Document:

exv10w1

EXHIBIT 10.1

 

 

CREDIT AGREEMENT

among

VANGUARD HEALTH HOLDING COMPANY I, LLC,

VANGUARD HEALTH HOLDING COMPANY II, LLC,

VARIOUS LENDERS,

BANK OF AMERICA, N.A.,

as ADMINISTRATIVE AGENT,

BARCLAYS CAPITAL,

as SYNDICATION AGENT,

CITIGROUP GLOBAL MARKETS INC.,

DEUTSCHE BANK TRUST COMPANY AMERICAS,

GOLDMAN SACHS BANK USA,

and

MORGAN STANLEY SENIOR FUNDING, INC.,

as CO-DOCUMENTATION AGENTS,

BANC OF AMERICA SECURITIES LLC

and

BARCLAYS CAPITAL,

as JOINT LEAD ARRANGERS AND JOINT BOOK RUNNERS,

and

CITIGROUP GLOBAL MARKETS INC.,

DEUTSCHE BANK SECURITIES INC.,

GOLDMAN SACHS BANK USA

and

MORGAN STANLEY SENIOR FUNDING, INC.,

as JOINT BOOK RUNNERS

 

Dated as of January 29, 2010

 

 

 

 

TABLE OF CONTENTS

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	SECTION 1.

	 	AMOUNT AND TERMS OF CREDIT
	 	 	1	 
	 
	 	 	 	 	 	 
	1.01

	 	The Commitments
	 	 	1	 
	1.02

	 	Borrowings, Conversions and Continuations of Loans
	 	 	1	 
	1.03

	 	The Swingline
	 	 	3	 
	1.04

	 	Evidence of Debt
	 	 	5	 
	1.05

	 	Pro Rata Borrowings
	 	 	6	 
	1.06

	 	Interest
	 	 	6	 
	1.07

	 	Increased Costs, Illegality, etc.
	 	 	7	 
	1.08

	 	Compensation
	 	 	8	 
	1.09

	 	Change of Lending Office
	 	 	9	 
	1.10

	 	Replacement of Lenders
	 	 	9	 
	1.11

	 	Incremental Commitments
	 	 	10	 
	 
	 	 	 	 	 	 
	SECTION 2.

	 	LETTERS OF CREDIT
	 	 	14	 
	 
	 	 	 	 	 	 
	2.01

	 	The Letter of Credit Commitment
	 	 	14	 
	 
	 	 	 	 	 	 
	SECTION 3.

	 	FEES; REDUCTIONS OF COMMITMENT
	 	 	22	 
	 
	 	 	 	 	 	 
	3.01

	 	Fees
	 	 	22	 
	3.02

	 	Voluntary Reduction and Termination of Unutilized Commitments
	 	 	24	 
	3.03

	 	Mandatory Reduction of Commitments
	 	 	24	 
	 
	 	 	 	 	 	 
	SECTION 4.

	 	PREPAYMENTS; PAYMENTS; TAXES
	 	 	25	 
	 
	 	 	 	 	 	 
	4.01

	 	Voluntary Prepayments
	 	 	25	 
	4.02

	 	Mandatory Repayments
	 	 	28	 
	4.03

	 	Method and Place of Payment
	 	 	31	 
	4.04

	 	Taxes
	 	 	32	 
	 
	 	 	 	 	 	 
	SECTION 5A.

	 	CONDITIONS PRECEDENT TO CREDIT EVENTS ON THE INITIAL BORROWING DATE
	 	 	35	 
	 
	 	 	 	 	 	 
	5A.01

	 	Execution of the Agreement; Notes
	 	 	35	 
	5A.02

	 	Fees, etc.
	 	 	35	 
	5A.03

	 	Opinion of Counsel
	 	 	35	 
	5A.04

	 	Corporate Documents; Proceedings; etc.
	 	 	36	 
	5A.05

	 	Consummation of the Transaction
	 	 	36	 
	5A.06

	 	Pledge Agreement
	 	 	36	 
	5A.07

	 	Subsidiaries Guaranty
	 	 	36	 
	5A.08

	 	Vanguard Guaranty
	 	 	37	 
	5A.09

	 	Security Agreement
	 	 	37	 
	5A.10

	 	Solvency Certificate
	 	 	37	 

-i-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	SECTION 5B.

	 	CONDITIONS PRECEDENT TO EACH INCURRENCE OF INCREMENTAL TERM LOANS
	 	 	37	 
	 
	 	 	 	 	 	 
	5B.01

	 	Incremental Commitment Agreement; Related Documentation
	 	 	37	 
	5B.02

	 	Officer’s Certificate
	 	 	37	 
	 
	 	 	 	 	 	 
	SECTION 6.

	 	CONDITIONS PRECEDENT TO ALL CREDIT EVENTS
	 	 	37	 
	 
	 	 	 	 	 	 
	6.01

	 	No Default; Representations and Warranties
	 	 	37	 
	6.02

	 	Notice of Borrowing; Letter of Credit Application
	 	 	38	 
	 
	 	 	 	 	 	 
	SECTION 7.

	 	REPRESENTATIONS AND WARRANTIES
	 	 	38	 
	 
	 	 	 	 	 	 
	7.01

	 	Corporate and Other Status
	 	 	38	 
	7.02

	 	Corporate or Partnership Power and Authority
	 	 	38	 
	7.03

	 	No Violation
	 	 	39	 
	7.04

	 	Governmental Approvals
	 	 	39	 
	7.05

	 	Financial Statements; Financial Condition; Undisclosed Liabilities; Projections; etc.
	 	 	39	 
	7.06

	 	Litigation; Compliance with Laws
	 	 	40	 
	7.07

	 	True and Complete Disclosure
	 	 	40	 
	7.08

	 	Use of Proceeds; Margin Regulations
	 	 	41	 
	7.09

	 	Tax Returns and Payments
	 	 	41	 
	7.10

	 	Compliance with ERISA
	 	 	42	 
	7.11

	 	The Security Documents
	 	 	43	 
	7.12

	 	Properties
	 	 	43	 
	7.13

	 	Capitalization
	 	 	43	 
	7.14

	 	Subsidiaries
	 	 	44	 
	7.15

	 	Investment Company Act
	 	 	44	 
	7.16

	 	Environmental Matters
	 	 	44	 
	7.17

	 	Labor Relations
	 	 	44	 
	7.18

	 	Intellectual Property
	 	 	45	 
	7.19

	 	Hospital Properties
	 	 	45	 
	7.20

	 	Insurance
	 	 	45	 
	7.21

	 	Legal Names; Organizational Identification Numbers; Jurisdiction and Type of Organization; etc.
	 	 	45	 
	 
	 	 	 	 	 	 
	SECTION 8.

	 	AFFIRMATIVE COVENANTS
	 	 	45	 
	 
	 	 	 	 	 	 
	8.01

	 	Information Covenants
	 	 	45	 
	8.02

	 	Books, Records and Inspections
	 	 	47	 
	8.03

	 	Maintenance of Property; Insurance, Reserves
	 	 	48	 
	8.04

	 	Corporate Franchises
	 	 	48	 
	8.05

	 	Compliance with Statutes, etc.
	 	 	48	 
	8.06

	 	Compliance with Environmental Laws
	 	 	49	 
	8.07

	 	ERISA
	 	 	49	 
	8.08

	 	End of Fiscal Years; Fiscal Quarters
	 	 	50	 
	8.09

	 	Payment of Taxes
	 	 	50	 
	8.10

	 	Accreditation and Licensing
	 	 	50	 
	8.11

	 	Additional Security; Further Assurances
	 	 	50	 

-ii-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	8.12

	 	Use of Proceeds
	 	 	52	 
	8.13

	 	Guaranties by New Subsidiaries
	 	 	52	 
	8.14

	 	Post Closing Matters
	 	 	53	 
	 
	 	 	 	 	 	 
	SECTION 9.

	 	NEGATIVE COVENANTS
	 	 	54	 
	 
	 	 	 	 	 	 
	9.01

	 	Liens
	 	 	54	 
	9.02

	 	Consolidation, Merger, Purchase or Sale of Assets, etc.
	 	 	57	 
	9.03

	 	Dividends
	 	 	60	 
	9.04

	 	Indebtedness
	 	 	62	 
	9.05

	 	Advances, Investments and Loans
	 	 	66	 
	9.06

	 	Transactions with Affiliates
	 	 	68	 
	9.07

	 	Capital Expenditures
	 	 	70	 
	9.08

	 	Consolidated Interest Coverage Ratio
	 	 	71	 
	9.09

	 	Consolidated Leverage Ratio
	 	 	71	 
	9.10

	 	Limitation on Payments of Certain Indebtedness; Modifications of
Certain Indebtedness; Modifications of Certificate of Incorporation,
By-Laws and Certain Agreements; etc.
	 	 	71	 
	9.11

	 	Limitation on Certain Restrictions on Subsidiaries
	 	 	72	 
	9.12

	 	Limitation on Issuance of Capital Stock
	 	 	73	 
	9.13

	 	Business
	 	 	73	 
	9.14

	 	Limitation on Creation of Health Care Joint Ventures
	 	 	74	 
	9.15

	 	Limitation on Assets Held By Non-Guarantor Subsidiaries
	 	 	74	 
	 
	 	 	 	 	 	 
	SECTION 10A.

	 	EVENTS OF DEFAULT
	 	 	74	 
	 
	 	 	 	 	 	 
	10A.01

	 	Payments
	 	 	74	 
	10A.02

	 	Representations, etc.
	 	 	74	 
	10A.03

	 	Covenants
	 	 	74	 
	10A.04

	 	Default Under Other Agreements
	 	 	75	 
	10A.05

	 	Bankruptcy, etc.
	 	 	75	 
	10A.06

	 	ERISA
	 	 	76	 
	10A.07

	 	Security Documents
	 	 	76	 
	10A.08

	 	Guaranties
	 	 	76	 
	10A.09

	 	Judgments
	 	 	76	 
	10A.10

	 	BHS Initial Borrowing Assets
	 	 	76	 
	10A.11

	 	Change of Control
	 	 	77	 
	 
	 	 	 	 	 	 
	SECTION 10B.

	 	VHS HOLDCO I’S RIGHT TO CURE
	 	 	77	 
	 
	 	 	 	 	 	 
	SECTION 10C.

	 	APPLICATION OF FUNDS
	 	 	78	 
	 
	 	 	 	 	 	 
	SECTION 11.

	 	DEFINITIONS AND ACCOUNTING TERMS
	 	 	79	 
	 
	 	 	 	 	 	 
	11.01

	 	Defined Terms
	 	 	79	 
	11.02

	 	Certain Pro Forma Calculations
	 	 	115	 

-iii-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	SECTION 12.

	 	THE ADMINISTRATIVE AGENT AND THE JOINT BOOK RUNNERS
	 	 	118	 
	 
	 	 	 	 	 	 
	12.01

	 	Appointment and Authorization of Agents
	 	 	118	 
	12.02

	 	Delegation of Duties
	 	 	118	 
	12.03

	 	Liability of Agents
	 	 	119	 
	12.04

	 	Reliance by Agents
	 	 	119	 
	12.05

	 	Notice of Default
	 	 	119	 
	12.06

	 	Credit Decision; Disclosure of Information by Agents
	 	 	120	 
	12.07

	 	Indemnification of Agents
	 	 	120	 
	12.08

	 	Agents in Their Individual Capacities
	 	 	121	 
	12.09

	 	Successor Agents
	 	 	121	 
	12.10

	 	Administrative Agent May File Proofs of Claim
	 	 	122	 
	12.11

	 	Collateral and Guaranty Matters
	 	 	123	 
	12.12

	 	Other Agents; Arrangers and Managers
	 	 	124	 
	12.13

	 	Appointment of Supplemental Agents
	 	 	124	 
	12.14

	 	Withholding Tax Indemnity
	 	 	125	 
	 
	 	 	 	 	 	 
	SECTION 13.

	 	HOLDINGS GUARANTY
	 	 	125	 
	 
	 	 	 	 	 	 
	13.01

	 	The Guaranty
	 	 	125	 
	13.02

	 	Bankruptcy
	 	 	125	 
	13.03

	 	Nature of Liability
	 	 	125	 
	13.04

	 	Independent Obligation
	 	 	126	 
	13.05

	 	Authorization
	 	 	126	 
	13.06

	 	Reliance
	 	 	127	 
	13.07

	 	Subordination
	 	 	127	 
	13.08

	 	Waiver
	 	 	127	 
	13.09

	 	Enforcement
	 	 	128	 
	 
	 	 	 	 	 	 
	SECTION 14.

	 	MISCELLANEOUS
	 	 	128	 
	 
	 	 	 	 	 	 
	14.01

	 	Payment of Expenses, etc.
	 	 	128	 
	14.02

	 	Right of Setoff
	 	 	129	 
	14.03

	 	Notices and Other Communications; Facsimile Copies
	 	 	130	 
	14.04

	 	Successors and Assigns
	 	 	131	 
	14.05

	 	No Waiver; Remedies Cumulative
	 	 	137	 
	14.06

	 	Sharing of Set-Offs
	 	 	137	 
	14.07

	 	Calculations; Computations
	 	 	138	 
	14.08

	 	GOVERNING LAW; SUBMISSION TO JURISDICTION; VENUE; WAIVER OF JURY
TRIAL
	 	 	138	 
	14.09

	 	Counterparts
	 	 	139	 
	14.10

	 	Effectiveness
	 	 	139	 
	14.11

	 	Headings Descriptive
	 	 	139	 
	14.12

	 	Amendment or Waiver; etc.
	 	 	139	 
	14.13

	 	Survival
	 	 	141	 
	14.14

	 	Domicile of Loans
	 	 	141	 
	14.15

	 	Confidentiality
	 	 	142	 
	14.16

	 	Limitation on Increased Costs, etc.
	 	 	142	 
	14.17

	 	USA Patriot Act Notice
	 	 	143	 
	14.18

	 	Payments Set Aside
	 	 	143	 

-iv-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	14.19

	 	No Advisory or Fiduciary Responsibility
	 	 	143	 
	14.20

	 	Electronic Execution of Assignments and Certain Other Documents
	 	 	143	 

-v-

 

	 	 	 
	SCHEDULE I

	 	Lender List
	SCHEDULE II

	 	Administrative Agent’s Office
	SCHEDULE 2.01(a)

	 	Existing Letters of Credit
	SCHEDULE 7.12

	 	Real Property
	SCHEDULE 7.14

	 	Subsidiaries
	SCHEDULE 7.20

	 	Insurance
	SCHEDULE 7.21

	 	Legal Names; Organizational Identification Numbers; Jurisdiction of Organization; Type of Organization; etc.
	SCHEDULE 8.13

	 	Existing De Minimis Subsidiaries
	SCHEDULE 8.14

	 	Mortgaged Properties
	SCHEDULE 9.01(iii)

	 	Existing Liens
	SCHEDULE 9.04

	 	Existing Indebtedness
	SCHEDULE 9.05(xi)

	 	Existing Investments
	SCHEDULE 11.01

	 	Commitments
	SCHEDULE 11.02

	 	Not-for-Profit Entities
	SCHEDULE 11.03

	 	Existing Specified Construction Projects
	SCHEDULE 14.03(a)(i)

	 	Notice Information
	EXHIBIT A-1

	 	Notice of Borrowing
	EXHIBIT A-2

	 	Notice of Swingline Borrowing
	EXHIBIT B-1

	 	Initial Term Note
	EXHIBIT B-2

	 	Revolving Note
	EXHIBIT B-3

	 	Swingline Note
	EXHIBIT B-4

	 	Incremental Term Note
	EXHIBIT C

	 	Incremental Commitment Agreement
	EXHIBIT D

	 	Letter of Credit Request
	EXHIBITS E-1-E-4

	 	United States Tax Compliance Certificates
	EXHIBIT F-1

	 	Opinion of Simpson Thatcher & Bartlett LLP, Special Counsel to the Credit Parties
	EXHIBIT F-2

	 	Opinion of Ronald P. Soltman, Esq., General Counsel to the Credit Parties
	EXHIBIT G

	 	Officers’ Certificate
	EXHIBIT H

	 	Pledge Agreement
	EXHIBIT I

	 	Subsidiaries Guaranty
	EXHIBIT J

	 	Vanguard Guaranty
	EXHIBIT K

	 	Security Agreement
	EXHIBIT L

	 	Solvency Certificate
	EXHIBIT M

	 	Compliance Certificate
	EXHIBIT N

	 	Joinder Agreement
	EXHIBIT O

	 	Subordination Agreement
	EXHIBIT P

	 	Assignment and Assumption Agreement
	EXHIBIT Q

	 	Discounted Prepayment Option Notice
	EXHIBIT R

	 	Lender Participation Notice
	EXHIBIT S

	 	Discounted Voluntary Prepayment Notice
	EXHIBIT T

	 	Affiliated Lender Assignment Assumption
	EXHIBIT U

	 	Intercreditor Agreement

-vi-

 

          CREDIT AGREEMENT, dated as of January 29, 2010, among VANGUARD HEALTH HOLDING COMPANY I,
LLC, a Delaware limited liability company, VANGUARD HEALTH HOLDING COMPANY II, LLC, a Delaware
limited liability company (the “Borrower”), the Lenders party hereto from time to time and BANK OF
AMERICA, N.A., as Administrative Agent, Collateral Agent, Issuing Lender and Swingline Lender.

WITNESSETH:

          WHEREAS, subject to and upon the terms and conditions herein set forth, the Lenders are
willing to make available to the Borrower the respective credit facilities provided for herein;

          NOW, THEREFORE, IT IS AGREED:

          SECTION 1. Amount and Terms of Credit.

          1.01 The Commitments.

          (a) Subject to and upon the terms and conditions set forth herein, each Lender with an Initial
Term Loan Commitment severally agrees to make a term loan (each an “Initial Term Loan” and,
collectively, the “Initial Term Loans”) to the Borrower in Dollars, which Initial Term Loans (i)
shall be incurred pursuant to a single drawing on the Initial Borrowing Date, (ii) shall, at the
option of the Borrower, be Base Rate Loans or Eurodollar Loans, and (iii) shall be made by each
such Lender in that aggregate principal amount which does not exceed the Initial Term Loan
Commitment of such Lender (before giving effect to any termination thereof on the Initial Borrowing
Date pursuant to Section 3.03(b)). Once prepaid or repaid, Initial Term Loans incurred hereunder
may not be reborrowed.

          (b) Subject to and upon the terms and conditions set forth herein, each Lender with a
Revolving Loan Commitment severally agrees, at any time and from time to time on and after the
Initial Borrowing Date and prior to the Revolving Loan Maturity Date, to make a revolving loan or
revolving loans (each, a “Revolving Loan” and, collectively, the “Revolving Loans”) to the Borrower
in Dollars, which Revolving Loans (i) shall, at the option of the Borrower, be Base Rate Loans or
Eurodollar Loans, (ii) may be repaid and reborrowed at any time in accordance with the provisions
hereof and (iii) shall only be available to the extent, that immediately after giving effect to the
Borrowing of such Revolving Loans, no Lender’s Revolving Loan Exposure would exceed its Revolving
Loan Commitment.

          (c) Subject to Section 1.11, the other terms and conditions set forth herein and the relevant
Incremental Commitment Agreement, each Lender with an Incremental Term Loan Commitment severally
agrees to make a term loan (each, an “Incremental Term Loan” and, collectively, the “Incremental
Term Loans”) to the Borrower, which Incremental Term Loans: (i) only may be incurred on one or
more Incremental Term Loan Borrowing Dates; (ii) except as hereafter provided, shall, at the option
of the Borrower, be incurred and maintained as, and/or converted into, Base Rate Loans or
Eurodollar Loans; and (iii) shall be made by each such Lender in that aggregate principal amount
which does not exceed the Incremental Term Loan Commitment of such Lender (as set forth in the
relevant Incremental Commitment Agreement) on the respective Incremental Term Loan Borrowing Date.
Once prepaid or repaid, Incremental Term Loans may not be reborrowed.

          1.02 Borrowings, Conversions and Continuations of Loans.

          (a) Each borrowing of Term Loans or Revolving Loans, each conversion of Term Loans or
Revolving Loans from one Type to the other, and each continuation of Eurodollar Loans shall be made
upon the Borrower’s irrevocable notice to the Administrative Agent (except that, subject to Section

 

 

1.08, a notice in connection with the initial Credit Event hereunder may be revoked if the Initial
Borrowing Date does not occur on the proposed date of borrowing), which may be given by telephone.
Each such notice must be received by the Administrative Agent not later than (i) 1:00 p.m. (New
York City time) three (3) Business Days prior to the requested date of any borrowing or
continuation of Eurodollar Loans or any conversion of Base Rate Loans to Eurodollar Loans and (ii)
10:00 a.m. (New York City time) on the Business Day of any borrowing of Base Rate Loans. Each
telephonic notice by the Borrower pursuant to this Section 1.02(a) must be confirmed promptly by
delivery to the Administrative Agent of a written Notice of Borrowing, appropriately completed and
signed by an Authorized Officer of the Borrower. Each Borrowing of, conversion to or continuation
of Eurodollar Loans shall be in a minimum principal amount of $2,500,000 or a whole multiple of
$500,000 in excess thereof. Except as provided in Sections 1.03(c) and 2.01(c), each borrowing of
or conversion to Base Rate Loans pursuant to this Section 1.02 shall be in a minimum principal
amount of $500,000 or a whole multiple of $100,000 in excess thereof. Each Notice of Borrowing
(whether telephonic or written) shall specify (i) whether the Borrower is requesting a borrowing of
Term Loans of a particular Tranche or Revolving Loans, a conversion of Term Loans of a particular
Tranche or Revolving Loans from one Type to the other, or a continuation of Eurodollar Loans for an
additional Interest Period, (ii) the requested date of the borrowing, conversion or continuation,
as the case may be (which shall be a Business Day), (iii) the principal amount of Loans to be
borrowed, converted or continued, (iv) the Type of Loans to be borrowed or to which existing Term
Loans or Revolving Loans are to be converted, and (v) if applicable, the duration of the Interest
Period with respect thereto. If the Borrower fails to specify a Type of Loan in a Notice of
Borrowing or fails to give a timely notice requesting a conversion or continuation, then the
applicable Term Loans or Revolving Loans shall be made as, or converted to, Base Rate Loans. Any
such automatic conversion to Base Rate Loans shall be effective as of the last day of the Interest
Period then in effect with respect to the applicable Eurodollar Loans. If the Borrower requests a
borrowing of, conversion to or continuation of Eurodollar Loans in any such Notice of Borrowing,
but fails to specify an Interest Period, it will be deemed to have specified an Interest Period of
one (1) month.

          (b) Following receipt of a Notice of Borrowing, the Administrative Agent shall promptly notify
each applicable Lender of the amount of its pro rata share of the applicable Tranche of Loans, and
if no timely notice of a conversion or continuation is provided by the Borrower, the Administrative
Agent shall notify each applicable Lender of the details of any automatic conversion to Base Rate
Loans or continuation described in Section 1.02(a). In the case of each Borrowing, each Lender
with a Commitment under the applicable Tranche shall make the amount of its Loan available to the
Administrative Agent in immediately available funds at the Administrative Agent’s Office not later
than 2:00 p.m. (New York City time) on the Business Day specified in the applicable Notice of
Borrowing. The Administrative Agent shall make all funds so received available to the Borrower in
like funds as received by the Administrative Agent either by (i) crediting the account of the
Borrower on the books of Bank of America with the amount of such funds or (ii) wire transfer of
such funds, in each case in accordance with instructions provided to (and reasonably acceptable to)
the Administrative Agent by the Borrower; provided that if, on the date the Notice of
Borrowing with respect to such Borrowing is given by the Borrower, there are Swingline Loans or L/C
Borrowings outstanding, then the proceeds of such Borrowing shall be applied, first, to the payment
in full of any such L/C Borrowing, second, to the payment in full of any such Swingline Loans, and
third, to the Borrower as provided above.

          (c) Except as otherwise provided herein, a Eurodollar Loan may be continued or converted only
on the last day of an Interest Period for such Eurodollar Loan unless the Borrower pays the amount
due, if any, under Section 1.08 in connection therewith. During the existence of an Event of
Default, the Administrative Agent or the Required Lenders may require that no Loans may be
converted to or continued as Eurodollar Loans.

-2-

 

          (d) The Administrative Agent shall promptly notify the Borrower and the Lenders of the
interest rate applicable to any Interest Period for Eurodollar Loans upon determination of such
interest rate. The determination of the Eurodollar Rate by the Administrative Agent shall be
conclusive in the absence of manifest error. At any time that Base Rate Loans are outstanding, the
Administrative Agent shall notify the Borrower and the Lenders of any change in Bank of America’s
prime rate used in determining the Base Rate promptly following the public announcement of such
change.

          (e) After giving effect to all borrowings of Term Loans and Revolving Loan Borrowings, all
conversions of Term Loans or Revolving Loans from one Type to the other, and all continuations of
Term Loans or Revolving Loans as the same Type, there shall not be more than ten (10) Interest
Periods in effect with respect to all Borrowings of Revolving Loans and not more than five (5)
Interest Periods in effect with respect to all Borrowings of Term Loans of any Tranche.

          (f) The failure of any Lender to make the Loan to be made by it as part of any Borrowing shall
not relieve any other Lender of its obligation, if any, hereunder to make its Loan on the date of
such Borrowing, but no Lender shall be responsible for the failure of any other Lender to make the
Loan to be made by such other Lender on the date of any Borrowing.

          1.03 The Swingline.

          (a) Subject to the terms and conditions set forth herein, the Swingline Lender may, in its
sole discretion, agree to make loans in Dollars to the Borrower (each such loan, a “Swingline
Loan”), from time to time on any Business Day during the period beginning on the Initial Borrowing
Date and until the Swingline Expiry Date in an aggregate amount not to exceed at any time
outstanding the amount of the Swingline Sublimit, notwithstanding the fact that such Swingline
Loans, when aggregated with the RL Percentage of the Outstanding Amount of Revolving Loans and
Letter of Credit Outstandings of the Lender acting as Swingline Lender, may exceed the amount of
such Swingline Lender’s Revolving Loan Commitment; provided that, after giving effect to
any Swingline Loan, the Revolving Loan Exposure of any Lender shall not exceed such Lender’s
Revolving Loan Commitment then in effect; provided further that the Borrower shall not use the
proceeds of any Swingline Loan to refinance any outstanding Swingline Loan. Within the foregoing
limits, and subject to the other terms and conditions hereof, the Borrower may borrow under this
Section 1.03, prepay under Section 4.01(a), and reborrow under this Section 1.03. Each Swingline
Loan shall be a Base Rate Loan. Immediately upon the making of a Swingline Loan, each Lender with
a Revolving Loan Commitment shall be deemed to, and hereby irrevocably and unconditionally agrees
to, purchase from the Swingline Lender a risk participation in such Swingline Loan in an amount
equal to the product of such Lender’s RL Percentage times the amount of such Swingline Loan.

          (b) Borrowing Procedures. Each Borrowing of Swingline Loans shall be made upon the
Borrower’s irrevocable notice to the Swingline Lender and the Administrative Agent, which may be
given by telephone. Each such notice must be received by the Swingline Lender and the
Administrative Agent not later than 2:00 p.m. (New York City time) on the requested borrowing date
and shall specify (i) the amount to be borrowed, which shall be a minimum of $100,000, and (ii) the
requested borrowing date, which shall be a Business Day. Each such telephonic notice must be
confirmed promptly by delivery to the Swingline Lender and the Administrative Agent of a written
Notice of Swingline Borrowing, appropriately completed and signed by an Authorized Officer of the Borrower. Promptly after
receipt by the Swingline Lender of any Notice of Swingline Borrowing (by telephone or in writing),
the Swingline Lender will confirm with the Administrative Agent (by telephone or in writing) that
the Administrative Agent has also received such Notice of Swingline Borrowing and, if not, such
Swingline Lender will notify the Administrative Agent (by telephone or in writing) of the contents
thereof. Unless (x) the relevant

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Swingline Lender has received notice (by telephone or in writing)
from the Administrative Agent (including at the request of any Lender) prior to 2:00 p.m. (New York
City time) on the date of the proposed Borrowing of Swingline Loans (A) directing the Swingline
Lender not to make such Swingline Loan as a result of the limitations set forth in the first
proviso to the first sentence of Section 1.03(a), or (B) that one or more of the applicable
conditions specified in Section 6 are not then satisfied or (y) such Swingline Lender has
determined in its sole discretion not to make such Swingline Loan, then, subject to the terms and
conditions hereof, the Swingline Lender will, not later than 3:00 p.m. (New York City time) on the
borrowing date specified in such Notice of Swingline Borrowing, make the amount of its Swingline
Loan available to the Borrower.

          (c) Refinancing of Swingline Loans. (i) The Swingline Lender at any time in its sole
and absolute discretion may request, on behalf of the Borrower (which hereby irrevocably authorizes
such Swingline Lender to so request on its behalf), that each Lender with a Revolving Loan
Commitment make a Base Rate Revolving Loan in an amount equal to such Lender’s RL Percentage of the
amount of Swingline Loans then outstanding. Such request shall be made in writing (which written
request shall be deemed to be a Notice of Borrowing for purposes hereof) and in accordance with the
requirements of Section 1.02, without regard to the minimum and multiples specified therein for the
principal amount of Base Rate Loans, but subject to the unutilized portion of the aggregate
Revolving Loan Commitments and the conditions set forth in Section 6. The relevant Swingline
Lender shall furnish the Borrower with a copy of the applicable Notice of Borrowing promptly after
delivering such notice to the Administrative Agent. Each Lender with a Revolving Loan Commitment
shall make an amount equal to its RL Percentage of the amount specified in such Notice of Borrowing
available to the Administrative Agent in immediately available funds for the account of the
Swingline Lender at the Administrative Agent’s Office not later than 1:00 p.m. (New York City time)
on the day specified in such Notice of Borrowing, whereupon, subject to Section 1.03(c)(ii), each
such Lender that so makes funds available shall be deemed to have made a Base Rate Revolving Loan
to the Borrower in such amount. The Administrative Agent shall remit the funds so received to the
Swingline Lender.

          (ii) If for any reason any Swingline Loan cannot be refinanced by such a Borrowing of Base
Rate Revolving Loans in accordance with Section 1.03(c)(i), the request for Base Rate Revolving
Loans submitted by the relevant Swingline Lender as set forth herein shall be deemed to be a
request by such Swingline Lender that each of the Lenders with Revolving Loan Commitments fund its
risk participation in the relevant Swingline Loan and each such Lender’s payment to the
Administrative Agent for the account of the Swingline Lender pursuant to Section 1.03(c)(i) shall
be deemed payment in respect of such participation.

          (iii) If any Lender with a Revolving Loan Commitment fails to make available to the
Administrative Agent for the account of the Swingline Lender any amount required to be paid by the
Lender pursuant to the foregoing provisions of this Section 1.03(c) by the time specified in
Section 1.03(c)(i), the Swingline Lender shall be entitled to recover from such Lender (acting
through the Administrative Agent), on demand, such amount with interest thereon for the period from
the date such payment is required to the date on which such payment is immediately available to the
Swingline Lender at a rate per annum equal to the greater of the Federal Funds Rate and a rate
determined by the Swingline Lender in accordance with banking industry rules on interbank
compensation, plus any administrative, processing or similar fees customarily charged by the
Swingline Lender in connection with the foregoing. A certificate of the Swingline Lender
submitted to any Lender (through the Administrative Agent) with
respect to any amounts owing under this clause (iii) shall be conclusive absent manifest error.

          (iv) The obligation of each Lender with a Revolving Loan Commitment to make Revolving Loans or
to purchase and fund risk participations in Swingline Loans pursuant to this Section

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1.03(c) shall
be absolute and unconditional and shall not be affected by any circumstance, including (A) any
setoff, counterclaim, recoupment, defense or other right which such Lender may have against the
Swingline Lender, the Borrower or any other Person for any reason whatsoever, (B) the occurrence or
continuance of a Default or Event of Default, or (C) any other occurrence, event or condition,
whether or not similar to any of the foregoing; provided that each such Lender’s obligation to make
Revolving Loans pursuant to this Section 1.03(c) (but not to purchase and fund risk participations
in Swingline Loans) is subject to the conditions set forth in Section 6. No such funding of risk
participations shall relieve or otherwise impair the obligation of the Borrower to repay Swingline
Loans, together with interest as provided herein.

          (d) Repayment of Participations. (i) At any time after any Lender with a Revolving
Loan Commitment has purchased and funded a risk participation in a Swingline Loan, if the relevant
Swingline Lender receives any payment on account of such Swingline Loan, such Swingline Lender will
distribute to such Lender its RL Percentage of such payment (appropriately adjusted, in the case of
interest payments, to reflect the period of time during which such Lender’s risk participation was
funded) in the same funds as those received by such Swingline Lender.

          (ii) If any payment received by the Swingline Lender in respect of principal or interest on
any Swingline Loan is required to be returned by the Swingline Lender under any of the
circumstances described in Section 14.18 (including pursuant to any settlement entered into by the
Swingline Lender in its discretion), each applicable Lender shall pay to the Swingline Lender its
RL Percentage thereof on demand of the Administrative Agent, plus interest thereon from the date of
such demand to the date such amount is returned, at a rate per annum equal to the applicable
Federal Funds Rate. The Administrative Agent will make such demand upon the request of a Swingline
Lender. The obligations of the Lenders with Revolving Loan Commitments under this clause shall
survive the payment in full of the Obligations and the termination of this Agreement.

          (e) Interest for Account of Swingline Lender. The Swingline Lender shall be
responsible for invoicing the Borrower for interest on the Swingline Loans. Until each Lender
funds its Revolving Loan or risk participation pursuant to this Section 1.03 to refinance such
Lender’s RL Percentage of any Swingline Loan, interest in respect of such RL Percentage shall be
solely for the account of the Swingline Lender.

          (f) Payments Directly to Swingline Lender. The Borrower shall make all payments of
principal and interest in respect of the Swingline Loans directly to the Swingline Lender.

          1.04 Evidence of Debt.

          (a) The Borrower’s obligation to pay the principal of, and interest on, the Loans made by each
Lender to the Borrower shall be evidenced in the Register maintained by the Administrative Agent
pursuant to Section 14.04(d) and shall, if requested by such Lender, also be evidenced by (i) if
Initial Term Loans, a promissory note duly executed and delivered by the Borrower substantially in
the form of Exhibit B-1, with blanks appropriately completed in conformity herewith (each, an
“Initial Term Note” and, collectively, the “Initial Term Notes”), (ii) if Revolving Loans, a
promissory note duly executed and
delivered by the Borrower substantially in the form of Exhibit B-2, with blanks appropriately
completed in conformity herewith (each, a “Revolving Note” and, collectively, the “Revolving
Notes”), (iii) if Swingline Loans, by a promissory note duly executed by the Borrower substantially
in the form of Exhibit B-3, with blanks appropriately completed in conformity herewith (the
“Swingline Note”) and (iv) if Incremental Term Loans, by a promissory note duly executed and
delivered by the Borrower substantially in the form of Exhibit B-4, with blanks appropriately
completed in conformity herewith and the relevant

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Incremental Commitment Agreement (each, an
“Incremental Term Note” and, collectively, the “Incremental Term Notes”).

          (b) Each Lender will note on its internal records the amount of each Loan made by it and each
payment in respect thereof. Failure to make any such notation (or any error in such notation)
shall not affect the Borrower’s obligations in respect of such Loans.

          1.05
Pro Rata Borrowings.
All Borrowings of (i) Initial Term Loans under this Agreement shall be incurred from the
Lenders with Initial Term Loan Commitments pro rata on the basis of their respective Initial Term
Loan Commitments, (ii) Revolving Loans under this Agreement
shall be incurred from the Lenders pro
rata on the basis of their respective RL Percentages and (iii) Incremental Term Loans of a
particular Tranche under this Agreement shall be incurred from the Lenders pro rata on the basis of
their respective Incremental Term Loan Commitments. It is understood that no Lender shall be
responsible for any default by any other Lender of its obligation to make Loans hereunder and that
each Lender shall be obligated to make the Loans provided to be made by it hereunder, regardless of
the failure of any other Lender to make its Loans hereunder.

          1.06 Interest.

          (a) The Borrower agrees to pay interest in respect of the unpaid principal amount of each Base
Rate Loan from the date the proceeds thereof are made available to the Borrower or from the date of
any conversion to a Base Rate Loan pursuant to Section 1.02 or 1.07, as applicable, until the
earlier of (i) the maturity (whether by acceleration or otherwise) of such Base Rate Loan and (ii)
the conversion of such Base Rate Loan to a Eurodollar Loan pursuant to Section 1.02, at a rate per
annum which shall be equal to the sum of the Applicable Margin in effect from time to time for the
Tranche under which such Loans were incurred, plus the Base Rate in effect from time to time for
such Tranche.

          (b) The Borrower agrees to pay interest in respect of the unpaid principal amount of each
Eurodollar Loan from the date the proceeds thereof are made available to the Borrower or from the
date of any conversion to a Eurodollar Loan pursuant to Section 1.02 until the earlier of (i) the
maturity (whether by acceleration or otherwise) of such Eurodollar Loan and (ii) the conversion of
such Eurodollar Loan to a Base Rate Loan pursuant to Section 1.02 or 1.07, as applicable, at a rate
per annum which shall, during each Interest Period applicable thereto, be equal to the sum of the
Applicable Margin in effect from time to time during such Interest Period for the Tranche under
which such Loans were incurred, plus the Eurodollar Rate for such Tranche for such Interest Period.

          (c) Overdue principal and, to the extent permitted by law, overdue interest in respect of each
Loan shall, in each case, bear interest at a rate per annum equal to the rate which is 2% in excess
of the rate otherwise applicable to such Loans, and all other overdue amounts payable hereunder and
under any other Credit Document shall bear interest at a rate per annum equal to the rate which is
2% in excess of the rate applicable to Revolving Loans maintained as Base Rate Loans from time to
time. Interest which accrues under this Section 1.06(c) shall be payable on demand.

          (d) Accrued (and theretofore unpaid) interest (other than overdue interest described in
preceding clause (c) which shall be payable as provided in such preceding clause (c)) shall be
payable (i) in respect of each Base Rate Loan, quarterly in arrears on each Quarterly Payment Date,
(ii) in respect of each Eurodollar Loan, on the last day of each Interest Period applicable thereto
and, in the case of an Interest Period in excess of three months, on each date occurring at three
month intervals after the first day of such Interest Period and on any prepayment (on the amount
prepaid), and (iii) at maturity (whether by acceleration or otherwise) and, after such maturity, on
demand.

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          1.07 Increased Costs, Illegality, etc.

          (a) In the event that any Lender shall have determined (which determination shall, absent
manifest error, be final and conclusive and binding upon all parties hereto but, with respect to
clause (i) below, may be made only by the Administrative Agent):

     (i) on any required date of determination of the Eurodollar Rate that, by reason of any
changes arising after the Effective Date affecting the interbank Eurodollar market, adequate
and fair means do not exist for ascertaining the applicable interest rate on the basis
provided for in the definition of Eurodollar Rate; or

     (ii) at any time, that such Lender shall incur increased costs or reductions in the
amounts received or receivable hereunder with respect to any Eurodollar Loan because of (x)
any change since the Effective Date in any applicable law or governmental rule, regulation,
order, guideline or request (whether or not having the force of law) or in the
interpretation or administration thereof and including the introduction of any new law or
governmental rule, regulation, order, guideline or request, such as, for example, but not
limited to a change in the basis of taxation of payment to any Lender of the principal of or
interest on such Eurodollar Loan or any other amounts payable hereunder; (except for
Indemnified Taxes or Other Taxes (which are covered by Section 4.04) or any Excluded Taxes)
and/or (y) other circumstances since the Effective Date affecting such Lender or the
interbank Eurodollar market or the position of such Lender in such market; or

     (iii) at any time, that the making or continuance of any Eurodollar Loan has been made
(x) unlawful by any law or governmental rule, regulation or order, (y) impossible by
compliance by any Lender in good faith with any governmental request (whether or not having
force of law) or (z) impracticable as a result of a contingency occurring after the
Effective Date which materially and adversely affects the interbank Eurodollar market;

then, and in any such event, such Lender (or the Administrative Agent, in the case of clause (i)
above) shall promptly give notice (by telephone confirmed in writing) to the Borrower and, except
in the case of clause (i) above, to the Administrative Agent of such determination (which notice
the Administrative Agent shall promptly transmit to each of the other Lenders). Thereafter (x) in
the case of clause (i) above, Eurodollar Loans shall no longer be available until such time as the
Administrative Agent notifies the Borrower and the Lenders that the circumstances giving rise to
such notice by the Administrative Agent no longer exist, and any Notice of Borrowing given by the
Borrower with respect to Eurodollar Loans which have not yet been incurred (including by way of
conversion) shall be deemed a Notice of Borrowing for or into Base Rate Loans unless such Notice of
Borrowing is rescinded by the Borrower prior to the
making of such Borrowing or such conversion, (y) in the case of clause (ii) above, the Borrower
shall, subject to the provisions of Section 14.16 (to the extent applicable), pay to such Lender,
upon written demand therefor, such additional amounts (in the form of an increased rate of, or a
different method of calculating, interest or otherwise as such Lender in its sole discretion shall
determine) as shall be required to compensate such Lender for increased costs or reductions in
amounts received or receivable hereunder (a written notice as to the additional amounts owed to
such Lender, showing the basis for the calculation thereof, submitted to the Borrower by such
Lender in good faith shall, absent manifest error, be final and conclusive and binding on all the
parties hereto) and (z) in the case of clause (iii) above, the Borrower shall take one of the
actions specified in Section 1.07(b) as promptly as possible and, in any event, within the time
period required by law. Each of the Administrative Agent and each Lender agrees that if it gives
notice to the Borrower of any of the events described in clause (i) or (iii) above, it shall
promptly notify the Borrower and, in the case of any such Lender, the Administrative Agent, if such
event ceases to exist.

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If any such event described in clause (iii) above ceases to exist as to a
Lender, the obligations of such Lender to make Eurodollar Loans and to convert Base Rate Loans into
Eurodollar Loans on the terms and conditions contained herein shall be reinstated. In addition, if
the Administrative Agent gives notice to the Borrower that the events described in clause (i) above
cease to exist, then the obligations of the Lenders to make Eurodollar Loans and to convert Base
Rate Loans into Eurodollar Loans on the terms and conditions contained herein (but subject to
clause (iii) above) shall also be reinstated.

          (b) At any time that any Eurodollar Loan is affected by the circumstances described in Section
1.07(a)(ii) or (iii), the Borrower may (and in the case of a Eurodollar Loan affected by the
circumstances described in Section 1.07(a)(iii) the Borrower shall) either (x) if the affected
Eurodollar Loan is then being made initially or pursuant to a conversion, cancel the respective
Borrowing by giving the Administrative Agent telephonic notice (confirmed in writing) on the same
date that the Borrower was notified by the affected Lender or the Administrative Agent pursuant to
Section 1.07(a)(ii) or (iii) or (y) if the affected Eurodollar Loan is then outstanding, upon at
least three Business Days’ written notice to the Administrative Agent, require the affected Lender
to convert such Eurodollar Loan into a Base Rate Loan, provided that, if more than one
Lender is affected at any time, then all affected Lenders must be treated the same pursuant to this
Section 1.07(b).

          (c) If at any time any Lender determines that, after the Effective Date, the introduction of
or any change in any applicable law or governmental rule, regulation, order, guideline, directive
or request (whether or not having the force of law and including, without limitation, those
announced or published prior to the Effective Date) concerning capital adequacy, or any change in
interpretation or administration thereof by the NAIC or any governmental authority, central bank or
comparable agency, will have the effect of increasing the amount of capital required or expected to
be maintained by such Lender or any corporation controlling such Lender based on the existence of
such Lender’s Commitments hereunder or its obligations hereunder, then the Borrower shall, subject
to the provisions of Section 14.16 (to the extent applicable), pay to such Lender, upon its written
demand therefor, such additional amounts as shall be required to compensate such Lender or such
other corporation for the increased cost to such Lender or such other corporation or the reduction
in the rate of return to such Lender or such other corporation as a result of such increase of
capital. In determining such additional amounts, each Lender will act reasonably and in good faith
and will use averaging and attribution methods which are reasonable, provided that such
Lender’s reasonable good faith determination of compensation owing under this Section 1.07(c)
shall, absent manifest error, be final and conclusive and binding on all the parties hereto. Each
Lender, upon determining that any additional amounts will be payable pursuant to this Section
1.07(c), will give prompt written notice thereof to the Borrower, which notice shall show the basis
for calculation of such additional amounts. In addition, each such Lender, upon determining that
the circumstances giving rise to the payment of additional amounts pursuant to this Section 1.07(c)
cease to exist, will give prompt written notice thereof to the Borrower.

          1.08 Compensation. The Borrower shall compensate each Lender, upon its written request (which request shall
set forth the basis for requesting such compensation), for all reasonable losses, expenses and
liabilities (including, without limitation, any loss, expense or liability incurred by reason of
the liquidation or reemployment of deposits or other funds required by such Lender to fund its
Eurodollar Loans but excluding any loss of anticipated profit) which such Lender may sustain: (i)
if for any reason (other than a default by such Lender or the Administrative Agent) a borrowing of,
or conversion from or into, Eurodollar Loans does not occur on a date specified therefor in a
Notice of Borrowing (whether or not withdrawn by the Borrower or deemed withdrawn pursuant to
Section 1.07(a)); (ii) if any repayment (including any repayment made pursuant to Section 4.01 or
4.02 or as a result of an acceleration of the Loans pursuant to Section 10A) or conversion of any
of the Borrower’s Eurodollar Loans occurs on a date which is not the last day of an Interest Period
with respect thereto; and (iii) if any prepay-

-8-

 

ment of any of the Borrower’s Eurodollar Loans is not
made on any date specified in a notice of prepayment given by the Borrower; or (iv) as a
consequence of (x) any other default by the Borrower to repay the Loans when required by the terms
of this Agreement or (y) any election made pursuant to Section 1.07(b).

          1.09 Change of Lending Office. Each Lender agrees that on the occurrence of any event giving rise to the operation of
Section 1.07(a)(ii) or (iii), Section 1.07(c), Section 2.01(l) or Section 4.04 with respect to such
Lender, it will, if requested by the Borrower, use reasonable efforts (subject to overall policy
considerations of such Lender) to designate another lending office for any Loans and/or Letters of
Credit affected by such event, provided that such designation is made on such terms that
such Lender and its lending office suffer no material (as determined by such Lender in its sole
discretion) economic, legal or regulatory disadvantage, with the object of avoiding the consequence
of the event giving rise to the operation of such Section. Nothing in this Section 1.09 shall
affect or postpone any of the obligations of the Borrower or the right of any Lender provided in
Sections 1.07, 2.01(l) and 4.04.

          1.10 Replacement of Lenders.

          (a) (x) If any Lender (i) becomes a Defaulting Lender or (ii) refuses to consent to certain
proposed changes, waivers, discharges or terminations with respect to this Agreement which have
been approved by the Required Lenders as provided in Section 14.12(b) or (y) upon the occurrence of
any event giving rise to the operation of Section 1.07(a)(ii) or (iii), Section 1.07(c), Section
2.01(l) or Section 4.04 with respect to any Lender which results in such Lender charging to the
Borrower increased costs in excess of those being generally charged by the other Lenders, the
Borrower shall have the right, in accordance with the requirements of Section 14.04(b), if no
Default or Event of Default will exist after giving effect to such replacement, to replace such
Lender (the “Replaced Lender”) with one or more other Eligible Assignee or Assignees, none of whom
shall constitute a Defaulting Lender at the time of such replacement (collectively, the
“Replacement Lender”), reasonably acceptable to the Administrative Agent (and if such Lender is
assuming a Revolving Loan Commitment, with each consent required for an assignment thereof pursuant
to Section 14.04) or, at the option of the Borrower, to replace only (A) in the case of a
replacement as described in preceding clause (x)(i) or (y), the Revolving Loan Commitment (and
outstanding Revolving Loans pursuant thereto) of the Replaced Lender with an identical Revolving
Loan Commitment provided by the Replacement Lender, or (B) in the case of a replacement as
described in preceding clause (x)(ii) where the consent of the respective Lender is required with
respect to less than all Tranches, the Commitments and/or outstanding Loans of such Lender in
respect of each Tranche where the consent of such Lender would otherwise be individually required,
with identical Commitments
and/or Loans of the respective Tranche provided by the Replacement Lender; provided
that, (i) at the time of any replacement pursuant to this Section 1.10, the Replaced Lender and the
Replacement Lender shall enter into one or more Assignment and Assumption Agreements pursuant to
Section 14.04(b) (and with all fees payable pursuant to said Section 14.04(b) to be paid by the
Replacement Lender) pursuant to which the Replacement Lender shall acquire all of the Commitments
and all of the outstanding Loans (or, in the case of the replacement of only (a) the Revolving Loan
Commitment, outstanding Revolving Loans and participations in Letter of Credit Outstandings and
Swingline Loans and/or (b) a particular Tranche or Tranches of Term Loans, the outstanding
principal amount of such Tranche or Tranches of Term Loans and/or unfunded Commitments thereunder,
as the case may be) of, and in each case (except for the replacements of only one or more Tranches
of Term Loans of a Replaced Lender) participations in Letters of Credit and Swingline Loans by, the
Replaced Lender and, in connection therewith, shall pay to (A) the Replaced Lender in respect
thereof an amount equal to the sum of (1) an amount equal to the principal of all outstanding Loans
of the Replaced Lender (or, in the case of the replacement of only (i) the Revolving Loan
Commitment of the Replaced Lender, all outstanding Revolving Loans of the Replaced Lender or (ii)
the outstanding principal amount of a particular Tranche or Tranches of Term Loans of the Replaced

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Lender, all outstanding Term Loans
 of such Tranche or Tranches of the Replaced Lender) and (2)
except in the case of the replacement of only one or more Tranches of Term Loans of a Replaced
Lender, an amount equal to all L/C Advances that have been funded by (and not reimbursed to) such
Replaced Lender, (B) in the case of any replacement of Revolving Loan Commitments, the respective
Issuing Lender an amount equal to such Replaced Lender’s RL Percentage of any Unreimbursed Amounts
relating to Letters of Credit issued by such Issuing Lender (which at such time remains
outstanding) to the extent such amount was not theretofore funded by such Replaced Lender to such
Issuing Lender and (C) in the case of any replacement of Revolving Loan Commitments, the Swingline
Lender an amount equal to such Replaced Lender’s RL Percentage of any required participation in any
Swingline Loan to the extent such amount was not theretofore funded by such Replaced Lender to the
Swingline Lender and (ii) all obligations of the Borrower due and owing to the Replaced Lender
(other than (a) those specifically described in clause (i) above in respect of which the assignment
purchase price has been, or is concurrently being, paid or (b) relating to any Tranche of Loans
and/or Commitments of the respective Replaced Lender which will remain outstanding after giving
effect to the respective replacement) shall be paid in full to such Replaced Lender concurrently
with such replacement; and provided further that in the case of any such assignment
resulting from a claim for compensation under Section 1.07 or payments required to be made pursuant
to Section 4.04, such assignment will be permitted only if it will result in a reduction in such
compensation or payments. All amounts of (i) interest in respect of all outstanding Loans of any
such Replaced Lender (or, in the case of the replacement of only (x) the Revolving Loan Commitment
of such Replaced Lender, in respect of all outstanding Revolving Loans of such Replaced Lender or
(y) the outstanding principal amount of a particular Tranche or Tranches of Term Loans of such
Replaced Lender, in respect of all outstanding Term Loans of such Tranche or Tranches of such
Replaced Lender) which has accrued to the date of such replacement and has not been paid as of such
date shall be paid to such Replaced Lender at the time such interest would otherwise be payable in
accordance with the provisions of Section 1.06(d) and (ii) all accrued, but theretofore unpaid Fees
owing to the Replaced Lender pursuant to Section 3.01 at the time of such replacement (but only
with respect to the relevant Tranches, in the case of a replacement of less than all of the
Tranches of the respective Replaced Lender) shall be paid to such Replaced Lender at the time such
Fees would otherwise be payable in accordance with the provisions of Section 3.01.

          (b) Upon the execution of the respective Assignment and Assumption Agreements, the payment of
amounts referred to in clauses (i) and (ii) of Section 1.10(a) and, if so requested by the
Replacement Lender, delivery to the Replacement Lender of the appropriate Note or Notes executed by
the Borrower, the Replacement Lender shall become a Lender hereunder and, unless the respective
Replaced Lender continues to have a Revolving Loan Commitment or outstanding Term Loans hereunder,
the Replaced Lender shall cease to constitute a Lender hereunder, except with respect to
indemnification
provisions under this Agreement (including, without limitation, Sections 1.07, 1.08, 2.01(l),
4.04, 14.01 and 14.06), which shall survive as to such Replaced Lender.

          1.11 Incremental Commitments.

          (a) So long as no Default or Event of Default then exists or would result therefrom, the
Borrower shall have the right to request on one or more occasions that one or more Lenders and/or
one or more other Eligible Assignees provide (A) Incremental Term Loan Commitments under a given
Tranche of Incremental Term Loans as designated in the Incremental Commitment Agreement in
accordance with the provisions of this Agreement and, subject to the terms and conditions contained
in this Agreement and the relevant Incremental Commitment Agreement, make Incremental Term Loans,
pursuant thereto or (B) one or more increases in the Revolving Loan Commitments (“Increased
Revolving Loan Commitments”), it being understood and agreed, however, that:

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     (i) no Lender shall be obligated to provide an Incremental Term Loan Commitment or
Increased Revolving Loan Commitment as a result of any such request by the Borrower;

     (ii) any Lender or other Eligible Assignee may provide an Incremental Term Loan
Commitment without the consent of any other Lender; provided, that any Eligible
Assignee that (x) is not a Lender, an affiliate of a Lender or an Approved Fund shall be
subject to the consent (not to be unreasonably withheld) of the Administrative Agent or (y)
is providing an Increased Revolving Loan Commitment shall be subject to the consent (not to
be unreasonably withheld) of the Administrative Agent, the Swingline Lender and the Issuing
Lenders;

     (iii) each provision of Incremental Term Loan Commitments pursuant to this Section 1.11
on a given date pursuant to a particular Incremental Commitment Agreement shall be in a
minimum aggregate amount (for all Lenders and other Eligible Assignees who will become
Lenders pursuant thereto) of $25,000,000 and each provision of Increased Revolving Loan
Commitments pursuant to this Section 1.11 on a given date pursuant to a particular
Incremental Commitment Agreement shall be in a minimum aggregate amount (for all Lenders and
other Eligible Assignees who will become Lenders pursuant thereto) of $5,000,000;

     (iv) after giving effect to the establishment of such Incremental Term Loan Commitments
or Increased Revolving Loan Commitments, the Maximum Consolidated Senior Secured Leverage
Condition (calculated on a Post-Test Period Pro Forma Basis and assuming that all
Incremental Term Loans to be incurred pursuant to such Incremental Term Loan Commitments
(and any other then existing Incremental Term Loan Commitments) have been incurred and that
Revolving Loans have been made pursuant to, and in an amount equal to, the full amount of
Increased Revolving Loan Commitments established following the Initial Borrowing Date) shall
be satisfied on the date such Incremental Term Loan Commitments or Increased Revolving Loan
Commitments are established;

     (v) each Incremental Commitment Agreement pursuant to which Incremental Term Loan
Commitments are being provided shall specifically designate the Tranche of the Incremental
Term Loan Commitments being provided thereunder (which Tranche shall be a new Tranche
(i.e., not the same as any existing Tranche of Term Loans or Incremental
Term Loan Commitments) unless the requirements of following Section 1.11(c) are satisfied);

     (vi) each Lender agreeing to provide an (x) Incremental Term Loan Commitment pursuant
to an Incremental Commitment Agreement shall, subject to the satisfaction of the relevant
conditions set forth in this Agreement, make Incremental Term Loans under the Tranche
specified in such Incremental Commitment Agreement as provided in Section 1.01(c) and such
Loans shall thereafter be deemed to be Incremental Term Loans under such Tranche for all
purposes of this Agreement and the other Credit Documents or (y) an Increased Revolving Loan
Commitment pursuant to an Incremental Commitment Agreement shall, subject to the
satisfaction of the relevant conditions set forth in this Agreement, have a Revolving Loan
Commitment from and after the date of the related Incremental Commitment Agreement;

     (vii) in no event shall the Maturity Date of the Incremental Term Loans to be provided
pursuant to any Incremental Commitment Agreement be earlier than the Maturity Date of any
other Tranche of Loans (or the Revolving Loan Commitments) outstanding at the time such
Incremental Term Loans are incurred;

     (viii) in no event shall the Weighted Average Life to Maturity of the Incremental Term
Loans to be provided pursuant to any Incremental Commitment Agreement be less than the

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Weighted Average Life to Maturity of any other Tranche of Term Loans outstanding at the time
such Incremental Term Loans are incurred;

          (ix) after giving effect to the establishment of such Incremental Term Loan Commitments
and Increased Revolving Loan Commitments, the Borrower shall be in compliance with Sections
9.08 and 9.09 (calculated on a Post-Test Period Pro Forma Basis and assuming that all
Incremental Term Loans to be incurred pursuant to such Incremental Term Loan Commitments
(and any other then existing Incremental Term Loan Commitments) have been incurred and that
Revolving Loans have been made pursuant to, and in an amount equal to, the full amount of
Increased Revolving Loan Commitments established following the Initial Borrowing Date) at
such time;

          (x) the Applicable Margin, minimum Eurodollar Rate, if any, and minimum Base Rate, if
any, for the Incremental Term Loans shall be determined by the Borrower and the applicable
Lenders or Eligible Assignees providing such Incremental Term Loans; provided,
however, that (i) the interest rate margins for the Incremental Term Loans shall not
be greater than the highest interest rate margins that may, under any circumstances, be
payable with respect to the Initial Term Loans plus 25 basis points (unless the interest
rate margins applicable to the Term Loans are increased to the extent necessary to achieve
the foregoing), (ii) solely for purposes of the foregoing clause (i), the interest rate
margins applicable to any Initial Term Loans or Incremental Term Loans shall be deemed to
include all upfront or similar fees or original issue discount (but excluding bona fide
arrangement fees) payable by the Borrower generally to the Lenders providing such Initial
Term Loans or such Incremental Term Loans based on an assumed four-year life to maturity)
and (iii) if the lowest permissible Eurodollar Rate is greater than 1.50% or the lowest
permissible Base Rate is greater than 2.50% for such Incremental Term Loans, the difference
between such “floor” and 1.50%, in the case of Eurodollar Loans, or 2.50%, in the case of
Base Rate Loans, shall be equated to interest rate margin for purposes of clause (i) above;

          (xi) except as provided above, the terms and conditions applicable to Incremental Term
Loans shall be determined by the Borrower and the Lenders providing such Incremental Term
Loans; provided that to the extent such terms are materially different from those of
the Initial Term Loans, such terms shall be reasonably satisfactory to the Administrative
Agent; and

          (xii) the Borrower shall provide the Administrative Agent with notice of each request
for Incremental Term Loan Commitments pursuant to this Section 1.11 contemporaneously with
the making of each such request.

          (b) At the time of any provision of Incremental Term Loan Commitments of a given Tranche
pursuant to this Section 1.11, (i) the Borrower, and each Lender or other Eligible Assignee which
agrees to provide an Incremental Term Loan Commitment (each an “Incremental Term Loan Lender”)
shall execute (which execution may be in counterparts) and deliver to the Administrative Agent an
Incremental Commitment Agreement (it being understood that a single Incremental Commitment
Agreement shall be executed and delivered by all Incremental Term Loan Lenders providing
Incremental Term Loan Commitments in response to a particular request for same made by the
Borrower) substantially in the form of Exhibit C (appropriately completed and with such
modifications as may be reasonably acceptable to the Administrative Agent), with the effectiveness
of the Incremental Term Loan Commitment(s) provided therein to occur on the date set forth in such
Incremental Commitment Agreement and the payment of any fees required in connection therewith; (ii)
VHS Holdco I and its Subsidiaries shall have delivered such amendments, modifications and/or
supplements to the Security Documents (if any) as are necessary or, in the reasonable opinion of
the Administrative Agent, desirable to ensure that the additional Obliga-

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tions to be incurred
pursuant to the Incremental Term Loan Commitments are secured by, and entitled to the benefits of,
the Security Documents; (iii) the Administrative Agent shall receive an acknowledgment from the
Credit Parties that the Incremental Term Loans to be incurred pursuant to such Incremental Term
Loan Commitments are entitled to the benefits of the applicable Credit Documents; and (iv) the
Borrower shall deliver to the Administrative Agent an opinion or opinions, in form and substance
reasonably satisfactory to the Administrative Agent, from counsel to the Borrower reasonably
satisfactory to the Administrative Agent (which, unless otherwise requested by the Administrative
Agent, may be the Borrower’s General Counsel) and dated such date, covering such matters as the
Administrative Agent may reasonably request. The Administrative Agent shall promptly notify each
Lender as to the effectiveness of each Incremental Commitment Agreement.

          (c) Notwithstanding anything to the contrary contained above, the Incremental Term Loan
Commitments provided by an Incremental Term Loan Lender or Incremental Term Loan Lenders, as the
case may be, pursuant to each Incremental Commitment Agreement shall constitute a new Tranche,
which shall be separate and distinct from the existing Tranches pursuant to this Agreement, which
designation may be made in letters (i.e., A, B, C, etc.), numbers (1, 2, 3, etc.) or a
combination thereof (i.e., A-1, A-2, B-1, B-2, etc.), provided that the parties to
a given Incremental Commitment Agreement may specify therein that the respective Incremental Term
Loans made pursuant thereto shall constitute part of, and be added to, an existing Tranche of Term
Loans, so long as the following requirements are satisfied:

     (i) the Incremental Term Loans to be made pursuant to such Incremental Commitment
Agreement shall have the same Maturity Date and the same Weighted Average Life to Maturity
as the Tranche of Term Loans to which the new Incremental Term Loans are being added, and
shall bear interest at the same rates (i.e., have the same Applicable Margins and
other interest rate terms) applicable to such Tranche;

     (ii) the new Incremental Term Loans shall have the same Scheduled Term Loan Repayment
Dates as then remain with respect to the Tranche to which such new Incremental Term Loans
are being added (with the amount of each Scheduled Term Loan Repayment applicable to such
new Incremental Term Loans to be the same (on a proportionate basis) as is theretofore
applicable to the Tranche to which such new Incremental Term Loans are being added, thereby
increasing the amount of each then remaining Scheduled Term Loan Repayment of the respective
Tranche proportionately, provided that any Scheduled Term Loan Repayments relating
to Incremental Term Loans being added to the Tranche of Initial Term Loans shall be determined
in accordance with Section 4.02(b)); and

     (iii) on the date of the making of such new Incremental Term Loans, and notwithstanding
anything to the contrary set forth in Section 1.02, such Incremental Term Loans shall be
added to (and form part of) each Borrowing of outstanding Term Loans of the respective
Tranche on a pro rata basis (based on the relative sizes of the various outstanding
Borrowings), so that each Lender will participate proportionately in each then outstanding
Borrowing of Loans of the respective Tranche, and so that the existing Lenders with respect
to such Tranche continue to have the same participation (by amount) in each Borrowing as
they had before the making of the new Incremental Term Loans of such Tranche.

          To the extent the provisions of the preceding clause (iii) require that Lenders making new
Incremental Term Loans add the same to then outstanding Borrowings of Eurodollar Loans, it is
acknowledged that the effect thereof may result in such new Incremental Term Loans having short
Interest Periods (i.e., an Interest Period that began during an Interest Period then
applicable to outstanding Eurodollar Loans and which will end on the last day of such Interest
Period).

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          (d) Upon each increase in the Revolving Loan Commitments pursuant to this Section 2.11, each
Lender with a Revolving Loan Commitment immediately prior to such increase will automatically and
without further act be deemed to have assigned to each Lender providing an Increased Revolving Loan
Commitment, and each such Lender with an Increased Revolving Loan Commitment will automatically and
without further act be deemed to have assumed, a portion of such existing Lender’s participations
hereunder in the Letter of Credit Outstandings and Swingline Loans such that, after giving effect
to each such deemed assignment and assumption of participations, the percentage of the aggregate
outstanding (i) participations hereunder in Letter of Credit Outstandings and (ii) participations
hereunder in Swingline Loans held by each Lender with a Revolving Loan Commitment will equal the RL
Percentage of such additional Lender (after giving effect to such Increased Revolving Loan
Commitments) and (b) if, on the date of such increase, there are any Revolving Loans outstanding,
such Revolving Loans shall on or prior to the effectiveness of such Increased Revolving Loan
Commitment be prepaid from the proceeds of additional Revolving Loans made hereunder (reflecting
such Increased Revolving Loan Commitments), which prepayment shall be accompanied by accrued
interest on the Revolving Credit Loans being prepaid and any costs incurred by any Lender in
accordance with Section 2.08. The Administrative Agent and the Lenders hereby agree that the
minimum borrowing, pro rata borrowing and pro rata payment requirements contained elsewhere in this
Agreement shall not apply to the transactions effected pursuant to the immediately preceding
sentence.

          SECTION 2. Letters of Credit.

          2.01 The Letter of Credit Commitment.

          (a) (i) Subject to the terms and conditions set forth herein, (A) each Issuing Lender agrees,
in reliance upon the agreements of the Lenders with Revolving Loan Commitments set forth in this
Section 2.01, (1) from time to time on any Business Day during the period from the Initial
Borrowing Date until the Letter of Credit Expiration Date, to issue Letters of Credit denominated
in Dollars for the account of the Borrower (provided that any Letter of Credit may be for
the benefit of any Subsidiary of the Borrower) and to amend or renew Letters of Credit previously
issued by it, in accordance with Section 2.01(b), and (2) to honor drafts under the Letters of
Credit and (B) the Lenders with Revolving Loan Commitments severally agree to participate in
Letters of Credit issued pursuant to this Section 2.01; provided that no Issuing Lender
shall be obligated to make any L/C Credit Extension with
respect to any Letter of Credit, and no Lender shall be obligated to participate in any Letter of
Credit, if as of the date of such L/C Credit Extension, (x) the Revolving Loan Exposure of any
Lender would exceed such Lender’s Revolving Loan Commitment or (y) the Outstanding Amount of the
Letter of Credit Obligations would exceed the Letter of Credit Sublimit. Within the foregoing
limits, and subject to the terms and conditions hereof, the Borrower’s ability to obtain Letters of
Credit shall be fully revolving, and accordingly the Borrower may, during the foregoing period,
obtain Letters of Credit to replace Letters of Credit that have expired or that have been drawn
upon and reimbursed. It is acknowledged and agreed that each of the letters of credit which were
issued under the Existing Credit Agreement and which remain outstanding on the Initial Borrowing
Date and are set forth on Schedule 2.01(a) (each such letter of credit, an “Existing Letter of
Credit” and, collectively, the “Existing Letters of Credit”) shall, from and after the Initial
Borrowing Date, constitute a Letter of Credit for all purposes of this Agreement and shall, for
purposes of Sections 2.01(c) and Section 3, be deemed issued on the Initial Borrowing Date.

          (ii) An Issuing Lender shall be under no obligation to issue any Letter of Credit if:

     (1) any order, judgment or decree of any Governmental Authority or arbitrator shall by
its terms purport to enjoin or restrain such Issuing Lender from issuing such Letter of
Credit, or any Law applicable to such Issuing Lender or any directive (whether or not having
the force of

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law) from any Governmental Authority with jurisdiction over such Issuing Lender
shall prohibit, or direct that such Issuing Lender refrain from, the issuance of letters of
credit generally or such Letter of Credit in particular or shall impose upon such Issuing
Lender with respect to such Letter of Credit any restriction, reserve or capital requirement
(for which such Issuing Lender is not otherwise compensated hereunder) not in effect on the
Effective Date, or shall impose upon such Issuing Lender any unreimbursed loss, cost or
expense which was not applicable on the Effective Date (for which such Issuing Lender is not
otherwise compensated hereunder);

     (2) the expiry date of such requested Letter of Credit would occur more than twelve
months after the date of issuance or last renewal, unless the Lenders holding a majority of
the Revolving Loan Commitments have approved such expiry date;

     (3) the expiry date of such requested Letter of Credit would occur after the Letter of
Credit Expiration Date, unless all the Lenders with Revolving Loan Commitments have approved
such expiry date;

     (4) the issuance of such Letter of Credit would violate any Laws binding upon such
Issuing Lender;

     (5) such Letter of Credit is denominated in a currency other than Dollars;

     (6) any Lender with a Revolving Loan Commitment is at such time a Defaulting Lender,
unless such Issuing Lender has received (as set forth in clause (a)(iv) below) cash
collateral or similar security satisfactory to such Issuing Lender (in its sole discretion)
from either the Borrower or such Defaulting Lender or such Defaulting Lender’s RL Percentage
of the Letter of Credit Outstandings has been reallocated pursuant to clause (a)(iv) below
in respect of such Defaulting Lender’s obligation to fund under Section 2.01(c); or

     (7) such Letter of Credit is in an initial amount less than $100,000 (unless the
Issuing Lender shall agree in its sole discretion).

          (iii) An Issuing Lender shall be under no obligation to amend any Letter of Credit if (A) such
Issuing Lender would have no obligation at such time to issue such Letter of Credit in its amended
form under the terms hereof, or (B) the beneficiary of such Letter of Credit does not accept the
proposed amendment to such Letter of Credit.

          (iv) In the case where any Lender with a Revolving Loan Commitment is at any time a Defaulting
Lender, the Borrower and such Defaulting Lender each agree, within one Business Day following
notice by the Administrative Agent, to cause to be deposited with the Administrative Agent for the
benefit of the Issuing Lender, cash collateral in Dollars in the full amount of such Defaulting
Lender’s RL Percentage of the Letter of Credit Outstandings; provided that, at the
Borrower’s option, the Borrower may, by notice to the Administrative Agent, elect to reallocate all
or any part of the Defaulting Lender’s RL Percentage of the Letter of Credit Outstandings among all
Lenders with Revolving Loan Commitments that are not Defaulting Lenders but only to the extent (x)
the total Revolving Loan Exposure of all Lenders with Revolving Loan Commitments that are not
Defaulting Lenders plus such Defaulting Lender’s RL Percentage of the Letter of Credit Outstandings
and any Swingline Loans, in each case, except to the extent cash collateralized, does not exceed
the Total Revolving Loan Commitment (excluding the Revolving Loan Commitment of any Defaulting
Lender except to the extent of any outstanding Revolving Loans of such Defaulting Lender) and (y)
the conditions set forth in Section 6 are satisfied at such time (in which case the Revolving Loan
Commitments of all Defaulting Lenders shall be deemed to be zero (except to the extent cash
collateral has been posted in respect of any portion of such Defaulting

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Lender’s Letter of Credit
Outstandings) for purposes of any determination of the Lenders with Revolving Loan Commitments’
respective RL Percentages of Letter of Credit Outstandings (including for purposes of all Fee
calculations under Section 3)). The Borrower and/or such Defaulting Lender hereby grant to the
Administrative Agent, for the benefit of such Issuing Lender, a security interest in any cash
collateral and all proceeds of the foregoing with respect to such Defaulting Lender’s
participations in Letters of Credit deposited hereunder. Such cash collateral shall be maintained
in blocked deposit accounts at Bank of America and may be invested in Cash Equivalents reasonably
acceptable to the Administrative Agent. If at any time the Administrative Agent determines that
any funds held as cash collateral under this clause (a)(iv) are subject to any right or claim of
any Person other than the Administrative Agent for the benefit of such Issuing Lender or that the
total amount of such funds is less than such Defaulting Lender’s RL Percentage of all Letter of
Credit Outstandings that have not been reallocated as provided above, the Borrower and/or such
Defaulting Lender will, promptly upon demand by the Administrative Agent, pay to the Administrative
Agent, as additional funds to be deposited as cash collateral, an amount equal to the excess of (I)
such Defaulting Lender’s RL Percentage of all Letter of Credit Outstandings that have not been so
reallocated over (II) the total amount of funds, if any, then held as cash collateral in respect
thereof under this clause (a)(iv) that the Administrative Agent determines to be free and clear of
any such right and claim. Upon the drawing of any Letter of Credit for which funds are on deposit
as cash collateral, such funds shall be applied, to the extent permitted under applicable Laws, to
reimburse such Issuing Lender. If the Lender that triggers the cash collateral requirement under
this clause (a)(iv) ceases to be a Defaulting Lender (as determined by such Issuing Lender in good
faith), or if there are no Letter of Credit Outstandings outstanding, any funds held as cash
collateral pursuant to the foregoing provisions shall thereafter be returned to the Borrower or the
Defaulting Lender, whichever provided the funds for the cash collateral, and the RL Percentage of
the Letter of Credit Outstandings of each Lender with a Revolving Loan Commitment shall thereafter
take into account such Lender’s Revolving Loan Commitment.

          (b) Procedures for Issuance and Amendment of Letters of Credit; Auto-Extension Letters of
Credit. (i) Each Letter of Credit shall be issued or amended, as the case may be, upon the
request of the Borrower delivered to an Issuing Lender (with a copy to the Administrative Agent) in
the form of a Letter of Credit Application, appropriately completed and signed by an Authorized
Officer of the Borrower. Such Letter of Credit Application must be received by the relevant
Issuing Lender and the Administrative Agent not later than 11:00 a.m. (New York City time) at least
two (2) Business Days prior
to the proposed issuance date or date of amendment, as the case may be; or, in each case, such
later date and time as the relevant Issuing Lender may agree in a particular instance in its sole
discretion. In the case of a request for an initial issuance of a Letter of Credit, such Letter of
Credit Application shall specify in form and detail reasonably satisfactory to the relevant Issuing
Lender: (a) the proposed issuance date of the requested Letter of Credit (which shall be a
Business Day); (b) the amount thereof; (c) the expiry date thereof; (d) the name and address of the
beneficiary thereof; (e) the documents to be presented by such beneficiary in case of any drawing
thereunder; (f) the full text of any certificate to be presented by such beneficiary in case of any
drawing thereunder; and (g) such other matters as the relevant Issuing Lender may reasonably
request. In the case of a request for an amendment of any outstanding Letter of Credit, such
Letter of Credit Application shall specify in form and detail reasonably satisfactory to the
relevant Issuing Lender (1) the Letter of Credit to be amended; (2) the proposed date of amendment
thereof (which shall be a Business Day); (3) the nature of the proposed amendment; and (4) such
other matters as the relevant Issuing Lender may reasonably request.

          (ii) Promptly after receipt of any Letter of Credit Application, the relevant Issuing Lender
will confirm with the Administrative Agent (by telephone or in writing) that the Administrative
Agent has received a copy of such Letter of Credit Application from the Borrower and, if not, such
Issuing Lender will provide the Administrative Agent with a copy thereof. Upon receipt by the
relevant Issuing Lender of confirmation from the Administrative Agent that the requested issuance
or amendment is

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permitted in accordance with the terms hereof, then, subject to the terms and
conditions hereof, such Issuing Lender shall, on the requested date, issue a Letter of Credit for
the account of the Borrower or enter into the applicable amendment, as the case may be.
Immediately upon the issuance of each Letter of Credit, each Lender with a Revolving Loan
Commitment shall be deemed to, and hereby irrevocably and unconditionally agrees to, purchase from
the relevant Issuing Lender a risk participation in such Letter of Credit in an amount equal to the
product of such Lender’s RL Percentage times the amount of such Letter of Credit.

          (iii) If the Borrower so requests in any applicable Letter of Credit Application, the relevant
Issuing Lender shall agree to issue a Letter of Credit that has automatic extension provisions
(each, an “Auto-Extension Letter of Credit”); provided that any such Auto-Extension Letter
of Credit must permit the relevant Issuing Lender to prevent any such extension at least once in
each twelve month period (commencing with the date of issuance of such Letter of Credit) by giving
prior notice to the beneficiary thereof not later than a day (the “Non-extension Notice Date”) in
each such twelve month period to be agreed upon at the time such Letter of Credit is issued.
Unless otherwise directed by the relevant Issuing Lender, the Borrower shall not be required to
make a specific request to the relevant Issuing Lender for any such extension. Once an
Auto-Extension Letter of Credit has been issued, the Lenders shall be deemed to have authorized
(but may not require) the relevant Issuing Lender to permit the extension of such Letter of Credit
at any time to an expiry date not later than the Letter of Credit Expiration Date; provided
that the relevant Issuing Lender shall (A) not be required to permit any such extension if the
relevant Issuing Lender has determined that it would have no obligation at such time to issue such
Letter of Credit in its extended form under the terms hereof (by reason of the provisions of
Section 2.01(a)(ii) or otherwise), and (B) shall not permit any such extension if it has received
notice (which may be by telephone or in writing) on or before the day that is seven (7) Business
Days before the Non-extension Notice Date from the Administrative Agent, any Lender with a
Revolving Loan Commitment or the Borrower that one or more of the applicable conditions specified
in Section 6 are not then satisfied.

          (iv) Promptly after issuance of any Letter of Credit or any amendment to a Letter of Credit,
the relevant Issuing Lender will also deliver to the Borrower and the Administrative Agent a true
and complete copy of such Letter of Credit or amendment.

          (c) Drawings and Reimbursements; Funding of Participations. (i) Upon receipt from
the beneficiary of any Letter of Credit of any notice of a drawing under such Letter of Credit, the
relevant Issuing Lender shall notify promptly the Borrower and the Administrative Agent thereof.
Not later than 2:00 p.m. (New York City time) on the Business Day immediately following any payment
by an Issuing Lender under a Letter of Credit with notice to the Borrower (each such date, an
“Honor Date”), the Borrower shall reimburse such Issuing Lender through the Administrative Agent in
an amount equal to the amount of such drawing in Dollars; provided that if such
reimbursement is not made on the date of drawing, the Borrower shall pay interest to the relevant
Issuing Lender on such amount at the rate applicable to Base Rate Revolving Loans (without
duplication of interest payable on L/C Borrowings). The Issuing Lender shall notify the Borrower
of the amount of the drawing promptly following the determination thereof. If the Borrower fails
to so reimburse such Issuing Lender by such time, the Administrative Agent shall promptly notify
each Lender with a Revolving Loan Commitment of the Honor Date, the amount of the unreimbursed
amount (the “Unreimbursed Amount”), and the amount of such Lender’s RL Percentage thereof. In such
event, the Borrower shall be deemed to have requested a Borrowing of Base Rate Revolving Loans to
be disbursed on the Honor Date in an amount equal to the Unreimbursed Amount, without regard to the
minimum and multiples specified in Section 1.02 for the principal amount of Base Rate Loans but
subject to the amount of the unutilized portion of the Revolving Loan Commitments of the Lenders
and the conditions set forth in Section 6 (other than the delivery of a Notice of Borrowing). Any
notice given by an Issuing Lender or the Administrative Agent pursuant to this Section

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2.01(c)(i)
may be given by telephone if immediately confirmed in writing; provided that the lack of
such an immediate confirmation shall not affect the conclusiveness or binding effect of such
notice.

          (ii) Each Lender with a Revolving Loan Commitment (including any Lender acting as an Issuing
Lender) shall upon any notice pursuant to Section 2.01(c)(i) make funds available to the
Administrative Agent for the account of the relevant Issuing Lender in Dollars at the
Administrative Agent’s Office for payments in an amount equal to its RL Percentage of the
Unreimbursed Amount not later than 1:00 p.m. (New York City time) on the Business Day specified in
such notice by the Administrative Agent, whereupon, subject to the provisions of Section
2.01(c)(iii), each Lender that so makes funds available shall be deemed to have made a Revolving
Loan that is a Base Rate Loan to the Borrower in such amount. The Administrative Agent shall remit
the funds so received to the relevant Issuing Lender.

          (iii) With respect to any Unreimbursed Amount that is not fully refinanced by Base Rate
Revolving Loans because the conditions set forth in Section 6 cannot be satisfied or for any other
reason, the Borrower shall be deemed to have incurred from the relevant Issuing Lender an L/C
Borrowing in the amount of the Unreimbursed Amount that is not so refinanced, which L/C Borrowing
shall be due and payable on demand (together with interest) and shall bear interest at the interest
rate payable with respect to overdue principal of Base Rate Revolving Loans pursuant to Section
1.06(c). In such event, each applicable Lender’s payment to the Administrative Agent for the
account of the relevant Issuing Lender pursuant to Section 2.01(c)(ii) shall be deemed payment in
respect of its participation in such L/C Borrowing and shall constitute an L/C Advance from such
Lender in satisfaction of its participation obligation under this Section 2.01.

          (iv) Until each Lender with a Revolving Loan Commitment funds its Revolving Loan or L/C
Advance pursuant to this Section 2.01(c) to reimburse the relevant Issuing Lender for any amount
drawn under any Letter of Credit, interest in respect of such Lender’s RL Percentage of such amount
shall be solely for the account of the relevant Issuing Lender.

          (v) The obligation of each Lender with a Revolving Loan Commitment to make Revolving Loans or
L/C Advances to reimburse an Issuing Lender for amounts drawn under Letters of Credit, as
contemplated by this Section 2.01(c), shall be absolute and unconditional and shall not be affected
by any circumstance, including (A) any setoff, counterclaim, recoupment, defense or
other right which such Lender may have against the relevant Issuing Lender, the Borrower or any
other Person for any reason whatsoever; (B) the occurrence or continuance of a Default or Event of
Default; or (C) any other occurrence, event or condition, whether or not similar to any of the
foregoing; provided that the obligation of each Lender with a Revolving Loan Commitment to
make Revolving Loans (but not L/C Advances) pursuant to this Section 2.01(c) is subject to the
conditions set forth in Section 6 (other than delivery by the Borrower of a Notice of Borrowing).
No such making of an L/C Advance shall relieve or otherwise impair the obligation of the Borrower
to reimburse the relevant Issuing Lender for the amount of any payment made by such Issuing Lender
under any Letter of Credit, together with interest as provided herein.

          (vi) If any Lender with a Revolving Loan Commitment fails to make available to the
Administrative Agent for the account of the relevant Issuing Lender any amount required to be paid
by such Lender pursuant to the foregoing provisions of this Section 2.01(c) by the time specified
in Section 2.01(c)(ii), such Issuing Lender shall be entitled to recover from such Lender (acting
through the Administrative Agent), on demand, such amount with interest thereon for the period from
the date such payment is required to the date on which such payment is immediately available to
such Issuing Lender at a rate per annum equal to the greater of the Federal Funds Rate and a rate
determined by the Issuing Lender in

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accordance with banking industry rules on interbank
compensation, plus any administrative, processing or similar fees customarily charged by the
Issuing Lender in connection with the foregoing. A certificate of the relevant Issuing Lender
submitted to any Lender with a Revolving Loan Commitment (through the Administrative Agent) with
respect to any amounts owing under this Section 2.01(c)(vi) shall be conclusive absent manifest
error.

          (d) Repayment of Participations. (i) If, at any time after an Issuing Lender has
made a payment under any Letter of Credit and has received from any Lender with a Revolving Loan
Commitment such Lender’s L/C Advance in respect of such payment in accordance with Section 2.01(c),
the Administrative Agent receives for the account of such Issuing Lender any payment in respect of
the related Unreimbursed Amount or interest thereon (whether directly from the Borrower or
otherwise, including proceeds of cash collateral applied thereto by the Administrative Agent), the
Administrative Agent will distribute to such Lender its RL Percentage thereof (appropriately
adjusted, in the case of interest payments, to reflect the period of time during which such
Lender’s L/C Advance was outstanding) in the amount received by the Administrative Agent.

          (ii) If any payment received by the Administrative Agent for the account of an Issuing Lender
pursuant to Section 2.01(c)(i) is required to be returned under any of the circumstances described
in Section 14.18 (including pursuant to any settlement entered into by such Issuing Lender in its
discretion), each Lender with a Revolving Loan Commitment shall pay to the Administrative Agent for
the account of such Issuing Lender its RL Percentage thereof on demand of the Administrative Agent,
plus interest thereon from the date of such demand to the date such amount is returned by such
Lender, at a rate per annum equal to the Federal Funds Rate from time to time in effect. The
obligations of the Lenders under this clause shall survive the payment in full of the Obligations
and the termination of this Agreement.

          (e) Obligations Absolute. The obligation of the Borrower to reimburse the relevant
Issuing Lender for each drawing under each Letter of Credit issued by it and to repay each L/C
Borrowing shall be absolute, unconditional and irrevocable, and shall be paid strictly in
accordance with the terms of this Agreement under all circumstances, including the following:

     (i) any lack of validity or enforceability of such Letter of Credit, this Agreement, or
any other agreement or instrument relating thereto;

     (ii) the existence of any claim, counterclaim, setoff, defense or other right that any
Credit Party may have at any time against any beneficiary or any transferee of such Letter
of Credit (or any Person for whom any such beneficiary or any such transferee may be
acting), the relevant Issuing Lender or any other Person, whether in connection with this
Agreement, the transactions contemplated hereby or by such Letter of Credit or any agreement
or instrument relating thereto, or any unrelated transaction;

     (iii) any draft, demand, certificate or other document presented under such Letter of
Credit proving to be forged, fraudulent, invalid or insufficient in any respect or any
statement therein being untrue or inaccurate in any respect; or any loss or delay in the
transmission or otherwise of any document required in order to make a drawing under such
Letter of Credit;

     (iv) any payment by the relevant Issuing Lender under such Letter of Credit against
presentation of a draft or certificate that does not strictly comply with the terms of such
Letter of Credit; or any payment made by the relevant Issuing Lender under such Letter of
Credit to any Person purporting to be a trustee in bankruptcy, debtor-in-possession,
assignee for the benefit of creditors, liquidator, receiver or other representative of or
successor to any beneficiary or any

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transferee of such Letter of Credit, including any
arising in connection with any proceeding under the Bankruptcy Code or any similar debtor
relief law;

          (v) any exchange, release or non-perfection of any Collateral, or any release or
amendment or waiver of or consent to departure from any Guaranty or any other guarantee, for
all or any of the Obligations of any Credit Party in respect of such Letter of Credit; or

          (vi) any other circumstance or happening whatsoever, whether or not similar to any of
the foregoing, including any other circumstance that might otherwise constitute a defense
available to, or a discharge of, any Credit Party;

provided that the foregoing shall not excuse any Issuing Lender from liability to the
Borrower to the extent of any direct damages (as opposed to consequential damages, claims in
respect of which are waived by the Borrower to the extent permitted by applicable Law) suffered by
the Borrower that are caused by such Issuing Lender’s gross negligence or willful misconduct as
determined in a final and non-appealable judgment by a court of competent jurisdiction when
determining whether drafts and other documents presented under a Letter of Credit comply with the
terms thereof.

          (f) Role of Issuing Lenders. Each Lender and the Borrower agree that, in paying any
drawing under a Letter of Credit, the relevant Issuing Lender shall not have any responsibility to
obtain any document (other than any sight draft, certificates and documents expressly required by
the Letter of Credit) or to ascertain or inquire as to the validity or accuracy of any such
document or the authority of the Person executing or delivering any such document. None of the
Issuing Lenders, any Agent-Related Person nor any of the respective correspondents, participants or
assignees of any Issuing Lender shall be liable to any Lender for (i) any action taken or omitted
in connection herewith at the request or with the approval of the Lenders or the Lenders holding a
majority of the Revolving Loan Commitments, as applicable; (ii) any action taken or omitted in the
absence of gross negligence or willful misconduct as determined in a final and non-appealable
judgment by a court of competent jurisdiction; or (iii) the due execution, effectiveness, validity
or enforceability of any document or instrument related to any Letter of Credit or Letter of Credit
Application. The Borrower hereby assumes all risks of the acts or omissions of any beneficiary or
transferee with respect to its use of any Letter of Credit; provided that this assumption
is not intended to, and shall not, preclude the Borrower’s pursuing such rights and remedies as it
may have against the beneficiary or transferee at law or under any other agreement. None of the
Issuing Lenders, any Agent-Related Person, nor any of the respective correspondents, participants
or assignees of any Issuing Lender, shall be liable or responsible for any of the matters described in clauses (i)
through (vi) of Section 2.01(e); provided that anything in such clauses to the contrary
notwithstanding, the Borrower may have a claim against an Issuing Lender, and such Issuing Lender
may be liable to the Borrower, to the extent, but only to the extent, of any direct, as opposed to
consequential or exemplary, damages suffered by the Borrower which the Borrower proves were caused
by such Issuing Lender’s willful misconduct or gross negligence or such Issuing Lender’s willful or
grossly negligent failure to pay under any Letter of Credit after the presentation to it by the
beneficiary of a sight draft and certificate(s) strictly complying with the terms and conditions of
a Letter of Credit, in each case as determined in a final and non-appealable judgment by a court of
competent jurisdiction. In furtherance and not in limitation of the foregoing, each Issuing Lender
may accept documents that appear on their face to be in order, without responsibility for further
investigation, regardless of any notice or information to the contrary, and no Issuing Lender shall
be responsible for the validity or sufficiency of any instrument transferring or assigning or
purporting to transfer or assign a Letter of Credit or the rights or benefits thereunder or
proceeds thereof, in whole or in part, which may prove to be invalid or ineffective for any reason.

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          (g) Cash Collateral. (i) If, as of the Letter of Credit Expiration Date, any
Letter of Credit may for any reason remain outstanding and partially or wholly undrawn, (ii) if any
Event of Default occurs and is continuing and the Administrative Agent or the Required Lenders, as
applicable, require the Borrower to cash collateralize the Letter of Credit Outstandings pursuant
to Section 10 or (iii) an Event of Default set forth under Section 10A.05 occurs and is continuing,
the Borrower shall cash collateralize all Letter of Credit Outstandings (in an amount equal to the
Outstanding Amount thereof), and shall do so not later than 2:00 p.m., New York City time, on (x)
in the case of the immediately preceding clauses (i) through (iii), (1) the Business Day that the
Borrower receives notice thereof, if such notice is received on such day prior to 12:00 Noon, New
York City time, or (2) if clause (1) above does not apply, the Business Day immediately following
the day that the Borrower receives such notice and (y) in the case of the immediately preceding
clause (iii), the Business Day on which an Event of Default set forth under Section 10A.05 occurs
or, if such day is not a Business Day, the Business Day immediately succeeding such day. For
purposes hereof, “cash collateralize” means to pledge and deposit with or deliver to the
Administrative Agent, for the benefit of the relevant Issuing Lender and the Lenders with Revolving
Loan Commitments, as collateral for the Letter of Credit Outstandings, cash or deposit account
balances (“cash collateral”) pursuant to documentation in form and substance reasonably
satisfactory to the Administrative Agent and the relevant Issuing Lender (which documents are
hereby consented to by the Lenders). Derivatives of such term have corresponding meanings. The
Borrower hereby grants to the Administrative Agent, for the benefit of the Issuing Lenders and the
Lenders, a security interest in all such cash, deposit accounts and all balances therein and all
proceeds of the foregoing. Cash collateral shall be maintained in blocked accounts at the
Administrative Agent and may be invested in readily available Cash Equivalents. If at any time the
Administrative Agent determines that any funds held as cash collateral are expressly subject to any
right or claim of any Person other than the Administrative Agent (on behalf of the Secured
Creditors) or that the total amount of such funds is less than the aggregate Letter of Credit
Outstandings, the Borrower will, forthwith upon demand by the Administrative Agent, pay to the
Administrative Agent, as additional funds to be deposited and held in the deposit accounts at the
Administrative Agent as aforesaid, an amount equal to the excess of (a) such aggregate Letter of
Credit Outstandings over (b) the total amount of funds, if any, then held as cash collateral that
the Administrative Agent reasonably determines to be free and clear of any such right and claim.
Upon the drawing of any Letter of Credit for which funds are on deposit as cash collateral, such
funds shall be applied, to the extent permitted under applicable Law, to reimburse the relevant
Issuing Lender. To the extent the amount of any cash collateral exceeds the then aggregate amount
of Letter of Credit Outstandings and so long as no Event of Default has occurred and is continuing,
the excess shall be refunded to the Borrower. To the extent any Event of Default giving rise to
the requirement to cash collateralize any Letter of Credit pursuant to this Section 2.01(g) is
cured or otherwise waived by the Required Lenders, then so long as no other Event of Default has
occurred and is continuing, all cash collateral pledged to cash collateralize such Letter of Credit
shall be refunded to the Borrower.

          (h) Conflict with Letter of Credit Application. Notwithstanding anything else to the
contrary in this Agreement, in the event of any conflict between the terms hereof and the terms of
any Letter of Credit Application, the terms hereof shall control.

          (i) Addition of an Issuing Lender. A Lender with a Revolving Loan Commitment may
become an additional Issuing Lender hereunder pursuant to a written agreement among the Borrower,
the Administrative Agent and such Lender. The Administrative Agent shall notify the Lenders with
Revolving Loan Commitments of any such additional Issuing Lender.

          (j) Letter of Credit Amounts. Unless otherwise specified herein, the amount of a
Letter of Credit at any time shall be deemed to be the stated amount of such Letter of Credit in
effect at such time; provided, however, that with respect to any Letter of Credit
that, by its terms or the terms of

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any Issuer Document related thereto, provides for one or more
automatic increases in the stated amount
thereof, the amount of such Letter of Credit shall be deemed to be the maximum stated amount
of such Letter of Credit after giving effect to all such increases, whether or not such maximum
stated amount is in effect at such time.

          (k) Applicability of ISP and UCP. Unless otherwise expressly agreed by the applicable
Issuing Lender and the Borrower when a Letter of Credit is issued (including any such agreement
applicable to an Existing Letter of Credit), (i) the rules of the ISP shall apply to each standby
Letter of Credit and (ii) the rules of the Uniform Customs and Practice for Documentary Credits, as
most recently published by the International Chamber of Commerce at the time of issuance, shall
apply to each commercial Letter of Credit.

