Document:

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                                                                    EXHIBIT 10.3

                   DEALER'S OMNIBUS OPTIONS CLEARING AGREEMENT
                             (CUSTOMER TRANSACTIONS)

THIS AGREEMENT, made and entered into this 12th day of April, 2000, by and
between ABN AMRO INCORPORATED ("AAI"), a New York corporation, and WEB STREET
SECURITIES, INC. ("Dealer"), a Illinois corporation/partnership.

In consideration of the promises, mutual benefits, covenants and agreements
herein expressed, AAI will establish a Dealer's Omnibus Options Account
("Account") for Dealer's benefit in effecting transactions in option contracts
on behalf of Dealer's customers, all in accordance with the terms and conditions
hereinafter set forth:

I.       REPRESENTATIONS BY DEALER

         a.       Dealer is a member in good standing of the National
                  Association of Securities Dealers, Inc. ("NASD") and the
                  following exchanges:

                  -----------------------------------------------------------

                  -----------------------------------------------------------

         b.       Dealer is registered as a Broker/Dealer under Section 15 of
                  the Securities Exchange Act of 1934, and is licensed and in
                  good standing as a Broker/Dealer under all applicable Federal
                  and state securities laws.

         c.       Dealer has all requisite authority, whether arising under
                  applicable Federal and state laws or the rules and regulations
                  of any securities exchange to which Dealer is subject, and has
                  taken all requisite action to enter into this Agreement and to
                  retain the services of AAI in accordance with the terms
                  hereof.

         d.       Dealer represents and warrants that it is in compliance, and
                  during the term of this Agreement shall remain in compliance,
                  with the capital and financial reporting requirements of every
                  securities exchange and securities clearing agency of which
                  Dealer is a member, and to the extent required, with the
                  capital and financial reporting requirements of the Securities
                  and Exchange Commission ("SEC"), the NASD and of every state
                  and other regulatory authority of whose jurisdiction it is
                  subject. A copy of any notice or report filed with any
                  securities exchange, the SEC, NASD, or any state setting forth
                  the Dealer's non-compliance with applicable capital and
                  financial reporting requirements shall be filed simultaneously
                  with AAI.

         e.       Dealer has been advised of, and is familiar with, AAI's
                  clearing procedures and agrees to abide by such rules and
                  guidelines as may be in effect now and in the future with
                  respect to Dealer's Account.

         f.       Dealer is aware of and agrees to be bound by the rules of the
                  Chicago Board Options Exchange ("CBOE"), American Stock
                  Exchange ("AMEX"), Pacific Exchange ("PCX"), Philadelphia
                  Stock Exchange ("PHLX"), and such other exchanges as may
                  commence trading in options, including, but not limited to,
                  rules regarding the unbundling of round lot orders to execute
                  such orders through an exchange automated system. Orders
                  eligible for execution through such automated means may only
                  be public customer market or marketable limit orders in share
                  amounts as designated by the exchange. Public customer orders
                  are defined as orders for an account in which a broker/dealer
                  does not have an interest.

         g.       All options carried in the Account will be carried for
                  Dealer's customers and any short sales effected in the Account
                  will be short sales made on behalf of Dealer's customers.

         h.       Dealer shall promptly notify AAI and shall forthwith
                  discontinue effecting transactions in the Account if any of
                  the foregoing representations and warranties shall no longer
                  be true and correct in all respects.

         i.       Dealer agrees not to violate, either alone or in concert with
                  others, the position or exercise limits which may be
                  established from time to time pursuant to applicable exchange
                  rules. If any individual customer carries reportable positions
                  in one options class with Dealer, Dealer shall promptly notify
                  its designated examining authority or appropriate exchange of
                  such positions. If Dealer carries a position of
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                  reportable size of aggregate options contracts of the same
                  class, Dealer shall promptly report to its designated
                  examining authority or appropriate exchange a breakdown by
                  customer of such positions. Dealer will also be responsible
                  for reporting any large option positions to its designated
                  examining authority or the relevant exchange.

         j.       Dealer shall notify AAI if any person with significant
                  managerial responsibility or otherwise with significant
                  ability to influence the policies and actions of Dealer,
                  whether or not the person currently acts as a principal or a
                  registered representative, has a record which reflects any of
                  the following:

                           (1) any felony conviction (or a plea of guilty or
                           nolo contendere) or pending felony indictment, or
                           other institution of felony proceedings, or any
                           investment-related misdemeanor conviction, indictment
                           or institution of any investment-related proceeding.
                           For the purpose of this Agreement, the term
                           "investment-related" pertains, but is not limited to,
                           activities in connection with securities,
                           commodities, banking, insurance or real estate;

                           (2) permanent bar or temporary suspension of ability
                           to act as a principal or registered representative or
                           otherwise to be associated with or performs
                           designated functions for a firm engaging in an
                           investment-related business;

                           (3) other disciplinary or adverse regulatory or
                           administrative actions taken by any governmental,
                           regulatory or self-regulatory body (a "Regulatory
                           Authority");

