Document:

SelectMRI Acquisition, LLC Security Agreement Supplement

 EXHIBIT 10.40 
 EXECUTION VERSION 
 SECURITY AGREEMENT SUPPLEMENT 
 February 5, 2008 
 Bank of America, N.A., as
Administrative Agent for 
 the Secured Parties referred to in the 
 Revolving Credit Agreement referred to below 
 Agency Management 
 100 Federal Street 
 MA5-100-11-02 
 Boston, MA 02110 
 Attention: William Faidell 
 Telephone:
(617) 434-2456 
 Telecopier: (617) 790-1358 
 Electronic Mail: william.j.faidell@bankofamerica.com 
 MSC-Medical Services Company 
 Ladies and Gentlemen: 
 Reference is made to (i) the
Revolving Credit Agreement dated as of March 31, 2005 (as amended, amended and restated, supplemented or otherwise modified from time to time, the “Revolving Credit Agreement”), among MSC-Medical Services Company
(as the surviving entity of the Merger), a Florida corporation, as the Borrower, the Lenders party thereto, Bank of America, N.A., as administrative agent (together with any successor Administrative Agent appointed pursuant to Article XI of
the Revolving Credit Agreement, the “Administrative Agent”) and L/C Issuer, and (ii) the Security Agreement dated March 31, 2005 (as amended, amended and restated, supplemented or otherwise modified from time to
time, the “Security Agreement”) made by the Grantors from time to time party thereto in favor of the Administrative Agent for the Secured Parties. Terms defined in the Revolving Credit Agreement or the Security Agreement and
not otherwise defined herein are used herein as defined in the Revolving Credit Agreement or the Security Agreement. 
 SECTION 1. Grant
of Security. The undersigned hereby grants to the Administrative Agent, for the ratable benefit of the Secured Parties, a security interest in all of its right, title and interest in and to the following, in each case whether now owned or
hereafter acquired by the undersigned, wherever located and whether now or hereafter existing or arising (collectively, the undersigned’s “Collateral”): all Equipment, Inventory, Receivables, Related Contracts, Security
Collateral (including, without limitation, the shares of stock and other Equity Interests set forth on Part I of Schedule I hereto, the indebtedness set forth on Part II of Schedule I hereto and the securities and
securities/deposit accounts set forth on Schedule II hereto), Agreement Collateral (including, without limitation, each of the agreements listed on Schedule III hereto), Account Collateral (including, without limitation, the deposit
accounts set forth on Schedule IV hereto), Intellectual Property Collateral, Commercial Tort Claims Collateral (including, 

  

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without limitation, the commercial tort claims described in Schedule V hereto), all books and records (including, without limitation, subject to
applicable law, customer lists, credit files, printouts and other computer output materials and records) of the undersigned pertaining to any of the undersigned’s Collateral, and all proceeds of, collateral for, income, royalties and other
payments now or hereafter due and payable with respect to, and supporting obligations relating to, any and all of the undersigned’s Collateral (including, without limitation, proceeds, collateral and supporting obligations that constitute
property of the types described in this Section 1) and, to the extent not otherwise included, all (A) payments under insurance (whether or not the Administrative Agent is the loss payee thereof), or any indemnity, warranty or
guaranty, payable by reason of loss or damage to or otherwise with respect to any of the foregoing Collateral, and (B) cash. 
 Notwithstanding the foregoing provisions of this Section 1, in no event shall the security interest granted hereunder attach to any contract, license, permit or franchise to which the undersigned is a party or any of its rights
or interests thereunder, or any property or assets subject to any contract, license, permit or franchise, if and for so long as the grant of such security interest shall constitute or result in (x) the abandonment, invalidation or
unenforceability of any right, title or interest of the undersigned therein or (y) a breach or termination pursuant to the terms of, or a default under, any such contract, license, permit or franchise, except, in each case, to the extent that
any such term would be rendered ineffective pursuant to Sections 9-406, 9-407, 9-408 or 9-409 of the UCC (or any successor provision or provisions) of any relevant jurisdiction or any other applicable law or principles of equity; provided,
that notwithstanding the foregoing, such security interest shall attach immediately at such time as the condition causing such abandonment, invalidation or unenforceability shall be remedied and, to the extent severable, shall attach immediately to
any portion of such contract, license, permit or franchise, or property subject thereto, that does not result in any of the consequences specified in clause (x) or (y) above. 
 SECTION 2. Security for Obligations. The grant of a security interest in the Collateral by the undersigned under this Security Agreement
Supplement and the Security Agreement secures the payment of all Obligations of the undersigned now or hereafter existing under or in respect of the Loan Documents, whether direct or indirect, absolute or contingent, and whether for principal,
reimbursement obligations, interest, premiums, penalties, fees, indemnifications, contract causes of action, costs, expenses or otherwise. Without limiting the generality of the foregoing, this Security Agreement Supplement and the Security
Agreement secures the payment of all amounts that constitute part of the Secured Obligations and that would be owed by the undersigned to any Secured Party under the Loan Documents but for the fact that such Secured Obligations are deemed
unenforceable by the judgment, decree or similar order of a bankruptcy court with respect to a bankruptcy, reorganization or similar proceeding involving a Loan Party. 
 SECTION 3. Representations and Warranties. (a) The undersigned’s exact legal name, location, chief executive office, type of organization, jurisdiction of organization and organizational
identification number is set forth in Schedule VI hereto. The undersigned has no trade names other than as listed on Schedule VI hereto. Within the five years preceding the date hereof, the undersigned has not changed its name,
location, chief executive office, type of organization, jurisdiction of organization or organizational identification number from those set forth in Schedule VI hereto except as set forth in Schedule VII hereto. 
  

