority or the requirements of any Environmental Law except for such investigation
or assessment or remedial or response action that, individually or in the aggregate, is not
reasonably likely to result in a Material Adverse Effect.

          (e) All Hazardous Materials generated, used, treated, handled or stored at, or transported to
or from, any property currently or formerly owned or operated by Holdings, the Borrower or any of
its Subsidiaries have been disposed of in a manner not reasonably likely to result in, individually
or in the aggregate, a Material Adverse Effect.

          (f) Except as would not be reasonably likely to result in, individually or in the aggregate, a
Material Adverse Effect, neither Holdings, the Borrower nor any of its Subsidiaries has
contractually assumed any liability or obligation under or relating to any Environmental Law.

ARTICLE IV

Conditions

     SECTION 4.01. Effective Date. The obligations of the Lenders to make Loans and of the
Issuing Bank to issue Letters of Credit hereunder shall not become effective until the date on
which each of the following conditions is satisfied (or waived):

     (a) The Administrative Agent shall have received from each party hereto either (i) a
counterpart of this Agreement signed on behalf of such party or (ii) written evidence
satisfactory to the Administrative Agent (which may include telecopy transmission of a
signed signature page of this Agreement) that such party has signed a counterpart of this
Agreement.

     (b) The Administrative Agent shall have received a written opinion (addressed to the
Administrative Agent and the Lenders and dated the Effective Date) of each of (i) Ropes &
Gray LLP, counsel for Holdings and the Borrower, substantially in the form of Exhibit
B, (ii) the General Counsel of the Borrower in form satisfactory to the Administrative
Agent and (iii) local counsel in each jurisdiction specified on Schedule 4.01 in
form satisfactory to the Administrative Agent, and, in the case of each such opinion
required by this paragraph, covering such matters relating to the Loan Parties, the Loan
Documents or the Transactions as the Administrative Agent shall reasonably request.

     (c) The Administrative Agent shall have received such 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 and
any other legal matters relating to the Loan Parties, the Loan Documents or the
Transactions, all in form and substance reasonably satisfactory to the Administrative Agent.

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     (d) The Administrative Agent shall have received a certificate, dated the Effective
Date and signed by a Financial Officer, confirming compliance with the conditions set forth
in paragraphs (a) and (b) of Section 4.02 (other than, with respect to Section 4.02(a), the
representation and warranty set forth in Section 3.04(d), which representation and warranty
need not be made on the Effective Date).

     (e) The Administrative Agent shall have received all fees and other amounts due and
payable on or prior to the Effective Date, including, to the extent invoiced, reimbursement
or payment of all out-of-pocket expenses (including fees, charges and disbursements of
counsel) required to be reimbursed or paid by any Loan Party hereunder or under any other
Loan Document.

     (f) The Collateral and Guarantee Requirement shall have been satisfied and the
Administrative Agent shall have received a completed Perfection Certificate dated the
Effective Date and signed by a Financial Officer and a legal officer of the Borrower,
together with all attachments contemplated thereby, including the results of a search of the
Uniform Commercial Code (or equivalent) filings made with respect to the Loan Parties in the
jurisdictions contemplated by the Perfection Certificate and copies of the financing
statements (or similar documents) disclosed by such search and evidence reasonably
satisfactory to the Administrative Agent that the Liens indicated by such financing
statements (or similar documents) are permitted by Section 6.02 or have been released,
provided that the Collateral Agent may, in its reasonable judgment, grant extensions of time for compliance with the Collateral and Guarantee Requirement by any
Loan Party.

     (g) The Administrative Agent shall have received evidence that the insurance required
by Section 5.07 is in effect.

     (h) The Lenders shall have received a pro forma consolidated balance sheet of Borrower
as of the date of the most recent consolidated balance sheet delivered pursuant to Section
4.01(k)(ii), reflecting all pro forma adjustments (in accordance with Regulation S-X and
such other adjustments as shall be agreed between the Borrower and the Arrangers) as if the
Transactions had been consummated on such date, and such pro forma consolidated balance
sheet shall be consistent in all material respects with the forecasts and other information
previously provided to the Lenders. After giving effect to the Transactions, none of
Holdings, the Borrower or any Subsidiary shall have outstanding any preferred stock or any
Indebtedness, other than (i) Indebtedness incurred under the Loan Documents, (ii) the Senior
Subordinated Notes and (iii) Indebtedness set forth on Schedule 6.01. The Borrower
shall have delivered its most recent projections through the 2014 fiscal year.

     (i) All obligations under or relating to the Existing Credit Facilities (other than
customary indemnification obligations) and all liens, guarantees and security interests
granted in respect thereof (including all adequate protection obligations related thereto)
shall have been discharged, and the terms and conditions of such discharge shall be
satisfactory to the Administrative Agent. The Administrative Agent shall have received
payoff and release letters with respect to the Existing Credit Facilities in form and
substance reasonably satisfactory to the Administrative Agent.

     (j) The Administrative Agent shall have received a certificate, dated the Effective
Date and signed by a Financial Officer, confirming that since September 30, 2006, there has
not been any change, event, condition, circumstance or state of facts, individually or in
the aggregate, that has had or could reasonably be expected to have a Company Material
Adverse Effect (as defined in the Merger Agreement as in effect on January 7, 2007).

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     (k) The Lenders shall have received (i) audited consolidated and consolidating (between
US and UK operations) balance sheets and related statements of income, stockholders’ equity
and cash flows of the Borrower for the three most recently completed fiscal years ended at
least 90 days prior to the Effective Date (without any qualified audit opinion thereon) and
(ii) unaudited consolidated and consolidating (between US and UK operations) balance sheets
and related statements of income, stockholders’ equity and cash flows of the Borrower for
each subsequently completed fiscal quarter since the date of such audited financial
statements ended at least 45 days prior to the Effective Date and (iii) to the extent made
available by the Borrower to Holdings prior to the Effective Date, each fiscal month after
the most recent fiscal period for which financial statements were received by the Lenders as
described above and ended at least 30 days prior to the Effective Date (to be in the form
provided by the Borrower to Holdings), which financial statements described in clauses (a)
and (b) shall be prepared in accordance with GAAP.

     (l) The Administrative Agent shall have received a certificate, dated the Effective
Date and signed by the president or a vice president of the Borrower or a Financial Officer,
in form and substance reasonably satisfactory to the Administrative Agent, together with
such other evidence reasonably requested by the Lenders, confirming the solvency of the Loan
Parties on a consolidated basis after giving effect to the Transactions.

     (m) The Transactions shall have been consummated or shall be consummated simultaneously
with the Effective Date in accordance with applicable law, the Merger Agreement and all
other related documentation (in each case without giving effect to any amendments,
modifications or waivers to or of such documents that are materially adverse to the Lenders
not approved by the Arrangers).

     (n) The Equity Contributions shall have been made.

     (o) The consummation of the Transactions shall comply in all respects with the terms of
the Senior Subordinated Notes and the UK Facility and the Senior Subordinated Notes shall
have been issued and all the conditions precedent to borrowing under the UK Facility shall
have been met.

The Administrative Agent shall notify the Borrower and the Lenders of the Effective Date, and such
notice shall be conclusive and binding.

          SECTION 4.02. Each Credit Event. The obligation of each Lender to make any Loan and
of the Issuing Bank to issue, amend, renew or extend any Letter of Credit, is subject to receipt of
the request therefor in accordance herewith and to the satisfaction of the following conditions:

     (a) The representations and warranties of each Loan Party set forth in the Loan
Documents shall be true and correct in all material respects (except to the extent any such
representation or warranty is qualified by “materially”, “Material Adverse Effect” or a
similar term, in which case such representation and warranty shall be true and correct in
all respects) on and as of the date of such Borrowing or the date of issuance, amendment,
renewal or extension of such Letter of Credit, as applicable, except to the extent such
representations and warranties expressly relate to an earlier date (in which case such
representations and warranties shall be true and correct in all material respects (except to
the extent any such representation or warranty is qualified by “materially”, “Material
Adverse Effect” or a similar term, in which case such representation and warranty shall be
true and correct in all respects) as of such earlier date); provided that the only
representations relating to the Borrower or its Subsidiaries and their businesses, the
accuracy of

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which shall be a condition to availability on the Effective Date shall be those
in Sections 3.01, 3.02, 3.08, 3.16, 3.19 and 3.20.

     (b) At the time of and immediately after giving effect to such Borrowing or the
issuance, amendment, renewal or extension of such Letter of Credit, as applicable, no
Default or Event of Default shall have occurred and be continuing; provided that the
only representations relating to the Borrower or its Subsidiaries and their businesses, the
accuracy of which shall be a condition to availability on the Effective Date shall be those
in Sections 3.01, 3.02, 3.08, 3.16, 3.19 and 3.20.

Each Borrowing (provided that a conversion or continuation of a Borrowing shall not
constitute a “Borrowing” for purposes of this Section 4.02) and each issuance, amendment, renewal
or extension of a Letter of Credit shall be deemed to constitute a representation and warranty by
Holdings and the Borrower on the date thereof as to the matters specified in paragraphs (a) and (b)
of this Section 4.02.

ARTICLE V

Affirmative Covenants

          Until the Commitments have expired or been terminated and the principal of and interest on
each Loan and all fees, expenses and other amounts payable under any Loan Document shall have been
paid in full and all Letters of Credit shall have expired or terminated and all LC Disbursements
shall have been reimbursed, each of Holdings and the Borrower covenants and agrees with the Lenders
that:

          SECTION
5.01. Financial Statements and Other Information. The Borrower will
furnish to the Administrative Agent (for distribution to each Lender):

          (a) within 90 days (or such shorter period as the SEC shall specify for the filing of annual
reports on Form 10-K) after the end of each fiscal year of the Borrower commencing with the fiscal
year ended December 31, 2007, (i) its audited consolidated and consolidating (between Loan Parties
and entities that are not loan parties and which may be in the form of footnote disclosure) balance
sheet and consolidated and consolidating (between Loan Parties and entities that are not loan
parties and which may be in the form of footnote disclosure) statements of operations and
comprehensive income, stockholders’ equity and cash flows as of the end of and for such fiscal
year, and the related notes thereto, setting forth in each case in comparative form the figures for
the previous fiscal year, all reported on by independent public accountants of recognized national
standing (without a “going concern” or like qualification or exception and without any
qualification or exception as to the scope of such audit) to the effect that such consolidated
financial statements present fairly in all material respects the financial condition and results of
operations of the Borrower and the Subsidiaries on a consolidated basis in accordance with GAAP
consistently applied, and (ii) if at any time the Borrower is not subject to the reporting
requirements of Section 13 or 15(d) of the Exchange Act, a “Management’s Discussion and Analysis of
Financial Condition and Results of Operations” that describes the financial condition and results
of operations of the Borrower and its consolidated Subsidiaries;

          (b) within 45 days (or such shorter period as the SEC shall specify for the filing of
quarterly reports on Form 10-Q) after the end of each of the first three fiscal quarters of each
fiscal year of the Borrower commencing with the fiscal quarter ending March 31, 2007, (i) its
consolidated and consolidating (between Loan Parties and entities that are not loan parties and
which may be in the form of footnote disclosure) balance sheet and consolidated and consolidating
(between Loan Parties and entities that are not loan parties and which may be in the form of
footnote disclosure) statements of operations and comprehensive income, stockholders’ equity and
cash flows as of the end of and for such fiscal quarter

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and the then-elapsed portion of the fiscal
year, setting forth in each case in comparative form the figures for the corresponding period or
periods of (or, in the case of the balance sheet, as of the end of) the previous fiscal year, all
certified by a Financial Officer as presenting fairly in all material respects the financial
condition and results of operations of the Borrower and the Subsidiaries on a consolidated basis in
accordance with GAAP consistently applied, subject to normal year-end audit adjustments and the
absence of footnotes, and (ii) if at any time the Borrower is not subject to the reporting
requirements of Section 13 or 15(d) of the Exchange Act, a “Management’s Discussion and Analysis of
Financial Condition and Results of Operations” that describes the financial condition and results
of operations of the Borrower and its consolidated Subsidiaries;

          (c) concurrently with any delivery of financial statements under Section 5.01(a) or (b), a
certificate of a Financial Officer (i) certifying as to whether a Default or Event of Default has
occurred and, if a Default or Event of Default has occurred, specifying the details thereof and any
action
taken or proposed to be taken with respect thereto, (ii) setting forth (A) reasonably detailed
calculations demonstrating compliance (if necessary) with Section 6.12 (including any exercise of
the rights set forth in Section 7.02), showing a detailed calculation of the Available Amount
including changes therein from the prior reporting period, the Fair Market Value of the assets of
Inactive Subsidiaries and showing a calculation of the Leverage Ratio for purposes of determining
the Applicable Rate and (B) in the case of financial statements delivered under Section 5.01(a),
reasonably detailed calculations of Excess Cash Flow for the applicable period, (iii) certifying as
to the calculation of Consolidated EBITDA on a Pro Forma Basis for the four fiscal quarter period
ending on the date of such financial statements and accompanied by reasonably detailed supporting
evidence, and (iv) certifying as to the applicable Secured Leverage Ratio, Fixed Charge Coverage
Ratio or Facility-Level EBITDA, at the time of each event for which compliance with a Secured
Leverage Ratio, Fixed Charge Coverage Ratio or Facility-Level EBITDA threshold is expressly
required (i.e. the requirement is not solely that no Default or Event of Default exist on a Pro
Forma Basis) during the period covered by the applicable financial statements being delivered under
Section 5.01(a) or (b), accompanied by reasonably detailed supporting evidence; it being understood
that each of the calculations described in this Section 5.01(c) shall provide a reconciliation to
the financial statements delivered under Sections 5.01(a) and (b);

          (d) concurrently with any delivery of financial statements under Section 5.01(a), a
certificate of the accounting firm that reported on such financial statements stating whether they
obtained knowledge during the course of their examination of such financial statements of any
Default or Event of Default and, if such knowledge has been obtained, describing such Default or
Event of Default (which certificate may be limited to the extent required by accounting rules or
guidelines);

          (e) within 30 days after the commencement of each fiscal year of the Borrower, a detailed
consolidated budget for such fiscal year (including a projected consolidated balance sheet and
consolidated statements of projected operations and cash flows as of the end of and for such fiscal
year) and, promptly when available, any significant revisions of such budget;

          (f) promptly after the same become publicly available, copies of all periodic and other
reports, proxy statements and other materials filed by the Borrower or any Subsidiary with the SEC
or with any national securities exchange, as applicable;

          (g) simultaneously with the delivery of each set of consolidated financial statements referred
to in Sections 5.01(a) and 5.01(b) above, the related consolidating financial statements reflecting
the adjustments necessary to eliminate the accounts of Unrestricted Subsidiaries (if any) from such
consolidated financial statements; and

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          (h) promptly following any request therefor, such other information regarding the operations,
business affairs and financial condition of Holdings, the Borrower or any Subsidiary or any Plan,
or compliance with the terms of any Loan Document, as the Administrative Agent or any Lender may
reasonably request.

          SECTION 5.02. Notices of Material Events. Holdings and the Borrower will furnish to
the Administrative Agent (for distribution to each Lender), through the Administrative Agent,
written notice of the following promptly after obtaining knowledge thereof:

     (a) the occurrence of any Default or Event of Default;

     (b) the filing or commencement of any action, suit or proceeding by or before any
arbitrator or Governmental Authority against or affecting Holdings, the Borrower or any
Subsidiary that, if adversely determined, is reasonably likely to result in a Material
Adverse Effect;

     (c) the occurrence of any ERISA Event that alone or together with any other ERISA
Events that have occurred, could reasonably be expected to result in liability of the
Borrower and the Restricted Subsidiaries in an aggregate amount exceeding $10,000,000;

     (d) the receipt by Holdings, the Borrower or any Subsidiary of (i) any notice of any
loss of any governmental right, qualification, permit, accreditation, approval,
authorization, Reimbursement Approval, license or franchise or (ii) any notice, compliance
order or adverse report issued by any Governmental Authority or Third Party Payor that, if
not promptly complied with or cured, could result in (A) the suspension or forfeiture of any
material governmental right, qualification, permit, accreditation, approval, authorization,
Reimbursement Approval, license or franchise necessary for the Borrower or any Restricted
Subsidiary to carry on its business as now conducted or as proposed to be conducted or (B)
any other material Limitation imposed upon the Borrower or any Restricted Subsidiary;

     (e) any Change in Law of the type described in clause (a) or (b) of such definition
relating to any Third Party Payor Arrangement that could reasonably be expected to have a
material and adverse effect on the ability of the Borrower or any Restricted Subsidiary to
carry on its business as now conducted or as proposed to be conducted; and

     (f) any other development that results in, or is reasonably likely, individually or in
the aggregate, to result in, a Material Adverse Effect.

Each notice delivered under this Section 5.02 shall be accompanied by a statement of a Financial
Officer or other executive officer of the Borrower setting forth the details of the event or
development requiring such notice and any action taken or proposed to be taken with respect
thereto.

          SECTION 5.03. Information Regarding Collateral.

          (a) The Borrower will furnish to the Collateral Agent prompt written notice (but in no event
later than 60 days) of any change (i) in any Loan Party’s corporate name, (ii) in the jurisdiction
of incorporation or organization of any Loan Party or (iii) in any Loan Party’s organizational
identification number. The Borrower agrees not to effect or permit any change referred to in the
preceding sentence unless all filings have been made under the Uniform Commercial Code or otherwise
that are required in order for the Collateral Agent to continue at all times following such change
to have a valid, legal and perfected security interest in all the Collateral. The Borrower also
agrees promptly to notify the Collateral Agent if any material portion of the Collateral is damaged
or destroyed.