                           (4) arbitrations, administrative proceedings or civil
                           actions brought by individuals or a Regulatory
                           Authority not resolved in favor of the person,
                           including those ending in settlement;

                           (5) multiple customer complaints;

                           (6) a termination or permitted resignation after an
                           investigation or allegation of sales practice
                           problems or of violation of investment-related
                           statues, regulations, rules or industry standards of
                           conduct; or

                           (7) requirement that the person be subject to
                           heightened supervision in accordance with the
                           guidelines or recommendations promulgated by a
                           Regulatory Authority

II.      REPRESENTATIONS BY AAI

         a.       AAI is a member in good standing of the New York Stock
                  Exchange ("NYSE"), AMEX, Chicago Stock Exchange ("CHX"), PCX,
                  PHLX, CBOE and the NASD.

         b.       AAI is duly registered or licensed and in good standing as a
                  Broker/ Dealer under applicable Federal and state securities
                  laws.

         c.       AAI has all requisite authority, whether arising under
                  applicable Federal and state laws or the rules and regulations
                  of any securities exchange to which AAI is subject, to enter
                  into this Agreement.

         d.       AAI is in compliance, and during the term of this Agreement
                  shall remain in compliance, with the capital and financial
                  reporting requirements of every securities exchange and
                  securities clearing agency of which it is a member, and to the
                  extent required, with the capital requirements of the SEC and
                  every state or other regulatory authority to whose
                  jurisdiction it is subject.

         e.       AAI is not a bank. Securities sold, offered or recommended by
                  AAI are not deposits, are not insured by the Federal Deposit
                  Insurance Corporation, and are not guaranteed or endorsed by
                  or an obligation or responsibility of AAI AMRO Bank N.V. or
                  any other affiliate U.S. bank or thrift institution.

                                      -2-
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III.     DEFINITIONS

         a.       The term "customer" in reference to Dealer shall not include
                  any general or special partner or any director or officer of
                  Dealer, or any participant, as such, in any joint, group, or
                  syndicate account with Dealer or with any partner, officer, or
                  director of Dealer.

         b.       The term "securities under the control of AAI" shall mean
                  those securities maintained in the Account where both of the
                  following conditions are satisfied: (1) Dealer has instructed
                  AAI to maintain physical possession or control of such
                  securities free of any charge, lien or claim of any kind in
                  favor of AAI or any persons claiming through AAI; and, (2) AAI
                  shall, within 24 hours after receipt of instructions, inform
                  Dealer in a form acceptable to both parties, that it
                  acknowledges such instructions. AAI shall be deemed to have
                  accepted such instructions for long options maintained in the
                  Account, other than options that are part of a qualified
                  spread, for which AAI has received full cash payment from
                  Dealer.

         c.       The term "qualified spread" shall mean one or more options
                  maintained in the Account in a short position and the same
                  number of options maintained in the Account in a long position
                  where both of the following conditions are satisfied: (1)
                  Dealer has specifically identified such short and long options
                  and has instructed AAI to carry them in the Account as a
                  qualified spread for maintenance margin purpose; and, (2) such
                  long options do not expire prior to the expiration of the
                  short options.

IV.      SERVICES TO BE PERFORMED BY AAI

         a.       Execution of orders for the Account, but only insofar as such
                  orders are transmitted by Dealer and received by AAI. AAI
                  reserves the right, at any time, to reject any order. In the
                  event AAI controls the routing of any order as Executing
                  Broker, AAI shall use its best efforts to obtain the best
                  price for Dealer, however, this Agreement does not guarantee
                  that the best price will be obtained when compared across
                  various markets. Unless otherwise notified in writing, Dealer
                  hereby grants AAI complete discretion as to which market to
                  route all Dealer orders and acknowledges that such market may
                  not be the primary market for such order. Dealer agrees to
                  hold AAI harmless from and against any claim due to a
                  difference in price when compared across different markets.

         b.       Hold in one or more properly established accounts securities
                  under the control of AAI.

         c.       Settlement of contracts and transactions in options.

         d.       Preparation and mailing of summary trade lists to Dealer. Such
                  trade lists shall be provided in lieu of a confirmation and
                  shall contain the information required to be furnished on
                  confirmations in accordance with all applicable laws, rules
                  and regulations.

V.       SERVICES NOT TO BE PERFORMED BY AAI

         a.       Accounting, bookkeeping or record keeping, cashiering or other
                  services with respect to transactions in options or securities
                  unrelated to transactions in the Account.

         b.       Preparation of Dealer's financial statements or any analysis
                  thereof.

         c.       The making or filing of any reports, including option position
                  reports to the SEC, any state securities commission, any
                  securities exchange, securities association or other
                  membership to which dealer is subject.

         d.       Services of Dealer set forth under Paragraph VI below.

VI.      SERVICES TO BE PERFORMED BY DEALER

         a.       Dealer shall notify AAI by 11:00 a.m. Chicago time on the
                  following business day if the trade list of transactions
                  provided by AAI under Paragraph IV above contains any
                  discrepancies.

