Document:

Form of Agreement for Key Employee Award Program

 Exhibit 10.1 
  
 KEY EMPLOYEE AWARD PROGRAM 2004-2006 
 RELIANT ENERGY, INC. 2002 LONG TERM INCENTIVE PLAN 
  
 1. 2004-2006 Program. This Key Employee Award Program (“Program”) is being adopted by the Compensation Committee (“Committee”) of the Board of Directors of Reliant Energy, Inc. (the
“Company”) pursuant to and subject to the terms and conditions of the Reliant Energy, Inc. (formerly, Reliant Resources, Inc.) 2002 Long Term Incentive Plan (“Plan”). 
  
 2. Goals. The Program is intended to provide incentives to a group of key executives who can make a significant
contribution to the Company’s strategic goals. The incentives will be dependent on the achievement of financial and strategic goals. 
  
 3. Relationship to the Plan. This Program is subject to all of the terms, conditions and provisions of the Plan and administrative interpretations
thereunder, if any. To the extent any provision herein conflicts with the express terms of the Plan, the terms of the Plan shall control. 
  
 4. Definitions. Except as defined herein, capitalized terms shall have the same meanings ascribed to them under the Plan. For purposes of this
Program: 
  
 “Cash Performance Unit”
shall mean a Cash Award (as defined in the Plan), with each unit equal to the fair market value of one share of Common Stock on the Vesting Date (as defined in Section 7). 
  
 “Options” shall mean Nonqualified Stock Options (as defined in the Plan). 
  
 “Restricted Stock” shall mean a Stock Award (as
defined in the Plan) with restrictions and subject to a vesting and performance condition as described in this Program and the Key Employee Award Agreement. 
  
 5. Eligibility and Participation. The Committee shall determine and designate the Key Employees who shall participate in this Program. Key
Employees designated to participate in this Program shall not be eligible to participate in future grants under the Plan until after this Program expires at the end of the 2006 fiscal year. 
  
 6. Target Units. 
  
 (a) The awards (“Target Units”) to be granted under this program
shall each consist of the following components: 
  
 (i) 68,000
Options with an exercise price equal to the Fair Market Value of the Common Stock on the Grant Date; 
  
 (ii) 16,000 shares of Restricted Stock; and 
  

 (iii) 16,000 Cash Performance Units, each of which shall be equal to the fair market value of one share
of the Common Stock on the Vesting Date (as defined in Section 7). 
  
 (b) Options shall have a term of ten years from the Grant Date. 
  
 (c) Participants shall not have voting or dividend rights with respect to the Restricted Stock shares until they vest. 
  
 (d) The Committee may initially grant up to 93 Key Employee Award Units to the designated Key Employees collectively. The minimum number of Key Employee
Award Units that may be granted to an individual is one and the maximum is 16.  
  
 (e) Each grant of Key Employee Award Units shall be documented in an agreement substantially in the form attached hereto as Exhibit A (“Agreement”) and subject to the terms and conditions of the Plan.

  
 (f) Notwithstanding the foregoing, no Participant may be
granted Awards consisting of Options that are exercisable for more than 1,500,000 shares of Common Stock, Restricted Stock covering or relating to more than 500,000 shares of Common Stock or Cash Performance Units having a value determined on the
Grant Date in excess of $4,000,000. In the event the Committee grants an Award that exceeds the limits for Options or Restricted Stock, the excess amount shall be paid in the form of Cash Performance Units provided the payment does not exceed the
Plan’s maximum dollar limitation for Cash Awards. 
  
 7.
Performance Goals and Vesting. 
  
 (a) Vesting of the Target
Units is subject to the Company’s attaining quantitative and qualitative performance goals measured at the end of the 2006 fiscal year. The quantitative goal measures the Company’s debt to adjusted EBITDA (reported EBIT for the year plus
depreciation and amortization) ratio with performance goals of 3.5, 3.0 and 2.5. This calculation, and/or the elements thereof, shall be calculated in a manner consistent with the Company’s external earnings presentations. As such, debt will
reflect the addition of off-balance sheet debt and be reduced to reflect cash balances and cash collateral postings. Adjusted EBITDA will exclude items treated as “special items” for purposes of the Company’s earnings presentation;
provided, however, that any such “special items” shall be reviewed and discussed with the Audit Committee of the Board. Adjusted EBITDA will include the add-back of lease expense, net factoring expense, and/or other expenses associated
with any off-balance sheet debt. Debt and adjusted EBITDA will not include the effect of any equity investments. The Committee shall also consider a qualitative assessment of market conditions as well as an assessment of the “Achieve Financial
Flexibility” metrics identified in Exhibit B in determining the degree to which the quantitative measure is met. The qualitative test measures the performance of the Company in delivering superior customer value and building a great company to
work for. In measuring performance, the Committee may consider any data 

  

 2 

 
that the Committee deems relevant to the determination of overall performance of the Company including, but not limited to, the “Deliver Superior
Customer Value” and “Build a Great Company to Work For” metrics identified in Exhibit B. Payout, if any, can range from 60 percent to 140 percent. The performance components and target payout percentages are as follows: 
  
 Quantitative Performance Assessment 
 12/31/06 Debt/Adjusted EBITDA 
  

														
	 	  	 	  	3.5	 	 	3.0	 	 	2.5	 	 	 
	 Qualitative Assessment
 •      Delivering superior customer value
 •      Building a great company to work for
	  	Outstanding	  	100	%	 	120	%	 	140	%	 	 Committee
 discretion
 based on
 Qualitative
 Assessment

	  	Good	  	80	%	 	100	%	 	120	%	 
	  	Fair	  	60	%	 	80	%	 	100	%	 

  
 Committee discretion
based on market conditions 
  
 Notwithstanding anything in the forgoing to the
contrary, the Committee shall have the authority in its sole discretion to adjust payout percentages if it determines that it would be in the Company’s best interests to do so. 
  
 (b) As soon as reasonably practicable in the first calendar quarter after the end of the Company’s 2006 fiscal year,
the Committee shall meet and determine whether the quantitative and qualitative goals have been met and specify at what level the Awards shall be calculated. The date of the meeting shall be the vesting date (“Vesting Date”). 

 
 (c) In the event a Participant is no longer an employee of the Company for
any reason, all unvested Awards shall be forfeited. 
  
 8.
Change of Control. In the event of a Change of Control, all Awards, unless previously forfeited, shall vest immediately pro rata with partial years considered full years at the 100 percent target level. (For example, if a Change of Control
occurs during the second year of participation, two thirds of the Awards will vest at 100 percent.) The vested Awards shall be settled as provided in the Agreement. 
  

 3 

 9. Effective Date. This Program shall be effective as of February 13, 2004 and the Grant Date
shall be February 13, 2004. 
  

			
	 Reliant Energy, Inc.