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          (b) Each year, at the time of delivery of annual financial statements pursuant to Section
5.01(a), the Borrower shall deliver to the Collateral Agent a certificate executed by a Financial
Officer and the chief legal officer of the Borrower setting forth the information required pursuant
to the Perfection Certificate or confirming that there has been no change in such information since
the date of the Perfection Certificate delivered on the Effective Date or the date of the most
recent certificate delivered pursuant to this Section (it being understood that with such updates
to the Perfection Certificate the Borrower need not conduct additional lien or other database
searches or list any filing offices or give the information required by Section 3 thereof).

          SECTION 5.04. Existence; Conduct of Business. Each of Holdings and the Borrower will,
and will cause each of the Restricted Subsidiaries to, do or cause to be done all things necessary
to preserve, renew and keep in full force and effect its legal existence and the rights,
qualifications, permits, approvals, accreditations, authorizations, Reimbursement Approvals,
licenses, franchises, patents, copyrights, trademarks and trade names material to the conduct of
its business; provided that the foregoing shall not prohibit any merger, consolidation,
liquidation or dissolution permitted under Section 6.03.

          SECTION 5.05. Payment of Obligations. Each of Holdings and the Borrower will, and
will cause each of the Restricted Subsidiaries to, pay its Tax liabilities, before the same shall
become delinquent or in default, except where (a) the validity or amount thereof is being contested
in good faith by appropriate proceedings, (b) Holdings, the Borrower or such Restricted Subsidiary
has set aside on its books adequate reserves with respect thereto in accordance with GAAP, (c) such
contest effectively suspends the enforcement of any Lien securing such obligation and (d) the
failure to make payment pending such contest is not reasonably likely to, individually or in the
aggregate, result in a Material Adverse Effect.

          SECTION 5.06. Maintenance of Properties. Each of Holdings and the Borrower will, and
will cause each of the Restricted Subsidiaries to, keep and maintain all property material to the
conduct of its business in good working order and condition, ordinary wear and tear and fire or
other casualty excepted.

          SECTION 5.07. Insurance. Each of Holdings and the Borrower will, and will cause each
of the Restricted Subsidiaries to, maintain, with financially sound and reputable insurance
companies (which may include self-insurance), (a) insurance in such amounts (with no greater risk
retention) and against such risks as are customarily maintained by companies of established repute
engaged in the same or similar businesses operating in the same or similar locations and (b) all
insurance required to be maintained pursuant to the Security Documents; each insurance policy
maintained pursuant to this sentence shall name the Collateral Agent as additional insured or loss
payee if permitted by law and the Borrower shall use commercially reasonable efforts to cause each
such insurance policy to provide that no cancellation, material reduction in amount or material
change in coverage thereof shall be effective until at least 30 days after receipt by the
Collateral Agent of written notice thereof. The Borrower will furnish to the Lenders, upon request
of the Administrative Agent, information in reasonable detail as to the insurance so maintained.
Unless otherwise waived by the Administrative Agent in its sole discretion, with respect to each
Mortgaged Property, obtain flood insurance in such total amount as the Administrative Agent or the
Required Lenders may from time to time reasonably require, if at any time the area in which any
improvements located on any Mortgaged Property is designated a “flood hazard area” in any Flood
Insurance Rate Map published by the Federal Emergency Management Agency (or any successor agency),
and otherwise comply with the National Flood Insurance Program as set forth in the Flood Disaster
Protection Act of 1973, as amended from time to time.

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          SECTION 5.08. Casualty and Condemnation. The Borrower (a) will furnish to the
Administrative Agent and the Lenders prompt written notice of any casualty or other insured damage
to any material portion of the Collateral or the commencement of any action or proceeding for the
taking of any material portion of the Collateral or interest therein under power of eminent domain or by condemnation or similar proceeding and (b)
will ensure that the Net Proceeds of any such event (whether in the form of insurance proceeds,
condemnation awards or otherwise) are collected and applied in accordance with the applicable
provisions of this Agreement and the Security Documents.

          SECTION 5.09. Books and Records; Inspection and Audit Rights. Each of Holdings and
the Borrower will, and will cause each of the Restricted Subsidiaries to, keep proper books of
record and account in which full, true and correct entries are made of all dealings and
transactions in relation to its business and activities. Each of Holdings and the Borrower will,
and will cause each of the Restricted Subsidiaries to, permit any representatives designated by the
Administrative Agent or any Lender, upon reasonable prior notice, to visit and inspect its
properties during normal business hours, to examine and make extracts from its books and records,
including any information relating to actual or potential compliance with or liability under
Environmental Laws, and to discuss its affairs, finances and condition with its officers and
independent accountants (provided that the Borrower shall be provided the opportunity to
participate in any such discussions with its independent accountants), all at such reasonable times
and as often as reasonably requested.

          SECTION 5.10. Compliance with Laws. Each of Holdings and the Borrower will, and will
cause each of the Restricted Subsidiaries to comply with all Requirements of Law, including ERISA
and Environmental Laws, and all requirements of Government Programs even if not Requirements of
Law, applicable to it, its operations and all property owned, operated and leased by any of them,
except where the failure to do so, individually or in the aggregate, is not reasonably likely to
result in a Material Adverse Effect.

          SECTION 5.11. Use of Proceeds and Letters of Credit. The proceeds of the Tranche B
Term Loans and any Revolving Loans borrowed on the Effective Date will be used by the Borrower on
the Effective Date solely for (a) first, the payment of the Transaction Costs, (b)
second, the payment of all principal, interest, fees and other amounts outstanding under
the Existing Credit Facilities, and (c) third, together with the Equity Contributions and
cash on hand of the Borrower, the payment of the Merger Consideration. The proceeds of the Delayed
Draw Term loans will be used solely to finance the St. Louis Investments. The proceeds of the
Revolving Loans (except as described above), Swingline Loans and Letters of Credit will be used
only for working capital and for other general corporate purposes. No part of the proceeds of any
Loan and no Letter of Credit will be used, whether directly or indirectly, for any purpose that
entails a violation of any of the Regulations of the Board, including Regulations T, U and X.

          SECTION 5.12. Additional Subsidiaries. If any additional Subsidiary is formed or
acquired after the Effective Date (or if any Inactive Subsidiary or Specified Subsidiary that is
not a Subsidiary Loan Party ceases to qualify as an Inactive Subsidiary or Specified Subsidiary, as
applicable) the Borrower will, promptly and in any event within 30 days of such event, notify the
Collateral Agent and the Administrative Agent thereof and cause the Collateral and Guarantee
Requirement to be satisfied with respect to such Subsidiary (if it is a Subsidiary Loan Party) and
with respect to any Equity Interest in such Subsidiary owned by or on behalf of any Loan Party;
provided that the Collateral Agent may, in its reasonable judgment, grant extensions of
time for compliance, or exceptions from compliance, with the provisions of this paragraph by any
Loan Party.

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          SECTION 5.13. Further Assurances.

          (a) Holdings and the Borrower will, and will cause each Subsidiary Loan Party to, execute any
and all further documents, financing statements, agreements and instruments, and take all such
further actions (including the filing and recording of financing statements, fixture filings,
mortgages, deeds of trust and other documents), which may be required under any applicable law, or
which the Administrative Agent or the Required Lenders may reasonably request, to cause the
Collateral and Guarantee Requirement to be and remain satisfied, all at the expense of the Loan
Parties. Each of Holdings and the Borrower also agrees to provide to the Collateral Agent, from
time to time upon reasonable request, evidence reasonably satisfactory to the Administrative Agent
as to the perfection and priority of the Liens created or intended to be created by the Security
Documents (including legal opinions).

          (b) If any material assets (including any real property (other than any leased real property)
or improvements thereto or any interest therein, other than any real property with a fair value of
less than $2,500,000) are acquired by the Borrower or any Subsidiary Loan Party after the Effective
Date (other than assets constituting Collateral under the Collateral Agreement that become subject
to the Lien in favor of the Collateral Agent upon acquisition thereof), the Borrower will promptly
notify the Administrative Agent and the Lenders thereof and, if requested by the Administrative
Agent or the Required Lenders, the Borrower will cause such assets to be subjected to the Lien of
the Security Documents securing the Obligations and will take, and cause the Subsidiary Loan
Parties to take, such actions as shall be necessary or reasonably requested by the Administrative
Agent to grant and perfect such Liens, including actions described in Section 5.13(a), all at the
expense of the Loan Parties, all within 90 days of such request, provided that the
Collateral Agent may, in its reasonable judgment, grant extensions of time for compliance or
exceptions with the provisions of this paragraph by any Loan Party. Notwithstanding anything to
the contrary in this Agreement or any Security Document, no Loan Party shall be required to pledge
or grant security interests in particular assets if, in the reasonable judgment of the
Administrative Agent or the Collateral Agent, the costs of creating or perfecting such pledges or
security interests in such assets (including any mortgage, stamp, intangibles or other tax) are
excessive in relation to the benefits to the Lenders therefrom.

          SECTION 5.14. Environmental Matters. Except, in each case, to the extent that the
failure to do so is not reasonably likely to have, individually or in the aggregate, a Material
Adverse Effect, Holdings and the Borrower will comply, and take all reasonable actions to cause all
lessees and other Persons operating or occupying its properties to comply with all applicable
Environmental Laws and Environmental Permits; obtain and renew all Environmental Permits necessary
for its operations and properties; and, in each case to the extent Holdings, the Borrower or any
Restricted Subsidiary is required by Environmental Laws, conduct any investigation, study, sampling
and testing, and undertake any cleanup, removal, remedial or other action necessary to remove and
clean up all Hazardous Materials at, on, under or emanating from any affected property, in
accordance with the requirements of all Environmental Laws.

          SECTION 5.15. Designation of Subsidiaries.

          (a) The Borrower may at any time after the Effective Date designate any Restricted Subsidiary
of the Borrower as an Unrestricted Subsidiary or any Unrestricted Subsidiary as a Restricted
Subsidiary; provided that (i) immediately before and after such designation on a Pro Forma
Basis, no Default shall have occurred and be continuing, (ii) immediately after giving effect to such
designation, the Borrower shall be in compliance, on a Pro Forma Basis, with the Financial
Performance Covenant assuming that the Financial Performance Covenant is applicable (it being
understood that as a condition precedent to the effectiveness of any such designation, the Borrower
shall deliver to the Administrative Agent a certificate of a Financial Officer setting forth in
reasonable detail the calculations demonstrating

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such compliance), (iii) no Subsidiary may be
designated as an Unrestricted Subsidiary or continue as an Unrestricted Subsidiary if (i) it is a
“Restricted Subsidiary” for the purpose of the Senior Subordinated Notes or any other Indebtedness
of Holdings or the Borrower or (ii) the Borrower or any Restricted Subsidiary provides any
Guarantee or credit support of any kind, including any undertaking, Guarantee, indemnity, agreement
or instrument that would constitute Indebtedness (other than the pledge of Equity Interests of
Unrestricted Subsidiaries) of any Indebtedness of such Unrestricted Subsidiary or is directly or
indirectly liable on such Indebtedness, as a guarantor or otherwise or any Indebtedness of such
Unrestricted Subsidiary contains a default that would permit, upon notice, lapse of time or both,
any holder of any Indebtedness of Borrower or any Restricted Subsidiary to declare a default under
such other Indebtedness or cause the payment thereof to be accelerated or payable prior to its
stated maturity, (iv) no Restricted Subsidiary may be designated an Unrestricted Subsidiary if it
was previously designated an Unrestricted Subsidiary and (v) if a Restricted Subsidiary is being
designated as an Unrestricted Subsidiary hereunder, the sum of (A) the assets of such Subsidiary as
of such date of designation (the “Designation Date”), as set forth on such Subsidiary’s
most recent balance sheet, plus (B) the aggregate amount of assets of all Unrestricted
Subsidiaries designated as Unrestricted Subsidiaries pursuant to this Section 5.15(a) prior to the
Designation Date (in each case measured as of the date of each such Unrestricted Subsidiary’s
designation as an Unrestricted Subsidiary), together with the amount of all Investments outstanding
pursuant to the proviso to Section 6.04(vi) and Section 6.04(xvi), as of the Designation Date shall
not exceed 15.0% of the Total Assets as of the Designation Date on a pro forma basis for such
designation. The designation of any Subsidiary as an Unrestricted Subsidiary after the Effective
Date shall constitute an Investment by the Borrower therein at the date of designation in an amount
equal to the net book value of the Borrower’s or its Subsidiary’s (as applicable) investment
therein. The designation of any Unrestricted Subsidiary as a Restricted Subsidiary shall
constitute (i) the incurrence at the time of designation of any Investment, Indebtedness or Liens
of such Subsidiary existing at such time and (ii) a return on any Investment by the Borrower in
Unrestricted Subsidiaries pursuant to the preceding sentence in an amount equal to the Fair Market
Value at the date of such designation of the Borrower’s or its Subsidiary’s (as applicable)
Investment in such Subsidiary.

          (b) If, at any time, a Restricted Subsidiary would fail to meet the requirements set forth in
the definition of “Qualified Restricted Subsidiary”, it will thereafter cease to be a Qualified
Restricted Subsidiary for purposes of this Agreement and any Indebtedness of such Subsidiary will
be deemed to be incurred by a Restricted Subsidiary that is not a Qualified Restricted Subsidiary
as of such date and, if such Indebtedness is not permitted to be incurred as of such date under
Section 6.01 the Borrower will be in default of such covenant. The Board of Directors of the
Borrower may at any time designate any Restricted Subsidiary not to be a Qualified Restricted
Subsidiary; provided that such designation will be deemed to be an incurrence of
Indebtedness by such Restricted Subsidiary of any outstanding Indebtedness of such Restricted
Subsidiary, and such designation will only be permitted if (1) such Indebtedness is permitted under
Section 6.01 and (2) no Default or Event of Default would be in existence following such
designation. In the event (x) a Restricted Subsidiary fails to meet the requirements to be a
Qualified Restricted Subsidiary or (y) the Board of Directors designates a Qualified Restricted
Subsidiary not to be a Restricted Subsidiary, then all Investments in such Subsidiary since the
Effective Date shall be deemed to be an incurrence under Section 6.04(xvi) and to consequently
reduce amounts available under Section 5.15(a)(v), the proviso to Section 6.04(vi) and Section
6.04(xvi) . The Borrower shall deliver to the Administrative Agent a certificate of a
Financial Officer setting forth any such designation as a condition precedent to such designation.

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ARTICLE VI

Negative Covenants

          Until the Commitments have expired or been terminated and the principal of and interest on
each Loan and all fees, expenses and other amounts payable under any Loan Document have been paid
in full and all Letters of Credit have expired or terminated and all LC Disbursements shall have
been reimbursed, each of Holdings and the Borrower covenants and agrees with the Lenders that:

          SECTION 6.01. Indebtedness; Certain Equity Securities.