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         b.       Dealer will determine all of the facts regarding transactions
                  effected in all customer accounts, including but not limited
                  to the suitability of all transactions, the authenticity of
                  all orders, the qualifications of any person holding power of
                  attorney over any customer's account, all required
                  confirmations and statements of accounts to customers, and the
                  issuance and receipt of all appropriate option exercise
                  instructions. Dealer agrees to maintain all necessary account
                  documentation to comply with Federal, state, exchange and
                  self-regulatory association laws, rules and regulations.
                  Dealer agrees to provide all documents to such agencies when
                  so requested.

         c.       Dealer shall be responsible for its compliance with all laws,
                  rules and regulations of all Federal, state, exchange or
                  securities agencies having regulatory jurisdiction over the
                  affairs of Dealer.

         d.       Dealer shall furnish OCC's current prospectus and appropriate
                  supplements to each of its customers in accordance with the
                  provisions of regulatory authorities as may from time to time
                  be applicable, and the rules of the exchanges where options
                  are traded. Dealer shall not use any sales material in
                  contravention of the Securities Act of 1933, the rules
                  thereunder, or any other applicable law, regulation or rule.
                  AAI reserves the right to charge Dealer the cost of any
                  prospectus or additional approved sales material provided to
                  Dealer by AAI.

         e.       Upon request, Dealer shall furnish AAI promptly with a copy
                  of: (i) its complete annual audit report; (ii) its complete
                  quarterly FOCUS report; (iii) its monthly FOCUS reports upon
                  AAI's request; (iv) written control procedures regarding order
                  entry and, (v) such other regulatory or financial reports as
                  AAI, in its sole discretion, deems appropriate.

         f.       Dealer shall obtain from each of its customers all requisite
                  and appropriate written authorization to lend, pledge and
                  hypothecate to AAI all securities carried in the Account
                  (other than securities under the control of AAI) in accordance
                  with the provisions of this Agreement and for AAI to lend,
                  re-pledge and re-hypothecate any or all of such securities,
                  whether separately or in common ownership with other money,
                  securities, or property, as AAI, in its sole discretion, shall
                  deem appropriate. Dealer hereby notifies and represents to AAI
                  that the loan, pledge or hypothecation hereunder of all
                  securities carried in the Account (other than securities under
                  the control of AAI) do not contravene any provision of the
                  rules of the Federal government or any other provision of the
                  Federal Reserve System or any agreement to which Dealer is a
                  party or is subject. Dealer shall give AAI all instructions
                  necessary to assure continued compliance by Dealer with all
                  such provisions.

         g.       Dealer shall monitor and be responsible for the: (i)
                  furnishing to clients of investment advice; (ii) transfer of
                  securities and accounts of customers; (iii) handling of
                  accounts for employees or officers of member organizations,
                  self-regulatory organizations and other financial
                  institutions; (iv) payment of dividends and interest to its
                  accounts; and, (v) compliance with restricted/control stock
                  requirements.

VII.     QUALIFIED SPREADS

         Dealer shall not instruct AAI to carry long and short options as a
         qualified spread unless all options to be included in a qualified
         spread are carried for the same customer of Dealer, and any
         instructions by Dealer to carry options as part of a qualified spread
         shall be deemed to be a representation by Dealer to AAI to such effect.
         AAI shall have a lien as set forth in Paragraph XI on all long option
         contracts included as part of a qualified spread (and proceeds from any
         sale or disposition thereof), and such lien shall continue until: (i)
         the short option contracts included in such qualified spread have been
         closed out in a closing purchase transaction and Dealer has paid AAI
         the full purchase price with respect to such transaction; (ii) an
         exercise notice has been assigned to the short option contracts
         included in such qualified spread and AAI has informed Dealer that,
         based on the deposit of the underlying securities or other collateral
         satisfactory to AAI, AAI has released its lien on such long option
         contracts; (iii) the time for the assignment of an exercise notice to
         the short option contracts included in such qualified spread has
         expired; or, (iv) Dealer has specifically instructed AAI to treat such
         long option contracts as securities under the control of AAI, and AAI
         has informed Dealer in writing that it accepts such instruction.

VIII.    MARGIN

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         AAI shall establish such initial or maintenance margin requirements as
         it deems appropriate from time to time with respect to Dealer and may
         revise or amend such requirements at any time and without prior notice
         to the Dealer. Dealer shall comply with the Federal Reserve Board's
         Regulation X as a borrower of securities credit which incorporates
         Regulation T and the rules and regulations of the self-regulatory
         organizations having jurisdiction over the securities and
         non-securities transactions effected or held by AAI for Dealer.

IX.      DEBIT BALANCE

         AAI shall retain a lien upon all securities in the Account, except for
         those securities under the control of AAI so long as there is any debit
         in the Account. Debit balances shall accrue interest on a daily basis
         at a rate per annum equal to one percent (1%) above the quoted broker's
         current call loan rate, such rate being subject to change, without
         prior notice, as the quoted broker's current call loan rate changes. A
         designated delivery versus payment (DVP) account shall not bear any
         interest charge.