		
	 By:
	 	 
	 	 	 Karen D. Taylor

	 	 	 Senior Vice President

  

 4 

 EXHIBIT A 
  

RELIANT ENERGY, INC. 
 2002
LONG-TERM INCENTIVE PLAN 
  
 AGREEMENT 
  
 KEY EMPLOYEE AWARD PROGRAM 2004-2006 
  
 Pursuant to this Award Agreement, as of February 13, 2004 (“Grant
Date”), Reliant Energy, Inc. (the “Company”) hereby grants to                      (the “Participant”), an
employee of the Company,                      Key Employee Awards (“Target Units”) consisting of Restricted Stock, Options and Cash
Performance Units (all as defined herein) (such Options and Restricted Stock being subject to adjustment as provided in Section 15 of the Reliant Energy, Inc. (formerly Reliant Resources, Inc.) 2002 Long-Term Incentive Plan (the “Plan”))
conditioned upon the Company’s achievement of the Performance Goals over the course of the 2004-2006 Performance Cycle and subject to the following terms and conditions: 
  
 1. Relationship to the Plan; Definitions. This grant of Target Units is subject to all of the terms, conditions and
provisions of the Plan and administrative interpretations thereunder, if any, which have been adopted by the Committee and are in effect on the Grant Date. Except as defined herein, capitalized terms shall have the same meanings ascribed to them
under the Plan. To the extent that any provision of this Award Agreement conflicts with the express terms of the Plan, it is hereby acknowledged and agreed that the terms of the Plan shall control and, if necessary, the applicable provisions of this
Award Agreement shall be hereby deemed amended so as to carry out the purpose and intent of the Plan. References to the Participant herein also include the heirs or other legal representatives of the Participant. For purposes of this Award
Agreement: 
  
 “2004-2006 Performance
Cycle” means the period from January 1, 2004 to December 31, 2006. 
  
 “Achievement Percentage” means the percentage of achievement determined by the Committee in accordance with Section 3 that reflects the extent to which the Company achieved the Performance Goals
during the performance cycle applicable to this Award Agreement. 
  
 “Cash Performance Unit” means a Cash Award with each unit equal to the fair market value of one share of Common Stock on the Vesting Date. 
  
 “Disability” means a physical or mental
impairment of sufficient severity such that the Participant is both eligible for and in receipt of benefits under the Company’s long-term disability plans. 
  
 “Employment” means employment with the Company or any of its Subsidiaries. 
  

 5 

 “Options” means Nonqualified Stock Options at a strike price of $8.135
per share. 
  
 “Option Period”
means the period commencing on the Grant Date and ending on the date on which the Option expires pursuant to Section 5(a). 
  
 “Performance Goals” means the standards established by the Committee to determine whether and to what extent the
Participant’s right to Target Units shall vest, which are attached hereto and made a part hereof for all purposes. 
  
 “Restricted Stock” means a Stock Award with restrictions and subject to a vesting and performance condition as described
in this Agreement. 
  
 “Retirement” means termination of Employment on or after attainment of age 55 and with at least five years of service with the Company, any of its subsidiaries or CenterPoint Energy, Inc. 
  
 “Target Units” means the initial grant to
the Participant pursuant to this Award Agreement, with such number of Target Units to be awarded to the Participant at the close of the 2004-2006 Performance Cycle if the Company attains an Achievement Percentage of 100%. Each Target Unit shall
consist of 68,000 Options, 16,000 shares of Restricted Stock and 16,000 Cash Performance Units. 
  
 “Vested Units” means the shares of Restricted Stock, the Options and the Cash Performance Units awarded to Participant
following Participant’s satisfaction of the vesting provisions of Section 4 and, if applicable, the determination by the Committee of the extent to which the Company has achieved the Performance Goals for the 2004-2006 Performance Cycle
pursuant to Section 3. 
  
 “Vesting
Date” means the date the Committee meets to determine whether the Performance Goals have been met, as described in Section 3. 
  
 2. Establishment of Key Employee Award Account. The grant of Target Units pursuant to this Award Agreement shall be implemented by a credit
to a bookkeeping account maintained by the Company evidencing the accrual in favor of the Participant of the unfunded and unsecured right to receive Options, Restricted Stock and Cash Performance Units comprising the Target Units, which right shall
be subject to the terms, conditions and restrictions set forth in the Plan and to the further terms, conditions and restrictions set forth in this Award Agreement. 
  
 3. Award Opportunity. The Performance Goals established for the 2004-2006 Performance Cycle are attached
hereto as Exhibit I and made a part hereof for 

  

 6 

 
all purposes. Except as otherwise provided in Sections 4 and 6, the number of Vested Units awarded to Participant shall be the product of the number of
Target Units and the Achievement Percentage. 
  
 As soon as
practicable after the close of the 2004-2006 Performance Cycle, the Committee shall determine the extent to which the Company has achieved the Performance Goals. If the Company has performed at or above the threshold level of achievement, the
Achievement Percentage shall be between 60% and 140%, with a target level of achievement resulting in an Achievement Percentage of 100%. If the Company has performed below the threshold level of achievement, the Achievement Percentage shall be 0%.
Notwithstanding anything in the foregoing to the contrary, the Committee shall have the authority in its sole discretion to adjust the Achievement Percentage if it determines that it would be in the Company’s best interests to do so. Upon
completing its determination of the level at which the Performance Goals have been achieved, the Committee shall notify the Participant of the number of Vested Units, if any, that will be issued to the Participant pursuant to Section 4. 

 
 4. Vesting of Units. Unless earlier forfeited, Participant’s
right to receive Target Units shall vest upon the Committee’s determination of the level at which the Performance Goals established for the 2004-2006 Performance Cycle have been achieved. 
  
 If Participant’s Employment is terminated prior to the close of the
2004-2006 Performance Cycle, the Target Units shall be forfeited. 
  
 5. Expiration of Options. 
  
 (a) Expiration of
Option Period. The Option Period for vested Options shall expire ten years after the Grant Date. 
  
 (b) Termination of Employment Due to Death or Disability. Upon termination of Employment of the Participant due to death or Disability, the vested
Options shall expire upon the earlier of one year following the date of termination of Employment or expiration of the Option Period. 
  
 (c) Termination of Employment Due to Retirement. Upon termination of Employment of the Participant because of Retirement, the vested Options shall
expire upon the earlier of three years following the date of termination of Employment or expiration of the Option Period. 
  
 (d) Termination of Employment by the Company or Due to Resignation. Upon termination of Employment of the Participant by the Company or any of its
Subsidiaries for any reason or due to voluntary resignation by the Participant, the vested Options shall expire upon the earlier of 90 days following the date of termination of Employment or the expiration of the Option Period. 
  

 7 

 (e) Death Following Termination of Employment. Notwithstanding anything herein to the contrary, in
the event the Participant dies following termination of Employment but prior to the expiration of the vested Options pursuant to this Section 5, the portion of the vested Options exercisable upon the Participant’s death shall expire one year
following the date of the Participant’s death or, if earlier, upon the expiration of the Option Period. 
  
 6. Change of Control. Notwithstanding anything herein to the contrary, upon or immediately prior to the occurrence of any Change of Control of the
Company prior to the end of the 2004-2006 Performance Cycle, Participant’s right to receive Target Units, unless previously forfeited pursuant to Section 4, shall vest immediately pro rata with partial years considered full years at the 100
percent target Achievement Percentage. (For example, if a Change of Control occurs during the second year of participation, two-thirds of the Awards will vest at 100 percent.) Cash Performance Units shall be settled by a cash payment to Participant
equal to the product of (i) the Fair Market Value per share of Common Stock on the date immediately preceding the date on which the Change of Control occurs and (ii) 100 percent of the number of Target Units, pro rata as described above. Restricted
Stock and Options shall be converted at 100 percent into equivalent shares or options of the acquiring entity (if applicable and if publicly traded) or into cash at the option of the acquiring company (if applicable) if the transaction is a stock
transaction, pro rata as described above. If the transaction is a cash transaction or involves a material amount of cash, and in all other Change of Control situations, the Restricted Stock and Options shall be converted at 100 percent into cash,
pro rata as described above. 
  