          (l) Increased Costs. If at any time after the Effective Date, the introduction of or
any change in any applicable law, rule, regulation, order, guideline or request or in the
interpretation or administration thereof by the NAIC or any governmental authority charged with the
interpretation or administration thereof, or compliance by any Issuing Lender or any Lender (in its
capacity as a participant in Letters of Credit) with any request or directive by any such authority
(whether or not having the force of law), shall either (i) impose, modify or make applicable any
reserve, deposit, capital adequacy or similar requirement against letters of credit issued by any
Issuing Lender or participated in by any Lender, or (ii) impose on any Issuing Lender or any such
participant any other conditions relating, directly or indirectly, to this Agreement; and the
result of any of the foregoing is to increase the cost to any Issuing Lender or any such
participant of issuing, maintaining or participating in any Letter of Credit, or reduce the amount
of any sum received or receivable by any Issuing Lender or any such participant hereunder or reduce
the rate of return on its capital with respect to Letters of Credit (except for changes in the rate
of tax on, or determined by reference to, the net income or profits of such Issuing Lender or such
participant pursuant to the laws of the jurisdiction in which it is organized or in which its
principal office or applicable lending office is located or any subdivision thereof or therein),
then, upon the delivery of the certificate referred to below to the Borrower by such Issuing Lender
or any such participant, the Borrower shall, subject to the provisions of Section 14.16 (to the
extent applicable), pay to such Issuing Lender or such participant such additional amount or
amounts as will compensate such Issuing Lender or participant for such increased cost or reduction
in the amount receivable or reduction on the rate of return on its capital. The preceding sentence
shall not apply to increased costs with respect to Taxes which are addressed in Section 4.04. Any
Issuing Lender or any participant, upon determining that any additional amounts will be payable
pursuant to this Section 2.01(l), will give prompt written notice thereof to the Borrower, which
notice shall include a certificate submitted to the Borrower by such Issuing Lender or such
participant (a copy of which certificate shall be sent by such Issuing Lender or such participant
to the Administrative Agent), setting forth in reasonable detail the basis for the calculation of
such additional amount or amounts necessary to compensate such Issuing Lender or such participant.
In determining such additional amounts, each Issuing Lender and each participant will act
reasonably and in good faith, provided that the certificate required to be delivered
pursuant to this Section 2.01 shall, absent manifest error, be final and conclusive and binding on
the Borrower.

          SECTION 3. Fees; Reductions of Commitment.

          3.01 Fees.

          (a) The Borrower agrees to pay to the Administrative Agent for distribution to each
Non-Defaulting Lender with a Revolving Loan Commitment a commitment commission (the “Revolving Loan
Commitment Commission”) for the period from the Effective Date to but not including the Revolving
Loan Maturity Date (or to but not including such earlier date as the Total Revolving Loan
Commit-

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ment shall have been terminated), computed at a rate per annum for each day equal to the
Applicable Margin on the daily excess, if any, of the amount of such Non-Defaulting Lender’s
Revolving Loan
Commitment on such day over the sum of (i) such Non-Defaulting Lender’s Outstanding Amount of
Revolving Loans on such day and (ii) such Non-Defaulting Lender’s RL Percentage of the Letter of
Credit Outstandings on such day. Accrued Revolving Loan Commitment Commission shall be due and
payable quarterly in arrears on each Quarterly Payment Date and on the Revolving Loan Maturity Date
or such earlier date upon which the Total Revolving Loan Commitment is terminated.

          (b) The Borrower agrees to pay to the Administrative Agent for distribution to each Lender
with a Revolving Loan Commitment (based on each such Lender’s respective RL Percentage) a fee in
respect of each Letter of Credit issued hereunder (the “Letter of Credit Fee”), for the period from
and including the date of issuance of such Letter of Credit to and including the date of
termination or expiration of such Letter of Credit, computed at a rate per annum equal to the
Applicable Margin for Revolving Loans maintained as Eurodollar Loans on the daily Stated Amount of
such Letter of Credit; provided that (i) no Letter of Credit Fee shall accrue or be payable
on the portion of any Defaulting Lender’s RL Percentage of the Letter of Credit Outstandings during
any period when such RL Percentage is cash collateralized pursuant to Section 2.01 and (ii) during
the period when a Lender with a Revolving Loan Commitment is a Defaulting Lender and prior to the
cash collateralization or reallocation of such Defaulting Lender’s RL Percentage of the Letter of
Credit Outstandings pursuant to Section 2.01, any Letter of Credit Fees in respect of such Lender’s
RL Percentage of the Letter of Credit Outstandings shall be payable to the Issuing Lender rather
than to such Defaulting Lender. Accrued Letter of Credit Fees shall be due and payable quarterly
in arrears on each Quarterly Payment Date and on the first day after the termination of the Total
Revolving Loan Commitment upon which no Letters of Credit remain outstanding.

          (c) The Borrower shall pay directly to each Issuing Lender for its own account a fronting fee
with respect to each Letter of Credit issued by it to the Borrower equal to the greater of (x)
0.25% per annum (or such other amount as may be mutually agreed by the Borrower and the applicable
Issuing Lender) of the daily Stated Amount thereof and (y) to the extent the Issuing Lender is the
Administrative Agent or an Affiliate thereof, $1,500 per annum. Such fronting fees shall be
computed on a quarterly basis in arrears. Such fronting fees for standby Letters of Credit shall
be due and payable in Dollars on each Quarterly Payment Date, commencing with the first such date
to occur after the issuance of such standby Letter of Credit, on the Letter of Credit Expiration
Date and thereafter on demand, and all fronting fees payable with respect to each commercial Letter
of Credit shall be due and payable on the date of issuance of such commercial Letter of Credit. In
addition, the Borrower shall pay directly to each Issuing Lender for its own account with respect
to each Letter of Credit the customary issuance, presentation, amendment and other processing fees,
and other standard costs and charges, of such Issuing Lender relating to letters of credit as from
time to time in effect. Such customary fees and standard costs and charges are due and payable
within ten (10) Business Days of demand and are nonrefundable.

          (d) The Borrower agrees to pay on the Initial Borrowing Date to each Lender party to this
Agreement on the Initial Borrowing Date, as compensation for the funding of such Lender’s Initial
Term Loan, a closing fee (the “Closing Fee”) in an amount equal to 1.0% of the principal amount of
such Lender’s Initial Term Loan made on the Initial Borrowing Date. Such Closing Fee will be in
all respects fully earned, due and payable on the Initial Borrowing Date and non-refundable and
non-creditable thereafter and such Closing Fee shall be netted against the Initial Term Loans made
by such Lender.

          (e) The Borrower agrees to pay to the Lenders with Revolving Loan Commitments, the Joint Book
Runners and the Administrative Agent, for their respective accounts, such other fees as have been
agreed to in writing by the Borrower with such Lenders, the Joint Book Runners or the
Administrative Agent, as the case may be.

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          3.02 Voluntary Reduction and Termination of Unutilized Commitments.

          (a) Upon at least one Business Day’s prior written notice to the Administrative Agent at the
Administrative Agent’s Office (which notice the Administrative Agent shall promptly transmit to
each of the Lenders), the Borrower shall have the right, at any time or from time to time, without
premium or penalty, to terminate or partially reduce (i) the Total Unutilized Revolving Loan
Commitment, in an integral multiple of $1,000,000 in the case of partial reductions to the Total
Revolving Loan Commitment; provided that each such reduction shall apply proportionately to
permanently reduce the Revolving Loan Commitment of each Lender with such a Commitment, and/or (ii)
unless otherwise provided in the respective Incremental Commitment Agreement, the Incremental Term
Loan Commitments provided pursuant to any Incremental Commitment Agreement, in an integral multiple
of $1,000,000 (or as may otherwise be provided in the respective Incremental Commitment Agreement)
in the case of partial reductions to the aggregate amount of Incremental Term Loan Commitments
provided pursuant to the respective Incremental Commitment Agreement; provided that each
such reduction shall apply proportionately to permanently reduce the Incremental Term Loan
Commitments of the various Lenders provided pursuant to the respective Incremental Commitment
Agreement.

          (b) In the event of certain refusals by a Lender to consent to certain proposed changes,
waivers, discharges or terminations with respect to this Agreement which have been approved by the
Required Lenders as provided in Section 14.12(b), the Borrower may, subject to the requirements of
Section 14.12(b) and upon five Business Days’ written notice to the Administrative Agent at the
Administrative Agent’s Office (which notice the Administrative Agent shall promptly transmit to
each of the Lenders) terminate the entire Revolving Loan Commitment of such Lender so long as all
Loans, together with accrued and unpaid interest, Fees and all other amounts owing to such Lender
(other than amounts owing in respect of any Tranche of Term Loans of such Lender, if such Tranche
of Term Loans are not being repaid pursuant to Section 14.12(b)) are repaid concurrently with the
effectiveness of such termination pursuant to this Section 3.02(b) and, in the case of any
replacement of Revolving Loan Commitments, such Lender’s RL Percentage of all outstanding Letters
of Credit is cash collateralized in a manner satisfactory to the Administrative Agent and the
respective Issuing Lenders, and at such time, unless the respective Lender continues to have
outstanding Term Loans hereunder, such Lender shall no longer constitute a “Lender” for purposes of
this Agreement, except with respect to indemnifications under this Agreement (including, without
limitation, Sections 1.07, 1.08, 2.01(l), 4.04, 14.01 and 14.06), which shall survive as to such
repaid Lender.

          3.03 Mandatory Reduction of Commitments.

          (a) The Total Commitments (and each of the Commitments of each Lender) shall terminate in
their entirety at 5:00 p.m. (New York time) on January 29, 2010, unless the Initial Borrowing Date
shall have occurred on or prior to such date.

          (b) The Total Initial Term Loan Commitment (and the Initial Term Loan Commitment of each
Lender) shall terminate in its entirety on the Initial Borrowing Date (after giving effect to the
making of Initial Term Loans on such date by each Lender required to make such Initial Term Loans).

          (c) The Total Revolving Loan Commitment (and the Revolving Loan Commitment of each Lender)
shall terminate in its entirety on the Revolving Loan Maturity Date.

          (d) The Incremental Term Loan Commitment of each Lender provided pursuant to a particular
Incremental Commitment Agreement shall be permanently reduced on each Incremental Term Loan
Borrowing Date on which Incremental Term Loans are incurred pursuant to such Incremental Commitment
Agreement in an amount equal to the aggregate principal amount of Incremental Term

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Loans made by such Lender pursuant to such Incremental Commitment Agreement on such date.
Additionally, the Incremental Term Loan Commitment of each Lender provided pursuant to a particular
Incremental Commitment Agreement shall terminate at 5:00 P.M. (New York City time) on the date
specified in such Incremental Commitment Agreement.

          SECTION 4. Prepayments; Payments; Taxes.

          4.01 Voluntary Prepayments.

          (a) The Borrower shall have the right to prepay the Revolving Loans and Term Loans, without
premium or penalty, in whole or in part at any time and from time to time on the following terms
and conditions: (i) the Borrower shall give the Administrative Agent prior to 2:00 P.M. (New York
time) at the Administrative Agent’s Office (x) at least one Business Day’s prior written notice (or
telephonic notice promptly confirmed in writing) of the Borrower’s intent to prepay Base Rate Loans
and (y) at least three Business Days’ prior written notice (or telephonic notice promptly confirmed
in writing) of the Borrower’s intent to prepay Eurodollar Loans, specifying whether Initial Term
Loans, Revolving Loans, Swingline Loans or one or more specified Tranches of Incremental Term Loans
shall be prepaid, the amount of such prepayment and the Types of Loans to be prepaid, in the case
of Eurodollar Loans, the specific Borrowing or Borrowings pursuant to which made and, in the case
of prepayments of Term Loans of any Tranche, the application of such prepayments to the Scheduled
Term Loan Repayments of such Tranche, which notice the Administrative Agent shall promptly transmit
to each of the Lenders; (ii) each prepayment of Loans shall be in an aggregate principal amount of
at least $1,000,000 (or $100,000 in the case of Swingline Loans), and thereafter, in integral
multiples of $100,000; (iii) at the time of any prepayment of Eurodollar Loans pursuant to this
Section 4.01 on any date other than the last day of the Interest Period applicable thereto, the
Borrower shall pay the amounts required pursuant to Section 1.08; (iv) each prepayment pursuant to
this Section 4.01(a) in respect of any Loans made by Lenders pursuant to a Borrowing shall be
applied pro rata among all such Lenders’ Loans comprising such Borrowing, provided that at
the Borrower’s election in connection with any prepayment of Revolving Loans, such prepayment shall
not be applied to the prepayment of Revolving Loans of a Defaulting Lender; (v) each voluntary
prepayment of Term Loans pursuant to this Section 4.01(a) shall be applied pro rata to the Tranche
of Term Loans specified by the Borrower and (vi) the amount of each voluntary prepayment of Term
Loans made pursuant to this Section 4.01(a) and applied to a particular Tranche of Term Loans as
provided in the preceding clause (v) shall be applied to reduce the Scheduled Term Loan Repayments
of such Tranche as directed by the Borrower in the notice referred to in preceding clause (i). The
Borrower may, upon notice to the Swingline Lender (with a copy to the Administrative Agent), at any
time or from time to time, voluntarily prepay Swingline Loans in whole or in part without premium
or penalty; provided that (1) such notice must be received by the Swingline Lender and the
Administrative Agent not later than 1:00 p.m. (New York City time) on the date of the prepayment,
and (2) any such prepayment shall be in a minimum principal amount of $100,000 or a whole multiple
of $100,000 in excess thereof or, if less, the entire principal amount thereof then outstanding.
Each such notice shall specify the date and amount of such prepayment. If such notice is given by
the Borrower, the Borrower shall make such prepayment and the payment amount specified in such
notice shall be due and payable on the date specified therein.

          (b) In the event of a refusal by a Lender to consent to certain proposed changes, waivers,
discharges or terminations with respect to this Agreement which have been approved by the Required
Lenders as provided in Section 14.12(b), the Borrower may, upon five Business Days’ prior written
notice to the Administrative Agent at the Administrative Agent’s Office (which notice the
Administrative Agent shall promptly transmit to each of the Lenders) repay all Loans, together with
accrued and unpaid interest, Fees, and all other amounts owing to such Lender (or owing to such
Lender with respect to

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the Tranche or Tranches which gave rise to the need to obtain such Lender’s individual
consent) in accordance with such Section 14.12(b) so long as (A) in the case of the repayment of
any Revolving Loans of any Lender pursuant to this Section 4.01(b), the Revolving Loan Commitment
of such Lender is terminated concurrently with such repayment pursuant to Section 3.02(b) and (B)
the consents required by Section 14.12(b) in connection with the repayment pursuant to this Section
4.01(b) have been obtained.

          (c) (i) Notwithstanding anything to the contrary in Section 4.01(a) or (b) or Section 14.06
(which provisions shall not be applicable to this Section 4.01(c)), any Purchasing Borrower Party
shall have the right at any time and from time to time to prepay Term Loans of any Tranche to the
Lenders at a discount to the par value of such Loans and on a non-pro rata basis
(each, a “Discounted Voluntary Prepayment”) pursuant to the procedures described in this Section
4.01(c); provided that (A) no Discounted Voluntary Prepayment shall be made from the
proceeds of any Revolving Loan or Swingline Loan, (B) immediately after giving effect to any
Discounted Voluntary Prepayment, the sum of (x) the Unutilized Revolving Loan Commitments plus (y)
the amount of unrestricted cash and Cash Equivalents of the Borrower and its Subsidiaries shall be
not less than the aggregate Outstanding Amount of Revolving Loans and Swingline Loans, (C) any
Discounted Voluntary Prepayment shall be offered to all Lenders with Term Loans of a particular
Tranche on a pro rata basis, (D) such Purchasing Borrower Party shall deliver to
the Administrative Agent a certificate stating that (1) no Default or Event of Default has occurred
and is continuing or would result from the Discounted Voluntary Prepayment (after giving effect to
any related waivers or amendments obtained in connection with such Discounted Voluntary
Prepayment), (2) each of the conditions to such Discounted Voluntary Prepayment contained in this
Section 4.01(c) has been satisfied and (3) such Purchasing Borrower Party does not have any
material non-public information (“MNPI”) with respect to VHS Holdco I or any of its Subsidiaries
that either (a) has not been disclosed to the Lenders (other than Lenders that do not wish to
receive MNPI with respect to VHS Holdco I, any of its Subsidiaries or Affiliates) prior to such
time or (b) if not disclosed to the Lenders, could reasonably be expected to have a material effect
upon, or otherwise be material, (i) to a Lender’s decision to participate in any Discounted
Voluntary Prepayment or (ii) to the market price of the Term Loans.

          (ii) To the extent a Purchasing Borrower Party seeks to make a Discounted Voluntary
Prepayment, such Purchasing Borrower Party will provide written notice to the Administrative Agent
substantially in the form of Exhibit Q hereto (each, a “Discounted Prepayment Option Notice”) that
such Purchasing Borrower Party desires to prepay Term Loans in an aggregate principal amount
specified therein by the Purchasing Borrower Party (each, a “Proposed Discounted Prepayment
Amount”), in each case at a discount to the par value of such Term Loans as specified below. The
Proposed Discounted Prepayment Amount of Term Loans shall not be less than $5,000,000. The
Discounted Prepayment Option Notice shall further specify with respect to the proposed Discounted
Voluntary Prepayment: (A) the Proposed Discounted Prepayment Amount of Term Loans, (B) a discount
range (which may be a single percentage) selected by the Purchasing Borrower Party with respect to
such proposed Discounted Voluntary Prepayment (representing the percentage of par of the principal
amount of Term Loans to be prepaid) (the “Discount Range”), and (C) the date by which Lenders are
required to indicate their election to participate in such proposed Discounted Voluntary
Prepayment, which shall be at least five Business Days following the date of the Discounted
Prepayment Option Notice (the “Acceptance Date”).

          (iii) Upon receipt of a Discounted Prepayment Option Notice in accordance with this Section
4.01(d), the Administrative Agent shall promptly notify each Term Loan Lender thereof. On or prior
to the Acceptance Date, each such Lender may specify by written notice substantially in the form of
Exhibit R hereto (each, a “Lender Participation Notice”) to the Administrative Agent (A) a minimum
price (the “Acceptable Price”) within the Discount Range (for example, 80% of the par value of the
Term Loans to be prepaid) and (B) a maximum principal amount (subject to rounding requirements
specified by

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the Administrative Agent) of Term Loans with respect to which such Lender is willing
to permit a Discounted Voluntary Prepayment at the Acceptable Price (“Offered Loans”). Based on the
Acceptable Prices and principal amounts of Term Loans specified by the Lenders in the applicable
Lender Participation Notice, the Administrative Agent, in consultation with the Purchasing Borrower
Party, shall determine the applicable discount for Term Loans (the “Applicable Discount”), which
Applicable Discount shall be (A) the percentage specified by the Purchasing Borrower Party if the
Purchasing Borrower Party has selected a single percentage pursuant to this Section 4.01(c) for the
Discounted Voluntary Prepayment or (B) otherwise, the lowest Acceptable Price at which the
Purchasing Borrower Party can pay the Proposed Discounted Prepayment Amount in full (determined by
adding the principal amounts of Offered Loans commencing with the Offered Loans with the lowest
Acceptable Price); provided, however, that in the event that such Proposed
Discounted Prepayment Amount cannot be repaid in full at any Acceptable Price, the Applicable
Discount shall be the highest Acceptable Price specified by the Lenders that is within the Discount
Range. The Applicable Discount shall be applicable for all Lenders who have offered to participate
in the Discounted Voluntary Prepayment and have Qualifying Loans (as defined below). Any Lender
with outstanding Term Loans whose Lender Participation Notice is not received by the Administrative
Agent by the Acceptance Date shall be deemed to have declined to accept a Discounted Voluntary
Prepayment of any of its Term Loans at any discount to their par value within the Applicable
Discount.

          (iv) The Purchasing Borrower Party shall make a Discounted Voluntary Prepayment by prepaying
those Term Loans (or the respective portions thereof) of the applicable Tranche offered by the
Lenders (“Qualifying Lenders”) that specify an Acceptable Price that is equal to or lower than the
Applicable Discount (“Qualifying Loans”) at the Applicable Discount; provided that if the
aggregate proceeds required to prepay all Qualifying Loans (disregarding any interest payable at
such time) would exceed the amount of aggregate proceeds required to prepay the Proposed Discounted
Prepayment Amount, such amounts in each case calculated by applying the Applicable Discount, the
Purchasing Borrower Party shall prepay such Qualifying Loans ratably among the Qualifying Lenders
based on their respective principal amounts of such Qualifying Loans (subject to rounding
requirements specified by the Administrative Agent). If the aggregate proceeds required to prepay
all Qualifying Loans (disregarding any interest payable at such time) would be less than the amount
of aggregate proceeds required to prepay the Proposed Discounted Prepayment Amount, such amounts in
each case calculated by applying the Applicable Discount, the Purchasing Borrower Party shall
prepay all Qualifying Loans.

          (v) Each Discounted Voluntary Prepayment shall be made within four Business Days of the
Acceptance Date (or such other date as the Administrative Agent shall reasonably agree, given the
time required to calculate the Applicable Discount and determine the amount and holders of
Qualifying Loans), without premium or penalty (but subject to Section 1.08), upon irrevocable
notice substantially in the form of Exhibit S hereto (each a “Discounted Voluntary Prepayment
Notice”), delivered to the Administrative Agent no later than 11:00 a.m. (New York City time),
three Business Days prior to the date of such Discounted Voluntary Prepayment, which notice shall
specify the date and amount of the Discounted Voluntary Prepayment and the Applicable Discount
determined by the Administrative Agent. Upon receipt of any Discounted Voluntary Prepayment Notice
the Administrative Agent shall promptly notify each relevant Lender thereof. If any Discounted
Voluntary Prepayment Notice is given, the amount specified in such notice shall be due and payable
to the applicable Lenders, subject to the Applicable Discount on the applicable Loans, on the date
specified therein together with accrued interest (on the par principal amount) to but not including
such date on the amount prepaid.

          (vi) To the extent not expressly provided for herein, each Discounted Voluntary Prepayment
shall be consummated pursuant to reasonable procedures (including as to timing, rounding and

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calculation of Applicable Discount in accordance with this Section 4.01(c)) established by the
Administrative Agent in consultation with the Borrower.

          (vii) Prior to the delivery of a Discounted Voluntary Prepayment Notice, upon written notice
to the Administrative Agent, the Purchasing Borrower Party may withdraw its offer to make a
Discounted Voluntary Prepayment pursuant to any Discounted Prepayment Option Notice.

          4.02 Mandatory Repayments.

          (a) On any day on which the sum of (I) the aggregate outstanding principal amount of Revolving
Loans, plus (II) the aggregate outstanding principal amount of Swingline Loans plus
(III) the Letter of Credit Outstandings, exceeds the Total Revolving Loan Commitment as then in
effect, the Borrower shall prepay on such day principal of Swingline Loans and, after all Swingline
Loans have been repaid in full, Revolving Loans in an amount equal to such excess. If, after
giving effect to the prepayment of all outstanding Swingline Loans and Revolving Loans, the
aggregate amount of the Letter of Credit Outstandings exceeds the Total Revolving Loan Commitment
as then in effect, the Borrower shall cash collateralize such excess amount only in accordance with
procedures similar to Section 2.01(g).

          (b) The Borrower shall repay outstanding principal of Initial Term Loans (I) on each Quarterly
Payment Date (commencing on July 1, 2010) prior to the Initial Term Loan Maturity Date (each such
date, a “Scheduled Initial Term Loan Repayment Date”), in an amount equal to 1/4 of 1% of the excess
of (x) the aggregate original principal amount of the Initial Term Loans borrowed under this
Agreement (on the Initial Borrowing Date) minus (y) the original principal amount of
Initial Term Loans prepaid prior to such date pursuant to Sections 4.01(c), 9.04(xvii)(iii) and
14.04(k) (each such repayment as the same may be reduced as provided in Sections 4.01 and 4.02(g),
a “Scheduled Initial Term Loan Repayment”) and (II) on the Initial Term Loan Maturity Date in an
amount equal to the remaining unpaid principal amount of the Initial Term Loans at such time;
provided that if any Incremental Term Loans are incurred which will be added to (and form
part of) an the Tranche of Initial Term Loans, the amount of the then remaining Scheduled Initial
Term Loan Repayments shall be proportionally increased (with the aggregate amount of increases to
the then remaining Scheduled Initial Term Loan Repayments to equal the aggregate principal amount
of such new Incremental Term Loans then being incurred) in accordance with the requirements of
Section 1.11(c).

          (c) The Borrower shall repay the principal amount of Incremental Term Loans on the dates and
in the amounts set forth in the respective Incremental Commitment Agreement or Agreements relating
to such Incremental Term Loans (each such repayment as the same may be reduced as provided in
Sections 4.01 and 4.02(g), a “Scheduled Incremental Term Loan Repayment,” and, together with the
Scheduled Initial Term Loan Repayments, collectively, the “Scheduled Term Loan Repayments”, and
each such date a “Scheduled Incremental Term Loan Repayment Date” and, together with the Scheduled
Initial Term Loan Repayment Dates, collectively, the “Scheduled Term Loan Repayment Dates”),
provided that if any Incremental Term Loans are incurred which will be added to (and form
part of) an existing Tranche of Incremental Term Loans, the amount of the then remaining Scheduled
Incremental Term Loan Repayments of the respective Tranche shall be proportionally increased (with
the aggregate amount of increases to the then remaining Scheduled Incremental Term Loan Repayments
to equal the aggregate principal amount of such new Incremental Term Loans then being incurred) in
accordance with the requirements of Section 1.11(c); provided, further, that the
amount of any Scheduled Incremental Term Loan Repayment for any Tranche of Incremental Term Loans
shall be reduced proportionately by the original principal amount of Incremental Term Loans of such
Tranche prepaid prior to such date pursuant to Sections 4.01(c), 9.04(xvii)(iii) and 14.04(k).

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          (d) No later than the fifth Business Day, after each date on or after the Initial Borrowing
Date upon which VHS Holdco I or any of its Subsidiaries receives any cash proceeds from any
incurrence by VHS Holdco I or any of its Subsidiaries of Indebtedness for borrowed money (excluding
Indebtedness for borrowed money permitted to be incurred pursuant to Section 9.04 other than
pursuant to
Section 9.04(xvii)(ii)), an amount equal to 100% of the Net Debt Proceeds of the respective
incurrence of Indebtedness shall be applied as a mandatory repayment of outstanding Term Loans in
accordance with the requirements of Sections 4.02(g) and (h).

          (e) No later than the fifth Business Day, after each date on or after the Initial Borrowing
Date upon which VHS Holdco I or any of its Subsidiaries receives proceeds from any Recovery Event
or any sale or other disposition of assets, including sales or other dispositions of capital stock,
other Equity Interests and securities held by VHS Holdco I or any of its Subsidiaries (but
excluding (A) sales or transfers of assets permitted by Sections 9.02(ii), (v), (vi), (ix), (x),
(xi), (xii), (xiii), (xiv), (xv), (xvi) and (xviii), (B) Recovery Events, sales or other
dispositions of assets (other than those dispositions described in clauses (A) and (C) of this
Section 4.02(e)) the aggregate Net Sale/Recovery Event Proceeds of which do not exceed $7,500,000
in any one transaction or series of transactions or $20,000,000 in any fiscal year of VHS Holdco I,
and (C) so long as no Specified Default then exists, Recovery Events, sales or other dispositions
of assets (other than those dispositions described in clauses (A) and (B) of this Section 4.02(e)),
the Net Sale/Recovery Event Proceeds of which do not in the aggregate exceed the greater of (x)
$400,000,000 and (y) 15% of VHS Holdco I’s Total Assets; provided that in the case of this
clause (C), such Net Sale/Recovery Event Proceeds are used (or contractually committed to be used)
to purchase, maintain, develop, construct, upgrade, repair or improve tangible assets for use in
the business of the Borrower and its Subsidiaries (including through the acquisition of any Person
that owns such tangible assets in a transaction otherwise permitted by this Agreement) within 365
days (or, to the extent contractually committed to be used (but not actually used) within such 365
day period, within 180 days thereafter) following the receipt of such Net Sale/Recovery Event
Proceeds and VHS Holdco I delivers a certificate to the Administrative Agent on or prior to such
date of receipt stating that such Net Sale/Recovery Event Proceeds shall be used (or contractually
committed to be used) to purchase, maintain, develop, construct, upgrade, repair or improve such
tangible assets within 365 days following the date of the receipt of such Net Sale/Recovery Event
Proceeds (which certificate shall set forth the estimates of the proceeds to be so expended)), an
amount equal to 100% of the Net Sale/Recovery Event Proceeds therefrom shall be applied as a
mandatory repayment of outstanding Term Loans in accordance with the requirements of Sections
4.02(g) and (h). To the extent Net Sale/Recovery Event Proceeds are not required to be applied
pursuant to this Section 4.02(e) as a result of clause (C) and all or any portion of such Net
Sale/Recovery Event Proceeds are not so reinvested in tangible assets within the 365 day period
referred to above (or, if contractually committed to be used within such 365 day period, within180
days thereafter), then the remaining portion of such Net Sale/Recovery Event Proceeds shall be
applied on the last day of such applicable period as otherwise required by this Section 4.02(e)
(determined without regard to such clause (C)).

          (f) On each Excess Cash Payment Date, so long as Excess Cash Flow for the relevant Excess Cash
Payment Period exceeds $2,000,000, an amount equal to the excess of (i) the Applicable ECF
Percentage of such Excess Cash Flow in excess of $2,000,000 for the relevant Excess Cash Payment
Period minus (ii) the principal amount of optional prepayments of Term Loans pursuant to
Section 4.01(a) (other than with the proceeds of Indebtedness) and optional repayments of Revolving
Loans to the extent accompanied by reductions in Revolving Loan Commitments pursuant to Section
3.02 during such Excess Cash Payment Period shall be applied as a mandatory repayment of
outstanding Term Loans in accordance with the requirements of Sections 4.02(g) and (h).

          (g) Each amount required to be applied pursuant to any of Sections 4.02(d), (e) or (f) shall
be applied to prepay Term Loans of each Tranche on a pro rata basis based on each such Tranche’s

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Relevant Term Loan Percentage and with respect to any Tranche shall be applied to reduce Scheduled
Term Loan Repayments under such Tranche as specified by the Borrower to the Administrative Agent.

          (h) With respect to each repayment of Term Loans required by this Section 4.02, the Borrower
may designate the Types of Term Loans of the respective Tranche which are to be repaid and,
in the case of Eurodollar Loans, the specific Borrowing or Borrowings pursuant to which made,
provided that: (i) repayments of Eurodollar Loans pursuant to this Section 4.02 shall be
made on the last day of an Interest Period applicable thereto unless all Eurodollar Loans with
Interest Periods ending on such date of required repayment and all Base Rate Loans have been paid
in full; and (ii) each repayment of Term Loans made pursuant to a Borrowing shall be applied pro
rata among such Term Loans of all Lenders. In the absence of a designation by the Borrower as
described in the preceding sentence, the Administrative Agent shall, subject to the above, make
such designation in its sole discretion. Notwithstanding the foregoing provisions of this Section
4.02, if at any time the mandatory repayment of Loans pursuant to subsection (d), (e) or (f) of
this Section 4.02 would result, after giving effect to the procedures set forth above in this
clause (h), in the Borrower incurring breakage costs under Section 1.08 as a result of Eurodollar
Loans being repaid other than on the last day of an Interest Period applicable thereto (any such
Eurodollar Loans, “Affected Loans”), the Borrower may elect, by written notice to the
Administrative Agent, to have the provisions of the following sentence be applicable so long as no
Event of Default then exists. At the time any Affected Loans are otherwise required to be prepaid,
the Borrower may elect to deposit 100% (or such lesser percentage elected by the Borrower as not
being repaid) of the principal amounts that otherwise would have been paid in respect of the
Affected Loans with the Administrative Agent to be held as security for the obligations of the
Borrower hereunder pursuant to a cash collateral agreement to be entered into in form and substance
satisfactory to the Administrative Agent, with such cash collateral to be released from such cash
collateral account (and applied to repay the principal amount of such Eurodollar Loans) upon each
occurrence thereafter of the last day of an Interest Period applicable to such Eurodollar Loans (or
such earlier date or dates as shall be requested by the Borrower, with the amount to be so released
and applied on the last day of each Interest Period to be the amount of such Eurodollar Loans to
which such Interest Period applies (or, if less, the amount remaining in such cash collateral
account); provided, however, that at any time while an Event of Default has
occurred and is continuing, the Required Lenders may direct the Administrative Agent (in which case
the Administrative Agent shall) apply any or all proceeds then on deposit in such collateral
account to the payment of such Affected Loans.

          (i) Notwithstanding anything to the contrary contained elsewhere in the Agreement, all then
outstanding Loans of any Tranche shall be repaid in full on the respective Maturity Date for such
Tranche of Loans.

          (j) Notwithstanding anything to the contrary contained in this Section 4.02 or elsewhere in
this Agreement, the Borrower shall have the option, in its sole discretion, to give the Lenders
with outstanding Term Loans of any Tranche the option to waive a mandatory repayment of such Term
Loans pursuant to Sections 4.02(d), (e) or (f) (each such prepayment or repayment, a “Waivable
Repayment”) upon the terms and provisions set forth in this Section 4.02(j). If the Borrower
elects to exercise the option referred to in the preceding sentence, the Borrower shall give to the
Administrative Agent written notice of its intention to give the Lenders of the selected Tranche or
Tranches the right to waive a Waivable Repayment at least five Business Days prior to such
repayment, which notice the Administrative Agent shall promptly forward to all Lenders of the
selected Tranche or Tranches (indicating in such notice the amount of such repayment to be applied
to each such Lender’s outstanding Term Loans). Any offer by the Borrower to permit such Lenders to
waive any such Waivable Repayment may apply to all or part of such repayment, provided that
any offer to waive part of such repayment must be made ratably to such Lenders on the basis of
their outstanding Term Loans of the selected Tranche or Tranches. In the event any such Lender
desires to waive such Lender’s right to receive any such Waivable Repayment in

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whole or in part,
such Lender shall so advise the Administrative Agent no later than the close of business two
Business Days after the date of such notice from the Administrative Agent, which notice shall also
include the amount such Lender desires to receive in respect of such repayment. If any Lender does
not validly reply to the Administrative Agent within the aforementioned two Business Day period,
such Lender will be deemed not to have waived any part of such repayment. If any Lender indicates
that it desires to waive any prepayment but does not specify an amount such Lender wishes to waive,
it will be
deemed to have waived 100% of the amount of its share of such payment. In the event that any
such Lender waives all or part of such right to receive any such Waivable Repayment, the amount
(the “Declined Proceeds”) so waived shall be retained by the Borrower.

          4.03 Method and Place of Payment.

          (a) All payments to be made by the Borrower shall be made without condition or deduction for
any counterclaim, defense, recoupment or setoff. Except as otherwise expressly provided herein,
all payments by the Borrower hereunder shall be made to the Administrative Agent, for the account
of the respective Lenders to which such payment is owed, at the applicable Administrative Agent’s
Office in immediately available funds not later than 2:00 p.m. (New York City time) on the date
specified herein. The Administrative Agent will promptly distribute to each Lender its pro rata
share (or other applicable share as provided herein) of such payment in like funds as received by
wire transfer to such Lender. All payments received by the Administrative Agent after 2:00 p.m.
(New York City time) shall in each case be deemed received on the next succeeding Business Day and
any applicable interest or fee shall continue to accrue.

          (b) If any payment to be made by the Borrower shall come due on a day other than a Business
Day, payment shall be made on the next following Business Day, and such extension of time shall be
reflected in computing interest or fees, as the case may be; provided that, if such
extension would cause payment of interest on or principal of Eurodollar Loans to be made in the
next succeeding calendar month, such payment shall be made on the immediately preceding Business
Day.

          (c) Unless the Borrower or any Lender has notified the Administrative Agent, prior to the date
any payment is required to be made by it to the Administrative Agent hereunder, that the Borrower
or such Lender, as the case may be, will not make such payment, the Administrative Agent may assume
that the Borrower or such Lender, as the case may be, has timely made such payment and may (but
shall not be so required to), in reliance thereon, make available a corresponding amount to the
Person entitled thereto. If and to the extent that such payment was not in fact made to the
Administrative Agent in immediately available funds, then:

     (i) if the Borrower failed to make such payment, each Lender shall forthwith on demand
repay to the Administrative Agent the portion of such assumed payment that was made
available to such Lender in immediately available funds, together with interest thereon in
respect of each day from and including the date such amount was made available by the
Administrative Agent to such Lender to the date such amount is repaid to the Administrative
Agent in immediately available funds at the applicable Federal Funds Rate from time to time
in effect; and

     (ii) if any Lender failed to make such payment, such Lender shall forthwith on demand
pay to the Administrative Agent the amount thereof in immediately available funds, together
with interest thereon for the period from the date such amount was made available by the
Administrative Agent to the Borrower to the date such amount is recovered by the
Administrative Agent (the “Compensation Period”) at a rate per annum equal to the greater of
(x) the applicable Federal Funds Rate from time to time in effect and (y) a rate determined
by the Administrative Agent in accordance with banking rules governing interbank
compensation. When such Lender

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makes payment to the Administrative Agent (together with all
accrued interest thereon), then such payment amount (excluding the amount of any interest
which may have accrued and been paid in respect of such late payment) shall constitute such
Lender’s Loan included in the applicable Borrowing. If such Lender does not pay such amount
forthwith upon the Administrative Agent’s demand therefor, the Administrative Agent may make
a demand therefor upon the Borrower, and the Borrower shall pay such amount to the
Administrative Agent, together with interest thereon
for the Compensation Period at a rate per annum equal to the rate of interest
applicable to the applicable Borrowing. Nothing herein shall be deemed to relieve any
Lender from its obligation to fulfill its Commitment or to prejudice any rights which the
Administrative Agent or the Borrower may have against any Lender as a result of any default
by such Lender hereunder.

A notice of the Administrative Agent to any Lender or the Borrower with respect to any amount owing
under this Section 4.03(c) shall be conclusive, absent manifest error.

          (d) If any Lender makes available to the Administrative Agent funds for any Loan to be made by
such Lender as provided in Section 1.01, and such funds are not made available to the Borrower by
the Administrative Agent because the conditions to such Loan set forth in Section 6 are not
satisfied or waived in accordance with the terms hereof, the Administrative Agent shall return such
funds (in like funds as received from such Lender) to such Lender, without interest.

          (e) The obligations of the Lenders hereunder to make Loans and to fund participations in
Letters of Credit and Swingline Loans are several and not joint. The failure of any Lender to make
any Loan or to fund any such participation on any date required hereunder shall not relieve any
other Lender of its corresponding obligation to do so on such date, and no Lender shall be
responsible for the failure of any other Lender to so make its Loan or purchase its participation.

          (f) Nothing herein shall be deemed to obligate any Lender to obtain the funds for any Loan in
any particular place or manner or to constitute a representation by any Lender that it has obtained
or will obtain the funds for any Loan in any particular place or manner.

          (g) Whenever any payment received by the Administrative Agent under this Agreement or any of
the other Credit Documents is insufficient to pay in full all amounts due and payable to the
Administrative Agent and the Lenders under or in respect of this Agreement and the other Credit
Documents on any date, such payment shall be distributed by the Administrative Agent and applied by
the Administrative Agent and the Lenders entitled thereto on a pro rata basis.

          (h) If any Lender shall fail to make any payment required to be made by it pursuant to Section
1.02(b), 1.03(c), 2.01(c), 4.03(c) or 14.06, 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.

          4.04 Taxes.

          (a) Unless required by applicable Laws (as determined in good faith by the applicable
withholding agent), any and all payments made by or on account of any Credit Party under any Credit
Document shall be made free and clear of and without deduction for Taxes. If the Credit Party or
other applicable withholding agent shall be required by any Laws to withhold or deduct any
Indemnified Taxes or Other Taxes from or in respect of any sum payable under any Credit Document to
any Agent or any Lender, (i) the sum payable by such Credit Party shall be increased as necessary
so that after all required deductions (including deductions applicable to additional sums payable
under this Section 4.04) have

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been made, each of such Agent and such Lender receives an amount
equal to the sum it would have received had no such deductions been made, (ii) the applicable
withholding agent shall make such deductions, (iii) the applicable withholding agent shall pay the
full amount deducted to the relevant taxation authority or other authority in accordance with
applicable Laws, and (iv) within thirty (30) days after the date of such payment (or, if receipts
or evidence are not available within thirty (30) days, as soon as possible thereafter), if a Credit
Party is the applicable withholding agent, shall furnish to such Agent or
Lender (as the case may be) the original or a copy of a receipt evidencing payment thereof or
other evidence acceptable to such Agent or Lender.

          (b) In addition, the Borrower agrees to pay any and all present or future stamp, court or
documentary Taxes and any other excise, property, intangible or mortgage recording Taxes, or
charges or levies of the same character, imposed by any Governmental Authority, which arise from
any payment made under any Credit Document or from the execution, delivery, performance,
enforcement or registration of, or otherwise with respect to, any Credit Document, other than any
such Taxes that are imposed as a result of a Lender’s voluntary assignment in such Lender’s
interest in the Loan hereunder, but only to the extent such assignment-related Taxes are imposed as
a result of such Lender’s current or former connection with the jurisdiction imposing such Taxes
(other than any connections arising from such Lender having executed, delivered, enforced, become a
party to, performed its obligations or received payments under, received or perfected a security
interest under, or engaged in any other transaction pursuant to, any Credit Document) (the “Other
Taxes”).

          (c) Each of the Credit Parties agrees to indemnify each Agent and each Lender for (i) the full
amount of Indemnified Taxes and Other Taxes payable by such Agent or such Lender (whether or not
such Taxes are correctly or legally imposed) and (ii) any expenses arising therefrom or with
respect thereto, provided such Agent or Lender, as the case may be, provides the relevant
Credit Party with a written statement thereof setting forth in reasonable detail the basis and
calculation of such amounts. If the Borrower reasonably believes that such Indemnified Taxes or
Other Taxes were not correctly or legally asserted, the Administrative Agent and each Lender will
use reasonable efforts to cooperate with Borrower for the Borrower to file for and obtain a refund
of such Indemnified Taxes or Other Taxes so long as such efforts would not, in the sole
determination of the Administrative Agent or such Lender, result in any additional costs, expenses
or risks or be otherwise disadvantageous to it.

          (d) Each Lender shall, at such times as are reasonably requested by the Borrower or the
Administrative Agent, provide the Borrower and the Administrative Agent with any documentation
prescribed by Law certifying as to any entitlement of such Lender to an exemption from, or
reduction in, withholding tax with respect to any payments to be made to such Lender under the
Credit Documents. Each such Lender shall, whenever a lapse in time or change in circumstances
renders such documentation obsolete or inaccurate in any material respect, deliver promptly to the
Borrower and the Administrative Agent updated or other appropriate documentation (including any new
documentation reasonably requested by the applicable withholding agent) or promptly notify the
Borrower and the Administrative Agent of its inability to do so. Unless the applicable withholding
agent has received forms or other documents satisfactory to it indicating that payments under any
Credit Document to or for a Lender are not subject to withholding tax or are subject to such Tax at
a rate reduced by an applicable tax treaty, the Borrower, the Administrative Agent or other
applicable withholding agent shall withhold amounts required to be withheld by applicable Law from
such payments at the applicable statutory rate. Without limiting the foregoing:

     (i) Each Lender that is a United States person (as defined in Section 7701(a)(30) of
the Code) shall deliver to the Borrower and the Administrative Agent on or before the date
on which it becomes a party to this Agreement two properly completed and duly signed
original cop-

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ies of Internal Revenue Service Form W-9 (or any successor forms) certifying
that such Lender is exempt from federal backup withholding.

     (ii) Each Lender that is not a United States person (as defined in Section 7701(a)(30)
of the Code) shall deliver to the Borrower and the Administrative Agent on or before the
date on which it becomes a party to this Agreement (and from time to time thereafter upon
the request of the Borrower or the Administrative Agent) whichever of the following is
applicable:

     (A) two properly completed and duly signed original copies of Internal Revenue
Service Form W-8BEN (or any successor forms) claiming eligibility for the benefits
of an income tax treaty to which the United States is a party, and such other
documentation as required under the Code,

     (B) two properly completed and duly signed original copies of Internal Revenue
Service Form W-8ECI (or any successor forms),

     (C) in the case of a Lender claiming the benefits of the exemption for
portfolio interest under Section 881(c) of the Code, (A) a certificate substantially
in the form of Exhibit E (any such certificate a “United States Tax Compliance
Certificate”) to the effect that (1) such Lender is not a “bank” within the meaning
of Section 881(c)(3)(A) of the Code, (2) such Lender is not a “10 percent
shareholder” of the Borrower within the meaning of Section 881(c)(3)(B) of the Code,
(3) such Lender is not a “controlled foreign corporation” described in Section
881(c)(3)(C) of the Code and (4) no payments in connection with any Credit Document
are effectively connected with a United States trade or business conducted by such
Lender and (B) two properly completed and duly signed original copies of Internal
Revenue Service Form W-8BEN (or any successor forms),

     (D) to the extent a Lender is not the beneficial owner (for example, where the
Lender is a partnership, or is a Participant holding a participation granted by a
participating Lender), two properly completed and duly signed original copies of
Internal Revenue Service Form W-8IMY (or any successor forms) of the Lender,
accompanied by a Form W-8ECI, W-8BEN, United States Tax Compliance Certificate, Form
W-9, Form W-8IMY or any other required information from each beneficial owner, as
applicable (provided that, if the Lender is a partnership (and not a participating
Lender) and one or more beneficial owners are claiming the portfolio interest
exemption, the United States Tax Compliance Certificate may be provided by such
Lender on behalf of such beneficial owner), or

     (E) two properly completed and duly signed original copies of any other form
prescribed by applicable U.S. federal income tax laws (including the Treasury
Regulations) as a basis for claiming a complete exemption from, or a deduction in,
United States federal withholding tax on any payments to such Lender under the
Credit Documents.

          Notwithstanding any other provision of this clause (d), a Lender shall not be required to
deliver any form that such Lender is not legally eligible to deliver.

          Each Lender shall deliver to the Borrower and the Administrative Agent two further original
copies of any previously delivered form or certification (or any applicable successor form) on or
before the date that any such form or certification expires or becomes obsolete or inaccurate and
promptly after the occurrence of any event requiring a change in the most recent form previously
delivered by it to

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the Borrower or the Administrative Agent, or promptly notify the Borrower and
the Administrative Agent that it is unable to do so. Each Lender shall promptly notify the
Administrative Agent at any time it determines that it is no longer in a position to provide any
previously delivered form or certification to the Borrower or the Administrative Agent.

          (e) If any Lender or Agent determines, in its sole discretion, that it has received a refund
in respect of any Indemnified Taxes or Other Taxes as to which indemnification or additional
amounts have been paid to it by any Credit Party pursuant to this Section 4.04, it shall promptly
remit such refund to the Credit Party, net of all out-of-pocket expenses of the Lender or Agent, as
the case may be and without interest (other than any interest paid by the relevant taxing authority
with respect to such refund net of any Taxes payable by any Agent or Lender on such interest);
provided that the Credit Party, upon the request of the Lender or Agent, as the case may
be, agrees promptly to return such refund (plus any penalties, interest or other charges imposed by
the relevant taxing authority) to such party in the event such party is required to repay such
refund to the relevant taxing authority. This section shall not be construed to require the
Administrative Agent or any Lender to make available its tax returns (or any other information
relating to Taxes that it deems confidential) to the Borrower or any other person.

          (f) For purposes of this Section 4.04, a “Lender” shall include any Issuing Lender.

          SECTION 5A. Conditions Precedent to Credit Events on the Initial Borrowing Date. The
obligation of each Lender to make Loans, and the obligation of each Issuing Lender to issue Letters
of Credit, on the Initial Borrowing Date, is subject at the time of the making of such Loans or the
issuance of such Letters of Credit to the satisfaction of the following conditions.

          5A.01 Execution of the Agreement; Notes. On or prior to the Initial Borrowing Date
(i) the Effective Date shall have occurred and (ii) there shall have been delivered to the
Administrative Agent, for the account of each of the Lenders that has requested the same, the
appropriate Note(s) executed by the Borrower.

          5A.02 Fees, etc. On or prior to the Initial Borrowing Date, the Borrower shall have
paid to the Administrative Agent, the Joint Book Runners and the Lenders all Fees and, to the
extent invoiced, all other reasonable costs, fees and expenses (including, without limitation, to
the extent invoiced, reasonable legal fees and expenses of the Administrative Agent and the Joint
Book Runners) payable to the Administrative Agent, the Joint Book Runners and the respective
Lenders to the extent then due.

          5A.03 Opinion of Counsel. On the Initial Borrowing Date, the Administrative Agent
shall have received (i) from Simpson Thacher & Bartlett LLP, special counsel to the Credit Parties,
an opinion addressed to the Administrative Agent and each of the Lenders and dated the Initial
Borrowing Date covering the matters set forth in Exhibit F-1 and such other matters incident to the
transactions contemplated herein as the Administrative Agent may reasonably request and (ii) from
Ronald P. Soltman, Esq., General Counsel to the Credit Parties, an opinion addressed to the
Administrative Agent and each of the Lenders and dated the Initial Borrowing Date covering the
matters set forth in Exhibit F-2 and such other matters incident to the transactions contemplated
herein as the Administrative Agent may reasonably request, opinions each in form and substance
reasonably satisfactory to the Administrative Agent and addressed to the Administrative Agent, the
Collateral Agent, the Joint Book Runners and each of the Lenders and dated the Initial Borrowing
Date and covering such matters incident to the transactions contemplated herein as the
Administrative Agent may reasonably request.

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          5A.04 Corporate Documents; Proceedings; etc.

          (a) On the Initial Borrowing Date, the Administrative Agent shall have received a certificate,
dated the Initial Borrowing Date, signed by the chairman of the board, chief executive officer,
chief financial officer, the president, any vice president or the treasurer of VHS Holdco I and
each other Credit Party, and attested to by the secretary or any assistant secretary of the
respective Credit Party, substantially in the form of Exhibit G with appropriate insertions,
together with copies of the certificate of
incorporation and by-laws of each such Credit Party, and the resolutions of each such Credit
Party referred to in such certificate.

          (b) On or prior to the Initial Borrowing Date the Administrative Agent shall have received
good standing certificates of each Credit Party from its jurisdiction of organization, if any,
which the Administrative Agent may have reasonably requested.

          5A.05 Consummation of the Transaction.

          (a) On or prior to the Initial Borrowing Date, the Borrower shall have received gross cash
proceeds (calculated before original issue discount and underwriting fees) of $950,000,000 from the
issuance by the Borrower and Vanguard Holding Company II, Inc. of a like principal amount of New
Senior Unsecured Notes.

          (b) On or prior to the Initial Borrowing Date, the Administrative Agent shall have received
evidence that the total commitments pursuant to the Existing Credit Agreement shall have been
terminated, and all loans thereunder shall have been repaid in full (together with interest
thereon), all letters of credit issued thereunder shall have been terminated (or incorporated as
Existing Letters of Credit hereunder), all other amounts (including premiums) due and owing
pursuant to the Existing Credit Agreement shall have been repaid in full and the collateral agent
thereunder shall have released (or authorized the release) of the Liens on the assets of VHS Holdco
I and its Subsidiaries created pursuant to the security documentation relating to the Existing
Credit Agreement.

          (c) The Administrative Agent shall be satisfied that on or prior to the Initial Borrowing
Date, (i) the Borrower and VHS Holdco I shall have repurchased and retired all Existing Senior
Discount Notes and the Existing Senior Subordinated Notes validly tendered prior to the “Consent
Payment Deadline” (as defined in the Borrower’s offer to purchase dated January 14, 2010) and the
supplemental indentures contemplated by such offer to purchase shall have become effective or (ii)
Borrower and VHS Holdco I shall have provided notices of redemption for all Existing Senior
Discount Notes and Existing Senior Subordinated Notes and shall have satisfied and discharged the
applicable indentures.

          5A.06 Pledge Agreement. On or prior to the Initial Borrowing Date, each Credit Party
shall have duly authorized, executed and delivered to the Administrative Agent a Pledge Agreement
substantially in the form of Exhibit H (as modified, supplemented or amended from time to time, the
“Pledge Agreement”) and, except for items permitted to be delivered following the Initial Borrowing
Date pursuant to the terms thereof, shall have delivered to the Collateral Agent, as Pledgee
thereunder, all the certificated Pledge Agreement Collateral, if any, referred to therein as being
owned by such Credit Party on the date thereof, (x) endorsed in blank in the case of promissory
notes constituting Pledge Agreement Collateral and (y) together with executed and undated stock
powers (or other effective endorsement for transfer), in the case of certificated Equity Interests
constituting Pledge Agreement Collateral.

          5A.07 Subsidiaries Guaranty. On or prior to the Initial Borrowing Date, each
Subsidiary Guarantor shall have duly authorized, executed and delivered to the Administrative Agent
the Sub-

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sidiaries Guaranty substantially in the form of Exhibit I (as modified, supplemented or
amended from time to time, collectively the “Subsidiaries Guaranty”).

          5A.08 Vanguard Guaranty. On or prior to the Initial Borrowing Date, Vanguard shall
have duly authorized, executed and delivered to the Administrative Agent the Vanguard Guaranty
substantially in the form of Exhibit J (as modified, supplemented or amended from time to time, the
“Vanguard Guaranty”).

          5A.09 Security Agreement. On or prior to the Initial Borrowing Date, each Credit
Party shall have duly authorized, executed and delivered to the Administrative Agent the Security
Agreement substantially in the form of Exhibit K (as modified, supplemented or amended from time to
time, the “Security Agreement”), together with:

     (i) UCC financing statements with respect to each Credit Party; and

     (ii) lien search results with respect to the Credit Parties in such jurisdictions as
the Administrative Agent shall have requested.

          5A.10 Solvency Certificate. On or prior to the Initial Borrowing Date, there shall
have been delivered to the Administrative Agent a solvency certificate in the form of Exhibit L,
dated the Initial Borrowing Date, from the chief financial officer of VHS Holdco I.

          SECTION 5B. Conditions Precedent to each Incurrence of Incremental Term Loans. The
obligation of each Lender party to any Incremental Commitment Agreement to make Incremental Term
Loans as contemplated therein and by this Agreement, is subject at the time of the making of such
Incremental Term Loans to the satisfaction of the following conditions:

          5B.01 Incremental Commitment Agreement; Related Documentation. The Administrative
Agent shall have received the respective Incremental Commitment Agreement, executed by each party
thereto (which execution may be in counterparts), and the Administrative Agent shall have received
all related documentation in accordance with the requirements of Section 1.11(b).

          5B.02 Officer’s Certificate. On the date of each incurrence of Incremental Term
Loans, the Administrative Agent shall have received a certificate, dated the date of such
incurrence, signed by the chairman of the board, the chief executive officer, the chief financial
officer, the president, any vice president or the treasurer of each Borrower certifying that the
Incremental Term Loans are being incurred in accordance with all relevant requirements and
representations and warranties contained in this Agreement, including, without limitation, Section
1.11, and showing in reasonable detail calculations of compliance with the requirements of clauses
(iv) and (ix) of Section 1.11(a).

          SECTION 6. Conditions Precedent to All Credit Events. The obligation of each Lender
to make Loans (including any Loans made on the Initial Borrowing Date or at any time thereafter),
and the obligation of each Issuing Lender to issue Letters of Credit (including any Letters of
Credit issued on the Initial Borrowing Date), is subject, at the time of each such Credit Event
(except as hereinafter indicated), to the satisfaction of the following conditions:

          6.01 No Default; Representations and Warranties. At the time of each such Credit
Event and also immediately after giving effect thereto (i) there shall exist no Default or Event of
Default and (ii) all representations and warranties contained herein and in the other Credit
Documents shall be true and correct in all material respects with the same effect as though such
representations and warranties had been made on the date of the making of such Credit Event (it
being understood and agreed that any

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representation or warranty which by its terms is made as of a
specified date shall be required to be true and correct in all material respects only as of such
specified date).

          6.02 Notice of Borrowing; Letter of Credit Application.

          (a) Prior to the making of each Loan (other than a Swingline Loan or a Revolving Loan made
pursuant to a Mandatory Borrowing), the Administrative Agent shall have received a Notice
of Borrowing meeting the requirements of Section 1.02(a). Prior to the making of each
Swingline Loan, the Swingline Lender shall have received the notice referred to in Section 1.03(b).

          (b) Prior to the issuance of each Letter of Credit, the Administrative Agent and the
respective Issuing Lender shall have received a Letter of Credit Application meeting the
requirements of Section 2.01.

          The acceptance of the proceeds of each Loan and the making of each Letter of Credit Request
shall constitute a representation and warranty by each Credit Agreement Party to the Administrative
Agent and each of the Lenders that all the conditions specified in Section 5A (with respect to
Credit Events on the Initial Borrowing Date), Section 5B (with respect to each incurrence of
Incremental Term Loans) and in this Section 6 (with respect to all Credit Events on and after the
Initial Borrowing Date) and applicable to such Credit Event exist as of that time.

          SECTION 7. Representations and Warranties. In order to induce the Lenders to enter
into this Agreement and to make the Loans and issue (or participate in) the Letters of Credit as
provided herein, each Credit Agreement Party makes the following representations, warranties and
agreements, in each case after giving effect to the Transactions, all of which shall survive the
execution and delivery of this Agreement and the Notes and the making of the Loans and issuance of
the Letters of Credit, with the occurrence of each Credit Event on or after the Initial Borrowing
Date being deemed to constitute a representation and warranty that the matters specified in this
Section 7 are true and correct in all material respects on and as of the Initial Borrowing Date and
on the date of each such Credit Event (it being understood and agreed that any representation or
warranty which by its terms is made as of a specified date shall be required to be true and correct
in all material respects only as of such specified date).

          7.01 Corporate and Other Status. VHS Holdco I and each of its Subsidiaries (i) is a
duly organized and validly existing corporation, partnership or limited liability company in good
standing under the laws of the jurisdiction of its organization or formation, (ii) has the
corporate, partnership or limited liability company power and authority, as the case may be, to own
its property and assets and to transact the business in which it is engaged and presently proposes
to engage and (iii) is duly qualified and is authorized to do business and, to the extent
applicable, is in good standing in each jurisdiction where the conduct of its business requires
such qualifications except for failures to be so qualified or in good standing which, individually
or in the aggregate, would not reasonably be expected to have a material adverse effect on the
business, assets, liabilities, operations or condition (financial or otherwise) of VHS Holdco I and
its Subsidiaries taken as a whole.

          7.02 Corporate or Partnership Power and Authority. Each Credit Party has the
corporate, partnership or limited liability company power and authority, as the case may be, to
execute, deliver and perform the terms and provisions of each of the Credit Documents to which it
is a party and has taken all necessary corporate, partnership or limited liability company action,
as the case may be, to authorize the execution, delivery and performance by it of each of such
Credit Documents. Each Credit Party has duly executed and delivered each of the Credit Documents
to which it is a party, and each of such Credit Documents constitutes the legal, valid and binding
obligation of such Credit Party enforceable in accordance with its terms, except to the extent that
the enforceability thereof may be limited by applicable

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bankruptcy, insolvency, reorganization,
moratorium or other similar laws generally affecting creditors’ rights, by equitable principles
(regardless of whether enforcement is sought in equity or at law) and subject to the implied
covenants of good faith and fair dealing.

          7.03 No Violation. Neither the execution, delivery or performance by any Credit Party
of the Credit Documents to which it is a party, nor compliance by it with the terms and provisions
thereof, nor the consummation of the transactions contemplated therein, (i) will contravene any
provision
of any applicable law, statute, rule or regulation or any applicable order, writ, injunction
or decree of any court or governmental instrumentality, (ii) will conflict with or result in any
breach of any of the terms, covenants, conditions or provisions of, or constitute a default under
the terms of any indenture, mortgage, deed of trust, credit agreement or loan agreement, or any
other material agreement, contract or instrument, to which VHS Holdco I or any of its Subsidiaries
is a party or by which it or any of its property or assets is bound or to which it may be subject,
(iii) will violate any provision of the certificate of incorporation or by-laws (or equivalent
organizational document(s)) of VHS Holdco I or any of its Subsidiaries or (iv) will result in the
creation or imposition of (or the obligation to create or impose) any Lien (except pursuant to the
Security Documents) upon any of the properties or assets of VHS Holdco I or any of its Subsidiaries
pursuant to the terms of any indenture, mortgage, deed of trust, credit agreement or loan
agreement, or any other material agreement, contract or instrument, to which VHS Holdco I or any of
its Subsidiaries is a party or by which it or any of its property or assets is bound or to which it
may be subject except in the cases of preceding clause (i) through (iii), inclusive, to the extent
that any such contravention, conflict, breach or violation referred in any such clause could not,
either individually or in the aggregate, reasonably be expected to have a material adverse effect
on the business, assets, liabilities, operations or condition (financial or otherwise) of VHS
Holdco I and its Subsidiaries taken as a whole.

          7.04 Governmental Approvals. No order, consent, approval, license, authorization or
validation of, or filing, recording or registration with (except for (v) those filings that have
been obtained or made and which remain in full force and effect, (w) the filing of UCC-1 financing
statements, (x) filings with the United States Patent and Trademark Office and the United States
Copyright Office, (y) recordation of the Mortgages and (z) such actions, consents and approvals the
failure to be obtained or made which could not be reasonably be expected to have a material adverse
effect on the business, assets, liabilities, operations or condition (financial or otherwise) of
VHS Holdco I and its Subsidiaries taken as a whole), or exemption by, any governmental or public
body or authority, or any subdivision thereof, is required to authorize, or is required in
connection with, (i) the Transaction or the execution, delivery and performance of any Credit
Document or (ii) the legality, validity, binding effect or enforceability of any such Credit
Document.

          7.05 Financial Statements; Financial Condition; Undisclosed Liabilities; Projections;
etc.

          (a) The consolidated balance sheets of Vanguard and its Subsidiaries for the fiscal years
ended on June 30, 2007, June 30, 2008 and June 30, 2009 and the related consolidated statements of
income, cash flows and shareholders’ equity of Vanguard for the fiscal year ended on such dates,
copies of which have been furnished to the Lenders prior to the Initial Borrowing Date, present
fairly in all material respects the consolidated financial position of Vanguard and its
Subsidiaries at the dates of such balance sheets and the consolidated results of the operations of
Vanguard and its Subsidiaries for the periods covered thereby. All of the foregoing financial
statements have been prepared in accordance with GAAP. Except as set forth in the SEC Filings,
since June 30, 2009 nothing has occurred which has had, or could reasonably be expected to have, a
material adverse effect on the business, assets, liabilities, operations or condition (financial or
otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

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          (b) On and as of the Initial Borrowing Date and after giving effect to the Transaction and to
all Indebtedness (including the Loans) being incurred or assumed and Liens created by the Credit
Parties in connection therewith, (i) the sum of the assets, at a fair valuation, of the Borrower on
a stand alone basis, and of VHS Holdco I and its Subsidiaries taken as a whole, will exceed their
debts; (ii) the Borrower on a stand alone basis, and VHS Holdco I and its Subsidiaries taken as a
whole, have not incurred and do not intend to incur, and do not believe that they will incur, debts
beyond their ability to pay
such debts as such debts become absolute and matured; and (iii) the Borrower on a stand alone
basis, and VHS Holdco I and its Subsidiaries taken as a whole, will have sufficient capital with
which to conduct their business. For purposes of this Section 7.05(b), “debt” means any liability
on a claim, and “claim” means (x) right to payment, whether or not such a right is reduced to
judgment, liquidated, unliquidated, fixed, contingent, matured, unmatured, disputed, undisputed,
legal, equitable, secured, or unsecured or (y) right to an equitable remedy for breach of
performance if such breach gives rise to a payment, whether or not such right to an equitable
remedy is reduced to judgment, fixed, contingent, matured, unmatured, disputed, undisputed, secured
or unsecured. The amount of contingent liabilities at any time shall be computed as the amount
that, in the light of all the facts and circumstances existing at such time, represents the amount
that can reasonably be expected to become an actual or matured liability.

          (c) Except as fully disclosed in the financial statements delivered pursuant to Section
7.05(a) or in other information delivered to the Lenders in writing, there were as of the Initial
Borrowing Date (and after giving effect to the Transaction) no liabilities or obligations with
respect to VHS Holdco I or any of its Subsidiaries of any nature whatsoever (whether absolute,
accrued, contingent or otherwise and whether or not due) which, either individually or in
aggregate, would reasonably be expected to be materially adverse to VHS Holdco I and its
Subsidiaries taken as a whole.

          (d) On and as of the Initial Borrowing Date, the Projections and the information of a general
economic nature delivered to the Joint Book Runners and the Lenders prior to the Initial Borrowing
Date have been prepared in good faith and are based on assumptions believed by each Credit
Agreement Party to be reasonable; it being understood that the Projections include assumptions as
to future events that are not to be viewed as facts and there can be no assurance that such
assumptions, statements, estimates and Projections will be realized and that actual results may
differ from the projected results and such differences may be material and adverse.

          7.06 Litigation; Compliance with Laws.

          (a) There are no actions, suits or proceedings pending or, to any Credit Agreement Party’s
knowledge, threatened in writing (i) with respect to any Credit Document, (ii) that could
reasonably be expected to, either individually or in the aggregate, materially adversely affect the
Transaction, or (iii) with respect to any matter that could reasonably be expected to have, either
individually or in the aggregate, a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole.

          (b) VHS Holdco I and each of its Subsidiaries are in compliance with all applicable statutes,
regulations and orders of all governmental bodies, domestic or foreign, in respect of the conduct
of its business and the ownership of its property (including applicable Environmental Laws) except
such noncompliances as could not, individually or in the aggregate, reasonably be expected to have
a material adverse effect on the business, assets, liabilities, operations or condition (financial
or otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

          7.07 True and Complete Disclosure. All factual information (taken as a whole)
regarding Vanguard or any of its Subsidiaries or VHS Holdco I or any of its Subsidiaries furnished
by or on behalf of Vanguard or any of its Subsidiaries or VHS Holdco I or any of its Subsidiaries
in writing to the

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Administrative Agent, the Joint Book Runners or any Lender for purposes of or in
connection with this Agreement, the other Credit Documents or any transaction contemplated herein
or therein is, and all other such factual information (taken as a whole) hereafter furnished by or
on behalf of VHS Holdco I or any of its Subsidiaries in writing to the Administrative Agent or any
Lender will be, true and accurate in all material respects on the date as of which such information
is dated or certified and not incomplete by omitting to state any fact necessary to make such
information (taken as a whole) not misleading in any material respect at such time in light of the
circumstances under which such information was provided. It is understood that the Projections or
any other information of a general economic nature do not constitute factual information for
purposes of this Section 7.07.

          7.08 Use of Proceeds; Margin Regulations.

          (a) All proceeds of the Initial Term Loans shall be used solely to finance (in part) the
Transaction.

          (b) All proceeds of the Revolving Loans and the Swingline Loans shall be used solely to
finance Permitted Acquisitions and for working capital purposes, Capital Expenditures and other
general corporate purposes of the Borrower and its Subsidiaries.

          (c) All proceeds of Incremental Term Loans shall be used solely (i) to finance Permitted
Acquisitions, (ii) to finance Capital Expenditures and the Borrower’s and its Subsidiaries’ other
general corporate purposes and/or (iii) to repay outstanding Term Loans and Revolving Loans.

          (d) No part of any Credit Event (or the proceeds thereof) will be used to purchase or carry
any Margin Stock or to extend credit for the purpose of purchasing or carrying any Margin Stock.
Neither the making of any Loan nor the use of the proceeds thereof nor the occurrence of any other
Credit Event will violate or be inconsistent with the provisions of Regulation T, U or X of the
Board of Governors of the Federal Reserve System.

          7.09 Tax Returns and Payments. Vanguard, VHS Holdco I and each of the Subsidiaries of VHS
Holdco I (the “VHS Subsidiaries”) has filed all federal income Tax returns and all other material
Tax returns, domestic and foreign, required to be filed by it and has paid all material Taxes
levied or imposed upon it or its income, profits or properties that are due and payable (including
in its capacity as a withholding agent), other than those which are being contested in good faith
by appropriate proceedings diligently conducted and which are fully provided for on the financial
statements of Vanguard, VHS Holdco I or the VHS Subsidiaries (as applicable) in accordance with
GAAP, (b) Vanguard, VHS Holdco I and each of the VHS Subsidiaries have at all times provided
adequate reserves (in accordance with GAAP) for the payment of all material Taxes applicable for
all prior fiscal years and for the current fiscal year to date, (c) there is no action, suit,
deficiency, proceeding, investigation, audit, or claim now pending or, to the knowledge of any
Credit Party, threatened in writing by any authority regarding any Taxes relating to Vanguard, VHS
Holdco I or any of the VHS Subsidiaries that could reasonably be expected to have, either
individually or in the aggregate, a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and the VHS Subsidiaries taken as
a whole and (d) as of the Initial Borrowing Date, none of Vanguard, VHS Holdco I nor any of the VHS
Subsidiaries has entered into an agreement or waiver which is currently in effect or has pending a
request to enter into an agreement or waiver extending any statute of limitations relating to the
payment or collection of Taxes of Vanguard, VHS Holdco I or any of the VHS Subsidiaries, or is
aware of any circumstances that would cause the taxable years or other taxable periods of Vanguard,
VHS Holdco I or any of the VHS Subsidiaries not to be subject to the normally applicable statute of
limitations. Notwithstanding anything to the contrary in this Section 7.09, the representations of
Vanguard in this Section 7.09 are limited to Taxes and Tax matters related to the ownership of VHS
Holdco I and the VHS Subsidiaries.

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          7.10 Compliance with ERISA. Each Plan (and each related trust, insurance contract or fund)
is in compliance with its terms and with all applicable laws, including, without limitation, ERISA
and the Code, except for any non-compliance therewith which could not reasonably be expected to
have, either individually or in the aggregate, a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries
taken as a whole; each Plan (and each related trust, if any) which is intended to be qualified
under Section 401(a) of the Code has received a determination letter from the Internal Revenue
Service to the effect that it meets the requirements of Sections 401(a) and 501(a) of the Code; no
Reportable Event has occurred, except as could not reasonably be expected to have, either
individually or in the aggregate, a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole; no Plan which is a multiemployer plan (as defined in Section 4001(a)(3) of ERISA) is
insolvent or in reorganization; no Plan other than a plan which is a multiemployer plan, has an
Unfunded Current Liability which, when added to the aggregate amount of Unfunded Current
Liabilities with respect to all other Plans, could reasonably be expected to have, either
individually or in the aggregate, a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole; no failure to meet the minimum funding standard under Section 412 of the Code or Section 302
of ERISA has occurred or is reasonably expected to occur with respect to any Plan which is subject
to Section 412 of the Code or Section 302 of ERISA and no application has been made for a waiver or
modification of the minimum funding standard (including any required installment payments) under
Section 412 of the Code or Section 302 of ERISA with respect to a Plan, except as could not
reasonably be expected to have, either individually or in the aggregate, a material adverse effect
on the business, assets, liabilities, operations or condition (financial or otherwise) of VHS
Holdco I and its Subsidiaries taken as a whole; except as could not reasonably be expected to have,
either individually or in the aggregate, a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries
taken as a whole, all contributions required to be made with respect to a Plan have been timely
made; neither VHS Holdco I nor any Subsidiary of VHS Holdco I nor any ERISA Affiliate has incurred
any liability (including any indirect, contingent or secondary liability) to or on account of a
Plan pursuant to Section 409, 502(i), 502(l), 515, 4062, 4063, 4064, 4069, 4201, 4204 or 4212 of
ERISA or Section 401(a)(29), 4971 or 4975 of the Code or expects to incur any such liability under
any of the foregoing sections with respect to any Plan that could reasonably be expected to have,
either individually or in the aggregate, a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries
taken as a whole; no proceedings have been instituted to terminate or appoint a trustee to
administer any Plan which is subject to Title IV of ERISA that could reasonably be expected to
have, either individually or in the aggregate, a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries
taken as a whole; no action, suit, proceeding, hearing, audit or investigation with respect to the
administration, operation or the investment of assets of any Plan (other than routine claims for
benefits) is pending, expected or threatened that could reasonably be expected to have, either
individually or in the aggregate, a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole; using actuarial assumptions and computation methods used by the Plan pursuant to their
valuation report, the aggregate liabilities of VHS Holdco I and its Subsidiaries and its ERISA
Affiliates to all Plans which are multiemployer plans (as defined in Section 4001(a)(3) of ERISA)
in the event of a complete withdrawal therefrom, as of the close of the most recent fiscal year of
each such Plan ended prior to the date of the most recent Credit Event, would not exceed an amount
that could reasonably be expected to have, either individually or in the aggregate, a material
adverse effect on the business, assets, liabilities, operations or condition (financial or
otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

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          7.11 The Security Documents.

          (a) The provisions of the Security Agreement are effective to create in favor of the
Collateral Agent for the benefit of the Secured Creditors a legal, valid and enforceable security
interest in all right, title and interest of the Credit Parties in the Security Agreement
Collateral (subject to any limitations specified therein), and the Collateral Agent, for the
benefit of the Secured Creditors, shall when filings on form UCC-1 in appropriate form are filed in
offices located in the jurisdictions specified on Annex C to the Security Agreement, have a fully
perfected first lien on, and security interest in, all right, title and interest in all of the
Security Agreement Collateral described therein (other than U.S. registrations and applications for
trademarks, patents and copyrights for which applicable law requires in a filing of a federal
agency for perfection purposes), to the extent perfection can be obtained by filing form UCC-1s,
subject to no other Liens other than Permitted Liens. The recordation of (x) the Grant of Security
Interest in U.S. Patents and (y) the Grant of Security Interest in U.S. Trademarks in the
respective form attached to the Security Agreement, in each case in the United States Patent and
Trademark Office, together with filings on Form UCC-1 made pursuant to the Security Agreement, will
create, as may be perfected by such filings and recordation, a perfected security interest in the
United States trademarks and patents covered by the Security Agreement, and the recordation of the
Grant of Security Interest in U.S. Copyrights in the form attached to the Security Agreement with
the United States Copyright Office, together with filings on Form UCC-1 made pursuant to the
Security Agreement, will create, as may be perfected by such filings and recordation, a perfected
security interest in the United States copyrights covered by the Security Agreement (it being
understood that subsequent filings may be necessary to perfect a security interest in registered
trademarks, patents, trademark and patent applications, and registered copyrights, acquired by the
Credit Parties after the date hereof).

          (b) The security interests created under the Pledge Agreement in favor of the Collateral
Agent, as Pledgee, for the benefit of the Secured Creditors shall constitute perfected security
interests in the Pledge Agreement Collateral, subject to no security interests of any other Person.
No filings or recordings are required in order to perfect (or maintain the perfection or priority
of) the security interests created in the Pledge Agreement Collateral under the Pledge Agreement
other than with respect to that portion of the Pledge Agreement Collateral constituting a “general
intangible” under the UCC.

          (c) Each Mortgage is effective to create, as security for the obligations purported to be
secured thereby, a valid and enforceable security interest in and mortgage lien on the respective
Mortgaged Property in favor of the Collateral Agent (or such other trustee as may be party thereto)
for the benefit of the Secured Creditors, and when such Mortgage is filed or recorded in proper
real estate filing or recording office, such security interest and mortgage lien shall be fully
perfected, superior and prior to the rights of all third Persons (except that the security interest
and mortgage lien created on such Mortgaged Property may be subject to the Permitted Liens related
thereto).

          7.12 Properties. All Real Property owned or leased by VHS Holdco I or any of its
Subsidiaries as of the Initial Borrowing Date (other than any such leased Real Property consisting
of immaterial office or other spaces), and the nature of the interest therein, is correctly set
forth in Schedule 7.12. VHS Holdco I and each of its Subsidiaries have good and valid record fee
simple title (insurable at ordinary rates) to all material properties owned by them, including all
property reflected in Schedule 7.12 and in the balance sheets referred to in Section 7.05(a)
(except as sold or otherwise disposed of since the date of such balance sheet in the ordinary
course of business or as permitted by the terms of this Agreement), free and clear of all Liens,
other than Permitted Liens.

          7.13 Capitalization. On the Initial Borrowing Date no Credit Agreement Party has any
outstanding any securities convertible into or exchangeable for its Equity Interests or outstanding
any

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rights to subscribe for or to purchase, or any options for the purchase of, or any agreements
providing for the issuance (contingent or otherwise) of, or any calls, commitments or claims of any
character relating to, its Equity Interests.

          7.14 Subsidiaries. As of the Initial Borrowing Date (I) VHS Holdco I has no direct
Subsidiaries other than Vanguard Holding Company I, Inc. and the Borrower and (II) the Borrower has
no Subsidiaries other than (i) those Subsidiaries listed on Schedule 7.14 and (ii) new Subsidiaries
created in compliance with Section 8.13. Schedule 7.14 correctly sets forth, as of the Initial
Borrowing Date, the percentage ownership (direct or indirect) of VHS Holdco I in each class of
capital stock or other equity of each of its Subsidiaries and also identifies the direct owner
thereof.

          7.15 Investment Company Act. Neither VHS Holdco I nor any of its Subsidiaries is an
“investment company” or a company “controlled” by an “investment company,” within the meaning of
the Investment Company Act of 1940, as amended.

          7.16 Environmental Matters.

          (a) VHS Holdco I and each of its Subsidiaries have complied with all applicable Environmental
Laws and the requirements of any permits issued under such Environmental Laws. There are no
pending or, to any Credit Agreement Party’s knowledge, threatened Environmental Claims against VHS
Holdco I or any of its Subsidiaries or any Real Property owned, leased or operated by VHS Holdco I
or any of its Subsidiaries. There are no facts, circumstances, conditions or occurrences on any
Real Property owned, leased or operated by VHS Holdco I or any of its Subsidiaries or, to any
Credit Agreement Party’s knowledge, on any property adjoining or in the vicinity of any such Real
Property that would reasonably be expected (i) to result in an Environmental Claim against VHS
Holdco I or any of its Subsidiaries or any such Real Property or (ii) to cause any such Real
Property to be subject to any restrictions on the ownership, occupancy, use or transferability of
such Real Property by VHS Holdco I or any of its Subsidiaries under any applicable Environmental
Law.

          (b) Hazardous Materials are not being, and to the Credit Agreement Parties’ best knowledge,
have not at any time previously been, generated, used, treated or stored on, or transported to or
from, or Released on or from, any Real Property owned, leased or operated by VHS Holdco I or any of
its Subsidiaries except in compliance with all applicable Environmental Laws.

          (c) Notwithstanding anything to the contrary in this Section 7.16, the representations made in
this Section 7.16 shall only be untrue if the aggregate effect of all failures, noncompliances,
activities, facts, circumstances, conditions and occurrences of the types described above could
reasonably be expected to have a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole.

          7.17 Labor Relations. There is (i) no unfair labor practice complaint pending against VHS
Holdco I or any of its Subsidiaries or, to the best knowledge of the Credit Agreement Parties,
threatened in writing against any of them, before the National Labor Relations Board, (ii) no
grievance or arbitration proceeding arising out of or under any collective bargaining agreement is
so pending against VHS Holdco I or any of its Subsidiaries or, to the best knowledge of the Credit
Agreement Parties, threatened in writing against any of them, (iii) no strike, labor dispute,
slowdown or stoppage pending against VHS Holdco I or any of its Subsidiaries or, to the best
knowledge of the Credit Agreement Parties, threatened in writing against any of them and (iv) no
union representation question exists with respect to the employees of VHS Holdco I or any of its
Subsidiaries, except (with respect to any matter specified in clause (i), (ii). (iii) or (iv)
above, either individually or in the aggregate) such as could not reasonably be ex-

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pected to have a material adverse effect on the business, assets, liabilities, operations or condition (financial or
otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

          7.18 Intellectual Property. VHS Holdco I and each of its Subsidiaries owns or has the
right to use, all material patents, trademarks, service marks, trade names, copyrights, licenses,
and proprietary information (including but not limited to rights in computer programs and
databases) necessary for the present conduct of its business, to their knowledge, without any
violation of the rights of others which could reasonably be expected to result in a material
adverse effect on the business, assets, liabilities, operations or condition (financial or
otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

          7.19 Hospital Properties. On the Initial Borrowing Date, each Hospital Property is owned
by a Wholly-Owned Subsidiary of the Borrower which is a Subsidiary Guarantor organized under the
laws of a state in the United States except that (i) each Hospital Property located in San Antonio
is owned by a Subsidiary of the Borrower that is not a Wholly-Owned Subsidiary (but is a Subsidiary
Guarantor) and (ii) the Hospital Property located in Chicago, Illinois, and known as Louis A. Weiss
Memorial Hospital is owned by a Subsidiary of the Borrower which is not a Wholly-Owned Subsidiary
and which is not a Subsidiary Guarantor.

          7.20 Insurance. Schedule 7.20 sets forth a true and complete listing of all insurance
maintained by or on behalf of VHS Holdco I and its Subsidiaries as of the Initial Borrowing Date.

          7.21 Legal Names; Organizational Identification Numbers; Jurisdiction and Type of Organization;
etc. Schedule 7.20 hereto sets forth a true and correct list, as of the Initial Borrowing
Date, of the exact legal name of each Credit Party, the organizational identification number (if
any) of such Credit Party, the jurisdiction of organization of such Credit Party and the type of
organization of such Credit Party.

          SECTION 8. Affirmative Covenants. Each Credit Agreement Party hereby covenants and agrees that
on and after the Initial Borrowing Date and until the Total Commitments and all Letters of Credit
have terminated and the Loans, Notes and Unpaid Drawings, together with interest, Fees and all
other obligations (other than (x) contingent obligations not yet due and payable and (y) Cash
Management Obligations or Obligations under Secured Hedge Agreements) incurred hereunder and
thereunder, are paid in full:

          8.01 Information Covenants. VHS Holdco I will furnish to the Administrative Agent (and the
Administrative Agent will promptly make available to each of the Lenders):

     (a) Quarterly Financial Statements. Within the earlier of (i) five days
following the date such information is required to be filed with the SEC and (ii) 45 days
after the close of the first three quarterly accounting periods in each fiscal year of VHS
Holdco I, commencing with the fiscal quarter ending March 31, 2010, (i) the consolidated
balance sheet of VHS Holdco I and its Subsidiaries as at the end of such quarterly
accounting period and the related consolidated statements of income and equity and statement
of cash flows for such quarterly accounting period and for the elapsed portion of the fiscal
year ended with the last day of such quarterly accounting period, in each case setting forth
comparative figures for the related periods in the prior fiscal year, all of which shall be
certified by the Chief Financial Officer of VHS Holdco I, subject to normal recurring
adjustments and (ii) a comparison of the performance of VHS Holdco I and its Subsidiaries
against the current business plan of VHS Holdco I; it being understood that (x) the delivery
by VHS Holdco I of Quarterly Reports on Form 10-Q of VHS Holdco I and its consolidated
Subsidiaries shall satisfy the requirements of this Section 8.01(a) to the extent such
Quar-

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terly Reports include the information specified herein and (y) so long as Vanguard
remains a Guarantor under the Vanguard Guaranty, holds no material assets other than cash,
Cash Equivalents and the Equity Interests of VHS Holdco I (and does not engage in any
activities other than those incidental to such ownership) and complies with the requirements of Rule 3-10 of
Regulation S-X promulgated by the SEC (or any successor provision), the reports, information
and other documents required to be filed and required to be furnished to the Administrative
Agent pursuant to this Section 8.01(a) may, at the option of VHS Holdco I, be filed by and
be those of Vanguard.

     (b) Annual Financial Statements. (i) Within the earlier of (i) five days
following the date such information is required to be filed with the SEC and (ii) 90 days
after the close of each fiscal year of VHS Holdco I, commencing with the fiscal year ending
June 30, 2010, (A) the consolidated balance sheet of VHS Holdco I and its Subsidiaries as at
the end of such fiscal year and the related consolidated statements of income and equity and
of cash flows for such fiscal year setting forth comparative figures for the preceding
fiscal year and certified (without the inclusion of any “going concern” qualification) by
independent certified public accountants of recognized national standing reasonably
acceptable to the Administrative Agent and (B) a comparison of the performance of VHS Holdco
I and its Subsidiaries against the current business plan of VHS Holdco I; it being
understood that (x) the delivery by VHS Holdco I of Annual Reports on Form 10-K of VHS
Holdco I and its consolidated Subsidiaries shall satisfy the requirements of this Section
8.01(b) to the extent such Annual Reports include the information specified herein and (y)
so long as Vanguard is a Guarantor under the Vanguard Guaranty, holds no material assets
other than cash, Cash Equivalents and the Equity Interests of VHS Holdco I (and does not
engage in any activities other than those incidental to such ownership) and complies with
the requirements of Rule 3-10 of Regulation S-X promulgated by the SEC (or any successor
provision), the reports, information and other documents required to be filed and required
to be furnished to the Administrative Agent pursuant to this Section 8.01(b) may, at the
option of VHS Holdco I, be filed by and be those of Vanguard.

     (ii) At the time of the delivery of the annual financial statements of VHS Holdco I and
its Subsidiaries (or Vanguard and its Subsidiaries) pursuant to clause (i) above, a report
of the applicable accounting firm stating that such accounting firm has performed agreed
upon procedures to recalculate amounts under Sections 9.07, 9.08, 9.09 and 9.15.

     (c) Budgets; Business Plan. No later than 45 days after the commencement of
each fiscal year of VHS Holdco I, commencing with the fiscal year ending June 30, 2010, a
budget in form reasonably satisfactory to the Administrative Agent (including, in any event,
budgeted statements of income and sources and uses of cash and balance sheets of cash flow
and budgeted debt and cash balances) for such fiscal year prepared by VHS Holdco I in
reasonable detail and accompanied by the current business plan of VHS Holdco I and a
statement of the Chief Financial Officer of VHS Holdco I to the effect that, to the best of
such officer’s knowledge, the budget is a reasonable estimate of the period covered thereby.

     (d) Officer’s Certificates. At the time of the delivery of the financial
statements provided for in Sections 8.01(a) and (b), a compliance certificate of the Chief
Financial Officer of VHS Holdco I in the form of Exhibit M certifying on behalf of VHS
Holdco I that, to the best of such officer’s knowledge, no Default or Event of Default has
occurred and is continuing or, if any Default or Event of Default has occurred and is
continuing, specifying the nature and extent thereof, which certificate shall (x) set forth
the calculations (in reasonable detail, and showing any adjustments required pursuant to
Section 11.02) required to establish (A) the Applicable Margins for the respective Margin
Reduction Period (and the Consolidated Leverage Ratio for purposes of

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determining such Applicable Margins) and (B) whether VHS Holdco I and its Subsidiaries were in compliance
with the provisions of Sections 9.07 through 9.09 and 9.15 at the end of such fiscal quarter
or year, as the case may be, and (y) if delivered with the financial statements required by
Section 8.01(b), (A) set forth the calculations (in reasonable detail) required to establish
whether VHS Holdco I and its Subsidiaries were in compliance with the provisions of Sections
4.02(d), (e) and (f), 9.01, 9.02, 9.03, 9.04, 9.05, 9.07, 9.08, 9.09 and 9.10(i) at the end
of such fiscal year and (B) commencing with the fiscal year ending June 30, 2011, set forth
the amount of (and the calculations required to establish) Excess Cash Flow for the
respective Excess Cash Payment Period.

     (e) Notice of Default or Litigation. Promptly, and in any event within five
Business Days, after any executive officer of any Credit Party obtains actual knowledge
thereof, notice of (i) the occurrence of any event which constitutes a Default or an Event
of Default, (ii) any litigation or governmental investigation or proceeding pending or
threatened in writing (x) against VHS Holdco I or any of its Subsidiaries which, either
individually or in the aggregate could reasonably be expected to have a material adverse
effect on the business, assets, liabilities, operations or condition (financial or
otherwise) of VHS Holdco I and its Subsidiaries taken as a whole or (y) with respect to any
Credit Document and (iii) any other development specific to VHS Holdco I or any of its
Subsidiaries that is not a matter of general public knowledge and that has had, or could
reasonably be expected to have, a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its
Subsidiaries taken as a whole.

     (f) Other Reports and Filings. Promptly after the filing or delivery thereof,
copies of all financial information, proxy materials and other information and reports with
respect to VHS Holdco I or any of its Subsidiaries, if any, which VHS Holdco I or any of its
Subsidiaries shall file with or furnish to the Securities and Exchange Commission or any
successor thereto (the “SEC”) and, to the extent not otherwise delivered pursuant to the
terms of this Agreement, copies of all material notices and reports which VHS Holdco I or
its Subsidiaries shall deliver to holders of its material Indebtedness pursuant to the terms
of the documentation governing such Indebtedness (or any trustee, agent or other
representative therefor).

     (g) Collateral Information. Upon the reasonable request of the Administrative
Agent, deliver updates to any of Schedule 7.21 hereto, Annexes A through I of the Security
Agreement or Annexes A through G of the Pledge Agreement (or, to the extent such request
relates to specified information contained in such Schedule or Annexes, such information)
reflecting all changes since the date of the information most recently received pursuant to
this Section 8.01(g).

     (h) Other Information. From time to time, such other information or documents
with respect to the operations, business affairs and financial condition of VHS Holdco I or
its Subsidiaries as the Administrative Agent may reasonably request.

          8.02 Books, Records and Inspections. VHS Holdco I will, and will cause each of its
Subsidiaries to, keep proper books of record and account in conformity with GAAP. Upon reasonable
notice, VHS Holdco I will, and will cause each of its Subsidiaries to, permit officers and
designated representatives of the Administrative Agent or, if an Event of Default has occurred and
is continuing, any Lender (at the expense of the Administrative Agent or Lender) to visit and
inspect, under guidance of officers of VHS Holdco I or such Subsidiary, any of the properties of
VHS Holdco I or any of its Subsidiaries, and to examine the books of account of VHS Holdco I and
any of its Subsidiaries and discuss the af-

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fairs, finances and accounts of VHS Holdco I and any of
its Subsidiaries with, and be advised as to the same by, its and their officers and, so long as an
officer of VHS Holdco I or such Subsidiary is present, independent accountants, all at such
reasonable times and intervals and to such reasonable extent as the Administrative Agent or, if an
Event of Default has occurred and is continuing, such Lender may reasonably request (subject to reasonable requirements of confidentiality, including requirements
imposed by law or contract).

          8.03 Maintenance of Property; Insurance, Reserves. VHS Holdco I will, and will cause each of
its Subsidiaries to, (i) keep all property necessary to the business of VHS Holdco I and its
Subsidiaries in good working order and condition, ordinary wear and tear excepted, except where the
failure to do so could not reasonably be expected to result in a material adverse effect on the
business, assets, liabilities, operations or condition (financial or otherwise) of VHS Holdco I and
its Subsidiaries taken as a whole, (ii) maintain insurance on all its property and assets which are
of an insurable character in at least such amounts and against at least such risks as is consistent
and in accordance with industry practice for a company similarly situated and are no less than the
full replacement value thereof, and otherwise in accordance with Schedule 7.20, and (iii) subject
to Section 8.14, furnish to the Administrative Agent, a certified copy of each policy providing for
such insurance (which policies shall name the Collateral Agent as loss payee and/or additional
insured) or certificates and other evidence of insurance, together with an endorsement thereto
providing that the insurance companies issuing such policies will give the Administrative Agent at
least 30 days’ prior written notice of cancellation or non-renewal. In addition, VHS Holdco I
shall maintain reserves during each of its fiscal years for professional liability claims in an
amount for each such fiscal year not less than the amount determined as appropriate by VHS Holdco
I’s independent actuaries. If any portion of any Mortgaged Property is at any time located in an
area identified by the Federal Emergency Management Agency (or any successor agency) as a “Special
Flood Hazard Area” with respect to which flood insurance has been made available under the
National Flood Insurance Act of 1968 (as now or hereafter in effect or successor act thereto), then
the Borrower shall, or shall cause the applicable Credit Party to (i) maintain, or cause to be
maintained, with a financially sound and reputable insurer, flood insurance in an amount and
otherwise sufficient to comply with all applicable rules and regulations promulgated pursuant to
the Flood Insurance Laws and (ii) deliver to the Administrative Agent evidence of such compliance
in form and substance reasonably acceptable to the Administrative Agent.

          8.04 Corporate Franchises. VHS Holdco I will, and will cause each of its Subsidiaries to,
do or cause to be done, all things necessary to preserve and keep in full force and effect its
existence and its material permits, rights, franchises, licenses, governmental approvals and
patents; provided, however, that nothing in this Section 8.04 shall prevent (i) any
of the transactions permitted in accordance with Section 9.02, (ii) except with respect to the
preservation of existence, any other action expressly permitted by this Agreement or (iii) the
withdrawal by VHS Holdco I or any of its Subsidiaries of its qualification as a foreign corporation
in any jurisdiction, or the dissolution or liquidation of Subsidiaries which hold no substantial
assets and do not operate any material businesses, in each case where such withdrawal, dissolution
or liquidation could not reasonably be expected to have a material adverse effect on the business,
assets, liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its
Subsidiaries taken as a whole.

          8.05 Compliance with Statutes, etc. VHS Holdco I will, and will cause each of its
Subsidiaries to, comply with all applicable statutes, regulations and orders of all governmental
bodies, domestic or foreign, in respect of the conduct of its business and the ownership of its
property, except such noncompliances as could not, individually or in the aggregate, reasonably be
expected to have a material adverse effect on the business, assets, liabilities, operations or
condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a whole.