X.       MONEY OR COLLATERAL CALLS

         Dealer shall promptly satisfy money or collateral calls by 2:00 p.m.
         Chicago time the next business day following issuance or notification.
         In the event Dealer does not promptly satisfy such calls, AAI is
         authorized, in its sole discretion and without notification to Dealer,
         to take any and all steps AAI deems necessary to protect itself in
         connection with option positions carried or option transactions entered
         for the Account. Such steps include, but are not limited to, the right
         to buy-in short or sell long positions for the Account's risk all or a
         portion of the shares, options or other collateral carried by AAI for
         the Account in compliance with SEC Rule 15c3-3(c)(2). The failure of
         AAI to take such steps shall not be deemed acquiescence to the failure
         of Dealer to satisfy money or collateral calls and shall not preclude
         AAI from subsequently following any or all of the steps set forth
         above. Dealer further agrees that any and all expenses or losses
         incurred in this connection, including reasonable legal fees, shall be
         reimbursed to AAI.

XI.      SECURITIES LIEN

         In the event of a default by Dealer under this Agreement, Dealer hereby
         grants to AAI a lien on all securities in the Account, except for those
         securities under the control of AAI as defined in Paragraph III.b, for
         all obligations to AAI with respect to all transactions effected
         through and positions maintained in the Account and all other
         obligations from Dealer to AAI arising under this Agreement. AAI is
         authorized, in its discretion, for any reason whatsoever it deems
         necessary for AAI's protection, to sell any or all of the securities or
         other property which may be in its possession, except for those
         securities under the control of AAI, or which AAI may be carrying for
         the Account, or to purchase any securities or other property of which
         the Account of Dealer may be short, or cancel any outstanding orders,
         to close out the Account on behalf of Dealer. Such sale, purchase or
         cancellation may be made according to AAI's judgment and may be made,
         at AAI's discretion, on the exchange or other market where such
         business is then usually transacted, or at public auction or at private
         sale, without advertising the same and without notice to Dealer or upon
         personal representatives of Dealer, and AAI may purchase the whole or
         any part thereof free from any right of redemption, and Dealer shall
         remain liable for any deficiency.

         A prior tender, demand or call of any kind from AAI, or prior notice
         from AAI, of the time and place of such sale or purchase shall not be
         considered a waiver of AAI's right to sell or buy any securities and/or
         other property held by AAI or owed AAI by Dealer, at any time. A lack
         of action on AAI's part shall not be considered a waiver of AAI's
         rights under this paragraph.

XII.     DEALER'S LOAN CONSENT

         Dealer hereby authorizes AAI to lend and hypothecate to itself as
         broker or to others any securities or other property maintained in the
         Account that are not securities under the control of AAI to the extent
         permitted by applicable SEC rules.

XIII.    EXERCISE OF VALUABLE OPTIONS

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         OCC automatically exercises all equity and index options at expiration
         when such options reach designated levels and establishes cut-off times
         for the exercise of options. It is the responsibility of Dealer to
         notify AAI of any such options they do not desire to be exercised.
         Dealer shall have complete responsibility to instruct AAI to exercise
         any option that does not fall within the OCC parameters or does not
         have automatic execution parameters. Any profit or loss realized from
         the exercise of such option by AAI will be applied to Dealer's Account.
         Due to various exchange rules regarding trading halts (i.e. "circuit
         breakers"), the exchange may close trading early if various conditions
         exist. This may affect the closing price of securities and therefore
         the exercise of options. AAI shall have no duty to notify Dealer of any
         such trading halt and the exercise of options pursuant thereto. It
         shall be Dealer's sole responsibility to provide AAI with the exchange
         mandated contrary exercise instructions on the form provided by AAI. If
         AAI for any reason does or does not exercise any option, Dealer waives
         any and all claims for damage or loss which Dealer, its successors and
         assigns, may have at any time against AAI arising out of the fact that
         such option was or was not exercised. The authority granted AAI under
         this paragraph shall not include any responsibilities with respect to
         the liquidation of the underlying security if the option is exercised.

XIV.     UNCOVERED OPTIONS

         If Dealer writes an option contract without depositing the underlying
         security promptly, Dealer agrees to honor all assignments and deliver
         the underlying security to AAI during the prescribed time. If Dealer
         fails to deliver the underlying security promptly, AAI is authorized to
         act as Dealer's agent and buy-in such security at the then current
         market price. In such event, the Account shall be debited for any loss
         and AAI shall charge a fee and/or commission for this service.

XV.      ALLOCATION OF ASSIGNMENT NOTICES

         AAI will allocate assignment notices in accordance with applicable
         Exchange policies and procedures. Dealer may view AAI's allocation
         provisions upon request.

XVI.     MANNER, PLACE AND TIME OF DELIVERY AND PAYMENT

         Dealer agrees to deliver or accept delivery of all options in the
         manner and form provided for by OCC. For all options, AAI shall
         determine the place of delivery and payment procedures. AAI shall
         impose deadlines of not more than one hour earlier than applicable
         Exchange or OCC requirements for tendering exercise notices, making
         deliveries, or any settlement activity.