 7. Payment of Restricted
Stock. Upon the vesting of Participant’s right to receive all or a portion of the Restricted Stock pursuant to Section 4, a number of shares of Common Stock equal to the number of vested shares shall be registered in the name of the
Participant and certificates representing such Common Stock shall be delivered to the Participant as soon as practical after the date upon which the Participant’s right to such shares vested according to the provisions of Section 4. The Company
shall have the right to withhold applicable taxes from any such payment of Restricted Stock or from other compensation payable to the Participant at the time of such vesting and delivery pursuant to Section 12 of the Plan. 
  
 8. Payment of Cash Performance Units. Upon vesting of a
Participant’s right to receive Cash Performance Units pursuant to Section 4, the Cash Performance Units shall be settled by a cash payment to the Participant. The Company shall have the right to withhold applicable taxes from any such payment
or from other compensation payable to the Participant at the time of such vesting and delivery pursuant to Section 12 of the Plan. 
  
 9. Exercise of Option. Subject to the limitations set forth herein and in the Plan, vested Options may be exercised pursuant to the procedures set
forth by the Committee. Unless otherwise permitted by the Committee, upon exercise the Participant shall provide to the Company or its designated representative, cash, check or money order payable to the Company equal to the full amount of the
purchase price for any 

  

 8 

 
shares of Common Stock being acquired. The Company shall have the right to withhold applicable taxes from compensation otherwise payable to the Participant
at the time of exercise pursuant to Section 12 of the Plan. 
  
 10. Notices. For purposes of this Award Agreement, notices to the Company shall be deemed to have been duly given upon receipt of written notice by the corporate secretary of the Company at 1000 Main Street, Houston, Texas 77002, or
to such other address as the Company may furnish to the Participant. 
  
 Notices to the Participant shall be deemed effectively delivered or given upon personal, electronic, or postal delivery of written notice to the Participant, the place of Employment of the Participant, the address on record for the
Participant at the human resources department of the Company, or such other address as the Participant hereafter designates by written notice to the Company. 
  
 11. Shareholder Rights. The Participant shall have no rights of a shareholder with respect to the Restricted Stock, unless and until the
Participant is registered as the holder of shares of Common Stock representing the Vested Units on the records of the Company as provided in Section 7. 
  
 12. Successors and Assigns. This Award Agreement shall bind and inure to the benefit of and be enforceable by the Participant, the Company and
their respective permitted successors and assigns except as expressly prohibited herein and in the Plan. Notwithstanding anything herein or in the Plan to the contrary, the Target Units are transferable by the Participant to Immediate Family
Members, Immediate Family Members Trusts, and Immediate Family Member Partnerships pursuant to Section 14 of the Plan. 
  
 13. No Employment Guaranteed. Nothing in this Award Agreement shall give the Participant any rights to (or impose any obligations for) continued
Employment by the Company or any Subsidiary thereof or successor thereto, nor shall it give such entities any rights (or impose any obligations) with respect to continued performance of duties by the Participant. 
  
 14. Modification of Agreement. Any modification of this Award
Agreement shall be binding only if evidenced in writing and signed by an authorized representative of the Company. 
  

 9 

			
	RELIANT ENERGY, INC.
		
	By:	 	 
	 	 	 Karen D. Taylor

	 	 	 Senior Vice President

	
	PARTICIPANT
		
	By:	 	 

  

 10 

 EXHIBIT I 
  
 Quantitative Performance Assessment 
 12/31/06 Debt/Adjusted EBITDA 
  

														
	 Qualitative Assessment
 •      Delivering superior customer value
 •      Building a great company to work for
	  	Outstanding	  	3.5	 	 	3.0	 	 	2.5	 	 	 Committee
 discretion
 based on
 Qualitative
 Assessment

	  	  	100	%	 	120	%	 	140	%	 
	  	Good	  	80	%	 	100	%	 	120	%	 
	  	Fair	  	60	%	 	80	%	 	100	%	 

  
 Committee discretion
based on market conditions 
  
 The quantitative goal measures
the Company’s debt to adjusted EBITDA (reported EBIT for the year plus depreciation and amortization) ratio with performance goals of 3.5, 3.0 and 2.5. This calculation, and/or the elements thereof, shall be calculated in a manner consistent
with the Company’s external earnings presentations. As such, debt will reflect the addition of off-balance sheet debt and be reduced to reflect cash balances and cash collateral postings. Adjusted EBITDA will exclude items treated as
“special items” for purposes of the Company’s earnings presentation; provided, however, that any such “special items” shall be reviewed and discussed with the Audit Committee of the Board. Adjusted EBITDA will include the
add-back of lease expense, net factoring expense, and/or other expenses associated with any off-balance sheet debt. Debt and adjusted EBITDA will not include the effect of any equity investments. The Committee shall also consider a qualitative
assessment of market conditions as well as an assessment of the “Achieve Financial Flexibility” metrics in determining the degree to which the quantitative measure is met. The qualitative test measures the performance of the Company in
delivering superior customer value and building a great company to work for. In measuring performance, the Committee may consider any data that the Committee deems relevant to the determination of overall performance of the Company including, but
not limited to, the “Deliver Superior Customer Value” and “Build a Great Company to Work For” metrics. Payout, if any, can range from 60 percent to 140 percent. Notwithstanding anything in the forgoing to the contrary, the
Committee shall have the authority in its sole discretion to adjust payout percentages if it determines that it would be in the Company’s best interests to do so. 
  

 11Sixth Amendment dated July 21, 2004 to thAmendend and Restated Credit Agreement

 Exhibit 10.1 
  
 SIXTH AMENDMENT 
 TO 
 AMENDED AND RESTATED CREDIT AGREEMENT 
  
 THIS SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT (this “Amendment”), dated as of July
21, 2004, is entered into by and among AMN HEALTHCARE, INC., a Nevada corporation (the “Borrower”), AMN HEALTHCARE SERVICES, INC. (formerly known as AMN Holdings, Inc.), a Delaware corporation (the “Parent”), the
Subsidiary Guarantors signatory hereto, the lenders identified on the signature pages hereto as the Lenders (the “Lenders”) and BANK OF AMERICA, N. A., as Agent for the Lenders (in such capacity, the “Agent”).

  
 RECITALS 
  
 A. The Borrower, the Parent, the Subsidiary Guarantors, the Lenders and the
Agent, are party to that certain Amended and Restated Credit Agreement dated as of November 16, 2001, as amended by that certain First Amendment to Amended and Restated Credit Agreement dated as of April 8, 2002, as amended by that certain Second
Amendment to Amended and Restated Credit Agreement dated as of May 2, 2002, as amended by that certain Third Amendment to Amended and Restated Credit Agreement dated as of November 8, 2002, as amended by that certain Fourth Amendment to Amended and
Restated Credit Agreement dated as of January 10, 2003 and as amended by that certain Fifth Amendment to Amended and Restated Credit Agreement dated as of October 2, 2003 (as amended, the “Existing Credit Agreement”). Unless
otherwise defined herein or the context otherwise requires, terms used in this Amendment, including its preamble and recitals, have the meanings provided in the Existing Credit Agreement. 
  
 B. The Credit Parties have requested that the Lenders amend the Existing Credit Agreement as provided herein. 
  
 C. The Issuing Lender, the Requisite Lenders and the Lenders holding in the
aggregate at least a majority of the Revolving Commitments have agreed to amend the Existing Credit Agreement on the terms and conditions hereinafter set forth. 
  