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          8.06 Compliance with Environmental Laws. VHS Holdco I will comply, and will cause each of
its Subsidiaries to comply, with all Environmental Laws and maintain or renew all material
authorizations and permits required pursuant to Environmental Laws applicable to the ownership,
lease or use of its Real Property now or hereafter owned, leased or operated by VHS Holdco I or any
of its Subsidiaries (except to the extent the failure to do any of the foregoing could not,
individually or in the aggregate, reasonably be expected to have a material adverse effect on the business, assets,
liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries
taken as a whole), will promptly pay or cause to be paid all costs and expenses incurred in
connection with such compliance; provided that there shall be no violation of any of the
foregoing so long as any obligation to comply or pay is being contested in good faith and by
appropriate proceedings for which adequate reserves have been established in accordance with GAAP,
and will keep or cause to be kept all such Real Property free and clear of any Liens imposed
pursuant to such Environmental Laws except for Permitted Liens.

          8.07 ERISA. As soon as possible and, in any event, within ten (10) days after VHS Holdco
I, any Subsidiary of VHS Holdco I or any ERISA Affiliate knows or has reason to know of the
occurrence of any of the following (except to the extent that the occurrence of any of the
following could not reasonably be expected to result in a liability, loss or claim that could
reasonably be expected to have a material adverse effect on the business, assets, liabilities,
operations or condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a
whole), VHS Holdco I will deliver to the Administrative Agent a certificate of an Authorized
Officer of VHS Holdco I setting forth the full details as to such occurrence and the action, if
any, that VHS Holdco I, such Subsidiary or such ERISA Affiliate is required or proposes to take,
together with any notices required or proposed to be given to or filed with or by VHS Holdco I, the
Subsidiary, the ERISA Affiliate, the PBGC, a Plan participant or the Plan administrator with
respect thereto: that a Reportable Event has occurred (except to the extent that VHS Holdco I has
previously delivered to the Lenders a certificate and notices (if any) concerning such event
pursuant to the next clause hereof); that a failure to meet the minimum funding standards of
Section 412 of the Code or Section 302 of ERISA, has occurred or an application may be or has been
made for a waiver or modification of the minimum funding standard (including any required
installment payments) under Section 412 of the Code or Section 302 of ERISA with respect to a Plan;
that any contribution required to be made with respect to a Plan has not been timely made; that a
Plan has been or may be terminated, reorganized, partitioned or declared insolvent under Title IV
of ERISA; that proceedings may be or have been instituted to terminate or appoint a trustee to
administer a Plan which is subject to Title IV of ERISA; that a proceeding has been instituted
pursuant to Section 515 of ERISA to collect a delinquent contribution to a Plan; that VHS Holdco I
or any Subsidiary of VHS Holdco I will or may incur any material liability (including any indirect,
contingent, or secondary liability) to or on account of the termination of or withdrawal from a
Plan under Section 4062, 4063, 4064, 4069, 4201, 4204 or 4212(c) of ERISA or with respect to a Plan
under Section 401(a)(29), 4971, 4975 or 4980 of the Code or Section 409 or 502(i) or 502(l) of
ERISA. VHS Holdco I will deliver to the Administrative Agent upon request of the Administrative
Agent (i) a complete copy of the annual report (on Internal Revenue Service Form 5500-series) of
each Plan (including, to the extent required, the related financial and actuarial statements and
opinions and other supporting statements, certifications, schedules and information) required to be
filed with the Internal Revenue Service and (ii) copies of any records, documents or other
information that must be furnished to the PBGC with respect to any Plan pursuant to Section 4010 of
ERISA. In addition to any certificates or notices delivered to the Lenders pursuant to the first
sentence hereof, any records, documents or other information required to be furnished to the PBGC,
and any material notices received by VHS Holdco I, any Subsidiary of VHS Holdco I or any ERISA
Affiliate with respect to any Plan shall be delivered to the Lenders no later than ten (10) days
after the date such records, documents and/or information has been furnished to the PBGC or such
notice has been received by any Borrower, the Subsidiary or the ERISA Affiliate, as applicable.

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          8.08 End of Fiscal Years; Fiscal Quarters. VHS Holdco I will cause (i) its, and each of
its Subsidiaries’, fiscal years to end on June 30 and (ii) each of its, and each of its
Subsidiaries’, fiscal quarters to end on September 30, December 31, March 31 and June 30;
provided that VHS Holdco I may change its and its Subsidiaries’ fiscal year end to December
31 (and change its and its Subsidiaries fiscal quarters to end on dates consistent with a December
31 fiscal year end) so long as (i) VHS Holdco I shall have given the Administrative Agent at least
10 Business Days’ prior written notice thereof and (ii) on or prior to such change in fiscal year and fiscal quarters, VHS Holdco I and the Administrative
Agent shall have entered into certain technical amendments and modifications to this Agreement to
the extent deemed necessary or appropriate by the Administrative Agent and VHS Holdco I to preserve
the intent of the parties hereto with respect to the covenants and agreements set forth in Sections
9.07, 9.08 and 9.09 and any other provisions of this Agreement.

          8.09 Payment of Taxes. VHS Holdco I will timely pay and discharge, and will cause each of
its Subsidiaries to timely pay and discharge, (i) all material Taxes that have become due and
payable imposed upon it or upon its income or profits, or upon any properties belonging to it, and
(ii) all lawful claims for sums that have become due and payable which, if unpaid, might become a
Lien not otherwise permitted under Section 9.01(i); provided that neither VHS Holdco I nor
any of its Subsidiaries shall be required to pay any such Tax which is being contested in good
faith and by proper proceedings if VHS Holdco I or such Subsidiary has maintained adequate reserves
with respect thereto in accordance with GAAP. VHS Holdco I will, and will cause each of its
Subsidiaries to, timely file all material Tax returns required to be filed by VHS Holdco I and the
VHS Subsidiaries.

          8.10 Accreditation and Licensing. VHS Holdco I will (i) cause the Borrower and each of its
Subsidiaries to obtain and maintain, its qualification for participation in any payment under
CHAMPUS, Medicare, Medicaid, Blue Cross, Blue Shield and any other private insurance programs of
similar broad application and any other federal, state and local governmental programs providing
for payment of reimbursement for services rendered which the Borrower deems prudent in its
reasonable discretion, except to the extent any failure to maintain such qualification could not,
individually or in the aggregate with all other failures pursuant to this Section 8.10, reasonably
be expected to have a material adverse effect on the business, assets or liabilities, operations or
condition (financial or otherwise) of VHS Holdco I and its Subsidiaries taken as a whole, and (ii)
use its best efforts to cause each Hospital Property owned, leased or operated by VHS Holdco I or
any Subsidiary of VHS Holdco I to have at all times a valid Certificate of Accreditation from The
Joint Commission (formerly, the Joint Commission of Accreditation of Health Care Organizations),
the Healthcare Facilities Accreditation Program (an accreditation program of the American
Osteopathic Association) or DMV Healthcare, Inc. in full force and effect, except to the extent any
failure to have any such valid Certificate of Accreditation from The Joint Commission (formerly,
the Joint Commission of Accreditation of Health Care Organizations), the Healthcare Facilities
Accreditation Program (an accreditation program of the American Osteopathic Association) or DMV
Healthcare, Inc., could not, individually or in the aggregate with all other failures pursuant to
this Section 8.10, reasonably be expected to have a material adverse effect on the business,
assets, liabilities, operations or condition (financial or otherwise) of VHS Holdco I and its
Subsidiaries taken as a whole.

          8.11 Additional Security; Further Assurances.

          (a) VHS Holdco I will, and will cause each of the other Credit Parties to, grant to the
Collateral Agent security interests and Mortgages in such assets and properties of VHS Holdco I and
such other Credit Parties (other than, Excluded Assets and stock of De Minimis Subsidiaries or
Not-for-Profit Entities) as are not covered by the original Security Documents, and as may be
reasonably requested from time to time by the Administrative Agent or the Required Lenders
(collectively, the “Additional Security

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Documents”), provided that notwithstanding anything
to the contrary contained in this Agreement (i) the pledge of the stock of Foreign Subsidiaries of
the Credit Parties (to the extent such Credit Party is not a Foreign Subsidiary) shall be limited
solely to the pledge of no more than 65% of the total outstanding voting stock, and 100% of the
total outstanding non-voting stock, of such Credit Parties’ “first tier” Foreign Subsidiaries, (ii)
Leasehold Mortgages shall not be required on any Real Property other than Hospital Properties (and
Leasehold Mortgages shall not be required to the extent the landlord does not consent thereto after
the Borrower’s use of commercially reasonable efforts to obtain such consent), (iii) no land-lord-lender agreements shall be required on any Leasehold not subject to a Leasehold Mortgage,
(iv) neither VHS Holdco I nor any other Credit Party shall be required to enter into control
agreements with respect to their deposit or securities accounts and (v) at VHS Holdco I’s election
(which election shall be made by delivering written notice thereof to the Administrative Agent)
neither VHS Holdco I nor any other Credit Party shall be required to grant a security interest or
mortgage in any asset as otherwise required above pursuant to this Section 8.11(a) so long as the
book value or fair market value (as determined in good faith by VHS Holdco I), whichever is
greater, is less than (x) in the case of Real Property, $2,000,000 and (y) in the case of any other
asset, $1,000,000 (although in no event shall the aggregate book value or fair market value (as
determined in good faith by VHS Holdco I), whichever is greater, of all assets so excluded as
provided in this clause (iii) exceed (1) in the case of Real Property, $10,000,000 and (2) in the
case of any other asset, $5,000,000). Subject to the provisions contained in the proviso appearing
in the immediately preceding sentence, within 30 days following the Administrative Agent’s or the
Required Lenders’ request therefor, VHS Holdco I will, and will cause each of the other Credit
Parties to, grant to the Collateral Agent Mortgages on any Hospital Properties constructed or
acquired by VHS Holdco I or any other Credit Party following the Initial Borrowing Date. All such
security interests and Mortgages shall be granted pursuant to documentation reasonably satisfactory
in form and substance to the Administrative Agent and shall constitute valid and enforceable
perfected security interests and mortgages superior to and prior to the rights of all third Persons
and subject to no other Liens except for Permitted Liens. The Additional Security Documents or
instruments related thereto shall have been duly recorded or filed in such manner and in such
places as are required by law to establish, perfect, preserve and protect the Liens in favor of the
Collateral Agent required to be granted pursuant to the Additional Security Documents and all
taxes, fees and other charges payable in connection therewith shall have been paid in full.

          (b) VHS Holdco I will, and will cause each of the other Credit Parties to, at the expense of
VHS Holdco I or such other Credit Party, make, execute, endorse, acknowledge, file and/or deliver
to the Collateral Agent from time to time such vouchers, invoices, schedules, confirmatory
assignments, conveyances, financing statements, transfer endorsements, powers of attorney,
certificates, real property surveys, if in existence, reports and other assurances or instruments
and take such further steps as the Collateral Agent may reasonably require in order to perfect,
protect, preserve and enforce the security interest of the Collateral Agent in the Collateral
covered by any of the Security Documents. Furthermore, the Credit Parties will use their
reasonable best efforts to cause to be delivered to the Collateral Agent such opinions of counsel,
title insurance and other related documents as may be reasonably requested by the Administrative
Agent to assure itself that this Section 8.11 has been complied with.

          (c) If the Administrative Agent or the Required Lenders reasonably determine that they are
required by law or regulation to have appraisals prepared in respect of the Real Property of VHS
Holdco I and the other Credit Parties constituting Collateral, VHS Holdco I will, at its own
expense, provide to the Administrative Agent appraisals which satisfy the applicable requirements.

          (d) VHS Holdco I will, and will cause each of the other Credit Parties to, (i) furnish to the
Collateral Agent prompt written notice of any change (A) in any Credit Party’s corporate or
organization name, (B) in any Credit Party’s identity, organizational structure or jurisdiction of
organization or

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(C) in any Credit Party’s organizational identification number; provided
that no Credit Party shall effect or permit any such change unless all filings have been made, or
will have been made within any statutory period, under the UCC 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 for the benefit of the Secured
Creditors and (ii) promptly notify the Administrative Agent if any material portion of the
Collateral is damaged or destroyed.

          (e) VHS Holdco I agrees that each action required above by this Section 8.11 (other than
actions described in the second sentence of clause (a) and clause (d) of this Section 8.11) shall
be completed as soon as possible, but in no event later than 90 days after such action is either
requested to be taken by the Administrative Agent or the Required Lenders or required to be taken
by VHS Holdco I or its Subsidiaries pursuant to the terms of this Section 8.11; provided
that in no event will VHS Holdco I or any of its Subsidiaries be required to take any action, other
than using its commercially reasonable best efforts, to obtain consents from third parties with
respect to its compliance with this Section 8.11.

          8.12 Use of Proceeds. The Borrower will use the proceeds of the Loans only as provided in
Section 7.08.

          8.13 Guaranties by New Subsidiaries. VHS Holdco I will, and will cause each of its
Subsidiaries to, cause each Wholly-Owned Domestic Subsidiary of VHS Holdco I that is established,
created or acquired after the Initial Borrowing Date (or that ceases to be a De Minimis Subsidiary
following the Initial Borrowing Date) to execute a counterpart to the Subsidiaries Guaranty, the
Pledge Agreement and the Security Agreement or a Joinder Agreement substantially in the form of
Exhibit N, in each case, within 25 Business Days of the establishment, creation or acquisition of
each such Wholly-Owned Domestic Subsidiary (except that (1) if such Wholly-Owned Domestic
Subsidiary, as a result of a material contract with Arizona Health Care Cost Containment System or
similar regulator or healthcare provider existing at the time of such acquisition and not entered
into in contemplation thereof or in connection therewith, is prohibited from becoming a Subsidiary
Guarantor (a “Pre-existing Material Restriction”), (2) if the Total Assets of such Wholly-Owned
Domestic Subsidiary do not exceed $10,000 (together with each Subsidiary listed on Schedule 8.13,
each a “De Minimis Subsidiary”), (3) if such Wholly-Owned Domestic Subsidiary intends in good faith
to issue its Equity Interests to physicians or other investors in accordance with Section 9.12(b)
within 270 days from the date of creation or acquisition of such Wholly-Owned Domestic Subsidiary
(a “Designated Subsidiary”), (4) if such Subsidiary is a Not-for-Profit-Entity, (5) if any other
Subsidiary with respect to which, in the reasonable judgment of the Administrative Agent, in
consultation with the Borrower, the burden or cost or other consequences (including any material
adverse tax consequences) of providing a Guarantee shall be excessive in view of the benefits to be
obtained by the Lenders therefrom, (6) if any direct or indirect Wholly-Owned Domestic Subsidiary
(x) that is treated as a disregarded entity for federal income tax purposes and (y) all of whose
material assets consist of Equity Interests of one or more Foreign Subsidiaries, (7) if any
Domestic Subsidiary that is a Subsidiary of a Foreign Subsidiary, (8) if such Subsidiary is a
Captive Insurance Subsidiary, or (9) if the execution by such Wholly-Owned Domestic Subsidiary of
the Subsidiaries Guaranty, the Pledge Agreement or the Security Agreement and the performance of
the obligations thereunder would violate applicable law or a contractual obligation binding on such
Wholly-Owned Domestic Subsidiary and so long as such law or obligation existed at the time of the
acquisition thereof and was not created or made binding on such Wholly-Owned Domestic Subsidiary in
contemplation of or in connection with the acquisition of such Wholly-Owned Domestic Subsidiary (a
“Legal Restriction”), then upon the receipt by the Administrative Agent of a certificate of an
Authorized Officer of VHS Holdco I requesting that such Wholly-Owned Domestic Subsidiary shall be a
Non-Guarantor Subsidiary, and certifying that (x) (A) such Wholly-Owned Domestic Subsidiary is
subject to a Pre-existing Material Restriction, (B) such Wholly-Owned Domestic Subsidiary is a
Designated Subsidiary and no Default or Event of Default exists

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at the time of, or would exist
immediately after giving effect to the designation of such Subsidiary as a Non-Guarantor Subsidiary
(including, without limitation, under Section 9.15) or (C) such Wholly-Owned Domestic Subsidiary is
subject to a Legal Restriction (provided that (i) no such certificate shall be required in
respect of a De Minimis Subsidiary and (ii) upon the reasonable request of the Administrative
Agent, VHS Holdco I shall, and shall cause any applicable Subsidiary to, use commercially
reasonably efforts to have waived or eliminated any Pre-existing Material Restriction and/or any
contractual obligation of the type described in clause (4) above), such Wholly-Owned Domestic
Subsidiary shall not be required to become a Subsidiary Guarantor or take such other actions
referred to above provided for a Subsidiary Guarantor unless and until such later date, if any, upon which (A) such Pre-existing Material
Restriction no longer prohibits such result (without limitation of Section 9.15), (B) the
Administrative Agent reasonably determines that the Equity Interests of such Subsidiary were not
issued to physicians and other physicians within the relevant 270-day period or (C) VHS Holdco I is
not in compliance with Section 9.15, as the case may be, at which time the respective Wholly-Owned
Domestic Subsidiary shall be required to become a Subsidiary Guarantor and take such other actions
referred to above for a Subsidiary Guarantor). In addition, any such new Wholly-Owned Domestic
Subsidiary that is required to become a Subsidiary Guarantor as provided above shall execute and
deliver, or cause to be executed and delivered, all other relevant documentation of the type
described in Section 5A as such Wholly-Owned Domestic Subsidiary would have had to deliver if such
Wholly-Owned Domestic Subsidiary were a Credit Party on the Initial Borrowing Date.

          8.14 Post Closing Matters. On or prior to the 90th day following the Initial Borrowing
Date (or such later day, as the Administrative Agent may agree in its sole discretion), the Credit
Parties shall deliver to the Collateral Agent to the extent such items have not been delivered as
of the Initial Borrowing Date, the following:

     (i) fully executed counterparts of Mortgages, each in form and substance reasonably
satisfactory to the Administrative Agent, which Mortgages shall cover the Real Property
owned or leased by the Borrower and its Subsidiaries on the Initial Borrowing Date and
designated as “Mortgaged Property” on Schedule 8.14 and shall have been delivered to the
title insurance company insuring the Lien of such Mortgages for recording in all places to
the extent necessary or, in the reasonable opinion of the Collateral Agent, desirable, to
effectively create a valid and enforceable mortgage lien on each Mortgaged Property in favor
of the Collateral Agent (or such other trustee as may be required or desired under local
law) for the benefit of the Secured Creditors;

     (ii) a mortgagee title insurance policy (or a binding commitment with respect thereto)
(each, a “Mortgage Policy”) on the Mortgaged Properties issued by a title insurer reasonably
satisfactory to the Administrative Agent in amounts reasonably satisfactory to the
Administrative Agent assuring the Collateral Agent that the Mortgages on such Mortgaged
Properties are valid and enforceable mortgage liens on the respective Mortgaged Properties,
free and clear of all defects and encumbrances except Permitted Encumbrances and such other
defects as may be reasonably acceptable to the Administrative Agent, and such Mortgage
Policies shall otherwise be in form and substance reasonably satisfactory to the
Administrative Agent;

     (iii) completed “Life-of-Loan” Federal Emergency Management Agency Standard Flood
Hazard Determination with respect to each Mortgaged Property (together with a notice about
special flood hazard area status and flood disaster assistance duly executed by the
applicable Credit Party relating thereto);

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     (iv) a copy of, or a certificate as to coverage under, the insurance policies required
by Section 8.03 (including, without limitation, flood insurance policies) and the applicable
provisions of the Security Documents, each of which shall be endorsed or otherwise amended
to include a “standard” or “New York” lender’s loss payable or mortgagee endorsement (as
applicable) and shall name the Collateral Agent, on behalf of the Secured Creditors, as
additional insured, in form and substance substantially similar to those delivered with
respect to the Existing Credit Agreement and reasonably satisfactory to the Administrative
Agent;

     (v) to the extent reasonably requested by the Administrative Agent and required by the
respective title company to remove all standard exceptions from the respective Mortgage Policy
relating to a particular Mortgaged Property and issue any endorsements to such
Mortgage Policy as may be reasonably required by the Administrative Agent, except with
respect to residential properties located at (A) 6707 W. 34th Street, Berwyn, IL 60402 and
(B) 3326, 3300, 3306, 3318, 3322 and 3248 S. Wesley, Berwyn, IL 60402, a survey of such
Mortgaged Property (and all improvements thereon) (x) prepared by a surveyor or engineer
licensed to perform surveys in the state, commonwealth or applicable jurisdiction where such
Mortgaged Property is located, (y) complying in all respects with the minimum detail
requirements of the American Land Title Association as such requirements are in effect on
the date of preparation of such survey; and (z) otherwise in form and substance reasonably
acceptable to the Administrative Agent; and

     (vi) opinions addressed to the Administrative Agent, the Collateral Agent and each of
the Lenders from local counsel in the States of Illinois, Arizona, Texas and Massachusetts
and opinions of counsel for the Credit Parties regarding due authorization, execution and
delivery of the Mortgages, each in form and substance reasonably satisfactory to the
Administrative Agent.

          SECTION 9. Negative Covenants. Each Credit Agreement Party covenants and agrees that on and
after the Initial Borrowing Date and until the Total Commitments and all Letters of Credit have
terminated and the Loans, Notes and Unpaid Drawings, together with interest, Fees and all other
Obligations incurred hereunder (other than (x) contingent obligations not yet due and payable and
(y) Cash Management Obligations or Obligations under Secured Hedge Agreements) and under the other
Credit Documents, are paid in full:

          9.01 Liens. VHS Holdco I will not, and will not permit any of its Subsidiaries to, create,
incur, assume or suffer to exist any Lien upon or with respect to any property or assets (real or
personal, tangible or intangible) now or hereafter owned by VHS Holdco I or any of its Subsidiaries
or upon any income or revenues or rights in respect thereof, provided that the provisions
of this Section 9.01 shall not prevent the creation, incurrence, assumption or existence of the
following Liens (collectively, “Permitted Liens”):

     (i) Liens for taxes, assessments or governmental charges or levies not yet due and
payable or Liens for taxes, assessments or governmental charges or levies being contested in
good faith and by appropriate proceedings for which adequate reserves have been established
in accordance with GAAP;

     (ii) landlords’, sublandlords’, carriers’, warehousemen’s, materialmen’s, repairmen’s,
construction and mechanics’ Liens and other similar Liens arising in the ordinary course of
business, and (x) which do not in the aggregate materially detract from the value of VHS
Holdco I’s or such Subsidiary’s property or assets or materially impair the use thereof in
the operation of the business of VHS Holdco I’s or such Subsidiary or (y) which are being
contested in good faith by appropriate proceedings, and in respect of which, if applicable,
VHS Holdco I or any of its Subsidiaries shall have set aside on its books reserves in
accordance with GAAP;

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     (iii) Liens in existence on the Initial Borrowing Date which are listed in Schedule
9.01(iii) plus renewals, refinancings and extensions of such Liens; provided that
(x) the Indebtedness secured by such Liens is permitted under Section 9.04(ii) and (y) any
such renewal, refinancing or extension does not encumber any assets or properties of VHS
Holdco I or any additional assets or properties of the Borrower or any of its Subsidiaries;

     (iv) Permitted Encumbrances;

     (v) Liens created pursuant to the Credit Documents;

     (vi) leases, licenses, subleases or sublicenses granted to other Persons not materially
interfering with the conduct of the business of the Borrower or any of its Subsidiaries;

     (vii) Liens (A) upon assets subject to Capitalized Lease Obligations, (B) created
pursuant to purchase money mortgages or security interests or (C) placed upon real estate,
equipment or machinery at the time of acquisition or construction thereof by the Borrower or
any of its Subsidiaries or within 270 days thereafter to secure Indebtedness incurred to pay
all or a portion of the purchase price thereof, in each case to the extent such Capitalized
Lease Obligations or the other Indebtedness secured by Liens, as the case may be, are
permitted by Section 9.04(iii), provided that (x) such Liens only serve to secure
the payment of Indebtedness arising under such Capitalized Lease Obligation, such purchase
money mortgages or security interests or incurred to finance the acquisition or construction
of such real estate, equipment or machinery, as the case may be, and (y) the Lien
encumbering the real estate, equipment, machinery or asset giving rise to the purchase money
mortgage security interest or the asset giving rise to the Capitalized Lease Obligation, as
the case may be, does not encumber any asset of VHS Holdco I or any other asset of the
Borrower or any of its Subsidiaries;

     (viii) zoning restrictions, easements, trackage rights, licenses, special assessments,
rights-of-way, restrictions, encroachments and other similar charges or encumbrances, and
minor title deficiencies, in each case not securing Indebtedness and not materially
interfering with the conduct of the business of VHS Holdco I or any of its Subsidiaries;

     (ix) Liens arising from precautionary UCC financing statement filings in respect of
operating leases;

     (x) statutory and common law landlords’ liens under leases to which VHS Holdco I or any
of its Subsidiaries is a party;

     (xi) Liens (other than Liens created or imposed under ERISA) incurred in the ordinary
course of business in connection with workers’ compensation, unemployment insurance and
other types of social security, and deposits securing liability to insurance carriers under
insurance or self-insurance arrangements in respect of such obligations, and pledges and
deposits 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 VHS Holdco I or any of its
Subsidiaries or to secure the performance of tenders, trade contracts, leases, statutory
obligations, surety bonds, bids, government contracts, performance and return-of-money bonds
and other similar obligations incurred in the ordinary course of business including those
incurred to secure health, safety and environmental obligations in the ordinary course of
business (in each case exclusive of obligations in respect of the payment for borrowed
money);

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     (xii) Liens arising out of judgments or awards (including Liens securing Contingent
Obligations on surety and appeal bonds relating thereto) in respect of which VHS Holdco I or
any of its Subsidiaries shall in good faith be prosecuting an appeal or proceedings for
review in respect of which there shall have been secured a subsisting stay of execution
pending such appeal or proceedings, provided that the aggregate amount of all such
judgments or awards does not exceed $35,000,000 at any time outstanding;

     (xiii) Liens arising from ground leases entered into pursuant to Section 9.02(xvii).

     (xiv) Liens on property or assets acquired pursuant to a Permitted Acquisition effected
pursuant to Section 9.02(viii), or on property or assets of a Subsidiary of the Borrower in
existence at the time such property or assets are acquired pursuant to such Permitted
Acquisition, provided that (i) any Indebtedness that is secured by such Liens is
permitted to exist under Section 9.04(xix) and (ii) such Liens are not incurred in
connection with or in anticipation of such Permitted Acquisition and do not attach to any
asset of VHS Holdco I or any other asset of the Borrower or any of its Subsidiaries;

     (xv) deposits required to be made in connection with any proposed acquisition in an
amount not to exceed $50,000,000 at any time outstanding;

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

     (xvii) Liens arising out of sale leaseback transactions permitted under Section
9.02(xiii), so long as such Liens attach only to the property sold and being leased in the
respective transaction and any accessions thereto or proceeds thereof and related property;

     (xviii) Liens securing obligations in respect of trade-related letters of credit
permitted under Sections 9.04(xxi) and (xxiv) and covering the goods (or the documents of
title in respect of such goods) financed by such letters of credit and the proceeds and
products thereof;

     (xix) licenses of intellectual property granted in the ordinary course of business in a
manner consistent with past practice;

     (xx) Liens in favor of customs and revenue authorities arising as a matter of law to
secure payment of customs duties in connection with the importation of goods;

     (xxi) Liens upon specific items of inventory or other goods (and proceeds thereof) of
the Borrower or any of its Subsidiaries securing such person’s obligations in respect of
bankers’ acceptances issued or created for the account of such person to facilitate the
purchase, shipment or storage of such inventory or other goods;

     (xxii) Liens on the assets of a Foreign Subsidiary that do not constitute Collateral
and which secure Indebtedness of such Foreign Subsidiary that is not otherwise secured by a
Lien on the Collateral under the Credit Documents and that is permitted to be incurred by
such Foreign Subsidiary under Section 9.04;

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     (xxiii) Liens arising solely by virtue of any statutory or common law provision
relating to banker’s liens, rights of set-off or similar rights;

     (xxiv) other Liens, provided that the aggregate amount of obligations secured
by such Liens does not at any time exceed the greater of $50,000,000 and 2.0% of Total
Assets;

     (xxv) Liens securing Permitted Secured Notes issued in accordance with Section
9.04(xvii);

     (xxvi) ground leases in respect of Real Property on which facilities owned or leased by
VHS Holdco I or any of its Subsidiaries are located; and

     (xxvii) any interest or title of a lessor, sublessor, licensor or sublicensor under
leases, subleases, licenses or sublicenses entered into by VHS Holdco I or any of its
Subsidiaries in the ordinary course of business.

Notwithstanding the foregoing no Liens shall be permitted to exist, directly or indirectly, on any
Pledge Agreement Collateral, other than Liens in favor of the Collateral Agent and Liens permitted
under Section 9.01(i), (ii), (xxiii) or (xxv).

          9.02 Consolidation, Merger, Purchase or Sale of Assets, etc. VHS Holdco I will not, and
will not permit any of its Subsidiaries to, wind up, liquidate or dissolve its affairs or enter
into any transaction of merger or consolidation, or convey, sell, lease or otherwise dispose of all
or any part of its property or assets, or enter into any sale-leaseback transactions, or purchase
or otherwise acquire (in one or a series of related transactions) any part of the property or
assets (other than purchases or other acquisitions of inventory, materials, equipment and other
assets in the ordinary course of business) of any Person, except that:

     (i) Capital Expenditures (and expenditures excluded from the definition thereof
pursuant to the proviso thereto) by the Borrower and its Subsidiaries shall be permitted to
the extent not in violation of Section 9.07;

     (ii) VHS Holdco I and each of its Subsidiaries may in the ordinary course of business,
sell or otherwise dispose of materials, equipment and other assets which, in the reasonable
opinion of such Person, are obsolete, uneconomic or no longer useful in the conduct of such
Person’s business;

     (iii) Investments may be made to the extent permitted by Section 9.05, Liens may exist
to the extent permitted by Section 9.01 and Dividends may be made to the extent permitted by
Section 9.03;

     (iv) VHS Holdco I and each of its Subsidiaries may lease (as lessee) real or personal
property in the ordinary course of business (so long as any such lease does not create a
Capitalized Lease Obligation unless permitted by Section 9.04(iii));

     (v) VHS Holdco I and each of its Subsidiaries may purchase and sell inventory and
supplies in the ordinary course of business;

     (vi) VHS Holdco I and its Subsidiaries may liquidate Cash Equivalents in the ordinary
course of business;

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     (vii) each of the Borrower and its Subsidiaries may sell or otherwise dispose of other
assets; provided (1) each such sale or other disposition by a Credit Party to a
Subsidiary thereof that is not a Credit Party shall be made in compliance with Section 9.06
(without reliance on clause (ii) thereof), (2) the Borrower or the respective Subsidiary
receives at least fair market value (as determined in good faith by the Borrower or such
Subsidiary, as the case may be), (3) at least 75% of the total consideration received by the
Borrower or such Subsidiary is cash or Cash Equivalents and is received substantially
contemporaneously with the consummation of such sale or other disposition; provided
that for purposes of the foregoing requirement, Designated Non-cash Consideration of up to
$50,000,000 in the aggregate for all such sales and dispositions at any
time outstanding shall be deemed to be cash, (4) the aggregate amount of the proceeds
received from all assets sold pursuant to this clause (vii) shall not exceed the greater of
(x) $675,000,000 and (y) 25% of Total Assets of the Borrower and its Subsidiaries, (5) the
Net Sale/Recovery Event Proceeds from all sales or dispositions pursuant to this clause
(vii) are either applied as provided in Section 4.02(e) or, subject to the limitations set
forth therein, reinvested in assets to the extent permitted by Section 4.02(e) and (6) in
the case of any such sale or other disposition of less than all of the Equity Interests of
any Subsidiary of the Borrower, if after giving effect thereto such Subsidiary (x) becomes a
Non-Guarantor Subsidiary, VHS Holdco I shall be in compliance with Section 9.15 after giving
effect to such sale or other disposition or (y) becomes a Person in which the Borrower or
one of its Subsidiaries retains a non-controlling equity interest, such retained equity
interest shall be deemed to be an Investment made at the time of such sale in a Person that
is not a Subsidiary for purposes of Section 9.05;

     (viii) the Borrower or any Subsidiary of the Borrower may acquire one or more Hospital
Properties located in the United States and any Health Care Assets located in the United
States which are complementary to the Borrower and its Subsidiaries’ businesses, or the
Borrower or any Subsidiary of the Borrower may acquire (including pursuant to a merger or
consolidation) Equity Interests in any Person (which as a result of such acquisition becomes
a Subsidiary of the Borrower) all or substantially all of whose assets consist of one or
more Hospital Properties located in the United States and/or any Health Care Assets located
in the United States which are complementary to the Borrower and its Subsidiaries’
businesses (each such acquisition, a “Permitted Acquisition” and, collectively, the
“Permitted Acquisitions”); provided that (x) no Event of Default then exists or
would exist immediately after giving effect thereto, (y) to the extent the purchase price
for such Permitted Acquisition is $10,000,000 or more, VHS Holdco I shall deliver to the
Administrative Agent a Permitted Acquisition Compliance Certificate, no later than the date
of the consummation of such Permitted Acquisition and (z) at the time of, and after giving
effect to, each such Permitted Acquisition, VHS Holdco I and the Borrower shall be in
compliance with Sections 9.08 and 9.09 on a Post-Test Period Pro Forma Basis and shall be in
compliance with Section 9.15;

     (ix) (i) the Borrower and its Subsidiaries may transfer assets to a Subsidiary
Guarantor and any Subsidiary of VHS Holdco I may transfer assets to the Borrower, (ii)
Subsidiaries of the Borrower that are not Subsidiary Guarantors may transfer assets to other
Subsidiaries of the Borrower that are not Subsidiary Guarantors, (iii) any Subsidiary that
is a Non-Guarantor Subsidiary may merge or consolidate into or with any other Non-Guarantor
Subsidiary, (iv) any Subsidiary of the Borrower may merge with and into any Subsidiary
Guarantor so long as the respective Subsidiary Guarantor is the surviving entity of such
merger, and (v) any Subsidiary of the Borrower may liquidate or dissolve its existence or
change its form of existence if VHS Holdco I determines in good faith that such liquidation,
dissolution or change is in the best interests of the Borrower and is not materially
disadvantageous to the Lenders;

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     (x) so long as no Default or Event of Default then exists or would exist immediately
after giving effect thereto, the Borrower and the Subsidiary Guarantors may transfer assets
to Non-Guarantor Subsidiaries;

     (xi) the Borrower and its Subsidiaries may (i) lease real or personal property to
physicians or other medical professionals in the ordinary course of business, and (ii)
otherwise grant leases or subleases of real or personal property to other Persons not
materially interfering with the conduct of the business of VHS Holdco I or any of its
Subsidiaries;

     (xii) the Borrower and its Subsidiaries may enter into short-term leases at any time
with respect to (i) equipment not being utilized by any Hospital Property at such time, so
long as such equipment was not purchased by the Borrower or any of its Subsidiaries for the
purpose of leasing such equipment, and (ii) durable medical equipment leased by the Borrower
and its Subsidiaries to its patients;

     (xiii) the Borrower and its Subsidiaries may enter into sale-leaseback transactions so
long as (i) any such sale-leaseback transaction between a Credit Party and a Subsidiary
thereof that is not a Credit Party shall be in compliance with Section 9.06 (without
reliance on clause (ii) thereof), (ii) the Borrower or the respective Subsidiary of the
Borrower receives at least fair market value (as determined in good faith by the Borrower or
such Subsidiary, as the case may be) and (iii) the Indebtedness incurred by the Borrower or
the respective Subsidiary is permitted under Section 9.04(iii);

     (xiv) VHS Holdco I and its Subsidiaries may pre-pay rent under leases and may purchase
pre-paid insurance and services, in each case in the ordinary course of business;

     (xv) so long as the aggregate fair market value of all Real Property disposed of
pursuant to this clause (xv) does not, at the time of (and giving effect to) any such
disposition, exceed 2% of the Total Assets of VHS Holdco I and its Subsidiaries, the
Borrower and its Subsidiaries shall be permitted to make dispositions of substantially
unimproved Real Property to, or ground lease unimproved Real Property to, other Persons for
sale or lease consideration pursuant to overall arrangements deemed by management of the
Borrower to be fair and reasonable, for the purpose of the respective transferee or lessee
building on such Real Property (A) a medical office building, (B) a building to contain a
healthcare business or (C) a parking garage to be used in connection with a medical office
building or a building containing or to contain a healthcare business, and any such
transaction may include, if a ground lease, a subordination of the fee ownership interest of
the lessor to the lien of the lender for such Person (valued at the aggregate fair market
value of the Real Property sold or leased);

     (xvi) the Borrower and/or its Subsidiaries may, in the ordinary course of business and
consistent with past practices prior to the Initial Borrowing Date, sell or otherwise
transfer receivables owing to it to third parties for the purposes of collection of
outstanding balances thereunder;

     (xvii) the Borrower and its Subsidiaries may transfer parcels of Real Property which
are not improved with any material building thereon to governmental authorities without
consideration; and

     (xviii) licensing and cross-licensing arrangements involving any technology or
other intellectual property of the Borrower or any of its Subsidiaries in the
ordinary course of business.

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To the extent any Collateral is sold or otherwise disposed of as permitted by this Section 9.02
(other than any sale or any disposition to the Borrower or any Subsidiary Guarantor), such
Collateral shall be sold or otherwise disposed of free and clear of the Liens created by the
Security Documents, and the Administrative Agent and the Collateral Agent shall be authorized to
(and at the request and the expense of the Borrower shall) take any actions deemed appropriate by
the Collateral Agent in order to effect or evidence the foregoing. In addition, subject to
continued compliance with Section 9.15, upon the occurrence of any sale of all or less than all of
the Equity Interests of any Subsidiary Guarantor consummated in accordance with the provisions of
Section 9.02(vii), upon the receipt by the Administrative Agent and the Collateral
Agent of (i) a certificate of an Authorized Officer of VHS Holdco I certifying that (x) such
Subsidiary is to be released from the Subsidiaries Guaranty and the Security Documents to which it
is a party in accordance with the provisions hereof and thereof and (y) no Default or Event of
Default exists at the time of, or would exist immediately after giving effect to, such release and
(ii) evidence reasonably satisfactory to the Administrative Agent and the Collateral Agent that
such Subsidiary has been (or will contemporaneously with the release described below, will be)
released from its guarantee (if any) of any and all Specified Indebtedness, such Subsidiary shall
be released from the Subsidiaries Guaranty and the Security Documents to which it is party, and the
Administrative Agent and the Collateral Agent shall be authorized to (and at the request and
expense of the Borrower shall) take any action deemed appropriate in order to effect or evidence
the foregoing.

          9.03 Dividends. VHS Holdco I will not, and will not permit any of its Subsidiaries to,
authorize, declare or pay any Dividends with respect to VHS Holdco I or any of its Subsidiaries,
except that:

     (i) any Subsidiary of the Borrower may pay Dividends to the Borrower or to a
Wholly-Owned Subsidiary of the Borrower;

     (ii) VHS Holdco I may redeem or repurchase (and the Borrower and its Subsidiaries may
declare and pay Dividends to VHS Holdco I, the proceeds of which are used to so redeem or
repurchase) Equity Interests of VHS Holdco I (or any direct or indirect parent thereof)
(including related stock appreciation rights or similar securities) from present or former
officers, consultants, employees and directors (or their trusts or estates) of Vanguard or
VHS Holdco I or any direct or indirect parent of VHS Holdco I, or any of its Subsidiaries
upon the death, disability, retirement or termination of employment of any such Person or
otherwise in accordance with any stock option plan, any employee stock ownership plan or any
Shareholders’ Agreement, provided that the aggregate amount of all cash paid in
respect of all such shares so redeemed or repurchased in any calendar year does not exceed
the sum of (A) $15,000,000 plus (B) all amounts obtained by VHS Holdco I during such
calendar year from the sale of such Equity Interests to other present or former officers,
consultants, employees and directors in connection with any permitted compensation and
incentive arrangements, which, if not used in any calendar year, may be carried forward to
any subsequent calendar year plus (C) all amounts obtained from any key-man life insurance
policies recorded during such calendar year;

     (iii) so long as there shall exist no Default or Event of Default at the time of or
immediately after giving effect thereto, VHS Holdco I may effect redemptions or repurchases
(and the Borrower and its Subsidiaries may declare and pay Dividends to VHS Holdco I, the
proceeds of which are used to effect such redemptions or repurchases) of its Equity
Interests from any present or former officer, consultant, employee or director (or his or
her trust or estate) of Vanguard or VHS Holdco I or any direct or indirect parent of VHS
Holdco I, or any of its Subsidiaries upon the death, disability, retirement or termination
of employment of such Person so long as the aggregate amount of such redemptions or
repurchases does not exceed $35,000,000;

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     (iv) so long as there shall exist no Default under Section 10A.01 or Event of Default
(both before and after giving effect to the payment thereof) any non-Wholly-Owned Subsidiary
of the Borrower may pay Dividends to its shareholders or partners generally in the form of
cash, Cash Equivalents, common stock and preferred stock permitted to be issued pursuant to
Section 9.12(b), so long as the Borrower or its respective Subsidiary which owns the Equity
Interest or Interests in the Subsidiary paying such Dividends receives at least its
proportionate share thereof (based upon its relative holdings of Equity Interests in the
Subsidiary paying such Dividends and
taking into account the relative preferences, if any, of the various classes of Equity
Interests in such Subsidiary);

     (v) (A) VHS Holdco I may make, or may make Dividends to allow any direct or indirect
parent to make, noncash repurchases of Equity Interests of VHS Holdco I or any direct or
indirect parent, deemed to have occurred upon the exercise of stock options if such Equity
Interests represent a portion of the exercise price of such options and (B) VHS Holdco I may
purchase, or may make Dividends to allow any direct or indirect parent to purchase, common
Equity Interests of VHS Holdco I or any direct or indirect parent, at fair market value from
officers, employees and directors of Vanguard, VHS Holdco I or any direct or indirect parent
of VHS Holdco I, or any of their Subsidiaries to the extent necessary to cover the exercise
price of options and income tax withholding, provided that the aggregate amount of
cash paid in respect of all such shares so repurchased pursuant to this clause (B) in any
calendar year does not, when added to the aggregate amount of all Dividends made in such
calendar year pursuant to clauses (vi) and (vii) below, exceed $10,000,000;

     (vi) VHS Holdco I may make, or may make Dividends to any direct or indirect parent to
make, cash payments to officers, employees and directors of Vanguard, VHS Holdco I or any
direct or indirect parent of VHS Holdco I, or any of their Subsidiaries in respect of stock
appreciation rights issued pursuant to a compensation plan approved by the board of
directors of VHS Holdco I or by the compensation committee thereof, provided that
the aggregate amount of cash paid pursuant to this clause (vi) in any calendar year does
not, when added to the aggregate amount of all Dividends made in such calendar year pursuant
to clause (v)(B) above and clauses (vii) below, exceed $10,000,000;

     (vii) the Borrower and its Subsidiaries may purchase Equity Interests in their
respective non-Wholly-Owned Subsidiaries, and non-Wholly-Owned Subsidiaries of the Borrower
and Health Care Joint Ventures may repurchase their respective outstanding Equity Interests,
provided that the aggregate amount of cash paid pursuant to all purchases and
repurchases under this clause (vii) in any calendar year does not, when added to the
aggregate amount of Dividends made in such calendar year pursuant to clauses (v)(B) and (vi)
above, exceed $10,000,000;

     (viii) the Borrower and VHS Holdco I may pay cash Dividends to VHS Holdco I or any
direct or indirect parent so long as the proceeds thereof are promptly used by VHS Holdco I
or such parent (w) to pay operating expenses incurred in the ordinary course of business
(including, without limitation, outside directors and professional fees, expenses and
indemnities) and other similar overhead costs, expenses and tax liabilities (other than
income taxes) of VHS Holdco I or, to the extent primarily attributable to the operations of
VHS Holdco I and its Subsidiaries, of such parent, (x) to pay Dividends to VHS Holdings LLC
for the payment of costs, expenses and tax liabilities (other than income taxes) incurred by
VHS Holdings LLC that are of a similar nature as those described in preceding clause (w) and
are primarily attributable to the operations of VHS Holdco I and its Subsidiaries, (y) to
pay fees and expenses relating to any offering, investment or acquisition by VHS Holdco I or
any of its Subsidiaries permitted hereunder

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(whether or not successful) and other fees and
expenses incidental to the maintenance of the existence of VHS Holdco I or such parent (in
each case to the extent primarily attributable to the operations of VHS Holdco I and its
Subsidiaries) and the ownership by each of such entities of, as applicable, the Borrower,
Vanguard and VHS Holdco I and Subsidiaries of VHS Holdco I and (z) to make payments
permitted by Section 9.06 (other than clause (i) thereof);

     (ix) the Borrower may pay Dividends to VHS Holdco I which in turn may pay Dividends
directly or indirectly to Vanguard for the purpose of enabling VHS Holdco I or Vanguard
to pay federal and state income taxes imposed directly on (through an entity treated as
a disregarded entity for applicable income tax purposes) or allocated to (through an entity
treated as a partnership for applicable income tax purposes) VHS Holdco I or Vanguard or
which are due and payable by VHS Holdco I or Vanguard as part of a consolidated group (or
enabling Vanguard to pay Dividends to VHS Holdings LLC should such taxes be imposed directly
on or allocated to VHS Holdings LLC), to the extent such taxes are attributable to the
operations of VHS Holdco I and its Subsidiaries (or, in the case of Dividends from the
Borrower, to the extent such taxes are attributable to the operations of the Borrower and
its Subsidiaries), and so long as (x) such Dividends are only paid at the time that VHS
Holdco I, Vanguard, or VHS Holdings LLC (as the case may be) is otherwise required to make
such federal, state or local income tax payments (including estimated tax payments), (y) any
refunds received by VHS Holdco I, Vanguard, or VHS Holdings LLC (as the case may be) in
respect of such federal, state or local income tax obligations are promptly returned to the
Borrower as an equity contribution or series of equity contributions and (z) the amount of
such payments in respect of any tax year does not exceed the amount that VHS Holdco I and
its Subsidiaries (or, in the case of Dividends from the Borrower, the Borrower and its
Subsidiaries) would have been required to pay in respect of such federal or state income
taxes (as the case may be) in respect of such year if VHS Holdco I and its Subsidiaries (or
the Borrower and its Subsidiaries) paid taxes directly as a stand-alone taxpayer (or
stand-alone group);

     (x) the Borrower may pay cash Dividends to VHS Holdco I so long as the proceeds thereof
are promptly used by VHS Holdco I to make Dividends permitted pursuant to clause (iii),
(v)(B), (vi) or (xiii) of this Section 9.03;

     (xi) VHS Holdco I may pay cash Dividends to any direct or indirect parent for the
purposes of such parent making Dividends of the type described in clause (ii), (iii), (v)(B)
and (vi) of this Section 9.03 with respect to officers, consultants, employees and directors
of Vanguard to the extent same are primarily employed, appointed or engaged, as the case may
be, in connection with the operations of VHS Holdco I and its Subsidiaries;

     (xii) the Borrower and VHS Holdco I may pay cash Dividends to effect the Distribution
and the Refinancing; and

     (xiii) so long as no Default or Event of Default is then in existence or would arise
therefrom, the Borrower and VHS Holdco I may pay cash Dividends not otherwise permitted in
clauses (i) through (xii) above in an amount not to exceed $25,000,000 in the aggregate (or
if the Adjusted Consolidated Net Leverage at such time determined on a Post-Test Period Pro
Forma Basis is less than 5.0:1.0, $50,000,000 at any time) minus the amount applied
to make prepayments of subordinated Indebtedness pursuant to Section 9.10(i) plus, (B) so
long as the Adjusted Consolidated Leverage Ratio on a Post-Test Period Pro Forma Basis as of
such date (after giving effect to such Dividends) is less than 4.5 to 1.0, the Cumulative
Credit.

          9.04 Indebtedness. VHS Holdco I will not, and will not permit any of its Subsidiaries to,
create, incur, assume or suffer to exist any Indebtedness, except:

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     (i) Indebtedness incurred pursuant to this Agreement and the other Credit Documents;

     (ii) Existing Indebtedness to the extent the same is listed on Schedule 9.04, but no
refinancings or renewals thereof other than Permitted Refinancing Indebtedness to Refinance
such Indebtedness, provided that Permitted Refinancing Indebtedness to Refinance
Indebtedness set forth under item II of Schedule 9.04, if any, shall not be permitted under
this Section 9.04(ii); and provided further that all Indebtedness outstanding under the Existing
Senior Discount Notes and Existing Senior Subordinated Notes shall have been repaid or
discharged in full by the 60th day following the Initial Borrowing Date.

     (iii) Indebtedness of the Borrower and its Subsidiaries (w) consisting of Capitalized
Lease Obligations to the extent permitted pursuant to Section 9.07, (x) under sale-leaseback
transactions, (y) incurred pursuant to purchase money mortgages or (z) subject to Liens
permitted under Section 9.01(vii)(C); provided that in no event shall the aggregate
principal amount of Capitalized Lease Obligations, sale-leaseback transactions and other
Indebtedness outstanding pursuant to this clause (iii) at any time, when added to the
aggregate principal amount of then outstanding Indebtedness in excess of $50,000,000
incurred pursuant to Section 9.04(xix)(A) exceed $50,000,000;

     (iv) intercompany Indebtedness among the Borrower and the Subsidiary Guarantors to the
extent permitted by Section 9.05(iii);

     (v) (A) Indebtedness of Non-Guarantor Subsidiaries owing to the Borrower and the
Subsidiary Guarantors to the extent permitted under Section 9.05(iv), (B) Indebtedness of
the Borrower and the Subsidiary Guarantors owing to Non-Guarantor Subsidiaries to the extent
permitted under Section 9.05(v) and (C) intercompany Indebtedness among the Non-Guarantor
Subsidiaries to the extent permitted by Section 9.05(vi);

     (vi) Indebtedness under Other Hedging Agreements in connection with the Borrower’s or
any Subsidiary Guarantor’s ordinary course of business operations so long as management of
the Borrower or such Subsidiary Guarantor, as the case may be, has determined in good faith
that the entering into of such Other Hedging Agreements are bona fide hedging activities;

     (vii) unsecured Indebtedness of the Borrower and the Guarantors incurred pursuant to
the New Senior Unsecured Notes, in an aggregate principal amount not to exceed $950,000,000
less the amount of any repayments of principal thereof after the Initial Borrowing Date and
any Permitted Refinancing Indebtedness in respect thereof;

     (viii) amounts constituting deferred purchase price or earnouts in connection with
Permitted Acquisitions; provided that the aggregate amount of all Indebtedness
permitted under this clause (viii) (taking the maximum amount that may become due in
connection therewith) shall not exceed $100,000,000 at any time outstanding;

     (ix) amounts constituting deferred payment obligations resulting from adjudications or
settlements of any claims or litigation;

     (x) Indebtedness owing to Subsidiaries of the Borrower in connection with the cash
management program of the Borrower;

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     (xi) Contingent Obligations of the Borrower and its Subsidiaries constituting
guarantees by the Borrower of Indebtedness of any Subsidiary Guarantor (for so long as such
Person remains a Subsidiary Guarantor) or guarantees by any Subsidiary Guarantor (for so
long as such Person remains a Subsidiary Guarantor) of Indebtedness of any of the Borrower
or any other Subsidiary Guarantor (for so long as such Person remains a Subsidiary
Guarantor), but in each case only to the extent that the Indebtedness being guaranteed is
otherwise permitted by this Section 9.04;

     (xii) Contingent Obligations constituting (i) guarantees by any Non-Guarantor
Subsidiary of Indebtedness of another Non-Guarantor Subsidiary, and (ii) unsecured
guarantees by VHS Holdco I and its Subsidiaries of Indebtedness of Foreign Subsidiaries
incurred for working capital purposes in the ordinary course of business on ordinary
business terms so long as such Indebtedness is permitted to be incurred under 9.04;

     (xiii) Contingent Obligations of the Borrower or any Subsidiary Guarantor (for so long
as such Person remains a Subsidiary Guarantor) constituting guarantees of (i) obligations of
Health Care Joint Ventures which are not Subsidiary Guarantors under their operating leases
and (ii) Indebtedness of Health Care Joint Ventures in an aggregate principal amount for all
such Indebtedness not exceeding $15,000,000;

     (xiv) Indebtedness of VHS Holdco I consisting of deferred purchase price for
redemptions or repurchases of VHS Holdco I’s Equity Interests, provided that (i) VHS
Holdco I’s payment obligations thereunder are limited to the extent necessary to be in
compliance with Section 9.03(ii) and (ii) such Indebtedness is subordinated to the
Obligations to at least the same degree as intercompany loans described in Section 9.05(v)
are subordinated to the Obligations;

     (xv) Indebtedness under Interest Rate Protection Agreements so long as the entering
into of such Interest Rate Protection Agreements are bona fide hedging activities and are
not for speculative purposes;

     (xvi) Permitted Unsecured Notes and any Permitted Refinancing Indebtedness in respect
thereof so long as (x) on the date of issuance thereof no Event of Default shall have
occurred and be continuing and (y) on a Post-Test Period Pro Forma Basis after giving effect
to the issuance thereof and the application of proceeds therefrom) (I) the Borrower shall be
in compliance with Sections 9.08 and 9.09 and (II) the Maximum Adjusted Consolidated
Leverage Ratio Condition would be satisfied at such time;

     (xvii) so long as on the date of issuance thereof no Event of Default shall have
occurred and is continuing and the Borrower shall be in compliance with Sections 9.08 and
9.09 (calculated on a Post-Test Period Pro Forma Basis after giving effect to the issuance
thereof and the application of proceeds therefrom) at such time (i) Permitted Secured Notes
so long as the Maximum Consolidated Senior Secured Leverage Condition (calculated on a
Post-Test Period Pro Forma Basis after giving effect to the issuance thereof and the
application of proceeds therefrom) shall be satisfied on such date, (ii) Permitted Secured
Notes, the Net Debt Proceeds of which are applied to the permanent repayment of Term Loans
pursuant to Section 4.02(d), (iii) Permitted Secured Notes that are offered on a pro rata
basis to all Lenders that are “Qualified Institutional Buyers” (as defined in Rule 144A
under the Securities Act of 1933, as amended) holding Term Loans and in a principal amount
not to exceed the amount of Term Loans exchanged for such Permitted Secured Notes pursuant
to procedures reasonably acceptable to the Administrative Agent (including procedures
designed to comply with securities laws); provided that any Term Loans exchanged for
such Permitted Secured Notes shall be deemed to have been repaid immedi-

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ately upon the
effectiveness of such exchange, and (iv) in the case of Permitted Secured Notes incurred
under any of the foregoing clauses (i), (ii) and (iii), Permitted Refinancing Indebtedness
in respect thereof;

     (xviii) Contingent Obligations of the Borrower or any of its Subsidiaries arising from
Physician Support Obligations to the extent permitted under Section 9.05(xiv);

     (xix) (i) Indebtedness of the Borrower and its Subsidiaries assumed at the time of a
Permitted Acquisition (or of any Subsidiary acquired pursuant thereto), provided
that such Indebtedness was not incurred in connection with, or in anticipation or
contemplation of, such Permitted Acquisition and (ii) Permitted Refinancing Indebtedness in
respect thereof; provided that in no event shall the aggregate principal amount of
Indebtedness outstanding pursuant to this Section 9.04(xix) at any time, when added to the
aggregate principal amount of Indebtedness outstanding pursuant to Section 9.04(iii) at such
time, exceed (A) $100,000,000 plus, (B) to the extent the Consolidated Senior Secured
Leverage Ratio is less than 3.50 to 1.0 on a Post-Test Period Pro Forma Basis on the date of
consummation of the applicable Permitted Acquisition, an additional $100,000,000;

     (xx) Indebtedness (other than Indebtedness for borrowed money) owed to (including
obligations in respect of letters of credit or bank guarantees or similar instruments for
the benefit of) any person providing workers’ compensation, health, disability or other
employee benefits or property, casualty or liability insurance to VHS Holdco I or any of its
Subsidiaries, pursuant to reimbursement or indemnification obligations to such Person,
provided that upon the incurrence of Indebtedness with respect to reimbursement
obligations regarding workers’ compensation claims, such obligations are reimbursed not
later than 30 days following such incurrence;

     (xxi) Indebtedness in respect of performance bonds, bid bonds, appeal bonds, surety
bonds and completion guarantees and similar obligations, in each case provided in the
ordinary course of business, including those incurred to secure health, safety and
environmental obligations in the ordinary course of business;

     (xxii) Indebtedness arising from the honoring by a bank or other financial institution
of a check, draft or similar instrument drawn against insufficient funds in the ordinary
course of business or other cash management services in the ordinary course of business,
provided that (x) such Indebtedness (other than credit or purchase cards) is
extinguished within three Business Days of its incurrence and (y) such Indebtedness in
respect of credit or purchase cards is extinguished within 60 days from its incurrence;

     (xxiii) Indebtedness arising from agreements of the Borrower or any of its Subsidiaries
providing for indemnification, adjustment of purchase price or similar obligations, in each
case, incurred or assumed in connection with the disposition of any business, assets or a
Subsidiary of the Borrower, other than Guarantees of Indebtedness incurred by any Person
acquiring all or any portion of such business, assets or such Subsidiary for the purpose of
financing such acquisition;

     (xxiv) Indebtedness supported by a Letter of Credit, in an aggregate principal amount
not in excess of the Stated Amount of such Letter of Credit;

     (xxv) Indebtedness of Foreign Subsidiaries for working capital purposes incurred in the
ordinary course of business on ordinary business terms in an aggregate amount not to exceed
$10,000,000 outstanding at any time;

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     (xxvi) Indebtedness consisting of (x) the financing of insurance premiums or (y)
take-or-pay obligations contained in supply arrangements, in each case, in the ordinary
course of business;

     (xxvii) Contingent Obligations not otherwise permitted by the foregoing clauses of this
Section 9.04 not to exceed $5,000,000 in aggregate amount of any time outstanding;

     (xxviii) Indebtedness not otherwise permitted by the foregoing clauses of this Section
9.04 not to exceed $50,000,000 in aggregate principal amount at any time outstanding; and

     (xxix) all premium (if any), interest (including post-petition interest), fees,
expenses, charges and additional or contingent interest on obligations described in the
foregoing clauses of this Section 9.04.

          9.05 Advances, Investments and Loans. VHS Holdco I will not, and will not permit any of its Subsidiaries to, directly or indirectly,
lend money or credit or make advances to any Person, or purchase or acquire any stock, obligations
or securities of, or any other interest in, or make any capital contribution to, any other Person,
or purchase or own a futures contract or otherwise become liable for the purchase or sale of
currency or other commodities at a future date in the nature of a futures contract, or hold any
cash or Cash Equivalents (each of the foregoing an “Investment” and, collectively, “Investments”),
except that notwithstanding the foregoing:

     (i) the Borrower and its Subsidiaries may acquire and hold accounts receivables and
prepaid expenses owing to any of them, if created or acquired in the ordinary course of
business and payable or dischargeable in accordance with customary terms, and may grant
trade credit in the ordinary course of business and the Borrower and its Subsidiaries may
own Investments received in connection with the bankruptcy or reorganization of suppliers,
customers and others with whom it has done business or against whom it has claims and in
settlement of delinquent obligations of, and other disputes with, customers, suppliers and
others with whom it has done business or against whom it has claims, in each case arising in
the ordinary course of business;

     (ii) VHS Holdco I and its Subsidiaries may acquire and hold cash and Cash Equivalents
and Investments that were Cash Equivalents at the time of the initial acquisition thereof;

     (iii) intercompany loans and advances among the Borrower and the Subsidiary Guarantors;

     (iv) the Borrower or any Subsidiary Guarantor may make unsubordinated loans and
advances to Non-Guarantor Subsidiaries, provided that no Default or Event of Default
then exists or would exist immediately after giving effect thereto;

     (v) Non-Guarantor Subsidiaries may make loans and advances to the Borrower or any
Subsidiary Guarantor, provided that such loans or advances (other than any such
loans or advances represented by short-term, open account working capital notes entered into
the ordinary course of business for cash management purposes and consistent with past
practices) shall be expressly subordinated to the payment of the Obligations pursuant to a
duly executed and delivered (by the respective borrower and lender) Subordination Agreement
in the form of Exhibit O (subject to modifications as may be reasonably satisfactory to the
Administrative Agent);

     (vi) Non-Guarantor Subsidiaries may make loans and advances to one another;

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     (vii) the Borrower and its Subsidiaries may make (A) loans and advances in the ordinary
course of business to employees of VHS Holdco I and its Subsidiaries so long as the
aggregate principal amount thereof at any time outstanding (determined without regard to any
write-downs or write-offs of such loans and advances) shall not exceed $1,000,000 and (B)
advances of payroll payments and expenses to employees in the ordinary course of business;

     (viii) the Borrower and its Subsidiaries may enter into Other Hedging Agreements to the
extent permitted by Section 9.04(vi);

     (ix) the Borrower and its Subsidiaries may receive non-cash consideration in connection
with any asset sale permitted by Section 9.02;

     (x) the Borrower and its Subsidiaries may consummate Permitted Acquisitions in
accordance with the relevant requirements of Section 9.02(viii);

     (xi) the Borrower and its Subsidiaries may hold Existing Investments, provided
that any further Investments with respect thereto shall be independently justified under
another clause of this Section 9.05;

     (xii) (1) VHS Holdco I may make cash Investments in the Borrower and (2) the Borrower
and its Subsidiaries may make capital contributions in and to their respective Subsidiaries
that are Subsidiary Guarantors;

     (xiii) so long as no Default or Event of Default then exists or would exist immediately
after giving effect thereto, the Borrower and the Subsidiary Guarantors may make Investments
consisting of Equity Investments in Non-Guarantor Subsidiaries;

     (xiv) the Borrower and its Subsidiaries may make Investments constituting Physician
Support Obligations in the aggregate amount not to exceed at any time outstanding
$75,000,000;

     (xv) the Borrower and its Subsidiaries may enter into Interest Rate Protection
Agreements to the extent permitted under Section 9.04(xv);

     (xvi) the Borrower and its Subsidiaries may make deposits to the extent permitted under
Section 9.01(xv);

     (xvii) the Borrower and its Subsidiaries may make capital contributions or intercompany
loans or advances to any Captive Insurance Subsidiary (x) in such amounts as may be
necessary to fund insurance premiums deemed necessary by the Borrower’s actuary or required
by the applicable insurance regulatory authority, or in accordance with applicable statutes,
regulations and orders, to cover potential or actual insurance claims to be (or, if actual,
that would be) paid by such Captive Insurance Subsidiary in the ordinary course of business
and (y) to pay for the administrative costs and expenses of such Captive Insurance
Subsidiary in the ordinary course of business;

     (xviii) the Borrower and its Subsidiaries may hold Investments of a Subsidiary acquired
after the Initial Borrowing Date or of a corporation merged into the Borrower or merged into
or consolidated with a Subsidiary after the Initial Borrowing Date, in each case to the
extent that such acquisition, merger or consolidation is permitted under Section 9.02 or
this Section 9.05 and such Investments were not made in contemplation of or in connection with such
acquisition,

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merger or consolidation and were in existence on the date of such acquisition,
merger or consolidation;

     (xix) Investments resulting from pledges and deposits referred to in Section 9.01(xi)
shall be permitted;

     (xx) the Borrower and its Subsidiaries may make additional Investments from time to
time to the extent made with the Cumulative Credit;

     (xxi) guarantees by the Borrower or any of its Subsidiaries of operating 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;

     (xxii) the Borrower and its Subsidiaries may make Investments in Persons consisting of
the reinvestment of Net Sale/Recovery Event Proceeds of asset sales (exclusive of asset
sales of the types described in clause (A) of Section 4.02(e) other than those described in
Section 9.02(ii)) or Recovery Events not required to be applied to prepay the Loans and/or
reduce Commitments pursuant to Section 4.02(e) as a result of clauses (B) and (C) contained
therein so long as after giving effect to such Investment such Person becomes a Subsidiary
of the Borrower and promptly executes and delivers a Joinder Agreement; and

     (xxiii) the Borrower and its Subsidiaries may make additional Investments not otherwise
permitted by the foregoing clauses of this Section 9.05 not to exceed an aggregate amount
(determined using the book value of such Investments when same are made) equal to
$100,000,000 plus any returns of capital actually received by the respective investor in
respect of Investments theretofore made by it pursuant to this clause (xxiii).

          9.06 Transactions with Affiliates. VHS Holdco I will not, and will not permit any of its Subsidiaries to, enter into any
transaction or series of related transactions, whether or not in the ordinary course of business,
with any Affiliate of VHS Holdco I or any of its Subsidiaries, other than on terms and conditions
substantially as favorable to VHS Holdco I or such Subsidiary as would reasonably be obtained by
VHS Holdco I or such Subsidiary at that time in a comparable arm’s-length transaction with a Person
other than an Affiliate, except that notwithstanding the foregoing:

     (i) Dividends may be paid to the extent provided in Section 9.03;

     (ii) Investments may be made and other transactions may be entered into by and among
VHS Holdco I and its Subsidiaries to the extent permitted by Section 9.02, 9.04 or 9.05;

     (iii) customary fees may be paid to non-officer directors of VHS Holdco I or any of its
Subsidiaries;

     (iv) Subsidiaries of the Borrower may pay management and similar fees to the Borrower
or any Wholly-Owned Subsidiary of the Borrower;

     (v) VHS Holdco I may enter into any transaction with any of its Wholly-Owned
Subsidiaries or any Health Care Joint Venture for the purchase or sale of goods, products,
or parts or services entered into in the ordinary course of business consistent with past
practices;

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     (vi) transactions may be entered into between the Borrower and any Subsidiary Guarantor
or among any Subsidiary Guarantors to the extent not otherwise permitted in clauses (i)
through (v) above;

     (vii) Shareholders may enter into transactions with the Borrower to purchase the
capital stock of the Borrower in accordance with the Shareholders’ Agreements;

     (viii) VHS Holdco I may issue securities and may make payments, awards or grants in
cash, securities or otherwise pursuant to employment arrangements, stock options and stock
ownership plans approved by the Board of Directors of VHS Holdco I, provided that
such actions are not otherwise prohibited by this Agreement;

     (ix) the Borrower and its Subsidiaries may make loans or advances to employees of VHS
Holdco I or any of the Subsidiaries in accordance with Section 9.05(vii);

     (x) VHS Holdco I and its Subsidiaries may pay fees and indemnities to directors,
officers and employees of VHS Holdco I and the Subsidiaries in the ordinary course of
business;

     (xi) the Borrower and its Subsidiaries may enter into employment agreements in the
ordinary course of business;

     (xii) the Credit Agreement Parties may pay monitoring, management and similar fees to
the Sponsors in an aggregate amount for all such Persons in any fiscal year not to exceed
the greater of (x) $6,000,000 and (y) 2.0% of EBITDA of VHS Holdco I and its Subsidiaries
for the immediately preceding fiscal year, plus unpaid amounts accrued for prior periods;

     (xiii) the Credit Agreement Parties may reimburse the Sponsors for their reasonable
out-of-pocket expenses incurred in connection with performing management, monitoring or
services to VHS Holdco I and its Subsidiaries;

     (xiv) the Transaction shall be permitted;

     (xv) any purchase by the Sponsors of Equity Interests of VHS Holdco I or any
contribution by VHS Holdco I to, or purchase by VHS Holdco I of, the equity capital of the
Borrower shall be permitted;

     (xvi) subject to clause (xii) of this Section 9.06, the existence of, or the
performance by VHS Holdco I or any of its Subsidiaries of its obligations under the terms
any agreement to which it is a party as of the Initial Borrowing Date shall be permitted;
provided, however, that the existence of, or the performance by VHS Holdco I
or any of its Subsidiaries of obligations under any future amendment to any agreement or
under any similar agreement entered into after the Initial Borrowing Date shall only be
permitted by this clause (xvi) to the extent that the terms of any such amendment or new
agreement are not otherwise disadvantageous to the Lenders in any material respect;

     (xvii) the payment of all fees, expenses, bonuses and awards related to the
Transaction, including fees to the Sponsors shall be permitted;

     (xviii) payments by VHS Holdco I or any of the Subsidiaries to the Sponsors made for
any financial advisory, financing, underwriting or placement services or in respect of other
investment banking activities, including in connection with acquisitions or divestitures, which

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payments are approved by the majority of the board of directors of VHS Holdco I,
in good faith; and

     (xix) VHS Holdco I and any of its Subsidiaries can make payments pursuant to any tax
sharing agreements with any direct or indirect parent of VHS Holdco I, but only to the
extent permitted by Section 9.03(ix).

          9.07 Capital Expenditures.

          (a) VHS Holdco I will not, and will not permit any of its Subsidiaries to, make any Capital
Expenditures except in accordance with this Section 9.07.

          (b) Notwithstanding anything to the contrary contained in clause (a) above, during any period
set forth below, the Borrower and its Subsidiaries may make Capital Expenditures in connection with
their operations so long as the aggregate amount of such Capital Expenditures made in reliance on
this Section 9.07(b) does not exceed in any fiscal year the sum of (i) $170,000,000 plus (ii) the
Additional Capital Expenditures Amount for such period.

          (c) Notwithstanding anything to the contrary contained in clauses (a) and (b) above, and
clause (d) below, (i) to the extent that the aggregate amount of Capital Expenditures made by the
Borrower and its Subsidiaries pursuant to Section 9.07(b) during any fiscal year of VHS Holdco I is
less than the amount of Capital Expenditures permitted to be made by the Borrower and its
Subsidiaries during such fiscal year pursuant to such Section 9.07(b), the Borrower may carry
forward 100% of the amount of Capital Expenditures permitted to be made by the Borrower and its
Subsidiaries pursuant to such Section 9.07(b) during such fiscal year, as the case may be, but not
made during such fiscal year (the amount of the Capital Expenditures permitted to be made by the
Borrower and its Subsidiaries pursuant to Section 9.07(b) during such fiscal year but not made
during such fiscal year being herein referred to as the “Unused Capital Expenditures Amount”), to
make Capital Expenditures in the next succeeding fiscal year (with the Unused Capital Expenditures
Amount from any previous fiscal year being deemed to be utilized prior to any other amount Capital
Expenditures otherwise permitted to be made under Section 9.07(b) in such succeeding fiscal year)
but in no fiscal year thereafter and (ii) the Borrower may elect to make up to an additional
$35,000,000 (the “CapEx Pull-Forward Amount”) of Capital Expenditures in any fiscal year;
provided that the actual CapEx Pull-Forward Amount in respect of any such fiscal year shall
reduce, on a dollar-for-dollar basis, the amount of Capital Expenditures that are permitted to be
made in the immediately succeeding fiscal year pursuant to Section 9.07(b).

          (d) Notwithstanding anything to the contrary contained in clauses (a), (b) and (c) above, and
in addition to the Capital Expenditures permitted pursuant to the preceding clauses (a), (b) and
(c), the Borrower and the Subsidiary Guarantors may make Capital Expenditures to finance projects
which at the time the respective Capital Expenditures are made constitute Specified Construction
Projects. The Borrower and the Subsidiary Guarantors shall also be permitted to make Capital
Expenditures in connection with the purchase of Real Property which at the time of such purchase
the Borrower in good faith expects to designate as a Specified Construction Project within fifteen
months following such purchase.

          (e) In addition to the Capital Expenditures permitted pursuant to the preceding clauses (b),
(c) and (d), the Borrower and its Subsidiaries may make additional Capital Expenditures as follows:
(i) Capital Expenditures consisting of the reinvestment of Net Sale/Recovery Event Proceeds of
asset sales (exclusive of asset sales of the types described in clause (A) of Section 4.02(e) other
than those described in Section 9.02(ii)) or Recovery Events not required to be applied to prepay the
Loans and/or reduce Commitments pursuant to Section 4.02(e) as a result of clauses (B) and (C)
contained therein, and

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(ii) Capital Expenditures made on any date so long as same do not exceed the
Cumulative Credit as then in effect

          9.08 Consolidated Interest Coverage Ratio. Solely as of the last day of each Test Period set forth below, VHS Holdco I will not permit
the Consolidated Interest Coverage Ratio to be less than the ratio set forth opposite the last day
of such Test Period below:

	 	 	 
	Test Period Ending	 	Ratio
	June 30, 2010

	 	2.00:1.00
	September 30, 2010

	 	2.00:1.00
	December 31, 2010

	 	2.00:1.00
	March 31, 2011

	 	2.00:1.00
	June 30, 2011 and the last day of each fiscal quarter thereafter

	 	2.10:1.00

Notwithstanding anything to the contrary contained in this Section 9.08, all calculations of
compliance with this Section 9.08 shall be made on a Pro Forma Basis.

          9.09 Consolidated Leverage Ratio. Solely as of the last day of each Test Period ending on a fiscal period set forth below, VHS
Holdco I will not permit the Consolidated Leverage Ratio to be greater than the ratio set forth
opposite the last day of such Test Period below:

	 	 	 
	Test Period Ending	 	Ratio
	June 30, 2010

	 	6.25:1.00
	September 30, 2010

	 	6.25:1.00
	December 31, 2010

	 	6.25:1.00
	March 31, 2011

	 	6.25:1.00
	June 30, 2011

	 	5.95:1.00
	September 30, 2011

	 	5.95:1.00
	December 31, 2011

	 	5.95:1.00
	March 31, 2012

	 	5.95:1.00
	June 30, 2012

	 	5.75:1.00
	September 30, 2012

	 	5.75:1.00
	December 31, 2012

	 	5.75:1.00
	March 31, 2013

	 	5.50:1.00
	June 30, 2013

	 	5.50:1.00
	September 30, 2013

	 	5.50:1.00
	December 31, 2013

	 	5.25:1.00
	March 31, 2014

	 	5.25:1.00
	June 30, 2014

	 	5.25:1.00
	September 30, 2014 and the last day of each fiscal quarter
thereafter

	 	5.00:1.00

Notwithstanding anything to the contrary contained in this Section 9.09, all calculations of
compliance with this Section 9.09 shall be made on a Pro Forma Basis.

          9.10 Limitation on Payments of Certain Indebtedness; Modifications of Certain
Indebtedness; Modifications of Certificate of Incorporation, By-Laws and Certain Agreements;
etc. VHS Holdco I will not, and will not permit any of its Subsidiaries to:

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     (i) make (or give any notice in respect of) any voluntary or optional payment or
prepayment on or redemption or acquisition for value of, including, in each case without
limitation, by way of depositing with the trustee with respect thereto money or securities
before due for the purpose of paying when due, any Indebtedness that is subordinated in
right of payment to the Obligations, provided that VHS Holdco I and its Subsidiaries
may make voluntary or optional payments, prepayments or redemptions of (A) subordinated
Indebtedness in exchange for or out of the proceeds of Permitted Refinancing Indebtedness,
(B) so long as the Adjusted Consolidated Leverage Ratio at such time determined on a
Post-Test Period Pro Forma Basis after giving effect to any such payment, prepayment or
redemption pursuant to this clause (B) is less than 4.5:1.0, subordinated Indebtedness out
of the Cumulative Credit; (C) $25,000,000 at any time (or if the Adjusted Consolidated Net
Leverage at such time determined on a Post-Test Period Pro Forma Basis is
less than 5.0:1.0, $50,000,000 at any time) minus the amount applied to make
Dividends pursuant to Section 9.03(xiii) and (D) so long as no Event of Default has occurred
and is continuing, Indebtedness owed to the Borrower or any Subsidiary.

     (ii) after the issuance of any Indebtedness that is subordinated in right of payment to
the Obligations, amend or modify, or permit the amendment or modification of any provision
of, any documentation evidencing or related to such Indebtedness other than any amendment to
modifications that are not adverse to the interests of the Lenders in any material respect;

     (iii) amend, modify or change in any manner adverse to the interests of the Lenders in
any material respect its certificate of incorporation (including, without limitation, by the
filing or modification of any certificate of designation), partnership agreement or limited
liability company or operating agreement or by-laws (or equivalent organizational
documents).

          9.11 Limitation on Certain Restrictions on Subsidiaries. VHS Holdco I will not, and will not permit any of its Subsidiaries to, directly or indirectly,
create or otherwise cause or suffer to exist or become effective any encumbrance or restriction on
the ability of any Subsidiary of VHS Holdco I to (a) pay dividends or make any other distributions
on its capital stock or any other interest or participation in its profits owned by VHS Holdco I or
any of its Subsidiaries, or pay any Indebtedness owed to VHS Holdco I or any Subsidiary of VHS
Holdco I, (b) make loans or advances to VHS Holdco I or any Subsidiary of VHS Holdco I or (c)
transfer any of its properties or assets to VHS Holdco I or any Subsidiary of VHS Holdco I, except
(I) in each case for such encumbrances or restrictions existing under or by reason of (i)
applicable law, (ii) this Agreement, the New Senior Unsecured Note Documents (as originally in
effect), the Shareholders’ Agreements (as originally in effect), any documents governing Permitted
Unsecured Notes or Permitted Secured Notes or any Permitted Refinancing Indebtedness in respect of
any of the foregoing, (iii) customary provisions restricting subletting or assignment of any lease
governing a leasehold interest of VHS Holdco I or any Subsidiary of the Borrower, (iv) customary
provisions restricting assignment of any agreement entered into by VHS Holdco I or any Subsidiary
of the VHS Holdco I in the ordinary course of business, (v) any restrictions imposed by any
agreement relating to secured Indebtedness permitted by this Agreement to the extent that such
restrictions apply only to the property or assets securing such Indebtedness, (vi) any restriction
on a Subsidiary imposed pursuant to an agreement entered into for the sale or disposition of all or
substantially all the Equity Interests or assets of a Subsidiary permitted under Section 9.02
pending the closing of such sale or disposition, or (vii) customary restrictions and conditions
contained in any agreement relating to the sale of any asset permitted under Section 9.02 pending the consummation of such sale, and
(II) in the case of encumbrances or restrictions of the type described in preceding clause (c)
only, (x) rights of first refusal in respect of the sale of assets of or Equity Interests in Health
Care Joint Ventures in favor of the joint venture partner of the Borrower or its respective
Subsidiary relating to the respective Health Care Joint Venture and (y) other restrictions in any
partnership, shareholder, operating or similar agreement of a Health Care Joint Venture to the
extent such

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restrictions are no less favorable in any respect to either the Lenders or the Borrower
(or its respective Subsidiary that holds Equity Interests in such Health Care Joint Venture) than
those contained in Section 2.3 or 2.5 of the Restrictive Shareholders’ Agreements.

          9.12 Limitation on Issuance of Capital Stock.

          (a) VHS Holdco I will not issue (i) any preferred stock (other than Qualified Preferred Stock)
or (ii) any redeemable common stock.

          (b) VHS Holdco I will not permit any of its Subsidiaries to issue any Equity Interests
(including by way of sales of treasury stock) or any options or warrants to purchase, or securities
convertible into, Equity Interests, except (i) for transfers and replacements of then outstanding
shares of Equity Interests, (ii) for stock splits, stock dividends and similar or additional
issuances which do not decrease the percentage ownership of VHS Holdco I or any of its Subsidiaries
in any class of the Equity Interests of such Subsidiary, (iii) to qualify directors to the extent
required by applicable law, (iv) for issuances by newly created or Wholly-Owned Subsidiaries of the
Borrower created or acquired in accordance with the terms of this Agreement, and (v) for issuances
of Equity Interests by any Subsidiary of the Borrower to the Borrower or any other Person,
provided that if the Person to which such Equity Interests are issued (A) is a Borrower or
a Subsidiary Guarantor, such Equity Interests shall be pledged pursuant to the Security Documents
and (B) is neither a Borrower nor any Subsidiary Guarantor, (I) such Equity Interests are not
preferred stock or similarly preferred Equity Interests (other than Qualified Preferred Stock
issued to a Person holding a non-controlling Equity Interest in such Subsidiary (after giving
effect to such issuance), provided that aggregate liquidation preference of all Qualified
Preferred Stock issued pursuant to this parenthetical statement shall not exceed $10,000,000) and
(II) no Default or Event of Default then exists or would result immediately after giving effect
thereto. Subject to continued compliance with Section 9.15, if, as a result of any such issuances
made pursuant to clause (v) in the immediately preceding sentence, a Wholly-Owned Subsidiary which
is a Subsidiary Guarantor ceases to constitute a Wholly-Owned Subsidiary, upon the receipt by the
Administrative Agent and the Collateral Agent of (i) a certificate from an Authorized Officer and
the Borrower certifying that (x) such Subsidiary is to be released from the Subsidiaries Guaranty
and the Security Documents to which it is a party in accordance with the provisions hereof and
thereof and (y) no Default or Event of Default exists at the time of, or would exist immediately
after giving effect to, such release and (ii) evidence reasonably satisfactory to the
Administrative Agent and the Collateral Agent and such Subsidiary has been (or will
contemporaneously with the release described below, will be) released from its guaranty (if any) of
any and all Specified Indebtedness, such Subsidiary shall, so long as no Default or Event of
Default then exists or would result therefrom, be released from the Subsidiaries Guaranty and the
Security Documents to which it is a party, and the Collateral Agent shall be authorized to take any
action deemed appropriate in order to effect or evidence the foregoing.

          9.13 Business.

          (a) VHS Holdco I will not, and will not permit any of its Subsidiaries to, engage (directly or
indirectly) in any business other than any business or business activity conducted by it on the
Effective Date and any business or business activities incidental or related thereto, or any
business or activity that is reasonably similar thereto or a reasonable extension, development or
expansion thereof or ancillary thereto, including the consummation of the Transaction.

          (b) Notwithstanding anything to the contrary contained in this Agreement, VHS Holdco I will
not engage in any business or business activity other than (i) the ownership of the Equity
Interests in the Borrower and Vanguard Holding Company I, Inc., together with activities directly
related thereto, (ii) the performance of its obligations under and in connection with the Credit
Documents to

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which it is party and the performance of any action expressly permitted to be
performed by it pursuant to Section 9 of this Agreement, (iii) actions incidental to the
consummation of the Transaction, (iv) actions required by law to maintain its existence and other
actions required by law, (v) the holding of cash in amounts reasonably required to pay for its own
costs and expenses, (vi) owing and paying legal, registered office and auditing fees and (vii) the
issuance of common Equity Interests and Qualified Preferred Stock.

          (c) Notwithstanding anything to the contrary contained in this Agreement, for so long as it is
a Subsidiary of VHS Holdco I, Vanguard Holding Company I, Inc. will not engage in any business or
business activity other than (i) actions required by law to maintain its existence, (ii) the
holding of cash in amounts reasonably required to pay for its own costs and expenses, (iii) owing
and paying legal, registered office and auditing fees and (iv) the issuance of common Equity
Interests to VHS Holdco I or the Borrower, as the case may be.

          9.14 Limitation on Creation of Health Care Joint Ventures. Notwithstanding anything to the contrary contained in this Agreement, VHS Holdco I will not,
and will not permit any of its Subsidiaries to, establish, create or acquire after the Initial
Borrowing Date any Health Care Joint Venture, provided that the Borrower and its
Wholly-Owned Subsidiaries shall, to the extent otherwise permitted under this Agreement, be
permitted to establish, create or enter into one or more Health Care Joint Ventures, or acquire
Equity Interests in a Person, which immediately upon such acquisition will constitute a Health Care
Joint Venture, in each case so long as within a reasonable time from such establishment, creation
or acquisition, the Equity Interests held by the Borrower or any of its Subsidiaries in any new
Health Care Joint Venture that (A) is a Subsidiary of VHS Holdco I or (B) has Equity Interests
owned by any and all Credit Parties with an aggregate investment cost equal to or greater than
$2,000,000, in each case, are delivered for pledge pursuant to the Pledge Agreement and the
certificates representing such Equity Interests, if any, together with endorsements for the
transfer thereof duly executed in blank, are delivered to the Collateral Agent for the benefit of
the Secured Creditors.

          9.15 Limitation on Assets Held By Non-Guarantor Subsidiaries. VHS Holdco I will not permit the Total Assets of all Non-Guarantor Subsidiaries to, at any
time, exceed 30% of the Total Assets of VHS Holdco I and its Subsidiaries.

          SECTION 10A. Events of Default. Upon the occurrence of any of the following specified events (each an “Event of Default”):

          10A.01 Payments. The Borrower shall (i) default in the payment when due of any principal of any Loan or any
Note or (ii) default, and such default shall continue unremedied for five or more Business Days, in
the payment when due of any interest on any Loan or Note, any Unreimbursed Amount or any Fees or
any other amounts notified hereunder owing hereunder or under any other Credit Document; or

          10A.02 Representations, etc. Any representation or warranty made by any Credit Party herein or in any other Credit Document
or in any certificate delivered to the Administrative Agent or any Lender pursuant hereto or
thereto shall prove to be untrue in any material respect on the date as of which made or deemed
made; or

          10A.03 Covenants. Any Credit Party shall (i) default in the due performance or observance by it of any term,
covenant or agreement contained in Sections 8.01(e)(i), 8.13, 8.14, 9.01 through 9.05, 9.07 through
9.10 or 9.12 through 9.14, (ii) default in the due performance or observance by it of the
provisions contained in Section 9.15 and such default in the case of this clause (ii) shall
continue unremedied for a period of 30 days or (iii) default in the due performance or observance
by it of any other term,

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covenant or agreement contained in this Agreement or any other Credit
Document (other than as provided in Sections 10A.01 and 10A.02) and such default in the case of
this clause (iii) shall continue unremedied for a period of 30 days after written notice to the
Borrower by the Administrative Agent or the Required Lenders; or

          10A.04 Default Under Other Agreements. VHS Holdco I or any of its Subsidiaries shall (x) default in any payment of any Indebtedness
(other than the Obligations) beyond the period of grace or cure, if any, provided in the instrument
or agreement under which such Indebtedness was created or (y) default in the observance or
performance of any agreement or condition relating to any Indebtedness (other than the Obligations)
or contained in any instrument or agreement evidencing, securing or relating thereto, or any other
event shall occur or condition exist, the effect of which default or other event or condition is to
cause, or to permit the holder or holders of such Indebtedness (or a trustee or agent on behalf of
such holder or holders) to cause (with all applicable grace periods having expired), any such
Indebtedness to become due prior to its stated maturity, or (ii) any Indebtedness (other than the
Obligations) of VHS Holdco I or any of its Subsidiaries shall be declared to be (or shall become)
due and payable, or required to be prepaid other than by a regularly scheduled required prepayment
(including, without limitation, by reason of the occurrence of a change of control or other similar
event, but excluding by reason of any due-on-sale clause contained in Indebtedness so long as such
sale is permitted hereunder and under the document providing for such Indebtedness or the aggregate
principal amount of all such Indebtedness does not exceed $10,000,000), prior to the stated
maturity thereof, provided that it shall not be a Default or an Event of Default under
clauses (i) or (ii) of this Section 10A.04 unless the aggregate outstanding principal amount of all
Indebtedness as described in such clauses (i) and (ii) is at least $25,000,000; or

          10A.05 Bankruptcy, etc. VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries) shall commence a
voluntary case concerning itself under Title 11 of the United States Code entitled “Bankruptcy,” as
now or hereafter in effect, or any successor thereto (the “Bankruptcy Code”); or an involuntary
case is commenced against VHS Holdco I or any of its Subsidiaries (other than Immaterial
Subsidiaries) and the petition is not dismissed within 60 days, after commencement of the case; or
a custodian (as defined in the Bankruptcy Code) is appointed for, or takes charge of, all or substantially all
of the property of VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries) or
VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries) commences any other
proceeding under any reorganization, arrangement, adjustment of debt, relief of debtors,
dissolution, insolvency or liquidation or similar law of any jurisdiction whether now or hereafter
in effect relating to VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries)
(except in the case of any winding-up or liquidation of any such Subsidiary (other than any Credit
Agreement Party) to the extent same is permitted under Section 9.02), or there is commenced against
VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries) any such proceeding
which remains undismissed for a period of 60 days, or VHS Holdco I, the Borrower or any of its
Subsidiaries (other than Immaterial Subsidiaries) is adjudicated insolvent or bankrupt; or any
order of relief or other order approving any such case or proceeding is entered; or VHS Holdco I or
any of its Subsidiaries (other than Immaterial Subsidiaries) suffers any appointment of any
custodian or the like for it or any substantial part of its property to continue undischarged or
unstayed for a period of 60 days; or VHS Holdco I or any of its Subsidiaries (other than Immaterial
Subsidiaries) makes a general assignment for the benefit of creditors; or any corporate action is
taken by VHS Holdco I or any of its Subsidiaries (other than Immaterial Subsidiaries) for the
purpose of effecting any of the foregoing; or

          10A.06 ERISA. (a) Any Plan shall fail to satisfy the minimum funding standard required for any plan year or
part thereof under Section 412 of the Code or Section 302 of ERISA or a waiver of such standard or
extension of any amortization period is sought or granted under Section 412 of

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the Code or Section 303 or 304 of ERISA, a Reportable Event shall have occurred, any Plan which is subject to Title IV
of ERISA shall have had or is likely to have a trustee appointed at the instance of the PBGC to
administer such Plan, any Plan which is subject to Title IV of ERISA is, shall have been or is
likely to be terminated or to be the subject of termination proceedings under ERISA, any Plan shall
have an Unfunded Current Liability, a contribution required to be made with respect to a Plan or a
Foreign Pension Plan has not been timely made, VHS Holdco I or any Subsidiary of VHS Holdco I or
any ERISA Affiliate has incurred or is likely to incur any liability to or on account of a Plan
under Section 409, 502(i), 502(l), 515, 4062, 4063, 4064, 4069, 4201, 4204 or 4212 of ERISA or
Section 401(a)(29), 4971 or 4975 of the Code and (b) such event or events, individually, and/or in
the aggregate, in the reasonable opinion of the Required Lenders, have had, or could reasonably be
expected to have, a material adverse effect upon the business, assets, liabilities, operations or
condition (financial or otherwise) of VHS Holdco I or of VHS Holdco I and its Subsidiaries taken as
a whole; or

          10A.07 Security Documents. At any time after the execution and delivery thereof, any of the Security Documents shall
cease to be in full force and effect, shall cease to be a legal, valid and binding obligations of
any party thereto or any security interest purported to be created by any Security Document and to
extend to assets that are not immaterial to VHS Holdco I and its Subsidiaries on a consolidated
basis shall cease to be, or shall be asserted by any Credit Party not to be, a valid and perfected
security interest (having the priority required by this Agreement or the relevant Security
Document) in the securities, assets or properties covered thereby, except to the extent that any
such loss of perfection or priority results from the failure of the Collateral Agent to maintain
possession of certificates actually delivered to it representing securities pledged under the
Security Documents or to file Uniform Commercial Code continuation statements and except to the
extent that such loss is covered by a lender’s title insurance policy with a reputable and solvent
insurer; or

          10A.08 Guaranties. At any time after the execution and delivery thereof, any Guaranty or any provision thereof
shall cease to be in full force or effect (other than in accordance with the terms thereof) as to
any Guarantor, or any Guarantor or any Person acting by or on behalf of such Guarantor shall deny
or disaffirm such Guarantor’s obligations under the Guaranty to which it is a party; or

          10A.09 Judgments. One or more judgments or decrees shall be entered against VHS Holdco I or any of its
Subsidiaries involving in the aggregate for VHS Holdco I and its Subsidiaries a liability (to the
extent not paid or not covered by a reputable and solvent insurance company) and such judgments and
decrees either shall be final and non-appealable or shall not be vacated, discharged or stayed or
bonded pending appeal for any period of 30 consecutive days, and the aggregate amount of all such
judgments and decrees (determined as provided in the preceding parenthetical of this Section
10A.09) exceeds $25,000,000; or

          10A.10 BHS Initial Borrowing Assets. Any of the assets comprising the five acute care hospitals or replacements, thereof known as
of the Initial Borrowing Date as Baptist Health System in San Antonio, Texas shall cease to be held
by a Subsidiary Guarantor that is party to an effective Subsidiaries Guaranty and effective
Security Documents, or any Equity Interests of any such Subsidiary Guarantor holding such assets
shall cease to be pledged pursuant to an effective Pledge Agreement (other than any such Equity
Interests in VHS Acquisition Number 5, Inc. held by Baptist Health Services on the Initial
Borrowing Date and any Qualified Preferred Stock issued in replacement of such existing Equity
Interests so long as the aggregate liquidation preference of such replacement Qualified Preferred
Stock does not exceed $1,000,000); or

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     10A.11 Change of Control. A Change of Control shall occur; then, and in any such event, and at any time thereafter, if any Event of Default shall then be
continuing, the Administrative Agent, upon the written request of the Required Lenders, shall by
written notice to the Borrower, take any or all of the following actions, without prejudice to the
rights of any Agent, any Lender or the holder of any Note to enforce its claims against any Credit
Party (provided that, if an Event of Default specified in Section 10A.05 shall occur with
respect to the Borrower, the result which would occur upon the giving of written notice by the
Administrative Agent to the Borrower as specified in clauses (i) and (ii) below shall occur
automatically without the giving of any such notice): (i) declare the Total Commitments
terminated, whereupon all of the Commitments of each Lender shall forthwith terminate immediately
and any Commitment Commission shall forthwith become due and payable without any other notice of
any kind; (ii) declare the principal of and any accrued interest in respect of all Loans and the
Notes and all Obligations owing hereunder and thereunder to be, whereupon the same shall become,
forthwith due and payable without presentment, demand, protest or other notice of any kind, all of
which are hereby waived by each Credit Party; (iii) terminate any Letter of Credit which may be
terminated in accordance with its terms; (iv) direct the Borrower to pay (and the Borrower agrees
that upon receipt of such notice, or upon the occurrence of an Event of Default specified in
Section 10A.05 with respect to the Borrower, it will pay) to the Collateral Agent at the
Administrative Agent’s Office such additional amount of cash, to be held as security by the
Collateral Agent, as is equal to the aggregate Stated Amount of all Letters of Credit then
outstanding; (v) enforce, as Collateral Agent, all of the Liens and security interests created
pursuant to the Security Documents; and (vi) apply any cash collateral held by the Administrative
Agent pursuant to Section 4.02 to the repayment of the Obligations.

          SECTION 10B. VHS Holdco I’s Right to Cure.