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 (b) All of the Equipment and Inventory of the undersigned are located at the places specified therefor in
Schedule VIII hereto. 
 (c) The undersigned is not a beneficiary or assignee under any letter of credit, other than the letters
of credit described in Schedule IX hereto. 
 (d) The undersigned hereby makes each other representation and warranty set forth in
Section 8 of the Security Agreement with respect to itself and the Collateral granted by it. 
 SECTION 4. Obligations Under
the Security Agreement. The undersigned hereby agrees, as of the date first above written, to be bound as a Grantor by all of the terms and provisions of the Security Agreement to the same extent as each of the other Grantors. The undersigned
further agrees, as of the date first above written, that each reference in the Security Agreement to an “Additional Grantor” or a “Grantor” shall also mean and be a reference to the undersigned, that each reference to the
“Collateral” or any part thereof shall also mean and be a reference to the undersigned’s Collateral or part thereof, as the case may be, and that each reference in the Security Agreement to a Schedule shall also mean and be a
reference to the schedules attached hereto. 
 [continued on following page] 
  

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 SECTION 5. Governing Law. This Security Agreement Supplement shall be governed by, and construed
in accordance with, the laws of the State of New York. 
  

			
	Very truly yours,
	
	SELECTMRI ACQUISITION, LLC
		
	By:	 	 /s/ Adam Doctoroff

	Name:	 	Adam Doctoroff
	Title:	 	Vice President
		
		 	Address for notices:
		 	  

		 	  

		 	  

  

 MSC – Signature Page to Security Agreement Supplement 
  

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 Schedule I 
 Part I: Equity Interests 
 None. 
 Part II: Indebtedness 
 None. 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule II 
 Securities and Securities/Deposit Accounts 
 None. SelectMRI Acquisition, LLC to open an account with
Bank of America following the 
 date hereof. 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule III 
 Agreement Collateral 
 Asset Purchase Agreement dated as of January 28, 2008 by and among SelectMRI Acquisition,
LLC, SelectMRI, LLC and the Members named therein. 
 Escrow Agreement dated as of January 28, 2008 by and among SelectMRI Acquisition, LLC, SelectMRI,
LLC, SunTrust Bank, NA and Behn Wilson. 
  

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 Schedule IV 
 Account Collateral – Deposit Accounts 
 None. SelectMRI Acquisition, LLC to open an account with
Bank of America following the 
 date hereof. 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule V 
 Commercial Tort Claims 
 None. 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule VI 
 Legal Name, Location, Chief Executive Office, Type of Organization, Jurisdiction of 
 Organization,
Organizational Identification Number, Trade Names 
  