 1 

 NOW, THEREFORE, in consideration of the agreements herein contained, the parties hereto hereby
agree as follows: 
  
 PART I 
 DEFINITIONS 
  
 SUBPART 1.1 Certain Definitions. Unless otherwise defined herein or the context otherwise requires, the following terms used in this
Amendment, including its preamble and recitals, have the following meanings.: 
  
 “Amended Credit Agreement” means the Existing Credit Agreement as amended hereby. 
  
 “Amendment No. 6 Effective Date” is defined in Part III. 
  
 SUBPART 1.2 Other Definitions. Unless otherwise defined herein
or the context otherwise requires, terms used in this Amendment, including its preamble and recitals, have the meanings provided in the Existing Credit Agreement. 
  
 PART II 
 AMENDMENTS TO EXISTING CREDIT AGREEMENT 
  
 Effective on (and subject to the occurrence of) the Amendment No. 6 Effective Date, the Existing Credit Agreement is hereby amended in accordance with this Part II. 
  
 SUBPART 2.1 Amendments to Section 1.1. The definition of “Applicable Percentage” contained in
Section 1.1 of the Existing Credit Agreement is hereby amended to add the following sentence immediately following the pricing table: 
  
 Notwithstanding any provision of this Credit Agreement or any other Credit Document to the contrary, if (i) the Borrower’s “long term issuer
rating” or “senior secured bank debt rating” as determined by S&P is lower than BB- or (ii) the Borrower’s “long term issuer rating” or “senior secured bank credit facility rating” as determined by
Moody’s is lower than Ba3 (long term issuer rating) or Ba2 (senior secured bank credit facility rating), respectively, then each of the Applicable Percentages set forth in the table above shall be increased by 25 basis points, effective
beginning on the first day following the date on which such rating change occurred and continuing so long as such rating remains below the applicable rating as set forth in clauses (i) or (ii) above. 
  
 SUBPART 2.2 Amendments to Section 2.2. Section 2.2(a) of the
Existing Credit Agreement is hereby amended and restated in its entirety to read as follows: 
  

	 	2.2	Letter of Credit Subfacility. 

  
 (a) Issuance. Subject to the terms and conditions hereof and in reliance upon the representations and warranties set forth herein,
the applicable Issuing Lender agrees to issue, and each Revolving Lender severally agrees to participate in the issuance by each Issuing Lender of, standby and trade Letters of Credit in Dollars from time to time from the Closing Date until the date
thirty (30) days prior to the Maturity Date as the Borrower may request, in a form acceptable to the applicable Issuing Lender; provided, however, that (i) the LOC Obligations outstanding shall not at any time exceed THIRTY MILLION
DOLLARS ($30,000,000) (the “LOC Committed Amount”) and (ii)the sum of the aggregate outstanding principal amount of Revolving Loans plus LOC Obligations plus Swingline Loans shall not at any time exceed the
Revolving Committed Amount. No Letter of Credit shall (x) have an original expiry date more than one year from the date of issuance (provided that any such Letter of Credit may contain customary “evergreen” provisions pursuant to 

  

 2 

 
which the expiry date is automatically extended by a specific time period unless the applicable Issuing Lender gives notice to the beneficiary of such Letter
of Credit at least a specified time period prior to the expiry date then in effect) or (y) as originally issued or as extended, have an expiry date extending beyond the date thirty (30) days prior to the Maturity Date. The issuance and expiry dates
of each Letter of Credit shall be a Business Day. 
  
 SUBPART
2.3 Amendments to Section 2.4. Section 2.4(e) of the Existing Credit Agreement is hereby amended and restated in its entirety to read as follows: 
  
 (e) Interest. Subject to the provisions of Section 3.1, the Tranche B Loan shall bear interest at a per annum rate equal to: 
  
 (i) Base Rate Loans. During such periods as the
Tranche B Loan shall be comprised in whole or in part of Base Rate Loans, such Base Rate Loans shall bear interest on the outstanding principal amount thereof from the applicable borrowing date at a rate per annum equal to the Base Rate plus
2.00% (or plus 2.25% if (i) the Borrower’s “long term issuer rating” or “senior secured bank debt rating” as determined by S&P is lower than BB- or (ii) the Borrower’s “long term issuer rating” or
“senior secured bank credit facility rating” as determined by Moody’s is lower than Ba3 (long term issuer rating) or Ba2 (senior secured bank credit facility rating) respectively, effective beginning on the first day following the
date on which such rating change occurred and continuing so long as such rating remains below the applicable rating as set forth in clauses (i) or (ii) above); 
  

(ii) Eurodollar Loans. During such periods as the Tranche B Loan shall be comprised in whole or in part of Eurodollar Loans,
such Eurodollar Loans shall bear interest on the outstanding principal amount thereof for each Interest Period at a rate per annum equal to the sum of (A) the Eurodollar Rate for such Interest Period plus 3.00% (or plus 3.25% if (i)
the Borrower’s “long term issuer rating” or “senior secured bank debt rating” as determined by S&P is lower than BB- or (ii) the Borrower’s “long term issuer rating” or “senior secured bank credit
facility rating” as determined by Moody’s is lower than Ba3 (long term issuer rating) or Ba2 (senior secured bank credit facility rating) respectively, effective beginning on the first day following the date on which such rating change
occurred and continuing so long as such rating remains below the applicable rating as set forth in clauses (i) or (ii) above); 
  
 Interest on the Tranche B Loan shall be payable in arrears on each applicable Interest Payment Date (or at such other times as may be specified herein).

  

 3 

 SUBPART 2.4 Amendments to Section 7.11. Section 7.11 of the Existing Credit Agreement is
hereby amended and restated in its entirety to read as follows: 
  

	 	7.11	Financial Covenants. 

  
 (a) Leverage Ratio. The Credit Parties shall not permit the Leverage Ratio as of the last day of any fiscal quarter of the
Consolidated Parties to be greater than: 
  

									
	 Fiscal Year

	  	 March 31

	  	 June 30

	  	 September 30

	  	 December 31

	 2003
	  	1.50	  	1.50	  	1.50	  	2.50
	 2004
	  	2.50	  	2.75	  	3.25	  	3.25
	 2005
	  	3.00	  	2.50	  	2.25	  	2.00
	 2006
	  	2.00	  	1.75	  	1.50	  	1.50
	 2007 and
 Thereafter
	  	1.50	  	1.50	  	1.50	  	1.50

  
 (b)
Fixed Charge Coverage Ratio. The Credit Parties shall not permit the Fixed Charge Coverage Ratio as of the last day of any fiscal quarter of the Consolidated Parties be less than: 
  

									
	 Fiscal Year

	  	 March 31

	  	 June 30

	  	 September 30

	  	 December 31

	 2003
	  	3.00	  	3.00	  	3.00	  	3.00
	 2004
	  	3.00	  	3.00	  	2.25	  	2.00
	 2005
	  	2.00	  	2.25	  	2.50	  	3.00
	 2006
	  	3.00	  	3.00	  	3.00	  	3.00
	 2007 and
 Thereafter
	  	3.00	  	3.00	  	3.00	  	3.00

  
 SUBPART 2.5
Amendments to Exhibits. Exhibit 2.l(b)(i) of the Existing Credit Agreement is amended and restated in its entirety to read in the form of such Exhibit 2.1(b)(i) attached hereto as Annex I to this Amendment and
Exhibit 3.2 of the Existing Credit Agreement is amended and restated in its entirety to read in the form of such Exhibit 3.2 attached hereto as Annex II to this Amendment. 
  