          (a) Financial Performance Covenants. Notwithstanding anything to the contrary
contained in Section 10A, in the event of an Event of Default or potential Event of Default of any
Financial Performance Covenant, at any time after the completion of a fiscal quarter until the
expiration of the 10th day subsequent to the date the certificate calculating compliance with such
Financial Performance Covenant for such fiscal quarter is required to be delivered pursuant to
Section 8.01(d), VHS Holdco I shall have the right to issue Permitted Cure Securities for cash or
otherwise receive from the Sponsors (through VHS Holdings LLC) cash contributions to the equity
capital of VHS Holdco I, and, in each case, to contribute any such cash to the equity capital of
the Borrower (collectively, the “Cure Right”), and upon the receipt by Borrower of such cash (the
“Cure Amount”) pursuant to the exercise by VHS Holdco I of such Cure Right such 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 measuring the
Financial Performance Covenants 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, VHS Holdco I shall then
be in compliance with the requirements of all Financial Performance Covenants, VHS Holdco I
shall be deemed to have satisfied the requirements of the Financial Performance Covenants 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 Covenants that had occurred shall be deemed cured for this purposes of
the Agreement.

          (b) Limitation on Exercise of Cure Right. Notwithstanding anything herein to the
contrary, (i) in each Test Period there shall be at least one fiscal quarter in which the Cure
Right is not exercised, (ii) in each eight-fiscal quarter period, there shall be a period of at
least four consecutive fiscal

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quarters during which the Cure Right is not exercised and (iii) the
Cure Amount shall be no greater than the amount required for purposes of complying with the
Financial Performance Covenants.

          SECTION 10C. Application of Funds.

          After the exercise of remedies provided for in Section 10A (or after the Loans have
automatically become immediately due and payable and the L/C Obligations have automatically been
required to be cash collateralized as set forth in the final proviso in Section 10A), any amounts
received on account of the Obligations shall be applied by the Administrative Agent in the
following order (to the fullest extent permitted by mandatory provisions of applicable Law):

     First, to payment of that portion of the Obligations constituting fees,
indemnities, expenses and other amounts (other than principal and interest, but including
amounts payable to the Administrative Agent and Collateral Agent under Section 14.01)
payable to the Administrative Agent or the Collateral Agent in its capacity as such;

     Second, to payment of that portion of the Obligations constituting fees,
indemnities and other amounts (other than principal and interest) payable to the Lenders
(including amounts payable under Section 14.01), ratably among them in proportion to the amounts described in
this clause Second payable to them;

     Third, to payment of that portion of the Obligations constituting accrued and
unpaid interest and Fees on the Loans, Commitments, Letters of Credit and L/C Borrowings,
and any fees, premiums and scheduled periodic payments due under Cash Management Obligations
or Secured Hedge Agreements, ratably among the Secured Creditors in proportion to the
respective amounts described in this clause Third payable to them;

     Fourth, to payment of that portion of the Obligations constituting unpaid
principal of the Loans and Letter of Credit Outstandings (including to cash collateralize
that portion of Letter of Credit Outstandings comprised of the aggregate undrawn amount of
Letters of Credit), and any breakage, termination or other payments under Cash Management
Obligations or Secured Hedge Agreements, ratably among the Secured Creditors in proportion
to the respective amounts described in this clause Fourth held by them;

     Fifth, to the payment of all other Obligations of the Borrower that are due and
payable to the Administrative Agent and the other Secured Creditors on such date, ratably
based upon the respective aggregate amounts of all such Obligations owing to the
Administrative Agent and the other Secured Creditors on such date; and

     Last, the balance, if any, after all of the Obligations have been paid in full,
to the Borrower or as otherwise required by Law.

          Subject to Section 2.01(g), amounts used to cash collateralize the aggregate undrawn amount of
Letters of Credit pursuant to clause Fifth above shall be applied to satisfy drawings under
such Letters of Credit as they occur. If any amount remains on deposit as cash collateral after
all Letters of Credit have either been fully drawn or expired, such remaining amount shall be
applied to the other Obligations, if any, in the order set forth above and, if no Obligations
remain outstanding, to the Borrower or as otherwise required by Law, as applicable.

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          SECTION 11. Definitions and Accounting Terms.

          11.01 Defined Terms. As used in this Agreement, the following terms shall have the following meanings (such
meanings to be equally applicable to both the singular and plural forms of the terms defined):

          “Acceptable Price” shall have the meaning set forth in Section 4.01(c)(iii).

          “Acceptance Date” shall have the meaning set forth in Section 4.01(c)(ii).

          “Acquisition” shall mean the acquisition by the Borrower or any of its Subsidiaries (from a
Person other than VHS Holdco I or a Subsidiary thereof) of Health Care Assets in accordance with
the provisions of this Agreement.

          “Acquisition CapEx” shall mean, for any period, the aggregate amount of all non-routine
Capital Expenditures incurred, committed to be incurred by the Borrower or any of its Subsidiaries
or expected by the Borrower to be incurred and identified in writing by the Borrower prior to the
consummation of any Permitted Acquisition as planned non-routine Capital Expenditures to be made in
connection with such Permitted Acquisition.

          “Act” shall have the meaning provided in Section 14.17.

          “Additional Capital Expenditures Amount” shall mean, for each fiscal year of VHS Holdco I
ending on or after June 30, 2010, an amount (not less than $0) equal to the product of (a) .05
multiplied by the remainder of (x) the consolidated net revenue for such fiscal year attributable
to Health Care Assets (other than health maintenance organizations, physician practices and the
physician practice management business of Watermark Physician Services, Inc.) of the Borrower and
its Subsidiaries determined on a Pro Forma Basis less (y) the consolidated net
revenue for the fiscal year ended June 30, 2009 attributable to Health Care Assets (other than
health maintenance organizations, physician practices and the physician practice management
business of Watermark Physician Services, Inc.) of the Borrower and its Subsidiaries (as determined
in good faith by an Authorized Officer of VHS Holdco I and set forth in reasonable detail in the
Compliance Certificate delivered by VHS Holdco I to the Administrative Agent within 90 days
following each fiscal year end of VHS Holdco I pursuant to Section 8.01(d)).

          “Adjusted Consolidated Debt” shall mean, at any time, (a) the principal amount of all
indebtedness required to be reflected on the liability side of a consolidated balance sheet of VHS
Holdco I and its Subsidiaries prepared in accordance with GAAP at such time, less (b) the
lesser of (i) the amount of unrestricted cash and Cash Equivalents held by VHS Holdco I and its
Subsidiaries at such time and which would appear on a consolidated balance sheet of VHS Holdco I
and its Subsidiaries as part of the consolidated assets of VHS Holdco I at such time and (ii) the
greater of (x) $150,000,000 and (y) 50% of Consolidated EBITDA for the most recently completed Test
Period determined on a Post-Test Period Pro Forma Basis.

          “Adjusted Consolidated Leverage Ratio” shall mean, at any time, the ratio of Adjusted
Consolidated Debt at such time to Consolidated EBITDA for the Test Period ended on the date of
determination or, if the date of determination is not the last day of a Test Period, for the then
most recently ended Test Period.

          “Additional Security Documents” shall have the meaning provided in Section 8.12(a).

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          “Adjusted Consolidated Working Capital” at any time shall mean Consolidated Current Assets
less Consolidated Current Liabilities at such time, provided that, for purposes of
calculating Excess Cash Flow, increases or decreases in Adjusted Consolidated Working Capital shall
be calculated without regard to any changes in Consolidated Current Assets or Consolidated Current
Liabilities as a result of (a) any reclassification in accordance with GAAP of assets or
liabilities, as applicable, between current and noncurrent or (b) the effects of purchase
accounting.

          “Administrative Agent” shall mean Bank of America in its capacity as Administrative Agent
(including in its capacity as Collateral Agent) for the Lenders hereunder, and shall include any
successor to the Administrative Agent appointed pursuant to Section 12.06.

          “Administrative Agent’s Office” shall mean the Administrative Agent’s address and, as
appropriate, account as set forth on Schedule II, or such other address or account as the
Administrative Agent may from time to time notify the Borrower and the Lenders.

          “Administrative Questionnaire” shall mean an Administrative Questionnaire in a form supplied
by the Administrative Agent.

          “Affected Loans” shall have the meaning provided in Section 4.02(h).

          “Affiliate” shall mean, with respect to any Person, any other Person directly or indirectly
controlling (including, but not limited to, all directors, executive officers and general partners
of such Person), controlled by, or under direct or indirect common control with, such Person. A
Person shall be deemed to control another Person if such Person possesses, directly or indirectly,
the power to direct or cause the direction of the management and policies of such other Person,
whether through the ownership of voting securities, by contract or otherwise.

          “Agent-Related Persons” shall mean each Agent, together with their respective Affiliates, and
the officers, directors, employees, agents and attorneys-in-fact of such Persons and Affiliates.

          “Agents” shall mean the Administrative Agent, the Collateral Agent, the Syndication Agent, the
Co-Documentation Agents and the Joint Book Runners.

          “Agreement” shall mean this Credit Agreement, as modified, supplemented, amended, restated,
extended, renewed, refinanced or replaced from time to time.

          “Applicable Discount” has the meaning set forth in Section 4.01(c)(iii).

          “Applicable ECF Percentage” for any Excess Cash Payment Period shall mean (i) 50% if the
Consolidated Leverage Ratio as of the last day of Excess Cash Payment Period is greater than or
equal to 4.50 to 1.00, (ii) 25% if the Consolidated Leverage Ratio as of the last day of the most
recent Test Period is less than 4.50 to 1.00 but the greater than or equal to 3.50:1.00 and (iii)
0% if the Consolidated Leverage Ratio as of the last day of the most recent Test Period is less
than 3.50:1.00.

          “Applicable Margin” shall mean (a) with respect to Initial Term Loans that are Eurodollar
Loans, 3.50%, (b) with respect to Initial Term Loans that are Base Rate Loans, 2.50%, (c) with
respect to any Tranche of Incremental Term Loans, the respective percentages per annum relating to
the respective Type of such Tranche of Incremental Term Loans as set forth in the applicable
Incremental Commitment Agreement (or, in the case of any Tranche of Incremental Term Loans extended
pursuant to more than one Incremental Commitment Agreement, as may be provided in the first
Incremental Commitment Agreement executed and delivered with respect to such Tranche) and (d) with
respect to Revolving

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Loans, Swingline Loans and Revolving Loan Commitment Commissions the
respective Level (i.e., Level 1 or Level 2, as the case may be) indicated to have been
achieved on the applicable Test Date (as shown on the respective officer’s certificate delivered
pursuant to Section 8.01(d) or the first proviso below):

Applicable Margins

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Consolidated Leverage	 	 	 	 	 	 	 	 	 	 	Applicable Margin	 
	 	 	Ratio (calculated on a	 	 	 	 	 	 	Applicable Margin	 	 	for Swingline Loans	 
	 	 	Pro Forma Basis in	 	 	Revolving Loan	 	 	for Revolving Loans	 	 	and Base Rate	 
	 	 	accordance with	 	 	Commitment	 	 	that are Eurodollar	 	 	Revolving	 
	Level	 	Section 11.02)	 	 	Commissions	 	 	Loans	 	 	Loans	 
	1
	 	Greater than or equal to 4.00:1.00	 	 	0.75%		 	 	3.50%		 	 	2.50%	
	2
	 	Less than 4.00:1.00	 	 	0.50%		 	 	3.25%		 	 	2.25%	

; provided, however, that if the Borrower fails to deliver the financial statements
required to be delivered pursuant to Section 8.01(a) or (b) (accompanied by the officer’s
certificate required to be delivered pursuant to Section 8.01(d) showing the applicable
Consolidated Leverage Ratio (as calculated on a Pro Forma Basis in accordance with Section 11.02 for purposes of determining Applicable Margins) on the
relevant Test Date) on or prior to the respective date required by such Sections, then, at the
option of the Administrative Agent or the Required Lenders, Level 1 pricing shall apply from and
including the respective date on which such financial statements were required to have been
delivered until such time, if any, as the financial statements required as set forth above and the
accompanying officer’s certificate have been delivered showing the pricing for the respective
Margin Reduction Period is at a level which is less than Level 1 (it being understood that, in the
case of any late delivery of the financial statements and officer’s certificate as so required, any
reduction in the Applicable Margin shall apply only from and after the date of the delivery of the
complying financial statements and officer’s certificate); provided further, that
Level 1 pricing shall apply for Revolving Loan Commitment Commissions and Applicable Margins for
Revolving Loans and Swingline Loans (x) for the period from the Initial Borrowing Date to but not
including the date which is the first Start Date after the delivery of its financial statements in
respect of the Borrower’s fiscal quarter ending on June 30, 2010 and (y) at any time when any
Default or Event of Default is in existence.

          In the event that any financial statements under Section 8.01 or a related officer’s
certificate delivered pursuant to Section 8.01(d) is shown to be inaccurate at any time that this
Agreement is in effect and any Loans or Revolving Loan Commitments are outstanding hereunder when
such inaccuracy is discovered or within 91 days after the date on which all Loans have been repaid
and all Revolving Loan Commitments have been terminated, and such inaccuracy, if corrected, would
have led to a higher Applicable Margin for any period (an “Applicable Period”) than the Applicable
Margin applied for such Applicable Period, then (i) the Borrower shall promptly (and in no event
later than five (5) Business Days thereafter) deliver to the Administrative Agent a correct
compliance certificate for such Applicable Period, (ii) the Applicable Rate shall be determined by
reference to the corrected officer’s certificate delivered pursuant to Section 8.01(d) (but in no
event shall the Lenders owe any amounts to the Borrower), and (iii) the Borrower shall pay to the
Administrative Agent promptly upon demand (and in no event later than five (5) Business Days after
demand) any additional Revolving Loan Commitment Commissions and interest owing as a result of such
increased Applicable Margin for such Applicable Period, which payment shall be promptly applied by
the Administrative Agent in accordance with the terms hereof. Notwithstanding anything to the
contrary in this Agreement, any additional Revolving Loan Commitment

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Commissions and interest hereunder shall not be due and payable until demand is made for such payment pursuant to clause
(iii) above and accordingly, any nonpayment of such Revolving Loan Commitment
Commissions and interest as result of any such inaccuracy shall not constitute a Default (whether retroactively or
otherwise), and no such amounts shall be deemed overdue (and no amounts shall accrue interest at
the rate provided in Section 1.06(c)), at any time prior to the date that is five (5) Business Days
following such demand.

          “Approved Fund” means any Fund that is administered, advised or managed by a Lender or an
Affiliate of the entity that administers, advises or manages any Fund that is a Lender.

          “Assignment and Assumption Agreement” shall mean an Assignment and Assumption Agreement
substantially in the form of Exhibit P (appropriately completed).

          “Authorized Officer” of any Credit Party shall mean any of the President, the Chief Financial
Officer or any Vice-President of such Credit Party or any other officer of such Credit Party which
is designated in writing to the Administrative Agent by any of the foregoing officers of such
Credit Party as being authorized to give such notices under this Agreement.

          “Auto-Extension Letter of Credit” shall have the meaning set forth in Section 2.01(b)(iii).

          “Bank of America” shall mean Bank of America, N.A., in its individual capacity.

          “Bankruptcy Code” shall have the meaning provided in Section 10A.05.

          “Base Rate” shall mean for any day a fluctuating rate per annum equal to the higher of (a) the
Federal Funds Rate plus 1/2 of 1% and (b) the rate of interest in effect for such day as publicly
announced from time to time by Bank of America as its “prime rate”; provided that in no
event shall the Base Rate for the Initial Term Loans be less than 2.50% per annum and the minimum
Base Rate, if any, for any other Tranche of Term Loans shall be as set forth in the applicable
Incremental Term Loan Agreement. The “prime rate” is a rate set by Bank of America based upon
various factors including Bank of America’s costs and desired return, general economic conditions
and other factors, and is used as a reference point for pricing some loans, which may be priced at,
above, or below such announced rate. Any change in such rate announced by Bank of America shall
take effect at the opening of business on the day specified in the public announcement of such
change.

          “Base Rate Loan” shall mean (i) each Swingline Loan and (ii) each other Loan that bears
interest at the Base Rate.

          “Base Rate Revolving Loan” shall mean a Revolving Loan during any period that it is a Base
Rate Loan.

          “Blackstone” shall mean The Blackstone Group and its affiliates (other than any of its
portfolio companies or any entity controlled by any such portfolio company) and any other
investment vehicle controlled by any of The Blackstone Group or any such affiliate.

          “Borrower” shall have the meaning provided in the first paragraph of this Agreement.

          “Borrowing” shall mean the borrowing of one Type of Loan from all the Lenders (or from the
Swingline Lender in the case of Swingline Loans) on a given date (or resulting from a conversion or
conversions on such date) having in the case of Eurodollar Loans the same Interest Period.

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          “Business Day” shall mean (i) for all purposes other than as covered by clause (ii) below, any
day except Saturday, Sunday and any day which shall be in New York, New York a legal holiday or a
day on which banking institutions are authorized or required by law or other government action to
close and (ii) with respect to all notices and determinations in connection with, and payments of
principal and interest on, Eurodollar Loans, any day which is a Business Day described in clause
(i) above and which is also a day for trading by and between banks in the London interbank
Eurodollar market.

          “CapEx Pull-Forward Amount” shall have the meaning set forth in Section 9.07(c).

          “Capital Expenditures” shall mean, with respect to any Person, all expenditures by such Person
which should be capitalized in accordance with GAAP and reflected as either property, plant or
equipment, provided that Capital Expenditures shall not include (i) financing costs
required to be capitalized, (ii) the purchase price of Permitted Acquisitions to the extent paid
during such period, (iii) any Acquisition CapEx incurred or committed to be incurred during such
period, (iv) interim costs incurred during such period in connection with a proposed acquisition to
the extent such costs would constitute a part of the purchase price for such acquisition upon its
consummation, (v) expenditures that are accounted for as capital expenditures of such Person and
that actually are paid for by a third party (excluding VHS Holdco I or any Subsidiary thereof) and
for which neither VHS Holdco I nor any Subsidiary thereof has provided or is required to provide or
incur, directly or indirectly, any consideration or obligation to such third party or any other
Person (whether before, during or after such period), (vi) the book value of any asset owned by
such Person prior to or during such period to the extent that such book value is included as a
capital expenditure during such period as a result of such person reusing or beginning to reuse
such asset during such period without a corresponding expenditure actually having been made in such
period, provided that (x) any expenditure necessary in order to permit such asset to be
reused shall be included as a Capital Expenditure during the period that such expenditure actually
is made and (y) such book value was included in Capital Expenditures when such asset was originally
acquired, (vii) the purchase price of equipment purchased during such period to the extent the
consideration therefor consists of any combination of (x) used or surplus equipment traded in at
the time of such purchase and (y) the proceeds of a concurrent sale of used or surplus equipment,
in each case, in the ordinary course of business, and (viii) the purchase price of equipment that
is purchased substantially contemporaneously with the trade-in of existing equipment to the extent
that the gross amount of such purchase price is reduced by the credit granted by the seller of such
equipment for the equipment being traded in at such time.

          “Capitalized Lease Obligations” of any Person shall mean all rental obligations which, under
GAAP, are or will be required to be capitalized on the books of such Person, in each case taken at
the amount thereof accounted for as indebtedness in accordance with such principles.

          “Captive Insurance Subsidiary” shall mean Volunteer Insurance Ltd., a company with limited
liability organized under the laws of Bermuda and any other captive insurance company acquired by
VHS Holdco I or any of its Subsidiaries after the date hereof.

          “Cash Equivalents” shall mean, as to any Person, (i) securities issued or directly and fully
guaranteed or insured by the United States or any agency or instrumentality thereof
(provided that the full faith and credit of the United States is pledged in support
thereof) having maturities of not more than one year from the date of acquisition, (ii) Dollar
denominated time deposits and certificates of deposit of any commercial bank having, or which is
the principal banking subsidiary of a bank holding company having, capital in excess of
$500,000,000 with maturities of not more than one year from the date of acquisition by such Person,
(iii) repurchase obligations with a term of not more than 30 days for underlying securities of the
types described in clause (i) above entered into with any bank meeting the qualifications specified
in clause (ii) above, (iv) commercial paper issued by any Person incorporated in the United States
rated at

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least A-2 or the equivalent thereof by S&P or at least P-2 or the equivalent thereof by
Moody’s and in each case maturing not more than 270 days after the date of acquisition by such
Person, (v) other Dollar denominated securities issued by any Person incorporated in the United
States rated at least “A-” or the equivalent by S&P or at least “A3” or the equivalent by Moody’s
and in each case either (x) maturing not more than 90 days after the date of acquisition by such
Person or (y) which are subject to a repricing arrangement (such as a Dutch auction) not more than
270 days after the date of acquisition by such Person which such Person believes in good faith will
permit such Person to sell such security at par in connection with such repricing mechanism and
(vi) investments in money market funds substantially all of whose assets are comprised of
securities of the types described in clauses (i) through (iv) above.

          “Cash Management Obligations” shall mean obligations owed by VHS Holdco I, the Borrower or any
Subsidiary to any Lender or any Affiliate of a Lender (or Person that was a Lender or an Affiliate
of a Lender at the time such arrangement was entered into) (a “Cash Management Bank”) in respect of
any overdraft and related liabilities arising from treasury, depository, credit card, debit card
and cash management services or any automated clearing house transfers of funds.

          “CERCLA” shall mean the Comprehensive Environmental Response, Compensation, and Liability Act
of 1980, as the same may be amended from time to time, 42 U.S.C.A. § 9601 et seq.

          “Change of Control” shall mean the occurrence of any of the following:

     (i) the direct or indirect sale, transfer, conveyance or other disposition (other than
by way of merger or consolidation), in one or a series of related transactions, of all or
substantially all of the properties or assets of the Borrower and its Subsidiaries taken as a whole to any
group or “person” (as such term is used in Section 13(d)(3) or Section 14(d)(2) of the
Exchange Act as in effect on the Effective Date) other than the Permitted Holders;

     (ii) the consummation of any transaction or related series of transactions (including,
without limitation, any merger, consolidation or other business combination or purchase of
the beneficial ownership (within the meaning of Rule 13d-3 under the Exchange Act as in
effect on the Effective Date)), the result of which is that any group or “person” (as
defined above), including any group acting for the purpose of acquiring, holding or
disposing of securities (within the meaning of Rule 13d-5(b)(1) under the Exchange Act as in
effect on the Effective Date), other than the Permitted Holders, owns beneficially (within
the meaning of Rule 13d-5 of the Exchange Act as in effect on the Effective Date), directly
or indirectly, more than 50% of the aggregate ordinary voting power represented by the
issued and outstanding Equity Interests of the Borrower;

     (iii) VHS Holdco I shall fail to own, directly or indirectly, beneficially and of
record, 100% of the issued and outstanding Equity Interests of the Borrower;

     (iv) after the first public offering of Equity Interests of Vanguard or the Borrower,
(i) if such public offering is of common Equity Interests of Vanguard, the first day on
which a majority of the members of the Board of Directors of Vanguard are not Continuing
Directors or (ii) if such public offering is of the Borrower’s Equity Interests, the first
day on which a majority of the members of the Board of Directors of such Borrower are not
Continuing Directors; or

     (vi) a “Change of Control,” as defined in any document evidencing or relating to any
Material Indebtedness shall occur.

     “Claims” shall have the meaning provided in the definition of “Environmental Claims.”

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          “Closing Fee” shall have the meaning provided in Section 3.01(d).

          “Co-Documentation Agents” shall mean the entities identified as such on the cover of this
Credit Agreement.

          “Code” shall mean the Internal Revenue Code of 1986, as amended from time to time.

          “Collateral” shall mean all property with respect to which any security interests have been
granted (or purported to be granted) pursuant to any Security Document, including, without
limitation, all Pledge Agreement Collateral, all Security Agreement Collateral and the Mortgaged
Properties.

          “Collateral Agent” shall mean the Administrative Agent acting as collateral agent for the
Secured Creditors pursuant to the Security Documents.

          “Commitment” shall mean any of the commitments of any Lender, i.e., whether the Initial Term
Loan Commitment, the Revolving Loan Commitment or any Incremental Term Loan Commitment of such
Lender.

          “Compensation Period” shall have the meaning assigned to such term in Section 4.03(c)(ii).

          “Consolidated Cash Interest Expense” shall mean, for any period, the total consolidated cash
interest expense, in each case, for such period (calculated without regard to any limitations on
the payment thereof) plus, without duplication, that portion of Capitalized Lease Obligations of
VHS Holdco I and its Subsidiaries representing the interest factor for such period but (i)
excluding (w) interest expense not payable in cash by its terms (including amortization of
discount, deferred financing costs to the extent included in this definition of Consolidated Cash
Interest Expense, interest expense recognized on unfunded malpractice liability reserves and
interest on life insurance policies owned by VHS Holdco I or any of its Subsidiaries to the extent
not paid in cash and interest expense resulting from the effects of purchase accounting), (x)
prepayment premiums relating to the prepayment of Initial Term Loans under this Agreement, (y) any
one-time financing fees paid in connection with the Transaction or any amendment of this Agreement,
(z) to the extent such redemption is permitted hereunder, any tender or call premium paid in
connection with the redemption of any Indebtedness permitted to be outstanding or incurred pursuant
to this Agreement and (zz) any interest expense on the Existing Subordinated Notes or Existing
Senior Discount Notes (so long as all Indebtedness thereunder has been discharged within 60 days
following the Initial Borrowing Date) and (ii) subtracting from Consolidated Cash Interest Expense
as otherwise determined above for any period, the cash portion of interest income actually recorded
by VHS Holdco I and its Subsidiaries during such period, all as determined on a consolidated basis
in accordance with GAAP, provided that, for purposes of determining compliance with Section
9.08 for any Test Period ending on or prior to March 31, 2010, Consolidated Cash Interest Expense
for such Test Period shall be determined by multiplying Consolidated Cash Interest Expense for the
period from the Closing Date to the last day of such Test Period (the “Partial Period”) and
multiplying it by a fraction, the numerator of which is 365 and the denominator of which is the
number of days in such Partial Period.

          “Consolidated Current Assets” shall mean, at any time, the amounts that would be classified as
consolidated current assets (excluding cash and Cash Equivalents) of VHS Holdco I and its
Subsidiaries in accordance with GAAP in a classified balance sheet.

          “Consolidated Current Liabilities” shall mean, at any time, the amounts that would be
classified as consolidated current liabilities of VHS Holdco I and its Subsidiaries at such time in
accordance with GAAP in a classified balance sheet, but excluding (a) the current portion of any
Indebtedness

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under this Agreement and any other long-term Indebtedness which would otherwise be included
therein, (b) accruals of Consolidated Interest Expense (excluding Consolidated Interest Expense
that is due and unpaid), (c) accruals for current or deferred taxes based on income or profits, (d)
accruals, if any, of transaction costs resulting from the Transaction, (e) accruals of any costs or
expenses related to bonuses, pension and other post-retirement benefit obligations, and (f)
accruals for add-backs to Consolidated EBIT included in clauses (t) through (w) and clause (y) of
the definition of such term.

          “Consolidated Debt” shall mean, at any time, (a) the principal amount of all indebtedness
required to be reflected on the liability side of a consolidated balance sheet of VHS Holdco I and
its Subsidiaries prepared in accordance with GAAP at such time less (b) the amount of cash and Cash
Equivalents held by VHS Holdco I and its Subsidiaries at such time and which would appear on a
consolidated balance sheet of VHS Holdco I and its Subsidiaries as part of the consolidated assets
of VHS Holdco I at such time.

          “Consolidated EBIT” shall mean, for any period, Consolidated Net Income of VHS Holdco I and
its Subsidiaries plus, in each case to the extent actually deducted in determining Consolidated Net
Income for such period, Consolidated Interest Expense and provision for taxes based on income,
profits or capital of such Person for such period, including, without limitation, state, franchise
and similar taxes (including any Tax Distribution taken into account in calculating Consolidated
Net Income) for such period adjusted to exclude for such period (s) fees, expenses and other
charges related to the Transaction, (t) any extraordinary gains or losses, (u) any gains or losses
from non-current assets held for divestiture or write-downs of non-current assets relating to
impairments or the sale of non-current assets, (v) non-controlling interests (to the extent
distributions are not required to be made and are not made in respect thereof), (w) non-cash
charges and adjustments (excluding any non-cash charges or adjustments related to any inventory or
accounts receivable of any Credit Party and any non-cash charges that require an accrual of or
reserves for cash charges for any future period), provided that, for purposes of this
clause (w), any noncash charges or adjustments shall be treated as cash charges or adjustments in
any subsequent period during which cash disbursements attributable thereto are made, (x) any debt
extinguishment charges paid in connection with the Refinancing or any other repayment of
Indebtedness permitted to be incurred pursuant to the terms of this Agreement, (y) monitoring,
management and similar fees to the Sponsors in an aggregate amount in any fiscal year not to exceed
the greater of (i) $6,000,000 and (ii) 2% of Consolidated EBITDA of VHS Holdco I and its
Subsidiaries for the immediately preceding fiscal year, plus unpaid amounts accrued for prior
periods, (z) non-cash expenses incurred in connection with stock options, stock appreciation rights
or other similar equity rights and (zz) any net losses resulting from Interest Rate Protection
Agreements and Other Hedge Agreements.

          “Consolidated EBITDA” shall mean, for any period, Consolidated EBIT for such period, adjusted
by adding thereto the amount of all amortization and depreciation that was deducted in arriving at
Consolidated EBIT for such period.

          “Consolidated Interest Coverage Ratio” shall mean, for any period, the ratio of Consolidated
EBITDA for such period to Consolidated Cash Interest Expense for such period.

          “Consolidated Interest Expense” shall mean, with respect to any Person for any period, the sum
of (i) gross interest expense of such Person for such period on a consolidated basis, including (a)
the amortization of debt discounts, (b) the amortization of all fees (including fees with respect
to Interest Rate Protection Agreements and Other Hedging Agreements) payable in connection with the
incurrence of Indebtedness to the extent included in interest expense, (c) the portion of any
payments or accruals with respect to Capital Lease Obligations allocable to interest expense, and
(ii) capitalized interest of such person. For purposes of the foregoing, gross interest expense
shall be determined after giving effect to

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any net payments made or received and costs incurred by VHS Holdco I and its Subsidiaries with
respect to Interest Rate Protection Agreements and Other Hedging Agreements.

          “Consolidated Leverage Ratio” shall mean, at any time, the ratio of Consolidated Debt at such
time to Consolidated EBITDA for the Test Period ended on the date of determination or, if the date
of determination is not the last day of a Test Period, for the then most recently ended Test
Period.

          “Consolidated Net Income” shall mean, for any Person and period, the net income (or loss) of
such Person and its Subsidiaries for such period, determined on a consolidated basis in accordance
with GAAP, provided that (i) in determining Consolidated Net Income of VHS Holdco I, the
net income of any other Person which is not a Subsidiary of VHS Holdco I or a Subsidiary thereof or
is accounted for by VHS Holdco I or a Subsidiary thereof by the equity method of accounting shall
be included only to the extent of the payment of dividends or distributions by such other Person to
the Borrower or a Subsidiary thereof during such period, (ii) in determining Consolidated Net
Income of VHS Holdco I, the net income of any Health Care Joint Venture shall not be included to
the extent that payment of dividends or distributions by such Health Care Joint Venture to VHS
Holdco I or a Wholly-Owned Subsidiary thereof are prohibited, pursuant to the organizational
documents relating to such Health Care Joint Venture, (iii) to the extent Consolidated Net Income
includes amounts attributable to non-controlling interests in non-Wholly-Owned Subsidiaries of the
Borrower, Consolidated Net Income shall be reduced by the amounts attributable to such
non-controlling interest, (iv) any net after-tax income or loss from discontinued operations and
any net after-tax gain or loss on disposal of discontinued operations shall be excluded, (v) any
net after-tax income or loss (less all fees and expenses or charges relating thereto) attributable
to the early extinguishment of indebtedness shall be excluded, (vi) Consolidated Net Income for
such period shall not include the cumulative effect of a change in accounting principles during
such period, (vii) an amount equal to the amount of Tax Distributions actually made to the holders
of Equity Interests of VHS Holdco I in respect of the net taxable income allocated by such Person
to such holders for such period shall be included as though such amounts had been paid as income
taxes directly by such Person for such period and (viii) to the extent Consolidated Net Income was
otherwise reduced by amounts attributable to non-capitalized expenses in connection with Permitted
Acquisitions, Consolidated Net Income will be increased by said amounts.

          “Consolidated Senior Secured Debt” shall mean, at any time, (a) the principal amount of all
indebtedness required to be reflected on the liability side of a consolidated balance sheet of VHS
Holdco I and its Subsidiaries prepared in accordance with GAAP at such time that is secured by any
Liens on any assets of VHS Holdco I or any of its Subsidiaries less (b) the lesser of (i)
the amount of unrestricted cash and Cash Equivalents held by VHS I Holdco and its Subsidiaries at
such time and which would appear on a consolidated balance sheet of VHS I Holdco and its
Subsidiaries as part of the consolidated assets of VHS I Holdco at such time and (ii) the greater
of (x) $150,000,000 and (y) 50% of Consolidated EBITDA for the most recently completed Test Period
determined on a Post-Test Period Pro Forma Basis.

          “Consolidated Senior Secured Leverage Ratio” shall mean, at any time, the ratio of
Consolidated Senior Secured Debt at such time to Consolidated EBITDA for the Test Period ended on
the date of determination or, if the date of determination is not the last day of a Test Period,
for the then most recently ended Test Period determined on a Post-Test Period Pro Forma Basis.

          “Contingent Obligation” shall mean, as to any Person, any obligation of such Person
guaranteeing or intended to guarantee (including, without limitation, as a result of such Person
being a general partner of the other Person, unless the underlying obligation is expressly made
non-recourse as to such general partner) any Indebtedness, leases, dividends or other obligations
(“primary obligations”) of

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any other Person (the “primary obligor”) in any manner, whether directly
or indirectly, including, without
limitation, any obligation of such Person, whether or not contingent, (i) to purchase any such
primary obligation or any property constituting direct or indirect security therefor, (ii) to
advance or supply funds (x) for the purchase or payment of any such primary obligation or (y) to
maintain working capital or equity capital of the primary obligor or otherwise to maintain the net
worth or solvency of the primary obligor, (iii) to purchase property, securities or services
primarily for the purpose of assuring the owner of any such primary obligation of the ability of
the primary obligor to make payment of such primary obligation or (iv) otherwise to assure or hold
harmless the holder of such primary obligation against loss in respect thereof; provided,
however, that the term Contingent Obligation shall not include endorsements of instruments
for deposit or collection in the ordinary course of business. The amount of any Contingent
Obligation shall be deemed to be an amount equal to the stated or determinable amount of the
primary obligation in respect of which such Contingent Obligation is made or, if not stated or
determinable, the maximum reasonably anticipated liability in respect thereof (assuming such Person
is required to perform thereunder) as determined by such Person in good faith.

          “Credit Agreement Party” shall mean each of VHS Holdco I and the Borrower.

          “Credit Documents” shall mean this Agreement and, after the execution and delivery thereof
pursuant to the terms of this Agreement, the Issuer Documents, each Note, each Guaranty, each
Security Document, each Incremental Commitment Agreement and each Joinder Agreement.

          “Credit Event” shall mean the making of any Loan or any L/C Credit Extension but shall not
include the commencement of a new Interest Period applicable to a Borrowing of Eurodollar Loans
upon the expiration of the Interest Period applicable thereto or the conversion of Loans of one
Type into Loans of the other Type, provided that, in any such case, the aggregate
outstanding principal amount of Loans is not increased as a result thereof.

          “Credit Party” shall mean each Credit Agreement Party and each Subsidiary Guarantor.

          “Cumulative Credit” shall mean, at any date, an amount, not less than zero in the aggregate,
determined on a cumulative basis equal to, without duplication:

     (a) the Retained Excess Cash Flow Amount at such time, plus

     (b) the cumulative amount of Net Equity Proceeds (other than in respect of Permitted
Cure Securities) received by the Borrower in exchange for its common equity interests (or
contributed to the common equity capital of the Borrower) following the Initial Borrowing
Date and not used for any other exception pursuant to this Agreement other than the
Cumulative Credit; plus

     (c) the amount of any Declined Proceeds; plus

     (d) the amount of any return on Investments made pursuant to Section 9.05(xx);
minus

     (e) any amount of the Cumulative Credit used to make Investments pursuant to Section
9.05(xx) after the Initial Borrowing Date and prior to such time, minus

     (f) any amount of the Cumulative Credit used to make Dividends pursuant to Section
9.03(xiii) after the Initial Borrowing Date and prior to such time, minus

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     (g) any amount of the Cumulative Credit used to make payments or distributions in
respect of subordinated Indebtedness pursuant to Section 9.10(i)(B) after the Initial
Borrowing Date and prior to such time, minus

     (h) any amount of the Cumulative Credit used to make Capital Expenditures pursuant to
Section 7.07(e)(ii) after the Initial Borrowing Date and prior to such time.

          “Cure Amount” shall have the meaning provided in Section 10B(a).

          “Cure Right” shall have the meaning provided in Section 10B(a).

          “Current Liabilities” shall mean, as to any Person, accrued expenses, trade payables and
insurance premiums payable within one year of the incurrence thereof of such Person.

          “De Minimis Subsidiary” shall have the meaning assigned to such term in Section 8.13.

          “Debt Fund Affiliate” means (i) any fund managed by, or under common management with, GSO
Capital Partners LP, (ii) any fund managed by GSO Debt Funds Management LLC, Blackstone Debt
Advisors L.P., Blackstone Distressed Securities Advisors L.P., Blackstone Mezzanine Advisors L.P.
or Blackstone Mezzanine Advisors II L.P. and (iii) any other Affiliate of Vanguard that is a bona
fide diversified debt fund.

          “Debt Service” shall mean, with respect to VHS Holdco I and its Subsidiaries on a consolidated
basis for any period, Consolidated Cash Interest Expense for such period plus scheduled principal
amortization of Consolidated Debt for such period, in each case to the extent actually paid during
such period.

          “Debtor Relief Laws” shall mean the Bankruptcy Code and all other liquidation,
conservatorship, bankruptcy, assignment for the benefit of creditors, moratorium, rearrangement,
receivership, insolvency, reorganization or similar debtor relief Laws of the United States or
other applicable jurisdictions from time to time in effect and affecting the rights of creditors
generally.

          “Declined Proceeds” shall have the meaning assigned to such term in Section 4.02(j).

          “Default” shall mean any event, act or condition which with notice or lapse of time, or both,
would constitute an Event of Default.

          “Defaulting Lender” shall mean any Lender with respect to which a Lender Default is in effect.

          “Designated Non-cash Consideration” means the fair market value of non-cash consideration
received by VHS Holdco I or one of its Subsidiaries in connection with a sale or disposition of
assets that is so designated as “Designated Non-cash Consideration” pursuant to a certificate of an
Authorized Officer of the Borrower delivered to the Administrative Agent setting forth the basis of
such valuation, less the amount of cash or Cash Equivalents received as repayment of such
Designated Non-cash Consideration or in connection with a subsequent sale or disposition of such
Designated Non-cash Consideration.

          “Designated Subsidiary” shall have the meaning assigned to such term in Section 8.13.

          “Discount Range” shall have the meaning set forth in Section 4.01(c)(ii).

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          “Discounted Prepayment Option Notice” shall have the meaning set forth in Section 4.01(c)(ii).

          “Discounted Voluntary Prepayment” shall have the meaning set forth in Section 4.01(c)(i).

          “Discounted Voluntary Prepayment Notice” shall have the meaning set forth in Section
4.01(c)(v).

          “Disposition” shall mean any sale, lease, sale and lease-back, assignment, conveyance,
transfer or other disposition by the Borrower or any of its Subsidiaries (to a Person other than
the Borrower or a Subsidiary thereof) of any Health Care Assets.

          “Distribution” shall mean a Dividend of up to $300,900,000 to be made by the Borrower and VHS
Holdco I on or after the Initial Borrowing Date for purposes of permitting Vanguard to make a
distribution to, or redemption of securities held by, its shareholders.

          “Dividends” with respect to any Person shall mean that such Person has declared or paid a
dividend or returned any equity capital to its stockholders or partners or authorized or made any
other distribution, payment or delivery of property (other than common stock (or equivalent
thereof) of such Person) or cash to its stockholders, members or partners as such, or redeemed,
retired, purchased or otherwise acquired, directly or indirectly, for a consideration any shares of
any class of its capital stock or any other Equity Interests outstanding on or after the Effective
Date (or any options or warrants issued by such Person with respect to its capital stock or other
Equity Interests), or set aside any funds for any of the foregoing purposes, or shall have
permitted any of its Subsidiaries to purchase or otherwise acquire for a consideration any shares
of any class of the capital stock or other Equity Interests of such Person outstanding on or after
the Effective Date (or any options or warrants issued by such Person with respect to its capital
stock or other Equity Interests). Without limiting the foregoing, “Dividends” with respect to any
Person shall also include all payments (other than as excluded above) made or required to be made
by such Person with respect to any stock appreciation rights, plans, equity incentive or
achievement plans or any similar plans (other than payments under normal cash bonus plans for
employees that are approved by the board of directors of VHS Holdco I) or setting aside of any
funds for the foregoing purposes.

          “Dollars” and the sign “$” shall each mean freely transferable lawful money of the United
States.

          “Domestic Subsidiary” shall mean any Subsidiary that is not a Foreign Subsidiary.

          “Effective Date” shall have the meaning provided in Section 14.10.

          “Eligible Assignee” shall have the meaning provided in Section 14.04(a).

          “Environmental Claims” shall mean any and all administrative, regulatory or judicial actions,
suits, formal demands, demand letters, claims, liens, notices of non-compliance or violation,
investigations or proceedings, in each case, relating in any way to any Environmental Law or any
permit issued, or any approval given, under any such law (hereafter “Claims”), including, without
limitation, (a) any and all Claims by governmental or regulatory authorities for enforcement,
cleanup, removal, response, remedial or other actions or damages pursuant to any applicable
Environmental Law, and (b) any and all Claims by any third party seeking damages, contribution,
indemnification, cost recovery, compensation or injunctive relief in connection with alleged injury
or threat of injury to health, safety or the environment due to the presence of Hazardous
Materials.

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          “Environmental Law” shall mean any applicable Federal, state, foreign or local statute, law,
rule, regulation, ordinance, code, legally enforceable guideline, or policy and rule of common law
now or hereafter in effect and in each case as amended, and any binding judicial or administrative
interpretation thereof, including any judicial or administrative order, consent decree or judgment
binding on VHS Holdco I or any Subsidiary, as applicable, and relating to the environment,
occupational safety and health (to the extent relating to the environment or Hazardous Materials)
or Hazardous Materials, including, without limitation, CERCLA; RCRA; the Federal Water Pollution
Control Act, 33 U.S.C.A. § 2601 et seq.; the Toxic Substances Control Act, 15 U.S.C. § 2601 et
seq.; the Clean Air Act, 42 U.S.C.A. § 7401 et seq.; the Safe Drinking Water Act, 42 U.S.C.A. §
3803 et seq.; the Oil Pollution Act of 1990, 33 U.S.C.A. § 2701 et seq.; the Emergency Planning and
the Community Right-to-Know Act of 1986, 42 U.S.C.A. § 11001 et seq.; the Hazardous Material
Transportation Act, 49 U.S.C.A. § 1801 et seq.; the Occupational Safety and Health Act, 29 U.S.C.A.
§ 651 et seq. (to the extent relating to the environment or Hazardous Materials); and any state and
local or foreign counterparts or equivalents, in each case as amended from time to time.

          “Equity Interests” of any Person shall mean any and all shares, interests, rights to purchase,
warrants, options, participations or other equivalents of or interests in (however designated)
equity of such Person, including any common stock, preferred stock, any limited or general
partnership interest and any limited liability company membership interest.

          “Equity Investment” shall mean any Investment evidenced solely by Equity Interests.

          “ERISA” shall mean the Employee Retirement Income Security Act of 1974, as amended from time
to time, and the regulations promulgated and rulings issued thereunder. Section references to
ERISA are to ERISA, as in effect at the date of this Agreement and any subsequent provisions of
ERISA, amendatory thereof, supplemental thereto or substituted therefor.

          “ERISA Affiliate” shall mean each person (as defined in Section 3(9) of ERISA) which together
with VHS Holdco I or a Subsidiary of VHS Holdco I would be deemed to be a “single employer” within
the meaning of Section 414(b), (c), (m) or (o) of the Code.

          “Eurodollar Loan” shall mean each Loan bearing interest by reference to the Eurodollar Rate.

          “Eurodollar Rate” shall mean, for any Interest Period with respect to any Eurodollar Loan, the
rate per annum equal to the British Bankers Association LIBOR Rate (“BBA LIBOR”), as published by
Reuters (or other commercially available source providing quotations of BBA LIBOR as designated by
the Administrative Agent from time to time) at approximately 11:00 a.m., London time, two Business
Days prior to the commencement of such Interest Period, for Dollar deposits (for delivery on the
first day of such Interest Period) with a term equivalent to such Interest Period. If such rate is
not available at such time for any reason, then the “Eurodollar Rate” for such Interest Period
shall be the rate per annum determined by the Administrative Agent to be the rate at which deposits
in Dollars for delivery on the first day of such Interest Period in same day funds in the
approximate amount of the Eurodollar Loan being made, continued or converted by Bank of America and
with a term equivalent to such Interest Period would be offered by Bank of America’s London Branch
to major banks in the London interbank eurodollar market at their request at approximately 11:00
a.m. (London time) two Business Days prior to the commencement of such Interest Period;
provided that the Eurodollar Rate for the Initial Term Loans shall not be less than 1.50%
per annum and the minimum Eurodollar Rate for any other Tranche of Term Loans shall be as set forth
in the applicable Incremental Term Loan Agreement.

          “Event of Default” shall have the meaning provided in Section 10A.

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          “Excess Cash Flow” shall mean, for any Excess Cash Payment Period, Consolidated
EBITDA of VHS Holdco I and the Subsidiaries on a consolidated basis for such Excess Cash Payment
Period, minus (i) without duplication,

     (a) Debt Service for such Excess Cash Payment Period;

     (b) any voluntary prepayment permitted hereunder of term Indebtedness (other than Term
Loans) during such Excess Cash Payment Period to the extent not financed, or intended to be
financed, using the proceeds of the incurrence of Indebtedness, so long as the amount of
such prepayment is not already reflected in Debt Service;

     (c) (i) Capital Expenditures and Acquisition CapEx by VHS Holdco I and its Subsidiaries
on a consolidated basis during such Excess Cash Payment Period (excluding Capital
Expenditures and Acquisition CapEx made in such Excess Cash Payment Period in reliance on
the following clause (d)) that are paid in cash and (ii) the aggregate consideration paid in
cash during such Excess Cash Payment Period in respect of Permitted Acquisitions (excluding
Permitted Acquisitions made in such Excess Cash Payment Period in reliance on the following
clause (d)) and other Investments permitted hereunder (less any amounts received in respect
thereof as a return of capital);

     (d) without duplication of amounts deducted from Excess Cash Flow in prior periods, (A)
the aggregate consideration required to be paid in cash by VHS Holdco I and its Subsidiaries
pursuant to binding contracts (the “Contract Consideration”) entered into prior to or during
such period relating to Permitted Acquisitions or (B) any planned cash expenditures by VHS
Holdco I and its Subsidiaries relating to Capital Expenditures or acquisitions of
intellectual property (the “Planned Expenditures”), in each case to be consummated or made
during the period of four consecutive fiscal quarters of VHS Holdco I following the end of
such period; provided that, to the extent the aggregate amount of internally
generated cash flow actually utilized to finance such Permitted Acquisitions or Capital
Expenditures during such period of four consecutive fiscal quarters is less than the
Contract Consideration and the Planned Expenditures, as applicable, 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;

     (e) taxes paid in cash by VHS Holdco I and its Subsidiaries on a consolidated basis
during such Excess Cash Payment Period or that will be paid within six months after the
close of such Excess Cash Payment Period (provided that any amount so deducted that
will be paid after the close of such Excess Cash Payment Period shall not be deducted again
in a subsequent Excess Cash Payment Period) and for which reserves have been established,
including income tax expense and withholding tax expense incurred in connection with
cross-border transactions involving the Foreign Subsidiaries;

     (f) an amount equal to any increase in Adjusted Consolidated Working Capital of VHS
Holdco I and its Subsidiaries for such Excess Cash Payment Period;

     (g) cash expenditures made in respect of Interest Rate Protection Agreements and Other
Hedging Agreements during such Excess Cash Payment Period, to the extent not reflected in
the computation of Consolidated EBITDA or Consolidated Interest Expense;

     (h) permitted Dividends or distributions or repurchases of its Equity Interests paid in
cash by VHS Holdco I during such Excess Cash Payment Period and permitted Dividends paid by

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any Subsidiary to any Person other than VHS Holdco I, the Borrower or any of its
Subsidiaries during such Excess Cash Payment Period, in each case in accordance with Section
9.03;

     (i) amounts paid in cash during such Excess Cash Payment Period on account of (x) items
that were accounted for as noncash reductions of consolidated net income in determining
Consolidated Net Income or as non-cash reductions of Consolidated Net Income in determining
Consolidated EBITDA of VHS Holdco I and its Subsidiaries in a prior Excess Cash Payment
Period, (y) reserves or accruals established in purchase accounting and (z) any other
long-term reserves existing on December 31, 2009;

     (j) to the extent not deducted in the computation of Net Sale/Recovery Event Proceeds
in respect of any asset disposition or condemnation giving rise thereto, the amount of any
mandatory prepayment of Indebtedness (other than Indebtedness created hereunder or under any
other Credit Document), together with any interest, premium or penalties required to be paid
(and actually paid) in connection therewith;

     (k) the amount related to items that were added to or not deducted from consolidated
net income in calculating Consolidated Net Income or were added to or not deducted from
Consolidated Net Income in calculating Consolidated EBITDA to the extent such items
represented a cash payment (which had not reduced Excess Cash Flow upon the accrual thereof
in a prior Excess Cash Payment Period), or an accrual for a cash payment, by VHS Holdco I
and its Subsidiaries or did not represent cash received by VHS Holdco I and its
Subsidiaries, in each case on a consolidated basis during such Excess Cash Payment Period;
and

     (l) Tax Distributions which are paid by VHS Holdco I or any of its Subsidiaries during
the respective Excess Cash Payment Period or will be paid by VHS Holdco I or any of its
Subsidiaries within six months after the close of such Excess Cash Payment Period (as
reasonably determined in good faith by VHS Holdco I), provided that to the extent such Tax
Distributions are not actually paid within such six month period such amounts shall be added
to Excess Cash Flow the next succeeding Excess Cash Payment Period;

     (m) the amount of increase in liabilities specifically related to insurance-related
reserves that will be paid within six months after the close of the Excess Cash Payment
Period;

plus (ii) without duplication,

     (a) an amount equal to any decrease in Adjusted Consolidated Working Capital for such
Excess Cash Payment Period;

     (b) all proceeds received during such Excess Cash Payment Period of Capital Lease
Obligations, purchase money Indebtedness, sale and lease-back transactions pursuant to
Section 9.04 and any other Indebtedness, in each case to the extent used to finance any
Capital Expenditure (other than Indebtedness under this Agreement to the extent there is no
corresponding deduction to Excess Cash Flow above in respect of the use of such Borrowings);

     (c) all amounts referred to in clause (i)(b) above to the extent funded with the
proceeds of the issuance of Equity Interests of, or capital contributions to, VHS Holdco I
after the Initial Borrowing Date (to the extent not previously used to prepay Indebtedness
(other than Revolving Loans or Swingline Loans), make any investment or capital expenditure
or otherwise for any purpose resulting in a deduction to Excess Cash Flow in any prior
Excess Cash Payment Period) or any amount that would have been required as a mandatory
repayment under Section

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4.02(e) if not so spent, in each case to the extent there is a corresponding deduction
from Excess Cash Flow above;

     (d) to the extent any permitted Capital Expenditures and the corresponding delivery of
equipment referred to in clause (i)(d) above do not occur in the Excess Cash Payment Period
of VHS Holdco I specified in the certificate of VHS Holdco I provided pursuant to clause
(i)(d) above, the amount of such Capital Expenditures that were not so made in the Excess
Cash Payment Period of VHS Holdco I specified in such certificates;

     (e) cash payments received in respect of Interest Rate Protection Agreements and Other
Hedging Agreements during such Excess Cash Payment Period to the extent (i) not included in
the computation of Consolidated EBITDA or (ii) such payments do not reduce Consolidated Cash
Interest Expense;

     (f) any extraordinary or nonrecurring gain realized in cash during such Excess Cash
Payment Period (except to the extent such gain consists of Net Sale/Recovery Event Proceeds
subject to Section 4.02(e));

     (g) to the extent deducted in the computation of Consolidated EBITDA, cash interest
income; and

     (h) the amount related to items that were deducted from or not added to consolidated
net income in connection with calculating Consolidated Net Income or were deducted from or
not added to Consolidated Net Income in calculating Consolidated EBITDA to the extent either
(x) such items represented cash received by VHS Holdco I or any Subsidiary or (y) does not
represent cash paid by VHS Holdco I or any Subsidiary, in each case on a consolidated basis
during such Excess Cash Payment Period.

          “Excess Cash Payment Date” shall mean the date occurring 95 days after the last day of each
fiscal year of VHS Holdco I (beginning with its fiscal year ending June 30, 2011).

          “Excess Cash Payment Period” shall mean, with respect to the repayment required on each Excess
Cash Payment Date, the immediately preceding fiscal year of VHS Holdco I.

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

          “Excluded Assets” shall have the meaning assigned to such term in the Security Agreement.

          “Excluded Taxes” shall mean, with respect to any Agent, any Lender, or any other recipient of
any payment to be made by or on account of any obligation of any Credit Party hereunder or under
any other Credit Document, (a) any Taxes imposed on (or measured by) its net income or net profits
(or any franchise or similar Taxes in lieu thereof) by the jurisdiction under the laws of which
such recipient is organized, in which its principal office is located or in which it is otherwise
doing business (other than a business deemed to arise solely by virtue of any of the Credit
Documents or any of the transactions contemplated thereby) or, in the case of any Lender, in which
its lending office is located, (b) any Taxes in the nature of branch profits tax within the meaning
of Section 884(a) of the Code imposed by any jurisdiction described in (a), (c) other than in the
case of an assignee pursuant to a request by the Borrower under Section 1.10, any United States
federal withholding tax that is imposed on any interest payable to such Person pursuant to any Law
in effect at the time such Person becomes a party to this Agreement (or

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designates a new Lending Office), except to the extent that such Person (or its assignor, if
any) was entitled, at the time of designation of a new applicable Lending Office (or assignment),
to receive additional amounts with respect to such United States federal withholding Tax pursuant
to Section 4.04(a), or (d) a United States federal withholding tax (including backup withholding
tax) that is attributable to such Person’s failure to comply with Section 4.04(d).

          “Existing Credit Agreement” shall mean the Credit Agreement, dated as of September 23, 2004
(as amended through the date hereof), among the Credit Agreement Parties, Vanguard Holding Company
II, Inc., the Lenders party thereto from time to time, Bank of America, as administrative agent and
the other parties thereto.

          “Existing Indebtedness” shall have the meaning provided in Section 9.04.

          “Existing Investments” shall mean those Investments held by the Borrower and its Subsidiaries
on the Initial Borrowing Date and listed on Schedule 9.05(xi) hereto.

          “Existing Letters of Credit” shall have the meaning provided in Section 2.01(a).

          “Existing Senior Discount Notes” shall mean shall mean the 111/4% Senior Discount Notes due 2015
issued by VHS Holdco I and Vanguard Holding Company I, Inc. prior to the Initial Borrowing Date.

          “Existing Senior Subordinated Notes” shall mean the 9% Senior Subordinated Notes due 2014
issued by Borrower and Vanguard Holding Company II, Inc. prior to the Initial Borrowing Date.

          “Federal Funds Rate” shall mean, for any day, the rate per annum equal to the weighted average
of the rates on overnight Federal funds transactions with members of the Federal Reserve System
arranged by Federal funds brokers on such day, as published by the Federal Reserve Bank of New York
on the Business Day next succeeding such day; provided that (a) if such day is not a
Business Day, the Federal Funds Rate for such day shall be such rate on such transactions on the
next preceding Business Day as so published on the next succeeding Business Day, and (b) if no such
rate is so published on such next succeeding Business Day, the Federal Funds Rate for such day
shall be the average rate (rounded upward, if necessary, to a whole multiple of 1/100 of 1%)
charged to Bank of America on such day on such transactions as determined by the Administrative
Agent.

          “Fees” shall mean all amounts payable pursuant to or referred to in Section 3.01.

          “Financial Performance Covenants” shall mean the covenants of VHS Holdco I set forth in
Sections 9.08 and 9.09.

          “Flood Insurance Laws” means, collectively, (i) the National Flood Insurance Act of 1968 as
now or hereafter in effect or any successor statute thereto, (ii) the Flood Disaster Protection Act
of 1973 as now or hereafter in effect or any successor statue thereto, (iii) the National Flood
Insurance Reform Act of 1994 as now or hereafter in effect or any successor statute thereto and
(iv) the Flood Insurance Reform Act of 2004 as now or hereafter in effect or any successor statute
thereto.

          “Foreign Pension Plan” shall mean any plan, fund (including, without limitation, any
superannuation fund) or other similar program established or maintained outside the United States
of America by VHS Holdco I or any one or more of its Subsidiaries primarily for the benefit of
employees of VHS Holdco I or such Subsidiaries residing outside the United States of America, which
plan, fund or other similar program provides, or results in, retirement income, a deferral of
income in contemplation of

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retirement or payments to be made upon termination of employment, and which plan is not
subject to ERISA or the Code.

          “Foreign Subsidiary” shall mean any Subsidiary that is incorporated or organized under the
laws of any jurisdiction other than the United States of America, any State thereof or the District
of Columbia.

          “Fund” means any Person (other than a natural person) that is engaged in making, purchasing,
holding or otherwise investing in commercial loans and similar extensions of credit in the ordinary
course.

          “GAAP” shall have the meaning provided in Section 14.07(a).

          “Governmental Authority” shall mean any nation or government, any state or other political
subdivision thereof, any agency, authority, instrumentality, regulatory body, court, administrative
tribunal, central bank or other entity exercising executive, legislative, judicial, taxing,
regulatory or administrative powers or functions of or pertaining to government.

          “Grant of Security Interest in U.S. Copyrights” shall mean the Grant of Security Interest in
U.S. Copyrights substantially in the form of Annex I to the Security Agreement.

          “Grant of Security Interest in U.S. Patents” shall mean the Grant of Security Interest in U.S.
Patents substantially in the form of Annex K to the Security Agreement.

          “Grant of Security Interest in U.S. Trademarks” shall mean the Grant of Security Interest in
U.S. Trademarks substantially in the form of Annex J to the Security Agreement.

          “Granting Lender” shall have the meaning assigned to such term in Section 14.04(e).

          “Guaranteed Creditors” shall mean and include each of the Administrative Agent, the Collateral
Agent, and each other Agent, the Issuing Lenders, the Lenders, the Cash Management Banks and each
Hedge Bank.

          “Guarantor” shall mean each of VHS Holdco I and each Subsidiary Guarantor.

          “Guaranty” shall mean each of the Vanguard Guaranty, the VHS Holdco I Guaranty and the
Subsidiaries Guaranty.

          “Hazardous Materials” shall mean (a) any petroleum or petroleum products, radioactive
materials, asbestos or asbestos-containing material, polychlorinated biphenyls, toxic mold and
radon gas; and (b) any other chemical, material, substance, waste, compound, constituent in any
form regulated or which could give rise to liability under any Environmental Law.

          “Health Care Asset” shall mean (a) a medical surgical facility, acute care facility or
hospital, psychiatric hospital, surgical center, health maintenance organization, preferred
provider organization, retirement center or physician practice, (b) any asset held or used in the
conduct of the businesses of owning or operating any of the foregoing or any ancillary business
related to any of the foregoing, including, without limitation, any medical office building,
diagnostic center, physical therapy center, home health care services center, skilled nursing
facility or other health care service provider and (c) the stock or other Equity Interests of any
Person all or substantially all of whose assets consist of any of the foregoing.

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          “Health Care Joint Venture” shall mean a Person engaged primarily in the operation of
businesses utilizing Health Care Assets in which the Borrower and its Wholly-Owned Subsidiaries
collectively own less than 100% of the Equity Interests.

          “Holdings Guaranty” shall mean the guaranty of VHS Holdco I pursuant to Section 13.

          “Honor Date” shall have the meaning set forth in Section 2.01(c)(i).

          “Hospital Property” shall mean each psychiatric hospital or acute care hospital, and the
campus and Real Property on which such hospital is located, owned, leased or operated by the
Borrower or any of its Subsidiaries (including the furniture, fixture and equipment thereon).

          “Immaterial Subsidiary” shall mean, at any date of determination, any Subsidiary of VHS Holdco
I (other than the Borrower) (i) whose total assets at the last day of the Test Period ending on the
last day of the most recent fiscal period of VHS Holdco I for which financial statements have been
delivered pursuant to Section 8.01(a) or (b) were less than 2% (or, if such Subsidiary is a Credit
Party, 1%) of the consolidated total assets of VHS Holdco I and its Subsidiaries at such date,
either individually, or in the aggregate taking into account the total assets of all other
Immaterial Subsidiaries (or, if such Subsidiary is a Credit Party, all other Immaterial
Subsidiaries which are Credit Parties) that have been excluded from Section 10A.05 pursuant to the
provisions thereof, or (ii) whose gross revenues for such Test Period were less than 2% (or, if
such Subsidiary is a Credit Party, 1%) of the consolidated gross revenues of VHS Holdco I and its
Subsidiaries for such period either individually, or in the aggregate taking into account the gross
revenues of all other Immaterial Subsidiaries (or, if such Subsidiary is a Credit Party, all other
Immaterial Subsidiaries which are Credit Parties) that have been excluded from Section 10A.05
pursuant to the provisions thereof, in each case determined in accordance with GAAP.

          “Increased Revolving Loan Commitments” shall have the meaning provided in Section 1.11(a).

          “Incremental Term Loan” shall have the meaning provided in Section 1.01(c).

          “Incremental Term Loan Borrowing Date” shall mean each date on which Incremental Term Loans
are incurred pursuant to Section 1.01(c).

          “Incremental Term Loan Commitment” shall mean, for the respective Incremental Term Loan
Lender, the commitment of such Incremental Term Loan Lender to make Incremental Term Loans pursuant
to Section 1.01(c) on a given Incremental Term Loan Borrowing Date, as such commitment (x) is set
forth in the respective Incremental Commitment Agreement delivered pursuant to Section 1.11(b) and
(y) may be terminated pursuant to Sections 3.03 and/or 10A.

          “Incremental Commitment Agreement” shall mean an Incremental Commitment Agreement
substantially in the form of Exhibit C (appropriately completed as contemplated by this Agreement
and with such modifications as may be acceptable to the Administrative Agent), in the case of
Incremental Term Loans or in a form satisfactory to the Administrative Agent, in the case of
Increased Revolving Loan Commitments.

          “Incremental Term Loan Lender” shall have the meaning provided in Section 1.11(b).

          “Incremental Term Loan Maturity Date” shall mean for any Tranche of Incremental Term Loans,
the maturity date for such Tranche of Incremental Term Loans set forth in the Incremental Com-

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mitment Agreement relating thereto, provided that the Maturity Date for all
Incremental Term Loans of a given Tranche shall be the same date.

          “Incremental Term Note” shall have the meaning provided in Section 1.04(a).

          “Indebtedness” shall mean, as to any Person, without duplication, (i) all indebtedness
(including principal, interest, fees and charges) of such Person for borrowed money or for the
deferred purchase price of property or services, (ii) the maximum amount available to be drawn
under all letters of credit issued for the account of such Person and all unpaid drawings in
respect of such letters of credit, (iii) all Indebtedness of the types described in clause (i),
(ii), (iv), (v), (vi) or (vii) of this definition secured by any Lien on any property owned by such
Person, whether or not such Indebtedness has been assumed by such Person (provided that, if
the Person has not assumed or otherwise become liable in respect of such Indebtedness, such
Indebtedness shall be deemed to be in an amount equal to the fair market value of the property to
which such Lien relates as determined in good faith by such Person), (iv) the aggregate amount of
Capitalized Lease Obligations of such Person, (v) all obligations of such Person to pay a specified
purchase price for goods or services, whether or not delivered or accepted, i.e.,
take-or-pay and similar obligations, (vi) all Contingent Obligations of such Person to the extent
known and quantifiable, and (vii) all payments such Person would have to make in the event of an
early termination, on the date Indebtedness of such Person is being determined, in respect of under
any Interest Rate Protection Agreement or Other Hedging Agreement or under any similar type of
agreement or arrangement; provided that this definition of Indebtedness shall not include
(i) Current Liabilities of such Person incurred in the ordinary course of business or (ii) pension
liabilities of such person (including any such liabilities assumed as part of a Permitted
Acquisition) incurred in the ordinary course of business.

          “Indemnified Taxes” shall mean any Taxes other than Excluded Taxes.

          “Initial Borrowing Date” shall mean the date occurring on or after the Effective Date on which
the initial Borrowing of Loans occurs.

          “Initial Term Loan” shall have the meaning provided in Section 1.01(a).

          “Initial Term Loan Commitment” shall mean, for each Lender, the amount set forth opposite such
Lender’s name in Schedule 11.01 directly below the column entitled “Initial Term Loan Commitment”.

          “Initial Term Loan Maturity Date” shall mean January 29, 2016.

          “Initial Term Note” shall have the meaning provided in Section 1.04(a).

          “Intercreditor Agreement” shall mean an Intercreditor Agreement substantially in the form of
Exhibit U between the Collateral Agent and the collateral agent (or agents) for the holders of
Permitted Secured Notes (or, in the case of Permitted Secured Notes that the Borrower elects to
secure by Liens junior to the Liens securing the Obligations, another form approved by the
Administrative Agent which, in any event, shall not be less favorable to the Lenders than the terms
of Exhibit U).

          “Interest Period” shall mean, as to each Eurodollar Loan, the period commencing on the date
such Eurodollar Loan is disbursed or converted to or continued as a Eurodollar Loan and ending on
the date one, two, three or six months thereafter or, to the extent agreed by each Lender of such
Eurocurrency Rate Loan, nine or twelve months or less than one month thereafter, as selected by the
Borrower in its Notice of Borrowing; provided that:

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     (i) any Interest Period that would otherwise end on a day that is not a Business Day
shall be extended to the next succeeding Business Day unless such Business Day falls in
another calendar month, in which case such Interest Period shall end on the next preceding
Business Day;

     (ii) any Interest Period that begins on the last Business Day of a calendar month (or
on a day for which there is no numerically corresponding day in the calendar month at the
end of such Interest Period) shall end on the last Business Day of the calendar month at the
end of such Interest Period; and

     (iii) no Interest Period shall extend beyond the Maturity Date of the Tranche of Loans
under which such Loan was made.

          “Interest Rate Protection Agreement” shall mean any interest rate swap agreement, interest
rate cap agreement, interest rate collar agreement, interest rate hedging agreement, interest rate
floor agreement or other similar agreement or arrangement.

          “Investment” shall have the meaning provided in Section 9.05.

          “ISP” shall mean, with respect to any Letter of Credit, the “International Standby Practices
1998” published by the Institute of International Banking Law & Practice, Inc. (or such later
version thereof as may be in effect at the time of issuance).

          “Issuing Lenders” shall mean the Administrative Agent and any other Lender which at the
request of the Borrower and with the consent of the Administrative Agent (which consent shall not
be unreasonably withheld) agrees, in such Lender’s sole discretion, to become an Issuing Lender for
the purpose of issuing Letters of Credit pursuant to Section 2. The only Issuing Lenders on the
Initial Borrowing Date is the Administrative Agent.

          “Issuer Documents” shall mean with respect to any Letter of Credit, the Letter of Credit
Application, and any other document, agreement and instrument entered into by the Issuing Lender
and the Borrower (or any Subsidiary) or in favor of the Issuing Lender and relating to such Letter
of Credit.

          “Joinder Agreement” shall mean a Joinder in Subsidiaries Guaranty, Security Agreement and
Pledge Agreement substantially in the form of Exhibit N.

          “Joint Book Runners” shall mean the entities identified as such on the cover of this
Agreement.

          “Laws” shall mean, collectively, all international, foreign, Federal, state and local
statutes, treaties, rules, guidelines, regulations, ordinances, codes and administrative or
judicial precedents or authorities, including the interpretation or administration thereof by any
Governmental Authority charged with the enforcement, interpretation or administration thereof, and
all applicable administrative orders, directed duties, requests, licenses, authorizations and
permits of, and agreements with, any Governmental Authority.

          “L/C Advance” means, with respect to each Lender with a Revolving Loan Commitment, such
Lender’s funding of its participation in any L/C Borrowing in accordance with its RL Percentage.

          “L/C Borrowing” shall mean an extension of credit resulting from a drawing under any Letter of
Credit which has not been reimbursed on the date when made or refinanced with Revolving Loans

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           “L/C Credit Extension” shall mean, with respect to any Letter of Credit, the issuance thereof
or extension of the expiry date thereof, or the renewal or increase of the amount thereof.

          “Leasehold” of any Person shall mean all of the right, title and interest of such Person as
lessee or licensee in, to and under any lease or license of land, improvements and/or fixtures.

          “Leasehold Mortgage” shall mean any Mortgage covering Mortgaged Property consisting of a
Leasehold.

          “Legal Restriction” shall have the meaning assigned to such term in Section 8.13.

          “Lender” shall mean each financial institution listed on Schedule I, as well as any Person
which becomes a “Lender” hereunder pursuant to Section 1.10, 1.11 or 14.04(b) and shall include the
Issuing Lender.

          “Lender Default” shall mean (i) the refusal (which may be given verbally or in writing and has
not been retracted) or failure of any Lender to make available its portion of any incurrence of
Loans or reimbursement obligations under Section 2.01(c) in each case, as required to be made
pursuant to the terms of this Agreement, which refusal or failure is not cured within one Business
Day after the date of such refusal or failure; (ii) the failure of any Lender to pay over to the
Administrative Agent, any Issuing Lender or any other Lender any other amount required to be paid
by it hereunder within one Business Day of the date when due, unless the subject of a good faith
dispute; or (iii) a Lender has admitted in writing that it is insolvent or such Lender becomes
subject to a Lender-Related Distress Event.

          “Lender Participation Notice” shall have the meaning set forth in Section 4.01(c)(iii).

          “Lender-Related Distress Event” shall mean, with respect to any Lender or any person that
directly or indirectly controls such Lender (each, a “Distressed Person”), as the case may be, a
voluntary or involuntary case with respect to such Distressed Person under any Debtor Relief Law,
or a custodian, conservator, receiver or similar official is appointed for such Distressed Person
or any substantial part of such Distressed Person’s assets, or such Distressed Person or any person
that directly or indirectly controls such Distressed Person is subject to a forced liquidation, or
such Distressed Person makes a general assignment for the benefit of creditors or is otherwise
adjudicated as, or determined by any governmental authority having regulatory authority over such
Distressed Person or its assets to be, insolvent or bankrupt; provided that a
Lender-Related Distress Event shall not be deemed to have occurred solely by virtue of the
ownership or acquisition of any Equity Interest in any Lender or any person that directly or
indirectly controls such Lender by a Governmental Authority or an instrumentality thereof.

          “Letter of Credit” shall mean any letter of credit issued hereunder. A Letter of Credit may
be a commercial letter of credit or a standby letter of credit.

          “Letter of Credit Application” shall mean an application and agreement for the issuance or
amendment of a Letter of Credit in the form from time to time in use by the Issuing Lender.

          “Letter of Credit Expiration Date” shall mean the day that is five (5) days prior to the
Revolving Loan Maturity Date (or, if such day is not a Business Day, the next preceding Business
Day).

          “Letter of Credit Fee” shall have the meaning provided in Section 3.01(b).

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          “Letter of Credit Sublimit” shall mean an amount equal to the lesser of (a) $100,000,000 and
(b) the aggregate amount of the Revolving Loan Commitments. The Letter of Credit Sublimit is part
of, and not in addition to, the Revolving Loan Commitments.

          “Letter of Credit Outstandings” shall mean, as at any date of determination, the aggregate
amount available to be drawn under all outstanding Letters of Credit plus the aggregate of all
Unreimbursed Amounts, including all L/C Borrowings. For purposes of computing the amount available
to be drawn under any Letter of Credit, the amount of such Letter of Credit shall be determined in
accordance with Section 2.01(j). For all purposes of this Agreement, if on any date of
determination a Letter of Credit has expired by its terms but any amount may still be drawn
thereunder by reason of the operation of Rule 3.14 of the ISP, such Letter of Credit shall be
deemed to be “outstanding” in the amount so remaining available to be drawn.

          “Lien” shall mean any mortgage, deed of trust, pledge, hypothecation, assignment, deposit
arrangement, encumbrance, charge, lien (statutory or other) or other security agreement or
preferential arrangement of any kind or nature whatsoever (including, without limitation, any
conditional sale or other title retention agreement, any lien evidenced by a financing or similar
statement or notice filed under the UCC or any other similar recording or notice statute, and any
lease having substantially the same effect as any of the foregoing).

          “Loan” shall mean each Initial Term Loan, Revolving Loan, Swingline Loan and each Incremental
Term Loan (if any).

          “Majority Lenders” of any Tranche shall mean, subject to Section 14.04(l), those
Non-Defaulting Lenders which would constitute the Required Lenders under, and as defined in, this
Agreement if all outstanding Obligations of the other Tranches under this Agreement were repaid in
full and all Commitments with respect thereto were terminated.

          “Management Group” shall mean the group consisting of the board of directors, executive
officers and other management personnel of any Credit Agreement Party on the Effective Date
together with (1) any new directors whose election by such boards of directors or whose nomination
for election by the shareholders of any Credit Agreement Party was approved by a vote of a majority
of the directors of such Credit Agreement Party then still in office who were either directors on
the Effective Date or whose election or nomination was previously so approved and (2) executive
officers and other management personnel of any Credit Agreement Party hired at a time when the
directors on the Effective Date together with the directors so approved constituted a majority of
the directors of such Credit Agreement Party

          “Margin Reduction Period” shall mean each period which shall commence on the date occurring
after the Initial Borrowing Date upon which the respective officer’s certificate is delivered
pursuant to Section 8.01(d) (together with the related financial statements pursuant to Section
8.01(a) or (b), as the case may be) in respect of the Borrower’s fiscal quarter ending June 30,
2010 and which shall end on the date of actual delivery of the next officer’s certificates pursuant
to Section 8.01(d) (and related financial statements) or the latest date on which such next
officer’s certificate (and related financial statements) is required to be so delivered.

          “Margin Stock” shall have the meaning provided in Regulation U.

          “Material Indebtedness” shall mean any Indebtedness of VHS Holdco I or any of its Subsidiaries
the aggregate principal amount of which exceeds $10,000,000.

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          “Maturity Date” shall mean, with respect to (i) the Initial Term Loans, the Initial Term Loan
Maturity Date, (ii) the Revolving Loans, the Revolving Loan Maturity Date, (iii) the Incremental
Term Loans of any Tranche, the Incremental Term Loan Maturity Date for such Tranche and (iv) the
Swingline Loans, the Swingline Expiry Date.

          “Maximum Adjusted Consolidated Leverage Ratio Condition” shall be satisfied on any date, if
after giving effect to any incurrence or repayment of Indebtedness on such date and after giving
effect to the application of proceeds therefrom, on a Post-Test Period Pro Forma
Basis, the Adjusted Consolidated Leverage Ratio would not exceed (i) for any Test Period ending on
or prior to September 30, 2012, 5.75 to 1.0, (ii) for any Test Period ending after September 30,
2012 and on or prior to June 30, 2013, 5.50 to 1.0, (iii) for any Test Period ending after June 30,
2013 and on or prior to March 31, 2014, 5.25 to 1.0 and (iv) for any Test Period ending thereafter,
5.00 to 1.0.

          “Maximum Consolidated Senior Secured Leverage Condition” shall be satisfied on any date, if
after giving effect to any incurrence or repayment of Indebtedness on such date and after giving
effect to the application of proceeds therefrom, on a Post-Test Period Pro Forma
Basis, the Consolidated Senior Secured Leverage Ratio would not exceed 3.5 to 1.0.

          “MNPI” shall have the meaning provided in Section 4.01(c).

          “Moody’s” shall mean Moody’s Investors Service, Inc. and its successors.

          “Morgan Stanley Holders” shall mean (a) the MSCP Group or (b) any investment fund or vehicle
managed by any member of the MSCP Group or the general partner of any Person referred to in
preceding clauses (a) or (b).

          “Mortgage” shall mean each mortgage, deed to secure debt or deed of trust pursuant to which
any Credit Party shall have granted to the Collateral Agent a mortgage lien on such Credit Party’s
Mortgaged Property.

          “Mortgage Policy” shall have the meaning provided in Section 8.14(iii).

          “Mortgaged Property” shall mean, initially, those properties set forth on Schedule 8.14 and,
following the Effective Date, each other parcel of Real Property owned or leased by any Credit
Party, as applicable, which is encumbered by a Mortgage.

          “MSCP Group” shall mean Morgan Stanley Capital Partners III, L.P., MSCP III 892 Investors,
L.P., Morgan Stanley Capital Investors, L.P., Morgan Stanley Dean Witter Capital Partners IV, L.P.,
MSDW IV 892 Investors, L.P., and Morgan Stanley Dean Witter Capital Invests IV, L.P.

          “NAIC” shall mean the National Association of Insurance Commissioners.

          “Net Debt Proceeds” shall mean, with respect to each incurrence of Indebtedness for borrowed
money by any Person, the cash proceeds (net of underwriting discounts and commissions and other
reasonable fees, costs and expenses associated therewith) received by such Person from the
respective incurrence of such Indebtedness for borrowed money.

          “Net Equity Proceeds” shall mean, with respect to each issuance or sale of any Equity
Interests by any Person or any capital contribution to such Person, the cash proceeds (net of all
fees and underwriting discounts and commissions and other reasonable costs and expenses associated
therewith) re-

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ceived by such Person from the respective sale or issuance of its Equity Interests or from the
respective capital contribution.

          “Net Sale/Recovery Event Proceeds” shall mean, with respect to any Recovery Event or asset
sale, the gross cash proceeds (including, in the case of any sale of assets, any cash received by
way of deferred payment pursuant to a promissory note, receivable or otherwise, but only as and
when received) received from such Recovery Event or sale of assets, net of (i) the reasonable costs
and taxes of such Recovery Event or sale (including, in the case of any sale of assets,
commissions, attorneys’ fees, accountants’ fees, investment banking fees, survey costs, title
insurance premiums, and related search and recording charges, transfer taxes, deed or mortgage
recording taxes, other customary expenses and brokerage, consultant and other customary fees,
payments of unassumed liabilities relating to the assets sold and required payments of any
Indebtedness or other obligation (other than Indebtedness under the Credit Documents, Permitted
Secured Notes (or any Permitted Refinancing Indebtedness in respect thereof) or any Indebtedness
owed to VHS Holdco I or a Subsidiary thereof) which is secured by the respective assets which were
sold), (ii) the marginal increased amount of all taxes to the extent actually paid or payable in
cash during (or within 365 days after) the fiscal year in which the respective Recovery Event or
asset sale occurred as a direct consequence of such asset sale or Recovery Event and (iii) in the
event of any such sale of assets owned by a non-Wholly-Owned Subsidiary that is a Non-Guarantor
Subsidiary, net of amounts received by third Persons which own Equity Interests in such Subsidiary
so long as such amounts do not exceed such Persons’ proportionate share thereof (based upon such
Persons’ relative holdings of Equity Interests in such Subsidiary).

          “New Senior Unsecured Note Documents” shall mean the New Senior Unsecured Note Indenture, the
New Senior Unsecured Notes and each other document or agreement relating to the issuance of the New
Senior Unsecured Notes.

          “New Senior Unsecured Note Indenture” shall mean the Indenture, dated as of January 29, 2010,
among Vanguard, VHS Holdco I, the Subsidiary Guarantors and U.S. Bank National Association, as
Trustee thereunder, as the same may be amended, modified or supplemented from time to time in
accordance with the terms hereof and thereof.

          “New Senior Unsecured Notes” shall mean the Borrower’s and Vanguard Holding Company II, Inc.’s
8% Senior Notes due 2018 issued pursuant to the New Senior Unsecured Note Indenture.

          “New Tranche” shall mean each Tranche of Term Loans other than the Tranche of Initial Term
Loans.

          “Non-Debt Fund Affiliate” shall mean an Affiliate of the Borrower that is not a Debt Fund
Affiliate or a Purchasing Borrower Party.

          “Non-Defaulting Lender” shall mean and include each Lender other than a Defaulting Lender.

          “Non-extension Notice Date” shall have the meaning set forth in Section 2.01(b)(iii).

          “Non-Guarantor Subsidiary” shall mean any Subsidiary of the Borrower not party to the
Subsidiaries Guaranty.

          “Not-for-Profit Entity” shall mean (i) each entity identified on Schedule 7.14 as a
Not-for-Profit Entity and (ii) each other entity that is organized as a not-for-profit business
organization, in

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each case, for so long as such entity’s accounts are required in accordance with GAAP to be
consolidated with the accounts of the Borrower.

          “Note” shall mean each Initial Term Note, each Revolving Note, each Incremental Term Note and
the Swingline Note.

          “Notice of Borrowing” shall mean a notice of (a) a borrowing of Revolving Loans or Term Loans,
(b) a conversion of Loans from one Type to the other, or (c) a continuation of Eurodollar Loans,
pursuant to Section 1.02(a), which, if in writing, shall be substantially in the form of Exhibit
A-1.

          “Notice of Swingline Borrowing” shall mean a notice of a Borrowing of Swingline Loans pursuant
to Section 1.03(b), which, if in writing, shall be substantially in the form of Exhibit A-2.

          “Obligations” means all (x) advances to, and debts, liabilities, obligations, covenants and
duties of, VHS Holdco I and its Subsidiaries arising under any Credit Document or otherwise with
respect to any Loan or Letter of Credit, whether direct or indirect (including those acquired by
assumption), absolute or contingent, due or to become due, now existing or hereafter arising and
including interest and fees that accrue after the commencement by or against any Credit Party or
Subsidiary of any proceeding under any Debtor Relief Laws naming such Person as the debtor in such
proceeding, regardless of whether such interest and fees are allowed claims in such proceeding and
(y) obligations of VHS Holdco I or any Subsidiary arising under Cash Management Obligations or any
Secured Hedge Agreement. Without limiting the generality of the foregoing, the Obligations of the
Credit Parties under the Credit Documents (and of their Subsidiaries to the extent they have
obligations under the Credit Documents) include (a) the obligation (including guarantee
obligations) to pay principal, interest, Fees, reimbursement obligations, charges, expenses, fees,
indemnities and other amounts payable by any Credit Party under any Credit Document and (b) the
obligation of any Credit Party to reimburse any amount in respect of any of the foregoing that any
Lender, in its sole discretion, may elect to pay or advance on behalf of such Credit Party.

          “Offered Loans” shall have the meaning assigned to such term in Section 4.01(c)(iii)

          “Offering Memorandum” shall mean the Offering Memorandum, dated January 20, 2010, in respect
of the New Senior Unsecured Notes.

          “Other Hedging Agreements” shall mean any foreign exchange contracts, currency swap
agreements, commodity agreements or other similar agreements or arrangements designed to protect
against the fluctuations in currency values.

          “Other Taxes” shall have the meaning provided in Section 4.04(b).

          “Outstanding Amount” shall mean (a) with respect to Term Loans, Revolving Loans and Swingline
Loans on any date, the aggregate outstanding principal amount thereof after giving effect to any
borrowings and prepayments or repayments of Term Loans, Revolving Loans (including any refinancing
of outstanding unpaid drawings under Letters of Credit or L/C Credit Extensions as a Revolving
Loan) and Swingline Loans, as the case may be, occurring on such date; and (b) with respect to any
Letter of Credit Oustandings on any date, the amount of such Letter of Credit Outstandings on such
date after giving effect to any L/C Credit Extension occurring on such date and any other changes
thereto as of such date, including as a result of any reimbursements of outstanding Unreimbursed
Amount under any Letters of Credit (including any refinancing of outstanding Unreimbursed Amounts
under Letters of Credit as a Revolving Loans) or any reductions in the maximum amount available for
drawing under Letters of Credit taking effect on such date.

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          “Participant” shall have the meaning assigned to such term in Section 14.04(e).

          “Participant Register” shall have the meaning assigned to such term in Section 14.04(e).

          “PBGC” shall mean the Pension Benefit Guaranty Corporation established pursuant to Section
4002 of ERISA, or any successor thereto.

          “Permitted Acquisition” shall have the meaning provided in Section 9.02(viii).

          “Permitted Acquisition Compliance Certificate” shall mean a certificate, signed by an
Authorized Officer of the Borrower, delivered to the Administrative Agent in connection with a
Permitted Acquisition, which certificate shall represent and warrant that (i) both before and after
giving effect to the proposed acquisition, no Default or Event of Default is or shall be in
existence, and (ii) VHS Holdco I is and will be in compliance with Sections 9.08 and 9.09 on a
Post-Test Period Pro Forma Basis after giving effect to the respective Permitted Acquisition and
all Acquisition CapEx to be made in connection therewith. Such Compliance Certificate shall also
(x) include a statement of all Acquisition CapEx required to be made in connection with such
acquisition and (y) set forth the calculations required to establish whether the Borrower is in
compliance with the provisions of Sections 9.07 through 9.09, inclusive, and Section 9.15, both
before and after giving effect to such Permitted Acquisition. Notwithstanding anything to the
contrary above in this definition, in the event that a Permitted Acquisition Compliance Certificate
is required to be delivered pursuant to Section 9.02(viii) and the Borrower has not delivered a
Permitted Acquisition Compliance Certificate covering any theretofore consummated Permitted
Acquisitions, such required Permitted Acquisition Compliance Certificate shall include all of the
representations and warranties (except clause (iii) above) set forth in the second preceding
sentence (and include the information and calculations described in the immediately preceding
sentence) with respect to all such theretofore consummated Permitted Acquisitions.

          “Permitted Cure Security” shall mean an equity security of VHS Holdco I having no mandatory
redemption, repurchase or similar requirements prior to 91 days after the latest Maturity Date then
in effect for all Tranches of Term Loans, and upon which all dividends or distributions (if any)
shall be payable solely in additional shares of such equity security.

          “Permitted Encumbrances” shall mean, with respect to any Real Property, such exceptions to
title which (i) individually or in the aggregate, do not materially detract from the value of such
Real Property, (ii) are currently set forth in the title policies for existing mortgages under the
Existing Credit Facility or (iii) are otherwise acceptable to the Administrative Agent in its
reasonable discretion.

          “Permitted Holder” shall mean each of (i) Blackstone, (ii) one or more of the executive
officers of Vanguard as of the Initial Borrowing Date as listed in the Offering Memorandum under
the caption “Management” (excluding any representatives of Blackstone and the Morgan Stanley
Holders), (iii) the Management Group excluding those persons included in clause (ii) hereof, with
respect to not more than 5% of the total voting power of the Equity Interests of VHS Holdco I and
(iv) the Morgan Stanley Holders.

          “Permitted Liens” shall have the meaning provided in Section 9.01.

          “Permitted Refinancing Indebtedness” shall mean any Indebtedness issued in exchange for, or
the net proceeds of which are used to extend, refinance, renew, replace, defease or refund
(collectively, to “Refinance”), the Indebtedness being Refinanced (or previous refinancing thereof
constituting Permitted Refinancing Indebtedness); provided that (a) the principal amount
(or accreted value, if applicable) of such Permitted Refinancing Indebtedness does not exceed the
principal amount (or accreted

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value, if applicable) of the Indebtedness so Refinanced (plus unpaid accrued interest and
premium thereon), (b) the Weighted Average Life to Maturity of such Permitted Refinancing
Indebtedness is greater than or equal to that of the Indebtedness being Refinanced, (c) if the
Indebtedness being Refinanced is subordinated in right of payment to the Obligations under the
Credit Documents, such Permitted Refinancing Indebtedness shall be subordinated in right of payment
to such Obligations on terms at least as favorable to the Lenders as those contained in the
documentation governing the Indebtedness being Refinanced, (d) no Permitted Refinancing
Indebtedness shall have different obligors, or greater guarantees or security, than the
Indebtedness being Refinanced and (e) if the Indebtedness being Refinanced is secured by any
Collateral (whether equally and ratably with, or junior to, the Secured Parties or otherwise), such
Permitted Refinancing Indebtedness may be secured by such collateral on terms no less favorable to
the Secured Parties than those contained in the documentation governing the Indebtedness being
Refinanced.

          “Permitted Secured Notes” shall mean (i) debt securities of the Borrower that are secured by a
Lien ranking pari passu with the Liens securing the Obligations (or, at the option of the Borrower,
junior to the Lien securing the Obligations) pursuant to an Intercreditor Agreement;
provided that (a) in the case of debt securities issued in reliance on Section
9.04(xvii)(iii), such debt securities are issued for cash consideration, (b) the terms of such debt
securities do not provide for any scheduled repayment, mandatory redemption or sinking fund
obligations prior to the Maturity Date for all then outstanding Term Loans (other than customary
offers to repurchase upon a change of control, asset sale or event of loss and customary
acceleration rights after an event of default), (c) the covenants, events of default, guarantees,
collateral and other terms of which (other than interest rate and redemption premiums), taken as a
whole, are not more restrictive to the Borrower and its Subsidiaries than those in this Agreement;
provided that a certificate of an Authorized Officer of the Borrower delivered to the
Administrative Agent at least three Business Days (or such shorter period as the Administrative
Agent may reasonably agree) prior to the incurrence of such debt securities, together with a
reasonably detailed description of the material terms and conditions of such debt securities or
drafts of the documentation relating thereto, stating that the Borrower has determined in good
faith that such terms and conditions satisfy the foregoing requirement shall be conclusive evidence
that such terms and conditions satisfy the foregoing requirement and (d) no Subsidiary of the
Borrower (other than a Subsidiary Guarantor) shall be an obligor and no Permitted Secured Notes
shall be secured by any collateral other than the Collateral.

          “Permitted Unsecured Notes” shall mean (i) debt securities of the Borrower that are unsecured;
provided that (a) the terms of such debt securities do not provide for any scheduled
repayment, mandatory redemption or sinking fund obligations prior to the Maturity Date for all then
outstanding Term Loans (other than customary offers to repurchase upon a change of control, asset
sale or event of loss and customary acceleration rights after an event of default), (b) the
covenants, events of default, guarantees, collateral and other terms of which (other than interest
rate and redemption premiums), taken as a whole, are not more restrictive to the Borrower and its
Subsidiaries than those in this Agreement; provided that a certificate of an Authorized
Officer of the Borrower delivered to the Administrative Agent at least three Business Days (or such
shorter period as the Administrative Agent may reasonably agree) prior to the incurrence of such
debt securities, together with a reasonably detailed description of the material terms and
conditions of such debt securities or drafts of the documentation relating thereto, stating that
the Borrower has determined in good faith that such terms and conditions satisfy the foregoing
requirement shall be conclusive evidence that such terms and conditions satisfy the foregoing
requirement and (c) no Subsidiary of the Borrower (other than a Subsidiary Guarantor) shall be an
obligor in respect thereof.

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          “Person” shall mean any individual, partnership, limited liability company, joint venture,
firm, corporation, association, trust or other enterprise or any government or political
subdivision or any agency, department or instrumentality thereof.

          “Physician Support Obligation” shall mean a loan to or on behalf of, or a guarantee of income
to or Indebtedness of, a physician or healthcare professional providing service to patients in the
service area of a hospital or other health care facility operated by the Borrower or any of its
Subsidiaries made or given by the Borrower or any of its Subsidiaries (i) in the ordinary course of
its business, and (ii) pursuant to a written agreement having a period not to exceed five years.

          “Plan” shall mean any “employee benefit plan” as defined in Section 3(3) of ERISA, which is
maintained or contributed to by (or to which there is an obligation to contribute of) VHS Holdco I
or a Subsidiary of VHS Holdco I or an ERISA Affiliate, and each such plan for the five year period
immediately following the latest date on which VHS Holdco I, or a Subsidiary of VHS Holdco I or an
ERISA Affiliate maintained, contributed to or had an obligation to contribute to such plan.

          “Pledge Agreement” shall have the meaning set forth in Section 5A.06.

          “Pledge Agreement Collateral” shall mean all “Collateral” as defined in the Pledge Agreement.

          “Post-Test Period Pro Forma Basis” shall mean the making of calculations on a pro forma basis
in accordance with, and to the extent required by, the provisions of Section 11.02, giving effect
to the adjustments required to be made therein for determinations on a Post-Test Period Pro Forma
Basis.

          “Pre-existing Material Restriction” shall have the meaning assigned to such term in Section
8.13.

          “Pro Forma Basis” shall mean the making of any calculation on a pro forma basis in accordance
with, and to the extent required by, the provisions of Section 11.02 hereof, but without making the
adjustments described therein for determinations to be made on a Post-Test Period Pro Forma Basis.

          “Projections” shall mean the financial assumptions and projections prepared by VHS Holdco I,
dated January 2010 in connection with the Transaction and delivered to the Administrative Agent and
the Lenders prior to the Initial Borrowing Date.

          “Proposed Discounted Prepayment Amount” shall have the meaning set forth in Section
4.01(c)(iii).

          “Purchasing Borrower Party” shall mean the Borrower or any Subsidiary of the Borrower that (x)
makes a Discounted Voluntary Prepayment pursuant to Section 4.01(c) or (y) becomes an Eligible
Assignees or Participant pursuant to Section 14.04(k).