			
	Legal Name:	  	SelectMRI Acquisition, LLC
		
	Location:	  	 223 N.E. 5th Avenue
 Delray Beach,
FL 33483

		
	Chief Executive Office:	  	 223 N.E. 5th Avenue
 Delray Beach,
FL 33483

		
	Type of Organization:	  	Limited Liability Company
		
	Jurisdiction:	  	Delaware
		
	State ID No.	  	4488359
		
	FEIN:	  	36-4624454
		
	Trade Names:	  	None

  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule VII 
 Changes to Legal Name, Location, Chief Executive Office, Type of Organization, Jurisdiction of 
 Organization, Organizational Identification Number 
 None. 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule VIII 
 Location of Equipment and Inventory 
 223 N.E.
5th Avenue 
 Delray Beach, FL 33483 
 210 N.E. 6th Avenue 
 Delray Beach, FL 33483 
 246 N.E. 6th Avenue

 Delray Beach, FL 33483 
  

 MSC – Schedules to Security Agreement Supplement 
  

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 Schedule IX 
 Letters of Credit 
 None. 
  

 MSC – Schedules to Security Agreement Supplement 
  

 13ZoneCareUSA of Delray, LLC Subsidiary Guaranty Supplement

 EXHIBIT 10.41 
 EXECUTION VERSION 
 SUBSIDIARY GUARANTY SUPPLEMENT 
 February 5, 2008 
 Bank of America, N.A., as
Administrative Agent 
 MA5-100-11-02 
 100 Federal Street 
 Boston, MA 02110 
 Telecopy: (617) 790-1358 
 Attention: Bill Faidell, Agency Management Office 
 Revolving Credit Agreement dated as of March 31, 2005 (as amended, amended and restated, 
 supplemented or otherwise modified from time to time) among 
 Mustang MSC-Florida
Acquisition, Inc., a Florida corporation (the “Initial Borrower”), 
 MSC-Medical Services Company, a Florida
corporation (as the 
 surviving entity of the Merger, the “Borrower”), the Lenders 
 party to the Revolving Credit Agreement, and Bank of America, N.A., 
 as Administrative Agent and L/C Issuer 
 Ladies and Gentlemen: 
 Reference is made to the above-captioned Revolving Credit Agreement and to the Subsidiary Guaranty referred to therein (such Subsidiary Guaranty, as in
effect on the date hereof and as it may hereafter be amended, supplemented or otherwise modified from time to time, together with this Guaranty Supplement, being the “Subsidiary Guaranty”). The capitalized terms defined in
the Subsidiary Guaranty or in the Revolving Credit Agreement and not otherwise defined herein are used herein as therein defined. 
 Section 1. Guaranty; Limitation of Liability. (a) The undersigned hereby absolutely, unconditionally and irrevocably guarantees the punctual payment when due, whether at scheduled maturity or on any date of a required
prepayment or by acceleration, demand or otherwise, of all Obligations of each other Loan Party now or hereafter existing under or in respect of the Loan Documents (including, without limitation, any extensions, modifications, substitutions,
amendments or renewals of any or all of the foregoing Obligations), whether direct or indirect, absolute or contingent, and whether for principal, interest, premium, fees, indemnities, contract causes of action, costs, expenses or otherwise (such
Obligations being the “Guaranteed Obligations”), and agrees to pay any and all expenses (including, without limitation, fees and expenses of counsel) incurred by the Administrative Agent or any other Secured Party in
enforcing any rights under this Guaranty Supplement, the Subsidiary Guaranty or any other Loan Document. Without limiting the generality of the foregoing, the undersigned’s liability shall extend to all amounts that constitute part of the
Guaranteed Obligations and would be owed by any other Loan Party to any Secured Party under or in respect of the Loan Documents but for the fact that they are unenforceable or not allowable due to the existence of a bankruptcy, reorganization or
similar proceeding involving such other Loan Party. 
  