 PART III 
 CONDITIONS TO EFFECTIVENESS 
  
 This Amendment shall be and become effective as of the date (the “Amendment No. 6 Effective Date”) when all of the conditions set forth in this Part III shall have been satisfied. 

 
 SUBPART 3.1 Execution of Counterparts of Amendment. The
Agent shall have received counterparts of this Amendment, which collectively shall have been duly executed on behalf of each of the Borrower, each of the Guarantors, the Issuing Lender, the Requisite Lenders and the Lenders holding in the aggregate
at least a majority of the Revolving Commitments. 
  
 SUBPART
3.2 Fees and Expenses. The Agent shall have received, (i) for the account of each Lender who executes and approves this Amendment on or before 5:00 P.M. (EST) on July 

  

 4 

 
21, 2004, an amendment fee equal to 5 basis points of the Revolving Commitment and the Term B Loan Commitment of each such approving Lender, which fee shall
be due and payable to each approving Lender when all of the conditions set forth in this Part III shall have been satisfied and (ii) on the date hereof, all out-of-pocket costs and expenses of the Agent in connection with the preparation,
execution and delivery of this Amendment, including without limitation the fees and expenses of Moore & Van Allen PLLC, special counsel to the Agent. 
  
 SUBPART 3.3 Other Items. The Agent shall have received such other documents, agreements or information which may be reasonably requested by
the Agent. 
  
 PART IV 
 MISCELLANEOUS 
  
 SUBPART 4.1 Construction. This Amendment is a Credit Document executed pursuant to the Existing Credit Agreement and shall (unless otherwise
expressly indicated therein) be construed, administered and applied in accordance with the terms and provisions of the Amended Credit Agreement. 
  
 SUBPART 4.2 Representations and Warranties. Each Credit Party hereby represents and warrants that (i) each Credit Party that is party to
this Amendment: (a) has the requisite corporate power and authority to execute, deliver and perform this Amendment, as applicable and (b) is duly authorized to, and has been authorized by all necessary corporate action, to execute, deliver and
perform this Amendment, (ii) the representations and warranties contained in Section 6 of the Amended Credit Agreement are true and correct in all material respects on and as of the date hereof upon giving effect to this Amendment as though made on
and as of such date (except for those which expressly relate to an earlier date) and (iii) no Default or Event of Default exists under the Existing Credit Agreement on and as of the date hereof upon giving effect to this Amendment. 
  
 SUBPART 4.3 Acknowledgment. The Guarantors acknowledge and
consent to all of the terms and conditions of this Amendment and agree that this Amendment does not operate to reduce or discharge the Guarantors’ obligations under the Amended Credit Agreement or the other Credit Documents. The Guarantors
further acknowledge and agree that the Guarantors have no claims, counterclaims, offsets, or defenses to the Credit Documents and the performance of the Guarantors’ obligations thereunder or if the Guarantors did have any such claims,
counterclaims, offsets or defenses to the Credit Documents or any transaction related to the Credit Documents, the same are hereby waived, relinquished and released in consideration of the Lenders’ execution and delivery of this Amendment.

  
 SUBPART 4.4 Counterparts. This Amendment may be
executed by the parties hereto in several counterparts, each of which shall be deemed to be an original and all of which shall constitute together but one and the same agreement. 
  
 SUBPART 4.5 Binding Effect. This Amendment, the Amended Credit Agreement and the other Credit Documents embody
the entire agreement between the parties and supersede all prior agreements and understandings, if any, relating to the subject matter hereof. These Credit 

  

 5 

 
Documents represent the final agreement between the parties and may not be contradicted by evidence of prior, contemporaneous or subsequent oral agreements
of the parties. Except as expressly modified and amended in this Amendment, all the terms, provisions and conditions of the Credit Documents shall remain unchanged and shall continue in full force and effect. 
  
 SUBPART 4.6 GOVERNING LAW. THlS AGREEMENT AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 
  
 SUBPART 4.7 Severability. If any provision of this Amendment is determined to be illegal, invalid or unenforceable, such provision shall be
fully severable and the remaining provisions shall remain in full force and effect and shall be construed without giving effect to the illegal, invalid or unenforceable provisions. 
  
 [Remainder of Page Intentionally Left Blank] 
  

 6 

 IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this Amendment to be
duly executed and delivered as of the date first above written. 
  

									
			
	BORROWER:	 	 	 	AMN HEALTHCARE, INC.
					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

			
	PARENT:	 	 	 	AMN HEALTHCARE SERVICES, INC.
					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

			
	 SUBSIDIARY
 GUARANTORS:
	 	 	 	WORLDVIEW HEALTHCARE,INC.
					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

  

									
	 	 	 	 	O’GRADY-PEYTON INTERNATIONAL (USA),INC.
					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

			
	 	 	 	 	 INTERNATIONAL HEALTHCARE
 RECRUITERS, INC.

					
	 	 	 	 	 	 	By:	 	

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

			
	 	 	 	 	AMN STAFFING SERVICES, INC.
					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 DONALD R. MYLL

	 	 	 	 	 	 	 Title:
	 	 CHIEF FINANCIAL OFFICER

				
	 	 	 	 	 	 	 [Signatures Continued]

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

									
	AGENT:	 	 	 	 BANK OF AMERICA, N.A.,
 in its capacity as Agent

					
	 	 	 	 	 	 	By:	 	 

	 	 	 	 	 	 	 Name:
	 	 Charles Graber

	 	 	 	 	 	 	 Title:
	 	 Vice President

			
	LENDERS:	 	 	 	BANK OF AMERICA, N.A.
					
	 	 	 	 	 	 	By:	 	 
	 	 	 	 	 	 	 Name:
	 	 
	 	 	 	 	 	 	 Title:
	 	 
				
	 	 	 	 	 	 	 [Signatures Continued]

  

			
	 Bank of America, N.A.
 as
Lender

		
	By:	 	 

	 Name:
	 	 Joseph L. Corah

	 Title:
	 	 Principal

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	Sierra CLO I
		
	By:	 	 

	 Name:
	 	 John M. Casparian

	 Title:
	 	 Chief Operating Officer

	 	 	 Centre Pacific Manager

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	 THE TRAVELERS INSURANCE COMPANY

		
	By	 	 

	 	 	 Name:
	 	DENISE DUFFEE
	 	 	 Title:
	 	Investment Officer
	
	 CITICORP INSURANCE AND INVESTMENT TRUST

	
	 By TRAVELERS ASSET MANAGEMENT
 INTERNATIONAL COMPANY LLC

		
	By	 	 

	 	 	 Name:
	 	DENISE DUFFEE
	 	 	 Title:
	 	Investment Officer

  
 AMN HEALTHCARE INC. 

Sixth Amendment 
  

			
	[LENDER] Nationwide Life Insurance Company
		
	By:	 	 

	 Name:
	 	 MARK W. POEPPELMAN

	 Title:
	 	 AUTHORIZED SIGNATORY

  

 Nationwide Mutual Insurance Company 
  

			
	[LENDER]
		
	By:	 	 

	 Name:
	 	 Mark W. Poeppelman

	 Title:
	 	 Authorized Signatory

  

			
	 VAN KAMPEN
 SENIOR INCOME
TRUST
 By: Van Kampen Investment Advisory Corp.