          “Qualified Preferred Stock” shall mean any preferred Equity Interest of VHS Holdco I or any of
its Subsidiaries which by its terms (i) is not exchangeable or convertible into any Indebtedness of
VHS Holdco I or any of its Subsidiaries, (ii) do not require any cash payment of dividends or
distributions at any time that such cash payment would result in a Default or Event of Default and
(iii) is not subject to any mandatory put, redemption, repayment, sinking fund or other similar
provision prior to the date occurring 91 days following the latest Maturity Date then in effect for
all Tranches of Term Loans, except, in the case of the preferred stock issued to Baptist Health
Services prior to the Initial Borrowing Date, for

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the mandatory put provisions set forth in
Sections 3.3, 3.4 and 3.6 of the Restrictive Shareholders’ Agreement described in clause (i) of the
definition thereof (as same as in effect in the date hereof).

          “Qualifying Lenders” shall have the meaning set forth in Section 4.01(c)(iv).

          “Qualifying Loans” shall have the meaning set forth in Section 4.01(c)(iv).

          “Quarterly Payment Date” shall mean the first Business Day of each January, April, July and
October occurring after the Initial Borrowing Date.

          “RCRA” shall mean the Resource Conservation and Recovery Act, as the same may be amended from
time to time, 42 U.S.C. § 6901 et seq.

          “Real Property” of any Person shall mean all the right, title and interest of such Person in
and to land, improvements and fixtures, including Leaseholds.

          “Recovery Event” shall mean the receipt by VHS Holdco I or any of its Subsidiaries of any cash
insurance proceeds or condemnation awards payable (i) by reason of theft, loss, physical
destruction or damage or any other similar event with respect to any property or assets of VHS
Holdco I or any of its Subsidiaries and (ii) under any policy of insurance required to be
maintained under Section 8.03.

          “Refinanced Term Loans” shall have the meaning provided in Section 14.12(c).

          “Refinance” shall have the meaning provided in the definition of the term “Permitted
Refinancing Indebtedness”, and “Refinanced” shall have a meaning correlative thereto.

          “Refinancing” shall mean (i) the consummation of the refinancing and repayment and
satisfaction in full of all amounts outstanding under, and the termination of all commitments in
respect of, the Existing Credit Agreement and (ii) the consummation of the tender offers and/or
redemptions contemplated by Section 5A.05(c) and/or Section 9.04(ii).

          “Register” shall have the meaning provided in Section 14.04(d).

          “Regulation T” shall mean Regulation T of the Board of Governors of the Federal Reserve System
as from time to time in effect and any successor to all or a portion thereof.

          “Regulation U” shall mean Regulation U of the Board of Governors of the Federal Reserve System
as from time to time in effect and any successor to all or a portion thereof.

          “Regulation X” shall mean Regulation X of the Board of Governors of the Federal Reserve System
as from time to time in effect and any successor to all or a portion thereof.

          “Release” shall have the meaning provided such term in CERCLA.

          “Relevant Term Loan Percentage” shall mean, with respect to any voluntary prepayment or
mandatory repayment of a particular Tranche of Term Loans at any time, a fraction (expressed as a
percentage), the numerator of which is equal to the aggregate outstanding principal amount of Term
Loans of such Tranche at such time and the denominator of which is equal to the aggregate principal
amount of all Term Loans at such time.

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          “Replaced Lender” shall have the meaning provided in Section 1.10(a).

          “Replacement Lender” shall have the meaning provided in Section 1.10(a) .

          “Replacement Term Loans” shall have the meaning provided in Section 14.12(c).

          “Reportable Event” shall mean an event described in Section 4043(c) of ERISA or the
regulations issued thereunder with respect to a Plan that is subject to Title IV of ERISA other
than those events as to which the 30-day notice period is waived under PBGC Regulation Section
4043.

          “Required Lenders” shall mean, subject to Section 14.04(l), Non-Defaulting Lenders, the sum of
whose outstanding principal of Term Loans and Revolving Loan Commitments (or after the termination
of the Revolving Loan Commitments, outstanding Revolving Loans and RL Percentage of outstanding
principal of Swingline Loans and Letter of Credit Outstandings) represent an amount greater than
50% of the sum of the outstanding principal amount of all Term Loans of Non-Defaulting Lenders and
the Total Revolving Loan Commitment less the Revolving Loan Commitments of all Defaulting Lenders
(or after the termination of the Total Revolving Loan Commitment, the Revolving Loan Exposure of
all Non-Defaulting Lenders at such time).

          “Restrictive Shareholders’ Agreements” shall mean and include (i) that certain Amended and
Restated Agreement between the Shareholders of VHS Acquisition Subsidiary Number 5, Inc., dated
September 1, 2004 and (ii) that certain Agreement between the Shareholders of VHS Acquisition
Subsidiary Number 3, Inc. dated June 1, 2002.

          “Retained Excess Cash Flow Amount” shall initially mean $0, provided that on each Excess Cash
Payment Date where Excess Cash Flow for the relevant Excess Cash Payment Period is in excess of
$2,000,000, the Retained Excess Cash Flow Amount shall be increased (so long as any required
repayments of Term Loans are made as required by Section 4.02(f)) by an amount equal to that
portion of Excess Cash Flow for the relevant Excess Cash Payment Period in excess of $2,000,000
which is permitted to be retained by the Borrower pursuant to the provisions of Section 4.02(f).

          “Revolving Loan” shall have the meaning provided in Section 1.01(b).

          “Revolving Loan Commitment” shall mean, for each Lender, the amount set forth opposite such
Lender’s name in Schedule 11.01 directly below the column entitled “Revolving Loan Commitment,” as
same may be (x) reduced from time to time pursuant to Sections 3.02, 3.03 and/or 10, (y) increased
from time to time pursuant to Section 1.11 or (z) adjusted from time to time as a result of
assignments to or from such Lender pursuant to Section 1.10 or 14.04(b).

          “Revolving Loan Commitment Commission” shall have the meaning provided in Section 3.01(a).

          “Revolving Loan Exposure” shall mean, as to each Lender with a Revolving Loan Commitment, the
sum of the Outstanding Amount of such Lender’s Revolving Loans and its RL Percentage of the
Outstanding Amount of Letter of Credit Outstandings and Swingline Loans at such time.

          “Revolving Loan Maturity Date” shall mean January 29, 2015.

          “Revolving Note” shall have the meaning provided in Section 1.04(a).

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          “RL Percentage” of any Lender at any time shall mean a fraction (expressed as a percentage)
the numerator of which is the Revolving Loan Commitment of such Lender at such time and the
denominator of which is the Total Revolving Loan Commitment at such time, provided that if the RL
Percentage of any Lender is to be determined after the Total Revolving Loan Commitment has been
terminated, then the RL Percentages of the Lenders shall be determined immediately prior (and
without giving effect) to such termination but after giving effect to subsequent assignments
pursuant to Section 14.04.

          “S&P” shall mean Standard & Poor’s Ratings Group and its successors.

          “Scheduled Incremental Term Loan Repayment” shall have the meaning provided in Section
4.02(c).

          “Scheduled Incremental Term Loan Repayment Date” shall have the meaning provided in Section
4.02(c).

          “Scheduled Initial Term Loan Repayment” shall mean each repayment of Initial Term Loans
pursuant to Section 4.02(b).

          “Scheduled Initial Term Loan Repayment Date” shall have the meaning provided in Section
4.02(b).

          “Scheduled Term Loan Repayment” shall have the meaning provided in Section 4.02(c).

          “Scheduled Term Loan Repayment Date” shall have the meaning provided in Section 4.02(c).

          “SEC” shall have the meaning provided in Section 8.01(f).

          “SEC Filings” as to VHS Holdco I and its Subsidiaries means any public filings that VHS Holdco
I or Vanguard has made on Form 10-K, Form 10-Q or Form 8-K pursuant to the U.S federal securities
statutes, rules or regulations subsequent to June 30, 2009 and prior to the Initial Borrowing Date.

          “Secured Creditors” means, collectively, the Administrative Agent, the Collateral Agent, the
Lenders, the Hedge Banks, the Cash Management Banks, the Supplemental Agents and each co-agent or
sub-agent appointed by the Administrative Agent or Collateral Agent from time to time pursuant to
Section 12.

          “Secured Hedge Agreement” means any Interest Rate Agreement or Other Hedging Agreement that is
entered into by and between VHS Holdco I or any Subsidiary and any Person that is a Lender or an
Affiliate of a Lender (or was a Lender or an Affiliate of a Lender at the time such Interest Rate
Agreement or Other Hedging Agreement was entered into (a “Hedge Bank”)).

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

          “Security Agreement” shall have the meaning provided in Section 5A.09.

          “Security Agreement Collateral” shall mean all “Collateral” as defined in the Security
Agreement.

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          “Security Documents” shall mean and include each of the Security Agreement, the Pledge
Agreement, each Mortgage and, after the execution and delivery thereof, each Additional Security
Document.

          “Shareholders” shall mean each Person which owns any shares of any class of capital stock of
VHS Holdco I on the Initial Borrowing Date.

          “SPC” shall have the meaning assigned to such term in Section 14.04(e).

          “Specified Construction Project” shall mean a construction project undertaken by the Borrower
or a Subsidiary Guarantor for the construction of a Hospital Property or other Health Care Assets
(including for this purpose any construction project for the addition of hospital bed capacity)
that are to be owned by the Borrower or such Subsidiary Guarantor provided that (i) a project shall
constitute a Specified Construction Project only if (A) listed on Schedule 11.03 or (B) the
respective Health Care Assets are to be owned by the Borrower or such Subsidiary Guarantor and have
been designated as a “Specified Construction Project” in writing by the Borrower to the
Administrative Agent, which writing shall certify compliance with the requirements of this
definition, and shall set forth the calculations (in reasonable detail) required to establish
compliance with the requirements of succeeding clause (v), (ii) no Default or Event of Default
shall exist on the date of any designation of a project as a Specified Construction Project, (iii)
each project designated as a Specified Construction Project shall remain a Specified Construction
Project only until the first to occur of (x) the date which is two years after such project was
designated by the Borrower as a Specified Construction Project (which designation shall not occur
any later than the first date on which actual construction has commenced on the Specific
Construction Project) or, in the case of any Specified Construction Project listed on Schedule
11.03, the date indicated on such Schedule and (y) the first day on which respective Health Care
Asset provides treatment or other health services to its first patient and (iv) at the time of the
designation of such construction project as a “Specified Construction Project” following the
Initial Borrowing Date, the Borrower shall be in compliance with Section 9.09 on a Post-Test Period
Pro Forma Basis. In addition, to the extent the Borrower or any Subsidiary Guarantor purchases any
Real Property as contemplated in the last sentence of Section 9.07(d), the requirement set forth in
clauses (ii) and (v) of the immediately preceding sentence are satisfied at the time of such
purchase and the Borrower notifies the Administrative Agent in writing that it wishes to treat such
Real Property as a Specified Construction Project, such Real Property shall be deemed to be a
Specified Construction Project for the purposes hereof for a period not to exceed 15 months, at
which time such Real Property shall cease to be a Specified Construction Project unless the
Borrower designates such Real Property as a “Specified Construction Project” in writing as provided
in clause (i) of the immediately preceding sentence and each of the other requirements set forth
above in this definition are satisfied at such time.

          “Specified Default” shall mean and include each of (i) a Default under Sections 10A.01 or
10A.05 and (ii) an Event of Default.

          “Specified Indebtedness” shall mean the New Senior Unsecured Notes, any Permitted Unsecured
Notes and any Permitted Refinancing Indebtedness in respect thereof.

          “Sponsors” shall mean Blackstone and the Morgan Stanley Holders.

          “Start Date” shall mean, with respect to any Margin Reduction Period, the first day of such
Margin Reduction Period.

          “Stated Amount” of each Letter of Credit shall mean, at any time, the maximum amount available
to be drawn thereunder (in each case determined giving effect to any and all increases to such

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maximum amount contemplated by the terms of such Letter of Credit or the documentation related to
the issuance thereof and without regard to whether any conditions to drawing could then be met).

          “Subsidiaries Guaranty” shall have the meaning provided in Section 5A.07.

          “Subsidiary” shall mean, as to any Person, (i) any corporation more than 50% of whose stock of
any class or classes having by the terms thereof ordinary voting power to elect a majority of the
directors of such corporation (irrespective of whether or not at the time stock of any class or
classes of such corporation shall have or might have voting power by reason of the happening of any
contingency)
is at the time owned by such Person and/or one or more Subsidiaries of such Person, (ii) any
partnership, limited liability company, association, joint venture or other entity in which such
Person and/or one or more Subsidiaries of such Person has more than a 50% equity interest at the
time and the management of which is controlled, directly or indirectly, by such Person or through
one or more Subsidiaries of such Person and (iii) any Not for Profit Entity. Except as otherwise
specified herein or unless the context otherwise requires, references in this Agreement to one or
more “Subsidiaries” are to Subsidiaries of VHS Holdco I.

          “Subsidiary Guarantor” shall mean each Domestic Subsidiary of the Borrower designated as a
“Subsidiary Guarantor” on Schedule 7.14 hereto or which executes the Subsidiaries Guaranty after
the Initial Borrowing Date pursuant to Section 8.13 or pursuant to the Subsidiaries Guaranty,
provided that any such Person shall cease to constitute a Subsidiary Guarantor upon its release
from the Subsidiaries Guaranty in accordance with this Agreement and the Subsidiaries Guaranty.

          “Supermajority Lenders” of any Tranche shall mean, subject to Section 14.04(l), those
Non-Defaulting Lenders which would constitute the Required Lenders under, and as defined in, this
Agreement if (x) all outstanding Obligations of the other Tranches under this Agreement were repaid
in full and all Commitments with respect thereto were terminated and (y) the percentage “50%”
contained therein were changed to “66-2/3%”.

          “Supplemental Agent” shall have the meaning assigned to such term in Section 12.13.

          “Swingline Expiry Date” shall mean the date which is five Business Days prior to the Revolving
Loan Maturity Date.

          “Swingline Lender” means Bank of America, in its capacity as provider of Swingline Loans or
any successor Swingline lender hereunder.

          “Swingline Loan” shall have the meaning set forth in Section 1.03(a).

          “Swingline Note” shall mean a promissory note of the Borrower payable to any Swingline Lender
or its registered assigns, in substantially the form of Exhibit B-3 hereto, evidencing the
aggregate Indebtedness of the Borrower to such Swingline Lender resulting from the Swingline Loans.

          “Swingline Sublimit” shall mean an amount equal to the lesser of (a) $25,000,000 and (b) the
aggregate amount of the Revolving Loan Commitments. The Swingline Sublimit is part of, and not in
addition to, the Revolving Loan Commitments.

          “Syndication Agent” shall have the meaning provided in the first paragraph of this Agreement.

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          “Tax Distribution” shall mean any distribution described in Section 9.03(ix) in respect of
taxes.

          “Taxes” shall mean any and all present or future taxes, duties, levies, imposts, assessments,
deductions, withholdings or other charges imposed by any Governmental Authority, whether computed
on a separate, consolidated, unitary, combined or other basis and any and all liabilities
(including interest, fines, penalties or additions to tax) with respect to the foregoing.

          “Term Loans” shall mean the Initial Term Loans and the Incremental Term Loans of a New Tranche
(and shall also include any Replacement Term Loans).

          “Test Date” shall mean, with respect to any Start Date, the last day of the most recent fiscal
quarter of VHS Holdco I ended immediately prior to such Start Date for which the financial
statements required by Section 8.01(a) or (b), as the case may be, have been delivered as
contemplated by the definition of Margin Reduction Period.

          “Test Period” shall mean each period of four consecutive fiscal quarters of VHS Holdco I
(taken as one accounting period).

          “Total Assets” shall mean, with respect to any Person, the consolidated total assets of such
Person and its consolidated Subsidiaries, determined in accordance with GAAP; provided that
in determining Total Assets of any group of Non-Guarantor Subsidiaries, such Total Assets shall be
determined for all such Non-Guarantor Subsidiaries on a combined basis without duplication.

          “Total Commitments” shall mean, at any time, the sum of the Commitments of each of the
Lenders.

          “Total Initial Term Loan Commitment” shall mean, at any time, the sum of the Initial Term Loan
Commitments of each of the Lenders at such time.

          “Total Revolving Loan Commitment” shall mean, at any time, the sum of the Revolving Loan
Commitments of each of the Lenders.

          “Total Unutilized Revolving Loan Commitment” shall mean, at any time, an amount equal to the
remainder of (x) the Total Revolving Loan Commitment then in effect less (y) the sum of the
aggregate principal amount of Revolving Loans and Swingline Loans then outstanding plus the then
aggregate amount of Letter of Credit Outstandings.

          “Tranche” shall mean the respective facility and commitments utilized in making Loans
hereunder, with there being two Tranches on the Initial Borrowing Date (consisting of the Initial
Term Loan Commitments, the Total Revolving Loan Commitment and the extensions of credit (i.e.,
Initial Term Loans, Revolving Loans, Swingline Loans and Letters of Credit) pursuant thereto. In
addition, any Incremental Term Loans extended after the Initial Borrowing Date shall be made
pursuant to the Tranche of Initial Term Loans or one or more additional Tranches which shall be
designated pursuant to the respective Incremental Commitment Agreements in accordance with the
relevant requirements specified in Section 1.11.

          “Transaction” shall mean, collectively, (i) the consummation of the Refinancing, (ii) the
consummation of the Distribution, (iii) the entering into of the Credit Documents and the
incurrence of all Loans hereunder or the Initial Borrowing Date, (iv) the issuance of the New
Senior Unsecured Notes and (v) the payment of fees and expenses in connection with the foregoing.

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          “Type” shall mean the type of Loan determined with regard to the interest option applicable
thereto, i.e., whether a Base Rate Loan or a Eurodollar Loan.

          “UCC” shall mean the Uniform Commercial Code as from time to time in effect in the relevant
jurisdiction.

          “Unfunded Current Liability” of any Plan shall mean the amount, if any, by which the
accumulated benefit obligation under the Plan as of the close of its most recent plan year,
determined in accordance with actuarial assumptions at such time consistent with Statement of
Financial Accounting Standards No. 87, exceeds the market value of the assets allocable thereto.

          “United States” and “U.S.” shall each mean the United States of America.

          “United States Tax Compliance Certificate” shall have the meaning provided in Section 4.04(d).

          “Unpaid Drawing” shall mean any unreimbursed payment or disbursement made by an Issuing Lender
under any Letter of Credit.

          “Unreimbursed Amounts” shall have the meaning provided for in Section 2.01(c)(i).

          “Unused Capital Expenditures Amount” shall have the meaning provided in Section 9.07(c).

          “Unutilized Revolving Loan Commitment” with respect to any Lender at any time shall mean such
Lender’s Revolving Loan Commitment at such time, if any, less such Lender’s Revolving Loan Exposure
at such time.

          “Vanguard” shall mean Vanguard Health Systems, Inc., a Delaware corporation.

          “Vanguard Guaranty” shall have the meaning provided in Section 5A.08.

          “VHS Holdco I” shall mean Vanguard Health Holding Company I, LLC or any Domestic Subsidiary of
Vanguard Health Holding Company I, LLC that directly owns 100% of the issued and outstanding Equity
Interests in the Borrower, and issues a guarantee of the Obligations and agrees to assume the
obligations of “VHS Holdco I” pursuant to this Agreement and the other Credit Documents pursuant to
one or more instruments in form and substance reasonably satisfactory to the Administrative Agent.

          “VHS Holdings LLC” shall mean VHS Holdings LLC, a Delaware limited liability company.

          “VHS Subsidiaries” shall have the meaning provided in Section 7.09.

          “Waivable Prepayment” shall have the meaning provided in Section 4.02(j).

          “Weighted Average Life to Maturity” shall mean, when applied to any Indebtedness at any date,
the number of years obtained by dividing (i) the then outstanding principal amount of such
Indebtedness into (ii) the product obtained by multiplying (x) the amount of each then remaining
installment or other required scheduled payments of principal, including payment at final maturity,
in respect thereof, by (y) the number of years (calculated to the nearest one-twelfth) that will
elapse between such date and the making of such payment.

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          “Wholly-Owned Domestic Subsidiary” shall mean each Wholly-Owned Subsidiary that is
incorporated or organized in the United States or any State hereof.

          “Wholly-Owned Subsidiary” shall mean, as to any Person, (i) any corporation 100% of whose
capital stock (other than directors’ qualifying shares) is at the time owned by such Person and/or
one or more Wholly-Owned Subsidiaries of such Person and (ii) any partnership, limited liability
company, association, joint venture or other entity in which such Person and/or one or more
Wholly-Owned Subsidiaries of such Person owns 100% of the Equity Interests at such time. Except as
otherwise specified herein or unless the context otherwise requires, references in this Agreement
to one or more “Wholly-Owned Subsidiaries” are to Wholly-Owned Subsidiaries of the Borrower.

          11.02 Certain Pro Forma Calculations.

          (a) For purposes of calculating Consolidated EBITDA for any Test Period for purposes of this
Agreement, the following rules shall apply:

     (i) if at
any time during the respective Test Period (and, in the case of
determinations being made on a Post-Test Period Pro Forma Basis only, thereafter and on or
prior to the date of determination) the Borrower or any of its Subsidiaries shall have made
any Disposition, Consolidated EBITDA for such Test Period shall be reduced by an amount
equal to the Consolidated EBITDA (if positive) attributable to the assets or Equity
Interests which are the subject of such Disposition for such Test Period or increased by an
amount equal to the Consolidated EBITDA (if negative) applicable thereto for such Test
Period; provided that if any Disposition is of Equity Interests in a Subsidiary of
the Borrower which remains a Subsidiary after giving effect to such Disposition,
Consolidated EBITDA shall be adjusted to give pro forma effect thereto (as if such
disposition occurred on the first day of the respective Test Period) in accordance with the
rules set forth in the definitions of Consolidated Net Income and Consolidated EBIT
contained herein;

     (ii) if during such Test Period (and, in the case of determinations being made on a
Post-Test Period Pro Forma Basis only, thereafter and on or prior to the date of
determination) the Borrower or any of its Subsidiaries shall have made any Acquisition,
Consolidated EBITDA for such Test Period shall be calculated after giving pro forma effect
thereto as if such Acquisition had occurred on the first day of such Test Period;

     (iii) if during such Test Period (and, in the case of determinations being made on a
Post-Test Period Pro Forma Basis only, thereafter and on or prior to the date of
determination) any Person that became a Subsidiary or was merged with or into the Borrower
or any of its Subsidiaries since the beginning of such Test Period shall have entered into
any disposition or acquisition transaction that would have required an adjustment pursuant
to clause (i) or (ii) above if made by the Borrower or a Subsidiary of the Borrower during
such Test Period, Consolidated EBITDA for such Test Period shall be calculated after giving
pro forma effect thereto as if such transaction occurred on the first day of such Test
Period; and

     (iv) pro forma calculations of Consolidated EBITDA, whether pursuant to this Section
11.02 or otherwise, shall not give effect to anticipated cost savings and/or increases to
Consolidated EBITDA for the relevant period, except in cases of Acquisitions for factually
supportable and identifiable pro forma cost savings and/or increases to Consolidated EBITDA
for the relevant period (in each case reasonably expected to occur within one year of the
respective date of acquisition) that are attributable to such Acquisition, in which case
such adjustments shall be permitted so long as same are demonstrated in writing by VHS
Holdco I (with supporting calcula-

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tions) to the Administrative Agent
at the time of the relevant Acquisition; provided
further, that the add backs for cost savings and/or increases to Consolidated EBITDA for any
Test Period for all Acquisitions (whether being determined on a Pro Forma Basis or a
Post-Test Period Pro Forma Basis) shall not, without the written consent of the Required
Lenders, exceed the greater of (x) 15% of Consolidated EBITDA for the relevant Test Period,
as calculated on a Pro Forma Basis or Post-Test Period Pro Forma Basis, as the case may be,
after giving effect to such additions and (y) $50,000,000.

          (b) For purposes of calculating Consolidated Debt, Adjusted Consolidated Debt and Consolidated
Senior Secured Debt for purposes of this Agreement, all determinations of Consolidated Debt,
Adjusted Consolidated Debt and Consolidated Senior Secured Debt shall be made based on the actual
amount of Consolidated Debt, Adjusted Consolidated Debt and Consolidated Senior Secured Debt, as
the case be, outstanding on the last day of the respective Test Period or, in the case of
determinations being on a Post-Test Period Pro Forma Basis, on the date of the respective
determination, except that solely for purposes of determining compliance with Section 9.09, (i)
Consolidated Debt shall be calculated to exclude all amounts to the extent VHS Holdco I certifies
in reasonable detail that the respective amounts being excluded have been incurred for one or more
Specified Construction Projects which, on the last date of the respective Test Period or, in the
case of determinations being made on a Post-Test Period Pro Forma Basis, on the date of the
respective determination, remain at such time Specified Construction Projects and (ii) during the
first year immediately following the date when a Specified Construction Project ceases to
constitute same, Consolidated Debt shall be calculated to exclude (1) during the first four months
beginning after the date the respective Specified Construction Project ceased to constitute same,
all Indebtedness which would otherwise have been included therein to the extent VHS Holdco I
certifies in reasonable detail that the respective Indebtedness has been incurred to finance the
respective Specified Construction Project, (2) during the second four months beginning after the
date the respective Specified Construction Project ceased to constitute same, two-thirds of the
amount of all Indebtedness which would otherwise have been included therein to the extent VHS
Holdco I certifies in reasonable detail that the respective Indebtedness has been incurred to
finance the respective Specified Construction Project and (3) during the third four months
beginning after the date the respective Specified Construction Project ceased to constitute same,
one-third of the amount of all Indebtedness which would otherwise have been included therein to the
extent VHS Holdco I certifies in reasonable detail that the respective Indebtedness has been
incurred to finance the respective Specified Construction Project; provided that no more
than an aggregate amount of Indebtedness equal to 0.50 multiplied by VHS Holdco I’s
Consolidated EBITDA for the relevant Test Period (determined on a Pro Forma Basis) shall be
permitted to be so excluded pursuant to the provisions of preceding clauses (i) and (ii).

          (c) For purposes of calculating Consolidated Cash Interest Expense for any Test Period for
purposes of this Agreement, the following rules shall apply:

     (i) Consolidated Cash Interest Expense shall be determined for the respective Test
Period based on actual Consolidated Cash Interest Expense; provided that such amount
shall be adjusted to give pro forma effect (as if the events described below occurred on the
first day of the respective Test Period, based on the historical rates which would have been
applicable thereto in the case of pro forma determinations of Indebtedness which would have
been outstanding for periods when same was not actually outstanding) to (x) all incurrences
of Indebtedness incurred to finance any Acquisition during the respective Test Period (or,
for determinations being made on a Post-Test Period Pro Forma Basis, on the date of
determination) to the extent the respective Indebtedness remains outstanding on the last day
of the respective Test Period (or, for determinations being made on a Post-Test Period Pro
Forma Basis, on the date of determination) and (y) all to permanent repayments of
Indebtedness described in immediately preceding clause (x) actually

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made during such Test
Period (or, for determinations being made on a Post-Test Period Pro
Forma Basis, through the date of determination) made with net cash proceeds of events
of the type described in Sections 4.02(d), (e) and/or (f), whether or not such net cash
proceeds were required to be used permanently to repay Loans hereunder; and

     (ii) notwithstanding anything to the contrary contained above, (x) with respect to each
Specified Construction Project which remains a Specified Construction Project on the last
day of the respective Test Period (or, for determinations being made on a Post-Test Period
Pro Forma Basis, on the date of determination), Consolidated Cash Interest Expense shall be
calculated by excluding any cash interest expense attributable to Indebtedness incurred to
finance the respective Specified Construction Project, so long as VHS Holdco I certifies in
reasonable detail the respective Indebtedness and related Consolidated Cash Interest Expense
being excluded as provided above in this clause (ii) and (y) for determinations of
Consolidated Cash Interest Expense where the last day of the respective Test Period (or, for
determinations being made on a Post-Test Period Pro Forma Basis, the date of determination)
occurs within the first year immediately following the date when the Specified Construction
Project ceased to constitute same, Consolidated Cash Interest Expense shall be calculated to
exclude (1) if the last day of the respective Test Period (or, for determinations being made
on a Post-Test Period Pro Forma Basis, the date of determination) occurs before the end of
the first four months beginning after the date the respective Specified Construction Project
ceased to constitute same, all Consolidated Cash Interest Expense which would otherwise
have been included therein to the extent VHS Holdco I certifies in reasonable detail that
the respective Indebtedness has been incurred to finance the respective Specified
Construction Project and the Consolidated Cash Interest Expense relating thereto being
excluded as provided above in this subclause (1), (2) if the last day of the respective Test
Period (or, for determinations being made on a Post-Test Period Pro Forma Basis, the date of
determination) occurs during the four months following the end of the period described in
clause (1) above, two-thirds of the Consolidated Cash Interest Expense which would
otherwise have been included therein to the extent VHS Holdco I certifies in reasonable
detail that the respective Indebtedness has been incurred to finance the respective
Specified Construction Project and the Consolidated Cash Interest Expense relating thereto
being excluded as provided above in this subclause (2), and (3) if the last day of the
respective Test Period (or, for determinations being made on a Post-Test Period Pro Forma
Basis, the date of determination) occurs during the four months following the end of the
period described in clause (2) above, one-third of the Consolidated Cash Interest Expense
which would otherwise have been included therein to the extent VHS Holdco I certifies in
reasonable detail that the respective Indebtedness has been incurred to finance the
respective Specified Construction Project and the Consolidated Cash Interest Expense
relating thereto being excluded as provided above in this subclause (3); provided if any
Indebtedness (where the related Consolidated Cash Interest Expense would otherwise be
excluded in whole or in part pursuant to the foregoing provisions of this clause (ii))
related to a Specified Construction Project is included in Consolidated Debt by virtue of
the proviso to Section 11.02(b) above, the related Cash Interest Expense shall likewise be
included in Consolidated Cash Interest Expense (and shall not be excluded pursuant to the
preceding provisions of this clause (ii)).

          (d) Any requirement set forth in this Agreement to be in compliance on a Pro
Forma Basis or Post-Test Period Pro Forma Basis with the Financial
Performance Covenants prior to delivery of financial statements for the quarter ending June 30,
2010, shall be deemed to be a requirement to be in compliance with the covenant levels applicable
under the Financial Performance Covenants on June 30, 2010.

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          SECTION 12. The Administrative Agent and the Joint Book Runners.

          12.01 Appointment and Authorization of Agents.

          (a) Each Lender hereby irrevocably appoints, designates and authorizes each of the
Administrative Agent and the Collateral Agent to take such action on its behalf under the
provisions of this Agreement and each other Credit Document and to exercise such powers and perform
such duties as are expressly delegated to it by the terms of this Agreement or any other Credit
Document, together with such powers as are reasonably incidental thereto. Notwithstanding any
provision to the contrary contained elsewhere herein or in any other Credit Document, neither the
Administrative Agent nor the Collateral Agent shall have any duties or responsibilities, except
those expressly set forth herein, nor shall the Administrative Agent or the Collateral Agent have
or be deemed to have any fiduciary relationship with any Lender or Participant, and no implied
covenants, functions, responsibilities, duties, obligations or liabilities shall be read into this
Agreement or any other Credit Document or otherwise exist against the Administrative Agent or the
Collateral Agent. Without limiting the generality of the foregoing sentence, the use of the term
“agent” herein and in the other Credit Documents with reference to any Agent is not intended to
connote any fiduciary or other implied (or express) obligations arising under agency doctrine of
any applicable Law. Instead, such term is used merely as a matter of market custom, and is
intended to create or reflect only an administrative relationship between independent contracting
parties.

          (b) Each Issuing Lender shall act on behalf of the Lenders with Revolving Loan Commitments
with respect to any Letters of Credit issued by it and the documents associated therewith, and each
such Issuing Lender shall have all of the benefits and immunities (i) provided to the Agents in
this Section 12 with respect to any acts taken or omissions suffered by such Issuing Lender in
connection with Letters of Credit issued by it or proposed to be issued by it and the applications
and agreements for letters of credit pertaining to such Letters of Credit as fully as if the term
“Agent” as used in this Section 12 and in the definition of “Agent-Related Person” included such
Issuing Lender with respect to such acts or omissions, and (ii) as additionally provided herein
with respect to such Issuing Lender.

          (c) Each of the Secured Creditors hereby irrevocably appoints and authorizes the Collateral
Agent to act as the agent of (and to hold any security interest created by the Security Documents
for and on behalf of or in trust for) such Secured Creditor for purposes of acquiring, holding and
enforcing any and all Liens on Collateral granted by the Credit Parties to the Collateral Agent,
together with such powers and discretion as are reasonably incidental thereto. In this connection,
the Collateral Agent (and any co-agents, sub-agents and attorneys-in-fact appointed by the
Administrative Agent pursuant to Section 12.02 for purposes of holding or enforcing any Lien on the
Collateral (or any portion thereof) granted under the Security Documents, or for exercising any
rights and remedies thereunder at the direction of the Collateral Agent) shall be entitled to the
benefits of all provisions of this Section 12 (including Section 12.07, as though such co-agents,
sub-agents and attorneys-in-fact were the Collateral Agent under the Credit Documents) as if set
forth in full herein with respect thereto.

          12.02 Delegation of Duties.

          Each of the Administrative Agent and the Collateral Agent may execute any of its duties under
this Agreement or any other Credit Document (including for purposes of holding or enforcing any
Lien on the Collateral (or any portion thereof) granted under the Security Documents or of
exercising any rights and remedies thereunder) by or through agents, employees or attorneys-in-fact
and shall be entitled to advice of counsel and other consultants or experts concerning all matters
pertaining to such duties. The Administrative Agent shall not be responsible for the negligence or
misconduct of any agent or sub-agent or attorney-in-fact that it selects in the absence of gross
negligence or willful misconduct (as determined in the final, non-appealable judgment of a court of
competent jurisdiction).

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          12.03 Liability of Agents.

          No Agent-Related Person shall (a) be liable for any action taken or omitted to be taken by any
of them under or in connection with this Agreement or any other Credit Document or the transactions
contemplated hereby (except for its own gross negligence or willful misconduct, as determined by
the final, non-appealable judgment of a court of competent jurisdiction, in connection with its
duties expressly set forth herein), or (b) be responsible in any manner to any Lender or
Participant for any recital, statement, representation or warranty made by any Credit Party or any
officer thereof, contained herein or in any other Credit Document, or in any certificate, report,
statement or other document referred to or provided for in, or received by the Administrative Agent
or the Collateral Agent under or in connection with, this Agreement or any other Credit Document,
or the validity, effectiveness, genuineness, enforceability or sufficiency of this Agreement or any
other Credit Document, or the perfection or priority of any Lien or security interest created or
purported to be created under the Security Documents, or for any failure of any Credit Party or any
other party to any Credit Document to perform its obligations hereunder or thereunder. No
Agent-Related Person shall be under any obligation to any Lender or Participant to ascertain or to
inquire as to the observance or performance of any of the agreements contained in, or conditions
of, this Agreement or any other Credit Document, or to inspect the properties, books or records of
any Credit Party or any Affiliate thereof.

          12.04 Reliance by Agents.

          (a) Each Agent shall be entitled to rely, and shall be fully protected in relying, upon any
writing, communication, signature, resolution, representation, notice, consent, certificate,
affidavit, letter, telegram, facsimile, telex or telephone message, electronic mail message,
statement or other document or conversation believed by it to be genuine and correct and to have
been signed, sent or made by the proper Person or Persons, and upon advice and statements of legal
counsel (including counsel to any Credit Party), independent accountants and other experts selected
by such Agent. Each Agent shall be fully justified in failing or refusing to take any action under
any Credit Document unless it shall first receive such advice or concurrence of the Required
Lenders as it deems appropriate and, if it so requests, it shall first be indemnified to its
satisfaction by the Lenders against any and all liability and expense which may be incurred by it
by reason of taking or continuing to take any such action. Each Agent shall in all cases be fully
protected in acting, or in refraining from acting, under this Agreement or any other Credit
Document in accordance with a request or consent of the Required Lenders (or such greater number of
Lenders as may be expressly required hereby in any instance) and such request and any action taken
or failure to act pursuant thereto shall be binding upon all the Lenders.

          (b) For purposes of determining compliance with the conditions specified in Section 6 with
respect to Credit Events on the Initial Borrowing Date or Section 5A, each Lender that has signed
this Agreement shall be deemed to have consented to, approved or accepted or to be satisfied with
each document or other matter required thereunder to be consented to or approved by or acceptable
or satisfactory to a Lender unless the Administrative Agent shall have received notice from such
Lender prior to the proposed Initial Borrowing Date specifying its objection thereto.

          12.05 Notice of Default.

          The Administrative Agent shall not be deemed to have knowledge or notice of the occurrence of
any Default or Event of Default, except with respect to defaults in the payment of principal,
interest and Fees required to be paid to the Administrative Agent for the account of the Lenders,
unless the Administrative Agent shall have received written notice from a Lender or the Borrower
referring to this Agreement, describing such Default or Event of Default and stating that such
notice is a “notice of default.” The Administrative Agent will notify the Lenders of its receipt
of any such notice. The Adminis-

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trative Agent shall take such action with respect to any Event of Default as may be directed
by the Required Lenders in accordance with Section 10A; provided that unless and until the
Administrative Agent has received any such direction, the Administrative Agent may (but shall not
be obligated to) take such action, or refrain from taking such action, with respect to such Event
of Default as it shall deem advisable or in the best interest of the Lenders.

          12.06 Credit Decision; Disclosure of Information by Agents.

          Each Lender acknowledges that no Agent-Related Person has made any representation or warranty
to it, and that no act by any Agent hereafter taken, including any consent to and acceptance of any
assignment or review of the affairs of any Credit Party or any Affiliate thereof, shall be deemed
to constitute any representation or warranty by any Agent-Related Person to any Lender as to any
matter, including whether Agent-Related Persons have disclosed material information in their
possession. Each Lender represents to each Agent that it has, independently and without reliance
upon any Agent-Related Person and based on such documents and information as it has deemed
appropriate, made its own appraisal of and investigation into the business, prospects, operations,
property, financial and other condition and creditworthiness of the Credit Parties and their
Subsidiaries, and all applicable bank or other regulatory Laws relating to the transactions
contemplated hereby, and made its own decision to enter into this Agreement and to extend credit to
the Borrower hereunder. Each Lender also represents that it will, independently and without
reliance upon any Agent-Related Person and based on such documents and information as it shall deem
appropriate at the time, continue to make its own credit analysis, appraisals and decisions in
taking or not taking action under this Agreement and the other Credit Documents, and to make such
investigations as it deems necessary to inform itself as to the business, prospects, operations,
property, financial and other condition and creditworthiness of the Credit Parties. Except for
notices, reports and other documents expressly required to be furnished to the Lenders by any Agent
herein, such Agent shall not have any duty or responsibility to provide any Lender with any credit
or other information concerning the business, prospects, operations, property, financial and other
condition or creditworthiness of any of the Credit Parties or any of their Affiliates which may
come into the possession of any Agent-Related Person.

          12.07 Indemnification of Agents.

          Whether or not the transactions contemplated hereby are consummated, the Lenders shall
indemnify upon demand each Agent-Related Person (to the extent not reimbursed by or on behalf of
any Credit Party and without limiting the obligation of any Credit Party to do so), pro rata, and
hold harmless each Agent-Related Person from and against any and all Indemnified Liabilities
incurred by it; provided that no Lender shall be liable for the payment to any
Agent-Related Person of any portion of such Indemnified Liabilities resulting from such
Agent-Related Person’s own gross negligence or willful misconduct, as determined by the final,
non-appealable judgment of a court of competent jurisdiction; provided that no action taken in
accordance with the directions of the Required Lenders (or such other number or percentage of the
Lenders as shall be required by the Credit Documents) shall be deemed to constitute gross
negligence or willful misconduct for purposes of this Secton 12.07; provided,
further, that any obligation to indemnify an Issuing Lender pursuant to this Secton 12.07
shall be limited to Revolving Credit Lenders only. In the case of any investigation, litigation or
proceeding giving rise to any Indemnified Liabilities, this Secton 12.07 applies whether any such
investigation, litigation or proceeding is brought by any Lender or any other Person. Without
limitation of the foregoing, each Lender shall reimburse each of the Administrative Agent and the
Collateral Agent upon demand for its ratable share of any costs or out-of-pocket expenses
(including Attorney Costs) incurred by the Administrative Agent or the Collateral Agent, as the
case may be, in connection with the preparation, execution, delivery, administration, modification,
amendment or enforcement (whether through negotiations, legal proceedings or otherwise) of, or
legal

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advice in respect of rights or responsibilities under, this Agreement, any other Credit
Document, or any
document contemplated by or referred to herein, to the extent that the Administrative Agent or
the Collateral Agent, as the case may be, is not reimbursed for such expenses by or on behalf of
the Credit Parties. The undertaking in this Secton 12.07 shall survive termination of the
Aggregate Commitments, the payment of all other Obligations and the resignation of the
Administrative Agent or the Collateral Agent, as the case may be.

          12.08 Agents in Their Individual Capacities.

          Bank of America and its Affiliates may make loans to, issue letters of credit for the account
of, accept deposits from, acquire Equity Interests in and generally engage in any kind of banking,
trust, financial advisory, underwriting or other business with the Borrower and its respective
Affiliates as though Bank of America were not the Administrative Agent, the Collateral Agent or an
Issuing Lender hereunder and without notice to or consent of the Lenders. The Lenders acknowledge
that, pursuant to such activities, Bank of America or its Affiliates may receive information
regarding the Borrower or its Affiliates (including information that may be subject to
confidentiality obligations in favor of the Borrower or such Affiliate) and acknowledge that
neither the Administrative Agent nor the Collateral Agent shall be under any obligation to provide
such information to them. With respect to its Loans, Bank of America and its Affiliates shall have
the same rights and powers under this Agreement as any other Lender and may exercise such rights
and powers as though it were not the Administrative Agent, the Collateral Agent or an Issuing
Lender, and the terms “Lender” and “Lenders” include Bank of America in its individual capacity.
Any successor to Bank of America as the Administrative Agent or the Collateral Agent shall also
have the rights attributed to Bank of America under this paragraph.

          12.09 Successor Agents.

          Each of the Administrative Agent and the Collateral Agent may resign as the Administrative
Agent or the Collateral Agent, as applicable, upon thirty (30) days’ notice to the Lenders and the
Borrower and if either the Administrative Agent or the Collateral Agent is a Defaulting Lender, the
Borrower may remove such Defaulting Lender from such role upon fifteen (15) days’ notice to the
Lenders. If the Administrative Agent or the Collateral Agent resigns under this Agreement or is
removed by the Borrower, the Required Lenders shall appoint from among the Lenders a successor
agent for the Lenders, which successor agent shall be consented to by the Borrower at all times
other than during the existence of an Event of Default under Section 10A.05 (which consent of the
Borrower shall not be unreasonably withheld or delayed). If no successor agent is appointed prior
to the effective date of the resignation or removal of the Administrative Agent or the Collateral
Agent, as applicable, the Administrative Agent or the Collateral Agent, as applicable, in the case
of a resignation, and the Borrower, in the case of a removal, may appoint, after consulting with
the Lenders and the Borrower (in the case of a resignation), a successor agent from among the
Lenders. Upon the acceptance of its appointment as successor agent hereunder, the Person acting as
such successor agent shall succeed to all the rights, powers and duties of the retiring
Administrative Agent or retiring Collateral Agent and the term “Administrative Agent” or
“Collateral Agent” shall mean such successor administrative agent or collateral agent and/or
Supplemental Agent, as the case may be, and the retiring Administrative Agent’s or Collateral
Agent’s appointment, powers and duties as the Administrative Agent or Collateral Agent shall be
terminated. After the retiring Administrative Agent’s or Collateral Agent’s resignation or removal
hereunder as the Administrative Agent or Collateral Agent, the provisions of this Section 12 and
Section 14.01 shall inure to its benefit as to any actions taken or omitted to be taken by it while
it was the Administrative Agent or Collateral Agent under this Agreement. If no successor agent
has accepted appointment as the Administrative Agent or the Collateral Agent by the date which is
thirty (30) days following the retiring Administrative Agent’s or Collateral Agent’s notice of
resignation or fifteen (15) days following the Borrower’s notice of removal,

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the retiring
Administrative Agent’s or the retiring Collateral Agent’s resignation shall nevertheless thereupon
become effective and the Lenders shall perform all of the duties of the Administrative Agent or Collateral Agent hereunder until such time, if any, as the Required Lenders appoint a successor
agent as provided for above. Upon the acceptance of any appointment as the Administrative Agent or
Collateral Agent hereunder by a successor and upon the execution and filing or recording of such
financing statements, or amendments thereto, and such other instruments or notices, as may be
necessary or desirable, or as the Required Lenders may request, in order to (a) continue the
perfection of the Liens granted or purported to be granted by the Security Documents or (b)
otherwise ensure that Sections 8.11 and 8.13 are satisfied, the Administrative Agent or Collateral
Agent shall thereupon succeed to and become vested with all the rights, powers, discretion,
privileges and duties of the retiring Administrative Agent or Collateral Agent, and the retiring
Administrative Agent or Collateral Agent shall be discharged from its duties and obligations under
the Credit Documents. After the retiring Administrative Agent’s or Collateral Agent’s resignation
hereunder as the Administrative Agent or the Collateral Agent, the provisions of this Section 12
shall continue in effect for its benefit in respect of any actions taken or omitted to be taken by
it while it was acting as the Administrative Agent or the Collateral Agent.

          12.10 Administrative Agent May File Proofs of Claim.

          In case of the pendency of any receivership, insolvency, liquidation, bankruptcy,
reorganization, arrangement, adjustment, composition or other judicial proceeding relative to any
Credit Party, the Administrative Agent (irrespective of whether the principal of any Loan or Letter
of Credit Outstanding shall then be due and payable as herein expressed or by declaration or
otherwise and irrespective of whether the Administrative Agent shall have made any demand on the
Borrower or the Collateral Agent) shall be (to the fullest extent permitted by mandatory provisions
of applicable Law) entitled and empowered, by intervention in such proceeding or otherwise:

     (a) to file and prove a claim for the whole amount of the principal, interest and Fees
owing and unpaid in respect of the Loans, Letter of Credit Outstandings and all other
Obligations that are owing and unpaid and to file such other documents as may be necessary
or advisable in order to have the claims of the Lenders, the Collateral Agent and the
Administrative Agent (including any claim for the reasonable compensation, expenses,
disbursements and advances of the Lenders, the Collateral Agent and the Administrative Agent
and their respective agents and counsel and all other amounts due to the Lenders, the
Collateral Agent and the Administrative Agent under this Agreement) allowed in such judicial
proceeding; and

     (b) to collect and receive any monies or other property payable or deliverable on any
such claims and to distribute the same;

and any custodian, curator, receiver, assignee, trustee, liquidator, sequestrator or other similar
official in any such judicial proceeding is hereby authorized by each Lender to make such payments
to the Administrative Agent or the Collateral Agent and, in the event that the Administrative Agent
shall consent to the making of such payments directly to the Lenders, to pay to the Administrative
Agent or the Collateral Agent any amount due for the reasonable compensation, expenses,
disbursements and advances of the Agents and their respective agents and counsel, and any other
amounts due the Administrative Agent or the Collateral Agent under Section 14.01(a)(i) and (ii).

          Nothing contained herein shall be deemed to authorize the Administrative Agent to authorize or
consent to or accept or adopt on behalf of any Lender any plan of reorganization, arrangement,
adjustment or composition affecting the Obligations or the rights of any Lender or to authorize the
Administrative Agent to vote in respect of the claim of any Lender in any such proceeding.

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          12.11 Collateral and Guaranty Matters.

          The Lenders irrevocably agree:

     (a) that any Lien on any property granted to or held by the Administrative Agent or the
Collateral Agent under any Credit Document shall be automatically released (i) upon
termination of the Total Commitments and payment in full of all Obligations (other than (x)
contingent obligations not yet accrued and payable and (y) Cash Management Obligations or
Obligations under Secured Hedge Agreements) and the expiration or termination or cash
collateralization of all Letters of Credit, (ii) at the time the property subject to such
Lien is disposed or to be substantially simultaneously disposed as part of or in connection
with any disposition permitted hereunder or under any other Credit Document to any Person
other than a Person required to grant a Lien to the Administrative Agent or the Collateral
Agent under the Credit Documents (or, if such transferee is a Person required to grant a
Lien to the Administrative Agent or the Collateral Agent on such asset, at the option of the
applicable Credit Party, such Lien on such asset may still be released in connection with
the transfer so long as (x) the transferee grants a new Lien to the Administrative Agent or
Collateral Agent on such asset substantially concurrently with the transfer of such asset,
(y) the transfer is between parties organized under the laws of different jurisdictions and
the transferee is a Foreign Subsidiary and (z) the priority of the new Lien is the same as
that of the original Lien), (iii) subject to Section 14.12, if the release of such Lien is
approved, authorized or ratified in writing by the Required Lenders or (iv) if the property
subject to such Lien is owned by a Guarantor, upon release of such Guarantor from its
obligations under its Guaranty pursuant to clause (c) below;

     (b) that the Collateral Agent is authorized to release any Lien on any property granted
to or held by the Collateral Agent under any Credit Document on any assets that are excluded
from the Collateral;

     (c) that any Guarantor shall be automatically released from its obligations under the
Guaranty as provided under the Credit Documents as a result of a transaction or designation
permitted hereunder; and

     (d) that (x) the Collateral Agent may, without any further consent of any Lender, enter
into or amend a Intercreditor Agreement with the Collateral Agent or other representatives
of the holders of Permitted Secured Notes, (y) the Collateral Agent may rely exclusively on
a certificate of an Authorized Officer of the Borrower as to whether any such other Liens
are permitted and (z) any Intercreditor Agreement entered into by the Collateral Agent shall
be binding on the Secured Creditors.

          Upon request by the Administrative Agent or the Collateral Agent at any time, the Required
Lenders will confirm in writing the Administrative Agent’s or the Collateral Agent’s authority to
release or subordinate its interest in particular types or items of property, or to release any
Guarantor from its obligations under the Guaranty pursuant to this Section 12.11. In each case as
specified in this Section 12.11, the Administrative Agent or the Collateral Agent will (and each
Lender irrevocably authorizes the Administrative Agent and the Collateral Agent to), at the
Borrower’s expense, execute and deliver to the applicable Credit Party such documents as the
Borrower may reasonably request to evidence the release or subordination of such item of Collateral
from the assignment and security interest granted under the Security Documents, or to evidence the
release of such Guarantor from its obligations under the Guaranty, in each case in accordance with
the terms of the Credit Documents and this Section 12.11.

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          12.12 Other Agents; Arrangers and Managers.

          None of the Lenders or other Persons identified on the facing page or signature pages of this
Agreement as a “syndication agent,” “documentation agent,” “joint book runner” or “arranger” shall
have any right, power, obligation, liability, responsibility or duty under this Agreement other
than those applicable to all Lenders as such. Without limiting the foregoing, none of the Lenders
or other Persons so identified shall have or be deemed to have any fiduciary relationship with any
Lender. Each Lender acknowledges that it has not relied, and will not rely, on any of the Lenders
or other Persons so identified in deciding to enter into this Agreement or in taking or not taking
action hereunder.

          12.13 Appointment of Supplemental Agents.

          (a) It is the purpose of this Agreement and the other Credit Documents that there shall be no
violation of any Law of any jurisdiction denying or restricting the right of banking corporations
or associations to transact business as agent or trustee in such jurisdiction. It is recognized
that in case of litigation under this Agreement or any of the other Credit Documents, and in
particular in case of the enforcement of any of the Credit Documents, or in case the Administrative
Agent or the Collateral Agent deems that by reason of any present or future Law of any jurisdiction
it may not exercise any of the rights, powers or remedies granted herein or in any of the other
Credit Documents or take any other action which may be desirable or necessary in connection
therewith, the Administrative Agent and the Collateral Agent are hereby authorized to appoint an
additional individual or institution selected by the Administrative Agent or the Collateral Agent
in its sole discretion as a separate trustee, co-trustee, administrative agent, collateral agent,
administrative sub-agent or administrative co-agent (any such additional individual or institution
being referred to herein individually as a “Supplemental Agent” and collectively as “Supplemental
Agents”).

          (b) In the event that the Collateral Agent appoints a Supplemental Agent with respect to any
Collateral, (i) each and every right, power, privilege or duty expressed or intended by this
Agreement or any of the other Credit Documents to be exercised by or vested in or conveyed to the
Collateral Agent with respect to such Collateral shall be exercisable by and vest in such
Supplemental Agent to the extent, and only to the extent, necessary to enable such Supplemental
Agent to exercise such rights, powers and privileges with respect to such Collateral and to perform
such duties with respect to such Collateral, and every covenant and obligation contained in the
Credit Documents and necessary to the exercise or performance thereof by such Supplemental Agent
shall run to and be enforceable by either the Collateral Agent or such Supplemental Agent, and (ii)
the provisions of this Section 12 and of Section 14.01 that refer to the Administrative Agent shall
inure to the benefit of such Supplemental Agent and all references therein to the Collateral Agent
shall be deemed to be references to the Collateral Agent and/or such Supplemental Agent, as the
context may require.

          (c) Should any instrument in writing from any Credit Party be required by any Supplemental
Agent so appointed by the Administrative Agent or the Collateral Agent for more fully and certainly
vesting in and confirming to it such rights, powers, privileges and duties, such Credit Party shall
execute, acknowledge and deliver any and all such instruments promptly upon request by the
Administrative Agent or the Collateral Agent. In case any Supplemental Agent, or a successor
thereto, shall die, become incapable of acting, resign or be removed, all the rights, powers,
privileges and duties of such Supplemental Agent, to the extent permitted by Law, shall vest in and
be exercised by the Administrative Agent until the appointment of a new Supplemental Agent.

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          12.14 Withholding Tax Indemnity.

          To the extent required by any applicable Law, the Administrative Agent may withhold from any
payment to any Lender an amount equivalent to any applicable withholding tax. If the Internal
Revenue Service or any other authority of the United States or other jurisdiction asserts a claim
that the Administrative Agent did not properly withhold tax from amounts paid to or for the account
of any Lender for any reason (including, without limitation, because the appropriate form was not
delivered or not properly executed, or because such Lender failed to notify the Administrative
Agent of a change in circumstance that rendered the exemption from, or reduction of, withholding
tax ineffective), such Lender shall indemnify and hold harmless the Administrative Agent (to the
extent that the Administrative Agent has not already been reimbursed by the Borrower pursuant to
Section 1.07 and Section 4.04 and without limiting or expanding the obligation of the Borrower to
do so) for all amounts paid, directly or indirectly, by the Administrative Agent as Taxes or
otherwise, together with all expenses incurred, including legal expenses and any other
out-of-pocket expenses, whether or not such tax was correctly or legally imposed or asserted by the
relevant governmental authority. A certificate as to the amount of such payment or liability
delivered to any Lender by the Administrative Agent shall be conclusive absent manifest error. The
agreements in this Section 12.14 shall survive the resignation and/or replacement of the
Administrative Agent, any assignment of rights by, or the replacement of, a Lender, the termination
of this Agreement and the repayment, satisfaction or discharge of all other Obligations. For
purposes of this Section 12.14, a “Lender” shall include any Issuing Lender.

          SECTION 13. Holdings Guaranty.

          13.01 The Guaranty. In order to induce the Lenders to enter into this Agreement and to extend credit hereunder
and in recognition of the direct benefits to be received by VHS Holdco I from the proceeds of the
Loans and the issuance of the Letters of Credit, VHS Holdco I hereby unconditionally and
irrevocably guarantees, as primary obligor and not merely as surety the full and prompt payment
when due, whether upon maturity, acceleration or otherwise, of any and all of the Obligations. If
any of the Obligations becomes due and payable hereunder, VHS Holdco I unconditionally promises to
pay such indebtedness to the Guaranteed Creditors, on demand, together with any and all reasonable
expenses which may be actually incurred by the Guaranteed Creditors in collecting any of the
Obligations. If claim is ever made upon any Guaranteed Creditor for repayment or recovery of any
amount or amounts received in payment or on account of any of the Obligations and any of the
aforesaid payees repays all or part of said amount by reason of (i) any judgment, decree or order
of any court or administrative body having jurisdiction over such payee or any of its property or
(ii) any settlement or compromise of any such claim effected by such payee with any such claimant
(including the Borrower), then and in such event VHS Holdco I agrees that any such judgment,
decree, order, settlement or compromise shall be binding upon VHS Holdco I, notwithstanding any
revocation of this Guaranty or any other instrument evidencing any liability of the Borrower, and
VHS Holdco I shall be and remain liable to the aforesaid payees hereunder for the amount so repaid
or recovered to the same extent as if such amount had never originally been received by any such
payee.

          13.02 Bankruptcy. Additionally, VHS Holdco I unconditionally and irrevocably guarantees the payment of any
and all of the Obligations to the Guaranteed Creditors whether or not due or payable by the
Borrower upon the occurrence in respect of the Borrower of any of the events specified in Section
10A.05, and unconditionally promises to pay such indebtedness on demand, in Dollars.

          13.03 Nature of Liability. The liability of VHS Holdco I hereunder is exclusive and independent of any security for or
other guaranty of the Obligations whether executed by VHS Holdco I, any other guarantor or by any
other party, and the liability of VHS Holdco I hereunder is not affected or

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impaired by (a) any
direction as to application of payment by the Borrower or by any other party, or (b)
any other continuing or other guaranty, undertaking or maximum liability of a guarantor or of
any other party as to the Obligations, or (c) any payment on or in reduction of any such other
guaranty or undertaking, or (d) any dissolution, termination or increase, decrease or change in
personnel by the Borrower, or (e) any payment made to the Guaranteed Creditors on the Obligations
which any such Guaranteed Creditor repays to the Borrower pursuant to court order in any
bankruptcy, reorganization, arrangement, moratorium or other debtor relief proceeding, and VHS
Holdco I waives any right to the deferral or modification of its respective obligations hereunder
by reason of any such proceeding.

          13.04 Independent Obligation. The obligations of VHS Holdco I hereunder are independent of the obligations of any other
guarantor, any other party or the Borrower, and a separate action or actions may be brought and
prosecuted against VHS Holdco I whether or not action is brought against any other guarantor, any
other party or the Borrower and whether or not any other guarantor, any other party or the Borrower
be joined in any such action or actions. VHS Holdco I waives, to the full extent permitted by law,
the benefit of any statute of limitations affecting its liability hereunder or the enforcement
hereof. Any payment by the Borrower or other circumstance which operates to toll any statute of
limitations as to the Borrower shall operate to toll the statute of limitations as to VHS Holdco I.

          13.05 Authorization. VHS Holdco I authorizes the Guaranteed Creditors without notice or demand (except as shall
be required by applicable statute and cannot be waived), and without affecting or impairing its
liability hereunder, from time to time to:

     (a) change the manner, place or terms of payment of, and/or change or extend the time
of payment of, renew, increase, accelerate or alter, any of the Obligations (including any
increase or decrease in the rate of interest thereon), any security therefor, or any
liability incurred directly or indirectly in respect thereof, and the Guaranty herein made
shall apply to the Obligations as so changed, extended, renewed, increased or altered;

     (b) take and hold security for the payment of the Obligations and sell, exchange,
release, surrender, realize upon or otherwise deal with in any manner and in any order any
property by whomsoever at any time pledged or mortgaged to secure, or howsoever securing,
the Obligations or any liabilities (including any of those hereunder) incurred directly or
indirectly in respect thereof or hereof, and/or any offset thereagainst;

     (c) exercise or refrain from exercising any rights against the Borrower or others or
otherwise act or refrain from acting;

     (d) release or substitute any one or more endorsers, guarantors, the Borrower or other
obligors;

     (e) settle or compromise any of the Obligations, any security therefor or any liability
(including any of those hereunder) incurred directly or indirectly in respect thereof or
hereof, and may substitute the payment of all or any part thereof to the payment of any
liability (whether due or not) of the Borrower to its creditors other than the Guaranteed
Creditors;

     (f) apply any sums by whomsoever paid or howsoever realized to any liability or
liabilities of the Borrower to the Guaranteed Creditors regardless of what liability or
liabilities of the Borrower remain unpaid;

     (g) consent to or waive any breach of, or any act, omission or default under, this
Agreement, any other Credit Document or any of the instruments or agreements referred to
herein

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or therein, or otherwise amend, modify or supplement this Agreement, any other Credit
Document or any of such other instruments or agreements; and/or

     (h) take any other action which would, under otherwise applicable principles of common
law, give rise to a legal or equitable discharge of VHS Holdco I from its liabilities under
this Guaranty.

          13.06 Reliance. It is not necessary for the Guaranteed Creditors to inquire into the capacity or powers of
the Borrower or the officers, directors, partners or agents acting or purporting to act on its
behalf, and any Obligations made or created in reliance upon the professed exercise of such powers
shall be guaranteed hereunder.

          13.07 Subordination. Any of the indebtedness of the Borrower now or hereafter owing to VHS Holdco I is hereby
subordinated to the Obligations of the Borrower; and if the Administrative Agent so requests at a
time when an Event of Default exists, all such indebtedness of the Borrower to VHS Holdco I shall
be collected, enforced and received by VHS Holdco I for the benefit of the Guaranteed Creditors and
be paid over to the Administrative Agent on behalf of the Guaranteed Creditors on account of the
Obligations, but without affecting or impairing in any manner the liability of VHS Holdco I under
the other provisions of this Guaranty. Prior to the transfer by VHS Holdco I of any note or
negotiable instrument evidencing any of the indebtedness of the Borrower to VHS Holdco I shall mark
such note or negotiable instrument with a legend that the same is subject to this subordination.
Without limiting the generality of the foregoing, VHS Holdco I hereby agrees with the Guaranteed
Creditors that VHS Holdco I will not exercise any right of subrogation which it may at any time
otherwise have as a result of this Guaranty (whether contractual, under Section 509 of the
Bankruptcy Code or otherwise) until all Obligations have been irrevocably paid in full in cash.

          13.08 Waiver.

          (a) VHS Holdco I waives any right (except as shall be required by applicable Law and cannot be
waived) to require any Guaranteed Creditor to (i) proceed against the Borrower, any other guarantor
or any other party, (ii) proceed against or exhaust any security held from the Borrower, any other
guarantor or any other party or (iii) pursue any other remedy in any Guaranteed Creditor’s power
whatsoever. VHS Holdco I waives any defense based on or arising out of any defense of the
Borrower, any other guarantor or any other party, other than payment in full of the Obligations,
based on or arising out the disability of the Borrower, any other guarantor or any other party, or
the unenforceability of the Obligations or any part thereof from any cause, or the cessation from
any cause of the liability of the Borrower other than payment in full of the Obligations. The
Guaranteed Creditors may, at their election, foreclose on any security held by the Collateral Agent
or any other Guaranteed Creditor by one or more judicial or nonjudicial sales, whether or not every
aspect of any such sale is commercially reasonable (to the extent such sale is permitted by
applicable Law), or exercise any other right or remedy the Guaranteed Creditors may have against
the Borrower or any other party, or any security, without affecting or impairing in any way the
liability of VHS Holdco I hereunder except to the extent the Obligations have been paid.

          (b) VHS Holdco I waives all presentments, demands for performance, protests and notices,
including, without limitation, notices of nonperformance, notices of protest, notices of dishonor,
notices of acceptance of this Guaranty, and notices of the existence, creation or incurring of new
or additional Obligations. VHS Holdco I assumes all responsibility for being and keeping itself
informed of the Borrower’s financial condition and assets, and of all other circumstances, bearing
upon the risk of nonpayment of the Obligations and the nature, scope and extent of the risks which
VHS Holdco I assumes

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and incurs hereunder, and agrees that the Guaranteed Creditors shall have no duty to advise
VHS Holdco I of information known to them regarding such circumstances or risks.

          13.09 Enforcement. The Guaranteed Creditors agree that this Guaranty may be enforced only by the action of the
Administrative Agent or the Collateral Agent, in each case acting upon the instructions of the
Required Lenders and no Guaranteed Creditor shall have any right individually to seek to enforce or
to enforce this Guaranty or to realize upon the security to be granted by the Security Documents,
it being understood and agreed that such rights and remedies may be exercised by the Administrative
Agent or the Collateral Agent for the benefit of the Guaranteed Creditors upon the terms of this
Guaranty and the Security Documents.

          SECTION 14. Miscellaneous.

          14.01 Payment of Expenses, etc.

          (a) The Borrower agrees that it shall: (i) only if the Initial Borrowing Date occurs, pay all
reasonable out-of-pocket costs and expenses of the Agents (including, without limitation, the
reasonable fees and disbursements of counsel, which shall be limited to the fees and expenses of
Cahill Gordon & Reindel LLP and such other relevant local counsel as may be retained in
connection with security matters), in connection with the preparation, execution, delivery and
performance of this Agreement and the other Credit Documents and the documents and instruments
referred to herein and therein, any amendment, waiver or consent relating hereto or thereto, of the
Agents in connection with its syndication efforts with respect to this Agreement and, upon the
occurrence and during the continuance of an Event of Default, the reasonable costs and expenses of
the Administrative Agent, the Collateral Agent and each of the Lenders in connection with the
enforcement of this Agreement and the other Credit Documents and the documents and instruments
referred to herein and therein or in connection with any refinancing or restructuring of the credit
arrangements provided under this Agreement in the nature of a “work-out” or pursuant to any
insolvency or bankruptcy proceedings (including, in each case without limitation, the reasonable
fees and disbursements of counsel for the Administrative Agent and the Collateral Agent and,
following an Event of Default, for each of the Lenders); and (ii) indemnify the Agents and each
Lender, and each of their respective Affiliates, officers, directors, employees, representatives,
agents, trustees and advisors from and hold each of them harmless against any and all liabilities,
obligations (including removal or remedial actions), losses, damages, penalties, claims, actions,
judgments, suits, costs, expenses and disbursements (including reasonable attorneys’ and
consultants’ fees and disbursements) incurred by, imposed on or assessed against any of them as a
result of, or arising out of, or in any way related to, or by reason of, (a) any investigation,
litigation or other proceeding (whether or not any Agent or any Lender is a party thereto
and whether or not brought by any Credit Party, any Sponsor, any of their respective
affiliates or any other Person) related to the entering into and/or performance of this Agreement
or any other Credit Document or the use of any Letter of Credit or the proceeds of any Loans
hereunder or the consummation of any transactions contemplated herein or in any other Credit
Document or the exercise of any of their rights or remedies provided herein or in the other Credit
Documents, or (b) to the extent in any way relating to this Agreement, the other Credit Documents,
the Letters of Credit or the Loans, the actual or alleged presence of Hazardous Materials in the
air, surface water or groundwater or on the surface or subsurface of any Real Property owned,
leased or at any time operated by VHS Holdco I or any of its Subsidiaries, the Release, generation,
storage, transportation, handling or disposal of Hazardous Materials at any location, whether or
not owned, leased or operated by VHS
Holdco I or any of its Subsidiaries, the non-compliance of any
Real Property owned, leased or operated by VHS Holdco I or any of its Subsidiaries with foreign,
federal, state and local laws, regulations, and ordinances (including applicable permits
thereunder) applicable to such Real Property, or any Environmental Claim asserted against VHS
Holdco I, any of its Subsidiaries or any Real Property owned, leased or at any time operated by VHS

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Holdco I or any of its Subsidiaries, including, in each case, without limitation, the reasonable
fees and
disbursements of counsel and other consultants incurred in connection with any such
investigation, litigation or other proceeding (but excluding any losses, liabilities, claims,
damages or expenses to the extent incurred by reason of the gross negligence or willful misconduct
of the Person to be indemnified (as determined by a court of competent jurisdiction in a final and
non-appealable decision) or to the extent incurred as a result of actions taken by a party other
than VHS Holdco I or its Subsidiaries after the Real Property is no longer owned, leased or
operated by VHS Holdco I or its Subsidiaries). To the extent that the undertaking to indemnify,
pay or hold harmless the Administrative Agent or any Lender set forth in the preceding sentence may
be unenforceable because it is violative of any law or public policy, the Borrower shall make the
maximum contribution to the payment and satisfaction of each of the indemnified liabilities which
is permissible under applicable law.

          (b) Reimbursement by Lenders. To the extent that the Borrower for any reason fails to
indefeasibly pay any amount required under subsection (a) of this Section to be paid by the
Borrower to the Administrative Agent (or any sub-agent thereof), any Issuing Lender or any
Affiliates of any of the foregoing, each Lender (or, with respect to such unpaid amounts required
to be paid to the Issuing Lender only, each Lender with a Revolving Loan Commitment or outstanding
Revolving Loans) severally agrees to pay to the Administrative Agent (or any such sub-agent), such
Issuing Lender or such Affiliates, as the case may be, such Lender’s “percentage” (as used in
determining the Required Lenders (determined as if there were no Defaulting Lenders) and, in the
case of reimbursements by the Lenders with Revolving Loan Commitments or outstanding Revolving
Loans, assuming that all outstanding Term Loans have been repaid in full and all existing
Incremental Term Loan Commitments (if any) have been terminated) of any such unpaid amount
(determined as of the time that the applicable unreimbursed expense or indemnity payment is
sought), provided that the unreimbursed expense or indemnified loss, claim, damage,
liability or related expense, as the case may be, was incurred by or asserted against the
Administrative Agent (or any such sub-agent) or such Issuing Lender in its respective capacity as
such, or against any Affiliate of any of the foregoing acting for the Administrative Agent (or any
such sub-agent) or such Issuing Lender in connection with such capacity. The obligations of the
Lenders under this subsection (b) shall be several.

          14.02 Right of Setoff.

          (a) In addition to any rights now or hereafter granted under applicable law or otherwise, and
not by way of limitation of any such rights, upon the occurrence and during the continuance of an
Event of Default, each Lender and each of its Affiliates is hereby authorized at any time or from
time to time, without presentment, demand, protest or other notice of any kind to the Borrower or
to any other Person, any such notice being hereby expressly waived, to set off and to appropriate
and apply any and all deposits (general or special) and any other Indebtedness at any time held or
owing by such Lender or such Affiliates (including, without limitation, by branches and agencies of
such Lender wherever located) to or for the credit or the account of any Credit Party against and
on account of the Obligations and liabilities of such Credit Party to such Lender under this
Agreement or under any of the other Credit Documents, including, without limitation, all interests
in Obligations purchased by such Lender pursuant to Section 14.06(b), and all other claims of any
nature or description arising out of or connected with this Agreement or any other Credit Document,
irrespective of whether or not such Lender shall have made any demand hereunder and although said
Obligations, liabilities or claims, or any of them, shall be contingent or unmatured.

          (b) NOTWITHSTANDING THE FOREGOING SUBSECTION (a), (I) AT ANY TIME THAT THE LOANS OR ANY OTHER
OBLIGATION SHALL BE SECURED BY REAL PROPERTY LOCATED IN CALIFORNIA, NO LENDER (OTHER THAN THE
ADMINISTRATIVE

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AGENT OR THE COLLATERAL AGENT) SHALL EXERCISE A RIGHT OF SETOFF, LIEN OR
COUNTERCLAIM OR TAKE ANY COURT OR ADMINISTRATIVE ACTION OR INSTITUTE ANY
PROCEEDING TO ENFORCE ANY PROVISION OF THIS AGREEMENT OR ANY NOTE UNLESS IT IS TAKEN WITH THE
CONSENT OF THE ADMINISTRATIVE AGENT, THE COLLATERAL AGENT OR THE REQUIRED LENDERS (OR, TO THE
EXTENT REQUIRED BY SECTION 14.12 OF THIS AGREEMENT, ALL OF THE LENDERS), IF SUCH SETOFF OR ACTION
OR PROCEEDING WOULD OR MIGHT (PURSUANT TO CALIFORNIA CODE OF CIVIL PROCEDURE SECTIONS 580a, 580b,
580d AND 726 OF THE CALIFORNIA CODE OF CIVIL PROCEDURE OR SECTION 2924 OF THE CALIFORNIA CIVIL
CODE, IF APPLICABLE, OR OTHERWISE) AFFECT OR IMPAIR THE VALIDITY, PRIORITY, OR ENFORCEABILITY OF
THE LIENS GRANTED TO THE COLLATERAL AGENT PURSUANT TO THE SECURITY DOCUMENTS OR THE ENFORCEABILITY
OF THE NOTES AND OTHER OBLIGATIONS HEREUNDER, AND ANY ATTEMPTED EXERCISE BY ANY SUCH LENDER WITHOUT
OBTAINING SUCH CONSENT OF THE REQUIRED LENDERS OR THE ADMINISTRATIVE AGENT OR THE COLLATERAL AGENT,
AS THE CASE MAY BE, SHALL BE NULL AND VOID. THIS SUBSECTION (b) SHALL BE SOLELY FOR THE BENEFIT OF
EACH OF THE LENDERS, THE ADMINISTRATIVE AGENT AND THE COLLATERAL AGENT AND (II) IF AT ANY TIME ANY
LENDER OR ANY OF ITS AFFILIATES MAINTAINS ONE OR MORE DEPOSIT ACCOUNTS FOR ANY CREDIT PARTY, INTO
WHICH MEDICARE OR MEDICAID RECEIVABLES ARE DEPOSITED, SUCH PERSON SHALL WAIVE THE RIGHT OF SETOFF
SET FORTH HEREIN.

          14.03 Notices and Other Communications; Facsimile Copies.

          (a) General. Unless otherwise expressly provided herein, all notices and other
communications provided for hereunder shall be in writing (including by facsimile transmission).
All such written notices shall be mailed certified or registered mail, faxed or delivered to the
applicable address, facsimile number or (subject to subsection (b) below) electronic mail address,
and all notices and other communications expressly permitted hereunder to be given by telephone
shall be made to the applicable telephone number, as follows:

     (i) if to VHS Holdco I, the Borrower, the Administrative Agent, the Collateral Agent,
any Issuing Lender or the Swingline Lender, to the address, facsimile number, electronic
mail address or telephone number specified for such Person on Schedule 14.03(a)(i) or to
such other address, facsimile number, electronic mail address or telephone number as shall
be designated by such party in a notice to the other parties; and

     (ii) if to any other Lender, to the address, facsimile number, electronic mail address
or telephone number specified in its Administrative Questionnaire or to such other address,
facsimile number, electronic mail address or telephone number as shall be designated by such
party in a notice to the Borrower, the Administrative Agent, the Issuing Lender and the
Swingline Lender.

          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 facsimile 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). Notices delivered through electronic communications to the extent provided in
subsection (b) below, shall, unless the Administrative Agent otherwise prescribes, be deemed to
have been given (i) in the case of notices and other communications sent to an e-mail address, upon
the sender’s receipt of an acknowledgement from the intended recipient (such as by the “return
receipt requested” function, as available,

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return e-mail or other written acknowledgement),
provided that if such notice or other communication is not sent during the normal business
hours of the recipient, such notice or communication shall be deemed to have been sent at the
opening of business on the next business day for the recipient, and (ii) in the case
of notices or communications posted to an Internet or intranet website, upon the deemed
receipt by the intended recipient at its e-mail address as described in the foregoing clause (i) of
notification that such notice or communication is available and identifying the website address
therefor.

          (b) Electronic Communications. Notices and other communications to the Lenders
hereunder may be delivered or furnished by electronic communication (including e-mail and Internet
or intranet websites) pursuant to procedures approved by the Administrative Agent, provided
that the foregoing shall not apply to notices to any Lender if such Lender has notified the
Administrative Agent that it is incapable of receiving notices by electronic communication. 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.

          (c) Effectiveness of Facsimile Documents and Signatures. Credit Documents may be
transmitted and/or signed by facsimile. The effectiveness of any such documents and signatures
shall, subject to applicable law, have the same force and effect as manually-signed originals and
shall be binding on all Credit Parties, the Agents, the Collateral Agent, and the Lenders. The
Administrative Agent may also require that any such documents and signatures be confirmed by a
manually-signed original thereof; provided, however, that the failure to request or
deliver the same shall not limit the effectiveness of any facsimile document or signature.

          (d) Reliance by Administrative Agent and Lenders. The Administrative Agent, the
Collateral Agent, the Swingline Lender, each Issuing Lender and the Lenders shall each be entitled
to rely and act upon any notices (including telephonic Notices of Borrowing) believed by it in good
faith to have been given by or on behalf of the Borrower even if (i) such notices were not made in
a manner specified herein, were incomplete or were not preceded or followed by any other form of
notice specified herein, or (ii) the terms thereof, as understood by the recipient, varied from any
confirmation thereof. The Borrower shall indemnify each Agent-Related Persons and each Lender from
all losses, costs, expenses and liabilities resulting from the reliance by such Person on each
notice believed by the respective such Person in good faith to have been given by or on behalf of
the Borrower or any other Credit Party. All telephonic notices to and other communications with
the Administrative Agent may be recorded by the Administrative Agent, and each of the parties
hereto hereby consents to such recording. In addition, the Borrower hereby waive the right to
dispute the Administrative Agent’s or the Swingline Lender’s record of the terms of such telephonic
notice of Borrowing or prepayment of Loans (absent manifest error).

          14.04 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, except that the
Borrower may not assign or otherwise transfer any of its rights or obligations hereunder without
the prior written consent of each Lender (except as permitted by Section 9.02) and no Lender may
assign or otherwise transfer any of its rights or obligations hereunder except (i) to an Assignee
pursuant to an assignment made in accordance with the provisions of Section 14.04(b) (such an
assignee, an “Eligible Assignee”), (ii) by way of participation in accordance with the provisions
of Section 14.04(e), (iii) by way of pledge or assignment of a security interest subject to the
restrictions of Section 14.04(g) or (iv) to an SPC in accordance with the provisions of Section
14.04(h) (and any other attempted assignment or transfer by any party hereto shall be null and
void). Nothing in this Agreement, expressed or implied, shall be construed

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to confer upon any
Person (other than the parties hereto, their respective successors and assigns permitted hereby,
Participants to the extent provided in Section 14.04(e) and, to the extent expressly contemplated
hereby, the Indemnitees) any legal or equitable right, remedy or claim under or by reason of this
Agreement.

          (b) (i) Subject to the conditions set forth in paragraph (b)(ii) below, any Lender may assign
to one or more assignees (“Assignees”) all or a portion of its rights and obligations under this
Agreement (including all or a portion of its Commitment and the Loans (including for purposes of
this Section 14.04(b), participations in Letter of Credit Outstandings and in Swingline 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 (i) an assignment of all or a portion of a Term Loan to a Lender, an Affiliate of a
Lender or an Approved Fund, (ii) an assignment related to Revolving Loan Commitments or
Revolving Loan Exposure to a Lender with a Revolving Loan Commitment or an Affiliate of such
a Lender or an Approved Fund of such a Lender or (iii) if an Event of Default under Section
10A.01 or 10A.05 has occurred and is continuing, any 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
or an Approved Fund;

     (3) each Issuing Lender at the time of such assignment, provided that no
consent of the Issuing Lenders shall be required for any assignment not related to Revolving
Loan Commitments or Revolving Loan Exposure; and

     (4) the Swingline Lenders, provided that no consent of a Swingline Lender shall
be required for any assignment not related to Revolving Loan Commitments or Revolving Loan
Exposure.

          Notwithstanding the foregoing or anything to the contrary set forth herein, any assignment of
any Loans or Commitments to a Purchasing Borrower Party or a Non-Debt Fund Affiliate shall also be
subject to the requirements set forth in Section 14.04(k).

     (ii) Assignments shall be subject to the following additional conditions:

     (1) except in the case of an assignment to a Lender, an Affiliate of a Lender or an
Approved Fund 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 an amount of $2,500,000 (in the case of Revolving Loans) and $1,000,000 (in
the case of Term Loans) (or, if less, the entire amount of such assigning Lender’s
Commitment or Loans of any Class) and including an Assignment fee in the amount of $3,500
(including, without limitation, in connection with any assignment to an assignee which is a
Lender), provided that such amounts shall be aggregated in respect of each Lender
and its Affiliates or Approved Funds, if any;

     (2) 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;

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provided that the Administrative Agent, in its sole discretion, may elect to
waive such processing and recordation fee; and

     (3) the Assignee, if it shall not be a Lender, shall deliver to the Administrative
Agent an Administrative Questionnaire.

          This paragraph (b) shall not prohibit any Lender from assigning all or a portion of its rights
and obligations among separate Tranches on a non-pro rata basis among such Tranches.

          (c) Subject to acceptance and recording thereof by the Administrative Agent pursuant to
Section 14.04(d), from and after the effective date specified in each Assignment and Assumption,
the Eligible Assignee thereunder shall be a party to this Agreement 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 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 of 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 1.07, 1.08, 4.04 and 14.01 with respect to facts and
circumstances occurring prior to the effective date of such assignment). Upon request, and the
surrender by the assigning Lender of its Note, the Borrower (at its expense) shall execute and
deliver a Note to the assignee Lender. Any assignment or transfer by a Lender of rights or
obligations under this Agreement that does not comply with this paragraph (c) 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 14.04(e).

          (d) The Administrative Agent, acting solely for this purpose as an agent of the Borrower,
shall maintain at the Administrative Agent’s Office a copy of each Assignment and Assumption
delivered to it and a register for the recordation of the names and addresses of the Lenders, and
the Commitments of, and principal amounts (and related interest amounts) of the Loans, Letter of
Credit Outstandings (specifying the Unreimbursed Amounts), L/C Borrowings and the amounts due under
Section 2.01 owing to, each Lender pursuant to the terms hereof from time to time (the “Register”).
The entries in the Register shall be conclusive, absent manifest error, and the Borrower, the
Agents and the Lenders shall 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 or any Agent, at
any reasonable time and from time to time upon reasonable prior notice.

          (e) Any Lender may at any time sell participations to any Person (other than a natural person,
Holdings or any of its Subsidiaries) (each, a “Participant”) in all or a portion of such Lender’s
rights and/or obligations under this Agreement (including all or a portion of its Commitment and/or
the Loans (including such Lender’s participations in L/C Obligations and/or Swingline Loans) owing
to it); provided that (i) such Lender’s obligations under this Agreement shall remain
unchanged, (ii) such Lender shall remain solely responsible to the other parties hereto for the
performance of such obligations and (iii) the Borrower, the Agents 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 the other Credit Documents and to approve any amendment, modification or waiver of
any provision of this Agreement or the other Credit Documents; provided that such agreement
or instrument may provide that such Lender will not, without the consent of the Participant, agree
to any amendment, waiver or other modification described in the first proviso to Section 14.12 that
requires the affirmative vote of such Lender. Subject to Section 14.04(f), the Borrower

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agrees that each Participant shall be entitled to the benefits of Sections 1.07, 1.08 and 4.04
(subject to the requirements and limitations of such Sections, including the requirement to provide
the forms and certificates pursuant to Section 4.04(d)) to the same extent as if it were a Lender
and had acquired its interest by assignment pursuant to Section 14.04(c). To the extent permitted
by applicable Law, each Participant also shall be entitled to the benefits of Section 14.02 as
though it were a Lender; provided that such Participant agrees to be subject to Section
1.10 as though it were a Lender. Each Lender that sells a participation shall, acting solely for
this purpose as a non-fiduciary agent of the Borrower, maintain a register on which it enters the
name and address of each Participant and the principal amounts (and related interest amounts) of
each participant’s interest in the Loans or other obligations under this Agreement (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 participation for all purposes of this Agreement notwithstanding any
notice to the contrary. The Credit Parties and each Non-Debt Fund Affiliate (by its acquisition of
a participation in any Lender’s rights and/or obligations under this Agreement) hereby agree that
if a case under Title 11 of the United States Code is commenced against any Credit Party, to the
extent that any Non-Debt Fund Affiliate would have the right to direct any Participant with respect
to any vote with respect to any plan of reorganization with respect to any Credit Party (or to
directly vote on such plan of reorganization) as a result of any participation taken by such
Non-Debt Fund Affiliate pursuant to this Section 14.04(e), such Credit Party shall seek (and each
Non-Debt Fund Affiliate shall consent) to provide that the vote of any Non-Debt Fund Affiliate (in
its capacity as a Participant) with respect to any plan of reorganization of such Credit Party
shall not be counted except that such Non-Debt Fund Affiliate’s vote (in its capacity as a
Participant) may be counted to the extent any such plan of reorganization proposes to treat the
participation in any Obligations held by such Non-Debt Fund Affiliate in a manner that is less
favorable in any material respect to such Non-Debt Fund Affiliate than the proposed treatment of
similar Obligations held by Lenders or Participants that are not Affiliates of the Borrower. Each
Non-Debt Fund Affiliate hereby irrevocably appoints the Administrative Agent (such appointment
being coupled with an interest) as such Non-Debt Fund Affiliate’s attorney-in-fact, with full
authority in the place and stead of such Non-Debt Fund Affiliate and in the name of such Non-Debt
Fund Affiliate, from time to time in the Administrative Agent’s discretion to take any action and
to execute any instrument that the Administrative Agent may deem reasonably necessary to carry out
the provisions of this paragraph.

          (f) A Participant shall not be entitled to receive any greater payment under Section 1.07,
1.08 or 4.04 than the applicable Lender would have been entitled to receive with respect to the
participation sold to such Participant, unless the sale of the participation to such Participant is
made with the Borrower’s prior written consent.

          (g) Any Lender may, without the consent of the Borrower or the Administrative Agent, at any
time pledge or assign a security interest in all or any portion of its rights under this Agreement
(including under its Note, if any) to secure obligations of such Lender, including any pledge or
assignment to secure obligations to a Federal Reserve Bank; provided that no such pledge or
assignment shall release such Lender from any of its obligations hereunder or substitute any such
pledgee or assignee for such Lender as a party hereto.

          (h) Notwithstanding anything to the contrary contained herein, any Lender (a “Granting
Lender”) may grant to a special purpose funding vehicle identified as such in writing from time to
time by the Granting Lender to the Administrative Agent and the Borrower (an “SPC”) the option to
provide all or any part of any Loan that such Granting Lender would otherwise be obligated to make
pursuant to this Agreement; provided that (i) nothing herein shall constitute a commitment
by any SPC to fund any Loan, and (ii) if an SPC elects not to exercise such option or otherwise
fails to make all or any part of such Loan, the Granting Lender shall be obligated to make such
Loan pursuant to the terms hereof.

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Each party hereto hereby agrees that (i) an SPC shall be
entitled to the benefit of Sections 1.07, 1.08 and 4.04 (subject to the requirements and the limitations of such Sections, including the
requirement to provide the forms and certificates pursuant to Section 4.04(d)), but neither the
grant to any SPC nor the exercise by any SPC of such option shall increase the costs or expenses or
otherwise increase or change the obligations of the Borrower under this Agreement, unless the grant
to the SPC was made with the prior written consent of the Borrower, not to be unreasonably withheld
or delayed (for the avoidance of doubt, the Borrower shall have reasonable basis for withholding
consent if an exercise by the SPC immediately after the grant would result in materially increased
indemnification or payment obligations of the Borrower at such time), (ii) no SPC shall be liable
for any indemnity or similar payment obligation under this Agreement for which a Lender would be
liable, and (iii) the Granting Lender shall for all purposes, including the approval of any
amendment, waiver or other modification of any provision of any Credit Document, remain the lender
of record hereunder. The making of a Loan by an SPC hereunder shall utilize the Commitment of the
Granting Lender to the same extent, and as if, such Loan were made by such Granting Lender.
Notwithstanding anything to the contrary contained herein, any SPC may (i) with notice to, but
without prior consent of, the Borrower and the Administrative Agent and with the payment of a
processing fee of $3,500, assign all or any portion of its right to receive payment with respect to
any Loan to the Granting Lender and (ii) disclose on a confidential basis any non-public
information relating to its funding of Loans to any rating agency, commercial paper dealer or
provider of any surety or guarantee or credit or liquidity enhancement to such SPC.

          (i) Notwithstanding anything to the contrary contained herein, without the consent of the
Borrower or the Administrative Agent, (1) any Lender may in accordance with applicable Law create a
security interest in all or any portion of the Loans owing to it and the Note, if any, held by it
and (2) any Lender that is a Fund may create a security interest in all or any portion of the Loans
owing to it and the Note, if any, held by it to the trustee for holders of obligations owed, or
securities issued, by such Fund as security for such obligations or securities; provided
that unless and until such trustee actually becomes a Lender in compliance with the other
provisions of this Section 14.04, (i) no such pledge shall release the pledging Lender from any of
its obligations under the Credit Documents and (ii) such trustee shall not be entitled to exercise
any of the rights of a Lender under the Credit Documents even though such trustee may have acquired
ownership rights with respect to the pledged interest through foreclosure or otherwise.

          (j) Notwithstanding anything to the contrary contained herein, any Issuing Lender or Swingline
Lender may, upon thirty (30) days’ notice to the Borrower and the Lenders, resign as an Issuing
Lender or Swingline Lender, respectively; provided that on or prior to the expiration of
such 30-day period with respect to such resignation, the relevant Issuing Lender or Swingline
Lender shall have identified a successor Issuing Lender or Swingline Lender reasonably acceptable
to the Borrower willing to accept its appointment as successor Issuing Lender or Swingline Lender,
as applicable. In the event of any such resignation of an Issuing Lender or Swingline Lender, the
Borrower shall be entitled to appoint from among the Lenders willing to accept such appointment a
successor Issuing Lender or Swingline Lender hereunder; provided that no failure by the
Borrower to appoint any such successor shall affect the resignation of the relevant Issuing Lender
or the Swingline Lender, as the case may be, except as expressly provided above. If an Issuing
Lender resigns as an Issuing Lender, it shall retain all the rights and obligations of an Issuing
Lender hereunder with respect to all Letters of Credit outstanding as of the effective date of its
resignation as an Issuing Lender and all Letter of Credit Outstandings with respect thereto
(including the right to require the Lenders to make Base Rate Loans or fund risk participations in
Unreimbursed Amounts pursuant to Section 2.01(c)). If the Swingline Lender resigns as Swingline
Lender, it shall retain all the rights of the Swingline Lender provided for hereunder with respect
to Swingline Loans made by it and outstanding as of the effective date of such resignation,
including the

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right to require the Lenders to make Base Rate Loans or Eurodollar Loans or fund risk
participations in outstanding Swingline Loans pursuant to Section 1.03(c).

          (k) (i) Notwithstanding anything else to the contrary contained in this Agreement, any Lender
may assign all or a portion of its Term Loans to any Non-Debt Fund Affiliate or Purchasing Borrower
Party in accordance with Section 14.04(b); provided that:

     (1) no Default or Event of Default has occurred or is continuing or would result
therefrom;

     (2) the assigning Lender and Non-Debt Fund Affiliate or Purchasing Borrower Party
purchasing such Lender’s Term Loans, as applicable, shall execute and deliver to the
Administrative Agent an assignment agreement substantially in the form of Exhibit T hereto
(an “Affiliated Lender Assignment and Assumption”) in lieu of an Assignment and Assumption;

     (3) for the avoidance of doubt, Lenders shall not be permitted to assign Revolving Loan
Commitments or Revolving Loans to any Purchasing Borrower Party or Non-Debt Fund Affiliate;

     (4) any Term Loans assigned to any Purchasing Borrower Party shall be automatically and
permanently cancelled upon the effectiveness of such assignment and will thereafter no
longer be outstanding for any purpose hereunder;

     (5) (i) no Purchasing Borrower Party may use the proceeds from Revolving Loan Loans or
Swingline Loans to purchase any Term Loans and (ii) Term Loans may only be purchased by a
Purchasing Borrower Party if, after giving effect to any such purchase, the amount of
unrestricted cash and Cash Equivalents of the Borrower and its Subsidiaries shall be not
less than the Outstanding Amount of Revolving Loans and Swingline Loans; and

     (6) no Term Loan may be assigned to a Non-Debt Fund Affiliates pursuant to this Section
14.04(k), if after giving effect to such assignment, Non-Debt Fund Affiliates in the
aggregate would own in excess of 25% of all Term Loans then outstanding.

          (ii) Notwithstanding anything to the contrary in this Agreement, no Non-Debt Fund Affiliate
shall have any right to (i) attend (including by telephone) any meeting or discussions (or portion
thereof) among the Administrative Agent or any Lender to which representatives of the Credit
Parties are not invited, and (ii) receive any information or material prepared by the
Administrative Agent or any Lender or any communication by or among the Administrative Agent and/or
one or more Lenders, except to the extent such information or materials have been made available to
any Credit Party or its representatives (and in any case, other than the right to receive notices
of prepayments and other administrative notices in respect of its Loans required to be delivered to
Lenders pursuant to Section 1), or (iii) make or bring (or participate in, other than as a passive
participant in or recipient of its pro rata benefits of) any claim, in its capacity
as a Lender, against the Administrative Agent, the Collateral Agent or any other Lender with
respect to any duties or obligations or alleged duties or obligations of such Agent or any other
such Lender under the Credit Documents.

          (l) Notwithstanding anything in Section 14.12 or the definition of “Majority Lenders,”
“Required Lenders” or “Supermajority Lenders” to the contrary, for purposes of determining whether
the “Majority Lenders,” “Required Lenders” or “Supermajority Lenders” have (i) consented (or not
consented) to any amendment, modification, waiver, consent or other action with respect to any of
the terms of any Credit Document or any departure by any Credit Party therefrom, (ii) otherwise
acted on any

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matter related to any Credit Document, or (iii) directed or required the
Administrative Agent, the Collateral Agent or any Lender to undertake any action (or refrain from
taking any action) with respect to or under any Credit Document:

     (x) all Term Loans held by any Non-Debt Fund Affiliate shall be deemed to be not
outstanding for all purposes of calculating whether the Required Lenders or Majority Lenders
have taken any actions; and

     (y) all Term Loans, Revolving Loan Commitments and Revolving Loan Exposure held by Debt
Fund Affiliates may not account for more than 50% of the Term Loans, Revolving Loan
Commitments and Revolving Loan Exposure of consenting Lenders included in determining
whether the “Majority Lenders,” “Required Lenders” or “Supermajority Lenders” have consented
to any action pursuant to Section 14.12.