XVII.    COMMUNICATION

         a.       Dealer and AAI will mutually agree to methods of communication
                  and the number of access locations necessary to satisfy
                  Dealer. AAI shall not be responsible for any instructions or
                  orders which it does not receive due to malfunction of
                  communications equipment.

         b.       AAI will have discretion over the type and proper location of
                  communications equipment deemed necessary to render the most
                  efficient service to the Dealer.

         c.       Dealer agrees and consents to the recording of telephone
                  conversations with AAI or any of its employees or agents,
                  although AAI assumes no responsibility to do such or retain
                  such recordings. Further, Dealer waives any right to object to
                  the use of any such recording in any legal proceeding between
                  AAI and Dealer.

         d.       AAI and Dealer shall bear responsibility for their respective
                  errors, as determined in accordance with this Agreement and
                  the constitution and rules of the exchange on which the order
                  was executed, provided however, that AAI shall not be
                  responsible for any errors not reported prior to the opening
                  of the relevant contract, but not later than 11:00 a.m.
                  Chicago time on the following trade day.

XVIII.   COMPENSATION

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         Dealer shall be charged fees, commissions and expenses (See Appendix).
         In addition, the Account will be charged on a monthly basis any
         interest in accordance with Paragraph IX.

XIX.     INDEMNIFICATION

         Dealer hereby agrees to indemnify, protect and hold harmless AAI from
         and against all claims, demands, proceedings, suits and actions and all
         liabilities, expenses and costs in connection herewith:

         a.       Dealer's failure to make payment for options purchased or
                  fails to promptly collateralize margin options sold;

         b.       Dealer's failure to meet any initial margin call or
                  maintenance call;

         c.       Dealer's failure to properly exercise the duties and
                  obligations with respect to this Agreement; or

         d.       Suits or arbitrations commenced by a customer or third party
                  (i.e. an employee) of Dealer arising from the relationship
                  between AAI and Dealer in which AAI properly executed its
                  duties and responsibilities.

         If any action or proceeding is brought by or against either party, the
         parties mutually agree to cooperate to the fullest extent possible in
         the defense or prosecution of such action or proceeding. This
         indemnification provision shall survive the termination of the
         Agreement.

XX.      TERMINATION

         This Agreement may be terminated by either party upon 48 hours written
         notice by registered or certified mail, except that the lien and other
         rights of AAI hereunder shall continue as long as there remain any
         unsettled transactions or outstanding obligations from Dealer to AAI
         with respect to the Account. AAI, in its discretion, may immediately
         terminate this Agreement if any representations, warranties, duties,
         responsibilities, or obligations of Dealer shall not be true or duly
         performed or shall cease to become true or duly performed; provided,
         however, that the failure of AAI to terminate this Agreement shall not
         be deemed acquiescence in Dealer's misrepresentations or failure to
         perform its duties, responsibilities or obligations and shall not
         preclude AAI from subsequently terminating this Agreement. If AAI deems
         it necessary to terminate this relationship for a reason other than a
         violation of this Agreement, it shall allow Dealer 60 days to secure a
         new correspondent relationship. Upon termination, Dealer agrees to
         compensate AAI in accordance with Paragraph XI above for each transfer
         or closing transaction necessary to liquidate or close the account.

         The parties affirm and agree that neither the fixation of the
         conversion rate of any European currency against the Euro as a single
         currency, in accordance with the Treaty Establishing the European
         Economic Community, as amended by the Treaty on the European Union (the
         Maastricht Treaty), nor the conversion of any settlement obligations
         under this agreement from any European currency into Euro will be a
         reason for the early termination or revision of this Agreement or
         create any liability of one party towards the other party for any
         direct or consequential loss arising from any of these events.

XXI.     ARBITRATION

         The parties hereby consent to submit any dispute or controversy which
         may arise from or relate to this Agreement to arbitration before the
         NASD or an appropriate exchange. The parties further agree that such
         arbitration shall be held in Chicago, Illinois unless the rules of the
         NASD or an exchange require a different location.

XXII.    CONSTRUCTION

         This Agreement shall be construed and enforced under and in accordance
         with the laws of the State of Illinois without regard to its conflict
         of laws provisions. If any part, term or provision of this Agreement is
         held to be illegal or in conflict with the law of any state or any
         other law, the validity of the remaining portions or

                                      -7-
<PAGE>

         provisions shall not be affected, and the rights and obligations of the
         parties shall be construed and enforced as if this Agreement did not
         contain the particular part, term or provisions held to be invalid.