		
	By:	 	 

	 Name:
	 	 Christina Jamieson

	 Title:
	 	 Executive Director

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 VAN KAMPEN
 SENIOR LOAN
FUND
 By: Van Kampen Investment Advisory Corp.

		
	By:	 	 

	 Name:
	 	 Christina Jamieson

	 Title:
	 	 Executive Director

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	[LENDER]
	 	 	 Venture III CDO Limited
 By its investment
advisor, MJX Asset Management LLC

		
	By:	 	 

	 Name:
	 	 Illegible

	 Title:
	 	 Illegible

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	[LENDER]
	 	 	Venture CDO 2002, Limited
By its investment advisor, MJX Asset Management LLC
		
	By:	 	 

	 Name:
	 	 Illegible

	 Title:
	 	 Illegible

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	GENERAL ELECTRIC CAPITAL
CORPORATION
		
	 By:
	 	 

	 Name:
	 	 Maura Fitzgerald

	 Title:
	 	 Its Duly Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 AVALON CAPITAL LTD.

	By:	 	 INVESCO Senior Secured Management, Inc.
 As Portfolio
Advisor

		
	By:	 	 

	 Name:
	 	 Thomas H. B. Ewald

	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 AVALON CAPITAL LTD. 2

	By:	 	 INVESCO Senior Secured Management, Inc.
 As Portfolio
Advisor

		
	By:	 	 

	 Name:
	 	 Thomas H. B. Ewald

	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 CHARTER VIEW PORTFOLIO

	By:	 	 INVESCO Senior Secured Management, Inc.
 As Investment
Advisor

		
	By:	 	 

	 Name:
	 	 Thomas H. B. Ewald

	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 DIVERSIFIED CREDIT PORTFOLIO LTD.

	By:	 	 INVESCO Senior Secured Management, Inc.
 as Investment
Adviser

		
	By:	 	 

	 Name:
	 	 Thomas H. B. Ewald

	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	AIM FLOATING RATE FUND
	By:	 	 INVESCO Senior Secured Management, Inc.
 As
Sub-Adviser

		
	By:	 	 

	 Name:
	 	 Thomas H. B. Ewald

	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	INVESCO EUROPEAN CDO I. S.A.
	By:	 	 INVESCO Senior Secured Management, Inc.
 As Collateral Manager

			
	 	 	By:	 	 

	 	 	 Name:
	 	 Thomas H. B. Ewald

	 	 	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	SEQUILS-LIBERTY LTD.
	By:	 	 INVESCO Senior Secured Management, Inc.
 As Collateral Manager

			
	 	 	By:	 	 

	 	 	 Name:
	 	 Thomas H. B. Ewald

	 	 	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	SAGAMORE CLO LTD.
	By:	 	 INVESCO Senior Secured Management, Inc.
 As Collateral Manager

			
	 	 	By:	 	 

	 	 	 Name:
	 	 Thomas H. B. Ewald

	 	 	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	SARATOGA CLO I, LIMITED.
	By:	 	 INVESCO Senior Secured Management, Inc.
 As Asset Manager

			
	 	 	By:	 	 

	 	 	 Name:
	 	 Thomas H. B. Ewald

	 	 	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	Flagship CLO II
	 	 	By:	 	Flagship Capital Management, Inc.
		
	By:	 	 

	 Name:
	 	 Colleen Cunniffe

	 Title:
	 	 Director

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Harch CLO I, Ltd.
		
	By:	 	 

	 Name:
	 	Michael E. Lewitt
	 Title:
	 	AUTHORIZED SIGNATORY

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	GoldenTree Loan Opportunities II, Limited
	By:	 	GoldenTree Asset Management, LP
		
	By:	 	 

	 Name:
	 	 Thomas M. O’Shea

	 Title:
	 	 Portfolio Manager

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 The Sumitomo Trust & Banking Co., Ltd.,
 New York Branch

		
	By:	 	 

	 Name:
	 	 Elizabeth A. Quirk

	 Title:
	 	 Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	UNION BANK OF CALIFORNIA, N.A.
		
	By:	 	 

	 Name:
	 	 Douglas S. Lambell

	 Title:
	 	 Vice President / SCM

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	Bank of Montreal
		
	By:	 	 

	 Name:
	 	 S. Valia

	 Title:
	 	 ____

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

					
	 	 	 GULF STREAM-COMPASS CLO 2002-1 LTD

	 	 	By:	 	 Gulf stream Asset Management LLC

	 	 	 As Collateral Manager

  

			
	Gulf Stream Asset Management LLC
		
	By:	 	 

	 Name:
	 	 Barry Love

	 Title:
	 	 Chief Credit Officer

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	Landmark III CDO Limited
		
	By:	 	 

	 Name:
	 	 Illegible

	 Title:
	 	 Director

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	Aurum CLO 2002-1 Ltd., by Columbia Management Advisors, Inc., as Investment Manager
		
	By:	 	 

	 Name:
	 	 Thomas R. Bouchard

	 Title:
	 	 V.P.

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 Stein Roe & Farnham CLO1 Ltd., by
 Columbia Management Advisors, Inc., as
 Portfolio Manager

		
	By:	 	 

	 Name:
	 	 Thomas R. Bouchard

	 Title:
	 	 V.P.

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 LONG GROVE CLO, Limited.

	 By:
	 	Deerfield Capital Management LLC as its Collateral Manager
		
	By:	 	 

	 Name:
	 	 Dale Burrow

	 Title:
	 	 Senior Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 ROSEMONT CLO, Ltd.

	 By:
	 	Deerfield Capital Management LLC as its Collateral Manager
		
	By:	 	 

	 Name:
	 	 Dale Burrow

	 Title:
	 	 Senior Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 BRYN MAWR CLO, Ltd.

	 By:
	 	Deerfield Capital Management LLC as its Collateral Manager
		
	By:	 	 

	 Name:
	 	 Dale Burrow

	 Title:
	 	 Senior Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	SEQUILS-Cumberland I, Ltd.
	By:	 	Deerfield Capital Management LLC as its Collateral Manager

  

			
		
	By:	 	 

	 Name:
	 	 Dale Burrow

	 Title:
	 	 Senior Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 Fidelity Advisor Series II: Fidelity Advisor
 Floating Rate High Income Fund

		
	 By:
	 	 

	 Name:
	 	 John H. Costello

	 Title:
	 	 Assistant Treasurer

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	IKB Capital Corporation
		
	By:	 	 

	 Name:
	 	DAVID SNYDER
	 Title:
	 	 PRESIDENT
 IKB CAPITAL CORPORATION

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 COLUMBUS LOAN FUNDING LTD.
 By: Travelers Asset Management International
 Company LLC

		
	By:	 	 

	 Name:
	 	 Melanie Hanlon

	 Title:
	 	 Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 CITIGROUP INVESTMENTS
 CORPORATE
LOAN FUND INC.
 By: Travelers Asset Management International
 Company LLC

		
	By:	 	 

	 Name:
	 	 Melanie Hanlon

	 Title:
	 	 Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

									
	AGENT:	 	 	 	 BANK OF AMERICA, N.A.,
 in its capacity as Agent

					
	 	 	 	 	 	 	By:	 	 
	 	 	 	 	 	 	 Name:
	 	 Charles Graber

	 	 	 	 	 	 	 Title:
	 	 Vice President

  

									
	LENDERS:	 	 	 	BANK OF AMERICA, N.A.
					