          Additionally, the Credit Parties and each Non-Debt Fund Affiliate hereby agree that if a case
under Title 11 of the United States Code is commenced against any Credit Party, such Credit Party
shall seek (and each Non-Debt Fund Affiliate shall consent) to provide that the vote of any
Non-Debt Fund Affiliate (in its capacity as a Lender) with respect to any plan of reorganization of
such Credit Party shall not be counted except that such Non-Debt Fund Affiliate’s vote (in its
capacity as a Lender) may be counted to the extent any such plan of reorganization proposes to
treat the Obligations held by such Non-Debt Fund Affiliate in a manner that is less favorable in
any material respect to such Non-Debt Fund Affiliate than the proposed treatment of similar
Obligations held by Lenders that are not Affiliates of the Borrower. Each Non-Debt Fund Affiliate
hereby irrevocably appoints the Administrative Agent (such appointment being coupled with an
interest) as such Non-Debt Fund Affiliate’s attorney-in-fact, with full authority in the place and
stead of such Non-Debt Fund Affiliate and in the name of such Non-Debt Fund Affiliate, from time to
time in the Administrative Agent’s discretion to take any action and to execute any instrument that
the Administrative Agent may deem reasonably necessary to carry out the provisions of this
paragraph.

          14.05 No Waiver; Remedies Cumulative. No failure or delay on the part of the Administrative
Agent or any Lender or any holder of any Note in exercising any right, power or privilege hereunder
or under any other Credit Document and no course of dealing between the Borrower or any other
Credit Party and the Administrative Agent or any Lender or the holder of any Note shall operate as
a waiver thereof; nor shall any single or partial exercise of any right, power or privilege
hereunder or under any other Credit Document preclude any other or further exercise thereof or the
exercise of any other right, power or privilege hereunder or thereunder. The rights, powers and
remedies herein or in any other Credit Document expressly provided are cumulative and not exclusive
of any rights, powers or remedies which the Administrative Agent or any Lender or the holder of any
Note would otherwise have. No notice to or demand on any Credit Party in any case shall entitle
any Credit Party to any other or further notice or demand in similar or other circumstances or
constitute a waiver of the rights of the Administrative Agent or any Lender or the holder of any
Note to any other or further action in any circumstances without notice or demand.

          14.06 Sharing of Set-Offs.

          Each of the Lenders agrees that, if it should, except as otherwise provided hereunder
(including, without limitation, Sections 4.01(c), 9.04(xvii)(iii) and 14.04(k)), receive any amount
hereunder (whether by voluntary payment, by realization upon security, by the exercise of the right
of setoff or banker’s lien, by counterclaim or cross action, by the enforcement of any right under
the Credit Documents, or otherwise), which is applicable to the payment of the principal of, or
interest on, the Loans, L/C Advances, any Fees, of a sum which with respect to the related sum or
sums received by other Lenders is

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in a greater proportion than the total of such Obligation then
owed and due to such Lender bears to the total of such Obligation then owed and due to all of the
Lenders immediately prior to such receipt, then such Lender receiving such excess payment shall
purchase for cash without recourse or warranty from the
 other Lenders an interest in the Obligations of the respective Credit Party to such Lenders in
such amount as shall result in a proportional participation by all the applicable Lenders in such
amount; provided that if all or any portion of such excess amount is thereafter recovered
from such Lender, such purchase shall be rescinded and the purchase price restored to the extent of
such recovery, but without interest.

          14.07 Calculations; Computations.

          (a) The financial statements to be furnished to the Lenders pursuant hereto shall be made and
prepared in accordance with generally accepted accounting principles in the United States
consistently applied throughout the periods involved (except as set forth in the notes thereto or
as otherwise disclosed in writing by the Borrower to the Lenders) (“GAAP”); provided that,
except as otherwise specifically provided herein, all computations of Excess Cash Flow,
Consolidated Cash Interest Expense, Consolidated Debt, Adjusted Consolidated Debt, Consolidated
EBIT, Consolidated EBITDA, Consolidated Interest Coverage Ratio, Adjusted Consolidated Leverage
Ratio, Consolidated Leverage Ratio, Consolidated Net Income, Consolidated Senior Secured Debt and
Consolidated Senior Secured Leverage Ratio (in each case including component defined terms) and all
computations determining compliance with Sections 9.08 and 9.09 shall utilize accounting principles
and policies in conformity with those used to prepare the historical financial statements of
Vanguard referred to in Section 7.05(a).

          (b) All computations of interest, any Revolving Loan Commitment Commission, and other Fees
hereunder shall be made (i) in the case of Base Rate Loans based on the Administrative Agent’s
“prime rate”, on the actual number of days elapsed over a year of 365 or 366 days, as the case may
be, and (ii) in all other cases, on the actual number of days over a year of 360 days (in each case
including the first day but excluding the last day). Interest shall accrue on each Loan for the
day on which the Loan is made, and shall not accrue on a Loan, or any portion thereof, for the day
on which the Loan or such portion is paid; provided that any Loan that is repaid on the
same day on which it is made shall, subject to Section 4.03(a), bear interest for one (1) day.
Each determination by the Administrative Agent of an interest rate or fee hereunder shall be
conclusive and binding for all purposes, absent manifest error.

          14.08 GOVERNING LAW; SUBMISSION TO JURISDICTION; VENUE; WAIVER OF JURY TRIAL.

          (a) THIS AGREEMENT AND THE OTHER CREDIT DOCUMENTS AND THE RIGHTS AND OBLIGATIONS OF THE
PARTIES HEREUNDER AND THEREUNDER SHALL, EXCEPT AS OTHERWISE SPECIFICALLY PROVIDED THEREIN, BE
CONSTRUED IN ACCORDANCE WITH AND BE GOVERNED BY THE LAW OF THE STATE OF NEW YORK. ANY LEGAL ACTION
OR PROCEEDING WITH RESPECT TO THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT MAY BE BROUGHT IN THE
COURTS OF THE STATE OF NEW YORK OR OF THE UNITED STATES FOR THE SOUTHERN DISTRICT OF NEW YORK IN
EACH CASE WHICH ARE LOCATED IN THE COUNTY OF NEW YORK, AND, BY EXECUTION AND DELIVERY OF THIS
AGREEMENT, EACH OF VHS HOLDCO I AND EACH PARTY HERETO HEREBY IRREVOCABLY ACCEPTS FOR ITSELF AND IN
RESPECT OF ITS PROPERTY, GENERALLY AND UNCONDITIONALLY, THE NON-EXCLUSIVE JURISDICTION OF THE
AFORESAID COURTS. EACH OF VHS HOLDCO I AND EACH PARTY HERETO HEREBY FURTHER IRREVOCABLY WAIVES ANY
CLAIM THAT ANY SUCH COURTS LACK JURISDICTION OVER SUCH PARTY, AND AGREES NOT TO PLEAD OR CLAIM, IN
ANY LEGAL ACTION OR PROCEEDING WITH RESPECT TO THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT

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BROUGHT
IN ANY OF THE AFORESAID COURTS, THAT ANY SUCH COURT LACKS JURISDICTION OVER SUCH PARTY. EACH PARTY
HERETO IRREVOCABLY CONSENTS TO SERVICE OF PROCESS IN ANY ACTION OR PROCEEDING ARISING OUT OF OR
RELATING TO ANY CREDIT DOCUMENTS IN THE MANNER PROVIDED FOR NOTICES (OTHER THAN TELECOPIER) IN SECTION
14.03. NOTHING IN THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT WILL AFFECT THE RIGHT OF ANY PARTY
HERETO TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY APPLICABLE LAW. NOTHING HEREIN SHALL
AFFECT THE RIGHT OF THE ADMINISTRATIVE AGENT, ANY LENDER OR THE HOLDER OF ANY NOTE TO COMMENCE
LEGAL PROCEEDINGS OR OTHERWISE PROCEED AGAINST THE BORROWER IN ANY OTHER JURISDICTION.

          (b) EACH OF VHS HOLDCO I AND EACH PARTY HERETO HEREBY IRREVOCABLY WAIVES ANY OBJECTION WHICH
IT MAY NOW OR HEREAFTER HAVE TO THE LAYING OF VENUE OF ANY OF THE AFORESAID ACTIONS OR PROCEEDINGS
ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT BROUGHT IN THE
COURTS REFERRED TO IN CLAUSE (a) ABOVE AND HEREBY FURTHER IRREVOCABLY WAIVES AND AGREES NOT TO
PLEAD OR CLAIM IN ANY SUCH COURT THAT ANY SUCH ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT HAS
BEEN BROUGHT IN AN INCONVENIENT FORUM.

          (c) EACH OF THE PARTIES TO THIS AGREEMENT HEREBY IRREVOCABLY WAIVES ALL RIGHT TO A TRIAL BY
JURY IN ANY ACTION, PROCEEDING OR COUNTERCLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT, THE
OTHER CREDIT DOCUMENTS OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY.

          14.09 Counterparts. This Agreement may be executed in any number of counterparts and by the
different parties hereto on separate counterparts, each of which when so executed and delivered
shall be an original, but all of which shall together constitute one and the same instrument. A
set of counterparts executed by all the parties hereto shall be lodged with VHS Holdco I, the
Borrower and the Administrative Agent.

          14.10 Effectiveness. This Agreement shall become effective on the date (the “Effective
Date”) on which VHS Holdco I, the Borrower, each Lender, the Administrative Agent and the other
parties listed on the signature pages hereto shall have signed a counterpart hereof (whether the
same or different counterparts) and shall have delivered (including by way of facsimile device) the
same to the Administrative Agent.

          14.11 Headings Descriptive. The headings of the several sections and subsections of this
Agreement are inserted for convenience only and shall not in any way affect the meaning or
construction of any provision of this Agreement.

          14.12 Amendment or Waiver; etc.

          (a) Neither this Agreement nor any other Credit Document nor any terms hereof or thereof may
be changed, waived, discharged or terminated unless such change, waiver, discharge or termination
is in writing signed by the respective Credit Parties party thereto and the Required Lenders,
provided that no such change, waiver, discharge or termination shall, without the consent
of each Lender (other than a Defaulting Lender except in the case of the following clause (i))
(with Obligations being directly and adversely modified in the case of following clause (i)), (i)
extend the final scheduled maturity of any Loan, or extend the stated expiration date of any Letter
of Credit beyond the Letter of Credit Expiration Date, or reduce the rate or extend the time of
payment of interest or Fees thereon (except in connec-

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tion with a waiver of applicability of any
post-default increase in interest rates), or reduce the principal amount thereof (except to the
extent repaid in cash) (it being understood that any amendment or modification to the financial
definitions in this Agreement or to Section 14.07(a) shall not constitute a reduction in
the rate of interest or any Fees for purposes of this clause (i)) or alter the order of
application set forth in Section 10C, (ii) release all or substantially all of the Collateral
(except as expressly provided in the Credit Documents in connection with an asset sale permitted
pursuant to Section 9.02) under all the Security Documents, (iii) amend, modify or waive any
provision of this Section 14.12, (iv) reduce the percentage specified in the definition of Required
Lenders (it being understood that, with the consent of the Required Lenders, additional extensions
of credit pursuant to this Agreement may be included in the determination of the Required Lenders
on substantially the same basis as the extensions of Loans and Commitments are included on the
Effective Date), (v) release all or substantially all of the Subsidiary Guarantors (except as
expressly provided in the Subsidiaries Guaranty in connection with an asset sale permitted pursuant
to Section 9.02), (vi) release VHS Holdco I from the Holdings Guaranty, (vii) consent to the
assignment or transfer by any Credit Agreement Party of any of its rights and obligations under
this Agreement or (viii) amend, modify or waive any provisions of Section 14.06(a) providing for
payments to be made ratably to the Lenders (it being understood that, with the consent of the
Required Lenders, additional extensions of credit pursuant to this Agreement may be included in
determining any ratable share pursuant to Section 14.06(a) and adjustments to any such Section may
be made consistent therewith); provided further, that no such change, waiver, discharge or
termination shall (1) increase the Commitment of any Lender over the amount thereof then in effect
without the consent of such Lender (it being understood that waivers or modifications of conditions
precedent, covenants, Defaults or Events of Default or of a mandatory reduction in the Total
Commitments shall not constitute an increase of the Commitment of any Lender, and that an increase
in the available portion of any Commitment of any Lender shall not constitute an increase in the
Commitment of such Lender), (2) without the consent of each Issuing Lender, amend, modify or waive
any provision of Section 2 or alter its rights or obligations with respect to Letters of Credit,
(3) without the consent of the Administrative Agent, amend, modify or waive any provision of
Section 12 as same applies to the Administrative Agent or any other provision herein or in any
other Credit Document as same relates to the rights or obligations of the Administrative Agent, (4)
without the consent of the Collateral Agent, amend, modify or waive any provision relating to the
rights or obligations of the Collateral Agent, (5) without the consent of the Swingline Lender,
alter the Swingline Lender’s rights or obligations with respect to Swingline Loans, (6) without the
consent of the Majority Lenders of each Tranche which is being allocated a lesser prepayment,
repayment or commitment reduction as a result of the actions described below (or without the
consent of the Majority Lenders of each Tranche in the case of an amendment to the definition of
Majority Lenders), amend the definition of Majority Lenders or alter the required application of
any prepayments or repayments (or commitment reduction), as between the various Tranches, pursuant
to Section 4.01(a) or 4.02 (excluding Section 4.02(b)) (although the Required Lenders may waive, in
whole or in part,
 any such prepayment, repayment or commitment reduction, so long as the
application, as amongst the various Tranches, of any such prepayment, repayment or commitment
reduction which is still required to be made is not altered) or (7) without the consent of the
Supermajority Lenders of the respective Tranche, reduce the amount of, or extend the date of, any
Scheduled Term Loan Repayment, or amend the definition of Supermajority Lender (it being understood
that, with the consent of the Required Lenders, additional extensions of credit pursuant to this
Agreement may be included in the determination of the Supermajority Lenders on substantially the
same basis as the extensions of Loans are included on the Effective Date).

          (b) If, in connection with any proposed change, waiver, discharge or termination with respect
to any of the provisions of this Agreement as contemplated by clauses (i) through (viii),
inclusive, of the first proviso to Section 14.12(a), the consent of the Required Lenders is
obtained but the consent of one or more of such other Lenders whose consent is required is not
obtained, then the Borrower shall have the right to either (A) replace each such non-consenting
Lender or Lenders (or, at the

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option of the Borrower, if the respective Lender’s individual consent
is required with respect to less than all Tranches of Loans (or related Commitments), to replace
only the Commitments and/or Loans under the respective Tranche of the respective non-consenting
Lender which gave rise to the need to obtain such
a Lender’s individual consent) with one or more Replacement Lenders pursuant to Section 1.10
so long as at the time of such replacement, each such Replacement Lender consents (or acknowledges
that it would have consented) to the proposed change, waiver, discharge or termination or (B)
terminate such non-consenting Lender’s Revolving Loan Commitment or Initial Term Loan Commitment
(if such Lender’s individual consent is required as a result of such Commitment) and/or repay the
outstanding Loans of such Lender under each Tranche which gave rise to the need to obtain such a
Lender’s individual consent and/or cash collateralize its applicable RL Percentage of the Letter of
Credit Outstandings in accordance with Sections 3.02(b) and/or 4.01(b), provided that,
unless the Commitments that are terminated, and the Loans that are repaid pursuant to preceding
clause (B) are immediately replaced in full at such time through the addition of new Lenders or the
increase of the Commitments and/or outstanding Loans of existing Lenders (who in each case must
specifically consent thereto), then in the case of any action pursuant to preceding clause (B) the
Required Lenders (determined before giving effect to the proposed action) shall specifically
consent thereto, provided further, that in any event the Borrower shall not have the right to
replace a Lender, terminate any of its Commitments or repay its Loans solely as a result of the
exercise of such Lender’s rights (and the withholding of any required consent by such Lender)
pursuant to the second proviso to Section 14.12(a).

          (c) In addition, notwithstanding the foregoing, this Agreement may be amended with the written
consent of the Administrative Agent, VHS Holdco I, the Borrower and the Lenders providing the
relevant Replacement Term Loans (as defined below) to permit the refinancing of all outstanding
Term Loans of a particular Tranche (but in the case of Initial Term Loans only after no Initial
Term Loan Commitments exist) (“Refinanced Term Loans”) with a replacement “B” term loan tranche
hereunder which shall be Loans hereunder (“Replacement Term Loans”); provided that (a) the
aggregate principal amount of such Replacement Term Loans shall not exceed the aggregate principal
amount of such Refinanced Term Loans, (b) the Applicable Margin for such Replacement Term Loans
shall not be higher than the Applicable Margin for such Refinanced Term Loans, (c) 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 and (d) 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 Maturity Date for Term Loans in effect immediately prior
to such refinancing.

          14.13 Survival. All indemnities set forth herein including, without limitation, in Sections
1.07, 1.08, 2.06, 4.04, 14.01 and 14.06 shall survive the execution, delivery and termination of
this Agreement and the Notes and the making and repayment of the Obligations.

          14.14 Domicile of Loans. Each Lender may transfer and carry its Loans at, to or for the
account of any office, Subsidiary or Affiliate of such Lender. Notwithstanding anything to the
contrary contained herein, to the extent that a transfer of Loans pursuant to this Section 14.14
would, at the time of such transfer, result in increased costs under Section 1.07, 1.08, 2.01(l) or
4.04 from those being charged by the respective Lender prior to such transfer, then the Borrower
shall not be obligated to pay such increased costs (although the Borrower shall be obligated to pay
any other increased costs of the type described above resulting from changes after the date of the
respective transfer).

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          14.15 Confidentiality.

          (a) Subject to the provisions of clause (b) of this Section 14.15, each Lender agrees that it
will not disclose without the prior written consent of the Borrower (other than to its directors,
employees, auditors, advisors or counsel or to another Lender if the Lender or such Lender’s
holding or parent company in its sole discretion determines that any such party should have access to such
information, provided such Persons shall be subject to the provisions of this Section 14.15 to the
same extent as such Lender) any information with respect to any Credit Party or any of its
Subsidiaries which is now or in the future furnished pursuant to this Agreement or any other Credit
Document, provided that any Lender may disclose any such information (i) as has become
generally available to the public other than by virtue of a breach of this Section 14.15(a), (ii)
as may be required or appropriate in any report, statement or testimony submitted to any municipal,
state or Federal regulatory body having or claiming to have jurisdiction over such Lender or to the
Federal Reserve Board, the Federal Deposit Insurance Corporation or the NAIC or similar
organizations (whether in the United States or elsewhere) or their successors, (iii) as may be
required or appropriate in respect to any summons or subpoena or in connection with any litigation,
(iv) in order to comply with any law, order, regulation or ruling applicable to such Lender, (v) to
the Administrative Agent or the Collateral Agent, (vi) to any prospective or actual transferee or
participant in connection with any contemplated transfer or participation of any of the Notes or
Commitments or any interest therein by such Lender, provided that such prospective
transferee agrees with such Lender for the benefit of the Borrower to be subject to the
confidentiality provisions of this Section 14.15(a) and (vii) to any prospective or actual
counterparty (including its advisors) to any swap, derivative or securitization transaction
relating to the Borrower and its obligations under this Agreement, provided that such
prospective or actual counterparty (including its advisors) agrees with such Lender for the benefit
of the Borrower to be subject to the confidentiality provisions of this Section 14.15(a).

          (b) Each Credit Agreement Party hereby acknowledges and agrees that each Lender may share with
any of its affiliates any information related to Credit Parties or any of their respective
Subsidiaries (including, without limitation, any nonpublic customer information regarding the
creditworthiness of the Credit Parties and their respective Subsidiaries, provided such
Persons shall be subject to the provisions of this Section 14.15 to the same extent as such
Lender), it being understood that for purposes of this Section 14.15(b) the term “affiliate” shall
mean any direct or indirect holding company of a Lender as well as any direct or indirect
Subsidiary of such holding company.

          14.16 Limitation on Increased Costs, etc. Notwithstanding anything to the contrary
contained in Section 1.07, 1.08, 2.01(l) or 4.04, unless a Lender gives notice to the Borrower that
it is obligated to pay an amount under any such Section within 180 days after the later of (x) the
date such Lender incurs the respective increased costs, Taxes, loss, expense or liability, or
reduction in amounts received or receivable or reduction in return on capital or (y) the date such
Lender has actual knowledge of its incurrence of the respective increased costs, Taxes, loss,
expense or liability, or reductions in amounts received or receivable or reduction in return on
capital, then such Lender shall only be entitled to be compensated for such amount by the Borrower
pursuant to said Section 1.07, 1.08, 2.01(l) or 4.04, as the case may be, to the extent the costs,
Taxes, loss, expense or liability, or reduction in amounts received or receivable or reduction in
return on capital are incurred or suffered on or after the date which occurs 180 days prior to such
Lender giving notice to the Borrower that it is obligated to pay the respective amounts pursuant to
said Section 1.07, 1.08, 2.01(l) or 4.04, as the case may be; provided, that, if the
circumstances giving rise to such claim is retroactive, then such 180-day period referred to above
shall be extended to include the period of retroactive effect thereof. This Section 14.16 shall
have no applicability to any Section of this Agreement or any other Credit Document other than
Sections 1.07, 1.08, 2.01(l) or 4.04.

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          14.17 USA Patriot Act Notice. Each Lender that is subject to the Act and the Administrative
Agent (for itself and not on behalf of any Lender) hereby notifies the Borrower that pursuant to
the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26,
2001)) (the “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
Lender or the Administrative Agent, as applicable, to identify the Borrower in accordance with the
Act.

          14.18 Payments Set Aside. To the extent that any payment by or on behalf of the
Borrower is made to the Administrative Agent, the Issuing Lender or any Lender, or the
Administrative Agent, the Issuing Lender or any Lender exercises its right of setoff, and such
payment or the proceeds of such setoff or any part thereof is subsequently invalidated, declared to
be fraudulent or preferential, set aside or required (including pursuant to any settlement entered
into by the Administrative Agent, the Issuing Lender or such Lender in its discretion) to be repaid
to a trustee, receiver or any other party, in connection with any proceeding under the Bankruptcy
code or otherwise, then (a) to the extent of such recovery, the obligation or part thereof
originally intended to be satisfied shall be revived and continued in full force and effect as if
such payment had not been made or such setoff had not occurred, and (b) each Lender and the Issuing
Lender severally agrees to pay to the Administrative Agent upon demand its applicable share
(without duplication) of any amount so recovered from or repaid by the Administrative Agent,
plus interest thereon from the date of such demand to the date such payment is made at a
rate per annum equal to the Federal Funds Rate from time to time in effect. The obligations of the
Lenders and the Issuing Lender under clause (b) of the preceding sentence shall survive the payment
in full of the Obligations and the termination of this Agreement.

          14.19 No Advisory or Fiduciary Responsibility. In connection with all aspects of each
transaction contemplated hereby (including in connection with any amendment, waiver or other
modification hereof or of any other Credit Document), each Credit Party acknowledges and agrees
that: (i) (A) the arranging and other services regarding this Agreement provided by the
Administrative Agent the Joint Book Runners, are arm’s-length commercial transactions between the
Credit Parties and their Affiliates, on the one hand, and the Administrative Agent and the Joint
Book Runners, on the other hand, (B) each Credit Party has consulted its own legal, accounting,
regulatory and tax advisors to the extent it has deemed appropriate, and (C) each Credit Party is
capable of evaluating, and understands and accepts, the terms, risks and conditions of the
transactions contemplated hereby and by the other Credit Documents; (ii) (A) the Administrative
Agent and each Joint Book Runner each is and has been acting solely as a principal and, except as
expressly agreed in writing by the relevant parties, has not been, is not, and will not be acting
as an advisor, agent or fiduciary for any Credit Party or any of its Affiliates, or any other
Person and (B) neither the Administrative Agent nor any Joint Book Runner has any obligation to any
Credit Party or any of its Affiliates with respect to the transactions contemplated hereby except
those obligations expressly set forth herein and in the other Credit Documents; and (iii) the
Administrative Agent and each Joint Book Runner and their respective Affiliates may be engaged in a
broad range of transactions that involve interests that differ from those of the Credit Parties and
their Affiliates, and neither the Administrative Agent nor any Joint Book Runner has any obligation
to disclose any of such interests to the any Credit Party or any of its Affiliates.

          14.20 Electronic Execution of Assignments and Certain Other Documents. The words
“execution,” “signed,” “signature,” and words of like import in any Assignment and Assumption or in
any amendment or other modification hereof (including waivers and consents) shall be deemed to
include electronic signatures or the keeping of records in electronic form, each of which shall be
of the same legal effect, validity or enforceability as a manually executed signature or the use of
a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any
applicable law, including the Fed-

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eral Electronic Signatures in Global and National Commerce Act,
the New York State Electronic Signatures and Records Act, or any other similar state laws based on
the Uniform Electronic Transactions Act.

* * *

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          IN WITNESS WHEREOF, the parties hereto have caused their duly authorized officers to execute
and deliver this Agreement as of the date first above written.

	 	 	 	 	 
	 	VANGUARD HEALTH HOLDING COMPANY I, LLC

 	 
	 	By:  	/s/ PHILLIP W. ROE
 	 
	 	 	Name:  	Phillip W. Roe	 
	 	 	Title: 	Executive Vice President, Chief Financial Officer & Treasurer	 
	 
	 	VANGUARD HEALTH HOLDING COMPANY II, LLC

 	 
	 	By:  	/s/ PHILLIP W. ROE
 	 
	 	 	Name:  	Phillip W. Roe	 
	 	 	Title: 	Executive Vice President, Chief Financial Officer & Treasurer	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	BANK OF AMERICA, N.A.,

as Administrative Agent, Collateral Agent,

Swingline Lender and Issuing Lender

 	 
	 	By:  	/s/ ROBERT KLAWINSKYI
 	 
	 	 	Name:  Robert Klawinski	 
	 	 	Title:    Senior Vice President	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	BARCLAYS BANK PLC,

as Syndication Agent, a Joint Lead Arranger and a

Joint Book Runner

 	 
	 	By:  	/s/ DIANE ROLFE
 	 
	 	 	Name: Diane Rolfe	 
	 	 	Title: Director	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	Citicorp North America, Inc. as Lender

as Syndication Agent, a Joint Lead Arranger and a

Joint Book Runner

 	 
	 	By:  	/s/ MARK R. FLOYD
 	 
	 	 	Name: Mark R. Floyd	 
	 	 	Title:  Vice President	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	CITIGROUP GLOBAL MARKETS INC.,

as a Co-Documentation Agent and a Joint Book Runner

 	 
	 	By:  	/s/ DAVID LELAND
 	 
	 	 	Name: David Leland	 
	 	 	Title: Director	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	DEUTSCHE BANK TRUST COMPANY AMERICAS,

as a Co-Documentation Agent

 	 
	 	By:  	/s/ OMAYRA LAUCELLA
 	 
	 	 	Name:  	Omayra Laucella	 
	 	 	Title: 	Vice President	 
	 	 	 
	 	By:  	                    /s/ SCOTTYE LINDSEY
 	 
	 	 	Name:  	Scottye Lindsey	 
	 	 	Title: 	Director	 
	 	 	 	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	DEUTSCHE BANK SECURITIES INC.,

as a Joint Book Runner

 	 
	 	By:  	/s/ WILLIAM STITT
 	 
	 	 	Name: William Stitt	 
	 	 	Title: Managing Director 	 
	 	 	 
	 	By:  	                 /s/ RAVI SACHDEV
 	 
	 	 	Name: Ravi Sachdev	 
	 	 	Title: Managing Director 	 
	 	 	 	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	GOLDMAN SACHS BANK USA,

as a Co-Documentation Agent and a Joint Book Runner

 	 
	 	By:  	/s/ ALEXIS MAGED
 	 
	 	 	Name:  Alexis Maged	 
	 	 	Title:  Authorized Signatory	 
	 	 	 	 

[Signature Page to Credit Agreement]

 

 

	 	 	 	 	 
	 	MORGAN STANLEY SENIOR FUNDING, INC.

as a Co-Documentation Agent and a Joint Book Runner

 	 
	 	By:  	/s/ PETER ZIPPELIUS
 	 
	 	 	Name: Peter Zippelius	 
	 	 	Title: Authorized Signatory 	 
	 	 	 	 
	 

[Signature Page to Credit Agreement]exv4w1

Exhibit 4.1

COLEMAN CABLE, INC.,

THE NOTE GUARANTORS

FROM TIME TO TIME PARTY HERETO

AND

DEUTSCHE BANK NATIONAL TRUST COMPANY,

AS TRUSTEE

INDENTURE

DATED AS OF FEBRUARY 3, 2010

9% SENIOR NOTES DUE 2018

 

 

TABLE OF CONTENTS

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	 

	 	ARTICLE I	 	 	 	 
	 

	 	DEFINITIONS AND INCORPORATION BY REFERENCE	 	 	 	 
	 
	 	 	 	 	 	 
	Section 1.1

	 	Definitions
	 	 	1	 
	Section 1.2

	 	Incorporation by Reference of Trust Indenture Act
	 	 	30	 
	Section 1.3

	 	Rules of Construction
	 	 	30	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE II	 	 	 	 
	 

	 	THE NOTES	 	 	 	 
	 
	 	 	 	 	 	 
	Section 2.1

	 	Form and Dating
	 	 	31	 
	Section 2.2

	 	Execution and Authentication
	 	 	32	 
	Section 2.3

	 	Registrar and Paying Agent
	 	 	32	 
	Section 2.4

	 	Paying Agent to Hold Money in Trust
	 	 	33	 
	Section 2.5

	 	Holder Lists
	 	 	33	 
	Section 2.6

	 	Global Note Provisions
	 	 	33	 
	Section 2.7

	 	Legends
	 	 	34	 
	Section 2.8

	 	Transfer and Exchange
	 	 	35	 
	Section 2.9

	 	Mutilated, Destroyed, Lost or Stolen Notes
	 	 	38	 
	Section 2.10

	 	Temporary Notes
	 	 	39	 
	Section 2.11

	 	Cancellation
	 	 	39	 
	Section 2.12

	 	Defaulted Interest
	 	 	39	 
	Section 2.13

	 	Additional Notes
	 	 	40	 
	Section 2.14

	 	Additional Interest Under Registration Rights Agreements
	 	 	41	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE III	 	 	 	 
	 

	 	COVENANTS	 	 	 	 
	 
	 	 	 	 	 	 
	Section 3.1

	 	Payment of Notes
	 	 	41	 
	Section 3.2

	 	Maintenance of Office or Agency
	 	 	41	 
	Section 3.3

	 	Corporate Existence
	 	 	42	 
	Section 3.4

	 	Payment of Taxes and Other Claims
	 	 	42	 
	Section 3.5

	 	Compliance Certificate
	 	 	42	 
	Section 3.6

	 	Further Instruments and Acts
	 	 	43	 
	Section 3.7

	 	Waiver of Stay, Extension or Usury Laws
	 	 	43	 
	Section 3.8

	 	Change of Control
	 	 	43	 
	Section 3.9

	 	Limitation on Incurrence of Additional Indebtedness
	 	 	44	 
	Section 3.10

	 	Limitation on Restricted Payments
	 	 	45	 
	Section 3.11

	 	Limitation on Asset Sales
	 	 	48	 
	Section 3.12

	 	Limitation on Ownership and Sale of Capital Stock of Restricted Subsidiaries	 	 	51	 
	Section 3.13

	 	Limitation on Designation of Unrestricted Subsidiaries
	 	 	51	 

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	 	 	 	 	Page
	 	 	 	 	 	 	 
	Section 3.14

	 	Limitation on Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries
	 	 	52	 
	Section 3.15

	 	Limitation on Liens
	 	 	54	 
	Section 3.16

	 	Limitation on Transactions with Affiliates
	 	 	54	 
	Section 3.17

	 	Conduct of Business
	 	 	55	 
	Section 3.18

	 	Reports to Holders
	 	 	55	 
	Section 3.19

	 	Limitation of Sale and Leaseback Transaction
	 	 	56	 
	Section 3.20

	 	Payments for Consent
	 	 	56	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE IV	 	 	 	 
	 

	 	SUCCESSOR ENTITY	 	 	 	 
	 
	 	 	 	 	 	 
	Section 4.1

	 	Merger, Consolidation and Sale of Assets 	 	 	56	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE V	 	 	 	 
	 

	 	OPTIONAL REDEMPTION OF NOTES	 	 	 	 
	 
	 	 	 	 	 	 
	Section 5.1

	 	Optional Redemption
	 	 	59	 
	Section 5.2

	 	Election to Redeem
	 	 	59	 
	Section 5.3

	 	Notice of Redemption
	 	 	59	 
	Section 5.4

	 	Selection of Notes to Be Redeemed in Part
	 	 	60	 
	Section 5.5

	 	Deposit of Redemption Price
	 	 	61	 
	Section 5.6

	 	Notes Payable on Redemption Date
	 	 	61	 
	Section 5.7

	 	Unredeemed Portions of Partially Redeemed Note
	 	 	61	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE VI	 	 	 	 
	 

	 	DEFAULTS AND REMEDIES	 	 	 	 
	 
	 	 	 	 	 	 
	Section 6.1

	 	Events of Default
	 	 	61	 
	Section 6.2

	 	Acceleration
	 	 	63	 
	Section 6.3

	 	Other Remedies
	 	 	63	 
	Section 6.4

	 	Waiver of Past Defaults
	 	 	63	 
	Section 6.5

	 	Control by Majority
	 	 	64	 
	Section 6.6

	 	Limitation on Suits
	 	 	64	 
	Section 6.7

	 	Rights of Holders to Receive Payment
	 	 	64	 
	Section 6.8

	 	Collection Suit by Trustee
	 	 	64	 
	Section 6.9

	 	Trustee May File Proofs of Claim,
etc.
	 	 	64	 
	Section 6.10

	 	Priorities
	 	 	65	 
	Section 6.11

	 	Undertaking for Costs
	 	 	65	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE VII	 	 	 	 
	 

	 	TRUSTEE	 	 	 	 
	 
	 	 	 	 	 	 
	Section 7.1

	 	Duties of Trustee
	 	 	66	 
	Section 7.2

	 	Rights of Trustee
	 	 	67	 
	Section 7.3

	 	Individual Rights of Trustee
	 	 	68	 
	Section 7.4

	 	Trustee’s Disclaimer
	 	 	68	 

-ii-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	Section 7.5

	 	Notice of Defaults
	 	 	68	 
	Section 7.6

	 	Reports by Trustee to Holders
	 	 	68	 
	Section 7.7

	 	Compensation and Indemnity
	 	 	68	 
	Section 7.8

	 	Replacement of Trustee
	 	 	69	 
	Section 7.9

	 	Successor Trustee by Merger
	 	 	70	 
	Section 7.10

	 	Eligibility; Disqualification
	 	 	70	 
	Section 7.11

	 	Preferential Collection of Claims Against the Company
	 	 	70	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE VIII	 	 	 	 
	 

	 	DEFEASANCE; DISCHARGE OF INDENTURE	 	 	 	 
	 
	 	 	 	 	 	 
	Section 8.1

	 	Legal Defeasance and Covenant Defeasance
	 	 	71	 
	Section 8.2

	 	Conditions to Defeasance
	 	 	71	 
	Section 8.3

	 	Application of Trust Money
	 	 	73	 
	Section 8.4

	 	Repayment to the Company
	 	 	73	 
	Section 8.5

	 	Indemnity for U.S. Government Obligations
	 	 	73	 
	Section 8.6

	 	Reinstatement
	 	 	73	 
	Section 8.7

	 	Satisfaction and Discharge
	 	 	74	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE IX	 	 	 	 
	 

	 	AMENDMENTS	 	 	 	 
	 
	 	 	 	 	 	 
	Section 9.1

	 	Without Consent of Holders
	 	 	74	 
	Section 9.2

	 	With Consent of Holders
	 	 	75	 
	Section 9.3

	 	Compliance with Trust Indenture Act
	 	 	76	 
	Section 9.4

	 	Revocation and Effect of Consents and Waivers
	 	 	76	 
	Section 9.5

	 	Notation on or Exchange of Notes
	 	 	77	 
	Section 9.6

	 	Trustee to Sign Amendments or Supplements
	 	 	77	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE X	 	 	 	 
	 

	 	NOTE GUARANTEES	 	 	 	 
	 
	 	 	 	 	 	 
	Section 10.1

	 	Note Guarantees
	 	 	77	 
	Section 10.2

	 	Limitation on Liability; Termination, Release and Discharge
	 	 	79	 
	Section 10.3

	 	Right of Contribution
	 	 	79	 
	Section 10.4

	 	No Subrogation
	 	 	79	 
	Section 10.5

	 	Additional Note Guarantees; Opinion of Counsel
	 	 	80	 
	 
	 	 	 	 	 	 
	 

	 	ARTICLE XI	 	 	 	 
	 

	 	MISCELLANEOUS	 	 	 	 
	 
	 	 	 	 	 	 
	Section 11.1

	 	Trust Indenture Act Controls
	 	 	80	 
	Section 11.2

	 	Notices
	 	 	80	 
	Section 11.3

	 	Communication by Holders with Other Holders
	 	 	81	 
	Section 11.4

	 	Certificate and Opinion as to Conditions Precedent
	 	 	81	 
	Section 11.5

	 	Statements Required in Certificate or Opinion
	 	 	81	 
	Section 11.6

	 	Rules by Trustee, Paying Agent and Registrar
	 	 	82	 

-iii-

 

	 	 	 	 	 	 	 
	 	 	 	 	Page
	 
	 	 	 	 	 	 
	Section 11.7

	 	Legal Holidays
	 	 	82	 
	Section 11.8

	 	Governing Law; Waiver of Jury
Trial; etc.
	 	 	82	 
	Section 11.9

	 	No Recourse Against Others
	 	 	83	 
	Section 11.10

	 	Successors
	 	 	83	 
	Section 11.11

	 	Duplicate and Counterpart Originals
	 	 	83	 
	Section 11.12

	 	Severability
	 	 	83	 
	Section 11.13

	 	Qualification of Indenture
	 	 	83	 
	Section 11.14

	 	Table of Contents; Headings
	 	 	83	 

	 	 	 
	EXHIBIT A

	 	FORM OF NOTE
	EXHIBIT B

	 	FORM OF TRANSFER CERTIFICATE FOR TRANSFER TO QIB
	EXHIBIT C

	 	FORM OF CERTIFICATE TO BE DELIVERED IN CONNECTION WITH TRANSFERS PURSUANT TO REGULATION S
	EXHIBIT D

	 	FORM OF RULE 144 CERTIFICATION
	EXHIBIT E

	 	FORM OF ADDITIONAL NOTE GUARANTEE
	EXHIBIT F

	 	FORM OF CERTIFICATE TO BE DELIVERED IN CONNECTION WITH TRANSFERS TO INSTITUTIONAL ACCREDITED INVESTORS

-iv-

 

     INDENTURE, dated as of February 3, 2010, among Coleman Cable, Inc., a Delaware
corporation (the “Company”), the Note Guarantors which may from time to time become party hereto
and Deutsche Bank National Trust Company, a national banking association organized and existing
under the laws of the United States of America (the
“Trustee”), as Trustee.

     Each party agrees as follows for the benefit of the other parties and for the equal and
ratable benefit of the Holders of the Company’s 9% Senior Notes Due 2018 issued hereunder.

ARTICLE I

DEFINITIONS AND INCORPORATION BY REFERENCE

     Section 1.1
Definitions.

     “Acquired Indebtedness” means Indebtedness of a Person or any of its Subsidiaries
existing at the time such Person becomes a Restricted Subsidiary or at the time it merges or
consolidates with the Company or any of its Restricted Subsidiaries or is assumed in connection
with the acquisition of assets from such Person. Such Indebtedness shall be deemed to have been
Incurred at the time such Person becomes a Restricted Subsidiary or at the time it merges or
consolidates with the Company or a Restricted Subsidiary or at the time such Indebtedness is
assumed in connection with the acquisition of assets from such Person.

     “Additional Note Board Resolutions” means resolutions duly adopted by the Board of
Directors of the Company and delivered to the Trustee in an Officers’ Certificate providing for the
issuance of Additional Notes.

     “Additional Note Guarantee” has the meaning assigned to it in Section 10.5.

     “Additional Note Guarantor” has the meaning assigned to it in Section 10.5.

     “Additional Note Supplemental Indenture” means a supplement to this Indenture duly
executed and delivered by the Company, each Note Guarantor and the Trustee pursuant to Article IX
providing for the issuance of Additional Notes.

     “Additional Notes” has the meaning assigned to it in Section 2.13.

     “Affiliate” means, with respect to any specified Person, any other Person who directly or
indirectly through one or more intermediaries controls, or is controlled by, or is under common
control with, such specified Person. The term “control” means the possession, directly or
indirectly, of the power to direct or cause the direction of the management and policies of a
Person, whether through the ownership of voting securities, by contract or otherwise; provided,
that beneficial ownership of ten percent (10%) or more of the Voting Stock of a Person shall be
deemed to be control. For purposes of this definition, the terms “controlling,” “controlled by”
and “under common control with” have correlative meanings.

     “Affiliate Transaction” has the meaning assigned to it in Section 3.16(a).

 

 

     “Applicable Premium” means, with respect to any Note on any applicable Redemption
Date, the greater of (i) 1.0% of the then outstanding principal amount of such Note and (ii) the
excess of :

	 	(1)	 	the present value at such Redemption Date of the sum of (i) the redemption
price of such Note at February 15, 2014 (such redemption price being set forth in the
table referenced in Section 5.1 hereof and appearing in paragraph 5 of the form of
Reverse Side of Note contained in Exhibit A hereto) plus (ii) all required interest
payments due on such Note through February 15, 2014 (excluding accrued but unpaid
interest), such present value to be computed using a discount rate equal to the
Treasury Rate as of such Redemption Date plus 50 basis points; over
	 
	 	(2)	 	the then outstanding principal amount of such Note.

     “Agent Members” has the meaning assigned to it in Section 2.6(b).

     “Asset Acquisition” means:

	 	(1)	 	an Investment by the Company or any Restricted Subsidiary in any other Person
pursuant to which such Person shall become a Restricted Subsidiary, or shall be merged
with or into the Company or any Restricted Subsidiary;
	 
	 	(2)	 	the acquisition by the Company or any Restricted Subsidiary of the assets of
any Person (other than a Subsidiary of the Company) which constitute all or
substantially all of the assets of such Person or comprise any division or line of
business of such Person or any other properties or assets of such Person other than in
the ordinary course of business; or
	 
	 	(3)	 	any Revocation with respect to an Unrestricted Subsidiary.

     “Asset Sale” means any direct or indirect sale, disposition, issuance, conveyance,
transfer, lease, assignment or other transfer, including a Sale and Leaseback Transaction (each, a
“Disposition”) by the Company or any Restricted Subsidiary of:

	 	(a)	 	any Capital Stock (other than Capital Stock of the Company); or
	 
	 	(b)	 	any property or assets (other than cash, Cash Equivalents or Capital Stock) of
the Company or any Restricted Subsidiary.

     Notwithstanding the preceding, the following items shall not be deemed to be Asset Sales:

	 	(1)	 	the Disposition of all or substantially all of the assets of the Company and
its Restricted Subsidiaries as permitted under Section 4.1;
	 
	 	(2)	 	a Disposition of inventory or obsolete, worn-out or no longer used equipment,
in each case in the ordinary course of business;

-2-

 

	 	(3)	 	a Disposition of assets with a Fair Market Value not to exceed $2.5 million;
	 
	 	(4)	 	for purposes of Section 3.11 only, the making of a Restricted Payment
permitted under Section 3.10; and
	 
	 	(5)	 	a Disposition to the Company or a Restricted Subsidiary, including a Person
that is or will become a Restricted Subsidiary immediately after the Disposition.

     “Asset Sale Offer” has the meaning assigned to it in Section 3.11(c).

     “Asset Sale Offer Amount” has the meaning assigned to it in Section 3.11(c).

     “Asset Sale Offer Payment Date” has the meaning assigned to it in Section
3.11(d).

     “Asset Sale Transaction” means any Asset Sale and, whether or not constituting an
Asset Sale, (1) any sale or other disposition of Capital Stock, (2) any Designation with respect to
an Unrestricted Subsidiary and (3) any sale or other disposition of property or assets excluded
from the definition of “Asset Sale” by clause (4) of that definition.

     “Attributable Indebtedness” in respect of a Sale and Leaseback Transaction means, at
the time of determination, the present value (discounted at the interest rate borne by the Notes,
compounded annually) of the total obligations of the lessee for rental payments during the
remaining term of the lease included in such Sale and Leaseback Transaction (including any period
for which such lease has been extended).

     “Authenticating Agent” has the meaning assigned to it in Section 2.2(d).

     “Bank Credit Facility” means the Amended and Restated Credit Agreement, dated April 2,
2007, between and among the Company, its Subsidiaries party thereto from time to time, Wachovia
Bank, National Association, as Administrative Agent, and certain other lenders and all amendments
thereto, together with the related documents thereto (including, without limitation, any Guarantee
agreements and security documents), in each case as such agreements may be amended (including any
amendment and restatement thereof), supplemented or otherwise modified from time to time by one or
more agreements, including any agreement increasing the amount of available borrowings thereunder
or adding Subsidiaries of the Company as additional borrowers or guarantors thereunder or extending
the maturity of, refinancing, replacing or otherwise restructuring all or any portion of the
Indebtedness under such agreements(s) or any successor or replacement agreements(s) and whether by
the same or any other agent, lender or group of lenders, in each case in the bank credit market.

     “Bankruptcy Law” means Title 11, U.S. Code or any similar Federal, state or foreign
law for the relief of debtors.

     “Bankruptcy Law Event of Default” means:

	 	(1)	 	the entry by a court of competent jurisdiction of: (i) a decree or order for
relief in respect of the Company or any other Bankruptcy Party in an involuntary case
or proceeding under any Bankruptcy Law or (ii) a decree or order (A) adjudging the

-3-

 

	 	 	 	Company or any other Bankruptcy Party a bankrupt or insolvent, (B) approving as
properly filed a petition seeking reorganization, arrangement, adjustment or
composition of, or in respect of, the Company or any other Bankruptcy Party under
any Bankruptcy Law, (C) appointing a Custodian of the Company or any other
Bankruptcy Party or of any substantial part of the property of the Company or any
other Bankruptcy Party, or (D) ordering the winding-up or liquidation of the affairs
of the Company or any other Bankruptcy Party, and in each case, the continuance of
any such decree or order for relief or any such other decree or order unstayed and
in effect for a period of 60 consecutive calendar days; or
	 
	 	(2)	 	(i) the commencement by the Company or any other Bankruptcy Party of a
voluntary case or proceeding under any Bankruptcy Law or of any other case or
proceeding to be adjudicated a bankrupt or insolvent, (ii) the consent by the Company
or any other Bankruptcy Party to the entry of a decree or order for relief in respect
of the Company or such Bankruptcy Party in an involuntary case or proceeding under any
Bankruptcy Law or to the commencement of any bankruptcy or insolvency case or
proceeding against the Company or such Bankruptcy Party, (iii) the filing by the
Company or any other Bankruptcy Party of a petition or answer or consent seeking
reorganization or relief under any Bankruptcy Law, (iv) the consent by the Company or
any other Bankruptcy Party to the filing of such petition or to the appointment of or
taking possession by a Custodian of the Company or such Bankruptcy Party or of any
substantial part of the property of the Company or such Bankruptcy Party, (v) the
making by the Company or any other Bankruptcy Party of an assignment for the benefit of
creditors, (vi) the admission by the Company or any other Bankruptcy Party in writing
of its inability to pay its debts generally as they become due, (vii) the approval by
stockholders of the Company or any other Bankruptcy Party of any plan or proposal for
the liquidation or dissolution of the Company or such Bankruptcy Party, or (viii) the
taking of corporate action by the Company or any other Bankruptcy Party in furtherance
of any such action.

     “Bankruptcy Party” means (i) the Company; (ii) each Significant Subsidiary; or (iii)
one or more Restricted Subsidiaries that, taken together, would constitute a Significant
Subsidiary; it being understood that any reference in this Indenture to any Bankruptcy Party shall,
in the case of multiple Restricted Subsidiaries that individually do not constitute a Significant
Subsidiary but that taken together do constitute a Significant Subsidiary, only constitute a
reference to all such Restricted Subsidiaries taken together.

     “Board of Directors” means, as to any Person, the board of directors, management
committee or similar governing body of such Person or any duly authorized committee thereof.

     “Board Resolution” means, with respect to any Person, a copy of a resolution certified
by the Secretary or an Assistant Secretary of such Person to have been duly adopted by the Board of
Directors of such Person and to be in full force and effect on the date of such certification, and
delivered to the Trustee.

-4-

 

     “Business Day” means a day other than a Saturday, Sunday or other day on which
commercial banking institutions are authorized or required by law to close in New York City or
Chicago, Illinois.

     “Capital Stock” means:

	 	(1)	 	with respect to any Person that is a corporation, any and all shares,
interests, participations or other equivalents (however designated and whether or not
voting) or corporate stock, including each class of Common Stock and Preferred Stock of
such Person;
	 
	 	(2)	 	with respect to any Person that is not a corporation, any and all partnership
or other equity or ownership interests of such Person; and
	 
	 	(3)	 	any warrants, rights or options to purchase any of the instruments or interests
referred to in clause (1) or (2) above.

     “Capitalized Lease Obligations” means, as to any Person, the obligations of such
Person under a lease that are required to be classified and accounted for as capital lease
obligations under GAAP. For purposes of this definition, the amount of such obligations at any
date shall be the capitalized amount of such obligations at such date, determined in accordance
with GAAP.

     “Cash Equivalents” means:

	 	(1)	 	marketable direct obligations issued by, or unconditionally guaranteed by, the
United States government or issued by any agency thereof and backed by the full faith
and credit of the United States, in each case maturing within one year from the date of
acquisition thereof;
	 
	 	(2)	 	marketable direct obligations issued by any state of the United States of
America or any political subdivision of any such state or any public instrumentality
thereof maturing within one year from the date of acquisition thereof and, at the time
of acquisition, having one of the two highest ratings obtainable from either Standard &
Poor’s Corporation (“S&P”) or Moody’s
Investors Service, Inc. (“Moody’s”);
	 
	 	(3)	 	commercial paper maturing no more than one year from the date of creation
thereof and, at the time of acquisition, having a rating of at least A-1 from S&P or at
least P-1 from Moody’s;
	 
	 	(4)	 	certificates of deposit or bankers’ acceptances maturing within one year from
the date of acquisition thereof issued by any bank organized under the laws of the
United States of America or any state thereof or the District of Columbia or any U.S.
branch of a non-U.S. bank having at the date of acquisition thereof combined capital
and surplus of not less than $500 million;
	 
	 	(5)	 	repurchase obligations with a term of not more than seven days for underlying
securities of the types described in clause (1) above entered into with any bank
meeting the qualifications specified in clause (4) above; and

-5-

 

	 	(6)	 	investments in money market funds which invest substantially all their assets
in securities of the types described in clauses (1) through (5) above.

     “Certificated Note” means any Note issued in fully registered certificated form (other
than a Global Note), which shall be substantially in the form of Exhibit A, with appropriate
legends as specified in Section 2.7 and Exhibit A.

     “Change of Control” means the occurrence of one or more of the following events:

	 	(1)	 	any Person or Group, except for Permitted Holders, is or becomes the
“beneficial owner,” directly or indirectly, in the aggregate of more than fifty percent
(50%) of the total voting power of the Voting Stock of the Company (including a
Successor Entity, if applicable), whether by virtue of the issuance, sale or other
disposition of Capital Stock of the Company by the Company or a direct or indirect
holder of Capital Stock of the Company, a merger or consolidation involving the
Company, its direct or indirect shareholders or such Person or Group, a sale of assets
by the Company, its direct or indirect shareholders, any voting trust agreement or
other agreement to which the Company, its direct or indirect shareholders or any such
Person or Group is a party or is subject, or otherwise; or
	 
	 	(2)	 	any Person or Group, except for Permitted Holders, is or becomes the
“beneficial owner,” directly or indirectly, in the aggregate of more than thirty-five
percent (35%) of the total voting power of the Voting Stock of the Company (including a
Successor Entity, if applicable), whether by virtue of the issuance, sale or other
disposition of Capital Stock of the Company by the Company or a direct or indirect
holder of Capital Stock of the Company, a merger or consolidation involving the
Company, its direct or indirect shareholders or such Person or Group, a sale of assets
by the Company, its direct or indirect shareholders, any voting trust agreement or
other agreement to which the Company, its direct or indirect shareholders or any such
Person or Group is a party or is subject, or otherwise, and such Person or Group owns a
greater percentage of such total voting power than the Permitted Holders; or
	 
	 	(3)	 	during any period of two consecutive years, individuals who at the beginning of
such period constituted the Board of Directors of the Company, together with any new
directors whose election by such Board of Directors or whose nomination for election by
the shareholders of the Company was approved by a vote of a majority of the directors
of the Company then still in office who were either directors at the beginning of such
period or whose election or nomination for election was previously so approved, cease
for any reason to constitute a majority of the Board of Directors of the Company then
in office; or
	 
	 	(4)	 	the approval by the holders of Capital Stock of the Company of any plan or
proposal for the liquidation or dissolution of the Company, whether or not otherwise in
compliance with the provisions of this Indenture.

     For purposes of this definition:

-6-

 

	 	(a)	 	“beneficial owner” shall have the meaning specified in Rules 13d-3 and 13d-5
under the Exchange Act, except that any Person or Group shall be deemed to have
“beneficial ownership” of all securities that such Person or Group has the right to
acquire, whether such right is exercisable immediately, only after the passage of time
or, except in the case of the Permitted Holders, upon the occurrence of a subsequent
condition;
	 
	 	(b)	 	“Person” and “Group” shall have the meanings for “person” and “group” as used
in Sections 13(d) and 14(d) of the Exchange Act; and
	 
	 	(c)	 	any other Person or Group shall be deemed to beneficially own any Voting Stock
of a corporation held by any other corporation (the “parent corporation”) so long as
such Person or Group beneficially owns, directly or indirectly, in the aggregate at
least thirty percent (30%) of the voting power of the Voting Stock of the parent
corporation and no other Person or Group beneficially owns an equal or greater amount
of the Voting Stock of the parent corporation.

     “Change of Control Offer” has the meaning assigned to it in Section 3.8(b).

     “Change of Control Offer Notice” means a notice sent by the Company pursuant to
Section 3.8(b), which notice shall govern the terms of the Change of Control Offer and
shall state:

	 	(1)	 	that a Change of Control has occurred; the circumstances or events causing such
Change of Control; that a Change of Control Offer is being made pursuant to Section
3.8(b); and that all Notes that are timely tendered will be accepted for payment;
	 
	 	(2)	 	the Change of Control Payment, and the Change of Control Payment Date, which
date shall be a Business Day no earlier than 30 calendar days before nor later than 60
calendar days subsequent to the date such notice is mailed (other than as may be
required by law);
	 
	 	(3)	 	that any Notes or portions thereof not tendered or accepted for payment will
continue to accrue interest;
	 
	 	(4)	 	that, unless the Company defaults in the payment of the Change of Control
Payment with respect thereto, all Notes or portions thereof accepted for payment
pursuant to the Change of Control Offer shall cease to accrue interest from and after
the Change of Control Payment Date;
	 
	 	(5)	 	that any Holder electing to have any Notes or portions thereof purchased
pursuant to a Change of Control Offer will be required to tender such Notes, with the
form entitled “Option of Holder to Elect Purchase” on the reverse of such Notes
completed, to the Paying Agent at the address specified in the notice prior to the
close of business on the third Business Day preceding the Change of Control Payment
Date;

-7-

 

	 	(6)	 	that any Holder shall be entitled to withdraw such election if the Paying Agent
receives, not later than the close of business on the second Business Day preceding the
Change of Control Payment Date, a facsimile transmission or letter setting forth the
name of the Holder, the principal amount of Notes delivered for purchase, and a
statement that such Holder is withdrawing such Holder’s election to have such Notes or
portions thereof purchased pursuant to the Change of Control Offer;
	 
	 	(7)	 	that any Holder electing to have Notes purchased pursuant to the Change of
Control Offer must specify the principal amount that is being tendered for purchase,
which principal amount must be $1,000 or an integral multiple thereof;
	 
	 	(8)	 	that any Holder of Certificated Notes whose Certificated Notes are being
purchased only in part will be issued new Certificated Notes equal in principal amount
to the unpurchased portion of the Certificated Note or Notes surrendered, which
unpurchased portion will be equal in principal amount to $1,000 or an integral multiple
thereof;
	 
	 	(9)	 	that the Trustee will return to the Holder of a Global Note that is being
purchased in part such Global Note, with a notation on Schedule A thereof adjusting the
principal amount thereof to be equal to the unpurchased portion of such Global Note;
and
	 
	 	(10)	 	any other information necessary to enable any Holder to tender Notes and to
have such Notes purchased pursuant to Section 3.8.

     “Change of Control Payment” has the meaning assigned to it in Section 3.8(a).

     “Change of Control Payment Date” has the meaning assigned to it in Section
3.8(b).

     “Code” means the Internal Revenue Code of 1986, as amended.

     “Common Stock” of any Person means any and all shares, interests or other
participations in, and other equivalents (however designated and whether voting or non-voting) of,
such Person’s common equity interests, whether outstanding on the Issue Date or issued after the
Issue Date, and includes, without limitation, all series and classes of such common equity
interests.

     “Company” means the party named as such in the introductory paragraph to this Indenture and
its successors and assigns, including any Successor Entity that becomes such in accordance with
Article IV.

     “Company Order” has the meaning assigned to it in Section 2.2(c).

     “Consolidated EBITDA” means, for any period, Consolidated Net Income for such period,
plus or minus the following to the extent deducted or added in calculating such Consolidated Net
Income:

	 	(1)	 	Consolidated Income Tax Expense for such period; plus

-8-

 

	 	(2)	 	Consolidated Interest Expense for such period; plus
	 
	 	(3)	 	Consolidated Non-cash Charges for such period; plus
	 
	 	(4)	 	net after-tax losses from Asset Sale Transactions or abandonments or reserves
relating thereto; less
	 
	 	(5)	 	(x) all non-cash credits and gains increasing Consolidated Net Income for such
period (including unrealized foreign currency transaction gains) and (y) all cash
payments during such period relating to non-cash charges that were added back in
determining Consolidated EBITDA in any prior period.

     Notwithstanding the foregoing, the items specified in clauses (1), (3) and (4) for any
Restricted Subsidiary shall be added to Consolidated Net Income in calculating Consolidated EBITDA
only:

	 	(a)	 	in proportion to the percentage of the total Capital Stock of such Restricted
Subsidiary held directly or indirectly by the Company; and
	 
	 	(b)	 	to the extent that a corresponding amount would be permitted at the date of
determination to be distributed to the Company by such Restricted Subsidiary pursuant
to its charter and bylaws and each law, regulation, agreement or judgment applicable to
such distribution.

     “Consolidated Fixed Charge Coverage Ratio” means, as of any date of determination, the
ratio of the aggregate amount of Consolidated EBITDA for the four most recent full fiscal quarters
for which financial statements are available ending prior to the date of such determination (the
“Four Quarter Period”) to Consolidated Fixed Charges for such Four Quarter Period. For
purposes of this definition, “Consolidated EBITDA” and “Consolidated Fixed Charges” shall be
calculated after giving effect on a pro forma basis in accordance with Regulation S-X under the
Securities Act for the period of such calculation to:

	 	(1)	 	the Incurrence or repayment (excluding revolving credit borrowings Incurred or
repaid in the ordinary course of business for working capital purposes) or redemption
of any Indebtedness or Preferred Stock of the Company or any of its Restricted
Subsidiaries (and the application of the proceeds thereof), including the Incurrence of
any Indebtedness or Preferred Stock (and the application of the proceeds thereof)
giving rise to the need to make such determination, occurring during such Four Quarter
Period or at any time subsequent to the last day of such Four Quarter Period and on or
prior to such date of determination, as if such Incurrence or repayment, as the case
may be (and the application of the proceeds thereof), occurred on the first day of such
Four Quarter Period; and
	 
	 	(2)	 	any Asset Sale Transaction or Asset Acquisition (including, without limitation,
any Asset Acquisition giving rise to the need to make such determination as a result of
the Company or one of its Restricted Subsidiaries (including any Person who becomes a
Restricted Subsidiary as a result of the Asset Acquisition) Incurring Acquired
Indebtedness and including, without limitation, by giving pro forma

-9-

 

	 	 	 	effect to any Consolidated EBITDA (provided, that such pro forma Consolidated EBITDA
shall be calculated in a manner consistent with the exclusions in the definition of
“Consolidated Net Income”) attributable to the assets which are the subject of the
Asset Sale Transaction or Asset Acquisition during the Four Quarter Period)
occurring during the Four Quarter Period or at any time subsequent to the last day
of the Four Quarter Period and on or prior to such date of determination, as if such
Asset Sale Transaction or Asset Acquisition (including the Incurrence of any such
Acquired Indebtedness) occurred on the first day of the Four Quarter Period.

Furthermore, in calculating “Consolidated Fixed Charges” for purposes of determining the
denominator (but not the numerator) of this “Consolidated Fixed Charge Coverage Ratio,”

	 	(a)	 	interest on outstanding Indebtedness determined on a fluctuating basis as of
the date of determination and which will continue to be so determined thereafter shall
be deemed to have accrued at a fixed rate per annum equal to the rate of interest on
such Indebtedness in effect on such date of determination;
	 
	 	(b)	 	if interest on any Indebtedness actually Incurred on such date of determination
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 rates, then the interest
rate in effect on such date of determination will be deemed to have been in effect
during the Four Quarter Period; and
	 
	 	(c)	 	notwithstanding clause (a) above, interest on Indebtedness determined on a
fluctuating basis, to the extent such interest is covered by Hedging Obligations, shall
be deemed to accrue at the rate per annum resulting after giving effect to the
operation of such agreements.

     “Consolidated Fixed Charges” means, for any period, the sum, without duplication, of:

	 	(1)	 	Consolidated Interest Expense, plus
	 
	 	(2)	 	the product of:

	 	(a)	 	the amount of all cash and non-cash dividend payments on any
series of Preferred Stock or Disqualified Capital Stock of the Company or any
Restricted Subsidiary (other than dividends paid in Qualified Capital Stock and
other than dividends paid by a Restricted Subsidiary of the Company to the
Company or to a Restricted Subsidiary of the Company) paid, accrued, or
scheduled to be paid or accrued during such period times
	 
	 	(b)	 	a fraction, the numerator of which is one and the denominator
of which is one minus the then current effective combined U.S. federal, state
and local income tax rate of the Company, expressed as a decimal.

     “Consolidated Income Tax Expense” means, with respect to the Company for any period,
the provision for U.S. federal, state, local and non-U.S. income taxes payable by the Company

-10-

 

and its Restricted Subsidiaries for such period as determined on a consolidated basis in
accordance with GAAP.

     “Consolidated Interest Expense” means, for any period, the sum of, without
duplication, determined on a consolidated basis in accordance with GAAP:

	 	(1)	 	the aggregate of cash and non-cash interest expense of the Company and its
Restricted Subsidiaries for such period determined on a consolidated basis in
accordance with GAAP, including, without limitation (whether or not properly classified
as interest expense in accordance with GAAP):

	 	(a)	 	any amortization or accretion of debt discount or any interest
paid on Indebtedness of the Company in the form of additional Indebtedness,
	 
	 	(b)	 	any amortization of deferred financing costs,
	 
	 	(c)	 	the net costs under Hedging Obligations (including amortization
of fees),
	 
	 	(d)	 	all capitalized interest,
	 
	 	(e)	 	the interest portion of any deferred payment obligation,
	 
	 	(f)	 	commissions, discounts and other fees and charges Incurred in
respect of letters of credit or bankers’ acceptances, and
	 
	 	(g)	 	any interest expense on Indebtedness of another Person that is
Guaranteed by the Company or one of its Restricted Subsidiaries or secured by a
Lien on the assets of the Company or one of its Restricted Subsidiaries
(whether or not such Guarantee or Lien is called upon); and

	 	(2)	 	the interest component of Capitalized Lease Obligations paid, accrued and/or
scheduled to be paid or accrued by the Company and its Restricted Subsidiaries during
such period.

     “Consolidated Net Income” means, for any period, the aggregate net income (or loss) of
the Company and its Restricted Subsidiaries for such period on a consolidated basis, determined in
accordance with GAAP; provided, that there shall be excluded therefrom:

	 	(1)	 	gains (together with any related provisions for taxes on such gains) from Asset
Sale Transactions or abandonments or reserves relating thereto;
	 
	 	(2)	 	items classified as extraordinary gains or losses (together with any related
provisions for taxes on such gains);
	 
	 	(3)	 	the net income of a Successor Entity prior to assuming the Company’s
obligations under this Indenture and the Notes pursuant to Section 4.1;

-11-

 

	 	(4)	 	the net income (but not loss) of any Restricted Subsidiary to the extent that a
corresponding amount could not be distributed to the Company at the date of
determination as a result of any restriction pursuant to such Restricted Subsidiary’s
charter or bylaws or any law, regulation, agreement or judgment applicable to any such
distribution;
	 
	 	(5)	 	the net income (but not loss) or of any Person other than the Company or a
Restricted Subsidiary;
	 
	 	(6)	 	any increase (but not decrease) in net income attributable to minority
interests in any Restricted Subsidiary;
	 
	 	(7)	 	any restoration to income of any contingency reserve, except to the extent that
provision for such reserve was made out of Consolidated Net Income accrued at any time
following the Issue Date;
	 
	 	(8)	 	income or loss attributable to discontinued operations (including, without
limitation, operations disposed of during such period whether or not such operations
were classified as discontinued);
	 
	 	(9)	 	the cumulative effect of changes in accounting principles;
	 
	 	(10)	 	any premiums, fees or expenses incurred and any amortization of premiums, fees
or expenses incurred in connection with (A) the offering of the Notes and related
financing (including the amendment to the Bank Credit Facility) or (B) repayment or
repurchase of any Indebtedness; and
	 
	 	(11)	 	the effect of any non-cash items resulting from any amortization, write-up,
write-down or write-off of assets (including intangible assets, goodwill and deferred
financing costs in connection with any future acquisition, disposition, merger,
consolidation or similar transaction or any other non-cash impairment charges incurred
subsequent to the date hereof resulting from the application of SFAS Nos. 141, 142 or
144 (excluding any such non-cash item to the extent that it represents an accrual of or
reverse for cash expenditures in any future period except to the extent such item is
subsequently reversed)).

     “Consolidated Net Worth” of any Person means the consolidated stockholders’ equity of
such Person, determined on a consolidated basis in accordance with GAAP, less (without duplication)
amounts attributable to Disqualified Capital Stock of such Person.

     “Consolidated Non-cash Charges” means, for any period, the aggregate depreciation,
amortization and other non-cash expenses or losses (including unrealized foreign currency
transaction losses) of the Company and the Restricted Subsidiaries for such period, determined on a
consolidated basis in accordance with GAAP (excluding any such charge which constitutes an accrual
of or a reserve for cash charges for any future period or the amortization of a prepaid cash
expense paid in a prior period).

-12-

 

     “Consolidated Tangible Assets” means, at any date, the total assets (less accumulated
depreciation and valuation reserves and other reserves and items deductible from gross book value
of specific asset accounts under GAAP) of the Company and the Restricted Subsidiaries, after
deducting therefrom all goodwill, trade names, trademarks, patents, unamortized debt discount,
organization expenses and other like intangibles of the Company and the Restricted Subsidiaries,
all calculated in accordance with GAAP.

     “Corporate Trust Office” means the principal office of the Trustee at which at any
time its corporate trust business shall be administered, which office at the date hereof is located
at 222 South Riverside Plaza, 24th Floor, Chicago, Illinois 60606, Attention: Trust and Securities
Services, or such other address as the Trustee may designate from time to time by notice to the
Holders and the Company, or the principal corporate trust office of any successor Trustee (or such
other address as such successor Trustee may designate from time to time by notice to the Holders
and the Company).

     “Covenant Defeasance” has the meaning assigned to it in Section 8.1(b).

     “Custodian” means any receiver, trustee, assignee, liquidator, sequestrator or similar
official under any Bankruptcy Law.

     “Default” means an event or condition the occurrence of which is, or with the lapse of time or
the giving of notice or both would be, an Event of Default.

     “Defaulted Interest” has the meaning assigned to it in paragraph 1 of the Form of
Reverse Side of Note contained in Exhibit A.

     “Designation” and “Designation Amount” have the meanings assigned to them in
Section 3.13.

     “Disqualified Capital Stock” means that portion of any Capital Stock which, by its
terms (or by the terms of any security into which it is convertible or for which it is exchangeable
at the option of the holder thereof), or upon the happening of any event, matures or is mandatorily
redeemable, pursuant to a sinking fund obligation or otherwise, or is redeemable at the sole option
of the holder thereof, in any case, on or prior to the 91st day after the final maturity
date of the Notes.

     “Distribution Compliance Period” means, in respect of any Regulation S Global Note,
the 40 consecutive days beginning on and including the later of (a) the day on which any Notes
represented thereby are offered to Persons other than distributors (as defined in Regulation S)
pursuant to Regulation S and (b) the issue date for such Notes.

     “Domestic Restricted Subsidiary” means any direct or indirect Restricted Subsidiary
that is organized under the laws of the United States, any state thereof or the District of
Columbia.

     “DTC” means The Depository Trust Company, its nominees and their respective successors and
assigns, or such other depositary institution hereinafter appointed by the Company that is a
clearing agency registered under the Exchange Act.

-13-

 

     “Event of Default” has the meaning assigned to it in Section 6.1.

     “Exchange Act” means the Securities Exchange Act of 1934, as amended, or any successor
statute or statutes thereto.

     “Exchange Notes” means debt securities of the Company, guaranteed by the Note
Guarantors, substantially identical in all material respects to the Notes (except that the
additional interest provisions and the transfer restrictions pertaining to the Notes will be
modified or eliminated, as appropriate), to be issued pursuant to this Indenture.

     “Exchange Offer Registration Statement” shall have the meaning assigned to such term
in the Issue Date Registration Rights Agreement and any other Registration Rights Agreement.

     “Fair Market Value” means, with respect to any asset, the price (after taking into
account any liabilities relating to such asset) which could be negotiated in an arm’s-length free
market transaction, for cash, between a willing seller and a willing and able buyer, neither of
which is under any compulsion to complete the transaction; provided, that the Fair Market Value of
any such asset or assets in excess of $1.5 million shall be determined conclusively by the Board of
Directors of the Company acting in good faith, and shall be evidenced by a Board Resolution.

     “Foreign Subsidiaries” means any Subsidiary of the Company which was not formed under
the laws of the United States or any state of the United States or the District of Columbia and any
Subsidiary of such Person.

     “Four Quarter Period” has the meaning set forth in the definition of Consolidated
Fixed Charge Coverage Ratio above.

     “GAAP” means generally accepted accounting principles set forth in the opinions and
pronouncements of the Accounting Principles Board of the American Institute of Certified Public
Accountants and statements and pronouncements of the Financial Accounting Standards Board or in
such other statements by such other entity as may be approved by a significant segment of the
accounting profession of the United States that are in effect as of the Issue Date.

     “Global Note” means any Note issued in fully registered certificated form to DTC (or
its nominee), as depositary for the beneficial owners thereof, which shall be substantially in the
form of Exhibit A, with appropriate legends as specified in Section 2.7 and Exhibit A.

     “Guarantee” means any obligation, contingent or otherwise, of any Person directly or
indirectly guaranteeing any Indebtedness of any other Person:

	 	(1)	 	to purchase or pay, or advance or supply funds for the purchase or payment of,
such Indebtedness of such other Person, whether arising by virtue of partnership
arrangements, or by agreement to keep-well, to purchase assets, goods, securities or
services, to take-or-pay, or to maintain financial statement conditions or otherwise;
or

-14-

 

	 	(2)	 	entered into for purposes of assuring in any other manner the obligee of such
Indebtedness of the payment thereof or to protect such obligee against loss in respect
thereof, in whole or in part;

provided,
that “Guarantee” shall not include endorsements for collection or deposit in the ordinary
course of business. “Guarantee” used as a verb has a corresponding meaning.

     “Hedging Obligations” means, with respect to any specified Person, the obligations of
such Person under (i) interest rate swap agreements, interest rate cap agreements, interest rate
collar agreements and other agreements or arrangements designed for the purpose of fixing, hedging
or swapping interest rate risk; (ii) commodity swap agreements, commodity option agreements,
forward contracts and other agreements or arrangements designed for the purpose of fixing, hedging
or swapping commodity price risk; and (iii) foreign exchange contracts, currency swap agreements
and other agreements or arrangements designed for the purpose of fixing, hedging or swapping
foreign currency exchange rate risk.

     “Holder” means the Person in whose name a Note is registered in the Note Register.

     “Incur” means, with respect to any Indebtedness or other obligation of any Person, to create,
issue, incur (including by conversion, exchange or otherwise), assume, Guarantee or otherwise
become liable in respect of such Indebtedness or other obligation on the balance sheet of such
Person (and “Incurrence,”
“Incurred” and “Incurring” shall have meanings correlative to the
preceding). Indebtedness of any acquired Person or any of its Subsidiaries existing at the time
such acquired Person becomes a Restricted Subsidiary (or is merged into or consolidated with the
Company or any Restricted Subsidiary), whether or not such Indebtedness was Incurred in connection
with, as a result of, or in contemplation of, such acquired Person becoming a Restricted Subsidiary
(or being merged into or consolidated with the Company or any Restricted Subsidiary), shall be
deemed Incurred at the time any such acquired Person becomes a Restricted Subsidiary or merges into
or consolidates with the Company or any Restricted Subsidiary.

     “Indebtedness” means with respect to any Person, without duplication:

	 	(1)	 	the principal amount (or, if less, the accreted value) of all obligations of
such Person for borrowed money;
	 
	 	(2)	 	the principal amount (or, if less, the accreted value) of all obligations of
such Person evidenced by bonds, debentures, notes or other similar instruments;
	 
	 	(3)	 	all Capitalized Lease Obligations of such Person;
	 
	 	(4)	 	all obligations of such Person issued or assumed as the deferred purchase price
of property, all conditional sale obligations and all obligations under any title
retention agreement (but excluding trade accounts payable and other accrued liabilities
arising in the ordinary course of business that are not overdue by 90 days or more or
are being contested in good faith by appropriate proceedings promptly instituted and
diligently conducted);

-15-

 

	 	(5)	 	all letters of credit, banker’s acceptances or similar credit transactions,
including reimbursement obligations in respect thereof;
	 
	 	(6)	 	Guarantees and other contingent obligations of such Person in respect of
Indebtedness referred to in clauses (1) through (5) above and clauses (8) and (9)
below;
	 
	 	(7)	 	all Indebtedness of any other Person of the type referred to in clauses (1)
through (6) above which is secured by any Lien on any property or asset of such Person,
the amount of such Indebtedness being deemed to be the lesser of the Fair Market Value
of such property or asset or the amount of the Indebtedness so secured;
	 
	 	(8)	 	all obligations under Hedging Obligations of such Person; and
	 
	 	(9)	 	all Disqualified Capital Stock issued by such Person with the amount of
Indebtedness represented by such Disqualified Capital Stock being equal to the greater
of its voluntary or involuntary liquidation preference and its maximum fixed repurchase
price, but excluding accrued dividends, if any; provided, that:

	 	(a)	 	if the Disqualified Capital Stock does not have a fixed
repurchase price, such maximum fixed repurchase price shall be calculated in
accordance with the terms of the Disqualified Capital Stock as if the
Disqualified Capital Stock were purchased on any date on which Indebtedness
shall be required to be determined pursuant to this Indenture, and
	 
	 	(b)	 	if the maximum fixed repurchase price is based upon, or
measured by, the fair market value of the Disqualified Capital Stock, the fair
market value shall be the Fair Market Value thereof.

     “Indenture” means this Indenture as amended or supplemented from time to time, including the
exhibits hereto.

     “Independent Financial Advisor” means an accounting firm, appraisal firm, investment
banking firm or consultant of nationally recognized standing that is, in the judgment of the
Company’s Board of Directors, qualified to perform the task for which it has been engaged and which
is independent in connection with the relevant transaction.

     “Interest Payment Date” means the stated due date of an installment of interest on the
Notes as specified in the Form of Face of Note contained in Exhibit A.

     “Investment” means, with respect to any Person, any:

	 	(1)	 	direct or indirect loan or other extension of credit (including, without
limitation, a Guarantee) to any other Person,
	 
	 	(2)	 	capital contribution (by means of any transfer of cash or other property to
others or any payment for property or services for the account or use of others) to any
other Person, or

-16-

 

	 	(3)	 	purchase or acquisition by such Person of any Capital Stock, bonds, notes,
debentures or other securities or evidences of Indebtedness issued by, any other
Person.

     “Investment” shall exclude accounts receivable or deposits arising in the ordinary course of
business. “Invest,” “Investing” and
“Invested” shall have corresponding meanings.

     For purposes of Section 3.10, the Company shall be deemed to have made an “Investment”
in an Unrestricted Subsidiary at the time of its Designation, which shall be valued at the Fair
Market Value of the sum of the net assets of such Unrestricted Subsidiary at the time of its
Designation and the amount of any Indebtedness of such Unrestricted Subsidiary Guaranteed by the
Company or any Restricted Subsidiary or owed to the Company or any Restricted Subsidiary
immediately following such Designation. Any property transferred to or from an Unrestricted
Subsidiary will be valued at its Fair Market Value at the time of such transfer. If the Company or
any Restricted Subsidiary sells or otherwise disposes of any Common Stock of a Restricted
Subsidiary (including any issuance and sale of Capital Stock by a Restricted Subsidiary) such that,
after giving effect to any such sale or disposition, such Restricted Subsidiary would cease to be a
Subsidiary of the Company, the Company shall be deemed to have made an Investments on the date of
any such sale or disposition equal to sum of the Fair Market Value of the Capital Stock of such
former Restricted Subsidiary held by the Company or any Restricted Subsidiary immediately following
such sale or other disposition and the amount of any Indebtedness of such former Restricted
Subsidiary Guaranteed by the Company or any Restricted Subsidiary or owed to the Company or any
other Restricted Subsidiary immediately following such sale or other disposition.

     “Investment Return” means, in respect of any Investment (other than a Permitted
Investment) made after the Issue Date by the Company or any Restricted Subsidiary:

	 	(1)	 	the cash proceeds received by the Company upon the sale, liquidation or
repayment of such Investment or, in the case of a Guarantee, the amount of the
Guarantee upon the unconditional release of the Company and its Restricted Subsidiaries
in full, less any payments previously made by the Company or any Restricted Subsidiary
in respect of such Guarantee;
	 
	 	(2)	 	in the case of the Revocation of the Designation of an Unrestricted Subsidiary,
an amount equal to the lesser of:

	 	(a)	 	the Company’s Investment in such Unrestricted Subsidiary at the
time of such Revocation;
	 
	 	(b)	 	that portion of the Fair Market Value of the net assets of such
Unrestricted Subsidiary at the time of Revocation that is proportionate to the
Company’s equity interest in such Unrestricted Subsidiary at the time of
Revocation; and
	 
	 	(c)	 	the Designation Amount with respect to such Unrestricted
Subsidiary upon its Designation which was treated as a Restricted Payment; and

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	 	(3)	 	in the event the Company or any Restricted Subsidiary makes any Investment in a
Person that, as a result of or in connection with such Investment, becomes a Restricted
Subsidiary, an amount equal to the Company’s or any Restricted Subsidiary’s existing
Investment in such Person,

in the case of each of (1), (2) and (3), up to the amount of such Investment that was treated as a
Restricted Payment less the amount of any previous Investment Return in respect of such Investment.

     “Issue Date” means the first date of issuance of Notes under this Indenture.

     “Issue Date Notes” means the $235,000,000 aggregate principal amount of Notes
originally issued on the Issue Date, and any replacement Notes, Private Exchange Notes and Exchange
Notes, issued therefor in accordance with this Indenture.

     “Issue Date Registration Rights Agreement” means the Registration Rights Agreement,
dated as of February 3, 2010, by and among the Company, the Note Guarantor and Bank of America
Securities LLC and Wells Fargo Securities, LLC, as Initial Purchasers.

     “Legal Defeasance” has the meaning assigned to it in Section 8.1(a).

     “Legal Holiday” has the meaning assigned to it in Section 11.7.

     “Lien” means any lien, mortgage, deed of trust, pledge, security interest, charge or
encumbrance of any kind (including any conditional sale or other title retention agreement, any
lease in the nature thereof and any agreement to give any security interest); provided that, the
lessee in respect of a Capitalized Lease Obligation shall be deemed to have Incurred a Lien on the
property leased thereunder.

     “Maturity Date” means February 15, 2018.

     “Net Cash Proceeds” means, with respect to any Asset Sale, the proceeds in the form of
cash or Cash Equivalents, including payments in respect of deferred payment obligations when
received in the form of cash or Cash Equivalents, received by the Company or any of its Restricted
Subsidiaries from such Asset Sale, net of:

	 	(1)	 	reasonable out-of-pocket expenses and fees relating to such Asset Sale
(including, without limitation, legal, accounting and investment banking fees and sales
commissions);
	 
	 	(2)	 	taxes paid or payable in respect of such Asset Sale after taking into account
any reduction in consolidated tax liability due to available tax credits or deductions
and any tax sharing arrangements;
	 
	 	(3)	 	repayment of Indebtedness secured by a Lien permitted under this Indenture that
is required to be repaid in connection with such Asset Sale; and

-18-

 

	 	(4)	 	appropriate amounts to be provided by the Company or any Restricted Subsidiary,
as the case may be, as a reserve, in accordance with GAAP, against any liabilities
associated with such Asset Sale and retained by the Company or any Restricted
Subsidiary, as the case may be, after such Asset Sale, including, without limitation,
pension and other post-employment benefit liabilities, liabilities related to
environmental matters and liabilities under any indemnification obligations associated
with such Asset Sale.

     “Non-U.S. Person” means a person who is not a U.S. person, as defined in Regulation S.

     “Note Custodian” means the custodian with respect to any Global Note appointed by DTC,
or any successor Person thereto, and shall initially be the Trustee.

     “Note Guarantee” means any guarantee of the Company’s Obligations under the Notes and
this Indenture provided by a Domestic Restricted Subsidiary pursuant to this Indenture.

     “Note Guarantor” means any Domestic Restricted Subsidiary which provides a Note
Guarantee pursuant to Article X until such time as its Note Guarantee is released in
accordance with Article X.

     “Note Register” has the meaning assigned to it in Section 2.3(a).

     “Notes” means any of the Company’s 9% Senior Notes Due 2018 issued and authenticated pursuant
to this Indenture.

     “Obligations” means, with respect to any Indebtedness, any principal, interest, penalties,
fees, indemnifications, reimbursements, damages, and other liabilities payable under the
documentation governing such Indebtedness, including in the case of the Notes and the Note
Guarantees, this Indenture and the Issue Date Registration Rights Agreement.

     “Officer” means the Chairman of the Board, the Chief Executive Officer, the President, the
Chief Financial Officer, any Vice President, the Treasurer or the Secretary of the Company.

     “Officers’ Certificate” means a certificate signed by two Officers or by an Officer
and either an Assistant Treasurer or an Assistant Secretary of the Company.

     “Opinion of Counsel” means a written opinion of counsel, who may be an employee of or
counsel for the Company and who shall be reasonably acceptable to the Trustee.

     “Outstanding” means, as of the date of determination, all Notes theretofore authenticated and
delivered under this Indenture, except:

	 	(1)	 	Notes theretofore canceled by the Trustee or delivered to the Trustee for
cancellation;
	 
	 	(2)	 	Notes, or portions thereof, for the payment, redemption or purchase of which
(including pursuant to an Asset Sale Offer or Change of Control Offer) money in the
necessary amount has been theretofore deposited with the Trustee or any Paying

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	 	 	 	Agent (other than the Company, a Note Guarantor or an Affiliate of the Company) in
trust or set aside and segregated in trust by the Company (if the Company, a Note
Guarantor or an Affiliate of the Company is acting as Paying Agent) for the Holders
of such Notes; provided that, if Notes (or portions thereof) are to be redeemed or
purchased, notice of such redemption or purchase has been duly given pursuant to
this Indenture or provision therefor satisfactory to the Trustee has been made;
	 
	 	(3)	 	Notes which have been surrendered pursuant to Section 2.9 or in
exchange for or in lieu of which other Notes have been authenticated and delivered
pursuant to this Indenture, other than any such Notes in respect of which there shall
have been presented to the Trustee proof satisfactory to it that such Notes are held by
a bona fide purchaser in whose hands such Notes are valid obligations of the Company;
and
	 
	 	(4)	 	solely to the extent provided in Article VIII, Notes which are subject
to Legal Defeasance or Covenant Defeasance as provided in Article VIII;

provided, however, that in determining whether the Holders of the requisite aggregate principal
amount of the Outstanding Notes have given any request, demand, authorization, direction, notice,
consent or waiver hereunder, Notes owned by the Company or any other obligor upon the Notes or any
Affiliate of the Company or of such other obligor shall be disregarded and deemed not to be
Outstanding, except that, in determining whether the Trustee shall be protected in relying upon any
such request, demand, authorization, direction, notice, consent, modification or waiver, only Notes
which a trust officer of the Trustee actually knows to be so owned shall be so disregarded. Notes
so owned which have been pledged in good faith may be regarded as Outstanding if the pledgee
establishes to the satisfaction of the Trustee the pledgee’s right so to act with respect to such
Notes and that the pledgee is not the Company or any other obligor upon the Notes or any Affiliate
of the Company or of such other obligor.

     “Pari Passu Debt” has the meaning assigned to in Section 3.11.

     “Paying Agent” has the meaning assigned to it in Section 2.3(a).

     “Permitted Business” means the business or businesses conducted by the Company and its
Restricted Subsidiaries as of the Issue Date and any business ancillary or complementary thereto.

     “Permitted Holders” means David Bistricer, Moric Bistricer and Nachum Stein as record
or beneficial holders.

     “Permitted Indebtedness” means, without duplication, each of the following:

	 	(1)	 	Indebtedness in respect of the Notes originally issued on the Issue Date and
Exchange Notes issued therefor;
	 
	 	(2)	 	Guarantees by the Company or any Note Guarantor of Indebtedness of the Company
or any other Note Guarantor permitted under this Indenture; provided, that if

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	 	 	 	any such Guarantee is of Subordinated Indebtedness, then the Note Guarantee of such
Note Guarantor shall be senior to such Note Guarantor’s Guarantee of such
Subordinated Indebtedness;
	 
	 	(3)	 	Indebtedness Incurred by the Company and any Note Guarantor pursuant to the
Bank Credit Facility in an aggregate principal amount at any time outstanding not to
exceed the greater of (x) $200.0 million (less the amount of any permanent prepayments
or reductions of commitments in respect of such Indebtedness made with the Net Cash
Proceeds of an Asset Sale in order to comply with Section 3.11) and (y) the sum
of (i) up to eighty-five percent (85%) of the book value of accounts receivable of the
Company and its Restricted Subsidiaries, plus (ii) up to fifty-five percent (55%) of
the book value of inventory of the Company and its Restricted Subsidiaries, in each
case determined in accordance with GAAP, and it being understood that amounts
outstanding under the Bank Credit Facility are deemed to be Incurred under this clause
(3);
	 
	 	(4)	 	other Indebtedness of the Company and its Restricted Subsidiaries outstanding
on the Issue Date other than Indebtedness under the Bank Credit Facility or otherwise
specified under any of the other clauses of this definition of “Permitted
Indebtedness”;
	 
	 	(5)	 	Hedging Obligations entered into in the ordinary course of business and not for
speculative purposes;
	 
	 	(6)	 	intercompany Indebtedness between or among the Company and any of its
Restricted Subsidiaries; provided, that:

	 	(a)	 	if the Company or any Note Guarantor is the obligor on such
Indebtedness, such Indebtedness must be expressly subordinated to the prior
payment in full of all obligations under the Notes and this Indenture, in the
case of the Company, or such Note Guarantor’s Note Guarantee, in the case of
any such Note Guarantor, and
	 
	 	(b)	 	in the event that at any time any such Indebtedness ceases to
be held by the Company or a Restricted Subsidiary, such Indebtedness shall be
deemed to be Incurred and not permitted by this clause (6) at the time such
event occurs;

	 	(7)	 	Indebtedness of the Company or any of its Restricted Subsidiaries arising from
the honoring by a bank or other financial institution of a check, draft or similar
instrument inadvertently (except in the case of daylight overdrafts) drawn against
insufficient funds in the ordinary course of business; provided, that such Indebtedness
is extinguished within two Business Days of Incurrence;
	 
	 	(8)	 	Indebtedness of the Company or any of its Restricted Subsidiaries in respect of
worker’s compensation claims, health, disability or other employee benefits or
property, casualty or liability insurance or self-insurance obligations, bankers’
acceptances, letters of credit (not supporting Indebtedness for borrowed money),

-21-

 

	 	 	 	performance, surety, appeal and similar bonds and completion guarantees or similar
obligations provided by the Company or a Restricted Subsidiary in the ordinary
course of business;
	 
	 	(9)	 	Refinancing Indebtedness in respect of:

	 	(a)	 	Indebtedness (other than Indebtedness owed to the Company or
any Subsidiary) Incurred pursuant to Section 3.9(a) (it being
understood that no Indebtedness outstanding on the Issue Date is Incurred
pursuant to Section 3.9(a)), or
	 
	 	(b)	 	Indebtedness Incurred pursuant to clause (1), (3) or (4) above;

	 	(10)	 	Capitalized Lease Obligations and Purchase Money Indebtedness incurred after
the Issue Date that do not exceed $25.0 million in the aggregate at any one time
outstanding;
	 
	 	(11)	 	the Incurrence by any of the Company’s Foreign Subsidiaries of Indebtedness in
an aggregate principal amount not to exceed at any time, in the aggregate for all such
Foreign Subsidiaries, the greater of (i) the sum of 85% of the aggregate book value of
accounts receivable of the Foreign Subsidiaries plus 60% of the aggregate book value of
inventory of the Foreign Subsidiaries and (ii) $25.0 million (not counting for the
purposes of such limit intercompany Indebtedness of such Foreign Subsidiaries permitted
under clause (6) above);
	 
	 	(12)	 	Indebtedness arising from agreements of the Company or any of its Restricted
Subsidiaries providing for adjustment of purchase price, deferred payment, earn out or
similar obligations, in each case, Incurred or assumed in connection with the
disposition or acquisition of any business or assets of the Company or any of its
Restricted Subsidiaries;
	 
	 	(13)	 	Indebtedness of the Company or any Restricted Subsidiary consisting of the
financing of insurance premiums in the ordinary course of business not to exceed $1.5
million at any one time outstanding; and
	 
	 	(14)	 	additional Indebtedness of the Company or any Note Guarantor in an aggregate
principal amount not to exceed $25.0 million at any one time outstanding (which amount
may, but need not, be Incurred in whole or in part under the Bank Credit Facility).

     “Permitted Investment” means:

	 	(1)	 	Investments by the Company or any Restricted Subsidiary in any Person that is,
or that result in any Person becoming, immediately after such Investment, a Restricted
Subsidiary or constituting a merger or consolidation of such Person into the Company or
with or into a Restricted Subsidiary, except for a Guarantee of Indebtedness of a
Restricted Subsidiary that is not a Note Guarantor;

-22-

 

	 	(2)	 	Investments by any Restricted Subsidiary in the Company;
	 
	 	(3)	 	Investments in cash and Cash Equivalents;
	 
	 	(4)	 	any extension, modification or renewal of any Investments existing as of the
Issue Date (but not Investments involving additional advances, contributions or other
investments of cash or property or other increases thereof, other than as a result of
the accrual or accretion of interest or original issue discount or payment-in-kind
pursuant to the terms of such Investment as of the Issue Date);
	 
	 	(5)	 	Investments permitted pursuant to Section 3.16(b)(2);
	 
	 	(6)	 	Investments received as a result of the bankruptcy or reorganization of any
Person or taken in settlement of or other resolution of claims or disputes, and, in
each case, extensions, modifications and renewals thereof;
	 
	 	(7)	 	Investments made by the Company or its Restricted Subsidiaries as a result of
non-cash consideration permitted to be received in connection with an Asset Sale made
in compliance with Section 3.11;
	 
	 	(8)	 	Investments made solely in the form of common equity of the Company
constituting Qualified Capital Stock;
	 
	 	(9)	 	Hedging Obligations made in compliance with Section 3.9; and
	 
	 	(10)	 	other Investments not to exceed $25.0 million at any one time outstanding.