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 (b) The undersigned, and by its acceptance of this Guaranty Supplement, the Administrative Agent and each
other Secured Party, hereby confirms that it is the intention of all such Persons that this Guaranty Supplement, the Subsidiary Guaranty and the Obligations of the undersigned hereunder and thereunder not constitute a fraudulent transfer or
conveyance for purposes of Debtor Relief Law, the Uniform Fraudulent Conveyance Act, the Uniform Fraudulent Transfer Act or any similar foreign, federal or state law to the extent applicable to this Guaranty Supplement, the Subsidiary Guaranty and
the Obligations of the undersigned hereunder and thereunder. To effectuate the foregoing intention, the Administrative Agent, the other Secured Parties and the undersigned hereby irrevocably agree that the Obligations of the undersigned under this
Guaranty Supplement and the Subsidiary Guaranty at any time shall be limited to the maximum amount as will result in the Obligations of the undersigned under this Guaranty Supplement and the Subsidiary Guaranty not constituting a fraudulent transfer
or conveyance. 
 (c) The undersigned hereby unconditionally and irrevocably agrees that in the event any payment shall be required to be
made to any Secured Party under this Guaranty Supplement, the Subsidiary Guaranty, the Guaranty by Holdings set forth in the Revolving Credit Agreement or any other guaranty or guaranty supplement delivered pursuant to Section 6.12 of
the Revolving Credit Agreement, the undersigned will contribute, to the maximum extent permitted by applicable law, such amounts to each other Guarantor and each other guarantor so as to maximize the aggregate amount paid to the Secured Parties
under or in respect of the Loan Documents. 
 Section 2. Obligations Under the Guaranty. The undersigned hereby agrees, as of the
date first above written, to be bound as a Guarantor by all of the terms and conditions of the Subsidiary Guaranty to the same extent as each of the other Guarantors thereunder. The undersigned further agrees, as of the date first above written,
that each reference in the Subsidiary Guaranty to an “Additional Guarantor” or a “Guarantor” shall also mean and be a reference to the undersigned, and each reference in any other Loan Document to a
“Subsidiary Guarantor” or a “Loan Party” shall also mean and be a reference to the undersigned. 
 Section 3. Representations and Warranties. The undersigned hereby makes each representation and warranty set forth in Section 6 of the Subsidiary Guaranty to the same extent as each other Guarantor. 
 Section 4. Delivery by Telecopier. Delivery of an executed counterpart of a signature page to this Guaranty Supplement by telecopier shall be
effective as delivery of an original executed counterpart of this Guaranty Supplement. 
 Section 5. Governing Law; Jurisdiction;
Waiver of Jury Trial, Etc. (a) This Guaranty Supplement shall be governed by, and construed in accordance with, the laws of the State of New York. 
  

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 (b) The undersigned hereby irrevocably and unconditionally submits, for itself and its property, to the
nonexclusive jurisdiction of any New York State court or any federal court of the United States of America sitting in New York City, and any appellate court from any thereof, in any action or proceeding arising out of or relating to this
Guaranty Supplement, the Subsidiary Guaranty or any of the other Loan Documents to which it is or is to be a party, or for recognition or enforcement of any judgment, and the undersigned hereby irrevocably and unconditionally agrees that all claims
in respect of any such action or proceeding may be heard and determined in any such New York State court or, to the extent permitted by law, in such federal court. The undersigned 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 Guaranty Supplement or the Subsidiary Guaranty or any other Loan Document shall affect any right that any party
may otherwise have to bring any action or proceeding relating to this Guaranty Supplement, the Subsidiary Guaranty or any of the other Loan Documents to which it is or is to be a party in the courts of any other jurisdiction. 
 (c) The undersigned 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 Guaranty Supplement, the Subsidiary Guaranty or any of the other Loan Documents to which it is or is to be a party in any New York State
or federal court. The undersigned hereby irrevocably waives, to the fullest extent permitted by law, the defense of an inconvenient forum to the maintenance of such suit, action or proceeding in any such court. 
 (d) THE UNDERSIGNED HEREBY IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ALL RIGHT TO TRIAL BY JURY IN ANY ACTION, PROCEEDING OR
COUNTERCLAIM (WHETHER BASED ON CONTRACT, TORT OR OTHERWISE) ARISING OUT OF OR RELATING TO ANY OF THE LOAN DOCUMENTS, THE REVOLVING CREDIT LOANS, LETTERS OF CREDIT OR THE ACTIONS OF ANY SECURED PARTY IN THE NEGOTIATION, ADMINISTRATION, ADVANCING,
ISSUANCE, PERFORMANCE OR ENFORCEMENT THEREOF. 
 [signature on following page] 
  

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	 Very truly yours,

	
	ZONECARE USA OF DELRAY, LLC
		
	By:	 	 /s/ Adam Doctoroff

	Name:	 	Adam Doctoroff
	Title:	 	Vice President

 ZoneCare USA Signature Page to Guaranty Supplement 
  

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