          (a) Borrower will not, nor will it permit any Restricted Subsidiary to, directly or indirectly
create, incur, issue, guarantee or assume or otherwise become directly or indirectly liable for any
Indebtedness, contingently or otherwise, except:

     (i) Indebtedness created under the Loan Documents;

     (ii) the Senior Subordinated Notes and any notes issued in exchange or substitution
therefor pursuant to a registration rights agreement so long as the aggregate principal
amount thereof is not increased;

     (iii) Indebtedness existing on the Effective Date and set forth in Schedule
6.01 and extensions, renewals and replacements of any such Indebtedness,
provided that such extending, renewal or replacement Indebtedness (A) shall not be
in a principal amount that exceeds the principal amount of the Indebtedness being extended,
renewed or replaced (plus accrued interest and premium thereon), (B) shall not have
an earlier maturity date or a decreased weighted average life than the Indebtedness being
extended, renewed or replaced, (C) if applicable, shall be subordinated to the Obligations
on the same terms (or, from a Lender’s perspective, better terms) as the Indebtedness being
extended, renewed or replaced, and (D) there is no obligor of such Indebtedness that is not
an obligor of such Indebtedness on the Effective Date;

     (iv) Indebtedness of the Borrower owed to any Qualified Restricted Subsidiary and of
any Qualified Restricted Subsidiary owed to the Borrower or any other Qualified Restricted
Subsidiary;

     (v) Guarantees by the Borrower of Indebtedness of any Qualified Restricted Subsidiary
and by any Qualified Restricted Subsidiary of Indebtedness of the Borrower or any other
Qualified Restricted Subsidiary, provided that the Indebtedness so Guaranteed is
permitted by this Section 6.01;

     (vi) (A) so long as no Default has occurred and is continuing or would result therefrom
on a Pro Forma Basis, Indebtedness of the Borrower or any Restricted Subsidiary incurred to
finance the acquisition, construction or improvement of any fixed or capital assets,
including Capital Lease Obligations, and any Indebtedness assumed by the Borrower or any
Restricted Subsidiary in connection with the acquisition of any such assets or secured by a
Lien on any such assets prior to the acquisition thereof; provided that (i) such
Indebtedness is incurred prior to or within 270 days after such acquisition or the
completion of such construction or improvement and (ii) the aggregate principal amount of
Indebtedness permitted by this clause (vi) ((A) and (B)) shall not, together with
Indebtedness incurred pursuant to clauses (x) and (y) of the second proviso of Section 6.01(a)(vii) and Section 6.01(a) (xiv) then outstanding, exceed the
greater of (I) $150.0 million and (II) (a) 1.25x Facility-Level EBITDA for the latest four
consecutive fiscal

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quarters for which financial statements have been delivered pursuant to
Section 5.01 on a Pro Forma Basis less (b) the aggregate principal amount of Indebtedness of
the Restricted Subsidiaries outstanding on the Effective Date (other than under the Loan
Documents or the Senior Subordinated Notes Documents) and any refinancing Indebtedness in
respect thereof permitted under this Agreement net of prepayments thereof funded other than
with the proceeds of Indebtedness; provided further that (i) after giving
effect to the incurrence of Indebtedness under this clause (A) on a Pro Forma Basis the
Borrower is in compliance with the Financial Performance Covenant (such covenant to be
applied even if no Revolving Loan or Swingline Loan and less than $7.5 million of LC
Exposure is outstanding) and (ii) no Default has occurred and is continuing or would result
therefrom on a Pro Forma Basis, and (B) extensions, renewals and replacements of any such
Indebtedness that do not increase the outstanding principal amount thereof (including the
principal and any accrued but unpaid interest or premium in respect thereof);

     (vii) (A) so long as no Default has occurred and is continuing or would result
therefrom on a Pro Forma Basis, Indebtedness of any Person that becomes a Restricted
Subsidiary after the date hereof, provided that such Indebtedness exists at the time
such Person becomes a Restricted Subsidiary and is not created in contemplation of or in
connection with such Person becoming a Restricted Subsidiary, provided
further that if (1) (x) such Indebtedness is secured by a Lien on the assets of or
Equity Interests in such Restricted Subsidiary or (y) such Restricted Subsidiary is not a
Loan Party, then (I) after giving effect to the incurrence of such Indebtedness on a Pro
Forma Basis the Borrower must be in compliance with the Financial Performance Covenant (such
covenant to be applied even if no Revolving Loan or Swingline Loan and less than $7.5
million of LC Exposure is outstanding) and (II) the aggregate amount of such Indebtedness
(together with refinancings, renewals and replacements thereof pursuant to clause (B) below)
shall not, together with Indebtedness incurred pursuant to Sections 6.01(a)(vi) and (xiv)
then outstanding, exceed the greater of (i) $150.0 million and (ii) (a) 1.25x Facility-Level
EBITDA for the latest four consecutive fiscal quarters for which financial statements have
been delivered pursuant to Section 5.01 on a Pro Forma Basis less (b) the aggregate
principal amount of Indebtedness of the Restricted Subsidiaries outstanding on the Effective
Date (other than under the Loan Documents or the Senior Subordinated Notes Documents) and
any refinancing Indebtedness in respect thereof permitted under this Agreement net of
prepayments thereof funded other than with the proceeds of Indebtedness and (2) such
Indebtedness is unsecured and such Qualified Restricted Subsidiary is a Loan Party then
immediately prior to and after giving effect to the incurrence of such Indebtedness on a Pro
Forma Basis, the Borrower must be able to incur $1.00 of Indebtedness under Section
6.01(a)(xi), and (B) any refinancings, renewals and replacements of any such Indebtedness
pursuant to the preceding clause (A) that do not increase the outstanding principal amount
(plus accrued interest and premium) thereof;

     (viii) Indebtedness owed to any Person (including obligations in respect of letters of
credit for the benefit of such Person) providing workers’ compensation, health, disability
or other employee benefits or property, casualty or liability insurance pursuant to
reimbursement or indemnification obligations to such Person, in each case incurred in the
ordinary course of business;

     (ix) Indebtedness of the Borrower or any Restricted Subsidiary in respect of
performance bonds, bid bonds, appeal bonds, surety bonds, performance and completion
guarantees and similar obligations, in each case provided in the ordinary course of
business;

     (x) Indebtedness of any Loan Party pursuant to Swap Agreements permitted by Section
6.07;

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     (xi) so long as no Default has occurred and is continuing or would result therefrom on
a Pro Forma Basis, Indebtedness of a Loan Party may be incurred so long as the Fixed Charge
Coverage Ratio is at least 2.0 to 1.0 on a Pro Forma Basis;

     (xii) Indebtedness representing deferred compensation to employees of the Borrower and
the Restricted Subsidiaries incurred in the ordinary course of business;

     (xiii) Indebtedness in respect of promissory notes issued to physicians, consultants,
employees or directors or former employees, consultants or directors in connection with
repurchases of Equity Interests permitted by Section 6.08(a)(iii);

     (xiv) so long as no Default has occurred and is continuing or would result therefrom on
a Pro Forma Basis, Indebtedness of Restricted Subsidiaries not to exceed at any time
outstanding, together with Indebtedness incurred pursuant to Section 6.01(a)(vi) and clauses
(x) and (y) the second proviso of Section 6.01(a)(vii) then outstanding, the greater of (I)
$150.0 million and (II) (a) 1.25x Facility-Level EBITDA for the latest four consecutive
fiscal quarters for which financial statements have been delivered pursuant to Section 5.01
on a Pro Forma Basis less (b) the aggregate principal amount of Indebtedness of the
Restricted Subsidiaries outstanding on the Effective Date (other than under the Loan
Documents or the Senior Subordinated Notes Documents) and any refinancing Indebtedness in
respect thereof permitted under this Agreement net of prepayments thereof funded other than
with the proceeds of Indebtedness; provided that after giving effect to the
incurrence of such Indebtedness on a Pro Forma Basis the Borrower is in compliance with the
Financial Performance Covenant (such covenant to be applied even if no Revolving Loan or
Swingline Loan and less than $7.5 million of LC Exposure is outstanding);

     (xv) Guarantees by any Loan Party of Indebtedness of a Non-Consolidated Entity in
compliance with Section 6.04(xvi);

     (xvi) Additional Subordinated Debt in an aggregate principal amount not to exceed
$200,000,000 at any time outstanding incurred to finance Permitted Acquisitions;
provided that after giving effect to the incurrence of such Additional Subordinated
Debt on a Pro Forma Basis the Borrower is in compliance with the Financial Performance
Covenant (such covenant to be applied even if no Revolving Loan or Swingline Loan and less
than $7.5 million of LC Exposure is outstanding) and no Default has occurred and is
continuing or would result therefrom on a Pro Forma Basis;

     (xvii) Indebtedness of Foreign Subsidiaries that are Qualified Restricted Subsidiaries
in an aggregate principal amount not to exceed $25,000,000 at any time outstanding;
provided that after giving effect to the incurrence of such Additional Subordinated
Debt on a Pro Forma Basis the Borrower is in compliance with the Financial Performance
Covenant (such covenant to be applied even if no Revolving Loan or Swingline Loan and less
than $7.5 million of LC Exposure is outstanding) and no Default has occurred and is
continuing or would result therefrom on a Pro Forma Basis;

     (xviii) Additional Subordinated Debt in an aggregate principal amount not to exceed
$100,000,000 at any time outstanding; provided that after giving effect to the
incurrence of such Additional Subordinated Debt on a Pro Forma Basis the Borrower is in
compliance with the Financial Performance Covenant (such covenant to be applied even if no
Revolving Loan or
Swingline Loan and less than $7.5 million of LC Exposure is outstanding) and no Default
has occurred and is continuing or would result therefrom on a Pro Forma Basis; and

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     (xix) (A) so long as no Default has occurred and is continuing or would result
therefrom on a Pro Forma Basis, Indebtedness of the Borrower or any Restricted Subsidiary
incurred to finance the acquisition, construction or improvement of any fixed or capital
assets, including Capital Lease Obligations, and any Indebtedness assumed by the Borrower or
any Restricted Subsidiary in connection with the acquisition of any such assets or secured
by a Lien on any such assets prior to the acquisition thereof; provided that (i)
such Indebtedness is incurred prior to or within 270 days after such acquisition or the
completion of such construction or improvement and (ii) the aggregate principal amount of
Indebtedness permitted by this clause (xix) shall not exceed $75.0 million; provided
further that after giving effect to the incurrence of Indebtedness under this clause
(A) the Borrower is in compliance with the Financial Performance Covenant (such covenant to
be applied even if no Revolving Loan or Swingline Loan and less than $7.5 million of LC
Exposure is outstanding) on a Pro Forma Basis and no Default has occurred and is continuing
or would result therefrom on a Pro Forma Basis, and (B) extensions, renewals and
replacements of any such Indebtedness that do not increase the outstanding principal amount
thereof (including the principal and any accrued but unpaid interest or premium in respect
thereof).

          (b) All Indebtedness incurred pursuant to this Section 6.01 of any Loan Party owed to any
Subsidiary or Non-Consolidated Entity that is not a Loan Party shall be subordinated to the
Obligations on terms reasonably satisfactory to the Administrative Agent; provided that,
notwithstanding the foregoing, such Indebtedness shall only be subordinated to the extent permitted
by applicable laws or regulations. Guarantees incurred after the Effective Date pursuant to this
Section 6.01 by a Loan Party of Indebtedness of a Restricted Subsidiary or Non-Consolidated Entity
that is not a Loan Party shall be subordinated to the Obligations of the Loan Party.
Notwithstanding anything in Section 6.01(a) to the contrary, (x) no Subsidiary that is a Specified
Subsidiary under clauses (ii) or (iii) of the definition thereof may incur any Indebtedness on or
after the Effective Date and (y) the principal amount of any Indebtedness secured by a Lien against
the assets of a Loan Party listed on Schedule 6.02 shall not be increased after the Effective Date.

          SECTION 6.02. Liens. The Borrower will not, nor will it permit any Restricted
Subsidiary to, create, incur, assume or permit to exist any Lien on any property or asset now owned
or hereafter acquired by it, or assign or sell any income or revenues (including accounts
receivable) or rights in respect of any thereof, except:

     (i) Liens created by the Loan Documents;

     (ii) Permitted Encumbrances;

     (iii) any Lien on any property or asset of the Borrower or any Restricted Subsidiary
existing on the Effective Date and set forth in Schedule 6.02; provided that
(A) such Lien shall not apply to any other property or asset of the Borrower or any
Restricted Subsidiary and (B) such Lien shall secure only those obligations which it secures
on the Effective Date and extensions, renewals and replacements thereof that do not increase
the outstanding principal amount thereof (plus accrued interest and premium
thereon);

     (iv) any Lien existing on any property or asset prior to the acquisition thereof by the
Borrower or any Restricted Subsidiary or existing on any property or asset or Equity
Interests of any Person that becomes a Restricted Subsidiary after the date hereof prior to
the time such Person becomes a Restricted Subsidiary; provided that (A) such Lien secures
Indebtedness permitted by Section 6.01(a)(vii) and such Lien is not created in contemplation
of or in connection with such acquisition or such Person becoming a Restricted Subsidiary,
as applicable, (B) such Lien shall not apply to any other property or asset of the Borrower
or any Restricted Subsidiary and

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(C) such Lien shall secure only those obligations that it
secures on the date of such acquisition or the date such Person becomes a Restricted
Subsidiary, as applicable, and extensions, renewals and replacements thereof that do not
increase the outstanding principal amount thereof (plus accrued interest and premium
thereon);

     (v) Liens on fixed or capital assets acquired, constructed or improved by the Borrower
or any Restricted Subsidiary, provided that (A) such security interests secure
Indebtedness permitted by Sections 6.01(a)(vi) or 6.01(a)(xix), (B) such security interests
and the Indebtedness secured thereby are incurred prior to or within 270 days after such
acquisition or the completion of such construction or improvement and (C) such security
interests shall not apply to any other property or assets of the Borrower or any Restricted
Subsidiary;

     (vi) Liens of a collecting bank arising in the ordinary course of business under
Section 4-208 of the Uniform Commercial Code in effect in the relevant jurisdiction covering
only the items being collected upon;

     (vii) Liens arising out of sale and leaseback transactions permitted by Section 6.06;

     (viii) Liens granted by a Subsidiary that is not a Loan Party in favor of the Borrower
or another Loan Party in respect of Indebtedness owed by such Subsidiary;

     (ix) licenses or sublicenses granted to others not interfering in any material respect
with the business of the Borrower or any Subsidiary;

     (x) Liens encumbering reasonable customary initial deposits and margin deposits and
similar Liens attaching to commodity trading accounts or other brokerage accounts incurred
in the ordinary course of business and not for speculative purposes;

     (xi) Liens that are contract rights of set-off (i) relating to the establishment of
depositary relations with banks not given in connection with the issuance of Indebtedness,
(ii) relating to pooled deposit or sweep accounts of the Borrower or any Restricted
Subsidiary to permit satisfaction of overdraft or similar obligations incurred in the
ordinary course of business of the Borrower and the Restricted Subsidiaries or (iii)
relating to purchase orders and other agreements entered into with customers of the Borrower
or any Restricted Subsidiary in the ordinary course of business;

     (xii) Liens solely on any cash earned money deposits made by the Borrower or any
Restricted Subsidiary in connection with any letter of intent or purchase agreement
permitted hereunder;

     (xiii) Liens in favor of a Loan Party securing Indebtedness permitted under Sections
6.01(a)(iv) and (v);

     (xiv) Liens on assets securing Indebtedness (and related obligations) permitted by
Section 6.01(a)(xiv) so long as the Borrower is in compliance with the Financial Performance
Covenant (such covenant to be applied even if no Revolving Loan or Swingline Loan and less
than
$7.5 million of LC Exposure is outstanding) on a Pro Forma Basis at the time such Lien
is incurred;

     (xv) Liens on assets of the Borrower or the Restricted Subsidiaries not otherwise
permitted by this Section 6.02, so long as neither (i) the aggregate outstanding principal
amount of

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the obligations secured thereby nor (ii) the aggregate fair value (determined as
of the date such Lien is incurred) of the assets subject thereto exceeds at any time
outstanding the greater of (x) $15,000,000 and (y) 1.00% of Total Assets on a pro forma
basis;

     (xvi) Permitted Payment Restrictions; and

     (xvii) Liens on the assets of Foreign Subsidiaries securing Indebtedness permitted
under Section 6.01(a)(xvii) so long as such Liens solely relate to assets of Foreign
Subsidiaries that are obligors under the applicable Indebtedness;

provided that in no event shall any Restricted Subsidiary create, incur, assume or permit
to exist any consensual Lien on (A) any Collateral (other than (i) Liens created under the Loan
Documents, (ii) Liens (permitted under Section 6.02(iv) and (iii) Liens listed on Schedule 6.02)
pledged to secure Indebtedness permitted under Section 6.01(a)(vii) incurred by Persons that become
Restricted Subsidiaries after the Effective Date) or (B) any Equity Interests (including of
Non-Consolidated Entities) owned by them (other than (i) Liens created under the Loan Documents,
(ii) Liens (permitted under Section 6.02(iv)) on any Equity Interests of a Restricted Subsidiary
pledged to secure Indebtedness permitted under Section 6.01(a)(vii) and (iii) Liens listed on
Schedule 6.02).

          SECTION 6.03. Fundamental Changes.

          (a) The Borrower will not, nor will it permit any Restricted Subsidiary to, merge into or
consolidate with any other Person, or permit any other Person to merge into or consolidate with it,
or liquidate or dissolve, except that, if at the time thereof and immediately after giving effect
thereto no Default shall have occurred and be continuing, (i) any Person may merge into the
Borrower in a transaction in which the surviving entity is a Person organized or existing under the
laws of the United States of America, any State thereof or the District of Columbia and, if such
surviving entity is not the Borrower, such Person expressly assumes, in writing, all the
obligations the Borrower under the Loan Documents, (ii) any Person may merge into any Restricted
Subsidiary in a transaction in which the surviving entity is a Restricted Subsidiary and, if any
party to such merger is a Subsidiary Loan Party or a Qualified Restricted Subsidiary, is or becomes
a Subsidiary Loan Party and/or Qualified Restricted Subsidiary, as applicable, concurrently with
such merger, (iii) any Restricted Subsidiary (other than a Subsidiary Loan Party) may liquidate or
dissolve if the Borrower determines in good faith that such liquidation or dissolution is in the
best interests of the Borrower and is not materially disadvantageous to the Lenders and (iv) any
asset sale permitted by Section 6.05(g) may be effected through the merger of a subsidiary of the
Borrower with a third party, provided that any such merger referred to in clauses (i), (ii)
or (iv) above involving a Person that is not a wholly owned Subsidiary immediately prior to such
merger shall not be permitted unless also permitted by Section 6.04.

          (b) The Borrower will not, will not permit any Restricted Subsidiary to, engage to any
material extent in any business other than businesses of the type conducted by the Borrower and the
Restricted Subsidiaries on the Effective Date and businesses reasonably related or incidental
thereto.

          (c) Holdings will not engage in any business or activity other than the ownership of all the
outstanding shares of capital stock of the Borrower (but no other subsidiaries) and engaging in
corporate and administrative functions and other activities incidental thereto. Holdings will not
own or acquire any assets (other than any cash on hand as of the Effective Date not otherwise
contributed to the Borrower in connection with the Transactions, Equity Interests of the Borrower
and the cash proceeds of any Restricted Payments permitted by Section 6.08) or incur any
liabilities (other than liabilities reasonably incurred in connection with its maintenance of its
existence and activities incidental thereto); provided that (i) Holdings may incur
Qualified Holdings Debt and retain, dividend or contribute to the Borrower

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the proceeds thereof;
provided that other than with respect to any additional principal amounts resulting from
the accrual of pay-in-kind interest, no Default has occurred and is continuing or would result
therefrom, and (ii) Holdings may issue ordinary common stock and other Qualified Equity Interests
and retain, dividend or contribute to the Borrower the proceeds thereof.