	 	 	 	 	 	 	By:	 	 
	 	 	 	 	 	 	 Name:
	 	 
	 	 	 	 	 	 	 Title:
	 	 
				
	 	 	 	 	 	 	 [Signatures Continued]

  

			
	 Longhom CDO II, LTD.
 By:
Illegible

		
	By:	 	 

	 	 	 

  
 AMN HEALTHCARE, INC. 
  

			
	
	 EATON VANCE INSTITUTIONAL SENIOR LOAN FUND
 BY: EATON VANCE MANAGEMENT
 AS INVESTMENT ADVISOR

		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 EATON VANCE CDO III, LTD.
 BY: EATON VANCE MANAGEMENT
 AS INVESTMENT ADVISOR

		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 EATON VANCE CDO VI LTD.
 BY: EATON VANCE MANAGEMENT
 AS INVESTMENT ADVISOR

		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 GRAYSON & CO
 BY: BOSTON MANAGEMENT AND RESEARCH
 AS INVESTMENT ADVISOR

		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
		
	 	 	 BIG SKY SENIOR LOAN FUND, LTD.
 BY: EATON VANCE
MANAGEMENT

	 	 	        AS INVESTMENT ADVISOR
		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
		
	 	 	 TOLLI & CO.
 BY: EATON VANCE
MANAGEMENT

	 	 	        AS INVESTMENT ADVISORS
		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
		
	 	 	 EATON VANCE SENIOR
 FLOATING-RATE
TRUST
 BY: EATON VANCE MANAGEMENT

	 	 	        AS INVESTMENT ADVISOR
		
	By:	 	 

	 Name:
	 	PAYSON F. SWAFFIELD
	 Title:
	 	VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 COLUMBIA FLOATING RATE
 ADVANTAGE
FUND
 By: Highland Capital Management, L.P.,
 Its
Investment Advisor

		
	By:	 	 

	 Name:
	 	Mark Okada
	 Title:
	 	 Chief Investment Officer
 Highland Capital Management, L.P.

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	
	 ELF FUNDING TRUST I
 By: Highland
Capital Management, L.P.,
 As Collateral Manager

		
	By:	 	 

	 Name:
	 	Mark Okada
	 Title:
	 	 Chief Investment Officer
 Highland Capital Management, L.P.

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	LOAN FUNDING IV LLC (Bristol Bay)
	 By: Highland Capital Management, L.P.,
 As Portfolio Manager

		
	By:	 	 

	Name:	 	 Mark Okada

	Title:	 	 Chief Investment Officer

	 	 	 Highland Capital Management, L.P.

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	Dryden V Leveraged Loan CDO 2003
	 By: Prudential Investment Management,
 Inc., as Collateral Manager

		
	By:	 	 

	Name:	 	 Illegible

	Title:	 	 Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Centurion CDO VII, Ltd.
	 	 	 By: American Express Asset Management
 Group, Inc. as
Collateral Manager

		
	By:	 	 

	Name:	 	 Yvonne Stevens

	Title:	 	 Senior Managing Director

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Centurion CDO II, Ltd.
	 	 	 By: American Express Asset Management
 Group, Inc. as
Collateral Manager

		
	 By:
	 	 

	 Name:
	 	 Robin C. Stancil

	 Title:
	 	 Supervisor - Fixed Income Support Team

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Centurion CDO VI, Ltd.
	 	 	 By: American Asset Management
 Group, Inc. as Collateral
Manager

		
	 By:
	 	 

	 Name:
	 	 Robin C. Stancil

	 Title:
	 	 Supervisor - Fixed Income Support Team

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Sequils-Centurion V, Ltd.
	 	 	 By: American Express Asset
 Management Group, Inc. as
Collateral
 Manager

		
	 By:
	 	 

	 Name:
	 	 Robin C. Stancil

	 Title:
	 	 Supervisor - Fixed Income Support Team

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	 	 	Centurion CDO III, Ltd.
	 	 	 By: American Express Asset Management
 Group, Inc. as
Collateral Manager

		
	 By:
	 	 

	 Name:
	 	 Robin C. Stancil

	 Title:
	 	 Supervisor - Fixed Income Support Team

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	EAST WEST BANK
		
	 By:
	 	 

	 Name:
	 	 Nancy A. Moore

	 Title:
	 	 Senior Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	KZH CYPRESSTREE-1 LLC
		
	 By:
	 	 

	 Name:
	 	 DORIAN HERRERA

	 Title:
	 	 AUTHORIZED AGENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	KZH STERLING LLC
		
	 By:
	 	 

	 Name:
	 	 DORIAN HERRERA

	 Title:
	 	 AUTHORIZED AGENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	ECL FUNDING LLC
		
	 By:
	 	 

	 Name:
	 	 JASON TRALA

	 Title:
	 	 Attorney-In-Fact

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	FRANKLIN FLOATING RATE MASTER SERIES
		
	 By:
	 	 

	 Name:
	 	 Madeline Lam

	 Title:
	 	 Asst. Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	FRANKLIN FLOATING RATE DAILY ACCESS FUND
		
	 By:
	 	 

	 Name:
	 	 Madeline Lam

	 Title:
	 	 Asst. Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	FRANKLIN TEMPLETON LIMITED DURATION INCOME TRUST
		
	 By:
	 	 

	 Name:
	 	 Richard Hsu

	 Title:
	 	 Asst. Vice President

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	FRANKLIN CLO I, LIMITED
		
	 By:
	 	 

	 Name:
	 	 DAVID ARDINI

	 Title:
	 	 VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	FRANKLIN CLO IV, LIMITED
		
	By:	 	 

	 Name:
	 	 DAVID ARDINI

	 Title:
	 	 VICE PRESIDENT

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	GSC PARTNERS CDO FUND IV, LIMITED
		
	By:	 	 GSCP (NJ), L.P. as Collateral Manager

							
				
	 	 	 	 	 By:
	 	 

	 	 	 	 	 Name:
	 	 Harvey Siegel

	 	 	 	 	 Title:
	 	 Authorized Signatory

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	HSH Nordbank AG
		
	By:	 	 

	 Name:
	 	 Drew von Glahn

	 Title:
	 	 Senior Vice President

		
	By:	 	 

	 Name:
	 	 David Canavan

	 Title:
	 	 Senior Vice President

  

			
	 INDOSUEZ CAPITAL FUNDING VI, LIMITED

	 By: Indosuez Capital as Collateral Manager

		
	By:	 	 

	 Name:
	 	 Charles Kobayashi

	 Title:
	 	 Principal and Portfolio Manager

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	First Dominion Funding III
		
	By:	 	 

	 Name:
	 	 ANDREW MARSHAK

	 Title:
	 	 AUTHORIZED SIGNATORY

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

			
	CSAM Funding III
		
	By:	 	 

	 Name:
	 	 ANDREW MARSHAK

	 Title:
	 	 AUTHORIZED SIGNATORY

  

 SIXTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT 
 AMN HEALTHCARE, INC. 