XXIII.   MISCELLANEOUS

         a.       The Chairman, President, Executive Vice Presidents or Senior
                  Vice Presidents of AAI are the only individuals authorized to
                  enter into this Agreement or other agreements on behalf of
                  AAI, or to modify any of the aforesaid agreements. Oral
                  statements shall under no circumstances be considered part of
                  the Agreement or otherwise legally binding on the parties
                  hereto.

         b.       Neither this Agreement nor the performance of the services
                  hereunder shall be considered to create a joint venture or
                  partnership between AAI and Dealer or between Dealer and other
                  brokers for whom AAI may perform the same or similar service.

         c.       For the purpose of delivery of any notice hereunder, the
                  addresses of the parties are set forth opposite their
                  respective signatures on the execution page hereof. Either
                  party may change its address for notice purposes by giving
                  written notice of the new address to the other party.

         d.       This Agreement shall be binding upon the parties hereto and
                  their respective successors and assigns, provided, however,
                  that no assignment of this Agreement shall be valid unless
                  expressly agreed to in writing by the other party or assigned
                  pursuant to the governing securities rules, regulations and
                  interpretations regarding the bulk transfer of accounts.

         e.       This Agreement is not intended to grant any right to, or
                  provide any basis for any claims by third parties.

IN WITNESS WHEREOF, the parties have hereunder affixed their hands as of the day
and year first above written.

ABN AMRO INCORPORATED           By      /s/ Lance E. Dominick
208 South LaSalle Street           --------------------------------------------
Chicago, Illinois 60604            Lance E. Dominick, Senior Vice President

DEALER NAME AND ADDRESS

WEB STREET SECURITIES, INC.     By:     /s/ D. Jonathon Rosenberg
222 S. Riverside Plaza             --------------------------------------------
11th Floor                         Signature
Chicago, Illinois  60606
                                     D. Jonathon Rosenberg, EVP/Chief
                                             Operating Officer
                                 ----------------------------------------------
                                 Print Name and Title

                                      -8-
<PAGE>

                                  Appendix A
                     TO OMNIBUS OPTIONS CLEARING AGREEMENT
                      DATED: April 12, 2000 by & between
              ABN AMRO Incorporated & Web Street Securities, Inc.

Executions:
-----------
ABN AMRO Incorporated (AAI) will be compensated for all correspondent equity and
index option execution business on the American Stock Exchange, the Pacific
Exchange, the Philadelphia Stock Exchange and all equity execution business on
the Chicago Board Options Exchange at the rate of *** per contract.

ABN AMRO Incorporated (AAI) will be compensated for all correspondent index
option execution business on the Chicago Board Options Exchange at the rate of
*** per contract.

Clearance:
----------
o        ABN AMRO Incorporated will be compensated for the clearance of all
         option contracts at the rate of *** per contract.
o        In addition to the above stated rates all exchange transaction and OCC
         fees will be passed to the correspondent. (See attached copy)
o        All exercise and assignment notices settled through NSCC correspondent
         clearing will be billed at *** per notice regardless of size.
o        All exercise and assignment notices settled via DVP/RVP will be billed
         at *** per notice regardless of size.

Processing:
-----------
AAI will be compensated for all trades routed and executed through the CNESS
interface at the rate of *** per contract.

In consideration thereof AAI is to provide the following services, supplies and
facilities:

Execution Services:
-------------------
         Phone Clerk (s)
         Floor Support Personnel
         Floor Locations and Supplies
         Daily Recaps
         Trade Checking

Clearing Services:
------------------
         Margin Clerk (s)
         Support Trade Data Reports (Daily)
         - Daily Confirmations
         - Position Reports
         Support Trade Data Reports (Monthly)
         - Monthly Statement

                    /s/ Lance E. Dominick                      Dated: 8/11/2000
                    -----------------------------------------------------------
                    Lance E. Dominick, Senior Vice President
                    ABN AMRO Incorporated

                    /s/ D. Jonathon Rosenberg                  Dated: 8/11/2000
                    -----------------------------------------------------------
                    Web Street Securities, Inc.

*** This information is omitted pursuant to a confidential treatment request
    filed with the SEC.<PAGE>

                                                                   EXHIBIT 10.21

                                                                  EXECUTION COPY

                                  $50,000,000

                               CREDIT AGREEMENT

                           dated as of June 28, 2000

                                     among

                             NOVAMED EYECARE, INC.

                               as the Borrower,

                   CERTAIN COMMERCIAL LENDING INSTITUTIONS,

                                as the Lenders,

                                      and

                   NATIONAL CITY BANK OF MICHIGAN/ILLINOIS,
                         as the Agent for the Lenders
<PAGE>