          SECTION 6.04. Investments, Loans, Advances, Guarantees and Acquisitions. The Borrower
will not, nor will it permit any Restricted Subsidiary to, purchase or acquire (including pursuant
to any merger with any Person that was not a wholly owned Subsidiary prior to such merger) any
Equity Interests in or evidences of indebtedness or other securities (including any option, warrant
or other right to acquire any of the foregoing) of, make any loans or advances to, Guarantee any
obligations of, or make any investment or any other interest in, any other Person, or purchase or
otherwise acquire (in one transaction or a series of transactions) any Person or assets or division
constituting a business unit (collectively, “Investments”), except:

     (i) Permitted Acquisitions;

     (ii) Permitted Investments;

     (iii) Investments set forth on Schedule 6.04;

     (iv) Investments by the Borrower and the Restricted Subsidiaries in Equity Interests in
Qualified Restricted Subsidiaries (other than an Insurance Subsidiary);

     (v) loans or advances made by the Borrower to any Qualified Restricted Subsidiary
(other than an Insurance Subsidiary) and made by any Restricted Subsidiary to the Borrower
or any Qualified Restricted Subsidiary (other than an Insurance Subsidiary),
provided that any such loans and advances made by a Loan Party shall be evidenced by
a promissory note pledged pursuant to the Collateral Agreement;

     (vi) Guarantees (other than of Indebtedness of an Insurance Subsidiary) constituting
Indebtedness permitted by Section 6.01; provided that if at the time of and after
giving effect to any Guarantee (and without limiting the foregoing) the aggregate principal
amount of Indebtedness of Restricted Subsidiaries that are not Qualified Restricted
Subsidiaries that is Guaranteed by the Borrower or any Qualified Restricted Subsidiary
(together with the amount of Investments permitted under Section 5.15(a)(v) and Section
6.04(xvi)) exceeds 15.0% of Total Assets (in each case determined without regard to any
write-downs or write-offs) on a pro forma basis such Guarantee shall not be permitted and
that any such Guarantees shall only be permitted so long as no Default has occurred and is
continuing or would result therefrom on a Pro Forma Basis; provided further
that (i) substantially all of the business activities of any such Restricted Subsidiary that
is not a Qualified Restricted Subsidiary whose Indebtedness is so Guaranteed consists of
owning or operating surgical facilities and (ii) a majority of the voting stock of such
Person is
owned by the Borrower, its Restricted Subsidiaries and/or other Persons that are not
Affiliates of the Borrower;

     (vii) receivables or other trade payables owing to the Borrower or any Restricted
Subsidiary if created or acquired in the ordinary course of business consistent with past
practice and payable or dischargeable in accordance with customary trade terms,
provided that such trade terms may include such concessionary trade terms as the
Borrower or any such Restricted Subsidiary deems reasonable under the circumstances;

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     (viii) Investments consisting of Equity Interests, obligations, securities or other
property received in settlement of delinquent accounts of and disputes with customers and
suppliers in the ordinary course of business and owing to the Borrower or any Restricted
Subsidiary or in satisfaction of judgments;

     (ix) Investments by the Borrower or any Restricted Subsidiary in payroll, travel and
similar advances to cover matters that are expected at the time of such advances ultimately
to be treated as expenses for accounting purposes and that are made in the ordinary course
of business;

     (x) loans or advances by the Borrower or any Restricted Subsidiary to employees (a)
made for reasonable and customary business-related travel, entertainment, relocation and
analogous ordinary business purposes and (b) otherwise not exceeding $2,500,000 in the
aggregate at any time outstanding (determined without regard to any write-downs or
write-offs of such loans or advances);

     (xi) Investments in the form of Swap Agreements permitted by Section 6.07;

     (xii) Investments of any Person existing at the time such Person becomes a Restricted
Subsidiary of the Borrower or consolidates or merges with the Borrower or any of the
Restricted Subsidiaries (including in connection with a Permitted Acquisition) so long as
such investments were not made in contemplation of such Person becoming a Restricted
Subsidiary or of such consolidation or merger;

     (xiii) Investments received in connection with the dispositions of assets permitted by
Section 6.05;

     (xiv) Investments constituting deposits described in clauses (c) and (d) of the
definition of the term “Permitted Encumbrances”;

     (xv) so long as no Default has occurred and is continuing or would result therefrom on
a Pro Forma Basis, Investments by the Borrower or any Restricted Subsidiary in an aggregate
amount, as valued at cost at the time each such Investment is made and including all related
commitments for future advances, not exceeding the Available Amount immediately prior to the
time of the making of any such Investment;

     (xvi) so long as no Default has occurred and is continuing or would result therefrom on
a Pro Forma Basis, Investments in joint ventures, Restricted Subsidiaries that are not
Qualified Restricted Subsidiaries and Unrestricted Subsidiaries by the Borrower or any
Qualified Restricted Subsidiary in an aggregate amount not to exceed at the time of such
Investment on a pro forma basis, together with the amount of Investments permitted under
Section 5.15(a)(v) and the proviso to Section 6.04(vi), 15.0% of Total Assets on a pro forma
basis; provided that (i) substantially all of the business activities of any such joint
venture, Restricted Subsidiary that is not a Qualified
Restricted Subsidiary, or Unrestricted Subsidiary consists of owning or operating
surgical facilities and (ii) a majority of the voting stock of such Person is owned by the
Borrower, its Restricted Subsidiaries and/or other Persons that are not Affiliates of the
Borrower;

     (xvii) Guarantees by the Borrower or any Restricted Subsidiary of leases (other than
Capital Lease Obligations) or of other obligations that do not constitute Indebtedness, in
each case entered into in the ordinary course of business;

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     (xviii) advances to Non-Consolidated Entities in the ordinary course of business, which
when made are expected to be repaid within sixty days of such advance;

     (xix) Investments, loans and advances by the Borrower or any Restricted Subsidiary to
any Insurance Subsidiary in amounts equal to (i) the capital required under the applicable
laws or regulations of the jurisdiction in which such Insurance Subsidiary is formed or
determined by independent actuaries as prudent and necessary capital to operate such
Insurance Subsidiary and (ii) any reasonable corporate overhead expenses of such Insurance
Subsidiary;

     (xx) St. Louis Investments in an aggregate principal amount not to exceed $100.0
million; and

     (xxi) sales of interests in joint ventures to Strategic Investors or contributions of
the St. Louis Investments to joint ventures with Strategic Investors; provided that
the Borrower is in compliance with the Financial Performance Covenant (such covenant to be
applied even if no Revolving Loan or Swingline Loan and less than $7.5 million of LC
Exposure is outstanding) on a Pro Forma Basis after giving effect to any such sale or
contribution.

          SECTION 6.05. Asset Sales. The Borrower will not, nor will it permit any Restricted
Subsidiary to, sell, transfer, lease or otherwise dispose of any asset, including any Equity
Interest owned by it, nor will the Borrower permit any Restricted Subsidiary to issue any
additional Equity Interest in such Restricted Subsidiary (other than to the Borrower or another
Restricted Subsidiary in compliance with Section 6.04), except:

     (a) sales, transfers and dispositions of (i) inventory in the ordinary course of
business and (ii) used, obsolete, worn out or surplus equipment or property in the ordinary
course of business;

     (b) sales, transfers and dispositions to the Borrower or any Subsidiary,
provided that any such sales, transfers or dispositions from a Loan Party to a
Subsidiary that is not a Loan Party or from the Borrower or a Restricted Subsidiary to an
Unrestricted Subsidiary or from a Qualified Restricted Subsidiary to a Restricted Subsidiary
that is not a Qualified Restricted Subsidiary are permitted under Section 6.04;

     (c) sales, transfers and dispositions of accounts receivable in connection with the
compromise, settlement or collection thereof consistent with past practice;

     (d) sales, transfers and dispositions of property to the extent such property
constitutes an investment permitted by Sections 6.04(ii), (viii) or (xii);

     (e) sale and leaseback transactions permitted by Section 6.06;

     (f) dispositions resulting from any casualty or other insured damage to, or any taking
under power of eminent domain or by condemnation or similar proceeding of, any property or
asset of the Borrower or any Restricted Subsidiary;

     (g) sales, transfers and other dispositions of assets that are not permitted by any
other paragraph of this Section 6.05, provided that the aggregate Fair Market Value
of all assets sold, transferred or otherwise disposed of in reliance upon this clause (g)
(excluding (i) any single transaction or series of related transactions that involves assets
having a Fair Market Value of less

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than $250,000 and (ii) any sales of assets or Equity
Interests of the UK Subsidiaries) shall not exceed 5.0% of Total Assets during any fiscal
year (measured as of the start of such fiscal year);

     (h) exchanges of property for similar replacement property for fair value;

     (i) Investments in compliance with Section 6.04;

     (j) leases or subleases that constitute a Permitted Encumbrance; and

     (k) the sale of Equity Interests in a Qualified Restricted Subsidiary to a Strategic
Investor in connection with the resyndication of such Equity Interests within one (1) year
of the purchase thereof from another Strategic Investor;

provided that all sales, transfers, leases and other dispositions permitted hereby (other
than those permitted by paragraphs (b), (c), (f) and (j) above) shall be made for fair value and
(other than those permitted by paragraphs (b), (h), (i) and (j) above) for at least 75% cash
consideration (it being understood that the following shall constitute cash consideration: an
aggregate additional amount of non-cash consideration in the amount of the sum of (x) 2.5% of Total
Assets at any time outstanding net of any non-cash consideration previously counted under this
clause since the Effective Date that was not subsequently counted as Net Proceeds and (y) in the
case of any sale or contribution of assets by the Borrower or a Restricted Subsidiary to a joint
venture with a Strategic Investor, any non-cash consideration received by the Borrower or such
Restricted Subsidiary; provided that (A) the case of each of clause (x) and (y), any such
non-cash consideration that is converted into cash or Permitted Investments shall be treated as Net
Proceeds in accordance with Section 2.11(c) and (B) in the case of clause (y), in the event such
non-cash consideration is other than in the form of a note, such non-cash consideration shall be
deemed to have been incurred as an Investment under Section 6.04(xvi) and to consequently reduce
amounts available under Section 5.15(a)(v), the proviso to Section 6.04(vi) and Section 6.04(xvi)
and, in the case of each of clause (x) and (y), that after giving effect to such sales, transfers,
leases and other dispositions permitted hereby the Borrower shall be in compliance with the
Financial Performance Covenant on a Pro Forma Basis (such covenant to be applied even if no
Revolving Loan or Swingline Loan and less than $7.5 million of LC Exposure is outstanding)) (it
being understood that for purposes of clause (a) above, accounts receivable received in the
ordinary course and any property received in exchange for used, obsolete, worn out or surplus
equipment or property and any non-cash consideration that was actually converted into cash within 6
months following the applicable sale, transfer, lease or other disposition by the Borrower or any
of its Restricted Subsidiaries shall be deemed to constitute cash consideration and to the extent
actually cash, Net Proceeds).

          SECTION 6.06. Sale and Leaseback Transactions. The Borrower will not, nor will it
permit any Restricted Subsidiary to, enter into any arrangement, directly or indirectly, whereby it
shall sell or transfer any property, real or personal, used or useful in its business, whether now
owned or hereafter acquired, and thereafter rent or lease such property or other property that it
intends to use for substantially the same purpose or purposes as the property sold
or transferred, except for (x) any such sale of any fixed or capital assets of the Borrower or
any Restricted Subsidiary which sale is made for cash consideration in an amount not less than the
fair value of such fixed or capital asset and is consummated within 270 days after the Borrower or
such Restricted Subsidiary acquires or completes the construction of such fixed or capital asset,
(y) sale and leaseback transactions with respect to real properties (including improvements and
other related assets) owned by the UK Subsidiaries or (z) sale and leaseback transactions with
respect to properties acquired after the Effective Date, where the Fair Market Value of such
properties in the aggregate does not to exceed $10,000,000.

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          SECTION 6.07. Swap Agreements. The Borrower will, nor it permit any Restricted
Subsidiary to, enter into any Swap Agreement, except (a) Swap Agreements entered into to hedge or
mitigate risks to which the Borrower or any Restricted Subsidiary has actual exposure (other than
those in respect of Equity Interests of the Borrower or any of the Restricted Subsidiaries) and (b)
Swap Agreements entered into in order to effectively cap, collar or exchange interest rates (from
fixed to floating rates, from one floating rate to another floating rate or otherwise) with respect
to any interest-bearing liability or investment of the Borrower or any Restricted Subsidiary.

          SECTION 6.08. Restricted Payments; Certain Payments of Indebtedness.

          (a) The Borrower will not, nor will they permit any Restricted Subsidiary to, declare or make,
or agree to pay or make, directly or indirectly, any Restricted Payment, or incur any obligation
(contingent or otherwise) to do so, except:

     (i) the Borrower may declare and pay dividends with respect to its common stock payable
solely in additional shares of its common stock, and, with respect to its preferred stock,
payable solely in additional shares of such preferred stock or in shares of its common
stock;

     (ii) Restricted Subsidiaries may declare and pay dividends ratably with respect to
their capital stock, membership or partnership interests or other similar Equity Interests;

     (iii) Borrower may declare and pay dividends or make other distributions to Holdings,
the proceeds of which are used by Holdings or a Parent to (i) purchase or redeem Equity
Interests of Holdings or a Parent acquired by employees, consultants or directors of
Holdings, the Borrower or any Restricted Subsidiary upon such Person’s death, disability,
retirement or termination of employment or (ii) pay principal or interest on promissory
notes that were issued in lieu of cash payments for the repurchase, retirement or other
acquisition or retirement for value of such Equity Interests, provided that the
aggregate amount of such dividends or other distributions under this clause (iii) shall not
exceed in any calendar year the lesser of (x) the sum of $500,000 and the aggregate amount
of Restricted Payments permitted (but not made) in prior years pursuant to this clause (iii)
and (y) $2,500,000; provided that any cancellation of Indebtedness owing to the
Borrower in connection with and as consideration for a repurchase of Equity Interests of
Holdings (or a Parent) shall not be deemed to constitute a Restricted Payment for purposes
of this clause (iii); provided further that such amount in any calendar year
may be increased by an amount not to exceed (1) the cash proceeds of key man life insurance
policies received by Holdings (to the extent such proceeds are contributed to the Borrower)
or any Borrower or any Restricted Subsidiary after the Effective Date (provided that
the Borrower may elect to apply all or any portion of the aggregate increase contemplated by
clause (1) above in any calendar year) less (2) the amount of any Restricted Payments
previously made pursuant to clause (1) of this clause (iii);

     (iv) the Borrower may make Restricted Payments to Holdings to be used by Holdings
solely to pay (or to make Restricted Payments to allow a Parent to pay) its franchise taxes
and other fees required to maintain its corporate existence and to pay for general corporate
and overhead expenses (including salaries and other compensation of employees) incurred by
Holdings or a Parent in the ordinary course of its business, provided that such
Restricted Payments shall not exceed $3,000,000 in any calendar year;

     (v) the Borrower may make Restricted Payments to Holdings in an amount necessary to
enable Holdings to pay (or make Restricted Payments to allow a Parent to pay) the Taxes
directly attributable to (or arising as a result of) the operations of a Parent, Holdings,
the Borrower and the Restricted Subsidiaries, provided that (A) the amount of such
Restricted Payments shall

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not exceed the lesser of (x) the tax liabilities that the Borrower
and the Restricted Subsidiaries would be required to pay in respect of Federal, state and
local taxes were the Borrower and the Restricted Subsidiaries to pay such Taxes as
stand-alone taxpayers less any tax payable directly by the Borrower or any Restricted
Subsidiary or (y) the actual liabilities of the Parent group on a consolidated or combined
basis and (B) all Restricted Payments made to Holdings or a Parent pursuant to this clause
(v) are used by Holdings or a Parent for the purposes specified herein within 20 days of the
receipt thereof;

     (vi) the Borrower may make Restricted Payments to Holdings to pay management,
consulting and advisory fees to any Sponsor or Sponsor Affiliate to the extent permitted by
Section 6.09(i);

     (vii) the Borrower may make Restricted Payments to Holdings in an amount necessary to
permit Holdings to pay (or to make Restricted Payments to allow a Parent to pay) interest in
cash (including interest previously paid “in kind” or added to the principal amount thereof
after the Effective Date) on Qualified Holdings Debt, but only to the extent the proceeds
(together with a pro rata portion of related transaction expenses paid from
such proceeds) of such Qualified Holdings Debt were used to make Capital Expenditures by
Borrower or a Qualified Restricted Subsidiary, prepay Tranche B Term Loans, make Investments
by Borrower or a Qualified Restricted Subsidiary pursuant to Section 6.04(xvi) or repay,
redeem, defease or otherwise refinance any Qualified Holdings Debt previously issued
hereunder but only to the extent the proceeds of such Qualified Holdings Debt were used to
make Capital Expenditures by Borrower or a Qualified Restricted Subsidiary, prepay Tranche B
Term Loans or make Investments by Borrower or a Qualified Restricted Subsidiary pursuant to
Section 6.04); provided that (A) the Borrower has made all prepayments required
pursuant to Section 2.11(d) prior to or contemporaneously with any such payment of interest,
(B) no Default or Event of Default shall have occurred and be continuing at the time of any
such payment or would result therefrom on a Pro Forma Basis, (C) all Restricted Payments
made pursuant to this clause (viii) are used by Holdings or a Parent for the purposes
specified herein within 20 days of receipt thereof and (D) both before and after giving
effect to any Restricted Payment under this clause (viii), the Borrower could incur $1.00 of
Indebtedness under Section 6.01(a)(xi) (counting all interest expense (including non-cash
interest expense) on Qualified Holdings Debt during the applicable period as Fixed Charges
of the Borrower);

     (viii) the Borrower and the Restricted Subsidiaries may make additional Restricted
Payments (and Holdings may make Restricted Payments with such amounts received from the
Borrower) in an aggregate amount throughout the term of this Agreement not exceeding the
greater of (x) $35,000,000 and (y) 2% of Total Assets (it being understood that if Total
Assets
should decrease, Restricted Payments already made in compliance with this clause shall
not constitute a Default);

     (ix) the Borrower and the Restricted Subsidiaries may make additional Restricted
Payments (and Holdings may make Restricted Payments with such amounts received from the
Borrower) in an aggregate amount not exceeding the Available Amount immediately prior to the
time of the making of such Restricted Payment; provided that immediately prior to and after
giving effect to such Restricted Payment on a Pro Forma Basis, the Borrower could incur
$1.00 of Indebtedness under Section 6.01(a)(xi) and no Default has occurred and is
continuing;

     (x) the Borrower may make Restricted Payments to Holdings to pay any non-recurring
fees, cash charges and cost expenses incurred in connection with the issuance of Equity

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Interests or Indebtedness, in each case only to the extent that such transaction is not
consummated;

     (xi) payments to former stockholders of the Borrower in connection with the exercise of
appraisal rights under applicable law;

     (xii) the Merger Consideration paid on or promptly following the Effective Date;

     (xiii) Investments in non-wholly owned Subsidiaries or Non-Consolidated Entities
permitted by Section 6.04; and

     (xiv) the purchase, redemption or other acquisition or retirement for value of Equity
Interests of a Qualified Restricted Subsidiary owned by a Strategic Investor if such
purchase, redemption or other acquisition or retirement for value is made for consideration
not in excess of the Fair Market Value of such Equity Interests.