 Annex I to Amendment No. 6 
  
 Exhibit 2.1(b)(i) 
  
 FORM OF NOTICE OF BORROWING 
  
 Bank of America, N. A., 
   as Agent for the Lenders 
 101 North Tryon Street 
 Independence Center, 15th Floor 
 NC1-001-15-04 
 Charlotte, North Carolina 28255 
 Attention: Agency Services 
  
 Ladies and Gentlemen: 
  
 The
undersigned, AMN HEALTHCARE, INC. (the “Borrower”), refers to the Amended and Restated Credit Agreement dated as of November 16, 2001 (as amended, modified, restated or supplemented from time to time, the “Credit
Agreement”), among the Borrower, the Guarantors, the Lenders and Bank of America, N.A., as Agent. Capitalized terms used herein and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement. The
Borrower hereby gives notice pursuant to Section 2.1 of the Credit Agreement that it requests a Revolving Loan advance under the Credit Agreement, and in connection therewith sets forth below the terms on which such Loan advance is requested to be
made: 
  

			
	 (A)   Date of Borrowing (which is a Business Day)
	  	___________________________
		
	 (B)   Principal Amount of Borrowing
	  	___________________________
		
	 (C)   Interest rate basis
	  	___________________________
		
	 (D)   Interest Period and the last day thereof
	  	___________________________

  

 AMN HEALTHCARE, INC. 

 In accordance with the requirements of Section 5.2, the Borrower hereby reaffirms the representations and
warranties set forth in the Credit Agreement as provided in clause (b) of such Section, and confirms that the matters referenced in clauses (c), (d), (e) and (f) of such Section, are true and correct. Delivered herewith are detailed calculations
demonstrating compliance by the Borrower with clause (f) of Section 5.2 as of the Date of Borrowing set forth in subsection (A) of this Notice of Borrowing. 
  

			
	AMN HEALTHCARE, INC.
		
	By:	 	 
		
	Name:	 	 
		
	Title:	 	 

  

 AMN HEALTHCARE, INC. 

 Attachment to Notice of Borrowing  
  
 Computation of the Section 5.2(f) 
  

				
		
	 A.     Funded Indebtedness of the Consolidated Parties on a consolidated basis on the Date of
Borrowing:
	  	$	_________________
		
	 B.     Consolidated EBITDA for the three fiscal-quarter period ending as of the last day of the most recent fiscal
quarter preceding the Date of Borrowing for which the Agent has received the Required Financial Information:
	  	$	_________________
		
	 C.     Projected Consolidated EBITDA for the applicable fiscal quarter with respect to which the Parent has provided
the Projected Consolidated EBITDA:
	  	$	_________________
		
	 D.     Pro Forma EBITDA (Sum of Lines B + C):
	  	$	_________________
		
	 E.     Pro Forma Leverage Ratio (Line A ÷ Line D):
	  	 	__________ to 1.00
		
	 F.      Line E shall not exceed the then applicable ratio set forth in Section 7.11 (a) (set forth below) for
the last day of the applicable fiscal quarter with respect to which the Parent has provided the Projected Consolidated EBITDA:
	  	 	 

  
 Section 7.11 (a)
Leverage Ratio. The Credit Parties shall not permit the Leverage Ratio as of the last day of any fiscal quarter of the Consolidated Parties to be greater than: 
  

									
	 Fiscal Year

	 	 March 31

	 	 June 30

	 	 September 30

	 	 December 31

	 2003
	 	1.50	 	1.50	 	1.50	 	2.50
	 2004
	 	2.50	 	2.75	 	3.25	 	3.25
	 2005
	 	3.00	 	2.50	 	2.25	 	2.00
	 2006
	 	2.00	 	1.75	 	1.50	 	1.50
	 2007 and Thereafter
	 	1.50	 	1.50	 	1.50	 	1.50

  

 AMN HEALTHCARE, INC. 

 Annex II to Amendment No. 6 
  
 Exhibit 3.2 
  
 FORM OF NOTICE OF EXTENSION/CONVERSION 
  
 Bank of America, N. A., 
     as Agent for the Lenders

 101 North Tryon Street 
 Independence Center, 15th Floor

 NCI-001-15-04 
 Charlotte, North Carolina 28255 
 Attention: Agency Services 
  
 Ladies and Gentlemen: 
  
 The
undersigned, AMN HEALTHCARE, INC. (the “Borrower”), refers to the Amended and Restated Credit Agreement dated as of November 16, 2001 (as amended, modified, restated or supplemented from time to time, the “Credit
Agreement”), among the Borrower, the Guarantors, the Lenders and Bank of America, N. A., as Agent. Capitalized terms used herein and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement. The
Borrower hereby gives notice pursuant to Section 3.2 of the Credit Agreement that it requests an extension or conversion of a [Revolving Loan] [Tranche B Loan] outstanding under the Credit Agreement, and in connection therewith sets forth below the
terms on which such extension or conversion is requested to be made: 
  

			
	 (A)   Loan Type/Tranche
	  	 
		
	 (B)   Date of Extension or Conversion
 (which is the last day of the
 the
applicable Interest Period)
	  	 
		
	 (C)   Principal Amount of Extension or Conversion
	  	 
		
	 (D)   Interest rate basis
	  	 
		
	 (E)   Interest Period and the last day thereof
	  	 

  

 AMN HEALTHCARE, INC. 

 In accordance with the requirements of Section 5.2, the Borrower hereby reaffirms the representations and
warranties set forth in the Credit Agreement as provided in clause (b) of such Section, and confirms that the matters referenced in clauses (c), (d), (e) and (f) of such Section, are true and correct. Delivered herewith are detailed calculations
demonstrating compliance by the Borrower with clause (f) of Section 5.2 as of the Date of Extension or Conversion set forth in subsection (B) of this Notice of Extension/Conversion. 
  

			
	AMN HEALTHCARE, INC.
		
	By:	 	 
	 Name:
	 	 
	 Title:
	 	 

  

 AMN HEALTHCARE, INC. 

 Attachment to Notice of Extension/Conversion  
  
 Computation of the Section 5.2(f) 
  

			
	 A.     Funded Indebtedness of the Consolidated Parties on a consolidated basis on the Date of Extension or
Conversion:
	  	$                              
		
	 B.     Consolidated EBITDA for the three fiscal-quarter period ending as of the last day of the most recent fiscal
quarter preceding the Date of Extension or Conversion for which the Agent has received the Required Financial Information:
	  	$                              
		
	 C.     Projected Consolidated EBITDA for the applicable fiscal quarter with respect to which the Parent has
provided the Projected Consolidated EBITDA:
	  	$                              
		
	 D.     Pro Forma EBITDA (Sum of Lines B + C):
	  	$                              
		
	 E.     Pro Forma Leverage Ratio (Line A ÷  Line D):
	  	                   to 1.00
		
	 F.      Line E shall not exceed the then applicable ratio set forth in Section 7.11 (a) (set forth below) for
the last day of the applicable fiscal quarter with respect to which the Parent has provided the Projected Consolidated EBITDA:
	  	 

  
 Section 7.11 (a)
Leverage Ratio. The Credit Parties shall not permit the Leverage Ratio as of the last day of any fiscal quarter of the Consolidated Parties to be greater than: 
  

									
	 Fiscal Year

	  	March 31

	  	June 30

	  	September 30

	  	December 31

	 2003
	  	1.50	  	1.50	  	1.50	  	2.50
	 2004
	  	2.50	  	2.75	  	3.25	  	3.25
	 2005
	  	3.00	  	2.50	  	2.25	  	2.00
	 2006
	  	2.00	  	1.75	  	1.50	  	1.50
	 2007 and Thereafter
	  	1.50	  	1.50	  	1.50	  	1.50

  

 AMN HEALTHCARE, INC.

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