                               TABLE OF CONTENTS

                                                                            Page
ARTICLE I DEFINITIONS AND ACCOUNTING TERMS.....................................1
  SECTION 1.1 Defined Terms....................................................1
  SECTION 1.2 Use of Defined Terms............................................20
  SECTION 1.3 Cross-References................................................20
  SECTION 1.4 Accounting Principles...........................................20
ARTICLE II REVOLVING COMMITMENTS, BORROWING PROCEDURES
AND NOTES.....................................................................20
  SECTION 2.1 Revolving Commitments...........................................20
    SECTION 2.1.1 Revolving Commitment of Each Lender.........................21
    SECTION 2.1.2 Lenders Not Permitted or Required To Make Loans.............21
  SECTION 2.2 Reduction of Revolving Commitment Amount........................21
    SECTION 2.2.1 Optional....................................................21
    SECTION 2.2.2 Mandatory Reductions and Prepayments........................21
  SECTION 2.3 Borrowing Procedure.............................................22
  SECTION 2.4 Continuation and Conversion Elections...........................22
  SECTION 2.5 Funding.........................................................23
  SECTION 2.6 Notes...........................................................23
  SECTION 2.7 Letters of Credit...............................................23
    SECTION 2.7.1 Issuance of Letters of Credit...............................23
    SECTION 2.7.2 Participating Interests.....................................23
    SECTION 2.7.3 Reimbursement Upon Drawing..................................24
    SECTION 2.7.4 Request for Letter of Credit................................25
ARTICLE III REPAYMENTS, PREPAYMENTS, INTEREST AND FEES........................25
  SECTION 3.1 Repayments and Prepayments......................................25
    SECTION 3.1.1 Prior to the Revolving Commitment Termination Date..........25
    SECTION 3.1.2 On the Maturity Date........................................26
    SECTION 3.1.3 Extension of Maturity Date..................................26
  SECTION 3.2 Interest Provisions.............................................26
    SECTION 3.2.1 Rates.......................................................26
    SECTION 3.2.2 Post-Maturity Rates.........................................28
    SECTION 3.2.3 Payment Dates...............................................28
  SECTION 3.3 Fees............................................................29
    SECTION 3.3.1 Revolving Commitment Fee....................................29
    SECTION 3.3.2 Letter of Credit Fees.......................................29
    SECTION 3.3.3 Agency Fees.................................................30
ARTICLE IV LIBO RATE AND OTHER PROVISIONS.....................................30
  SECTION 4.1 LIBO Rate Lending Unlawful......................................30
  SECTION 4.2 Deposits Unavailable............................................30
  SECTION 4.3 Increased LIBO Rate Loan Costs, etc.............................30

                                      -i-
<PAGE>

  SECTION 4.4 Funding Losses..................................................31
  SECTION 4.5 Increased Capital Costs.........................................31
  SECTION 4.6 Taxes...........................................................32
  SECTION 4.7 Payments, Computations, etc.....................................33
  SECTION 4.8 Sharing of Payments.............................................34
  SECTION 4.10 Use of Proceeds................................................34
  SECTION 4.11 Changes to Other Branches; Equal Treatment of Borrower.........34
  SECTION 4.12 Replacement of Lenders.........................................35
ARTICLE V CONDITIONS TO BORROWING.............................................35
  SECTION 5.1 Initial Borrowing...............................................35
    SECTION 5.1.1 Resolutions, etc............................................36
    SECTION 5.1.2 Delivery of Notes...........................................36
    SECTION 5.1.3 Applicable Margin...........................................36
    SECTION 5.1.4 Guaranty....................................................36
    SECTION 5.1.5 Pledge Agreements...........................................36
    SECTION 5.1.6 Security Agreements.........................................36
    SECTION 5.1.7 Intellectual Property Assignment............................37
    SECTION 5.1.8 Opinions of Counsel.........................................37
    SECTION 5.1.9 Agreements..................................................37
    SECTION 5.1.10 Closing Fees, Expenses, etc................................37
  SECTION 5.2 All Borrowings and Letters of Credit............................37
    SECTION 5.2.1 Compliance with Warranties, No Default, etc.................38
    SECTION 5.2.2 Borrowing Request; LC Notice................................38
    SECTION 5.2.3 Satisfactory Legal Form.....................................38
ARTICLE VI REPRESENTATIONS AND WARRANTIES.....................................38
  SECTION 6.1 Organization, etc...............................................38
  SECTION 6.2 Due Authorization, Non-Contravention, etc.......................39
  SECTION 6.3 Government Approval, Regulation, etc............................39
  SECTION 6.4 Validity, etc...................................................39
  SECTION 6.5 Financial Information...........................................39
  SECTION 6.6 No Material Adverse Change......................................40
  SECTION 6.7 Litigation, Labor Controversies, etc............................40
  SECTION 6.8 Subsidiaries....................................................40
  SECTION 6.9 Ownership of Properties.........................................40
  SECTION 6.10 Taxes..........................................................40
  SECTION 6.11 Pension and Welfare Plans......................................40
  SECTION 6.12 Environmental Warranties.......................................41
  SECTION 6.13 Regulations T, U and X.........................................42
  SECTION 6.14 Accuracy of Information........................................42
  SECTION 6.15 Solvency.......................................................42
  SECTION 6.16 Collateral Documents...........................................42
  SECTION 6.17 Indebtedness...................................................43
  SECTION 6.18 Service Agreements; Employment Agreements......................43
  SECTION 6.19 Other Agreements/Program Eligibility...........................43