          (b) The Borrower will not nor will it permit any Restricted Subsidiary to, make or agree to
pay or make, directly or indirectly, any payment or other distribution (whether in cash, securities
or other property) of or in respect of principal of or interest on, or any payment or other
distribution (whether in cash, securities or other property), including any sinking fund or similar
deposit, on account of the purchase, redemption, retirement, acquisition, cancellation or
termination of, any Subordinated Indebtedness (other than intercompany loans among Subsidiaries and
the Borrower) or Indebtedness under the UK Facility (collectively, “UK Facility Debt”),
except:

     (i) payment of regularly scheduled interest and principal payments as and when due in
respect of any Subordinated Indebtedness or UK Facility Debt, other than as prohibited by
the subordination provisions thereof;

     (ii) the conversion or exchange of any Subordinated Indebtedness or UK Facility Debt
into, or redemption, repurchase, prepayment, defeasance or other retirement of any such
Indebtedness with the Net Proceeds of the issuance by Holdings or a Parent of, (A) Equity
Interests (or capital contributions in respect thereof) after the Effective Date to the
extent not Otherwise Applied or (B) Qualified Holdings Debt, plus any fees and
expenses in connection with such conversion, exchange, redemption, repurchase, prepayment,
defeasance or other retirement;

     (iii) so long as no Default has occurred and is continuing or would result therefrom on
a Pro Forma Basis, the prepayment, redemption, defeasance, repurchase or other retirement of
Senior Subordinated Notes for an aggregate purchase price since the Effective Date not to
exceed the Available Amount; and

     (iv) any redemption, repurchase, prepayment, defeasance or other retirement of any UK
Facility Debt so long as no Default has occurred and is continuing or would result therefrom
on a Pro Forma Basis and after giving effect to such extension, renewal or replacement the
Borrower shall be in compliance with the Financial Performance Covenant on a Pro Forma Basis
(such covenant to be applied even if no Revolving Loan or Swingline Loan and less than $7.5
million of LC Exposure is outstanding).

          SECTION 6.09. Transactions with Affiliates. The Borrower will not, nor will it permit
any Restricted Subsidiary to, sell, lease or otherwise transfer any property or assets to, or
purchase, lease or otherwise acquire any property or assets from, or otherwise engage in any other
transactions with, any of its Affiliates, except

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     (a) transactions that are at prices and on terms and conditions not less favorable to
the Borrower or such Restricted Subsidiary than could be obtained on an arm’s-length basis
from unrelated third parties,

     (b) (i) transactions between or among the Borrower and the Subsidiary Loan Parties,
(ii) transactions between or among Qualified Restricted Subsidiaries that are not Subsidiary
Loan Parties and (iii) transactions between or among the Borrower and its Restricted
Subsidiaries consistent with past practice and made in the ordinary course,

     (c) any investment permitted under Section 6.04(iv), 6.04(v), 6.04(vii), 6.04(xiii) or
6.04(xvii),

     (d) any Indebtedness permitted under Section 6.01(a)(iv),

     (e) any Restricted Payment permitted under Section 6.08,

     (f) any sale, transfer or disposition permitted under Section 6.05,

     (g) loans or advances to employees permitted under Section 6.04,

     (h) any lease or sublease entered into between the Borrower or any Restricted
Subsidiary, as lessee or sublessee, and any of the Affiliates (as of the Effective Date) of
the Borrower or entity controlled by such Affiliates, as lessor or sublessor, which is
approved in good faith by a majority of the disinterested members of the Board of Directors
of the Borrower,

     (i) so long as no Default described in Section 7.01(b) and no Event of Default has
occurred and is continuing, the Borrower may pay, or may pay cash dividends to enable
Holdings to pay, customary management, consulting, monitoring or advisory fees to the
Sponsor or any Sponsor Affiliates in an aggregate amount in any fiscal year not to exceed
the amount permitted to be paid (including accrued amounts) pursuant to the Sponsor
Management Agreement as in effect on the date hereof and related indemnities and reasonable
expenses,

     (j) payments by Holdings, the Borrower or any of its Restricted Subsidiaries to the
Sponsor and/or any Sponsor Affiliate for any financial advisory, financing, underwriting or
placement services or in respect of other investment banking activities, including, without
limitation, in connection with acquisitions or divestitures, which payments are approved by
the majority of the members of the disinterested members of the Board of Directors of the
Borrower, in
good faith in an aggregate amount for all such fees not to exceed 2.00% of the
aggregate transaction value in respect of which such services are rendered,

     (k) the payment of reasonable fees to directors of the Borrower or any Restricted
Subsidiary who are not employees of the Borrower or any Restricted Subsidiary, and
compensation and employee benefit arrangements paid to, and indemnities provided for the
benefit of, directors, officers or employees of the Borrower or any Restricted Subsidiary in
the ordinary course of business,

     (l) any issuances of securities or other payments, awards or grants in cash, securities
or otherwise pursuant to, or the funding of, employment agreements, stock options and stock
ownership plans approved by the Borrower’s Board of Directors,

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     (m) transactions pursuant to agreements set forth on Schedule 6.09 and any
amendments thereto to the extent such amendments are not materially less favorable to the
Borrower or such Subsidiary Loan Party than those provided for in the original agreements,

     (n) employment and severance arrangements entered into in the ordinary course of
business and approved by the Borrower’s Board of Directors between a Parent, Holdings, the
Borrower or any Restricted Subsidiary and any employee thereof,

     (o) all payments made or to be made in connection with the Transactions, including the
payment of the Transaction Costs, and

     (p) payments by the Borrower or any of its Subsidiaries of reasonable insurance
premiums to, and any borrowings or dividends received from, any Insurance Subsidiary.

          SECTION 6.10. Restrictive Agreements.

          (a) Subject to clauses (b) through (d) below, the Borrower will not, nor will they permit any
Restricted Subsidiary to, directly or indirectly, enter into, incur or permit to exist any
agreement or other arrangement that prohibits, restricts or imposes any condition upon (i) the
ability of the Borrower or any Restricted Subsidiary to create, incur or permit to exist any Lien
upon any of its property or assets or (ii) the ability of any Subsidiary to pay dividends or other
distributions with respect to any shares of its capital stock or to make or repay loans or advances
to the Borrower or any Restricted Subsidiary or to Guarantee Indebtedness of the Borrower or any
other Subsidiary.

          (b) Section 6.10(a) shall not apply to restrictions and conditions (i) imposed by law or by
any Loan Document or any Senior Subordinated Notes Document or any document governing Indebtedness
of a Foreign Subsidiary permitted to be incurred under this Agreement (provided that such
restrictions shall apply only to such Foreign Subsidiary), (ii) existing on the date hereof
identified on Schedule 6.10 (but shall apply to any extension or renewal of, or any
amendment or modification expanding the scope of, any such restriction or condition), (iii)
contained in agreements relating to the sale of a Restricted Subsidiary pending such sale,
provided such restrictions and conditions apply only to the Restricted Subsidiary that is
to be sold and such sale is permitted hereunder, (iv) imposed by law on any Insurance Subsidiary,
(v) imposed by any customary provisions restricting assignment of any agreement entered into the
ordinary course of business, (vi) imposed by any instrument or agreement governing Indebtedness of
a Restricted Subsidiary acquired by the Borrower or any of its Restricted Subsidiaries as in effect
at the time of such acquisition (except to the extent such Indebtedness was incurred in connection
with or in contemplation of such acquisition), which encumbrance or restriction is not
applicable to any Person, or the properties or assets of any such Person, other than the Person or
any of its Subsidiaries, so acquired (provided that such Indebtedness was permitted by
Section 6.01 to be incurred), (vi) imposed by any instrument or agreement governing Indebtedness
(i) of any Foreign Subsidiary and (ii) of the Borrower or any Restricted Subsidiary that is
incurred or issued subsequent to the Effective Date and is permitted pursuant to Section 6.01
(provided that the restrictions in such Indebtedness are not materially more restrictive in
the aggregate than the restrictions contained in this Agreement, or in the case of subordinated
Indebtedness, the Senior Subordinated Note Documents) or (vii) that are Permitted Payment
Restrictions.

          (c) Section 6.10(a)(i) shall not apply to restrictions or conditions imposed by customary
provisions in leases restricting the assignment thereof.

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          (d) Section 6.10(a)(ii) shall not apply to customary provisions in joint venture agreements
relating to purchase options, rights of first refusal or call or similar rights of a third party
that owns Equity Interests in such joint venture.

          SECTION 6.11. Amendment of Material Documents. The Borrower will not, nor will it
permit any Restricted Subsidiary to, amend, modify or waive any of its rights under (a) any Senior
Subordinated Notes Document or any documentation governing any Subordinated Indebtedness or
Additional Subordinated Debt or (b) its certificate of incorporation, by-laws or other
organizational documents, in each case to the extent such amendment, modification or waiver would
be materially adverse to the Lenders.

          SECTION 6.12. Secured Leverage Ratio. If any Revolving Loan or Swingline Loan is
outstanding or LC Exposure in excess of $7.5 million is outstanding, commencing with the fiscal
quarter ending on June 30, 2007, the Borrower shall maintain a Secured Leverage Ratio of less than
or equal to (i) 5.25 to 1.0 as of the last day of each of the first eight fiscal quarters ended
after the Effective Date, (ii) 5.00 to 1.0 as of the last day of each of the next four fiscal
quarters ended after the Effective Date, (iii) 4.75 to 1.0 as of the last day of each of the next
four fiscal quarters ended after the Effective Date and (iv) 4.50 to 1.0 as of the last day of each
other fiscal quarter ended after the Effective Date, unless:

     (a) the Required Revolving Lenders otherwise consent in writing; or

     (b) solely for the purpose of this Section 6.12, on the last day of the applicable
fiscal quarter (or, if applicable, on the expiration of the tenth day subsequent to the date
on which financial statements with respect to the fiscal period as of the end of which the
Secured Leverage Ratio is being measured are required to be delivered pursuant to Section
5.01) there are no Revolving Loans or Swingline Loans outstanding and LC Exposure in the
aggregate does not exceed $7.5 million.

          SECTION 6.13. Fiscal Year. The Borrower will not change its fiscal year-end to a date
other than December 31.

ARTICLE VII

Events of Default

          SECTION 7.01. Events of Default. If any of the following events (any such event, an
“Event of Default”) shall occur:

     (a) the Borrower shall fail to pay any principal of any Loan or any reimbursement
obligation in respect of any LC Disbursement when and as the same shall become due and
payable, whether at the due date thereof or at a date fixed for prepayment thereof or
otherwise;

     (b) the Borrower shall fail to pay any interest on any Loan or any fee or any other
amount (other than an amount referred to in Section 7.01(a)) payable under this Agreement or
any other Loan Document, when and as the same shall become due and payable, and such failure
shall continue unremedied for a period of three Business Days;

     (c) any representation or warranty made or deemed made by or on behalf of Holdings, the
Borrower or any Subsidiary in or in connection with any Loan Document or any amendment or
modification thereof or waiver thereunder, or in any report, certificate, financial
statement or other document furnished pursuant to or in connection with any Loan Document or

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any amendment or modification thereof or waiver thereunder, shall prove to have been
incorrect in any material respect (except to the extent any such representation or warranty
is qualified by “materially”, “Material Adverse Effect” or a similar term, in which case
such representation or warranty shall prove to have been incorrect in any respect) when made
or deemed made;

     (d) Holdings or the Borrower shall fail to observe or perform any covenant, condition
or agreement contained in Section 5.02, 5.04 (with respect to the existence of Holdings and
the Borrower), 5.11 or in Article VI (provided that a breach of the Financial
Performance Covenant shall not by itself constitute an Event of Default in the case of Term
Loans);

     (e) Holdings, the Borrower or any Subsidiary Loan Party shall fail to observe or
perform any covenant, condition or agreement contained in any Loan Document (other than
those specified in Sections 7.01(a), (b) or (d)), and such failure shall continue unremedied
for a period of 30 days after notice thereof from the Administrative Agent to the Borrower
(which notice will be given at the request of any Lender);

     (f) Holdings, the Borrower or any Restricted Subsidiary shall fail to make any payment
(whether of principal or interest and regardless of amount) in respect of any Material
Indebtedness, when and as the same shall become due and payable (after giving effect to any
applicable grace period);

     (g) any event or condition occurs that results in any Material Indebtedness becoming
due prior to its scheduled maturity or that enables or permits (with or without the giving
of notice, the lapse of time or both) the holder or holders of any Material Indebtedness or
any trustee or agent on its or their behalf to cause any Material Indebtedness to become
due, or to require the prepayment, repurchase, redemption or defeasance thereof, prior to
its scheduled maturity, provided that this clause (g) shall not apply to secured
Indebtedness that becomes due as a result of the voluntary sale or transfer of the property
or assets (to the extent not prohibited under this Agreement) securing such Indebtedness;
provided further that a breach of the Financial Performance Covenant shall
not by itself constitute an Event of Default in the case of Term Loans unless
(i) the Borrower fails to obtain a waiver of the breach of the Financial Performance
Covenant from the Revolving Lenders or otherwise remedy such breach within 45 days following
notice thereof from the Administrative Agent to the Borrower or (ii) the Revolving Lenders
terminate the Revolving Commitments or declare the Revolving Loans to be due and payable in
accordance with this Section 7.01;

     (h) an involuntary proceeding shall be commenced or an involuntary petition shall be
filed seeking (i) liquidation, reorganization or other relief in respect of Holdings, the
Borrower or any Restricted Subsidiary or its debts, or of a substantial part of its assets,
under any Federal, state or foreign bankruptcy, insolvency, receivership or similar law now
or hereafter in effect or (ii) the appointment of a receiver, trustee, custodian,
sequestrator, conservator or similar official for Holdings, the Borrower or any Restricted
Subsidiary or for a substantial part of its assets, and, in any such case, such proceeding
or petition shall continue undismissed for 60 days or an order or decree approving or
ordering any of the foregoing shall be entered;

     (i) Holdings, the Borrower or any Restricted Subsidiary shall (i) voluntarily commence
any proceeding or file any petition seeking liquidation, reorganization or other relief
under any Federal, state or foreign bankruptcy, insolvency, receivership or similar law now
or hereafter in effect, (ii) consent to the institution of, or fail to contest in a timely
and appropriate manner, any proceeding or petition described in Section 7.01(h), (iii) apply
for or consent to the appointment of a receiver, trustee, custodian, sequestrator,
conservator or similar official for Holdings,

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the Borrower or any Restricted Subsidiary or
for a substantial part of its assets, (iv) file an answer admitting the material allegations
of a petition filed against it in any such proceeding, (v) make a general assignment for the
benefit of creditors or (vi) take any formal action for the purpose of effecting any of the
foregoing;

     (j) Holdings, the Borrower or any Restricted Subsidiary shall become unable, admit in
writing its inability or fail generally to pay its debts as they become due;

     (k) one or more judgments for the payment of money (to the extent not paid or covered
by insurance provided by a carrier that has acknowledged its obligation to pay such claim in
writing and that has a credit rating of at least “A” by A.M. Best Company, Inc.) in an
aggregate amount in excess of $20,000,000 shall be rendered against Holdings, the Borrower,
any Restricted Subsidiary or any combination thereof and the same shall remain undischarged
for a period of 30 consecutive days during which execution shall not be effectively stayed,
or any action shall be legally taken by a judgment creditor to attach or levy upon any
assets of Holdings, the Borrower or any Restricted Subsidiary to enforce any such judgment;