     “Permitted Liens” means any of the following:

	 	(1)	 	statutory Liens of landlords and Liens of carriers, warehousemen, mechanics,
suppliers, materialmen, repairmen and other Liens imposed by law Incurred in the
ordinary course of business for sums not yet delinquent or being contested in good
faith, if such reserve or other appropriate provision, if any, as shall be required by
GAAP shall have been made in respect thereof;
	 
	 	(2)	 	Liens Incurred or deposits made in the ordinary course of business in
connection with workers’ compensation, unemployment insurance and other types of social
security, including any Lien securing letters of credit issued in the ordinary course
of business consistent with past practice in connection therewith, or to secure the
performance of tenders, statutory obligations, surety and appeal bonds, bids, leases,
government performance and return-of-money bonds and other similar obligations
(exclusive of obligations for the payment of borrowed money);
	 
	 	(3)	 	any interest or title of a lessor under any Capitalized Lease Obligation;
provided, that such Liens do not extend to any property which is not leased property
subject to such Capitalized Lease Obligation;

-23-

 

	 	(4)	 	purchase money Liens securing Purchase Money Indebtedness Incurred to finance
the acquisition of property of the Company or a Restricted Subsidiary used in a
Permitted Business; provided, that:

	 	(a)	 	the related Purchase Money Indebtedness shall not exceed the
cost of such property and shall not be secured by any property of the Company
or any Restricted Subsidiary other than the property so acquired, and
	 
	 	(b)	 	the Lien securing such Indebtedness shall be created within 90
days of such acquisition;

	 	(5)	 	Liens upon specific items of inventory or other goods and proceeds of any
Person securing such Person’s obligations in respect of bankers’ acceptances issued or
created for the account of such Person to facilitate the purchase, shipment or storage
of such inventory or other goods;
	 
	 	(6)	 	Liens securing reimbursement obligations with respect to commercial letters of
credit which encumber documents and other property relating to such letters of credit
and products and proceeds thereof;
	 
	 	(7)	 	Liens encumbering deposits made to secure obligations arising from statutory,
regulatory, contractual or warranty requirements of the Company or a Restricted
Subsidiary, including rights of offset and set-off;
	 
	 	(8)	 	Liens existing on the Issue Date and Liens to secure any Refinancing
Indebtedness which is Incurred to Refinance any Indebtedness which has been secured by
a Lien permitted under Section 3.15 and which Indebtedness has been Incurred in
accordance with Section 3.9; provided, that such new Liens:

	 	(a)	 	are no less favorable to the Holders of Notes and are not more
favorable to the lienholders with respect to such Liens than the Liens in
respect of the Indebtedness being Refinanced and
	 
	 	(b)	 	do not extend to any property or assets other than the property
or assets securing the Indebtedness Refinanced by such Refinancing
Indebtedness;

	 	(9)	 	Liens securing Acquired Indebtedness Incurred in accordance with Section
3.9 not Incurred in connection with, or in anticipation or contemplation of, the
relevant acquisition, merger or consolidation; provided, that:

	 	(a)	 	such Liens secured such Acquired Indebtedness at the time of
and prior to the Incurrence of such Acquired Indebtedness by the Company or a
Restricted Subsidiary and were not granted in connection with, or in
anticipation of the Incurrence of such Acquired Indebtedness by the Company or
a Restricted Subsidiary and
	 
	 	(b)	 	such Liens do not extend to or cover any property of the
Company or any Restricted Subsidiary other than the property that secured the
Acquired

-24-

 

	 	 	 	Indebtedness prior to the time such Indebtedness became Acquired
Indebtedness of the Company or a Restricted Subsidiary and are no more
favorable to the lienholders than the Liens securing the Acquired
Indebtedness prior to the Incurrence of such Acquired Indebtedness by the
Company or a Restricted Subsidiary;

	 	(10)	 	Liens securing borrowings under the Bank Credit Facility incurred in accordance
with clause (3) of the definition of “Permitted Indebtedness”;
	 
	 	(11)	 	Liens securing Indebtedness permitted to be Incurred pursuant to clause (11) of
the definition of “Permitted Indebtedness”; and
	 
	 	(12)	 	additional Liens securing obligations and Attributable Indebtedness Incurred
pursuant to Section 3.19 in an aggregate amount outstanding not to exceed 3.0%
of Consolidated Tangible Assets at the time of such Incurrence.

     “Person” means an individual, partnership, corporation, company, limited liability company,
unincorporated organization, trust or joint venture, or a governmental agency or political
subdivision thereof.

     “Preferred Stock” of any Person means any Capital Stock of such Person that has
preferential rights over any other Capital Stock of such Person with respect to dividends,
distributions or redemptions or upon liquidation.

     “Private Exchange Notes” shall have the meaning assigned to such term in the Issue
Date Registration Rights Agreement and any other Registration Rights Agreement.

     “Private Placement Legend” has the meaning assigned to it in Section 2.7(b).

     “Public Equity Offering” means an underwritten public offering of Qualified Capital
Stock of the Company pursuant to a registration statement (other than a registration statement
filed on Form S-4 or S-8) filed with the SEC in accordance with the Securities Act.

     “Purchase Money Indebtedness” means Indebtedness of the Company or any Restricted
Subsidiary Incurred for the purpose of financing all or any part of the purchase price or other
cost of construction or improvement of any property; provided, that the aggregate principal amount
of such Indebtedness does not exceed the lesser of the Fair Market Value of such property or such
purchase price or cost, including any Refinancing of such Indebtedness that does not increase the
aggregate principal amount (or accreted amount, if less) thereof as of the date of Refinancing.

     “QIB” means any “qualified institutional buyer” (as defined in Rule 144A).

     “Qualified Capital Stock” means any Capital Stock that is not Disqualified Capital
Stock and any warrants, rights or options to purchase or acquire Capital Stock that is not
Disqualified Capital Stock that are not convertible into or exchangeable into Disqualified Capital
Stock.

-25-

 

     “Record Date” has the meaning assigned to it in the Form of Face of Note contained in
Exhibit A.

     “Redemption Date” means, with respect to any redemption of Notes, the date fixed for
such redemption pursuant to this Indenture and the Notes.

     “Refinance” means, in respect of any security or Indebtedness, to refinance, extend, renew,
refund, repay, prepay, redeem, defease or retire, or to issue a security or Indebtedness in
exchange or replacement for, such security or Indebtedness in whole
or in part. “Refinanced” and
“Refinancing” shall have correlative meanings.

     “Refinancing Indebtedness” means any Refinancing by the Company or any Restricted
Subsidiary, to the extent that such Refinancing does not:

	 	(1)	 	result in an increase in the aggregate principal amount of the Indebtedness of
such Person as of the date of such proposed Refinancing (plus the amount of any premium
required to be paid under the terms of the instrument governing such Indebtedness and
plus the amount of reasonable expenses incurred by the Company in connection with such
Refinancing); or
	 
	 	(2)	 	create Indebtedness with:

	 	(a)	 	a Weighted Average Life to Maturity that is less than the
Weighted Average Life to Maturity of the Indebtedness being Refinanced; or
	 
	 	(b)	 	a final maturity earlier than the final maturity of the
Indebtedness being Refinanced;

provided, that:

	 	(x)	 	if such Indebtedness being Refinanced is Indebtedness of the Company, then such
Refinancing Indebtedness shall be Indebtedness of the Company,
	 
	 	(y)	 	if such Indebtedness being Refinanced is Indebtedness of a Note Guarantor, then
such Indebtedness shall be Indebtedness of the Company and/or such Note Guarantor, and
	 
	 	(z)	 	if such Indebtedness being Refinanced is Subordinated Indebtedness, then such
Refinancing Indebtedness shall be subordinate to the Notes or the relevant Note
Guarantee, if applicable, at least to the same extent and in the same manner as the
Indebtedness being Refinanced.

     “Registered Exchange Offer” means an exchange offer by the Company registered under
the Securities Act pursuant to which Notes originally issued pursuant to an exemption from
registration under the Securities Act are exchanged for Notes of like principal amount not bearing
the Private Placement Legend.

     “Registrar” has the meaning assigned to it in Section 2.3(a).

-26-

 

     “Registration Rights Agreement” means any registration rights agreement between
the Company, the Note Guarantors and one or more investment banks acting as initial purchasers in
connection with any issuance of Notes under this Indenture, including the Issue Date Registration
Rights Agreement.

     “Registration Statement” means an effective Exchange Offer Registration Statement or
Shelf Registration Statement.

     “Regulation S” means Regulation S under the Securities Act or any successor
regulation.

     “Regulation S Global Note” has the meaning assigned to it in Section 2.1(e).

     “Replacement Assets” has the meaning assigned to it in Section 3.11.

     “Resale Restriction Termination Date” means, for any Restricted Note that is an Issue
Date Note (or beneficial interest therein), two years (or such other period specified in Rule
144(k) under the Securities Act (“Rule 144(k)”) from the Issue Date or, for any Additional
Notes (or beneficial interests therein) that are Restricted Notes two years (or such other period
specified in Rule 144(k)) from the latest such original issue date of such Additional Notes.

     “Responsible Officer” means, when used with respect to the Trustee, any officer within
the corporate trust department of the Trustee, including any vice president, assistant vice
president, assistant secretary, assistant treasurer, trust officer or any other officer of the
Trustee who customarily performs functions similar to those performed by the Persons who at the
time shall be such officers, respectively, or to whom any corporate trust matter is referred
because of such person’s knowledge of and familiarity with the particular subject and who shall
have direct responsibility for the administration of this Indenture.

     “Restricted Investment” means an Investment other than a Permitted Investment.

     “Restricted Note” means any Issue Date Note (or beneficial interest therein) or any
Additional Note (or beneficial interest therein) not originally issued and sold pursuant to an
effective registration statement under the Securities Act until such time as:

	 	(i)	 	such Issue Date Note (or beneficial interest therein) or Additional Note (or
beneficial interest therein) has been exchanged for a corresponding Exchange Note
pursuant to an Exchange Offer Registration Statement or has been transferred pursuant
to a Shelf Registration Statement;
	 
	 	(ii)	 	the Resale Restriction Termination Date therefor has passed;
	 
	 	(iii)	 	such Note is a Regulation S Global Note and the Distribution Compliance Period
therefor has terminated and the Trustee has received the certifications specified in
Rule 903(b)(3)(ii)(b) of Regulation S; or
	 
	 	(iv)	 	the Private Placement Legend therefor has otherwise been removed pursuant to
Section 2.8(d) or, in the case of a beneficial interest in a Global Note, such
beneficial

-27-

 

	 	 	 	interest has been exchanged for an interest in a Global Note not bearing a
Private Placement Legend.

     “Restricted Payment” has the meaning set forth in Section 3.10.

     “Restricted Subsidiary” means any Subsidiary of the Company which at the time of
determination is not an Unrestricted Subsidiary.

     “Revocation” has the meaning set forth in Section 3.13.

     “Rule 144” means Rule 144 under the Securities Act (or any successor rule).

     “Rule 144A” means Rule 144A under the Securities Act (or any successor rule).

     “Rule 144A Global Note” has the meaning assigned to it in Section 2.1(d).

     “Sale and Leaseback Transaction” means any direct or indirect arrangement with any
Person or to which any such Person is a party providing for the leasing to the Company or a
Restricted Subsidiary of any property, whether owned by the Company or any Restricted Subsidiary at
the Issue Date or later acquired, which has been or is to be sold or transferred by the Company or
such Restricted Subsidiary to such Person or to any other Person by whom funds have been or are to
be advanced on the security of such Property.

     “SEC” means the Securities and Exchange Commission, or any successor agency thereto with
respect to the regulation or registration of securities.

     “Securities Act” means the Securities Act of 1933, as amended.

     “Shelf Registration Statement” has the meaning assigned to such term in the Issue Date
Registration Rights Agreement and any other Registration Rights Agreement.

     “Significant Subsidiary” means a Subsidiary of the Company constituting a “Significant
Subsidiary” in accordance with Rule 1-02(w) of Regulation S-X under the Securities Act in effect on
the date hereof, except that all references to “10%” in Rule “1-02(w)” are replaced with 5%.

     “Special Record Date” has the meaning assigned to it in clause (a) of Section
2.12.

     “Stated Maturity” means, with respect to any security, the date specified in such
security as the fixed date on which the final payment of principal of such security is due and
payable, including pursuant to any mandatory redemption provision (but excluding any provision
providing for the repurchase of such security at the option of the holder thereof upon the
happening of any contingency unless such contingency has occurred).

     “Subordinated Indebtedness” means, with respect to the Company or any Note Guarantor,
any Indebtedness of the Company or such Note Guarantor, as the case may be, which is expressly
subordinated in right of payment to the Notes or the relevant Note Guarantee, as the case may be.

-28-

 

     “Subsidiary,” with respect to any Person, means any other Person of which such Person owns,
directly or indirectly, more than fifty percent (50%) of the voting power of the other Person’s
outstanding Voting Stock.

     “Successor Entity” has the meaning assigned to it in Section 4.1.

     “Taxable Income” means, with respect to any Person for any period, the taxable income
(including all separately stated items of income) or loss of such Person (including any such
taxable income payable by such Person’s shareholders as a result of such Person’s election to be
taxed as an S corporation pursuant to Section 1361 of the Code) for such person for federal income
tax purposes.

     “TIA” or “Trust Indenture Act” means the Trust Indenture Act of 1939, as amended, as
in effect on the date of this Indenture (except as otherwise provided in this Indenture).

     “Treasury Rate” means, as of any Redemption Date, the yield to maturity as of such
Redemption Date of United States Treasury securities with a constant maturity (as compiled and
published in the most recent Federal Reserve Statistical Release H.15 (519) that has become
publicly available at least two Business Days prior to the Redemption Date (or, if such Statistical
Release is no longer published, any publicly available source of similar market data)) most nearly
equal to the period from the Redemption Date to February 15, 2014; provided, however, that if the
period from the Redemption Date to February 15, 2014 is less than one year, the weekly average
yield on actually traded United States Treasury securities adjusted to a constant maturity of one
year will be used.

     “Trustee” means the party named as such in the introductory paragraph of this Indenture until
a successor replaces it in accordance with the terms of this Indenture and, thereafter, means the
successor.

     “Unrestricted Subsidiary” means any Subsidiary of the Company Designated as such
pursuant to Section 3.13. Any such Designation may be revoked by a Board Resolution of the
Company, subject to the provisions of Section 3.13.

     “U.S. Government Obligations” means (i) securities that are (a) direct obligations of
the United States of America for the payment of which the full faith and credit of the United
States of America is pledged or (b) obligations of a Person controlled or supervised by and acting
as an agency or instrumentality of the United States of America the payment of which is
unconditionally guaranteed as a full faith and credit obligation by the United States of America,
which, in either case, are not callable or redeemable at the option of the issuer thereof; and (ii)
depositary receipts issued by a bank (as defined in Section 3(a)(2) of the Securities Act) as
custodian with respect to any U.S. Government Obligation which is specified in clause (i) above and
held by such bank for the account of the holder of such depositary receipt, or with respect to any
specific payment of principal or interest on any U.S. Government Obligation which is so specified
and held, provided that (except as required by law) such custodian is not authorized to make any
deduction from the amount payable to the holder of such depositary receipt from any amount received
by the custodian in respect of the U.S. Government Obligation or the specific payment of principal
or interest of the U.S. Government Obligation evidenced by such depositary receipt.

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     “U.S. Legal Tender” means such coin or currency of the United States of America as at
the time of payment shall be legal tender for the payment of public and private debts.

     “Voting Stock” with respect to any Person, means securities of any class of Capital
Stock of such Person entitling the holders thereof (whether at all times or only so long as no
senior class of stock has voting power by reason of any contingency) to vote in the election of
members of the Board of Directors (or equivalent governing body) of such Person.

     “Weighted Average Life to Maturity” means, when applied to any Indebtedness at any
date, the number of years obtained by dividing:

	 	(1)	 	the then outstanding aggregate principal amount or liquidation preference, as
the case may be, of such Indebtedness into
	 
	 	(2)	 	the sum of the products obtained by multiplying:

	 	(a)	 	the amount of each then remaining installment, sinking fund,
serial maturity or other required payment of principal or liquidation
preference, as the case may be, including payment at final maturity, in respect
thereof, by
	 
	 	(b)	 	the number of years (calculated to the nearest one-twelfth)
which will elapse between such date and the making of such payment.

     “Wholly Owned Restricted Subsidiary” of the Company means any Restricted Subsidiary of
which all the outstanding Capital Stock (other than in the case of a Restricted Subsidiary not
organized in the United States, directors’ qualifying shares or an immaterial amount of shares
required to be owned by other Persons pursuant to applicable law) is owned by the Company or any
Wholly Owned Restricted Subsidiary.

     Section
1.2 Incorporation by Reference of Trust Indenture Act. If any provision of this Indenture
limits, qualifies or conflicts with the duties that would be imposed by any of Sections 310 to 317
of the TIA through operation of Section 318(c) thereof on any person if this Indenture were
qualified under the TIA, such imposed duties shall control.

     “obligor” on the indenture securities means the Company and any other obligor on the indenture
securities.

     All other TIA terms used in this Indenture that are defined by the TIA, defined in the TIA by
reference to another statute or defined by Rules or Regulations of the SEC Rule have the meanings
assigned to them by such definitions.

     Section
1.3 Rules of Construction. Unless the context otherwise requires:

     (1) a term has the meaning assigned to it;

     (2) an accounting term not otherwise defined has the meaning assigned to it in
accordance with GAAP;

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     (3) “premium” means “premium, if any”;

     (4) “or” is not exclusive;

     (5) “include”, “includes”, “including” means “include, without
limitation”, “includes, without limitation”, and “including, without limitation”;

     (6) “will” means and has the same effect as the word “shall”;

     (7) words in the singular include the plural and words in the plural include the
singular; and

     (8) references to the payment of principal of the Notes shall include applicable
premium, if any; and

     (9) any pronoun includes the corresponding masculine, feminine and neuter forms.

ARTICLE II

THE NOTES

     Section 2.1 Form and Dating.

     (a) The Issue Date Notes are being originally offered and sold by the Company pursuant to a
Purchase Agreement, dated as of January 26, 2010, between the Company, the Guarantor listed on
Schedule B thereto and Bank of America Securities LLC and Wells Fargo Securities, LLC. The Notes
will be issued in fully-registered certificated form without coupons, and only in denominations of
$1,000 and any integral multiple thereof. The Notes and the Trustee’s certificate of
authentication shall be substantially in the form of Exhibit A.

     (b) The terms and provisions of the Notes, the form of which is in Exhibit A, shall
constitute, and are hereby expressly made, a part of this Indenture, and, to the extent applicable,
the Company, the Note Guarantors and the Trustee, by their execution and delivery of this Indenture
expressly agree to such terms and provisions and to be bound thereby. Except as otherwise
expressly permitted in this Indenture, all Notes shall be identical in all respects.
Notwithstanding any differences among them, all Notes issued under this Indenture shall vote and
consent together on all matters as one class.

     (c) The Notes may have notations, legends or endorsements as specified in Section 2.7
or as otherwise required by law, stock exchange rule or DTC rule or usage. The Company and the
Trustee shall approve the form of the Notes and any notation, legend or endorsement on them. Each
Note shall be dated the date of its authentication.

     (d) Notes originally offered and sold to QIBs in reliance on Rule 144A will be issued in the
form of one or more Global Notes (each, a “Rule 144A Global Note”).

     (e) Notes originally offered and sold outside the United States of America will be issued in
the form of one or more Global Notes (each, a “Regulation S Global Note”).

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     Section 2.2 Execution and Authentication.

     (a) The Notes shall be signed for the Company by manual or facsimile signature by the Chairman
of the Board, the President, the Chief Executive Officer or the Chief Financial Officer of the
Company. If an Officer whose signature is on a Note no longer holds that office at the time the
Trustee authenticates the Note, the Note shall be valid nevertheless.

     (b) A Note shall not be valid until an authorized signatory of the Trustee manually
authenticates the Note. The signature of the Trustee on a Note shall be conclusive evidence that
such Note has been duly and validly authenticated and delivered under this Indenture.

     (c) At any time and from time to time after the execution and delivery of this Indenture, the
Trustee shall authenticate and make available for delivery Notes upon a written order of the
Company signed by one Officer of the Company (a “Company Order”). A Company Order shall
specify the amount of the Notes to be authenticated and the date on which the original issue of
Notes is to be authenticated. The aggregate principal amount of Notes that may be authenticated
and delivered under this Indenture is unlimited.

     (d) The Trustee may appoint an agent (the “Authenticating Agent”) reasonably
acceptable to the Company to authenticate the Notes. Unless limited by the terms of such
appointment, any such Authenticating Agent may authenticate Notes whenever the Trustee may do so.
Each reference in this Indenture to authentication by the Trustee includes authentication by the
Authenticating Agent.

     (e) In case a Successor Entity has executed an indenture supplemental hereto with the Trustee
pursuant to Article IV, any of the Notes authenticated or delivered prior to such
transaction may, from time to time, at the request of the Successor Entity, be exchanged for other
Notes executed in the name of the Successor Entity with such changes in phraseology and form as may
be appropriate, but otherwise identical to the Notes surrendered for such exchange and of like
principal amount; and the Trustee, upon Company Order of the Successor Entity, shall authenticate
and deliver Notes as specified in such order for the purpose of such exchange. If Notes shall at
any time be authenticated and delivered in any new name of a Successor Entity pursuant to this
Section 2.2 in exchange or substitution for or upon registration of transfer of any Notes,
such Successor Entity, at the option of the Holders but without expense to them, shall provide for
the exchange of all Notes at the time Outstanding for Notes authenticated and delivered in such new
name.

     Section 2.3 Registrar and Paying Agent.

     (a) The Company shall maintain an office or agency in Chicago, Illinois, where Notes may be
presented for registration of transfer or for exchange (the
“Registrar”), where Notes may be
presented or surrendered for payment (the “Paying Agent”) and for the service of notices
and demands to or upon the Company in respect of the Notes and this Indenture. The Registrar shall
keep a register of the Notes and of their transfer and exchange (the “Note Register”). The
Company may have one or more co-Registrars and one or more additional paying agents. The term
“Paying Agent” includes any additional paying agent.

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     (b) The Company shall enter into an appropriate agency agreement with any Registrar, Paying
Agent or co-Registrar not a party to this Indenture, which shall incorporate the terms of the TIA.
The agreement shall implement the provisions of this Indenture that relate to such agent. The
Company shall notify the Trustee of the name and address of each such agent. If the Company fails
to maintain a Registrar or Paying Agent, the Trustee shall act as such and shall be entitled to
appropriate compensation therefor pursuant to Section 7.7. The Company or any Note
Guarantor may act as Paying Agent, Registrar, co-Registrar or transfer agent.

     (c) The Company initially appoints the Trustee at its principal corporate trust office in
Chicago, Illinois (the “Corporate Trust Office”) as Registrar, Paying Agent and agent for
service of demands and notices in connection with the Notes and this Indenture, until such time as
another Person is appointed as such.

     Section 2.4 Paying Agent to Hold Money in Trust. The Company shall require each Paying Agent
(other than the Trustee) to agree in writing that such Paying Agent shall hold in trust for the
benefit of Holders or the Trustee all money held by such Paying Agent for the payment of principal
of, or interest on, the Notes and shall notify the Trustee in writing of any Default by the Company
or any Note Guarantor in making any such payment. If the Company or any Note Guarantor or an
Affiliate of the Company or any Note Guarantor acts as Paying Agent, it shall segregate the money
held by it as Paying Agent and hold it as a separate trust fund. The Company at any time may
require a Paying Agent (other than the Trustee) to pay all money held by it to the Trustee and to
account for any funds disbursed by such Paying Agent. Upon complying with this Section
2.4, the Paying Agent (if other than the Company or a Note Guarantor) shall have no further
liability for the money delivered to the Trustee. Upon any proceeding under any Bankruptcy Law
with respect to the Company or any Note Guarantor or any Affiliate of the Company or any Note
Guarantor, if the Company, a Note Guarantor or such Affiliate is then acting as Paying Agent, the
Trustee shall replace the Company, such Note Guarantor or such Affiliate as Paying Agent.

     Section 2.5 Holder Lists. The Trustee shall preserve in as current a form as is reasonably
practicable the most recent list available to it of the names and addresses of Holders. If the
Trustee is not the Registrar, or to the extent otherwise required under the TIA, the Company shall
furnish to the Trustee, in writing at least seven Business Days before each Interest Payment Date
and at such other times as the Trustee may request in writing, a list in such form and as of such
date as the Trustee may reasonably require of the names and addresses of Holders.

     Section 2.6 Global Note Provisions.

     (a) Each Global Note initially shall: (i) be registered in the name of DTC or the nominee of
DTC, (ii) be delivered to the Note Custodian, and (iii) bear the appropriate legend, as set forth
in Section 2.7 and Exhibit A. Any Global Note may be represented by more than one
certificate. The aggregate principal amount of each Global Note may from time to time be increased
or decreased by adjustments made on the records of the Note Custodian, as provided in this
Indenture.

     (b) Members of, or participants in, DTC (“Agent Members”) shall have no rights under
this Indenture with respect to any Global Note held on their behalf by DTC or by the Note

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Custodian under such Global Note, and DTC may be treated by the Company, the Trustee, the
Paying Agent and the Registrar and any of their agents as the absolute owner of such Global Note
for all purposes whatsoever. Notwithstanding the foregoing, nothing herein shall prevent the
Company, the Trustee, the Paying Agent or the Registrar or any of their agents from giving effect
to any written certification, proxy or other authorization furnished by DTC or impair, as between
DTC and its Agent Members, the operation of customary practices of DTC governing the exercise of
the rights of an owner of a beneficial interest in any Global Note. The registered Holder of a
Global Note may grant proxies and otherwise authorize any Person, including Agent Members and
Persons that may hold interests through Agent Members, to take any action that a Holder is entitled
to take under this Indenture or the Notes.

     (c) Except as provided below, owners of beneficial interests in Global Notes will not be
entitled to receive Certificated Notes. Certificated Notes shall be issued to all owners of
beneficial interests in a Global Note in exchange for such interests if:

     (i) DTC notifies the Company that it is unwilling or unable to continue as depositary
for such Global Note and a successor depositary is not appointed by the Company within 90
days of such notice or DTC ceases to be a clearing agency registered under the Exchange Act
at a time when DTC is required to be so registered in order to act as depositary,

     (ii) the Company executes and delivers to the Trustee and Registrar an Officers’
Certificate stating that such Global Note shall be so exchangeable, or

     (iii) a Default or Event of Default has occurred and is continuing and the Registrar
has received a request from DTC.

In connection with the exchange of an entire Global Note for Certificated Notes pursuant to this
paragraph (c), such Global Note shall be deemed to be surrendered to the Trustee for cancellation,
and the Company shall execute, and upon Company Order the Trustee shall authenticate and deliver,
to each beneficial owner identified by DTC in exchange for its beneficial interest in such Global
Note, an equal aggregate principal amount of Certificated Notes of authorized denominations.

     (d) In connection with the exchange of a portion of a Certificated Note for a beneficial
interest in a Global Note, the Trustee shall cancel such Certificated Note, and the Company shall
execute, and the Trustee shall authenticate and deliver to the exchanging Holder, a new
Certificated Note representing the principal amount not so exchanged unless such principal amount
is to be exchanged for a beneficial interest in a Global Note pursuant to Section 2.8(c).

     Section 2.7 Legends.

     (a) Each Global Note shall bear the legend specified therefor in Exhibit A on the face
thereof.

     (b) Each Restricted Note shall bear the private placement legend (the “Private Placement
Legend”) specified therefor in Exhibit A on the face thereof.

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     Section 2.8 Transfer and Exchange.

     (a) The following provisions shall apply with respect to any proposed transfer of an interest
in a Rule 144A Global Note that is a Restricted Note: If (1) the owner of a beneficial interest in
a Rule 144A Global Note wishes to transfer such interest (or any portion thereof) to a Non-U.S.
Person pursuant to Regulation S and (2) such Non-U.S. Person wishes to hold its interest in the
Notes through a beneficial interest in the Regulation S Global Note, (i) upon receipt by the Note
Custodian and Registrar of:

     (A) instructions from the Holder of the Rule 144A Global Note directing the Note
Custodian and Registrar to credit or cause to be credited a beneficial interest in the
Regulation S Global Note equal to the principal amount of the beneficial interest in the
Rule 144A Global Note to be transferred, and

     (B) a certificate in the form of Exhibit C from the transferor,

and (ii) subject to the rules and procedures of DTC, the Note Custodian and Registrar shall
increase the Regulation S Global Note and decrease the Rule 144A Global Note by such amount in
accordance with the foregoing.

     (b) If the owner of an interest in a Regulation S Global Note that is a Restricted Note wishes
to transfer such interest (or any portion thereof) to a QIB pursuant to Rule 144A, (i) upon receipt
by the Note Custodian and Registrar of:

     (A) instructions from the Holder of the Regulation S Global Note directing the Note
Custodian and Registrar to credit or cause to be credited a beneficial interest in the Rule
144A Global Note equal to the principal amount of the beneficial interest in the Regulation
S Global Note to be transferred, and

     (B) a certificate in the form of Exhibit B duly executed by the transferor,

and (ii) in accordance with the rules and procedures of DTC, the Note Custodian and Registrar shall
increase the Rule 144A Global Note and decrease the Regulation S Global Note by such amount in
accordance with the foregoing.

     (c) Other Transfers.

     (A) If the owner of an interest in a Restricted Note wishes to transfer such interest
(or any portion thereof) to an institutional “accredited investor” (within the meaning of
Rules 501(a)(1), (2), (3) or (7) under the Securities Act), the transferee shall furnish a
certificate in the form of Exhibit F and, if such transfer is in respect of an aggregate
principal amount of less than $100,000, an Opinion of Counsel acceptable to the Company that
such transfer is in compliance with the Securities Act. Upon receipt of such certificate,
the Company shall execute, and the Trustee shall authenticate and deliver, one or more
Certificated Notes of like tenor and amount and bearing the Private Placement Legend and, if
the transferor is transferring an interest in a Global Note, the Note Custodian and
Registrar shall decrease such Global Note by such amount in accordance with the foregoing.

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     (B) Any transfer of Restricted Notes not described above (other than a transfer of a
beneficial interest in a Global Note that does not involve an exchange of such interest for
a Certificated Note or a beneficial interest in another Global Note, which must be effected
in accordance with applicable law and the rules and procedures of DTC, but is not subject to
any procedure required by this Indenture) shall be made only upon receipt by the Registrar
of such opinions of counsel, certificates and/or other information reasonably required by
and satisfactory to it in order to ensure compliance with the Securities Act or in
accordance with Section 2.8(d).

     (d) Use and Removal of Private Placement Legends. Upon the transfer, exchange or
replacement of Notes (or beneficial interests in a Global Note) not bearing (or not required to
bear upon such transfer, exchange or replacement) a Private Placement Legend, the Note Custodian
and Registrar shall exchange such Notes (or beneficial interests) for beneficial interests in a
Global Note (or Certificated Notes if they have been issued pursuant to Section 2.6(c))
that does not bear a Private Placement Legend. Upon the transfer, exchange or replacement of Notes
(or beneficial interests in a Global Note) bearing a Private Placement Legend, the Note Custodian
and Registrar shall deliver only Notes (or beneficial interests in a Global Note) that bear a
Private Placement Legend unless:

     (i) such Notes (or beneficial interests) are exchanged in a Registered Exchange Offer;

     (ii) such Notes (or beneficial interests) are transferred pursuant to a Shelf
Registration Statement;

     (iii) such Notes (or beneficial interests) are transferred pursuant to Rule 144 upon
delivery to the Registrar of a certificate of the transferor in the form of Exhibit D and an
Opinion of Counsel reasonably satisfactory to the Registrar;

     (iv) such Notes (or beneficial interests) are transferred, replaced or exchanged after
the Resale Restriction Termination Date therefor; or

     (v) in connection with such transfer, exchange or replacement the Registrar shall have
received an Opinion of Counsel and other evidence reasonably satisfactory to it, the Company
and the Note Guarantors to the effect that neither such Private Placement Legend nor the
related restrictions on transfer are required in order to maintain compliance with the
provisions of the Securities Act.

The Private Placement Legend on any Note shall be removed at the request of the Holder on or after
the Resale Restriction Termination Date therefor. The Holder of a Global Note may exchange an
interest therein for an equivalent interest in a Global Note not bearing a Private Placement Legend
(other than a Regulation S Global Note) upon transfer of such interest pursuant to any of clauses
(i) through (v) of this paragraph (d). The Company and the Note Guarantors shall deliver to the
Trustee an Officers’ Certificate promptly upon effectiveness, withdrawal or suspension of any
Registration Statement.

     (e) Consolidation of Global Notes and Exchange of Certificated Notes for Beneficial
Interests in Global Notes. If a Global Note not bearing a Private Placement Legend (other than a

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Regulation S Global Note) is Outstanding at the time of a Registered Exchange Offer, any
interests in a Global Note exchanged in such Registered Exchange Offer shall be exchanged for
interests in such Outstanding Global Note.

     (f) Retention of Documents. The Registrar shall retain copies of all letters, notices
and other written communications received pursuant to this Article II. The Company shall
have the right to inspect and make copies of all such letters, notices or other written
communications at any reasonable time upon the giving of reasonable written notice to the
Registrar.

     (g) Execution, Authentication of Notes, etc.

     (i) Subject to the other provisions of this Section 2.8, when Notes are
presented to the Registrar or a co-Registrar with a request to register the transfer of such
Notes or to exchange such Notes for an equal principal amount of Notes of other authorized
denominations, the Registrar or co-Registrar shall register the transfer or make the
exchange as requested if its requirements for such transaction are met; provided that any
Notes presented or surrendered for registration of transfer or exchange shall be duly
endorsed or accompanied by a written instrument of transfer in form satisfactory to the
Registrar or co-Registrar, duly executed by the Holder thereof or his attorney duly
authorized in writing. To permit registrations of transfers and exchanges and subject to
the other terms and conditions of this Article II, the Company will execute and upon
Company Order, the Trustee will authenticate Certificated Notes and Global Notes at the
Registrar’s or co-Registrar’s request. In accordance with the Issue Date Registration
Rights Agreement, upon the effectiveness of any Exchange Offer Registration Statement, the
Company will execute and upon Company Order, the Trustee will authenticate Exchange Notes or
Private Exchange Notes, as the case may be, in exchange for Issue Date Notes. In accordance
with a Registration Rights Agreement in respect of Additional Notes, upon the effectiveness
of any Exchange Offer Registration Statement in respect of such Additional Notes, the
Company will execute and upon Company Order, the Trustee will authenticate Exchange Notes in
exchange for such Additional Notes.

     (ii) No service charge shall be made to a Holder for any registration of transfer or
exchange, but the Company may require payment of a sum sufficient to cover any transfer tax,
assessments or similar governmental charge payable in connection therewith (other than any
such transfer taxes, assessments or similar governmental charges payable upon exchange or
transfer pursuant to a Registered Exchange Offer or to Section 3.8, 3.11,
5.1 or 9.5).

     (iii) The Registrar or co-Registrar shall not be required to register the transfer of
or exchange of any Note for a period beginning: (1) 15 days before the mailing of a notice
of an offer to repurchase or redeem Notes and ending at the close of business on the day of
such mailing or (2) on the Record Date for an Interest Payment Date and ending on such
Interest Payment Date.

     (iv) Prior to the due presentation for registration of transfer of any Note, the
Company, the Trustee, the Paying Agent, the Registrar or any co-Registrar may deem and treat
the person in whose name a Note is registered as the absolute owner of such Note

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for the purpose of receiving payment of principal of and interest on such Note and for
all other purposes whatsoever, whether or not such Note is overdue, and none of the Company,
the Trustee, the Paying Agent, the Registrar or any co-Registrar shall be affected by notice
to the contrary.

     (h) No Obligation of the Trustee.

     (i) The Trustee shall have no responsibility or obligation to any beneficial owner of
an interest in a Global Note, a member of, or a participant in, DTC or other Person with
respect to the accuracy of the records of DTC or its nominee or of any participant or member
thereof, with respect to any ownership interest in the Notes or with respect to the delivery
to any participant, member, beneficial owner or other Person (other than DTC) of any notice
(including any notice of redemption) or the payment of any amount or delivery of any Notes
(or other security or property) under or with respect to such Notes. All notices and
communications to be given to the Holders and all payments to be made to Holders in respect
of the Notes shall be given or made only to or upon the order of the registered Holders
(which shall be DTC or its nominee in the case of a Global Note). The rights of beneficial
owners in any Global Note shall be exercised only through DTC subject to the applicable
rules and procedures of DTC. The Trustee may rely and shall be fully protected in relying
upon information furnished by DTC with respect to its members, participants and any
beneficial owners.

     (ii) The Trustee shall have no obligation or duty to monitor, determine or inquire as
to compliance with any restrictions on transfer imposed under this Indenture or under
applicable law with respect to any transfer of any interest in any Note (including any
transfers between or among DTC participants, members or beneficial owners in any Global
Note) other than to require delivery of such certificates and other documentation or
evidence as are expressly required by, and to do so if and when expressly required by, the
terms of this Indenture, and to examine the same to determine substantial compliance as to
form with the express requirements hereof.

     Section 2.9 Mutilated, Destroyed, Lost or Stolen Notes.

     (a) If a mutilated Note is surrendered to the Registrar or if the Holder of a Note claims that
the Note has been lost, destroyed or wrongfully taken, the Company shall execute and upon Company
Order the Trustee shall authenticate a replacement Note if the requirements of Section 8-405 of the
Uniform Commercial Code are met and the Holder satisfies any other reasonable requirements of the
Trustee. If required by the Trustee or the Company, such Holder shall furnish an affidavit of loss
and indemnity bond sufficient in the judgment of the Company and the Trustee to protect the
Company, the Trustee, the Paying Agent, the Registrar and any co-Registrar from any loss that any
of them may suffer if a Note is replaced, and, in the absence of notice to the Company or the
Trustee that such Note has been acquired by a protected purchaser, the Company shall execute and
upon Company Order the Trustee shall authenticate and make available for delivery, in exchange for
any such mutilated Note or in lieu of any such destroyed, lost or stolen Note, a new Note of like
tenor and principal amount, bearing a number not contemporaneously Outstanding.

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     (b) Upon the issuance of any new Note under this Section 2.9, the Company may require
the payment of a sum sufficient to cover any tax or other governmental charge that may be imposed
in relation thereto and any other expenses (including the fees and expenses of the Trustee) in
connection therewith.

     (c) Every new Note issued pursuant to this Section 2.9 in exchange for any mutilated
Note, or in lieu of any destroyed, lost or stolen Note, shall constitute an original additional
contractual obligation of the Company, any Note Guarantor and any other obligor upon the Notes,
whether or not the mutilated, destroyed, lost or stolen Note shall be at any time enforceable by
anyone, and shall be entitled to all benefits of this Indenture equally and proportionately with
any and all other Notes duly issued hereunder.

     Section 2.10 Temporary Notes. Until definitive Notes are ready for delivery, the Company may
execute and upon Company Order the Trustee will authenticate temporary Notes. Temporary Notes will
be substantially in the form of definitive Notes but may have variations that the Company considers
appropriate for temporary Notes. Without unreasonable delay, the Company will prepare and execute
and upon Company Order the Trustee will authenticate definitive Notes. After the preparation of
definitive Notes, the temporary Notes will be exchangeable for definitive Notes upon surrender of
the temporary Notes at any office or agency maintained by the Company for that purpose and such
exchange shall be without charge to the Holder. Upon surrender for cancellation of any one or more
temporary Notes, the Company will execute and upon Company Order the Trustee will authenticate and
make available for delivery in exchange therefor one or more definitive Notes representing an equal
principal amount of Notes. Until so exchanged, the Holder of temporary Notes shall in all respects
be entitled to the same benefits under this Indenture as a Holder of definitive Notes.

     Section 2.11 Cancellation. The Company at any time may deliver Notes to the Trustee for
cancellation. The Registrar and the Paying Agent shall forward to the Trustee any Notes
surrendered to them for registration of transfer, exchange or payment. The Trustee and no one else
shall cancel and dispose of cancelled Notes in accordance with its policy of disposal or return to
the Company all Notes surrendered for registration of transfer, exchange, payment or cancellation.
The Company may not issue new Notes to replace Notes it has paid or delivered to the Trustee for
cancellation for any reason other than in connection with a transfer or exchange upon Company
Order.

     Section 2.12 Defaulted Interest. When any installment of interest becomes Defaulted Interest, such
installment shall forthwith cease to be payable to the Holders in whose names the Notes were
registered on the Record Date applicable to such installment of interest. Defaulted Interest
(including any interest on such Defaulted Interest) may be paid by the Company, at its election, as
provided in clause (a) or (b) below.

     (a) The Company may elect to make payment of any Defaulted Interest (including any interest on
such Defaulted Interest) to the Holders in whose names the Notes are registered at the close of
business on a special record date for the payment of such Defaulted Interest (a “Special Record
Date”), which shall be fixed in the following manner. The Company shall notify the Trustee in
writing of the amount of Defaulted Interest proposed to be paid and the date of the proposed
payment, and at the same time the Company shall deposit with the Trustee an amount

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of money equal to the aggregate amount proposed to be paid in respect of such Defaulted
Interest or shall make arrangements satisfactory to the Trustee for such deposit prior to the date
of the proposed payment, such money when deposited to be held in trust for the benefit of the
Holders entitled to such Defaulted Interest as provided in this clause (a). Thereupon the Trustee
shall fix a Special Record Date for the payment of such Defaulted Interest, which shall be not more
than 15 calendar days and not less than ten calendar days prior to the date of the proposed payment
and not less than ten calendar days after the receipt by the Trustee of the notice of the proposed
payment. The Trustee shall promptly notify the Company of such Special Record Date and, in the
name and at the expense of the Company, shall cause notice of the proposed payment of such
Defaulted Interest and the Special Record Date therefor to be sent, first-class mail, postage
prepaid, to each Holder at such Holder’s address as it appears in the registration books of the
Registrar, not less than ten calendar days prior to such Special Record Date. Notice of the
proposed payment of such Defaulted Interest and the Special Record Date therefor having been mailed
as aforesaid, such Defaulted Interest shall be paid to the Holders in whose names the Notes are
registered at the close of business on such Special Record Date and shall no longer be payable
pursuant to the following clause (b).

     (b) Alternatively, the Company may make payment of any Defaulted Interest (including any
interest on such Defaulted Interest) in any other lawful manner not inconsistent with the
requirements of any securities exchange on which the Notes may be listed, and upon such notice as
may be required by such exchange, if, after notice given by the Company to the Trustee of the
proposed payment pursuant to this clause (b), such manner of payment shall be deemed practicable by
the Trustee.

     Section 2.13 Additional Notes. The Company may, from time to time, subject to compliance with any
other applicable provisions of this Indenture, without the consent of the Holders, create and issue
pursuant to this Indenture additional notes (“Additional Notes”) having terms and
conditions set forth in Exhibit A identical to those of the other Outstanding Notes, except that
Additional Notes:

     (i) may have a different issue date from other Outstanding Notes;

     (ii) may have a different amount of interest payable on the first Interest Payment Date
after issuance than is payable on other Outstanding Notes;

     (iii) may have terms specified in the Additional Note Board Resolution or Additional
Note Supplemental Indenture for such Additional Notes making appropriate adjustments to this
Article II and Exhibit A (and related definitions) applicable to such Additional
Notes in order to conform to and ensure compliance with the Securities Act (or other
applicable securities laws) and any registration rights or similar agreement applicable to
such Additional Notes, which are not adverse in any material respect to the Holder of any
Outstanding Notes (other than such Additional Notes), provided, that no such adjustment
shall cause such Additional Notes to constitute, as determined pursuant to an Opinion of
Counsel, a different class of securities than the Issue Date Notes for U.S. federal income
tax purposes except for Additional Notes that have a separate CUSIP number from other
Outstanding Notes pending performance under a Registration Rights Agreement applicable
thereto; and

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     (iv) may be entitled to additional interest as provided in Section 2.14 not
applicable to other Outstanding Notes and may not be entitled to such additional interest
applicable to other Outstanding Notes.

     Section 2.14 Additional Interest Under Registration Rights Agreements. Under certain
circumstances, the Company may be obligated to pay additional interest to Holders, all as and to
the extent set forth in the Issue Date Registration Rights Agreement or any Registration Rights
Agreement applicable to Additional Notes. The terms thereof are hereby incorporated herein by
reference and such additional interest is deemed to be interest for purposes of this Indenture.

ARTICLE III

COVENANTS

     Section 3.1 Payment of Notes.

     (a) The Company shall pay the principal of and interest (including Defaulted Interest) on the
Notes in U.S. Legal Tender on the dates and in the manner provided in the Notes and in this
Indenture. Subject to the provisions of Section 2.12, prior to 10:00 a.m. New York City
time on each Interest Payment Date and the Maturity Date, the Company shall deposit with the Paying
Agent in immediately available funds U.S. Legal Tender sufficient to make cash payments due on such
Interest Payment Date or Maturity Date, as the case may be. If the Company, a Note Guarantor or an
Affiliate of the Company or a Note Guarantor is acting as Paying Agent, the Company, such Note
Guarantor or such Affiliate shall, prior to 10:00 a.m. Chicago time on each Interest Payment Date
and the Maturity Date, segregate and hold in trust U.S. Legal Tender sufficient to make cash
payments due on such Interest Payment Date or Maturity Date, as the case may be. Principal and
interest shall be considered paid on the date due if on such date the Trustee or the Paying Agent
(other than the Company, a Note Guarantor or an Affiliate of the Company or a Note Guarantor) holds
in accordance with this Indenture U.S. Legal Tender designated for and sufficient to pay all
principal and interest then due and the Trustee or the Paying Agent, as the case may be, is not
prohibited from paying such money to the Holders on that date pursuant to the terms of this
Indenture.

     (b) Notwithstanding anything to the contrary contained in this Indenture, the Company may, to
the extent it is required to do so by law, deduct or withhold income or other similar taxes imposed
by the United States of America from principal or interest payments hereunder.

     Section 3.2 Maintenance of Office or Agency.

     (a) The Company shall maintain each office or agency required under Section 2.3. The
Company will give prompt written notice to the Trustee of any change in the location of any such
office or agency. If at any time the Company shall fail to maintain any such required office or
agency or shall fail to furnish the Trustee with the address thereof, such presentations,
surrenders, notices and demands may be made or served at the Corporate Trust Office of the Trustee,
and the Company hereby appoints the Trustee as its agent to receive all such presentations,
surrenders, notices and demands.

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     (b) The Company may also from time to time designate one or more other offices or agencies (in
or outside of Chicago, Illinois) where the Notes may be presented or surrendered for any or all
such purposes and may from time to time rescind any such designation; provided, however, that no
such designation or rescission shall in any manner relieve the Company of its obligation to
maintain an office or agency in Chicago, Illinois for such purposes. The Company will give prompt
written notice to the Trustee of any such designation or rescission and any change in the location
of any such other office or agency.

     Section 3.3 Corporate Existence. Subject to Article IV, the Company will do or cause to be done
all things necessary to preserve and keep in full force and effect its corporate existence.

     Section 3.4 Payment of Taxes and Other Claims. The Company will pay or discharge or cause to be
paid or discharged, before the same shall become delinquent, (i) all material taxes, assessments
and governmental charges levied or imposed upon the Company or any Restricted Subsidiary or for
which it or any of them are otherwise liable, or upon the income, profits or property of the
Company or any Restricted Subsidiary and (ii) all lawful claims for labor, materials and supplies,
which, if unpaid, might by law become a liability or Lien upon the property of the Company or any
Restricted Subsidiary; provided, however, that the Company shall not be required to pay or
discharge or cause to be paid or discharged any such tax, assessment, charge or claim whose amount,
applicability or validity is being contested in good faith by appropriate proceedings and for which
appropriate reserves, if necessary (in the good faith judgment of management of the Company), are
being maintained in accordance with GAAP or where the failure to effect such payment will not be
disadvantageous to the Holders.

     Section 3.5 Compliance Certificate.

     (a) The Company and each Note Guarantor shall deliver to the Trustee within 90 days after the
end of each fiscal year of the Company an Officers’ Certificate, one of the signers of which is the
chief executive, chief financial or chief accounting officer of the Company, that complies with TIA
Section 314(a)(4), stating that in the course of the performance by the signers of their duties as
Officers of the Company or the Note Guarantor they would normally have knowledge of any Default or
Event of Default and whether or not the signers know of any Default or Event of Default that
occurred during such period. If they do, the certificate shall describe the Default or Event of
Default, its status and what action the Company or such Note Guarantor is taking or proposes to
take with respect thereto.

     (b) So long as not contrary to the then current generally applicable recommendations of the
American Institute of Certified Public Accountants (or any successor organization) or to the
generally applicable policies of the Company’s independent accountants, the annual Officers’
Certificate delivered pursuant to this Section 3.5 to the Trustee shall be accompanied by a
written report of the Company’s independent accountants (who shall be a firm of established
national reputation) that in conducting their audit of the financial statements of the Company for
the most recent fiscal year nothing has come to their attention that would lead them to believe
that a Default or Event of Default under this Indenture has occurred insofar as they relate to
accounting matters or, if any such violation has occurred, specifying the nature and period of
existence thereof, it being understood that such accountants shall not be liable directly or
indirectly to any

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Person for any failure to obtain knowledge of any such violation that would not be disclosed
in the course of an audit examination conducted in accordance with GAAP.

     Section 3.6 Further Instruments and Acts. The Company and each Note Guarantor will execute and
deliver such further instruments and do such further acts as may be reasonably necessary or proper
or as the Trustee may reasonably request to carry out more effectively the purpose of this
Indenture.

     Section 3.7 Waiver of Stay, Extension or Usury Laws. The Company and each Note Guarantor
covenants (to the extent that it may lawfully do so) that it will not at any time insist upon,
plead, or in any manner whatsoever claim or take the benefit or advantage of, any stay or extension
law or any usury law or other law that would prohibit or forgive the Company or such Note Guarantor
from paying all or any portion of the principal of or interest on the Notes as contemplated herein,
wherever enacted, now or at any time hereafter in force, or which may affect the covenants or the
performance of this Indenture. The Company and each Note Guarantor hereby expressly waives (to the
extent that it may lawfully do so) all benefit or advantage of any such law, and covenants (to the
extent that it may lawfully do so) that it will not hinder, delay or impede the execution of any
power herein granted to the Trustee, but will suffer and permit the execution of every such power
as though no such law had been enacted.

     Section 3.8 Change of Control.

     (a) Upon the occurrence of a Change of Control, each Holder will have the right to require
that the Company purchase all or a portion (in integral multiples of $1,000) of the Holder’s Notes
at a purchase price equal to one hundred one percent (101%) of the principal amount thereof, plus
accrued and unpaid interest thereon through the date of purchase (the “Change of Control
Payment”).

     (b) Within 20 days following the date upon which the Change of Control occurred, the Company
must send, by first-class mail, a Change of Control Offer Notice to each Holder, with a copy to the
Trustee, offering to purchase the Notes as described above (a “Change of Control Offer”).
The Change of Control Offer Notice shall state, among other things, the purchase date, which must
be no earlier than 30 days nor later than 60 days from the date the notice is mailed, other than as
may be required by law (the “Change of Control Payment Date”).

     (c) On the Change of Control Payment Date, the Company will, to the extent lawful:

     (1) accept for payment all Notes or portions thereof properly tendered pursuant to the
Change of Control Offer;

     (2) deposit with the Paying Agent funds in an amount equal to the Change of Control
Payment in respect of all Notes or portions thereof so tendered; and

     (3) deliver or cause to be delivered to the Trustee the Notes so accepted together with
an Officers’ Certificate stating the aggregate principal amount of Notes or portions thereof
being purchased by the Company.

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     (d) If only a portion of a Note is purchased pursuant to a Change of Control Offer, a new Note
in a principal amount equal to the portion thereof not purchased will be issued in the name of the
Holder thereof upon cancellation of the original Note (or appropriate adjustments to the amount and
beneficial interests in a Global Note will be made, as appropriate). Notes (or portions thereof)
purchased pursuant to a Change of Control Offer will be cancelled and cannot be reissued.

     (e) Holders will not be entitled to require the Company to purchase their Notes in the event
of a takeover, recapitalization, leveraged buyout or similar transaction which is not a Change of
Control.

     (f) The Company will comply with the requirements of Rule 14e-1 under the Exchange Act and any
other applicable securities laws and regulations in connection with the purchase of Notes in
connection with a Change of Control Offer. To the extent that the provisions of any securities
laws or regulations conflict with this Section 3.8, the Company will comply with the
applicable securities laws and regulations and will not be deemed to have breached its obligations
under this Indenture by doing so.

     (g) The Company is not required to make a Change of Control Offer upon a Change of Control if
a third party makes the Change of Control Offer in the manner, at the time and otherwise in
compliance with the requirements in this Section 3.8 made by the Company and purchases all
Notes validly tendered and not withdrawn under such Change of Control Offer.

     Section 3.9 Limitation on Incurrence of Additional Indebtedness.

     (a) The Company will not, and will not cause or permit any of its Restricted Subsidiaries to,
directly or indirectly, Incur any Indebtedness, including Acquired Indebtedness, or permit any
Restricted Subsidiary that is not a Note Guarantor to Incur Preferred Stock, except that the
Company and any Note Guarantor may Incur Indebtedness, including Acquired Indebtedness if, at the
time of and immediately after giving pro forma effect to the Incurrence thereof and the application
of the proceeds therefrom, no Default or Event of Default shall have occurred and be continuing and
the Consolidated Fixed Charge Coverage Ratio of the Company is greater than 2.25 to 1.0.

     (b) Notwithstanding Section 3.9(a), the Company and its Restricted Subsidiaries may
Incur Permitted Indebtedness as provided in the definition thereof.

     (c) For purposes of determining compliance with, and the outstanding principal amount of, any
particular Indebtedness Incurred pursuant to and in compliance with this covenant, the amount of
Indebtedness issued at a price that is less than the principal amount thereof will be equal to the
amount of the liability in respect thereof determined in accordance with GAAP. Accrual of
interest, the accretion or amortization of original issue discount, the payment of regularly
scheduled interest in the form of additional Indebtedness of the same instrument or the payment of
regularly scheduled dividends on Disqualified Capital Stock or Preferred Stock in the form of
additional Disqualified Capital Stock or Preferred Stock with the same terms will not be deemed to
be an Incurrence of Indebtedness or Preferred Stock for purposes of this covenant.

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     Section 3.10 Limitation on Restricted Payments.

     (a) The Company will not, and will not cause or permit any of its Restricted Subsidiaries to,
directly or indirectly, take any of the following actions (each, a “Restricted Payment”):

     (1) declare or pay any dividend or return of capital or make any distribution on or in
respect of shares of Capital Stock of the Company or any Restricted Subsidiary to holders of
such Capital Stock, other than:

(i) dividends or distributions payable in Qualified Capital Stock of the Company, or

(ii) dividends or distributions payable to the Company and/or a Restricted
Subsidiary;

     (2) purchase, redeem or otherwise acquire or retire for value any Capital Stock of the
Company or any Restricted Subsidiary, or any direct or indirect parent of the Company, other
than Capital Stock held by the Company or another Restricted Subsidiary;

     (3) make any principal payment on, purchase, defease, redeem, prepay, decrease or
otherwise acquire or retire for value, prior to any scheduled final maturity, scheduled
repayment or scheduled sinking fund payment, as the case may be, any Subordinated
Indebtedness; or

     (4) make any Investment (other than Permitted Investments);

if at the time of the Restricted Payment and immediately after giving effect thereto:

     (A) a Default or an Event of Default shall have occurred and be continuing;

     (B) the Company is not able to Incur at least $1.00 of additional Indebtedness pursuant
to Section 3.9(a); or

     (C) the aggregate amount (the amount expended for these purposes, if other than in
cash, being the Fair Market Value of the relevant property) of Restricted Payments,
including the proposed Restricted Payment, made subsequent to the Issue Date up to the date
thereof, less any Investment Return calculated as of the date thereof, shall exceed the sum
of:

     (i) fifty percent (50%) of cumulative Consolidated Net Income or, if cumulative
Consolidated Net Income is a loss, minus one hundred percent (100%) of the loss,
accrued during the period, treated as one accounting period, beginning on the first
full fiscal quarter after the Issue Date to the end of the most recent fiscal
quarter for which consolidated financial information of the Company is available;

plus

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     (ii) one hundred percent (100%) of the aggregate Net Cash Proceeds received by
the Company from any Person from any:

	 	(x)	 	(a) contribution to the equity capital of the Company not
representing an interest in Disqualified Capital Stock or (b) issuance and sale
of Qualified Capital Stock of the Company, in each case, subsequent to the
Issue Date, or
	 
	 	(y)	 	issuance and sale subsequent to the Issue Date (and, in the
case of Indebtedness of a Restricted Subsidiary, at such time as it was a
Restricted Subsidiary) of any Indebtedness for borrowed money of the Company or
any Restricted Subsidiary that has been converted into or exchanged for
Qualified Capital Stock of the Company,

plus

     (iii) 100% of the amount received, including the Fair Market Value of any
property received after the date of this Indenture by means of (1) the sale or other
disposition (other than to the Company or a Restricted Subsidiary) of Restricted
Investments made by the Company or its Restricted Subsidiaries and repurchases and
redemptions of such Restricted Investments from the Company or its Restricted
Subsidiaries and repayments of loans or advances which constituted Restricted
Investments of the Company or its Restricted Subsidiaries or (2) the sale (other
than to the Company or a Restricted Subsidiary) of the Capital Stock of an
Unrestricted Subsidiary or a distribution from an Unrestricted Subsidiary (other
than in each case to the extent the Investment in such Unrestricted Subsidiary
constituted a Permitted Investment) or a dividend from an Unrestricted Subsidiary,

     plus

     (iv) in the case of the redesignation of an Unrestricted Subsidiary as a
Restricted Subsidiary or the merger or consolidation of an Unrestricted Subsidiary
into the Company or a Restricted Subsidiary or the transfer of assets of an
Unrestricted Subsidiary to the Company or a Restricted Subsidiary, the Fair Market
Value of the Investment in such Unrestricted Subsidiary, (other than an Unrestricted
Subsidiary to the extent the Investment in such Unrestricted Subsidiary constituted
a Permitted Investment);

provided, however that sum of clauses (iii) and (iv) above shall not exceed the
aggregate amount of all such Investments made subsequent to the Issue Date,

excluding, in each case, any Net Cash Proceeds:

     (1) received from a Subsidiary of the Company,

     (2) used to redeem Notes pursuant to paragraph 5 of the Form of Reverse Side of
Note contained in Exhibit A, or

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     (3) applied in accordance with Section 3.10(b)(2).

     (b) Notwithstanding the preceding Section 3.10(a), this covenant does not prohibit:

     (1) the payment of any dividend within 60 days after the date of declaration of such
dividend if the dividend would have been permitted on the date of declaration;

     (2) if no Default or Event of Default shall have occurred and be continuing, the
acquisition of any shares of Capital Stock of the Company,

     (i) in exchange for Qualified Capital Stock of the Company or

     (ii) through the application of the Net Cash Proceeds received by the Company
from a substantially concurrent sale of Qualified Capital Stock of the Company or a
contribution to the equity capital of the Company not representing an interest in
Disqualified Capital Stock, in each case not received from a Subsidiary of the
Company;

provided, that the value of any such Qualified Capital Stock issued in exchange for such acquired
Capital Stock and any such Net Cash Proceeds shall be excluded from Section 3.10(a)(iii)(2)
(and were not included therein at any time);

     (3) if no Default or Event of Default shall have occurred and be continuing, the
voluntary prepayment, purchase, defeasance, redemption or other acquisition or retirement
for value of any Subordinated Indebtedness solely in exchange for, or through the
application of Net Cash Proceeds of a substantially concurrent sale, other than to a
Subsidiary of the Company, of:

     (i) Qualified Capital Stock of the Company or

     (ii) Refinancing Indebtedness for such Subordinated Indebtedness;

provided, that the value of any Qualified Capital Stock issued in exchange for Subordinated
Indebtedness and any Net Cash Proceeds referred to above shall be excluded from Section
3.10(a)(iii)(2) (and were not included therein at any time);

     (4) if no Default or Event of Default shall have occurred and be continuing,
repurchases by the Company of Common Stock of the Company or options, warrants or other
securities exercisable or convertible into Common Stock of the Company from employees or
directors of the Company or any of its Subsidiaries or their authorized representatives upon
the death, disability or termination of employment or directorship of the employees or
directors, in an aggregate amount not to exceed $2.5 million in any calendar year and $5.0
million in the aggregate;

     (5) the repurchase of Capital Stock deemed to occur upon (a) exercise of stock options
to the extent that shares of such Capital Stock represent a portion of the exercise price of
such options and (b) the withholding of a portion of the Capital Stock granted or awarded to
an employee to pay taxes associated therewith;

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     (6) the payment of cash in lieu of the issuance of fractional shares in connection with
the exercise of warrants, options or other securities convertible into or exercisable for
Capital Stock of the Company; and

     (7) if no Default or Event of Default shall have occurred and be continuing, Restricted
Payments not to exceed $15.0 million.

     (c) In determining the aggregate amount of Restricted Payments made subsequent to the Issue
Date, amounts expended pursuant to Section 3.10(b)(1) (without duplication for the
declaration of the relevant dividend), (4), and (7) shall be included in such
calculation, and amounts expended pursuant to Section 3.10(b)(2), (3), (5),
and (6) shall not be included in such calculation.

     Not later than the date of making any Restricted Payment, the Company shall deliver to the
Trustee an Officers’ Certificate stating that such Restricted Payment complies with this Indenture
and setting forth in reasonable detail the basis upon which the required calculations were
computed, which calculations may be based upon the Company’s latest available internal quarterly
financial statements.

     Section 3.11 Limitation on Asset Sales.

     (a) The Company will not, and will not permit any of its Restricted Subsidiaries to,
consummate an Asset Sale unless:

     (1) the Company or the applicable Restricted Subsidiary, as the case may be, receives
consideration at the time of the Asset Sale at least equal to the Fair Market Value of the
assets sold or otherwise disposed of, and

     (2) at least seventy-five percent (75%) of the consideration received for the assets
sold by the Company or the Restricted Subsidiary, as the case may be, in the Asset Sale
shall be in the form of cash or Cash Equivalents received at the time of such Asset Sale.

For purposes of this covenant, the following will be deemed to be cash:

     (x) the amount of any liabilities of the Company or any Restricted Subsidiary that is
actually assumed by the transferee in such Asset Sale and from which the Company and the
Restricted Subsidiaries are fully and unconditionally released (excluding any liabilities
that are incurred in connection with or in anticipation of such Asset Sale and contingent
liabilities); and

     (y) the amount of any notes, securities or other similar obligations received by the
Company or any Restricted Subsidiary from such transferee that is converted, sold or
exchanged within 90 days of the related Asset Sale by the Company or the Restricted
Subsidiaries into cash in an amount equal to the Net Cash Proceeds realized upon such
conversion, sale or exchange.

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     (b) The Company or such Restricted Subsidiary, as the case may be, may apply the Net Cash
Proceeds of any such Asset Sale within 365 days thereof to:

     (1) repay secured Indebtedness and Indebtedness under the Bank Credit Facility and, if
the Indebtedness repaid is revolving credit Indebtedness, permanently reduce the commitments
with respect thereto without Refinancing, or

     (2) purchase:

     (i) property, plant or equipment or other long-lived tangible assets to be used
by the Company or any Restricted Subsidiary in a Permitted Business, or

     (ii) Capital Stock of a Person engaged solely in a Permitted Business that will
become, upon purchase, a Restricted Subsidiary (collectively, “Replacement
Assets”)

     from a Person other than the Company and its Restricted Subsidiaries.

     (c) To the extent all or a portion of the Net Cash Proceeds of any Asset Sale are not applied
within the 365 days of the Asset Sale as described in Section 3.11(b)(1) or (2),
the Company will make an offer to purchase Notes (the “Asset Sale Offer”), at a purchase
price equal to one hundred percent (100%) of the principal amount of the Notes to be purchased,
plus accrued and unpaid interest thereon, to the date of purchase (the “Asset Sale Offer
Amount”). Pursuant to an Asset Sale Offer, the Company shall purchase from all tendering
Holders on a pro rata basis, and, at the Company’s option, on a pro rata basis with the holders of
any other Indebtedness that is not, by its terms, expressly subordinated in right of payments to
the Notes and the terms of which require an offer to purchase such other Indebtedness to be made
with the proceeds from the sale of assets (“Pari Passu Debt”), that principal amount (or
accreted value in the case of Indebtedness issued with original issue discount) of Notes and Pari
Passu Debt to be purchased equal to such unapplied Net Cash Proceeds.

     (d) Within 20 days following the 365th day following the date upon which the Asset Sale
occurred, the Company must send, by first-class mail, a notice to the record Holders as shown on
the Note Register on such 365th day, with a copy to the Trustee, offering to purchase the Notes as
described in Section 3.11(c). The Asset Sale Offer shall state, among other things, the
purchase date, which must be no earlier than 30 days nor later than 60 days from the date the
notice is mailed, other than as may be required by law (the “Asset Sale Offer Payment
Date”). Upon receiving an Asset Sale Offer, Holders may elect to tender their Notes in whole
or in part in integral multiples of $1,000 in exchange for cash. The Company may, however, defer
an Asset Sale Offer until there is an aggregate amount of unapplied Net Cash Proceeds from one or
more Asset Sales equal to or in excess of $5.0 million. At that time, the entire amount of
unapplied Net Cash Proceeds, and not just the amount in excess of $5.0 million, shall be applied as
required pursuant to this covenant. Pending application in accordance with this covenant, Net Cash
Proceeds shall be applied to temporarily reduce revolving credit borrowings which can be reborrowed
or invested in Cash Equivalents.

     (e) On the Asset Sale Offer Payment Date, the Company will, to the extent lawful:

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     (1) accept for payment all Notes or portions thereof properly tendered pursuant to the
Asset Sale Offer;

     (2) deposit with the Paying Agent funds in an amount equal to the Asset Sale Offer
Amount in respect of all Notes or portions thereof so tendered; and

     (3) deliver or cause to be delivered to the Trustee the Notes so accepted together with
an Officers’ Certificate stating the aggregate principal amount of Notes or portions thereof
being purchased by the Company.

     (f) To the extent Holders of Notes and holders of other Pari Passu Debt, if any, which are the
subject of an Asset Sale Offer properly tender Notes or the other Pari Passu Debt in an aggregate
amount exceeding the amount of unapplied Net Cash Proceeds, the Company will purchase the Notes and
the other Pari Passu Debt on a pro rata basis (based on amounts tendered). If only a portion of a
Note is purchased pursuant to an Asset Sale Offer, a new Note in a principal amount equal to the
portion thereof not purchased will be issued in the name of the Holder thereof upon cancellation of
the original Note (or appropriate adjustments to the amount and beneficial interests in a Global
Note will be made, as appropriate). Notes (or portions thereof) purchased pursuant to an Asset
Sale Offer will be cancelled and cannot be reissued.

     (g) The Company will comply with the requirements of Rule 14e-1 under the Exchange Act and any
other applicable securities laws in connection with the purchase of Notes pursuant to an Asset Sale
Offer. To the extent that the provisions of any applicable securities laws or regulations conflict
with this Section 3.11, the Company shall comply with these laws and regulations and shall
not be deemed to have breached its obligations under this Section 3.11 of this Indenture by
doing so.

     (h) Upon completion of an Asset Sale Offer, the amount of Net Cash Proceeds will be reset at
zero. Accordingly, to the extent that the aggregate amount of Notes and other Indebtedness
tendered pursuant to an Asset Sale Offer is less than the aggregate amount of unapplied Net Cash
Proceeds, the Company may use any remaining Net Cash Proceeds for general corporate purposes of the
Company and its Restricted Subsidiaries.

     (i) In the event of the transfer of substantially all (but not all) of the property and assets
of the Company and its Restricted Subsidiaries as an entirety to a Person in a transaction
permitted under Section 4.1, the Successor Entity shall be deemed to have sold the
properties and assets of the Company and its Restricted Subsidiaries not so transferred for
purposes of this covenant, and shall comply with the provisions of this covenant with respect to
the deemed sale as if it were an Asset Sale. In addition, the Fair Market Value of properties and
assets of the Company or its Restricted Subsidiaries so deemed to be sold shall be deemed to be Net
Cash Proceeds for purposes of this covenant.

     (j) If at any time any non-cash consideration received by the Company or any Restricted
Subsidiary, as the case may be, in connection with any Asset Sale is converted into or sold or
otherwise disposed of for cash (other than interest received with respect to any non-cash
consideration), the conversion or disposition shall be deemed to constitute an Asset Sale hereunder

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and the Net Cash Proceeds thereof shall be applied in accordance with this covenant
within 365 days of conversion or disposition.

     Section 3.12 Limitation on Ownership and Sale of Capital Stock of Restricted Subsidiaries.

     (a) The Company will not permit any Person other than the Company or another Restricted
Subsidiary to, directly or indirectly, own or control any Capital Stock of any Restricted
Subsidiary, except for:

     (1) directors’ qualifying shares;

     (2) the sale of one hundred percent (100%) of the shares of the Capital Stock of any
Restricted Subsidiary held by the Company and its Restricted Subsidiaries to any Person
other than the Company or another Restricted Subsidiary effected in accordance with, as
applicable, Section 3.11 and Section 4.1; and

     (3) in the case of a Restricted Subsidiary other than a Wholly Owned Restricted
Subsidiary, the issuance by that Restricted Subsidiary of Capital Stock on a pro rata basis
to the Company and its Restricted Subsidiaries, on the one hand, and minority shareholders
of the Restricted Subsidiary, on the other hand (or on less than a pro rata basis to any
minority shareholder if the minority shareholder does not acquire its pro rata amount).

     Section 3.13 Limitation on Designation of Unrestricted Subsidiaries.

     (a) The Company may designate after the Issue Date any Subsidiary of the Company as an
“Unrestricted Subsidiary” under this
Section 3.13 (a “Designation”) only if:

     (1) no Default or Event of Default shall have occurred and be continuing at the time of
or after giving effect to such Designation and any transactions between the Company or any
of its Restricted Subsidiaries and such Unrestricted Subsidiary are in compliance with
Section 3.16;

     (2) at the time of and after giving effect to such Designation, the Company could Incur
$1.00 of additional Indebtedness pursuant to Section 3.9(a); and

     (3) the Company would be permitted to make an Investment at the time of Designation
(assuming the effectiveness of such Designation and treating such Designation as an
Investment at the time of Designation) pursuant to Section 3.10(a) (other than a
Permitted Investment) in an amount (the “Designation Amount”) equal to the amount of
the Company’s Investment in such Subsidiary on such date.

     (b) Neither the Company nor any Restricted Subsidiary will at any time:

     (1) provide credit support for, subject any of its property or assets (other than the
Capital Stock of any Unrestricted Subsidiary) to the satisfaction of, or guarantee, any

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Indebtedness of any Unrestricted Subsidiary (including any undertaking, agreement or
instrument evidencing such Indebtedness);

     (2) be directly or indirectly liable for any Indebtedness of any Unrestricted
Subsidiary; or

     (3) be directly or indirectly liable for any Indebtedness which provides that the
holder thereof may (upon notice, lapse of time or both) declare a default thereon or cause
the payment thereof to be accelerated or payable prior to its final scheduled maturity upon
the occurrence of a default with respect to any Indebtedness of any Unrestricted Subsidiary,
except for any non-recourse guarantee given solely to support the pledge by the Company or
any Restricted Subsidiary of the Capital Stock of any Unrestricted Subsidiary,

     except:

     (c) in the case of Section 3.13(b)(1) or (2), to the extent treated and
permitted as a Restricted Payment or Permitted Investment in accordance with Section 3.10
and as an Incurrence of Indebtedness permitted under Section 3.9, and

     (d) in the case of Section 3.13(b)(3), to the extent that the ability to declare a
default or accelerate the payment, is limited to a default on the obligation or instrument of the
Company or a Restricted Subsidiary treated as a Restricted Payment or Permitted Investment and
Incurrence of Indebtedness in accordance with clause (a) above.

     (e) The Company may revoke any Designation of a Subsidiary as an Unrestricted Subsidiary (a
“Revocation”) only if:

     (1) no Default or Event of Default shall have occurred and be continuing at the time of
and after giving effect to such Revocation; and

     (2) all Liens and Indebtedness of such Unrestricted Subsidiary Outstanding immediately
following such Revocation would, if Incurred at such time, have been permitted to be
Incurred for all purposes of this Indenture.

     (f) The Designation of a Subsidiary of the Company as an Unrestricted Subsidiary shall be
deemed to include the Designation of all of the Subsidiaries of such Subsidiary. All Designations
and Revocations must be evidenced by a Board Resolution delivered to the Trustee certifying
compliance with the preceding provisions.

     Section 3.14 Limitation on Dividend and Other Payment Restrictions Affecting Restricted
Subsidiaries.

     (a) Except as provided in Section 3.14(b), the Company will not, and will not cause or
permit any of its Restricted Subsidiaries to, directly or indirectly, create or otherwise cause or
permit to exist or become effective any encumbrance or restriction on the ability of any Restricted
Subsidiary to:

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     (1) pay dividends or make any other distributions on or in respect of its Capital Stock
to the Company or any other Restricted Subsidiary or pay any Indebtedness owed to the
Company or any other Restricted Subsidiary;

     (2) make loans or advances to, or Guarantee any Indebtedness or other obligations of,
or make any Investment in, the Company or any other Restricted Subsidiary; or

     (3) transfer any of its property or assets to the Company or any other Restricted
Subsidiary.

     (b) Section 3.14(a) will not apply to encumbrances or restrictions existing under or
by reason of:

     (1) applicable law;

     (2) this Indenture;

     (3) the Bank Credit Facility as in effect on the Issue Date, and any amendments,
restatements, renewals, replacements or refinancings thereof; provided, that any amendment,
restatement, renewal, replacement or refinancing is not more restrictive with respect to
such encumbrances or restrictions than those in existence on the Issue Date;

     (4) customary non-assignment provisions of any contract and customary provisions
restricting assignment or subletting in any lease governing a leasehold interest of any
Restricted Subsidiary, or any customary restriction on the ability of a Restricted
Subsidiary to dividend, distribute or otherwise transfer any asset which secures
Indebtedness secured by a Lien, in each case permitted to be Incurred under this Indenture;

     (5) any instrument governing Acquired Indebtedness not Incurred in connection with, or
in anticipation or contemplation of, the relevant acquisition, merger or consolidation,
which encumbrance or restriction is not applicable to any Person, or the properties or
assets of any Person, other than the Person or the properties or assets of the Person so
acquired;

     (6) restrictions with respect to a Restricted Subsidiary of the Company imposed
pursuant to a binding agreement which has been entered into for the sale or disposition of
Capital Stock or assets of such Restricted Subsidiary; provided, that such restrictions
apply solely to the Capital Stock or assets of such Restricted Subsidiary being sold;

     (7) customary restrictions imposed on the transfer of copyrighted or patented
materials;

     (8) an agreement governing Indebtedness Incurred to Refinance the Indebtedness issued,
assumed or Incurred pursuant to an agreement referred to in Section 3.14(b)(5);
provided, that such Refinancing agreement is not more restrictive with respect to such
encumbrances or restrictions than those contained in the agreement referred to in such
clause (5);

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     (9) any encumbrance or restriction with respect to a Restricted Subsidiary imposed
pursuant to an agreement entered into for the sale or disposition of all or a portion of the
Capital Stock or assets of such Restricted Subsidiary pending the closing of such sale or
disposition; or

     (10) encumbrances and restrictions affecting any Foreign Subsidiary with respect to
Indebtedness permitted by clause (11) of the definition of “Permitted Indebtedness”.

     Section 3.15 Limitation on Liens.

     (a) The Company will not, and will not cause or permit any of its Restricted Subsidiaries to,
directly or indirectly, incur any Liens of any kind (except for Permitted Liens) against or upon
any of their respective properties or assets, whether owned on the Issue Date or acquired after the
Issue Date, or any proceeds therefrom, unless contemporaneously therewith effective provision is
made:

     (1) in the case of the Company or any Restricted Subsidiary other than a Note
Guarantor, to secure the Notes and all other amounts due under this Indenture; and

     (2) in the case of a Note Guarantor, to secure such Note Guarantor’s Note Guarantee of
the Notes and all other amounts due under this Indenture;

in each case, equally and ratably with such Indebtedness (or, in the event that such Indebtedness
is Subordinated Indebtedness, prior to such Indebtedness) with a Lien on the same properties and
assets securing such Indebtedness for so long as such Indebtedness is secured by such Lien.

     Section 3.16 Limitation on Transactions with Affiliates.

     (a) The Company will not, and will not permit any of its Restricted Subsidiaries to, directly
or indirectly, enter into any transaction or series of related transactions (including, without
limitation, the purchase, sale, lease or exchange of any property or the rendering of any service)
with, or for the benefit of, any of its Affiliates (each an “Affiliate Transaction”),
unless:

     (1) the terms of such Affiliate Transaction are no less favorable than those that could
reasonably be expected to be obtained in a comparable transaction at such time on an
arm’s-length basis from a Person that is not an Affiliate of the Company;

     (2) in the event that such Affiliate Transaction involves aggregate payments, or
transfers of property or services with a Fair Market Value in excess of $2.0 million, the
terms of such Affiliate Transaction shall be approved by a majority of the members of the
Board of Directors of the Company (including a majority of the disinterested members
thereof), the approval to be evidenced by a Board Resolution stating that the Board of
Directors has determined that such transaction complies with the preceding provisions; and

     (3) in the event that such Affiliate Transaction involves aggregate payments, or
transfers of property or services with a Fair Market Value, in excess of $5.0 million, the
Company shall, prior to the consummation thereof, obtain a favorable opinion as to

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the fairness of such Affiliate Transaction to the Company and the relevant Restricted
Subsidiary (if any) from a financial point of view from an Independent Financial Advisor and
file the same with the Trustee.

     (b) Section 3.16(a) above shall not apply to:

     (1) transactions with or among the Company and/or its Restricted Subsidiaries;

     (2) reasonable fees and compensation paid to (including issuances and grants of
securities and stock options, employment agreements or arrangements, consulting,
non-competition, confidentiality, indemnity or other similar agreements, incentive
compensation plans, benefit arrangements or plans, severance, or expense reimbursement
arrangement for the benefit of), and any indemnity provided on behalf of, Officers,
directors, employees, consultants or agents of the Company or any Restricted Subsidiary as
determined in good faith by the Company’s Board of Directors;

     (3) any agreement as in effect on the Issue Date or any amendments, renewals or
extensions of any such agreement (so long as such amendments, renewals or extensions are not
less favorable to the Company or the Restricted Subsidiaries in any material respect as
determined in good faith by the Board of Directors) and the transactions evidenced thereby;
and

     (4) any Restricted Payments made in compliance with Section 3.10.

     (c) Notwithstanding Section 3.16(b) above, payments pursuant to consulting or similar
arrangements with a director of the Company or any of its Restricted Subsidiaries shall not exceed
an aggregate of $250,000 per annum for any such director unless such payment (i) complies with
Section 3.16(a)(1), and (ii) has been approved by the Company’s Board of Directors.

     Not later than the date of entering into any Affiliate Transaction, the Company shall deliver
to the Trustee an Officers’ Certificate certifying that such Affiliate Transaction complies with
Section 3.16(a)(1) above.

     Section 3.17 Conduct of Business.The Company and its Restricted Subsidiaries will not engage in any
businesses other than a Permitted Business.

     Section 3.18 Reports to Holders.

     (a) Notwithstanding that the Company may not be subject to the reporting requirements of
Section 13 or 15(d) of the Exchange Act, so long as any Notes remain Outstanding, the Company will:

     (1) provide the Trustee, on behalf of the Holders, with, and make available to others
upon request, the annual reports and information, documents and other reports as are
specified in Sections 13 and 15(d) of the Exchange Act and applicable to a U.S. corporation
subject to such Sections within 15 days after the times specified for the filing of the
information, documents and reports under such Sections; and

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     (2) file with the SEC, to the extent permitted, the information, documents and
reports referred to in Section 3.18(a)(1) within the periods specified for such
filings under the Exchange Act (whether or not applicable to the Company);

provided, however, the Company, at its option, need not furnish such reports referred to in clause
(1) above to the Trustee and the Holders to the extent it files such reports with the SEC.

     (b) In addition, at any time when the Company is not subject to or is not current in its
reporting obligations under Section 3.18(a)(2), the Company will make available, upon
request, to any holder and any prospective purchaser of Notes the information required pursuant to
Rule 144A(d)(4) under the Securities Act.

     Section 3.19 Limitation of Sale and Leaseback Transaction.

     (a) The Company will not, and will not cause or permit any Restricted Subsidiary to, directly
or indirectly, enter into any Sale and Leaseback Transaction; provided, that the Company or any
Restricted Subsidiary may enter into a Sale and Leaseback Transaction if:

     (1) the Company or such Restricted Subsidiary could have Incurred Indebtedness in the
amount of the Attributable Indebtedness of such Sale and Leaseback Transaction pursuant to
Section 3.9;

     (2) the Company or such Restricted Subsidiary could have Incurred a Lien to secure the
Attributable Indebtedness of such Sale and Leaseback Transaction without equally and ratably
securing the Notes or the Guarantees pursuant to Section 3.15;

     (3) the net proceeds received by the Company or such Restricted Subsidiary from such
Sale and Leaseback Transaction are at least equal to the Fair Market Value of the related
assets; and

     (4) the Company applies the proceeds of such Sale and Leaseback Transaction in
compliance with Section 3.11.

     Section 3.20 Payments for Consent. Neither the Company nor any of its Subsidiaries
will, directly or indirectly, pay or cause to be paid any consideration, whether by way of
interest, fee or otherwise, to any Holder of any Notes for or as an inducement to any consent,
waiver or amendment of any terms or provisions of the Notes, unless the consideration is offered to
be paid or agreed to be paid to all Holders of the Notes which so consent, waive or agree to amend
in the time frame set forth in the solicitation documents relating to such consent, waiver or
agreement.

ARTICLE IV

SUCCESSOR ENTITY

     Section 4.1 Merger, Consolidation and Sale of Assets.

     (a) The Company will not, in a single transaction or series of related transactions,
consolidate or merge with or into any Person (whether or not the Company is the surviving or
continuing Person), or sell, assign, transfer, lease, convey or otherwise dispose of (or cause or

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permit any Restricted Subsidiary to sell, assign, transfer, lease, convey or otherwise dispose
of) all or substantially all of the Company’s properties and assets (determined on a consolidated
basis for the Company and its Restricted Subsidiaries), to any Person unless:

     (1) either:

     (i) the Company shall be the surviving or continuing corporation, or

     (ii) the Person (if other than the Company) formed by such consolidation or
into which the Company is merged or the Person which acquires by sale, assignment,
transfer, lease, conveyance or other disposition the properties and assets of the
Company and of the Company’s Restricted Subsidiaries substantially as an entirety
(the “Successor Entity”):

	 	(x)	 	shall be a corporation organized and validly
existing under the laws of the United States or any State thereof or
the District of Columbia, and
	 
	 	(y)	 	shall expressly assume, by supplemental
indenture (in form and substance reasonably satisfactory to the
Trustee), executed and delivered to the Trustee, the due and punctual
payment of the principal of, and premium, if any, and interest on all
of the Notes and the performance and observance of every covenant of
the Notes, this Indenture and the Issue Date Registration Rights
Agreement on the part of the Company to be performed or observed;

     (2) immediately after giving effect to such transaction and the assumption contemplated
by Section 4.1(a)(1)(ii)(y) (including, without limitation, giving effect on a pro
forma basis to any Indebtedness, including any Acquired Indebtedness, Incurred or
anticipated to be Incurred in connection with or in respect of such transaction), the
Company or such Successor Entity, as the case may be:

     (i) shall have a Consolidated Net Worth equal to or greater than the
Consolidated Net Worth of the Company immediately prior to such transaction, and

     (ii) shall be able to Incur at least $1.00 of additional Indebtedness pursuant
to Section 3.9(a);

     (3) immediately before and immediately after giving effect to such transaction and the
assumption contemplated by Section 4.1(a)(1)(ii)(y) (including giving effect on a
pro forma basis to any Indebtedness, including any Acquired Indebtedness, Incurred or
anticipated to be Incurred and any Lien granted in connection with or in respect of the
transaction), no Default or Event of Default shall have occurred or be continuing;

     (4) each Note Guarantor (including Persons that become Note Guarantors as a result of
the transaction) shall have confirmed by supplemental indenture that its Note

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Guarantee shall apply for the Obligations of the Successor Entity in respect of this
Indenture and the Notes; and

     (5) the Company or the Successor Entity shall have delivered to the Trustee an
Officers’ Certificate and an Opinion of Counsel, each stating that the consolidation,
merger, sale, assignment, transfer, lease, conveyance or other disposition and, if required
in connection with such transaction, the supplemental indenture, comply with the applicable
provisions of this Indenture and that all conditions precedent in this Indenture relating to
the transaction have been satisfied.

For purposes of this covenant, the transfer (by lease, assignment, sale or otherwise, in a single
transaction or series of transactions) of all or substantially all of the properties or assets of
one or more Restricted Subsidiaries of the Company, the Capital Stock of which constitutes all or
substantially all of the properties and assets of the Company shall be deemed to be the transfer of
all or substantially all of the properties and assets of the Company.

     (b) Section 4.1(a)(2)(ii) shall not apply to:

     (1) any transfer of the properties or assets of a Restricted Subsidiary to the Company
or to a Note Guarantor;

     (2) any merger of a Restricted Subsidiary into the Company or a Note Guarantor;

     (3) any merger of the Company into a Wholly Owned Restricted Subsidiary created for the
purpose of holding the Capital Stock of the Company;

     (4) a merger between the Company and a newly-created Affiliate incorporated solely for
the purpose of reincorporating the Company in another State of the United States,

so long as, in each case the Indebtedness of the Company and its Restricted Subsidiaries is not
increased thereby.

     (c) Upon any consolidation, combination or merger or any transfer of all or substantially all
of the properties and assets of the Company and its Restricted Subsidiaries in accordance with this
covenant, in which the Company is not the continuing corporation, the Successor Entity formed by
such consolidation or into which the Company is merged or to which such conveyance, lease or
transfer is made shall succeed to, and be substituted for, and may exercise every right and power
of, the Company under this Indenture and the Notes with the same effect as if such Successor Entity
had been named as such. For the avoidance of doubt, compliance with this covenant shall not affect
the obligations of the Company (including a Successor Entity, if applicable) under Section
3.8, if applicable.

     (d) Each Note Guarantor will not, and the Company will not cause or permit any Note Guarantor
to, consolidate with or merge into, or sell or dispose of all or substantially all of its assets
to, any Person (other than the Company) that is not a Note Guarantor unless:

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     (1) such Person (if such Person is the surviving entity) assumes all of the obligations
of such Note Guarantor in respect of its Note Guarantee by executing a supplemental
indenture and providing the Trustee with an Officers’ Certificate and Opinion of Counsel,
and such transaction is otherwise in compliance with this Indenture;

     (2) such Note Guarantee is to be released as provided under Section 10.2; or

     (3) such sale or other disposition of substantially all of such Note Guarantor’s assets
is made in accordance with Section 3.11.

ARTICLE V

OPTIONAL REDEMPTION OF NOTES

     Section 5.1 Optional Redemption.

     The Company may redeem the Notes, at its option, in whole at any time or in part from time to
time, subject to the conditions and at the redemption prices specified in paragraph 5 of the Form
of Reverse Side of Note contained in Exhibit A.

     Section 5.2 Election to Redeem. The Company shall evidence its election to redeem any
Notes pursuant to Section 5.1 by a Board Resolution.

     Section 5.3 Notice of Redemption.

     (a) The Company shall give or cause the Trustee to give notice of redemption, in the manner
provided for in Section 11.2, by first-class mail, postage prepaid, at least 30 but not
more than 60 days prior to the Redemption Date, to each Holder of Notes to be redeemed at its
registered address. If the Company itself gives the notice, it shall also deliver a copy to the
Trustee.

     (b) If either (i) the Company is not redeeming all Outstanding Notes, or (ii) the Company
elects to have the Trustee give notice of redemption, then the Company shall deliver to the
Trustee, at least 45 days prior to the Redemption Date (unless the Trustee is satisfied with a
shorter period), an Officers’ Certificate requesting that the Trustee select the Notes to be
redeemed and/or give notice of redemption and setting forth the information required by Section
5.3(c) (with the exception of the identification of the particular Notes, or portions of the
particular Notes, to be redeemed in the case of a partial redemption). If the Company elects to
have the Trustee give notice of redemption, the Trustee shall give the notice in the name of the
Company and at the Company’s expense.

     (c) All notices of redemption shall state:

     (1) the Redemption Date,

     (2) the redemption price and the amount of any accrued interest payable as provided in
Section 5.6,

     (3) whether or not the Company is redeeming all Outstanding Notes,

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     (4) if the Company is not redeeming all Outstanding Notes, the aggregate principal
amount of Notes that the Company is redeeming and the aggregate principal amount of Notes
that will be Outstanding after the partial redemption, as well as the identification of the
particular Notes, or portions of the particular Notes, that the Company is redeeming,

     (5) if the Company is redeeming only part of a Note, the notice that relates to that
Note shall state that on and after the Redemption Date, upon surrender of that Note, the
Holder will receive, without charge, a new Note or Notes of authorized denominations for the
principal amount of the Note remaining unredeemed, provided that each new Note will be in a
principal amount of $1,000 or integral multiple of $1,000 (or appropriate adjustments to the
amount and beneficial interests in a Global Note will be made, as appropriate),

     (6) that on the Redemption Date the redemption price and any accrued interest payable
to the Redemption Date as provided in Section 5.6 will become due and payable in
respect of each Note, or the portion of each Note, to be redeemed, and, unless the Company
defaults in making the redemption payment, that interest on each Note, or the portion of
each Note, to be redeemed, will cease to accrue on and after the Redemption Date,

     (7) the place or places where a Holder must surrender the Holder’s Notes for payment of
the redemption price, and

     (8) the CUSIP or ISIN number, if any, listed in the notice or printed on the Notes, and
that no representation is made as to the accuracy or correctness of such CUSIP or ISIN
number.

     Section 5.4 Selection of Notes to Be Redeemed in Part.

     (a) If the Company is not redeeming all Outstanding Notes, the Trustee shall select the Notes
to be redeemed in compliance with the requirements of the principal national securities exchange,
if any, on which the Notes are listed or, if the Notes are not then listed on a national securities
exchange, on a pro rata basis, by lot or by any other method as the Trustee shall deem fair and
appropriate. If a partial redemption is made with the proceeds of a Public Equity Offering,
selection of the Notes or portions thereof for redemption shall, subject to the preceding sentence,
be made by the Trustee only on a pro rata basis, or on as nearly a pro rata basis as is practicable
(subject to the procedures of DTC) unless the method is otherwise prohibited. No Notes of a
principal amount of $1,000 or less shall be redeemed in part and Notes of a principal amount in
excess of $1,000 may be redeemed in part in multiples of $1,000 only.

     (b) Notice of any redemption shall be mailed by first-class mail, postage prepaid, at least 30
but not more than 60 days before the Redemption Date to each Holder of Notes to be redeemed at its
registered address. If Notes are to be redeemed in part only, the notice of redemption shall state
the portion of the principal amount thereof to be redeemed. A new Note in a principal amount equal
to the unredeemed portion thereof (if any) will be issued in the name of

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the Holder thereof upon cancellation of the original Note (or appropriate adjustments to the
amount and beneficial interest in a Global Note will be made, as appropriate).

     (c) The Company will pay the redemption price for any Note together with accrued and unpaid
interest thereon through the Redemption Date. On and after the Redemption Date, interest will
cease to accrue on Notes or portions thereof called for redemption as long as the Company has
deposited with the Paying Agent funds in satisfaction of the applicable redemption price pursuant
to this Indenture.

     Section 5.5 Deposit of Redemption Price. Prior to 10:00 a.m. New York City time on
the relevant Redemption Date, the Company shall deposit with the Trustee or with a Paying Agent
(or, if the Company is acting as Paying Agent, segregate and hold in trust as provided in
Section 2.4) an amount of money in immediately available funds sufficient to pay the
redemption price of, and accrued interest on, all the Notes that the Company is redeeming on that
date.

     Section 5.6 Notes Payable on Redemption Date. If the Company, or the Trustee on
behalf of the Company, gives notice of redemption in accordance with this Article V, the
Notes, or the portions of Notes, called for redemption, shall, on the Redemption Date, become due
and payable at the redemption price specified in the notice (together with accrued interest, if
any, to the Redemption Date), and from and after the Redemption Date (unless the Company shall
default in the deposit of the redemption price and accrued interest pursuant to Section
5.5) the Notes or the portions of Notes shall cease to bear interest. Upon surrender of any
Note for redemption in accordance with the notice, the Company shall pay the Notes at the
redemption price, together with accrued interest, if any, to the Redemption Date (subject to the
rights of Holders of record on the relevant record date to receive interest due on the relevant
Interest Payment Date). If the Company shall fail to pay any Note called for redemption upon its
surrender for redemption, the principal shall, until paid, bear interest from the Redemption Date
at the rate borne by the Notes.

     Section 5.7 Unredeemed Portions of Partially Redeemed Note. Upon cancellation of a
Note that is to be redeemed in part, the Company shall execute, and the Trustee shall authenticate
and make available for delivery to the Holder of the Note at the expense of the Company, a new Note
or Notes, of any authorized denomination as requested by the Holder, in an aggregate principal
amount equal to, and in exchange for, the unredeemed portion of the principal of the Note
surrendered, provided that each new Note will be in a principal amount of $1,000 or integral
multiple of $1,000 (or appropriate adjustments to the amount and beneficial interests in a Global
Note will be made, as appropriate).

ARTICLE VI

DEFAULTS AND REMEDIES

     Section 6.1 Events of Default.

     (a) The following are “Events of Default”:

     (1) default in the payment when due of the principal of or premium, if any, on any
Notes, including the failure to make a required payment to purchase Notes tendered pursuant
to an optional redemption, Change of Control Offer or an Asset Sale Offer;

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     (2) default for 30 days or more in the payment when due of interest on any Notes
(including liquidated damages payable under a Registration Rights Agreement);

     (3) the failure to perform or comply with any of the provisions described in
Section 3.8, Section 3.11 or Section 4.1;

     (4) the failure by the Company or any Restricted Subsidiary to comply with any other
covenant or agreement contained in this Indenture or in the Notes for 60 days or more after
written notice to the Company from the Trustee or the Holders of at least twenty-five
percent (25%) in aggregate principal amount of the Outstanding Notes;

     (5) default by the Company or any Restricted Subsidiary under any Indebtedness which:

     (a) is caused by a failure to pay principal of or premium, if any, or interest
on such Indebtedness prior to the expiration of any applicable grace period provided
in such Indebtedness on the date of such default; or

     (b) results in the acceleration of such Indebtedness prior to its Stated
Maturity;

and the principal or accreted amount of Indebtedness covered by (a) or (b) at the relevant
time aggregates $5.0 million or more;

     (6) failure by the Company or any of its Restricted Subsidiaries to pay one or more
final judgments against any of them which are not covered by adequate insurance by a solvent
insurer of national or international reputation which has acknowledged its obligations in
writing, aggregating $5.0 million or more, which judgment(s) are not paid, discharged or
stayed for a period of 60 days or more;

     (7) a Bankruptcy Law Event of Default; or

     (8) except as permitted by this Indenture, any Note Guarantee is held to be
unenforceable or invalid in a judicial proceeding or ceases for any reason to be in full
force and effect or any Note Guarantor, or any Person acting on behalf of any Note
Guarantor, denies or disaffirms such Note Guarantor’s obligations under its Note Guarantee.

The foregoing will constitute Events of Default whatever the reason for any such Event of Default
and whether it is voluntary or involuntary or is effected by operation of law or pursuant to any
judgment, decree or order of any court or any order, rule or regulation of any administrative or
governmental body.

     (b) The Company shall deliver to the Trustee upon becoming aware of any Default or Event of
Default written notice in the form of an Officers’ Certificate of any Default or Event of Default,
their status and what action the Company proposes to take in respect thereof.

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     Section 6.2 Acceleration.

     (a) If an Event of Default (other than an Event of Default specified in Section
6.1(a)(7) with respect to the Company) shall occur and be continuing, the Trustee or the
Holders of at least twenty-five percent (25%) in principal amount of Outstanding Notes may declare
the unpaid principal of (and premium, if any) and accrued and unpaid interest on all the Notes to
be immediately due and payable by notice in writing to the Company and the Trustee specifying the
Event of Default and that it is a “notice of acceleration.” If an Event of Default specified in
Section 6.1(a)(7) occurs with respect to the Company, then the unpaid principal of (and
premium, if any) and accrued and unpaid interest on all the Notes will become immediately due and
payable without any declaration or other act on the part of the Trustee or any Holder.

     (b) At any time after a declaration of acceleration with respect to the Notes as described in
the preceding paragraph (a), the Holders of a majority in principal amount of the Notes may rescind
and cancel such declaration and its consequences:

     (1) if the rescission would not conflict with any judgment or decree;

     (2) if all existing Events of Default have been cured or waived, except nonpayment of
principal or interest that has become due solely because of the acceleration;

     (3) to the extent the payment of such interest is lawful, interest on overdue
installments of interest and overdue principal, which has become due otherwise than by such
declaration of acceleration, has been paid; and

     (4) if the Company has paid the Trustee its reasonable compensation and reimbursed the
Trustee for its reasonable expenses, disbursements and advances.

No rescission shall affect any subsequent Default or impair any rights relating thereto.

     Section 6.3 Other Remedies.

     (a) If an Event of Default occurs and is continuing, the Trustee may pursue any available
remedy to collect the payment of principal of and interest on the Notes or to enforce the
performance of any provision of the Notes or this Indenture.

     (b) The Trustee may maintain a proceeding even if it does not possess any of the Notes or does
not produce any of them in the proceeding. A delay or omission by the Trustee or any Holder in
exercising any right or remedy accruing upon an Event of Default shall not impair the right or
remedy or constitute a waiver of or acquiescence in the Event of Default. No remedy is exclusive
of any other remedy. All available remedies are cumulative to the extent permitted by law.

     Section 6.4 Waiver of Past Defaults.

     The Holders of a majority in principal amount of the Notes may waive any existing Default or
Event of Default under this Indenture, and its consequences, except a default in the payment of the
principal of, premium, if any, or interest on any Notes.

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     Section 6.5 Control by Majority. The Holders of a majority in principal amount of the
Outstanding Notes may direct the time, method and place of conducting any proceeding for any remedy
available to the Trustee or of exercising any trust or power conferred on the Trustee. Subject to
Sections 7.1 and 7.2, however, the Trustee may refuse to follow any direction that
conflicts with law or this Indenture; provided, however, that the Trustee may take any other action
deemed proper by the Trustee that is not inconsistent with such direction.

     Section 6.6 Limitation on Suits. No Holder of any Notes will have any right to
institute any proceeding with respect to this Indenture or for any remedy hereunder, unless:

     (a) such Holder gives to the Trustee written notice of a continuing Event of Default;

     (b) Holders of at least twenty-five percent (25%) in principal amount of the then
Outstanding Notes make a written request to pursue the remedy;

     (c) such Holders of the Notes provide to the Trustee indemnity satisfactory to it;

     (d) the Trustee does not comply within 60 days; and

     (e) during such 60-day period the Holders of a majority in principal amount of the
Outstanding Notes do not give the Trustee a written direction which, in the opinion of the
Trustee, is inconsistent with the request;

provided, that a Holder of a Note may institute suit for enforcement of payment of principal of and
premium, if any, or interest on such Note on or after the respective due dates expressed in such
Note.

     Section 6.7 Rights of Holders to Receive Payment. Notwithstanding any other provision
of this Indenture (including Section 6.6), the right of any Holder to receive payment of
principal of or interest on the Notes held by such Holder, on or after the respective due dates,
Redemption Dates or repurchase date expressed in this Indenture or the Notes, or to bring suit for
the enforcement of any such payment on or after such respective dates, shall not be impaired or
affected without the consent of such Holder.

     Section 6.8 Collection Suit by Trustee. If an Event of Default specified in
Section 6.1(a)(1) and (2) occurs and is continuing, the Trustee may recover
judgment in its own name and as trustee of an express trust against the Company and each Note
Guarantor for the whole amount then due and owing (together with applicable interest on any overdue
principal and, to the extent lawful, interest on overdue interest) and the amounts provided for in
Section 7.7.

     Section 6.9 Trustee May File Proofs of Claim, etc.

     (a) The Trustee may (irrespective of whether the principal of the Notes is then due):

     (i) file such proofs of claim and other papers or documents as may be necessary or
advisable in order to have the claims of the Trustee and the Holders
under this Indenture

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and the Notes allowed in any bankruptcy, insolvency, liquidation or other
judicial proceedings relative to the Company, any Note Guarantor or any Subsidiary of the
Company or their respective creditors or properties; and

     (ii) collect and receive any moneys or other property payable or deliverable in respect
of any such claims and distribute them in accordance with this Indenture.

     Any receiver, trustee, liquidator, sequestrator (or other similar official) in any such
proceeding is hereby authorized by each Holder to make such payments to the Trustee and, in the
event that the Trustee shall consent to the making of such payments directly to the Holders, to pay
to the Trustee any amount due to it for the reasonable compensation, expenses, taxes, disbursements
and advances of the Trustee, its agent and counsel, and any other amounts due to the Trustee
pursuant to Section 7.7.

     (b) Nothing in this Indenture shall be deemed to authorize the Trustee to authorize or consent
to or accept or adopt on behalf of any Holder any plan of reorganization, arrangement, adjustment
or composition affecting the Notes or the rights of any Holder thereof, or to authorize the Trustee
to vote in respect of the claim of any Holder in any such proceeding.

     Section 6.10 Priorities. If the Trustee collects any money or property pursuant to
this Article VI, it shall pay out the money or property in the following order:

     FIRST: to the Trustee for amounts due under Section 7.7;

     SECOND: if the Holders proceed against the Company directly without the Trustee in
accordance with this Indenture, to Holders for their collection costs;

     THIRD: to Holders for amounts due and unpaid on the Notes for principal and interest,
ratably, without preference or priority of any kind, according to the amounts due and
payable on the Notes for principal and interest, respectively; and

     FOURTH: to the Company or, to the extent the Trustee collects any amount pursuant to
Article X from any Note Guarantor, to such Note Guarantor, or to such party as a court of
competent jurisdiction shall direct.

The Trustee may, upon notice to the Company, fix a record date and payment date for any payment to
Holders pursuant to this Section 6.10.

     Section 6.11 Undertaking for Costs. In any suit for the enforcement of any right or
remedy under this Indenture or in any suit against the Trustee for any action taken or omitted by
it as Trustee, a court in its discretion may require the filing by any party litigant in the suit
of an undertaking to pay the costs of the suit, and the court in its discretion may assess
reasonable costs, including reasonable attorneys’ fees, against any party litigant in the suit,
having due regard to the merits and good faith of the claims or defenses made by the party
litigant. This Section 6.11 does not apply to a suit by the Trustee, a suit by a Holder
pursuant to Section 6.7 or a suit by Holders of more than ten percent (10%) in principal
amount of Outstanding Notes.

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ARTICLE VII

TRUSTEE

     Section 7.1 Duties of Trustee.

     (a) If a Default or an Event of Default has occurred and is continuing, the Trustee shall
exercise the rights and powers vested in it by this Indenture and use the same degree of care and
skill in their exercise as a prudent man would exercise or use under the circumstances in the
conduct of his own affairs.

     (b) Except during the continuance of a Default or an Event of Default:

     (1) the Trustee undertakes to perform such duties and only such duties as are
specifically set forth in this Indenture and no implied covenants or obligations shall be
read into this Indenture against the Trustee; and

     (2) in the absence of bad faith on its part, the Trustee may conclusively rely, as to
the truth of the statements and the correctness of the opinions expressed therein, upon
certificates or opinions furnished to the Trustee and conforming to the requirements of this
Indenture. However, in the case of any such certificates or opinions which by any
provisions hereof are specifically required to be furnished to the Trustee, the Trustee
shall examine such certificates and opinions to determine whether or not they conform to the
requirements of this Indenture.

     (c) The Trustee may not be relieved from liability for its own negligent action, its own
negligent failure to act or its own willful misconduct, except that:

     (1) this paragraph (c) does not limit the effect of Section 7.1(b);

     (2) the Trustee shall not be liable for any error of judgment made in good faith by a
Responsible Officer unless it is proved that the Trustee was negligent in ascertaining the
pertinent facts; and

     (3) the Trustee shall not be liable with respect to any action it takes or omits to
take in good faith in accordance with a direction received by it pursuant to Section
6.2, 6.4 or 6.5.

     (d) The Trustee shall not be liable for interest on any money received by it except as the
Trustee may agree in writing with the Company.

     (e) Money held in trust by the Trustee need not be segregated from other funds except to the
extent required by law.

     (f) No provision of this Indenture shall require the Trustee to expend or risk its own funds
or otherwise incur financial liability in the performance of any of its duties hereunder or in the
exercise of any of its rights or powers, if it shall have reasonable grounds to believe that
repayment of such funds or adequate indemnity against such risk or liability is not reasonably
assured to it.

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     (g) Every provision of this Indenture relating to the conduct or affecting the liability of or
affording protection to the Trustee shall be subject to the provisions of this Article VII
and to the provisions of the TIA.

     (h) Unless otherwise specifically provided in this Indenture, any demand, request, direction
or notice from the Company shall be sufficient if signed by an Officer of the Company.

     (i) The Trustee shall be under no obligation to exercise any of the rights or powers vested in
it by this Indenture at the request, order or direction of any of the Holders unless such Holders
shall have offered to the Trustee reasonable security or indemnity against the costs, expenses
(including reasonable attorneys’ fees and expenses) and liabilities that might be Incurred by it in
compliance with such request or direction.

     Section 7.2 Rights of Trustee. Subject to Section 7.1:

     (a) The Trustee may conclusively rely on any document reasonably believed by it to be genuine
and to have been signed or presented by the proper Person. The Trustee need not investigate any
fact or matter stated in the document.

     (b) Before the Trustee acts or refrains from acting at the direction of the Company, it may
require an Officers’ Certificate or an Opinion of Counsel. The Trustee shall not be liable for any
action it takes or omits to take in good faith in reliance on an Officers’ Certificate or Opinion
of Counsel.

     (c) The Trustee may act through its attorneys and agents and shall not be responsible for the
misconduct or negligence of any agent appointed with due care.

     (d) The Trustee shall not be liable for any action it takes or omits to take in good faith
which it believes to be authorized or within its rights or powers; provided, however, that the
Trustee’s conduct does not constitute willful misconduct or negligence.

     (e) The Trustee may consult with counsel of its selection, and the advice or opinion of
counsel with respect to legal matters relating to this Indenture and the Notes shall be full and
complete authorization and protection from liability with respect to any action taken, omitted or
suffered by it hereunder in good faith and in accordance with the advice or opinion of such
counsel.

     (f) If the Trustee shall determine, it shall be entitled to examine the books, records and
premises of the Company, personally or by agent or attorney.

     (g) The Trustee shall not be deemed to have notice of any Default or Event of Default unless a
trust officer of the Trustee has actual knowledge thereof or unless written notice of any event
which is in fact such a default is received by the Trustee at the Corporate Trust Office of the
Trustee, and such notice references the Notes and this Indenture.

     (h) The rights, privileges, protections, immunities and benefits given to the Trustee,
including its right to be indemnified, are extended to, and shall be enforceable by, the Trustee in

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each of its capacities hereunder, and to each agent, custodian and other Person employed to
act hereunder.

     (i) The Trustee may request that the Company deliver an Officers’ Certificate setting forth
the names of individuals and/or titles of officers authorized at such time to take specified
actions pursuant to this Indenture, which Officers’ Certificate may be signed by any person
authorized to sign an Officers’ Certificate, including any person specified as so authorized in any
such certificate previously delivered and not superseded.

     Section 7.3 Individual Rights of Trustee. The Trustee in its individual or any other
capacity may become the owner or pledgee of Notes and may otherwise deal with the Company, the Note
Guarantors or any of their Affiliates with the same rights it would have if it were not Trustee.
Any Paying Agent, Registrar or co-Registrar may do the same with like rights. However, the Trustee
must comply with Sections 7.10 and 7.11.

     Section 7.4 Trustee’s Disclaimer. The Trustee shall not be responsible for and makes
no representation as to the validity or adequacy of this Indenture or the Notes, it shall not be
accountable for the Company’s use of the proceeds from the Notes, and it shall not be responsible
for any statement of the Company in this Indenture or in any document issued in connection with the
sale of the Notes or in the Notes other than the Trustee’s certificate of authentication.

     Section 7.5 Notice of Defaults. If a Default or Event of Default occurs and is
continuing and if a Responsible Officer has actual knowledge thereof, the Trustee shall mail to
each Holder notice of the Default or Event of Default within 90 days after the occurrence thereof.
Except in the case of a Default or Event of Default in payment of principal of, premium, if any, or
interest on any Note, the Trustee may withhold notice if and so long as a committee of its trust
officers in good faith determines that withholding notice is in the interests of the Holders.

     Section 7.6 Reports by Trustee to Holders. The Trustee shall comply with TIA Section
313. The Company agrees to notify promptly the Trustee whenever the Notes become listed on any
stock exchange and of any delisting thereof.

     Section 7.7 Compensation and Indemnity.

     (a) The Company shall pay to the Trustee from time to time such compensation for its
acceptance of this Indenture and services hereunder as the Company and the Trustee shall from time
to time agree in writing. The Trustee’s compensation shall not be limited by any law on
compensation of a trustee of an express trust. The Company shall reimburse the Trustee upon
request for all reasonable out-of-pocket expenses incurred or made by it, including costs of
collection, costs of preparing and reviewing reports, certificates and other documents, costs of
preparation and mailing of notices to Holders and reasonable costs of counsel retained by the
Trustee in connection with the delivery of an Opinion of Counsel or otherwise, in addition to the
compensation for its services. Such expenses shall include the reasonable compensation and
expenses, disbursements and advances of the Trustee’s agents, counsel, accountants and experts.

     (b) The Company and the Note Guarantors shall jointly and severally indemnify the Trustee
against any and all loss, damage, claim liability, expense (including reasonable attorneys’ fees
and expenses) and taxes (other than those measured by or determined by the income

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of the Trustee) incurred by it without negligence, willful misconduct or bad faith on its part
in connection with the acceptance and administration of this trust and the performance of its
duties hereunder, including the costs and expenses of enforcing this Indenture (including this
Section 7.7) and of defending itself against any claims (whether asserted by any Holder,
the Company, any Note Guarantor or otherwise). The Trustee shall notify the Company promptly of
any claim for which it may seek indemnity. Failure by the Trustee to so notify the Company shall
not relieve the Company of its obligations hereunder. The Company shall defend the claim and the
Trustee may have separate counsel and the Company shall pay the fees and expenses of such counsel.
The Company need not reimburse any expense or indemnify against any loss, liability or expense
incurred by the Trustee through the Trustee’s own negligence, willful misconduct or bad faith.

     (c) To secure the Company’s payment obligations in this Section 7.7, the Trustee shall
have a lien prior to the Notes on all money or property held or collected by the Trustee other than
money or property held in trust to pay principal of and interest on particular Notes. The
Trustee’s right to receive payment of any amounts due under this Section 7.7 shall not be
subordinate to any other liability or Indebtedness of the Company.

     (d) The Company’s payment obligations pursuant to this Section 7.7 shall survive the
discharge of this Indenture and the resignation or removal of the Trustee. When the Trustee incurs
expenses after the occurrence of a Bankruptcy Law Event of Default specified in Section
6.1(a)(7), the expenses are intended to constitute expenses of administration under any
Bankruptcy Law; provided, however, that this shall not affect the Trustee’s rights as set forth in
this Section 7.7 or Section 6.10.

     Section 7.8 Replacement of Trustee.

     (a) The Trustee may resign at any time by so notifying the Company. The Holders of a majority
in principal amount of the Outstanding Notes may remove the Trustee by so notifying the Trustee and
may appoint a successor Trustee reasonably acceptable to the Company. The Company shall remove the
Trustee if:

     (1) the Trustee fails to comply with Section 7.10;

     (2) the Trustee is adjudged bankrupt or insolvent;

     (3) a receiver or other public officer takes charge of the Trustee or its property; or

     (4) the Trustee otherwise becomes incapable of acting.

     (b) If the Trustee resigns or is removed by the Company or by the Holders of a majority in
principal amount of the Outstanding Notes and such Holders do not reasonably promptly appoint a
successor Trustee, or if a vacancy exists in the office of the Trustee for any reason (the Trustee
in such event being referred to herein as the retiring Trustee), the Company shall promptly appoint
a successor Trustee.

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     (c) A successor Trustee shall deliver a written acceptance of its appointment to the retiring
Trustee and to the Company. Thereupon the resignation or removal of the retiring Trustee shall
become effective, and the successor Trustee shall have all the rights, powers and duties of the
Trustee under this Indenture. The successor Trustee shall mail a notice of its succession to
Holders. The retiring Trustee shall promptly transfer all property held by it as Trustee to the
successor Trustee, subject to the lien provided for in Section 7.7.

     (d) If a successor Trustee does not take office within 30 days after the retiring Trustee
resigns or is removed, the retiring Trustee or the Holders of ten percent (10%) in principal amount
of the Outstanding Notes may petition, at the Company’s expense, any court of competent
jurisdiction for the appointment of a successor Trustee.

     (e) If the Trustee fails to comply with Section 7.10, any Holder may petition any
court of competent jurisdiction for the removal of the Trustee and the appointment of a successor
Trustee.

     (f) Notwithstanding the replacement of the Trustee pursuant to this Section 7.8, the
Company’s obligations under Section 7.7 shall continue for the benefit of the retiring
Trustee.

     Section 7.9 Successor Trustee by Merger.

     (a) If the Trustee consolidates with, merges or converts into, or transfers all or
substantially all its corporate trust business or assets to, another corporation or banking
association, the resulting, surviving or transferee corporation without any further act shall be
the successor Trustee.

     (b) In case at the time such successor or successors to the Trustee shall succeed to the
trusts created by this Indenture, any of the Notes shall have been authenticated but not delivered,
any such successor to the Trustee may adopt the certificate of authentication of any predecessor
trustee, and deliver such Notes so authenticated; and in case at that time any of the Notes shall
not have been authenticated, any successor to the Trustee may authenticate such Notes either in the
name of any predecessor hereunder or in the name of the successor to the Trustee; and in all such
cases such certificates shall have the full force which it is anywhere in the Notes or in this
Indenture provided that the certificate of the Trustee shall have.

     Section 7.10 Eligibility; Disqualification. The Trustee shall at all times satisfy
the requirements of TIA Section 310(a). The Trustee shall have a combined capital and surplus of
at least $50 million as set forth in its most recent published annual report of condition. The
Trustee shall comply with TIA Section 310(b); provided, however, that there shall be excluded from
the operation of TIA Section 310(b)(1) any indenture or indentures under which other securities or
certificates of interest or participation in other securities of the Company are outstanding if the
requirements for such exclusion set forth in TIA Section 310(b)(1) are met.

     Section 7.11 Preferential Collection of Claims Against the Company. The Trustee shall
comply with TIA Section 311(a), excluding any creditor relationship listed in TIA Section 311(b).
A Trustee who has resigned or been removed shall be subject to TIA Section 311(a) to the extent
indicated.

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ARTICLE VIII

DEFEASANCE; DISCHARGE OF INDENTURE

     Section 8.1 Legal Defeasance and Covenant Defeasance.

     (a) The Company may, at its option and at any time, elect to have its obligations discharged
with respect to the Outstanding Notes (“Legal Defeasance”). Such Legal Defeasance means
that the Company shall be deemed to have paid and discharged the entire Indebtedness represented by
the Outstanding Notes on the 91st day after the deposit specified in clause (1) of Section
8.2, except for:

     (i) the rights of Holders to receive payments in respect of the principal of, premium,
if any, and interest on such Notes when the payments are due,

     (ii) the Company’s obligations with respect to such Notes under Article II and
Section 3.2,

     (iii) the rights, powers, trusts, duties and immunities of the Trustee hereunder and
the Company’s obligations in connection therewith, and

     (iv) this Article VIII.

     (b) In addition, the Company may, at its option and at any time, elect to have its obligations
released with respect to certain covenants that are described in this Indenture (“Covenant
Defeasance”) and thereafter any omission to comply with such obligations shall not constitute a
Default or Event or Default with respect to the Notes. In the event Covenant Defeasance occurs,
certain events (not including non-payment, bankruptcy, receivership, reorganization and insolvency
events) described in Section 6.1 will no longer constitute an Event of Default with respect
to the Notes.

     Section 8.2 Conditions to Defeasance. In order for the Company to exercise either
Legal Defeasance or Covenant Defeasance:

     (1) the Company must irrevocably deposit with the Trustee, in trust, for the benefit of
the Holders, cash in U.S. dollars, certain direct non-callable obligations of, or guaranteed
by, the United States, or a combination thereof, in such amounts as will be sufficient
without reinvestment, in the opinion of a nationally recognized firm of independent public
accountants, to pay the principal of, premium, if any, and interest on the Notes on the
stated date for payment thereof or on the applicable redemption date, as the case may be;

     (2) in the case of Legal Defeasance, the Company shall have delivered to the Trustee an
Opinion of Counsel in the United States reasonably acceptable to the Trustee and independent
of the Company to the effect that:

	 	(a)	 	the Company has received from, or there has been published by,
the Internal Revenue Service a ruling; or

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	 	(b)	 	since the Issue Date, there has been a change in the applicable
U.S. federal income tax law,

in either case to the effect that, and based thereon such Opinion of Counsel shall state
that, the Holders will not recognize income, gain or loss for U.S. federal income tax
purposes as a result of such Legal Defeasance and will be subject to U.S. federal income tax
on the same amounts, in the same manner and at the same times as would have been the case if
such Legal Defeasance had not occurred;

     (3) in the case of Covenant Defeasance, the Company shall have delivered to the Trustee
an Opinion of Counsel in the United States reasonably acceptable to the Trustee and
independent of the Company to the effect that the Holders will not recognize income, gain or
loss for U.S. federal income tax purposes as a result of such Covenant Defeasance and will
be subject to U.S. federal income tax on the same amounts, in the same manner and at the
same times as would have been the case if such Covenant Defeasance had not occurred;

     (4) no Default or Event of Default shall have occurred and be continuing on the date of
the deposit pursuant to Section 8.2(1) (except any Default or Event of Default
resulting from the failure to comply with Section 3.9 as a result of the borrowing
of the funds required to effect such deposit) and, insofar as Events of Default from
bankruptcy or insolvency events are concerned, at any time in the period ending on the 91st
day after the date of deposit, and the Trustees shall have received Officers’ Certificates
to such effect on the date of such deposit and, in the case of Legal Defeasance, on such
91st day;

     (5) the Trustee shall have received an Officers’ Certificate stating that such Legal
Defeasance or Covenant Defeasance shall not result in a breach or violation of, or
constitute a default under this Indenture or any other agreement or instrument to which the
Company or any of its Subsidiaries is a party or by which the Company or any of its
Subsidiaries is bound;

     (6) the Company shall have delivered to the Trustee an Officers’ Certificate stating
that the deposit was not made by the Company with the intent of preferring the Holders over
any other creditors of the Company or any Subsidiary of the Company or with the intent of
defeating, hindering, delaying or defrauding any other creditors of the Company or others;

     (7) the Company shall have delivered to the Trustee an Officers’ Certificate and an
Opinion of Counsel, each stating that all conditions precedent provided for or relating to
the Legal Defeasance or the Covenant Defeasance have been complied with;

     (8) the Company shall have delivered to the Trustee an Opinion of Counsel to the effect
that after the 91st day following the deposit, the trust funds will not be subject to the
effect of any applicable bankruptcy, insolvency, reorganization or similar laws affecting
creditors’ rights generally; and

     (9) the Company shall have delivered to the Trustee an Opinion of Counsel in the United
States reasonably acceptable to the Trustee and independent of the Company

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to the effect that the trust resulting from the deposit does not constitute an
investment company under the Investment Company Act of 1940.

     Section 8.3 Application of Trust Money. The Trustee shall hold in trust U.S. Legal
Tender or U.S. Government Obligations, together with earnings thereon deposited with it pursuant to
this Article VIII. It shall apply the deposited money and the U.S. Legal Tender from U.S.
Government Obligations, together with earnings thereon, through the Paying Agent and in accordance
with this Indenture to the payment of principal of and interest on the Notes. The U.S. Legal
Tender or U.S. Government Obligations so held in trust and deposited with the Trustee in compliance
with Section 8.2 shall not be part of the trust estate under this Indenture, but shall
constitute a separate trust fund for the benefit of all Holders entitled thereto.

     Section 8.4 Repayment to the Company.

     (a) The Trustee and the Paying Agent shall promptly turn over to the Company, or if deposited
with the Trustee by any Note Guarantor, to such Note Guarantor, upon request any excess money or
securities held by them upon payment of all the obligations under this Indenture.

     (b) Subject to any applicable abandoned property law, the Trustee and the Paying Agent shall
pay to the Company or any Note Guarantor, as the case may be, upon request, any money held by them
for the payment of principal of, premium or interest on the Notes that remains unclaimed for two
years, and, thereafter, Holders entitled to money must look to the Company for payment as general
creditors unless an applicable abandoned property law designates another Person.

     Section 8.5 Indemnity for U.S. Government Obligations. The Company shall pay and
shall indemnify the Trustee against any tax, fee or other charge imposed on or assessed against
deposited U.S. Government Obligations or the principal and interest received on such U.S.
Government Obligations.

     Section 8.6 Reinstatement. If the Trustee or Paying Agent is unable to apply any U.S.
Legal Tender or U.S. Government Obligations in accordance with this Article VIII by reason
of any legal proceeding or by reason of any order or judgment of any court or governmental
authority enjoining, restraining or otherwise prohibiting such application, then and only then the
obligations of the Company and each Note Guarantor under this Indenture and the Notes shall be
revived and reinstated as though no deposit had occurred pursuant to this Article VIII
until such time as the Trustee or Paying Agent is permitted to apply all such U.S. Legal Tender or
U.S. Government Obligations in accordance with this Article VIII; provided, however, that,
if the Company or the Note Guarantors, as the case may be, have made any payment of principal of,
premium or interest on any Notes because of the reinstatement of its obligations, the Company or
the Note Guarantors, as the case may be, shall be subrogated to the rights of the Holders of such
Notes to receive such payment from the U.S. Legal Tender or U.S. Government Obligations held by the
Trustee or Paying Agent.

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     Section 8.7 Satisfaction and Discharge. This Indenture will be discharged and will
cease to be of further effect (except as to surviving rights or registration of transfer or
exchange of the Notes, as expressly provided for in this Indenture) as to all Outstanding Notes
when:

     (a) either:

     (1) all the Notes theretofore authenticated and delivered (except lost, stolen
or destroyed Notes which have been replaced or paid and Notes for whose payment
money has theretofore been deposited in trust or segregated and held in trust by the
Company and thereafter repaid to the Company or discharged from such trust) have
been delivered to the Trustee for cancellation, or

     (2) all Notes not theretofore delivered to the Trustee for cancellation have
become due and payable, and the Company has irrevocably deposited or caused to be
deposited with the Trustee U.S. Legal Tender or U.S. Government Obligations
sufficient without reinvestment to pay and discharge the entire Indebtedness on the
Notes not theretofore delivered to the Trustee for cancellation, for principal of,
premium, if any, and interest on the Notes to maturity or redemption, together with
irrevocable instructions from the Company directing the Trustee to apply such funds
to the payment;

     (b) the Company has paid all other sums payable under this Indenture and the Notes by
the Company; and

     (c) the Company has delivered to the Trustee an Officers’ Certificate stating that all
conditions precedent under this Indenture relating to the satisfaction and discharge of this
Indenture have been complied with.

ARTICLE IX

AMENDMENTS

     Section 9.1 Without Consent of Holders.

     (a) The Company, the Note Guarantors and the Trustee, without the consent of the Holders, may
amend this Indenture or the Notes for the purposes specified below:

     (1) to cure any ambiguity, omission, defect or inconsistency;

     (2) to comply with Article IV in respect of the assumption by a Successor
Entity of the obligations of the Company under the Notes and this Indenture;

     (3) to provide for uncertificated Notes in addition to or in place of certificated
Notes; provided, however, that the uncertificated Notes are issued in registered form for
purposes of Section 163(f) of the Code;

     (4) to add guarantees with respect to the Notes or to secure the Notes;

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     (5) to add to the covenants of the Company for the benefit of the Holders or to
surrender any right or power herein conferred upon the Company;

     (6) to comply with any requirements of the SEC in connection with qualifying this
Indenture under the TIA;

     (7) to make any change that does not, in the opinion of the Trustee, adversely affect
the rights of any Holder in any material respect (it being understood that the Trustee will
be entitled to rely on such evidence it deems appropriate in formulating this opinion,
including an Opinion of Counsel and Officer’s Certificate);

     (8) to provide for the issuance of the Exchange Notes and Private Exchange Notes, which
will have terms substantially identical to the other Outstanding Notes except for the
requirement of a Private Placement Legend and related transfer restrictions under the
Securities Act and this Indenture and as to the applicability of additional interest payable
as provided in Section 2.14, and which will be treated, together with any other
Outstanding Notes, as a single issue of securities; or

     (9) to provide for the issuance of Additional Notes as permitted by Sections
2.2(c) and 2.13, which will have terms substantially identical to the other
Outstanding Notes except as specified in Section 2.13 or 2.14, and which
will be treated, together with any other Outstanding Notes, as a single issue of securities.

     (b) After an amendment or supplement under this Section 9.1 becomes effective, the
Company shall mail to Holders a notice briefly describing such amendment or supplement. The
failure to give such notice to all Holders, or any defect therein, shall not impair or affect the
validity of an amendment or supplement under this Section 9.1.

     Section 9.2 With Consent of Holders.

     (a) The Company, the Note Guarantors and the Trustee may amend or supplement this Indenture or
the Notes without notice to any Holder but with the written consent of the Holders of at least a
majority in principal amount of the Outstanding Notes (including consents obtained in connection
with a purchase of, or tender offer or exchange offer for, Notes). Subject to Section 6.4,
the Holder or Holders of a majority in aggregate principal amount of the Outstanding Notes may
waive compliance by the Company with any provision of this Indenture or the Notes without notice to
any other Holder. However, without the consent of each Holder affected, an amendment, supplement
or waiver may not:

     (1) reduce the amount of Notes whose Holders must consent to an amendment or waiver;

     (2) reduce the rate of or change or have the effect of changing the time for payment of
interest, including Defaulted Interest, on any Notes;

     (3) reduce the principal of or change or have the effect of changing the fixed maturity
of any Notes, or change the date on which any Notes may be subject to redemption, or reduce
the redemption price therefor;

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     (4) make any Notes payable in money other than that stated in the Notes;

     (5) make any change in the provisions of this Indenture entitling each Holder to
receive payment of principal of, premium, if any, and interest on such Notes on or after
the due date thereof or to bring suit to enforce such payment, or permitting Holders of
a majority in principal amount of Notes to waive Defaults or Events of Default;

     (6) amend, change or modify any obligation of the Company to make and consummate a
Change of Control Offer in respect of a Change of Control or make and consummate an Asset
Sale Offer with respect to any Asset Sale;

     (7) eliminate or modify in any manner the Note Guarantor’s obligations with respect to
its Note Guarantee, which adversely affects Holders, except as contemplated in this
Indenture; or

     (8) subordinate the Notes or any Note Guarantee in right of payment to any other
Obligation of the Company or any Note Guarantor.

     (b) It shall not be necessary for the consent of the Holders under this Section 9.2 to
approve the particular form of any proposed amendment, supplement or waiver, but it shall be
sufficient if such consent approves the substance thereof.

     (c) After an amendment, supplement or waiver under this Section 9.2 becomes effective,
the Company shall mail to Holders a notice briefly describing such amendment, supplement or waiver.
The failure to give such notice to all Holders, or any defect therein, shall not impair or affect
the validity of an amendment, supplement or waiver under this Section 9.2.

     Section 9.3 Compliance with Trust Indenture Act. Every amendment to this Indenture or
the Notes shall comply with the TIA as then in effect.

     Section 9.4 Revocation and Effect of Consents and Waivers.

     (a) A consent to an amendment or a supplement or a waiver by a Holder of a Note shall bind the
Holder and every subsequent Holder of that Note or portion of the Note that evidences the same debt
as the consenting Holder’s Note, even if notation of the consent or waiver is not made on the Note.
However, any such Holder or subsequent Holder may revoke the consent or waiver as to such Holder’s
Note or portion of the Note if the Trustee receives the notice of revocation before the date the
amendment, a supplement or waiver becomes effective. After an amendment, a supplement or waiver
becomes effective, it shall bind every Holder. An amendment, a supplement or waiver shall become
effective upon receipt by the Trustee of the requisite number of written consents under Section
9.2.

     (b) The Company may, but shall not be obligated to, fix a record date, which need not be the
date provided in 316(c) of the TIA to the extent it would otherwise be applicable, for the purpose
of determining the Holders entitled to give their consent or take any other action described above
or required or permitted to be taken pursuant to this Indenture. If a record date is fixed, then
notwithstanding the immediately preceding paragraph, those Persons who were Holders at such record
date (or their duly designated proxies), and only those Persons, shall be entitled

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to give such
consent or to revoke any consent previously given or to take any such action, whether or not such
Persons continue to be Holders after such record date. No such consent shall become valid or
effective more than 90 days after such record date or, if none is set, after the date given.

     Section 9.5 Notation on or Exchange of Notes. If an amendment or a supplement changes
the terms of a Note, the Trustee may require the Holder of the Note to deliver it to the Trustee.
The Trustee may place an appropriate notation on the Note regarding the changed terms and return it
to the Holder. Alternatively, if the Company or the Trustee so determines, the Company in exchange
for the Note will execute and upon Company Order the Trustee will authenticate a new Note that
reflects the changed terms. Failure to make the appropriate notation or to issue a new Note shall
not affect the validity of such amendment or supplement.

     Section 9.6 Trustee to Sign Amendments or Supplements. The Trustee shall sign any
amendment or supplement authorized pursuant to this Article IX if the amendment or
supplement does not adversely affect the rights, duties, liabilities or immunities of the Trustee.
If it does, the Trustee may but need not sign it. In signing such amendment or supplement, the
Trustee shall be entitled to receive indemnity reasonably satisfactory to it and to receive, and
(subject to Sections 7.1 and 7.2) shall be fully protected in relying upon, such
evidence as it deems appropriate, including solely on an Opinion of Counsel stating that such
amendment or supplement is authorized or permitted by this Indenture.

ARTICLE X

NOTE GUARANTEES

     Section 10.1 Note Guarantees.

     (a) Each Note Guarantor hereby fully, unconditionally and irrevocably guarantees, as primary
obligor and not merely as surety, jointly and severally with each other Note Guarantor, to each
Holder and the Trustee the full and punctual payment when due, whether at maturity, by
acceleration, by redemption or otherwise, of the Obligations (such guaranteed Obligations, the
“Guaranteed Obligations”). Each Note Guarantor further agrees (to the extent permitted by
law) that the Obligations may be extended or renewed, in whole or in part, without notice or
further assent from it, and that it will remain bound under this Article X notwithstanding
any extension or renewal of any Obligation. Each Note Guarantor hereby agrees to pay, in addition
to the amounts stated above, any and all expenses (including reasonable counsel fees and expenses)
incurred by the Trustee or the Holders in enforcing any rights under any Note Guarantee.

     (b) Each Note Guarantor waives presentation to, demand of payment from and protest to the
Company of any of the Obligations and also waives notice of protest for nonpayment. Each Note
Guarantor waives notice of any default under the Notes or the Obligations. The obligations of each
Note Guarantor hereunder shall not be affected by (i) the failure of any Holder to assert any claim
or demand or to enforce any right or remedy against the Company or any other Person under this
Indenture, the Notes or any other agreement or otherwise; (ii) any extension or renewal of any
thereof; (iii) any rescission, waiver, amendment or modification of any of the terms or provisions
of this Indenture, the Notes or any other agreement; (iv) the release of any security held by any
Holder or the Trustee for the Obligations or any of them; (v) the failure of

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any Holder to exercise
any right or remedy against any other Note Guarantor; or (vi) any change in the ownership of the
Company.

     (c) Each Note Guarantor further agrees that its Note Guarantee herein constitutes a guarantee
of payment when due (and not a guarantee of collection) and waives any right to require that any
resort be had by any Holder to any security held for payment of the Obligations.

     (d) The obligations of each Note Guarantor hereunder shall not be subject to any reduction,
limitation, impairment or termination for any reason (other than payment of the Obligations in
full), including any claim of waiver, release, surrender, alteration or compromise, and shall not
be subject to any defense of setoff, counterclaim, recoupment or termination whatsoever or by
reason of the invalidity, illegality or unenforceability of the Obligations or otherwise. Without
limiting the generality of the foregoing, the obligations of each Note Guarantor herein shall not
be discharged or impaired or otherwise affected by the failure of any Holder to assert any claim or
demand or to enforce any remedy under this Indenture, the Notes or any other agreement, by any
waiver or modification of any thereof, by any default, failure or delay, willful or otherwise, in
the performance of the Obligations, or by any other act or thing or omission or delay to do any
other act or thing which may or might in any manner or to any extent vary the risk of such Note
Guarantor or would otherwise operate as a discharge of such Note Guarantor as a matter of law or
equity.

     (e) Each Note Guarantor further agrees that its Note Guarantee herein shall continue to be
effective or be reinstated, as the case may be, if at any time payment, or any part thereof, of
principal of or interest on any of the Obligations is rescinded or must otherwise be restored by
any Holder upon the bankruptcy or reorganization of the Company or otherwise.

     (f) In furtherance of the foregoing and not in limitation of any other right which any Holder
has at law or in equity against each Note Guarantor by virtue hereof, upon the failure of the
Company to pay any of the Obligations when and as the same shall become due, whether at maturity,
by acceleration, by redemption or otherwise, each Note Guarantor hereby promises to and will, upon
receipt of written demand by the Trustee, forthwith pay, or cause to be paid, in cash, to the
Holders an amount equal to the sum of:

     (i) the unpaid amount of such Obligations then due and owing; and

     (ii) accrued and unpaid interest on such Obligations then due and owing (but only to
the extent not prohibited by law).

     (g) Each Note Guarantor further agrees that, as between such Note Guarantor, on the one hand,
and the Holders, on the other hand:

     (i) the maturity of the Obligations guaranteed hereby may be accelerated as provided in
this Indenture for the purposes of its Note Guarantee herein, notwithstanding any stay,
injunction or other prohibition preventing such acceleration in respect of the Obligations
guaranteed hereby; and

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     (ii) in the event of any such declaration of acceleration of such Obligations, such
Obligations (whether or not due and payable) shall forthwith become due and payable by such
Note Guarantor for the purposes of its Note Guarantee.

     Section 10.2 Limitation on Liability; Termination, Release and Discharge.

     (a) The obligations of each Note Guarantor hereunder will be limited to the maximum amount as
will, after giving effect to all other contingent and fixed liabilities of such Note Guarantor and
after giving effect to any collections from or payments made by or on behalf of any other Note
Guarantor in respect of the obligations of such other Note Guarantor under its Note Guarantee or
pursuant to its contribution obligations under this Indenture, result in the obligations of such
Note Guarantor under its Note Guarantee not constituting a fraudulent conveyance or fraudulent
transfer under U.S. federal or state law.

     (b) A Note Guarantor will be released and relieved of its obligations under its Note Guarantee
in the event:

     (1) there is a Legal Defeasance of the Notes as described in Section 8.1;

     (2) such Note Guarantor is designated as an Unrestricted Subsidiary in accordance with
Section 3.13; or

     (3) the release or discharge of the guarantee by such Restricted Subsidiary of its
obligations under the Bank Credit Facility;

provided, that the transaction pursuant to which a Note Guarantor is released and relieved of its
obligations under its Note Guarantee is carried out pursuant to and in accordance with any other
applicable provisions of this Indenture.

     Section 10.3 Right of Contribution. Each Note Guarantor that makes a payment or
distribution under a Note Guarantee will be entitled to a contribution from each other Note
Guarantor in a pro rata amount, based on the net assets of each Note Guarantor determined in
accordance with GAAP. The provisions of this Section 10.3 shall in no respect limit the
obligations and liabilities of each Note Guarantor to the Trustee and the Holders and each Note
Guarantor shall remain liable to the Trustee and the Holders for the full amount guaranteed by such
Note Guarantor hereunder.

     Section 10.4 No Subrogation. Each Note Guarantor agrees that it shall not be entitled
to any right of subrogation in respect of any Guaranteed Obligations until payment in full in cash
of all Obligations. If any amount shall be paid to any Note Guarantor on account of such
subrogation rights at any time when all of the Obligations shall not have been paid in full in
cash, such amount shall be held by such Note Guarantor in trust for the Trustee and the Holders,
segregated from other funds of such Note Guarantor, and shall, forthwith upon receipt by such Note
Guarantor, be turned over to the Trustee in the exact form received by such Note Guarantor (duly
endorsed by such Note Guarantor to the Trustee, if required), to be applied against the
Obligations.

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     Section 10.5 Additional Note Guarantees; Opinion of Counsel.

     (a) The Company will cause any Person that shall become a Domestic Restricted Subsidiary after
the date hereof that, directly or indirectly, guarantees or in any other manner becomes liable with
respect to Indebtedness under the Bank Credit Facility, (an “Additional Note Guarantor”) to
concurrently, and in no event later than 10 days from the date that such Person
directly or indirectly, guarantees or in any other manner becomes liable with respect to
Indebtedness under the Bank Credit Facility, grant a guarantee (an “Additional Note
Guarantee”) of the Company’s obligations under this Indenture, any applicable Registration
Rights Agreement and the Notes to the same extent that any existing Note Guarantors have guaranteed
the Company’s obligations under this Indenture, the Issue Date Registration Rights Agreement and
the Notes by executing a Supplemental Indenture substantially in the form of Exhibit E; provided,
however, that the foregoing shall not apply to any subsidiary which has been properly designated an
Unrestricted Subsidiary pursuant to Section 3.13 for so long as such subsidiary continues
to constitute an Unrestricted Subsidiary; and provided, further, however, that each Additional Note
Guarantor will be automatically and unconditionally released and discharged from its obligations
under such Additional Note Guarantee only in accordance with Section 10.2.

     (b) On the date on which any Domestic Restricted Subsidiary shall become a Note Guarantor
pursuant to Section 10.5(a), the Company shall deliver to the Trustee an Opinion of Counsel
to the effect that the Supplemental Indenture executed and delivered on such date by such Note
Guarantor has been duly authorized, executed and delivered by such Additional Note Guarantor, and
constitutes the legal, valid and binding obligation of such Additional Note Guarantor, enforceable
against such Additional Note Guarantor in accordance with its terms, except as the enforcement
thereof may be limited by bankruptcy, insolvency, reorganization, moratorium or similar laws
affecting enforcement of creditors’ rights generally and except as enforcement thereof is subject
to general principles of equity.

ARTICLE XI

MISCELLANEOUS

     Section 11.1 Trust Indenture Act Controls. If any provision of this Indenture limits,
qualifies or conflicts with another provision which is required to be included in this Indenture by
the TIA, the provision required by the TIA shall control.

     Section 11.2 Notices.

     (a) Any notice or communication shall be in writing and delivered in person or mailed by
first-class mail addressed as follows:

if to the Company or the Note Guarantors:

Coleman Cable, Inc.

1530 Shields Drive

Waukegan, Illinois 60085

Attention: Chief Financial Officer

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if to the Trustee:

Deutsche Bank National Trust Company

Trust and Securities Services

222 South Riverside Plaza, 24th Floor

Chicago, Illinois 60606

The Company or the Trustee by notice to the other may designate additional or different addresses
for subsequent notices or communications.

     (b) Any notice or communication mailed to a registered Holder shall be mailed to the Holder at
the Holder’s address as it appears on the registration books of the Registrar and shall be
sufficiently given if so mailed within the time prescribed.

     (c) Failure to mail a notice or communication to a Holder or any defect in it shall not affect
its sufficiency with respect to other Holders. If a notice or communication is mailed in the
manner provided above, it is duly given, whether or not the addressee receives it.

     (d) Any notice or communication delivered to the Company under the provisions herein shall
constitute notice to the Note Guarantors.

     Section 11.3 Communication by Holders with Other Holders. Holders may communicate
pursuant to TIA Section 312(b) with other Holders with respect to their rights under this
Indenture, the Notes or the Note Guarantees. The Company, the Note Guarantors, the Trustee, the
Registrar and anyone else shall have the protection of TIA Section 312(c).

     Section 11.4 Certificate and Opinion as to Conditions Precedent. Upon any request or
application by the Company to the Trustee to take or refrain from taking any action under this
Indenture, the Company shall furnish to the Trustee:

     (1) an Officers’ Certificate in form and substance reasonably satisfactory to the
Trustee stating that, in the opinion of the signers, all conditions precedent, if any,
provided for in this Indenture relating to the proposed action have been complied with; and

     (2) an Opinion of Counsel in form and substance reasonably satisfactory to the Trustee
stating that, in the opinion of such counsel, all such conditions precedent have been
complied with.

     Section 11.5 Statements Required in Certificate or Opinion. Each certificate or
opinion, including any Opinion of Counsel, with respect to compliance with a covenant or condition
provided for in this Indenture shall include:

     (1) a statement that the individual making such certificate or opinion has read such
covenant or condition;

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     (2) a brief statement as to the nature and scope of the examination or investigation
upon which the statements or opinions contained in such certificate or opinion are based;

     (3) a statement that, in the opinion of such individual, he has made such examination
or investigation as is necessary to enable him to express an informed opinion as to whether
or not such covenant or condition has been complied with; and

     (4) a statement as to whether or not, in the opinion of such individual, such covenant
or condition has been complied with.

     In giving such Opinion of Counsel, counsel may rely as to factual matters on an Officers’
Certificate or on certificates of public officials.

     Section 11.6 Rules by Trustee, Paying Agent and Registrar. The Trustee may make
reasonable rules for action by, or a meeting of, Holders. The Registrar and the Paying Agent may
make reasonable rules for their functions.

     Section 11.7 Legal Holidays. A “Legal Holiday” is a Saturday, a Sunday or other day on
which commercial banking institutions are authorized or required to be closed in Chicago, Illinois
or New York City. If a payment date is a Legal Holiday, payment shall be made on the next
succeeding day that is not a Legal Holiday, and no interest shall accrue for the intervening
period. If a regular record date is a Legal Holiday, the record date shall not be affected.

     Section 11.8 Governing Law; Waiver of Jury Trial; etc.

     (a) THIS INDENTURE (INCLUDING EACH NOTE GUARANTEE) AND THE NOTES SHALL BE GOVERNED BY, AND
CONSTRUED IN ACCORDANCE WITH, THE LAWS OF 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 INDENTURE, EACH NOTE GUARANTEE OR THE NOTES OR ANY TRANSACTION RELATED HERETO OR
THERETO.

     (b) The Company and each Note Guarantor hereby:

     (i) agrees that any suit, action or proceeding against it arising out of or relating to
this Indenture (including the Note Guarantees) or the Notes, as the case may be, may be
instituted in any Federal or state court sitting in The City of New York,

     (ii) waives to the fullest extent permitted by applicable law, any objection which it
may now or hereafter have to the laying of venue of any such suit, action or proceeding, and
any claim that any suit, action or proceeding in such a court has been brought in an
inconvenient forum,

     (iii) irrevocably submits to the non-exclusive jurisdiction of such courts in any suit,
action or proceeding,

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     (iv) agrees that final judgment in any such suit, action or proceeding brought in such
a court shall be conclusive and binding may be enforced in the courts of the jurisdiction of
which it is subject by a suit upon judgment, and

     (v) agrees that service of process by mail to the addresses specified herein shall
constitute personal service of such process on it in any such suit, action or proceeding.

     (c) Nothing in this Section 11.8 shall affect the right of the Trustee or any Holder
of the Notes to serve process in any other manner permitted by law.

     Section 11.9 No Recourse Against Others. An incorporator, director, officer, employee,
stockholder or controlling person, as such, of the Company or any Note Guarantor shall not have any
liability for any obligations of the Company under the Notes, this Indenture or the Note Guarantees
or for any claim based on, in respect of or by reason of such obligations or their creation. By
accepting a Note, each Holder shall waive and release all such liability. The waiver and release
shall be part of the consideration for the issue of the Notes.

     Section 11.10 Successors. All agreements of the Company and the Note Guarantors in
this Indenture and the Notes shall bind their respective successors. All agreements of the Trustee
in this Indenture shall bind its successors.

     Section 11.11 Duplicate and Counterpart Originals. The parties may sign any number of
copies of this Indenture. One signed copy is enough to prove this Indenture. This Indenture may
be executed in any number of counterparts, each of which so executed shall be an original, but all
of them together represent the same agreement.

     Section 11.12 Severability. In case any provision in this Indenture or in the Notes
shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the
remaining provisions shall not in any way be affected or impaired thereby.

     Section 11.13 Qualification of Indenture. The Company shall qualify this Indenture
under the TIA in accordance with the terms and conditions of the Issue Date Registration Rights
Agreement and shall pay all reasonable costs and expenses (including attorneys’ fees and expenses
for the Company, the Note Guarantors, the Trustee and the Holders) incurred in connection
therewith, including, but not limited to, costs and expenses of qualification of this Indenture and
the Notes and printing this Indenture and the Notes. The Trustee shall be entitled to receive from
the Company any such Officers’ Certificates, Opinions of Counsel or other documentation as it may
reasonably request in connection with any such qualification of this Indenture under the TIA.

     Section 11.14 Table of Contents; Headings. The table of contents and headings of the
Articles and Sections of this Indenture have been inserted for convenience of reference only, are
not intended to be considered a part hereof and shall not modify or restrict any of the terms or
provisions hereof.

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     IN WITNESS WHEREOF, the parties have caused this Indenture to be duly executed as of the date
first written above.

	 	 	 	 	 
	 	COLEMAN CABLE, INC.

 	 
	 	By:  	/s/ G. Gary Yetman
 	 
	 	 	Name:  	G. Gary Yetman 	 
	 	 	Title:  	President and Chief Executive Officer 	 
	 
	 	CCI INTERNATIONAL, INC.

 	 
	 	By:  	/s/ G. Gary Yetman
 	 
	 	 	Name:  	G. Gary Yetman 	 
	 	 	Title:  	President and Chief Executive Officer 	 
	 
	 	DEUTSCHE BANK NATIONAL TRUST 
COMPANY, as Trustee

 	 
	 	By:  	/s/ Katherine Cokic
 	 
	 	 	Name:  	Katherine Cokic 	 
	 	 	Title:  	Vice President 	 
	 
	 	 	 
	 	By:  	                                              /s/ George F. Kubin
 	 
	 	 	Name:  	George F. Kubin 	 
	 	 	Title:  	Vice President 	 
	 

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EXHIBIT A

FORM OF NOTE

[Include the following legend for Global Notes only:

“THIS IS A GLOBAL NOTE WITHIN THE MEANING OF THE INDENTURE REFERRED TO HEREINAFTER.

UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST
COMPANY, A NEW YORK CORPORATION (“DTC”), NEW YORK, NEW YORK, TO THE COMPANY OR ITS AGENT FOR
REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME
OF CEDE & CO. OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY
PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED
REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO
ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.

TRANSFERS OF THIS GLOBAL SECURITY SHALL BE LIMITED TO TRANSFERS IN WHOLE, BUT NOT IN PART, TO
NOMINEES OF DTC OR TO A SUCCESSOR THEREOF OR SUCH SUCCESSOR’S NOMINEE AND TRANSFERS OF PORTIONS OF
THIS GLOBAL SECURITY SHALL BE LIMITED TO TRANSFERS MADE IN ACCORDANCE WITH THE RESTRICTIONS SET
FORTH IN THE INDENTURE REFERRED TO ON THE REVERSE HEREOF.”]

[Include the following Private Placement Legend on all Notes that are Restricted Notes:]

[THE SECURITY (OR ITS PREDECESSOR) EVIDENCED HEREBY WAS ORIGINALLY ISSUED IN A TRANSACTION EXEMPT
FROM REGISTRATION UNDER SECTION 5 OF THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE
"SECURITIES ACT”), AND THE SECURITY EVIDENCED HEREBY MAY NOT BE OFFERED, SOLD OR
OTHERWISE TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN APPLICABLE EXEMPTION THEREFROM.
EACH PURCHASER OF THE SECURITY EVIDENCED HEREBY IS HEREBY NOTIFIED THAT THE SELLER MAY BE RELYING
ON THE EXEMPTION FROM THE PROVISIONS OF SECTION 5 OF THE SECURITIES ACT PROVIDED BY RULE 144A
THEREUNDER. THE HOLDER OF THE SECURITY EVIDENCED HEREBY AGREES FOR THE BENEFIT OF THE ISSUER THAT:
(A) SUCH SECURITY MAY BE OFFERED, RESOLD, PLEDGED OR OTHERWISE TRANSFERRED, ONLY: (i)(a) TO A
PERSON WHOM THE SELLER REASONABLY BELIEVES IS A QUALIFIED INSTITUTIONAL BUYER (AS DEFINED IN RULE
144A UNDER THE SECURITIES ACT) IN A TRANSACTION MEETING THE REQUIREMENTS OF RULE 144A, (b) IN A
TRANSACTION MEETING THE REQUIREMENTS OF RULE 144 UNDER THE SECURITIES ACT, (c) OUTSIDE THE UNITED
STATES TO A NON-U.S. PERSON IN A TRANSACTION MEETING THE REQUIREMENTS OF RULE 903 OR 904 UNDER THE

A-1

 

SECURITIES ACT, (d) TO AN INSTITUTIONAL “ACCREDITED INVESTOR” (AS DEFINED IN RULE 501(a)(1),(2),(3)
OR (7) UNDER THE SECURITIES ACT (AN “INSTITUTIONAL ACCREDITED INVESTOR”)) THAT, PRIOR TO
SUCH TRANSFER, FURNISHES THE TRUSTEE A SIGNED LETTER CONTAINING CERTAIN REPRESENTATIONS AND
AGREEMENTS (THE FORM OF WHICH CAN BE OBTAINED FROM THE TRUSTEE) AND, IF SUCH TRANSFER IS IN RESPECT
OF AN AGGREGATE PRINCIPAL AMOUNT OF NOTES LESS THAN $100,000, AN OPINION OF COUNSEL ACCEPTABLE TO
THE ISSUER THAT SUCH TRANSFER IS IN COMPLIANCE WITH THE SECURITIES ACT, OR (e) IN ACCORDANCE WITH
ANOTHER EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT (AND BASED UPON AN
OPINION OF COUNSEL AND OTHER CERTIFICATIONS AND DOCUMENTS IF THE ISSUER SO REQUESTS), (ii) TO THE
ISSUER, OR (iii) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT, AND, IN EACH CASE, IN ACCORDANCE
WITH ANY APPLICABLE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES OR ANY OTHER APPLICABLE
JURISDICTION AND IN EACH CASE SUBJECT TO ANY REQUIREMENT OF LAW THAT THE DISPOSITION OF THIS
SECURITY BY THE HOLDER OR BY ANY INVESTOR ACCOUNT OR ACCOUNTS BE AT ALL TIMES WITHIN ITS OR THEIR
CONTROL; AND (B) THE HOLDER WILL, AND EACH SUBSEQUENT HOLDER IS REQUIRED TO, NOTIFY ANY PURCHASER
FROM IT OF THE SECURITY EVIDENCED HEREBY OF THE RESALE RESTRICTIONS SET FORTH IN (A) ABOVE. THIS
SECURITY MAY NOT BE ACQUIRED OR HELD WITH THE ASSETS OF (I) AN “EMPLOYEE BENEFIT PLAN” (AS DEFINED
IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED (“ERISA”)) THAT IS SUBJECT TO
ERISA, (II) A “PLAN” DESCRIBED IN SECTION 4975 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED
(THE “CODE”), (III) ANY ENTITY DEEMED TO HOLD “PLAN ASSETS” OF ANY OF THE FOREGOING BY REASON OF AN
EMPLOYEE BENEFIT PLAN’S OR PLAN’S INVESTMENT IN SUCH ENTITY, OR (IV) A GOVERNMENTAL PLAN OR CHURCH
PLAN SUBJECT TO APPLICABLE LAW THAT IS SUBSTANTIALLY SIMILAR TO THE FIDUCIARY RESPONSIBILITY OR
PROHIBITED TRANSACTION PROVISIONS OF ERISA OR SECTION 4975 OF THE CODE, UNLESS THE ACQUISITION AND
HOLDING OF THIS SECURITY BY THE PURCHASER OR TRANSFEREE, THROUGHOUT THE PERIOD THAT IT HOLDS THIS
SECURITY, ARE EXEMPT FROM THE PROHIBITED TRANSACTION RESTRICTIONS UNDER ERISA AND SECTION 4975 OF
THE CODE OR ANY PROVISIONS OF SIMILAR LAW, AS APPLICABLE, PURSUANT TO ONE OR MORE PROHIBITED
TRANSACTION STATUTORY OR ADMINISTRATIVE EXEMPTIONS. BY ITS ACQUISITION OR HOLDING OF THIS SECURITY,
EACH PURCHASER AND TRANSFEREE WILL BE DEEMED TO HAVE REPRESENTED AND WARRANTED THAT THE FOREGOING
REQUIREMENTS HAVE BEEN SATISFIED.]

A-2

 

COLEMAN CABLE, INC.

9% SENIOR NOTES DUE 2018

Principal Amount $235,000,000

as revised by the Schedule of Increases and

Decreases in Global Note attached hereto

No.: [___]

CUSIP NO.                    

ISIN NO.                        

     Coleman Cable, Inc., a Delaware corporation, promises to pay to Cede & Co., or registered
assigns, the principal sum of Two Hundred Thirty Five Million Dollars ($235,000,000), as revised by
the Schedule of Increases and Decreases in Global Note attached hereto, on February 15, 2018.

     Interest Payment Dates: February 15 and August 15

     Record Dates: February 1 and August 1

[Intentionally left blank]

A-3

 

     Additional provisions of this Note are set forth on the other side of this Note.

	 	 	 	 	 
	 	COLEMAN CABLE, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 

Dated: February 3, 2010

A-4

 

TRUSTEE’S CERTIFICATE OF AUTHENTICATION:

     Deutsche Bank National Trust Company, as Trustee, certifies that this is one of the Notes
referred to in the Indenture.

	 	 	 	 	 
	 	 	 
	By:  	 	 	 
	 	Authorized Signatory 	 	 
	 	 	 	 
	 

Date:                                                             

A-5

 

(REVERSE OF NOTE)

9% SENIOR NOTES DUE 2018

1.
Interest.

     Coleman Cable, Inc., a Delaware corporation (such corporation, and its successors and assigns
under this Indenture hereinafter referred to as the “Company”), promises to pay interest on
the principal amount of this Note at the rate per annum shown above.

     The Company will pay interest semiannually in arrears on each Interest Payment Date of each
year commencing August 15, 2010. Interest on the Notes will accrue from the most recent date to
which interest has been paid on the Notes or, if no interest has been paid, from and including the
Issue Date. Interest will be computed on the basis of a 360-day year comprised of twelve 30-day
months. The redemption of Notes with unpaid and accrued interest to the Redemption Date will not
affect the right of Holders of record on a record date to receive interest due on an interest
payment date.

     The Company shall pay interest (including post-petition interest in any proceeding under any
Bankruptcy Law) on overdue principal and, to the extent such payments are lawful, interest on
overdue installments of interest (“Defaulted Interest”) without regard to any applicable
grace periods at the rate of two percent (2.0%) per annum in excess of the rate shown on this Note,
as provided in the Indenture.

2. Method of Payment.

     Prior to 10:00 a.m. Chicago time on the date on which any principal of or interest on any Note
is due and payable, the Company shall irrevocably deposit with the Trustee or the Paying Agent
money sufficient to pay such principal and/or interest. The Company will pay interest (except
Defaulted Interest) to the Persons who are registered Holders of Notes at the close of business on
the Record Date preceding the Interest Payment Date even if Notes are canceled, repurchased or
redeemed after the Record Date and on or before the relevant Interest Payment Date. Holders must
surrender Notes to a Paying Agent to collect principal payments. The Company will pay principal
and interest in U.S. Legal Tender.

     Payments in respect of Notes represented by a Global Note (including principal and interest)
will be made by the transfer of immediately available funds to the accounts specified by DTC. The
Company will make all payments in respect of a Certificated Note (including principal and interest)
by mailing a check to the registered address of each Holder thereof; provided, however, that
payments on the Notes may also be made, in the case of a Holder of at least $1,000,000 aggregate
principal amount of Notes, by wire transfer to a U.S. dollar account maintained by the payee with a
bank in the United States if such Holder elects payment by wire transfer by giving written notice
to the Trustee or the Paying Agent to such effect designating such account no later than 15 days
immediately preceding the relevant due date for payment (or such other date as the Trustee may
accept in its discretion).

A-6

 

3. Paying Agent and Registrar.

     Initially,
Deutsche Bank National Trust Company (the “Trustee”), will act as Trustee, Paying
Agent and Registrar. The Company may appoint and change any Paying Agent, Registrar or
co-Registrar without notice to any Holder. The Company or any Note Guarantor may act as Paying
Agent, Registrar or co-Registrar.

4. Indenture; Guarantees.

     The Company issued the Notes under an Indenture, dated as of February 3, 2010 (as it may be
amended or supplemented from time to time in accordance with the
terms thereof, the “Indenture”),
between the Company, the Note Guarantor and the Trustee. The terms of the Notes include those
stated in the Indenture and those made part of the Indenture by reference to the TIA. Capitalized
terms used herein and not defined herein have the meanings ascribed thereto in the Indenture. The
Notes are subject to all such terms, and Holders are referred to the Indenture and the TIA for a
statement of those terms. Each Holder, by accepting a Note, agrees to be bound by all of the terms
and provisions of the Indenture, as amended or supplemented from time to time.

     The Notes are general unsecured obligations of the Company unlimited in aggregate principal
amount, of which $235,000,000 in aggregate principal amount will be initially issued on the Issue
Date. All Notes will be treated as a single class of securities under this Indenture.

     The Indenture imposes certain limitations on, among other things, the ability of the Company
and its Restricted Subsidiaries to: Incur Indebtedness, make Restricted Payments, incur Liens, make
Asset Sales, enter into transactions with Affiliates, or consolidate or merge or transfer or convey
all or substantially all of the Company’s and its Restricted Subsidiaries’ assets.

     To guarantee the due and punctual payment of the principal of, premium, if any, and interest
on the Notes and all other amounts payable by the Company under this Indenture and the Notes when
and as the same shall be due and payable, whether at maturity, by acceleration or otherwise,
according to the terms of the Notes and the Indenture, each Note Guarantor and each future Domestic
Restricted Subsidiary will unconditionally guarantee, jointly and severally, such obligations
pursuant to the terms of the Indenture. Each Note Guarantee will be subject to release as provided
in the Indenture.

5.
Redemption.

     (a) The Company may redeem the Notes, at its option, in whole at any time or in part from time
to time, on or after February 15, 2014, at the following redemption prices, expressed as
percentages of the principal amount thereof, if redeemed during the twelve-month period commencing
on February 15 of any year set forth below:

	 	 	 	 	 
	Year	 	Percentage
	2014
	 	 	104.500	%
	2015
	 	 	102.250	%
	2016 and thereafter
	 	 	100.000	%

A-7

 

	
	     (b) The Company may redeem the Notes, at its option, in whole at any time, or in part
from time to time, prior to February 15, 2014, at the redemption price equal to 100% of the
principal amount of the Notes redeemed plus the Applicable Premium, plus accrued and unpaid
interest to the applicable Redemption Date (subject to the right of holders of record on the
relevant regular record date to receive interest due on an interest payment date that is on or
prior to the Redemption Date).

     Optional Redemption upon Public Equity Offerings. At any time, or from time to time, prior to
February 15, 2013, the Company may, at its option, use the Net Cash Proceeds of one or more Public
Equity Offerings to redeem in the aggregate up to 35% of the aggregate principal amount of the
Notes originally issued at a redemption price equal to 109.000% of the principal amount thereof,
plus accrued and unpaid interest thereon to the date of redemption; provided, that:

     (1) after giving effect to any such redemption at least 65% of the aggregate principal
amount of the Notes originally issued remains outstanding; and

     (2) the Company shall make such redemption not more than 60 days after the consummation
of such Public Equity Offering.

     “Public Equity Offering” means an underwritten public offering of Qualified Capital
Stock of the Company pursuant to a registration statement (other than a registration statement
filed on Form S-4 or S-8) filed with the SEC in accordance with the Securities Act.

     Partial Redemption. In the case of any partial redemption, selection of the Notes for
redemption will be made in accordance with Article V of the Indenture. On and after the redemption
date, interest will cease to accrue on Notes or portions thereof called for redemption as long as
the Company has deposited with the Paying Agent funds in satisfaction of the applicable redemption
price pursuant to the Indenture.

6. Repurchase Provisions.

     Change Of Control Offer. Upon the occurrence of a Change of Control, each Holder of Notes
will have the right to require that the Company purchase all or a portion (in integral multiples of
$1,000) of the Holder’s Notes at a purchase price equal to one hundred and one percent (101%) of
the principal amount thereof, plus accrued and unpaid interest thereon through the date of
purchase. Within 20 days following the date upon which the Change of Control occurred, the Company
must make a Change of Control Offer pursuant to a Change of Control Offer Notice. As more fully
described in the Indenture, the Change of Control Offer Notice shall state, among other things, the
Change of Control Payment Date, which must be no earlier than 30 days nor later than 60 days from
the date the Change of Control Offer Notice is mailed, other than as may be required by law.

     Asset Sale Offer. The Indenture imposes certain limitations on the ability of the Company and
its Restricted Subsidiaries to make Asset Sales. In the event the proceeds from a permitted Asset
Sale exceed certain amounts and are not applied as specified in the Indenture, the Company will be
required to make an Asset Sale Offer to purchase to the extent of such remaining proceeds each
Holder’s Notes, and at the Company’s option, on a pro rata basis with other

A-8

 

Pari Passu Debt with similar provisions requiring the Company to offer to purchase such
Indebtedness with the proceeds of Asset Sales. The Company may defer an Asset Sale Offer until the
aggregate unapplied Net Cash Proceeds from Asset Sales equals or exceeds $5.0 million.

7. Denominations; Transfer; Exchange.

     The Notes are in fully registered form without coupons, and only in denominations of principal
amount of $1,000 and any integral multiple thereof. A Holder may transfer or exchange Notes in
accordance with the Indenture. The Registrar may require a Holder, among other things, to furnish
appropriate endorsements or transfer documents and to pay any taxes and fees required by law or
permitted by the Indenture. The Registrar need not register the transfer of or exchange (i) any
Notes selected for redemption (except, in the case of a Note to be redeemed in part, the portion of
the Note not to be redeemed) for a period beginning 15 days before the mailing of a notice of Notes
to be redeemed and ending on the date of such mailing or (ii) any Notes for a period beginning on
the Record Date for an Interest Payment Date and ending on such Interest Payment Date.

8. Persons Deemed Owners.

     The registered holder of this Note may be treated as the owner of it for all purposes.

9. Unclaimed Money.

     If money for the payment of principal or interest remains unclaimed for two years, the Trustee
or Paying Agent shall pay the money back to the Company at its request unless an abandoned property
law designates another Person. After any such payment, Holders entitled to the money must look
only to the Company and not to the Trustee for payment.

10. Discharge Prior to Redemption or Maturity.

     Subject to certain conditions set forth in the Indenture, the Company at any time may
terminate some or all of its obligations under the Notes and the Indenture if the Company deposits
with the Trustee U.S. Legal Tender or U.S. Government Obligations for the payment of principal of
and interest on the Notes to redemption or maturity, as the case may be.

11. Amendment, Waiver.

     Subject to certain exceptions set forth in the Indenture, (i) the Indenture or the Notes may
be amended or supplemented with the written consent of the Holders of at least a majority in
principal amount of the then Outstanding Notes and (ii) any default (other than with respect to
nonpayment or in respect of a provision that cannot be amended or supplemented without the written
consent of each Holder affected) or noncompliance with any provision may be waived with the written
consent of the Holders of a majority in aggregate principal amount of the then Outstanding Notes.
Subject to certain exceptions set forth in the Indenture, without the consent of any Holder, the
Company and the Trustee may amend or supplement the Indenture or the Notes to, among other things,
cure any ambiguity, omission, defect or inconsistency, or to comply with Article IV of the
Indenture, or to provide for uncertificated Notes in addition to or in place of certificated Notes,
or to add guarantees with respect to the Notes or to secure the Notes,

A-9

 

or to add additional covenants or surrender rights and powers conferred on the Company, or to
comply with any request of the SEC in connection with qualifying the Indenture under the TIA, or to
make any change that does not adversely affect the rights of any Holder, or to provide for the
issuance of Exchange Notes or Additional Notes.

12. Defaults and Remedies.

     If an Event of Default (other than certain events of bankruptcy or insolvency) shall occur and
be continuing, the Trustee or the Holders of at least twenty-five percent (25%) in principal amount
of Outstanding Notes may declare the unpaid principal of (and premium, if any) and accrued and
unpaid interest on all the Notes to be immediately due and payable by notice in writing to the
Company and the Trustee specifying the Event of Default and that it is a “notice of acceleration.”
Certain events of bankruptcy or insolvency are Events of Default which will result in the unpaid
principal of (and premium, if any) and accrued and unpaid interest on all the Notes will become
immediately due and payable without any deceleration or other act on the part of the Trustee or
Holder.

     Holders may not enforce the Indenture or the Notes except as provided in the Indenture. The
Trustee is under no obligation to exercise any of its rights or powers under this Indenture at the
request, order or direction of any of the Holders, unless such Holders have offered to the Trustee
reasonable indemnity. Subject to all provisions of the Indenture and applicable law, the Holders
of a majority in aggregate principal amount of the then Outstanding Notes have the right to direct
the time, method and place of conducting any proceeding for any remedy available to the Trustee or
exercising any trust or power conferred on the Trustee. The Trustee may withhold from Holders
notice of any continuing Default or Event of Default (except a Default or Event of Default in the
payment of principal or, premium, if any, or interest on any Note) if and so long as a committee of
its trust officers in good faith determines that withholding notice is in the interests of the
Holders.

13. Trustee Dealings with the Company.

     Subject to certain limitations set forth in the Indenture, the Trustee under this Indenture,
in its individual or any other capacity, may become the owner or pledgee of Notes and may otherwise
deal with and collect obligations owed to it by the Company or its Affiliates and may otherwise
deal with the Company or its Affiliates with the same rights it would have if it were not Trustee.

14. No Recourse Against Others.

     An incorporator, director, officer, employee, stockholder or controlling person, as such, of
the Company or any Note Guarantor shall not have any liability for any obligations of the Company
under the Notes, the Indenture or any Note Guarantee or for any claim based on, in respect of or by
reason of such obligations or their creation. By accepting a Note, each Holder waives and releases
all such liability. The waiver and release are part of the consideration for the issue of the
Notes.

A-10

 

15.
Authentication.

     This Note shall not be valid until an authorized signatory of the Trustee (or an
authenticating agent acting on its behalf) manually signs the certificate of authentication on the
other side of this Note.

16.
Abbreviations.

     Customary abbreviations may be used in the name of a Holder or an assignee, such as TEN COM
(=tenants in common), TEN ENT (=tenants by the entirety), JT TEN (=joint tenants with rights of
survivorship and not as tenants in common), CUST (=custodian) and U/G/M/A (=Uniform Gift to Minors
Act).

17. CUSIP and ISIN Numbers.

     Pursuant to a recommendation promulgated by the Committee on Uniform Security Identification
Procedures, the Company has caused CUSIP numbers to be printed on the Notes and has directed the
Trustee to use CUSIP numbers in notices of redemption as a convenience to Holders. No
representation is made as to the accuracy of such numbers either as printed on the Notes or as
contained in any notice of redemption and reliance may be placed only on the other identification
numbers placed thereon.

     The Company has caused ISIN numbers to be printed on the Notes and has directed the Trustee to
use ISIN numbers in notices of redemption as a convenience to Holders. No representation is made
as to the accuracy of such numbers either as printed on the Notes or as contained in any notice of
redemption and reliance may be placed only on the other identification numbers placed thereon.

18. Governing Law.

     This Note shall be governed by, and construed in accordance with, the laws of the State of New
York.

     The Company will furnish to any Holder upon written request and without charge to the Holder a
copy of the Indenture. Requests may be made to:

Coleman Cable, Inc.

1530 Shields Drive

Waukegan, Illinois 60085

Attention: Chief Financial Officer

A-11

 

ASSIGNMENT FORM

To assign this Note, fill in the form below:

I or we assign and transfer this Note to

 
(Print or type assignee’s name, address and zip code)

 
(Insert assignee’s Social Security or Tax I.D. Number)

and irrevocably appoint                                                              agent to transfer this Note on the books of the
Company. The agent may substitute another to act for him.

Date: 

Your Signature: 

Sign exactly as your name appears on the other side

of this Note.

Signature Guarantee:  

(Signature must be guaranteed)

The signature(s) should be guaranteed by an eligible

guarantor institution (banks, stockbrokers, savings

and loan associations and credit unions with

membership in an approved signature guarantee

medallion program), pursuant to Exchange Act Rule

17Ad-15.

A-12

 

SCHEDULE OF INCREASES OR DECREASES IN GLOBAL NOTE

The following increases or decreases in this Global Note have been made:

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	Principal Amount of	 	 	Signature of	 
	 	 	 	 	 	 	 	 	 	 	this Global Note	 	 	authorized	 
	 	 	Amount of decrease	 	 	Amount of increase	 	 	following such	 	 	signatory of	 
	 	 	in Principal Amount	 	 	in Principal Amount	 	 	decrease or	 	 	Trustee or Note	 
	Date of Exchange	 	of this Global Note	 	 	of this Global Note	 	 	increase	 	 	Custodian	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

A-13

 

OPTION OF HOLDER TO ELECT PURCHASE

     If you want to elect to have this Note purchased by the Company pursuant to Section 3.8 or
Section 3.11 of the Indenture, check either box:

	 	 	 
	o

	 	o
	SECTION 3.8
	 	SECTION 3.11

     If you want to elect to have only part of this Note purchased by the Company pursuant to
Section 3.8 or Section 3.11 of the Indenture, state the principal amount (which must be an integral
multiple of $1,000) that you want to have purchased by the Company: $

	 	 	 	 	 
	 	 	 
	Date:                      	Your Signature  	 	 
	 	 	 	 	 
	 	(Sign exactly as your name appears on the other side of the Note) 	 

Signature Guarantee: 

(Signature must be guaranteed)

The signature(s) should be guaranteed by an eligible

guarantor institution (banks, stockbrokers, savings

and loan associations and credit unions with

membership in an approved signature guarantee

medallion program), pursuant to Exchange Act Rule

17Ad-15.

A-14

 

GUARANTEES

     The Note Guarantor listed below hereby fully, unconditionally and irrevocably guarantees,
as primary obligor and not merely as surety, jointly and severally with any Additional Note
Guarantor, to each Holder and the Trustee the full and punctual payment when due, whether at
maturity, by acceleration, by redemption or otherwise, of principal and interest and other
Guaranteed Obligations with respect to the Company’s $235,000,000 principal amount of 9% Senior
Notes due 2018 in accordance with the terms set forth in the Indenture. The Note Guarantor further
agrees (to the extent permitted by law) that the Obligations may be extended or renewed, in whole
or in part, without notice or further assent from it, and that it will remain bound under this
Guarantee notwithstanding any extension or renewal of any Obligation. The Note Guarantor hereby
agrees to pay, in addition to the amounts stated above, any and all expenses (including reasonable
counsel fees and expenses) incurred by the Trustee or the Holders in enforcing any rights under any
Note Guarantee.

     The Note Guarantor waives presentation to, demand of payment from and protest to the Company
of any of the Obligations and also waives notice of protest for nonpayment. The Note Guarantor
waives notice of any default under the Notes or the Obligations. The obligations of the Note
Guarantor hereunder shall not be affected by (i) the failure of any Holder to assert any claim or
demand or to enforce any right or remedy against the Company or any other Person under the
Indenture, the Notes or any other agreement or otherwise; (ii) any extension or renewal of any
thereof; (iii) any rescission, waiver, amendment or modification of any of the terms or provisions
of the Indenture, the Notes or any other agreement; (iv) the release of any security held by any
Holder or the Trustee for the Obligations or any of them; (v) the failure of any Holder to exercise
any right or remedy against any other Additional Note Guarantor; or (vi) any change in the
ownership of the Company.

     The Note Guarantor further agrees that its Note Guarantee herein constitutes a guarantee of
payment when due (and not a guarantee of collection) and waives any right to require that any
resort be had by any Holder to any security held for payment of the Obligations.

     THE TERMS OF ARTICLE X OF THE INDENTURE ARE INCORPORATED HEREBY BY REFERENCE.

     This Note Guarantee shall not be valid or obligatory for any purpose until the certificate of
authentication on the Notes upon which these guarantees are noted shall have been executed by the
Trustee under the Indenture by the manual signature of an authorized officer.

     Capitalized terms used herein have the meanings given in the Indenture.

[Intentionally left blank]

A-15

 

	 	 	 	 	 
	 	NOTE GUARANTOR:

CCI INTERNATIONAL, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 

Date: February 3, 2010

A-16

 

EXHIBIT B

FORM OF TRANSFER CERTIFICATE FOR TRANSFER TO QIB

[Date]

Deutsche Bank National Trust Company

Trust and Securities Services

222 South Riverside Plaza, 24th Floor

Chicago, Illinois 60606

			
	          Re:	 	9% Senior Notes Due 2018 (the “Notes”)

of Coleman Cable, Inc. (the “Company”)

Ladies and Gentlemen:

     Reference is hereby made to the Indenture, dated as of February 3, 2010 (as amended and
supplemented from time to time, the “Indenture”), between the Company, the Note Guarantors from
time to time party thereto and Deutsche Bank National Trust Company, as Trustee. Capitalized terms
used but not defined herein shall have the meanings given them in the Indenture.

     This letter relates to the transfer of $[                    ] aggregate principal amount of Notes [in
the case of a transfer of an interest in a Regulation S Global Note: , which represents an
interest in a Regulation S Global Note beneficially owned] by the undersigned (the “Transferor”) in
exchange for an equivalent beneficial interest in the Rule 144A Global Note.

     In connection with such request, and with respect to such Notes, the Transferor does hereby
certify that such Notes are being transferred in accordance with Rule 144A under the Securities Act
of 1933, as amended (“Rule 144A”), to a transferee that the Transferor reasonably believes
is purchasing the Notes for its own account or an account with respect to which the transferee
exercises sole investment discretion, and the transferee, as well as any such account, is a
“qualified institutional buyer” within the meaning of Rule 144A, in a transaction meeting the
requirements of Rule 144A and in accordance with applicable securities laws of any state of the
United States or any other jurisdiction.

B-1

 

     You and the Company are entitled to rely upon this letter and are irrevocably authorized to
produce this letter or a copy hereof to any interested party in any administrative or legal
proceedings or official inquiry with respect to the matters covered hereby.

	 	 	 	 	 
	 	Very truly yours,

[Name of Transferor]

 	 
	 	By:  	 	 
	 	 	 	 
	 	 	 	 
	 	 
Authorized Signature 	 
	 

B-2

 

EXHIBIT C

FORM OF CERTIFICATE TO BE DELIVERED IN CONNECTION WITH TRANSFERS

PURSUANT TO REGULATION S

[Date]

Deutsche Bank National Trust Company

Trust and Securities Services

222 South Riverside Plaza, 24th Floor

Chicago, Illinois 60606

	 	Re: 	 	 9% Senior Notes Due 2018 (the “Notes”)

of Coleman Cable, Inc. (the “Company”)

Ladies and Gentlemen:

     Reference is hereby made to the Indenture, dated as of February 3, 2010 (as amended and
supplemented from time to time, the “Indenture”), between the Company, the Note Guarantors from
time to time party thereto and Deutsche Bank National Trust Company, as Trustee. Capitalized terms
used but not defined herein shall have the meanings given them in the Indenture.

     In connection with the proposed sale of $[                    ] aggregate principal amount of the Notes
[in the case of a transfer of an interest in a 144A Global Note: , which represents an interest
in a 144A Global Note beneficially owned] by the undersigned
(the “Transferor”), we confirm that
such sale has been effected pursuant to and in accordance with Regulation S under the Securities
Act of 1933, as amended (the “Securities Act”), and, accordingly, we represent that:

     (a) the offer of the Notes was not made to a person in the United States;

     (b) either (i) at the time the buy order was originated, the transferee was outside the
United States or we and any person acting on our behalf reasonably believed that the
transferee was outside the United States or (ii) the transaction was executed in, on or
through the facilities of a designated off-shore securities market and neither we nor any
person acting on our behalf knows that the transaction has been pre-arranged with a buyer in
the United States;

     (c) no directed selling efforts have been made in the United States in contravention of
the requirements of Rule 903(b) or Rule 904(b) of Regulation S, as applicable;

     (d) the transaction is not part of a plan or scheme to evade the registration
requirements of the Securities Act; and

     (e) we are the beneficial owner of the principal amount of Notes being transferred.

C-1

 

     In addition, if the sale is made during a Distribution Compliance Period, (i) the beneficial
interest will be held through the Euroclear System or Clearstream Banking (as indirect participants
in DTC), and (ii) if the provisions of Rule 904(b)(1) or Rule 904(b)(2) of Regulation S are
applicable thereto, we confirm that such sale has been made in accordance with the applicable
provisions of Rule 904(b)(1) or Rule 904(b)(2), as the case may be.

     You and the Company are entitled to rely upon this letter and are irrevocably authorized to
produce this letter or a copy hereof to any interested party in any administrative or legal
proceedings or official inquiry with respect to the matters covered hereby. Terms used in this
letter have the meanings set forth in Regulation S.

	 	 	 	 	 
	Very truly yours,

[Name of Transferor]

 	 	 
	By:  	 	 	 
	 	 	 	 
	 	Authorized Signature 	 	 

C-2

 

	 	 	 	 	 

EXHIBIT D

FORM OF RULE 144 CERTIFICATION

[Date]

Deutsche Bank National Trust Company

Trust and Securities Services

222 South Riverside Plaza, 24th Floor

Chicago, Illinois 60606

	 	 	Re: 	 9% Senior Notes Due 2018 (the “Notes”)

of Coleman Cable, Inc. (the “Company”)

Ladies and Gentlemen:

     Reference is hereby made to the Indenture, dated as of February 3, 2010 (as amended and
supplemented from time to time, the “Indenture”), between the Company, the Note Guarantors from
time to time party thereto and Deutsche Bank National Trust Company, as Trustee. Capitalized terms
used but not defined herein shall have the meanings given them in the Indenture.

     In connection with the proposed sale of $[                    ] aggregate principal amount of the Notes
[in the case of a transfer of an interest in a 144A Global Note: , which represents an interest
in a 144A Global Note beneficially owned] by the undersigned
(the “Transferor”), we confirm that
such sale has been effected pursuant to and in accordance with Rule 144 under the Securities Act.

     You and the Company are entitled to rely upon this letter and are irrevocably authorized to
produce this letter or a copy hereof to any interested party in any administrative or legal
proceedings or official inquiry with respect to the matters covered hereby.

	 	 	 	 	 
	Very truly yours,

[Name of Transferor]

 	 	 
	By:  	 	 	 
	 	 	 	 
	 	Authorized Signature 	 	 

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EXHIBIT E

FORM OF ADDITIONAL NOTE GUARANTEE

     This Supplemental Indenture, dated as of [                    ] (this “Supplemental
Indenture”), between [name of Additional Note Guarantor], a [                    ]
[corporation][limited liability company] (the “New Note Guarantor”), Coleman Cable, Inc., a
Delaware corporation (together with its successors and assigns, the
“Company”), each other Note
Guarantor under this Indenture referred to below, and Deutsche Bank National Trust Company, as
Trustee under this Indenture referred to below.

WITNESSETH:

     WHEREAS, the Company and the Trustee have heretofore executed and delivered an Indenture,
dated as of February 3, 2010 (as amended, supplemented, waived or otherwise modified, the
“Indenture”), providing for the issuance of 9%
Senior Notes Due 2018 of the Company (the “Notes”);

     WHEREAS, pursuant to Section 10.5 of the Indenture, the Company is required to cause each
Domestic Restricted Subsidiary created or acquired by the Company that, directly or indirectly,
guarantees or in any other manner becomes liable with respect to Indebtedness under the Bank Credit
Facility, to execute and deliver to the Trustee an Additional Note Guarantee pursuant to which such
Domestic Restricted Subsidiary will unconditionally guarantee, jointly and severally with the other
Note Guarantors, if any, the Company’s full and prompt payment of the Obligations (as defined in
the Indenture) in respect of the Indenture and the Notes; and

     WHEREAS, pursuant to Section 9.1 of the Indenture, the Trustee, the Company and the existing
Note Guarantors (if any) are authorized to execute and deliver this Supplemental Indenture to amend
or supplement the Indenture, without the consent of any Holder;

     NOW, THEREFORE, in consideration of the foregoing and for other good and valuable
consideration, the receipt of which is hereby acknowledged, the New Note Guarantor, the Company,
each other Note Guarantor (if any) and the Trustee mutually covenant and agree for the equal and
ratable benefit of the holders of the Notes as follows:

Article I

Definitions

     Section 1.1. Defined Terms. Unless otherwise defined in this Supplemental Indenture,
terms defined in the Indenture are used herein as therein defined.

Article II

Agreement to be Bound; Guarantee

     Section 2.1. Agreement to be Bound. The New Note Guarantor hereby becomes a party to
the Indenture as a Note Guarantor and as such will have all of the rights and be subject to all of
the obligations and agreements of a Note Guarantor under this
Indenture. The New Note Guarantor

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hereby agrees to be bound by all of the provisions of the Indenture applicable to a
Note Guarantor and to perform all of the obligations and agreements of a Note Guarantor under this
Indenture.

     Section 2.2. Guarantee. The New Note Guarantor hereby fully, unconditionally and
irrevocably guarantees, as primary obligor and not merely as surety, jointly and severally with
each other Note Guarantor (if any), to each Holder of the Notes and the Trustee, the full and
punctual payment when due, whether at maturity, by acceleration, by redemption or otherwise, of the
Obligations, all as more fully set forth in Article X of the Indenture.

Article III

Miscellaneous

     Section 3.1. Notices. Any notice or communication delivered to the Company under the
provisions of the Indenture shall constitute notice to the New Note Guarantor.

     Section 3.2. Parties. Nothing expressed or mentioned herein is intended or shall be
construed to give any Person, firm or corporation, other than the Holders and the Trustee, any
legal or equitable right, remedy or claim under or in respect of this Supplemental Indenture or the
Indenture or any provision herein or therein contained.

     Section 3.3. Governing Law, etc. This Supplemental Indenture shall be governed by
the provisions set forth in Section 11.8 of the Indenture.

     Section 3.4. Severability. In case any provision in this Supplemental Indenture
shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the
remaining provisions shall not in any way be affected or impaired thereby and such provision shall
be ineffective only to the extent of such invalidity, illegality or unenforceability.

     Section 3.5. Ratification of Indenture; Supplemental Indenture Part of Indenture.
Except as expressly amended hereby, the Indenture is in all respects ratified and confirmed and all
the terms, conditions and provisions thereof shall remain in full force and effect. This
Supplemental Indenture shall form a part of the Indenture for all purposes, and every holder of
Notes heretofore or hereafter authenticated and delivered shall be bound hereby. The Trustee makes
no representation or warranty as to the validity or sufficiency of this Supplemental Indenture.

     Section 3.6. Duplicate and Counterpart Originals. The parties may sign any number of
copies of this Supplemental Indenture. One signed copy is enough to prove this Supplemental
Indenture. This Supplemental Indenture may be executed in any number of counterparts, each of
which so executed shall be an original, but all of them together represent the same agreement.

     Section 3.7. Headings. The headings of the Articles and Sections in this
Supplemental Indenture have been inserted for convenience of reference only, are not intended to be
considered as a part hereof and shall not modify or restrict any of the terms or provisions hereof.

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     IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed as of the date first above written.

	 	 	 	 	 
	 	COLEMAN CABLE, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	[NAME OF NEW NOTE GUARANTOR],

as a Note Guarantor

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 

[COMPLETE THE FOLLOWING SIGNATURE BLOCK

FOR EACH EXISTING NOTE GUARANTOR, IF ANY:]

	 	 	 	 	 
	 	[NAME OF NOTE GUARANTOR],

as a Note Guarantor

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	DEUTSCHE BANK NATIONAL TRUST COMPANY, as Trustee

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 

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EXHIBIT F

FORM OF CERTIFICATE TO BE DELIVERED IN CONNECTION WITH TRANSFERS

TO INSTITUTIONAL ACCREDITED INVESTORS

[Date]

Deutsche Bank National Trust Company

Trust and Securities Services

222 South Riverside Plaza, 24th Floor

Chicago, Illinois 60606

	 	 	Re:  9% Senior Notes Due 2018 (the
“Notes”)

       of Coleman Cable, Inc. (the “Company”)

Ladies and Gentlemen:

     Reference is hereby made to the Indenture, dated as of February 3, 2010 (as amended and
supplemented from time to time, the “Indenture”), between the Company, the Note Guarantors from
time to time party thereto and Deutsche Bank National Trust Company, as Trustee. Capitalized terms
used but not defined herein shall have the meanings given them in the Indenture.

     In connection with the proposed sale of $[                    ] aggregate principal amount of the Notes
[in the case of a transfer of an interest in a 144A Global Note: , which represents an interest
in a 144A Global Note beneficially owned] [in the case of a transfer of an interest in a Regulation
S Global Note: , which represents an interest in a Regulation S Global Note beneficially owned]
by the undersigned (the “Transferor”), we hereby confirm that:

     1. We understand that any subsequent transfer of the Notes is subject to certain restrictions
and conditions set forth in the Indenture and the undersigned agrees to be bound by, and not to
resell, pledge or otherwise transfer the Notes except in compliance with such restrictions and
conditions and the Securities Act.

     2. We understand that the Notes have not been registered under the Securities Act or any other
applicable securities law, and that the Notes may not be offered, sold or otherwise transferred
except as permitted in the following sentence. We agree, on our own behalf and on behalf of any
accounts for which we are acting as hereinafter stated, that if we should offer, sell, transfer,
pledge, hypothecate or otherwise dispose of any Notes within two years after the original issuance
of the Notes, we will do so only (a) to a person whom we reasonably believe is a qualified
institutional buyer (as defined in Rule 144A under the Securities Act) in a transaction meeting the
requirements of Rule 144A, (b) in a transaction meeting the requirements of Rule 144 under the
Securities Act, (c) outside the United States to a non-U.S. person in a transaction meeting the
requirements of Rule 903 or 904 under the Securities Act, (d) to an institutional “accredited
investor” (as defined in rule 501(a)(1),(2),(3) or (7) under the Securities Act) that, prior to
such transfer, furnishes the Trustee a signed letter containing the representations and agreements
set forth herein and, if such transfer is in respect of an aggregate principal amount of
notes less than $100,000, an opinion of counsel acceptable to the Company that such transfer
is in

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compliance with the Securities Act, or (e) in accordance with another exemption from the
registration requirements of the Securities Act (and based upon an opinion of counsel and other
certifications and documents if the issuer so requests), (ii) to the Company, or (iii) pursuant to
an effective registration statement, and, in each case, in accordance with any applicable
securities laws of any state of the United States or any other applicable jurisdiction. We further
understand that the Notes purchased by us will bear a legend to the foregoing effect.

     3. We are an institutional “accredited investor” (as defined in Rule 501(a)(1), (2), (3) or
(7) under the Securities Act) and have such knowledge and experience in financial and business
matters as to be capable of evaluating the merits and risks of our investment in the Notes, and we
and any accounts for which we are acting are acquiring the Notes for investment purposes and not
with a view to, or offer of sale in connection with, any distribution in violation of the
Securities Act, and we are each able to bear the economic risk of our or its investment.

     4. We are acquiring the Notes purchased by us for our own account or for one or more accounts
(each of which is an institutional “accredited investor”) as to each of which we exercise sole
investment discretion.

     You and the Company are entitled to rely upon this letter and are irrevocably authorized to
produce this letter or a copy hereof to any interested party in any administrative or legal
proceedings or official inquiry with respect to the matters covered hereby.

Very truly yours,

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