     (l) an ERISA Event shall have occurred that, in the opinion of the Required Lenders,
when taken together with all other ERISA Events that have occurred, could reasonably be
expected to result in liability of the Borrower and the Restricted Subsidiaries in an
aggregate amount exceeding $20,000,000 for all periods;

     (m) any Lien purported to be created under any Security Document shall cease to be, or
shall be asserted by any Loan Party not to be, a valid and perfected Lien on any material
portion of the Collateral with the priority required by the applicable Security Document,
except (i) as a result of the sale or other disposition of the applicable Collateral in a
transaction permitted under the Loan Documents or (ii) as a result of the Administrative
Agent’s failure to maintain possession of any stock certificates, promissory notes or other
instruments delivered to it under the Collateral Agreement;

     (n) any Loan Document shall for any reason be asserted by any Loan Party not to be a
legal, valid and binding obligation of any party thereto;

     (o) the Guarantees of the Obligations by Holdings and the Subsidiary Loan Parties
pursuant to the Collateral Agreement shall cease to be in full force and effect (other than
in accordance with the terms of the Loan Documents) or shall be asserted by Holdings, the
Borrower or any Subsidiary Loan Party not to be in effect or not to be legal, valid and
binding obligations;

     (p) the Senior Subordinated Notes or any Guarantees thereof shall cease, for any
reason, to be validly subordinated to the Obligations or the obligations of Holdings and the
Subsidiary Loan Parties in respect of their Guarantees under the Collateral Agreement, as
applicable, as provided in the Senior Subordinated Notes Documents, or any Loan Party or the
holders of at least 25% in aggregate principal amount of the Senior Subordinated Notes shall
so assert; or

     (q) a Change in Control shall occur;

then, and in every such event (other than an event with respect to the Borrower described in
Section 7.01(h) or (i)), and at any time thereafter during the continuance of such event, the
Administrative Agent may, and at the request of the Required Lenders (or in the case of a breach of
the Financial Performance Covenant that does not result in an Event of Default with respect to the
Term Loans at the request of the Required Revolving Lenders acting solely with respect to the
Revolving Loans and Revolving Commitments)

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shall, by notice to the Borrower, take either or both of
the following actions, at the same or different times: (i) terminate the Commitments, and
thereupon the Commitments shall terminate immediately, and (ii) declare the Loans then outstanding
to be due and payable in whole (or in part, in which case any principal not so declared to be due
and payable may thereafter be declared to be due and payable), and thereupon the principal of the
Loans so declared to be due and payable, together with accrued interest thereon and all fees and
other obligations of the Borrower accrued hereunder, shall become due and payable immediately,
without presentment, demand, protest or other notice of any kind, all of which are hereby waived by
the Borrower; and in case of any event with respect to the Borrower described in Section 7.01(h) or
(i), the Commitments shall automatically terminate and the principal of the Loans then outstanding,
together with accrued interest thereon and all fees and other obligations of the Borrower accrued
hereunder, shall automatically become due and payable, without presentment, demand, protest or
other notice of any kind, all of which are hereby waived by the Borrower.

          SECTION 7.02. Borrower’s Right to Cure.

          (a) Notwithstanding anything to the contrary contained in Section 7.01, in the event that the
Borrower fails to comply with the requirement of the Financial Performance Covenant, until the
expiration of the tenth day subsequent to the date on which financial statements with respect to
the fiscal period for which the Financial Performance Covenant is being measured are required to be
delivered pursuant to Section 5.01, Holdings shall have the right to issue Qualified Equity
Interests (the “Cure Right”), and upon the receipt by the Borrower of cash (such amount of
cash being referred to as the “Cure Amount”) pursuant to the exercise by Holdings of such
Cure Right, the Financial Performance Covenant shall be recalculated giving effect to the following
pro forma adjustments:

     (i) Consolidated EBITDA shall be increased, solely for the purpose of determining the
existence of a Default or Event of Default under the Financial Performance Covenant with
respect to any period of four consecutive fiscal quarters that includes the fiscal quarter
for which
the Cure Right was exercised and not for any other purpose under this Agreement, by an
amount equal to the Cure Amount; and

     (ii) if, after giving effect to the foregoing recalculations, the Borrower shall then
be in compliance with the requirements of the Financial Performance Covenant (including for
purposes of Section 4.02), the Borrower shall be deemed to have satisfied the requirements
of the Financial Performance Covenant as of the relevant date of determination with the same
effect as though there had been no failure to comply therewith at such date, and the
applicable breach or default of the Financial Performance Covenant that had occurred shall
be deemed cured for the purposes of this Agreement.

          (b) Notwithstanding anything herein to the contrary, (a) in each four fiscal quarter period
there shall be a period of at least two fiscal quarters in which no Cure Right is made, (b) all
Cure Amounts shall be disregarded for purposes of determining any items in this Agreement
(including basket sizes) dependent upon equity contributions or offerings and (c) the Cure Amount
shall be no greater than the amount required to cause Borrower to be in compliance with the
Financial Performance Covenant.

          SECTION 7.03. Exclusion of Immaterial Subsidiaries. Solely for the purposes of
determining whether a Default has occurred under Section 7.01(h) or (i), any reference in any such
clause to any Restricted Subsidiary shall be deemed not to include any Restricted Subsidiary
affected by any event or circumstance referred to in any such clause that did not, as of the last
day of the fiscal quarter of the Borrower most recently ended, have assets with a value in excess
of 5% of the consolidated total assets of the Borrower and the Restricted Subsidiaries or 5% of the
total revenues of the Borrower and the Restricted Subsidiaries as of such date; provided
that if it is necessary to exclude more than one Restricted

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Subsidiary from Section 7.01(h) or (i)
pursuant to this Section 7.03 in order to avoid an Event of Default thereunder, all excluded
Restricted Subsidiaries shall be considered to be a single consolidated Restricted Subsidiary for
purposes of determining whether the condition specified above is satisfied.

ARTICLE VIII

The Agents

          SECTION 8.01. The Agents. Each of the Lenders and the Issuing Bank hereby irrevocably
appoints the Administrative Agent as its agent and authorizes the Administrative Agent to take such
actions on its behalf and to exercise such powers as are delegated to the Administrative Agent by
the terms of the Loan Documents, together with such actions and powers as are reasonably incidental
thereto. For purposes of this Article VIII, all references to the Administrative Agent shall be
deemed to be references to both the Administrative Agent and the Collateral Agent.

          The bank serving as the Administrative Agent hereunder shall have the same rights and powers
in its capacity as a Lender as any other Lender and may exercise the same as though it were not the
Administrative Agent, and such bank and its Affiliates may accept deposits from, lend money to and
generally engage in any kind of business with the Borrower or any Subsidiary or other Affiliate
thereof as if it were not the Administrative Agent hereunder.

          The Administrative Agent shall not have any duties or obligations except those expressly set
forth in the Loan Documents. Without limiting the generality of the foregoing, (a) the
Administrative
Agent shall not be subject to any fiduciary or other implied duties, regardless of whether a
Default has occurred and is continuing, (b) the Administrative Agent shall not have any duty to
take any discretionary action or exercise any discretionary powers, except discretionary rights and
powers expressly contemplated by the Loan Documents that the Administrative Agent is required to
exercise in writing as directed by the Required Lenders (or such other number or percentage of the
Lenders as shall be necessary under the circumstances as provided in Section 2.05(j) and Section
9.02), and (c) except as expressly set forth in the Loan Documents, the Administrative Agent shall
not have any duty to disclose, and shall not be liable for the failure to disclose, any information
relating to Holdings, the Borrower or any of the Subsidiaries that is communicated to or obtained
by the bank serving as Administrative Agent or any of its Affiliates in any capacity. The
Administrative Agent shall not be liable for any action taken or not taken by it with the consent
or at the request of the Required Lenders (or such other number or percentage of the Lenders as
shall be necessary under the circumstances as provided in Section 2.05(j) or Section 9.02) or in
the absence of its own gross negligence or willful misconduct. The Administrative Agent shall be
deemed not to have knowledge of any Default unless and until written notice thereof is given to the
Administrative Agent by Holdings, the Borrower or a Lender, and the Administrative Agent shall not
be responsible for or have any duty to ascertain or inquire into (i) any statement, warranty or
representation made in or in connection with any Loan Document, (ii) the contents of any
certificate, report or other document delivered thereunder or in connection therewith, (iii) the
performance or observance of any of the covenants, agreements or other terms or conditions set
forth in any Loan Document, (iv) the validity, enforceability, effectiveness or genuineness of any
Loan Document or any other agreement, instrument or document, or (v) the satisfaction of any
condition set forth in Article IV or elsewhere in any Loan Document, other than to confirm receipt
of items expressly required to be delivered to the Administrative Agent.

          The Administrative Agent shall be entitled to rely upon, and shall not incur any liability for
relying upon, any notice, request, certificate, consent, statement, instrument, document or other
writing believed by it to be genuine and to have been signed or sent by the proper Person. The
Administrative Agent also may rely upon any statement made to it orally or by telephone and
believed by it to be made

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by the proper Person, and shall not incur any liability for relying
thereon. The Administrative Agent may consult with legal counsel (who may be counsel for the
Borrower), independent accountants and other experts selected by it, and shall not be liable for
any action taken or not taken by it in accordance with the advice of any such counsel, accountants
or experts.

          The Administrative Agent may perform any and all its duties and exercise its rights and powers
by or through any one or more subagents appointed by the Administrative Agent. The Administrative
Agent and any such subagent may perform any and all its duties and exercise its rights and powers
through their respective Related Parties. The exculpatory provisions of the preceding paragraphs
shall apply to any such subagent and to the Related Parties of each Administrative Agent and any
such subagent, and shall apply to their respective activities in connection with the syndication of
the credit facilities provided for herein as well as activities as Administrative Agent.

          Each of the Lenders, the Issuing Bank and the Loan Parties agree, that the Administrative
Agent may subject to Section 9.01(b), but shall not be obligated to, make the Approved
Electronic Communications available to the Lenders and the Issuing Bank by posting such Approved
Electronic Communications on IntraLinksTM or a substantially similar electronic platform chosen by
the Administrative Agent to be its electronic transmission system (the “Approved Electronic
Platform”) and each of the Loan Parties agrees to make the Approved Electronic Communications
available to the Administrative Agent in an acceptable soft copy or electronic format.

          Although the Approved Electronic Platform and its primary web portal are secured with
generally-applicable security procedures and policies implemented or modified by the Administrative
Agent from time to time (including, as of the Effective Date, a dual firewall and a User
ID/Password Authorization System) and the Approved Electronic Platform is secured through a
single-user-per-deal authorization method whereby each user may access the Approved Electronic
Platform only on a deal-by-deal basis, each of the Lenders and the Issuing Bank and the Loan
Parties acknowledge and agree that the distribution of material through an electronic medium is not
necessarily secure and that there are confidentiality and other risks associated with such
distribution. In consideration for the convenience and other benefits afforded by such
distribution and for the other consideration provided hereunder, the receipt and sufficiency of
which is hereby acknowledged, each of the Lenders, the Loan Parties and the Issuing Bank hereby
approve distribution of the Approved Electronic Communications through the Approved Electronic
Platform and understands and assumes the risks of such distribution.

          The Approved Electronic Communications and the Approved Electronic Platform are provided “as
is” and “as available”. None of the Administrative Agent or any of its Affiliates or any of their
respective officers, directors, employees, agents, advisors or representatives (the “Agent
Affiliates”) warrant the accuracy, adequacy or completeness of the Approved Electronic
Communications and the Approved Electronic Platform and each expressly disclaims liability for
errors or omissions in the Approved Electronic Communications and the Approved Electronic Platform.
No warranty of any kind, express, implied or statutory (including, without limitation, any
warranty of merchantability, fitness for a particular purpose, noninfringement of third party
rights or freedom from viruses or other code defects) is made by the Agent Affiliates in connection
with the Approved Electronic Communications or the Approved Electronic Platform.

          Each of the Lenders, the Issuing Bank, and the Loan Parties agrees that the Administrative
Agent may, but (except as may be required by applicable law) shall not be obligated to, store the
Approved Electronic Communications on the Approved Electronic Platform in accordance with the
Administrative Agent’s generally-applicable document retention procedures and policies.

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          The Administrative Agent may resign at any time by notifying the Lenders, the Issuing Bank and
the Borrower. Upon any such resignation, the Required Lenders shall have the right, in
consultation with the Borrower, to appoint a successor. If no successor shall have been so
appointed by the Required Lenders and shall have accepted such appointment within 30 days after the
retiring Administrative Agent gives notice of its resignation, then the retiring Administrative
Agent may, on behalf of the Lenders and the Issuing Bank, appoint a successor Administrative Agent
which shall be a bank with an office in New York, New York, or an Affiliate of any such bank. Upon
the acceptance of its appointment as Administrative Agent hereunder by a successor, such successor
shall succeed to and become vested with all the rights, powers, privileges and duties of the
retiring Administrative Agent, and the retiring Administrative Agent shall be discharged from its
duties and obligations hereunder. The fees payable by the Borrower to a successor Administrative
Agent shall be the same as those payable to its predecessor unless otherwise agreed between the
Borrower and such successor. After the Administrative Agent’s resignation hereunder, the
provisions of this Article and Section 9.03 shall continue in effect for the benefit of such
retiring Administrative Agent, its subagents and their respective Related Parties in respect of any
actions taken or omitted to be taken by any of them while it was acting as Administrative Agent.

          Each Lender acknowledges that it has, independently and without reliance upon the
Administrative Agent or any other Lender and based on such documents and information as it has
deemed appropriate, made its own credit analysis and decision to enter into this Agreement. Each
Lender also acknowledges that it will, independently and without reliance upon the Administrative
Agent or any other Lender and based on such documents and information as it shall from time to time
deem appropriate, continue to make its own decisions in taking or not taking action under or based
upon this Agreement, any other Loan Document or related agreement or any document furnished
hereunder or thereunder. The
Lenders identified in this Agreement as the Syndication Agent and the Documentation Agents
shall not have any right, power, obligation, liability, responsibility or duty under this Agreement
other than those applicable to all Lenders. Without limiting the foregoing, neither the
Syndication Agent nor the Documentation Agents shall have or be deemed to have a fiduciary
relationship with any Lender.

ARTICLE IX

Miscellaneous

          SECTION 9.01. Notices.

          (a) Except in the case of notices and other communications expressly permitted to be given by
telephone, all notices and other communications provided for herein shall be in writing and shall
be delivered by hand or overnight courier service, mailed by certified or registered mail or sent
by telecopy, as follows:

     (i) if to the Borrower, to United Surgical Partners International, Inc., 15305 Dallas
Parkway, Suite 1600-LB 28, Addison, Texas 75001, Attention: General Counsel (Telecopy No.
(972) 767-0604) and Treasurer (Telecopy No. (972) 267-0084);

     (ii) if to the Administrative Agent, the Collateral Agent, the Issuing Bank or the
Swingline Lender, to:

Citibank, N.A.

Citigroup Global Loans

2 Penns Way, Suite 100

New Castle, DE 19720

Attention: Kwase Bame

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Telecopy: (212) 994-0961

Telephone: (302) 894-6073

with a copy to:

Global Portfolio Management

Citigroup Global Markets Inc.

390 Greenwich St., 1st floor

New York, NY 10013

Attention: Blake Gronich

Telecopy: (866) 492-5915

Telephone: (212) 723-9402; and

     (iii) if to any other Lender, to it at its address (or telecopy number) set forth in
its Administrative Questionnaire.

          (b) Notices and other communications to the Lenders hereunder may be delivered or furnished by
electronic communications pursuant to procedures approved by the Administrative Agent,
provided that the foregoing shall not apply to notices to any Lender or the Issuing Bank
pursuant to Article II or of a Default if such Lender or the Issuing Bank, as applicable,
has notified the Administrative Agent that it is incapable of receiving notices under such Article
by electronic communication and provided that the Administrative Agent shall in any event also receive hard copies of the notices
described in this proviso and, to the extent requested, any other documents delivered
electronically under this Agreement. The Administrative Agent or the Borrower may, in its
discretion, agree to accept notices and other communications to it hereunder by electronic
communications pursuant to procedures approved by it, provided that approval of such
procedures may be limited to particular notices or communications. All such notices and other
communications (i) sent to an e-mail address shall be deemed received upon the sender’s receipt of
an acknowledgement from the intended recipient (such as by the “return receipt requested” function,
as available, return e-mail or other written acknowledgement); provided that if not given
during the normal business hours of the recipient, such notice or communication shall be deemed to
have been given at the opening of business on the next Business Day for the recipient, and (ii)
posted to an Internet or intranet website shall be deemed received upon the deemed receipt by the
intended recipient at its e-mail address as described in the foregoing clause (i) of any required
notification that such notice or communication is available and identifying the website address
therefor.

          (c) Any party hereto may change its address or telecopy number for notices and other
communications hereunder by notice to the Administrative Agent (and, in the case of the
Administrative Agent, by written notice to the Borrower). All notices and other communications
given to any party hereto in accordance with the provisions of this Agreement shall be deemed to
have been given as follows: notices sent by hand or overnight courier service, or mailed by
certified or registered mail, shall be deemed to have been given when received; notices sent by
telecopier (with a send successful notice) shall be deemed to have been given when sent (except
that, if not given during normal business hours for the recipient, shall be deemed to have been
given at the opening of business on the next business day for the recipient).

          SECTION 9.02. Waivers; Amendments.

          (a) No failure or delay by the Administrative Agent, the Issuing Bank, the Collateral Agent,
the Swingline Lender or any Lender in exercising any right or power hereunder or under any other
Loan Document shall operate as a waiver thereof, nor shall any single or partial exercise of any
such right

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or power, or any abandonment or discontinuance of steps to enforce such a right or
power, preclude any other or further exercise thereof or the exercise of any other right or power.
The rights and remedies of the Administrative Agent, the Issuing Bank, the Collateral Agent, the
Swingline Lender and the Lenders hereunder and under the other Loan Documents are cumulative and
are not exclusive of any rights or remedies that they would otherwise have. No waiver of any
provision of any Loan Document or consent to any departure by any Loan Party therefrom shall in any
event be effective unless the same shall be permitted by Section 9.02(b), and then such waiver or
consent shall be effective only in the specific instance and for the purpose for which given.
Without limiting the generality of the foregoing, the making of a Loan or issuance of a Letter of
Credit shall not be construed as a waiver of any Default, regardless of whether the Administrative
Agent, any Lender, the Collateral Agent, the Swingline Lender or the Issuing Bank may have had
notice or knowledge of such Default at the time.

          (b) Except as provided in Section 2.20 with respect to an Incremental Facility Amendment (or
to give effect to any restatement of this Agreement, the substantive terms of which are otherwise
permitted hereby), neither this Agreement nor any other Loan Document nor any provision hereof or
thereof may be waived, amended or modified except, in the case of this Agreement, pursuant to an
agreement or agreements in writing entered into by Holdings, the Borrower and the Required Lenders
or, in the case of any other Loan Document, pursuant to an agreement or agreements in writing
entered into by the Administrative Agent and the Loan Party or Loan Parties that are parties
thereto (and, if party
thereto, the Collateral Agent), in each case with the consent of the Required Lenders;
provided that no such agreement shall

     (i) increase the Commitment of any Lender without the written consent of such Lender,

     (ii) reduce the principal amount of any Loan or LC Disbursement or reduce the rate of
interest thereon, or reduce any fees payable hereunder, without the written consent of each
Lender affected thereby,

     (iii) postpone the maturity of any Loan, or any scheduled date of payment of the
principal amount of any Term Loan under Section 2.10, the required date of reimbursement of
any LC Disbursement, or any date for the payment of any interest or fees payable hereunder,
or reduce the amount of, waive or excuse any such payment, or postpone the scheduled date of
expiration of any Commitment, without the written consent of each Lender affected thereby,

     (iv) change Section 2.18(b) or (c) in a manner that would alter the pro rata sharing of
payments required thereby, without the written consent of each Lender,

     (v) change any of the provisions of this Section 9.02 or the percentage set forth in
the definition of “Required Lenders” or any other provision of any Loan Document specifying
the number or percentage of Lenders (or Lenders of any Class) required to waive, amend or
modify any rights thereunder or make any determination or grant any consent thereunder,
without the written consent of each Lender (or each Lender of such Class, as applicable),

     (vi) release Holdings or any Subsidiary Loan Party from its Guarantee under the
Collateral Agreement (except as provided in Section 7.13 or in the Collateral Agreement) or
limit its liability in respect of such Guarantee, without the written consent of each
Lender,

     (vii) release all or substantially all the Collateral from the Liens of the Security
Documents (except as provided in Section 7.13 or in the Collateral Agreement), without the
written consent of each Lender,

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     (viii) change any provisions of any Loan Document in a manner that by its terms
adversely affects the rights in respect of payments due to Lenders holding Loans of any
Class differently than those holding Loans of any other Class, without the written consent
of Lenders holding a majority in interest of the outstanding Loans and unused Commitments of
each adversely affected Class, or

     (ix) modify the definition of “Interest Period” to allow periods of more than six
months without regard to the agreement of all participating Lenders, without the written
consent of each Lender.

provided, further, that (A) no such agreement shall amend, modify or otherwise
affect the rights or duties of the Administrative Agent, the Issuing Bank or the Swingline Lender
without the prior written consent of the Administrative Agent, the Issuing Bank or the Swingline
Lender, as applicable, (B) any waiver, amendment or modification of this Agreement that by its
terms affects the rights or duties under this Agreement of the Revolving Lenders (but not the Term
Lenders), the Tranche B Lenders (but not the Revolving Lenders or the Delayed Draw Lenders), the
Delayed Draw Lenders (but not the Revolving Lenders or the Tranche B Lenders) or the Term Lenders
(but not the Revolving Lenders) may be effected by an agreement or agreements in writing entered
into by Holdings, the Borrower and requisite percentage in
interest of the affected Class(es) of Lenders that would be required to consent thereto under this
Section 9.02(b) if such Class(es) of Lenders were the only Class(es) of Lenders hereunder at the
time and (C) that notwithstanding anything to the contrary any amendment, waiver or modification of
Section 6.12 (or terms or definitions that as amended, waived or modified only affect Section 6.12)
shall only require the consent of the Required Revolving Lenders and shall not require the consent
of any other Person. In connection with any proposed amendment, modification, waiver or
termination (a “Proposed Change”) requiring the consent of all affected Lenders, if the
consent of the Required Lenders (and, to the extent any Proposed Change requires the consent of
Lenders holding Loans of any Class pursuant to Section 9.02(b)(viii), the consent of not less than
a majority in interest of the outstanding Loans and unused Commitments of such Class) to such
Proposed Change is obtained, but the consent to such Proposed Change of other Lenders whose consent
is required is not obtained (any such Lender whose consent is not obtained as described in this
Section 9.02(b) being referred to as a “Non-Consenting Lender”), then, so long as the
Lender that is acting as the Administrative Agent is not a Non-Consenting Lender, at the Borrower’s
request, any assignee that is acceptable to the Administrative Agent shall have the right, with the
Administrative Agent’s consent, to purchase from such Non-Consenting Lender, and such
Non-Consenting Lender agrees that it shall, upon the Borrower’s request, sell and assign to such
assignee, at no expense to such Non-Consenting Lender, all the Commitments, Term Loans and
Revolving Exposure of such Non-Consenting Lender for an amount equal to the principal balance of
all Term Loans and Revolving Loans (and funded participations in Swingline Loans and unreimbursed
LC Disbursements) held by such Non-Consenting Lender and all accrued interest and fees with respect
thereto through the date of sale (including amounts under Sections 2.15, 2.16 and 2.17) so long as
such principal balance of all other Non-Consenting Lenders is similarly purchased, such purchase
and sale to be consummated pursuant to an executed Assignment and Assumption in accordance with
Section 9.04(b) (which Assignment and Assumption need not be signed by such Non-Consenting Lender).

          (c) Notwithstanding the provisions of Section 9.02(b), this Agreement may be amended (or
amended and restated) with the written consent of the Required Lenders, the Administrative Agent,
Holdings and the Borrower (i) to add one or more additional credit facilities to this Agreement and
to permit the extensions of credit from time to time thereunder and the accrued interest and fees
in respect thereof to share ratably in the benefits of this Agreement and the other Loan Documents
with the Term Loans and the Revolving Loans and the accrued interest and fees in respect thereof,
and (ii) to include appropriately the Lenders holding such credit facilities in any determination
of the Required Lenders. In

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addition, this Agreement may be amended with the written consent of
the Administrative Agent, Holdings, the Borrower and the Lenders providing the relevant Replacement
Term Loans (as defined below) to permit the refinancing of all outstanding Tranche B Term Loans or
Delayed Draw Term Loans (the “Refinanced Term Loans”) and, if applicable, related
outstanding commitments, with a replacement term loan tranche hereunder (the “Replacement Term
Loans”); provided that (i) the aggregate principal amount of such Replacement Term Loans shall
not exceed the aggregate principal amount of such Refinanced Term Loans, (ii) the Applicable Rate
for such Replacement Term Loans shall not be higher than the Applicable Rate for such Refinanced
Term Loans, (iii) the weighted average life to maturity of such Replacement Term Loans shall not be
shorter than the weighted average life to maturity of such Refinanced Term Loans at the time of
such refinancing (except to the extent of nominal amortization for periods where amortization has
been eliminated as a result of prepayment of the Refinanced Term Loans) and (iv) all other terms
applicable to such Replacement Term Loans shall be substantially identical to, or less favorable to
the Lenders providing such Replacement Term Loans than, those applicable to such Refinanced Term
Loans, except to the extent necessary to provide for covenants and other terms applicable to any
period after the latest final maturity of the Refinanced Term Loans in effect immediately prior to
such refinancing.

          SECTION 9.03. Expenses; Indemnity; Damage Waiver.

          (a) The Borrower shall pay (i) all reasonable out-of-pocket expenses incurred by the Agents
and their respective Affiliates, including the reasonable fees, charges and disbursements of
counsel for the Agents, in connection with the syndication of the credit facilities provided for
herein, the preparation and administration of the Loan Documents or any amendments, modifications
or waivers of the provisions thereof (whether or not the transactions contemplated hereby or
thereby shall be consummated), (ii) all reasonable out-of-pocket expenses incurred by the Issuing
Bank in connection with the issuance, amendment, renewal or extension of any Letter of Credit or
any demand for payment thereunder and (iii) all out-of-pocket expenses incurred by the
Administrative Agent, the Issuing Bank or any Lender, including the fees, charges and disbursements
of any counsel for the Administrative Agent, the Issuing Bank or any Lender, in connection with the
enforcement or protection of its rights in connection with the Loan Documents, including its rights
under this Section 9.03, or in connection with the Loans made or Letters of Credit issued
hereunder, including all such reasonable out-of-pocket expenses incurred during any workout,
restructuring or negotiations in respect of such Loans or Letters of Credit.

          (b) The Borrower shall indemnify the Administrative Agent, each Agent, the Issuing Bank and
each Lender, and each Related Party of any of the foregoing Persons (each such Person being called
an “Indemnitee”), and hold each Indemnitee harmless, from and against any and all losses,
claims, damages, liabilities and related expenses, including the fees, charges and disbursements of
any counsel for any Indemnitee, incurred by or asserted against any Indemnitee arising out of, in
connection with, or as a result of (i) the execution or delivery of any Loan Document or any other
agreement or instrument contemplated hereby, the performance by the parties to the Loan Documents
of their respective obligations thereunder or the consummation of the Transactions or any other
transactions contemplated hereby, (ii) any Loan or Letter of Credit or the use of the proceeds
therefrom (including any refusal by the Issuing Bank to honor a demand for payment under a Letter
of Credit if the documents presented in connection with such demand do not strictly comply with the
terms of such Letter of Credit), (iii) any actual or alleged presence or Release of Hazardous
Materials on, at, under or emanating from any Mortgaged Property or any other property currently or
formerly owned or operated by the Borrower or any of its Subsidiaries, or any actual or alleged
Environmental Liability related in any way to the Borrower or any of its Subsidiaries or their
respective properties or operations, or (iv) any actual or prospective claim, litigation,
investigation
or proceeding relating to any of the foregoing, whether based on contract, tort or
any other theory and regardless of whether any Indemnitee is a party thereto or such litigation,
claim, investigation

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or proceeding is brought by a third party or by the Borrower or its
Affiliates, provided that such indemnity shall not, as to any Indemnitee, be available to
the extent that such losses, claims, damages, liabilities or related expenses are finally
judicially determined by a non-appealable judgment of a court of competent jurisdiction to have
resulted from the gross negligence, bad faith or willful misconduct of, or breach of the Loan
Documents by, such Indemnitee.

          (c) To the extent that the Borrower fails to pay any amount required to be paid by it to the
Administrative Agent, each Agent, the Issuing Bank or the Swingline Lender under Sections 9.03(a)
or (b), each Lender severally agrees to pay to the Administrative Agent, such Agent, the Issuing
Bank or the Swingline Lender, as applicable, such Lender’s pro rata share (determined as of the
time that the applicable unreimbursed expense or indemnity payment is sought) of such unpaid
amount, provided that the unreimbursed expense or indemnified loss, claim, damage,
liability or related expense, as applicable, was incurred by or asserted against the Administrative
Agent, the Issuing Bank or the Swingline Lender in its capacity as such. For purposes hereof, a
Lender’s “pro rata share” shall be determined based
upon its share of the aggregate Revolving Exposures, outstanding Term Loans and unused
Commitments at the time.

          (d) To the extent permitted by applicable law, neither Holdings nor the Borrower shall assert,
and each hereby waives, any claim against any Indemnitee, on any theory of liability, for special,
indirect, consequential or punitive damages (as opposed to direct or actual damages) arising out
of, in connection with, or as a result of, this Agreement or any agreement or instrument
contemplated hereby, the Transactions, any Loan or Letter of Credit or the use of the proceeds
thereof.

          (e) All amounts due under this Section 9.03 shall be payable not later than three days after
written demand therefor.

          SECTION 9.04. Successors and Assigns.

          (a) The provisions of this Agreement shall be binding upon and inure to the benefit of the
parties hereto and their respective successors and assigns permitted hereby (including any
Affiliate of the Issuing Bank that issues any Letter of Credit), except that (i) the Borrower may
not assign or otherwise transfer any of its rights or obligations hereunder without the prior
written consent of each Lender (and any attempted assignment or transfer by the Borrower without
such consent shall be null and void) and (ii) no Lender may assign or otherwise transfer its rights
or obligations hereunder except in accordance with this Section. Nothing in this Agreement,
express or implied, shall be construed to confer upon any Person (other than the parties hereto,
their respective successors and assigns permitted hereby (including any Affiliate of the Issuing
Bank that issues any Letter of Credit), Participants (to the extent provided in Section 9.04(c))
and, to the extent expressly contemplated hereby, the Related Parties of each of the Administrative
Agent, the Issuing Bank and the Lenders) any legal or equitable right, remedy or claim under or by
reason of this Agreement.

          (b)

     (i) Subject to the conditions set forth in clause (b)(ii) below, any Lender may assign
to one or more assignees all or a portion of its rights and obligations under this Agreement
(including all or a portion of its Commitment and the Loans at the time owing to it) with
the prior written consent (such consent not to be unreasonably withheld or delayed) of:

     (1) the Borrower, provided that no consent of the Borrower shall be required
for an assignment to a Lender, an Affiliate of a Lender, an Approved Fund (as defined below)
or, if an

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Event of Default under Section 7.01(a), (b), (h), (i) or (j) has occurred and is
continuing, any other assignee;

     (2) the Administrative Agent, provided that no consent of the Administrative
Agent shall be required for an assignment of all or any portion of a Term Loan to a Lender,
an Affiliate of a Lender or an Approved Fund; and

     (3) the Issuing Bank, provided that no consent of the Issuing Bank shall be
required for an assignment of all or any portion of a Term Loan.

     (ii) Assignments shall be subject to the following conditions:

     (1) except in the case of an assignment to a Lender or an Affiliate of a Lender or an
assignment of the entire remaining amount of the assigning Lender’s Commitment or Loans of
any Class, the amount of the Commitment or Loans of the assigning Lender subject to each
such assignment (determined as of the date the Assignment and Assumption with respect to
such assignment is delivered to the Administrative Agent) shall not be less than $5,000,000
or, in the case of a Term Loan, $1,000,000, unless each of the Borrower and the
Administrative Agent otherwise consents; provided that no such consent of the
Borrower shall be required (x) for an assignment by a Lender to an Approved Fund of a Lender
or (y) if an Event of Default has occurred and is continuing, and that contemporaneous
assignments to Approved Funds related to the same Lender shall be aggregated when
calculating such minimum assignment amounts;

     (2) each partial assignment shall be made as an assignment of a proportionate part of
all the assigning Lender’s rights and obligations under this Agreement; provided
that this clause shall not be construed to prohibit assignment of a proportionate part of
all the assigning Lender’s rights and obligations in respect of one Class of Commitments or
Loans;

     (3) the parties to each assignment shall execute and deliver to the Administrative
Agent an Assignment and Assumption, together with a processing and recordation fee of
$3,500; and

     (4) the assignee, if it is not already a Lender, shall deliver to the Administrative
Agent an Administrative Questionnaire.

     For purposes of this Section 9.04(b):

     “Approved Fund” means (a) a CLO and (b) with respect to any Lender that is a
fund which invests in bank loans and similar extensions of credit, any other fund that
invests in bank loans and similar extensions of credit and is managed or advised by the same
investment advisor as such Lender or by an Affiliate of such investment advisor.

     “CLO” means any entity (whether a corporation, partnership, trust or otherwise)
that is engaged in making, purchasing, holding or otherwise investing in bank loans and
similar extensions of credit in the ordinary course and is administered or managed by a
Lender or an Affiliate of such Lender.

          (iii) Subject to acceptance and recording thereof pursuant to Section 9.04(b)(iv), from and
after the effective date specified in each Assignment and Assumption the assignee thereunder shall
be a party hereto and, to the extent of the interest assigned by such Assignment and Assumption,
have the rights and obligations of a Lender under this Agreement, and the assigning Lender
thereunder shall, to the

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extent of the interest assigned by such Assignment and Assumption, be
released from its obligations under this Agreement (and, in the case of an Assignment and
Assumption covering all the assigning Lender’s rights and obligations under this Agreement, such
Lender shall cease to be a party hereto but shall continue to be entitled to the benefits of
Sections 2.15, 2.16, 2.17 and 9.03). Any assignment or transfer by a Lender of rights or
obligations under this Agreement that does not comply with this Section 9.04 shall be treated for
purposes of this Agreement as a sale by such Lender of a participation in such rights and
obligations in accordance with Section 9.04(c).

          (iv) The Administrative Agent, acting for this purpose as an agent of the Borrower, shall
maintain at one of its offices a register for the recordation of the names and addresses of the
Lenders, and the Commitment of, and principal amount of the Loans and LC Disbursements owing to,
each Lender pursuant to the terms hereof from time to time (the “Register”). The entries
in the Register shall
be conclusive, and the Borrower, the Administrative Agent, the Issuing Banks and the Lenders
may treat each Person whose name is recorded in the Register pursuant to the terms hereof as a
Lender hereunder for all purposes of this Agreement, notwithstanding notice to the contrary. The
Register shall be available for inspection by the Borrower, the Issuing Banks and, with respect to
itself, any Lender, at any reasonable time and from time to time upon reasonable prior notice.

          (v) Upon its receipt of a duly completed Assignment and Assumption executed by an assigning
Lender and an assignee, the assignee’s completed Administrative Questionnaire (unless the assignee
shall already be a Lender hereunder), the processing and recordation fee referred to in Section
9.04(b) and any written consent to such assignment required by Section 9.04(b), the Administrative
Agent shall accept such Assignment and Assumption and record the information contained therein in
the Register. No assignment shall be effective for purposes of this Agreement unless it has been
recorded in the Register as provided in this paragraph.

          (c)

          (i) Any Lender may, without the consent of the Borrower, the Administrative Agent, the Issuing
Banks or the Swingline Lender, sell participations to one or more banks or other entities (a
“Participant”) in all or a portion of such Lender’s rights and obligations under this
Agreement (including all or a portion of its Commitment and the Loans owing to it),
provided that (A) such Lender’s obligations under this Agreement shall remain unchanged,
(B) such Lender shall remain solely responsible to the other parties hereto for the performance of
such obligations and (C) the Borrower, the Administrative Agent, the Issuing Bank and the other
Lenders shall continue to deal solely and directly with such Lender in connection with such
Lender’s rights and obligations under this Agreement. Any agreement or instrument pursuant to
which a Lender sells such a participation shall provide that such Lender shall retain the sole
right to enforce this Agreement and to approve any amendment, modification or waiver of any
provision of this Agreement, provided that such agreement or instrument may provide that
such Lender will not, without the consent of the Participant, agree to any amendment, modification
or waiver described in the first proviso to Section 9.02(b) that affects such Participant. Each
Lender that sells a participation shall, acting solely for this purpose as a non-fiduciary agent of
Borrower, maintain a register on which it enters the name and address of each Participant and the
principal and interest amounts of each Participant’s interest in the Loans held by it (the
“Participant Register”). The entries in the Participant Register shall be conclusive,
absent manifest error, and such Lender shall treat each Person whose name is recorded in the
Participant Register as the owner of such Loan or other obligation hereunder for all purposes of
this Agreement notwithstanding any notice to the contrary. Subject to Section 9.04(c)(ii), the
Borrower agrees that each Participant shall be entitled to the benefits of Sections 2.15, 2.16 and
2.17 to the same extent as if it were a Lender and had acquired its interest by assignment pursuant
to Section 9.04(b). To the extent permitted by law, each Participant also shall be entitled to the
benefits of Section

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9.08 as though it were a Lender, provided such Participant agrees to be
subject to Section 2.18(c) as though it were a Lender.

          (ii) A Participant shall not be entitled to receive any greater payment under Section 2.15 or
2.17 than the applicable Lender would have been entitled to receive with respect to the
participation sold to such Participant except to the extent that the entitlement to any greater
payment results from any change in Requirement of Law after the participant becomes a Participant,
unless the sale of the participation to such Participant is made with the Borrower’s prior written
consent. A Participant that would be a Foreign Lender if it were a Lender shall not be entitled to
the benefits of Section 2.17 unless the Borrower is notified of the participation sold to such
Participant and such Participant agrees, for the benefit of the Borrower, to comply with Section
2.17(e) as though it were a Lender.

          (iii) Any Lender may at any time pledge, assign or grant a security interest in all or any
portion of its rights under this Agreement to secure obligations of such Lender, including any
pledge, assignment or grant to secure obligations to a Federal Reserve Bank, and this Section 9.04
shall not apply to any such pledge, assignment or grant of a security interest, provided
that no such pledge, assignment or grant of a security interest shall release a Lender from any of
its obligations hereunder or substitute any such pledge or assignee for such Lender as a party
hereto.

          SECTION 9.05. Survival. All covenants, agreements, representations and warranties
made by the Loan Parties in the Loan Documents and in the certificates or other instruments
delivered in connection with or pursuant to this Agreement or any other Loan Document shall have
independent significance and be considered to have been relied upon by the other parties hereto and
shall survive the execution and delivery of the Loan Documents and the making of any Loans and
issuance of any Letters of Credit, regardless of any investigation made by any such other party or
on its behalf and notwithstanding that the Administrative Agent, the Issuing Bank or any Lender may
have had notice or knowledge of any Default or incorrect representation or warranty at the time any
credit is extended hereunder, and shall continue in full force and effect as long as the principal
of or any accrued interest on any Loan or any fee or any other amount payable under this Agreement
is outstanding and unpaid or any Letter of Credit is outstanding and so long as the Commitments
have not expired or terminated. The provisions of Sections 2.15, 2.16, 2.17 and 9.03 and Article
VIII shall survive and remain in full force and effect regardless of the consummation of the
transactions contemplated hereby, the repayment of the Loans, the expiration or termination of the
Letters of Credit and the Commitments or the termination of this Agreement or any provision hereof.

          SECTION 9.06. Counterparts; Integration; Effectiveness. This Agreement may be
executed in counterparts (and by different parties hereto on different counterparts), each of which
shall constitute an original, but all of which when taken together shall constitute a single
contract. This Agreement, the other Loan Documents and any separate letter agreements with respect
to fees payable to the Administrative Agent constitute the entire contract among the parties
relating to the subject matter hereof and supersede any and all previous agreements and
understandings, oral or written, relating to the subject matter hereof. Except as provided in
Section 4.01, this Agreement shall become effective when it shall have been executed by the
Administrative Agent and when the Administrative Agent shall have received counterparts hereof
which, when taken together, bear the signatures of each of the other parties hereto, and thereafter
shall be binding upon and inure to the benefit of the parties hereto and their respective
successors and assigns. Delivery of an executed counterpart of a signature page of this Agreement
by facsimile or electronic transmission shall be effective as delivery of a manually executed
counterpart of this Agreement.

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          SECTION 9.07. Severability. Any provision of this Agreement held to be invalid,
illegal or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the
extent of such invalidity, illegality or unenforceability without affecting the validity, legality
and enforceability of the remaining provisions hereof; and the invalidity of a particular provision
in a particular jurisdiction shall not invalidate such provision in any other jurisdiction.

          SECTION 9.08. Right of Setoff. If an Event of Default shall have occurred and be
continuing, each Lender and each of its Affiliates is hereby authorized at any time and from time
to time, to the fullest extent permitted by law,
to set off and apply any and all deposits (general or special, time or demand, provisional or
final) at any time held and other obligations at any time owing by such Lender or Affiliate to or
for the credit or the account of the Borrower against any of and all the obligations of the
Borrower now or hereafter existing under this Agreement held by such Lender, irrespective of
whether or not such Lender shall have made any demand under this Agreement and although such
obligations may be unmatured. The applicable Lender shall notify the Borrower and the
Administrative Agent of such setoff or application, provided that any failure to give or
any delay in giving such notice shall not affect the validity of any such setoff or application
under this Section 9.08. The rights of each Lender under this Section 9.08 are in addition to
other rights and remedies (including other rights of setoff) which such Lender may have.

          SECTION 9.09. Governing Law; Jurisdiction; Consent to Service of Process.

          (a) This Agreement shall be construed in accordance with and governed by the law of the State
of New York.

          (b) Each of Holdings and the Borrower hereby irrevocably and unconditionally submits, for
itself and its property, to the nonexclusive jurisdiction of the Supreme Court of the State of New
York sitting in New York County and of the United States District Court of the Southern District of
New York, and any appellate court from any thereof, in any action or proceeding arising out of or
relating to any Loan Document, or for recognition or enforcement of any judgment, and each of the
parties hereto hereby irrevocably and unconditionally agrees that all claims in respect of any such
action or proceeding may be heard and determined in such New York State or, to the extent permitted
by law, in such Federal court. Each of the parties hereto agrees that a final judgment in any such
action or proceeding shall be conclusive and may be enforced in other jurisdictions by suit on the
judgment or in any other manner provided by law. Nothing in this Agreement or any other Loan
Document shall affect any right that the Administrative Agent, the Issuing Bank or any Lender may
otherwise have to bring any action or proceeding relating to this Agreement or any other Loan
Document against Holdings, the Borrower or their respective properties in the courts of any
jurisdiction.

          (c) Each of Holdings and the Borrower hereby irrevocably and unconditionally waives, to the
fullest extent it may legally and effectively do so, any objection that it may now or hereafter
have to the laying of venue of any suit, action or proceeding arising out of or relating to this
Agreement or any other Loan Document in any court referred to in Section 9.09(b). Each of the
parties hereto hereby irrevocably waives, to the fullest extent permitted by law, the defense of an
inconvenient forum to the maintenance of such action or proceeding in any such court.

          (d) Each party to this Agreement irrevocably consents to service of process in the manner
provided for notices in Section 9.01. Nothing in this Agreement or any other Loan Document will
affect the right of any party to this Agreement to serve process in any other manner permitted by
law.

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          SECTION 9.10. WAIVER OF JURY TRIAL. EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST
EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL
PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT, ANY OTHER LOAN
DOCUMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER
THEORY). EACH PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF
ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN
THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE
OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE
MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION 9.10.

          SECTION 9.11. Headings. Article and Section headings and the Table of Contents used
herein are for convenience of reference only, are not part of this Agreement and shall not affect
the construction of, or be taken into consideration in interpreting, this Agreement.

          SECTION 9.12. Confidentiality. Each of the Administrative Agent, the Issuing Banks
and the Lenders agrees to maintain the confidentiality of the Information (as defined below),
except that Information may be disclosed (a) to its and its Affiliates’ directors, trustees,
officers, employees and agents, including accountants, legal counsel and other advisors (it being
understood that the Persons to whom such disclosure is made will be informed of the confidential
nature of such Information and instructed to keep such Information confidential), (b) to the extent
requested by any regulatory authority or self-regulatory authority, (c) to the extent required by
applicable laws or regulations or by any subpoena or similar legal process, (d) to any other party
to this Agreement, (e) in connection with the exercise of any remedies hereunder or any suit,
action or proceeding relating to this Agreement or any other Loan Document or the enforcement of
rights hereunder or thereunder, (f) subject to an agreement containing provisions substantially the
same as those of this Section 9.12, to (i) any assignee or pledgee of or Participant in, or any
prospective assignee or pledgee of or Participant in, any of its rights or obligations under this
Agreement or (ii) any actual or prospective counterparty (or its advisors) to any swap or
derivative transaction relating to the Borrower and its obligations, (g) with the consent of the
Borrower or (h) to the extent such Information (i) becomes publicly available other than as a
result of a breach of this Section 9.12 or (ii) becomes available to the Administrative Agent, any
Issuing Bank or any Lender on a nonconfidential basis from a source other than Holdings or the
Borrower or any of their subsidiaries, provided that such source is not actually known by
such disclosing party to be bound by an agreement containing provisions substantially the same as
those contained in this Section 9.12. For the purposes of this Section 9.12, the term
“Information” means all information received from Holdings or the Borrower relating to
Holdings or the Borrower or its business, other than any such information that is available to the
Administrative Agent, any Issuing Bank or any Lender on a nonconfidential basis prior to disclosure
by Holdings or the Borrower, provided that, in the case of information received from
Holdings, the Borrower or any Subsidiary after the date hereof, such information is clearly
identified at the time of delivery as confidential. Any Person required to maintain the
confidentiality of Information as provided in this Section 9.12 shall be considered to have
complied with its obligation to do so if such Person has exercised the same degree of care to
maintain the confidentiality of such Information as such Person would accord to its own
confidential information.

          SECTION 9.13. Interest Rate Limitation. Notwithstanding anything herein to the
contrary, if at any time the interest rate applicable to any Loan, together with all fees, charges
and other amounts that are treated as interest on such Loan under applicable law (collectively, the
“Charges”), shall exceed the maximum lawful rate (the “Maximum Rate”) that may be
contracted for, charged, taken,

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received or reserved by the Lender holding such Loan in accordance
with applicable law, the rate of interest payable in respect of such Loan hereunder, together with
all Charges payable in respect thereof, shall be limited to the Maximum Rate and, to the extent
lawful, the interest and Charges that would have been payable in respect of such Loan but were not
payable
as a result of the operation of this Section 9.13 shall be cumulated and the interest and
Charges payable to such Lender in respect of other Loans or periods shall be increased (but not
above the Maximum Rate therefor) until such cumulated amount, together with interest thereon at the
Federal Funds Effective Rate to the date of repayment, shall have been received by such Lender.

          SECTION 9.14. USA Patriot Act. Each Lender, each Agent and the Issuing Bank hereby
notifies the Borrower that pursuant to the requirements of the USA Patriot Act, it is required to
obtain, verify and record information that identifies the Borrower, which information includes the
name and address of the Borrower and other information that will allow such Person to identify the
Borrower in accordance with the USA Patriot Act.

          SECTION 9.15. Release of Collateral. Upon any sale or other transfer by any Loan
Party of any Collateral that is permitted under this Agreement, or upon the effectiveness of any
written consent to the release of the security interest granted hereby in any Collateral pursuant
to Section 9.02 of this Agreement, the Mortgage or other security interest in such Collateral shall
be automatically released and the Collateral Agent is authorized to, and shall, take any action to
effect the foregoing, including, without limitation, executing and delivering to the Borrower, in
recordable form, discharges and releases of such Mortgage or other security interest.

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

	 	 	 	 	 	 	 
	 	 	UNITED SURGICAL
PARTNERS
          INTERNATIONAL, INC.,	 	 
	 

	 	 	 	as the Borrower	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ William H. Wilcox	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: President	 	 

 

 

	 	 	 	 	 	 	 
	 	 	USPI HOLDINGS, INC.	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ William H. Wilcox	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: President	 	 

-2-

 

	 	 	 	 	 	 	 
	 	 	CITIBANK, N.A.,	 	 
	 	 	    as a Lender and as Administrative Agent and

    Collateral Agent	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ John Peruzzi	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Vice President	 	 

-3-

 

	 	 	 	 	 	 	 
	 	 	LEHMAN COMMERCIAL PAPER INC.,	 	 
	 	 	     as a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Laurie Perper	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Senior Vice President	 	 
	 
	 	 	 	 	 	 
	 	 	LEHMAN BROTHERS INC.,	 	 
	 	 	     as Syndication Agent, Joint Lead Arranger and	 	 
	 	 	     Joint Bookrunner	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Laurie Perper	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Senior Vice President	 	 

-4-

 

	 	 	 	 	 	 	 
	 	 	BEAR STEARNS CORPORATE LENDING INC.,	 	 
	 	 	    as a Lender and as Co-Documentation Agent	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Victor Bulzacchelli	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Authorized Agent	 	 
	 
	 	 	 	 	 	 
	 	 	BEAR, STEARNS & CO. INC.,	 	 
	 	 	    as Joint Lead Arranger and Joint Bookrunner	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Victor Bulzacchelli	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Authorized Agent	 	 

-5-

 

	 	 	 	 	 	 	 
	 	 	SUNTRUST BANK,	 	 
	 	 	as a Lender and as Co-Documentation Agent	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Helen C. Hartz	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Vice President	 	 

-6-

 

	 	 	 	 	 	 	 
	 	 	UBS LOAN FINANCE LLC,	 	 
	 	 	    as a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Mary E. Evans	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ David B. Julie	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 
	 
	 	 	 	 	 	 
	 	 	UBS SECURITIES LLC,	 	 
	 	 	    as Co-Documentation Agent	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Mary E. Evans	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ David B. Julie	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 
	 
	 	 	 	 	 	 
	 	 	UBS SECURITIES LLC,	 	 
	 	 	    as Joint Lead Arranger and Joint Bookrunner	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Mary E. Evans	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ David B. Julie	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Associate Director	 	 

-7-

 

	 	 	 	 	 	 	 
	 	 	CITIGROUP GLOBAL MARKETS INC.,	 	 
	 	 	    as Joint Lead Arranger and Joint Bookrunner	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ John Peruzzi	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Managing Director	 	 

-8-

 

	 	 	 	 	 	 	 
	 	 	AMEGY BANK NATIONAL ASSOCIATION,	 	 
	 	 	    as a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Daniel L. Cox, Jr.	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Vice President	 	 
	 
	 	 	 	 	 	 
	 	 	SOVEREIGN BANK,	 	 
	 	 	    as a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Sarah J. Healy	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Senior Vice President	 	 
	 
	 	 	 	 	 	 
	 	 	WELLS FARGO FOOTHILL, INC.,	 	 
	 	 	    as a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ Richard Kritsch	 	 
	 

	 	 	 	 	 	 
	 

	 	 	 	Title: Senior Vice President	 	 

-9-

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