                                     -ii-
<PAGE>

  SECTION 6.20 Reimbursement from Third Party Payors..........................44
  SECTION 6.21 Legal Compliance...............................................44
  SECTION 6.22 Licensing and Accreditation....................................44
  SECTION 6.23 Subordination Provisions.......................................44
  SECTION 6.24 RICO...........................................................45
  SECTION 6.25 Year 2000 Problem..............................................45
ARTICLE VII COVENANTS.........................................................45
  SECTION 7.1 Affirmative Covenants...........................................45
    SECTION 7.1.1 Financial Information, Reports, Notices, etc................45
    SECTION 7.1.2 Compliance with Laws, etc...................................47
    SECTION 7.1.3 Maintenance of Properties...................................48
    SECTION 7.1.4 Insurance...................................................48
    SECTION 7.1.5 Books and Records...........................................49
    SECTION 7.1.7 Changes to Certain Agreements...............................49
    SECTION 7.1.8 Governmental Licenses.......................................49
    SECTION 7.1.9 Covenants Extending to Other Persons........................50
    SECTION 7.1.10 Solvency...................................................50
    SECTION 7.1.11 Further Assurances.........................................50
    SECTION 7.1.12 New Subsidiaries...........................................50
  SECTION 7.2 Negative Covenants..............................................52
    SECTION 7.2.1 Business Activities.........................................52
    SECTION 7.2.2 Indebtedness................................................52
    SECTION 7.2.3 Liens.......................................................54
    SECTION 7.2.4 Financial Condition.........................................55
    SECTION 7.2.5 Investments.................................................56
    SECTION 7.2.6 Restricted Payments, etc....................................58
    SECTION 7.2.8 Consolidation, Merger, etc..................................58
    SECTION 7.2.9 Asset and Capital Stock Dispositions, etc...................59
    SECTION 7.2.10 Modification of Certain Agreements.........................61
    SECTION 7.2.11 Transactions with Affiliates...............................61
    SECTION 7.2.12 Negative Pledges, Restrictive Agreements, etc..............61
ARTICLE VIII EVENTS OF DEFAULT................................................61
  SECTION 8.1 Listing of Events of Default....................................61
    SECTION 8.1.1 Non-Payment of Obligations..................................62
    SECTION 8.1.2 Breach of Warranty..........................................62
    SECTION 8.1.3 Non-Performance of Certain Covenants and Obligations........62
    SECTION 8.1.4 Non-Performance of Other Covenants and Obligations..........62
    SECTION 8.1.5 Default on Other Indebtedness...............................62
    SECTION 8.1.6 Judgments...................................................62
    SECTION 8.1.7 Pension Plans...............................................63
    SECTION 8.1.8 Change of Control...........................................63
    SECTION 8.1.9 Bankruptcy, Insolvency, etc.................................63
    SECTION 8.1.10 Impairment of Security, etc................................64
    SECTION 8.1.11 Fraud and Abuse Laws.......................................64

                                     -iii-
<PAGE>

    SECTION 8.1.12 Certifications.............................................64
    SECTION 8.1.13............................................................65
  SECTION 8.2 Action if Bankruptcy............................................65
  SECTION 8.3 Action if Other Event of Default................................65
  SECTION 8.4 Letters of Credit...............................................65
ARTICLE IX THE AGENT..........................................................65
  SECTION 9.1 Actions.........................................................66
  SECTION 9.2 Funding Reliance, etc...........................................66
  SECTION 9.3 Exculpation.....................................................66
  SECTION 9.4 Successor.......................................................67
  SECTION 9.5 Loans by National City..........................................67
  SECTION 9.6 Credit Decisions................................................68
  SECTION 9.7 Copies, etc.....................................................68
ARTICLE X MISCELLANEOUS PROVISIONS............................................68
  SECTION 10.1 Waivers, Amendments, etc.......................................68
  SECTION 10.2 Notices........................................................69
  SECTION 10.3 Payment of Costs and Expenses..................................69
  SECTION 10.4 Indemnification................................................70
  SECTION 10.5 Survival.......................................................71
  SECTION 10.6 Severability...................................................71
  SECTION 10.7 Headings.......................................................71
  SECTION 10.8 Execution in Counterparts, Effectiveness, etc..................71
  SECTION 10.9 Governing Law; Entire Agreement................................71
  SECTION 10.10 Successors and Assigns........................................72
  SECTION 10.11 Sale and Transfer of Loans and Note; Participations in
    Loans and Note............................................................72
    SECTION 10.11.1 Assignments...............................................72
    SECTION 10.11.2 Participations............................................73
  SECTION 10.12 Confidentiality...............................................74
  SECTION 10.13 Other Transactions............................................74
  SECTION 10.14 Forum Selection and Consent to Jurisdiction...................75
  SECTION 10.15 Waiver of Jury Trial..........................................75

SCHEDULE 1--    Closing Date Stockholders
SCHEDULE 2--    Agreed EBITDA Formula
SCHEDULE 6.3    --   Approvals
SCHEDULE 6.8    --   Subsidiaries
SCHEDULE 6.10   --   Tax Matters
SCHEDULE 6.17   --   Existing Indebtedness
SCHEDULE 6.18   --   Service Agreements; Employment Agreements
SCHEDULE 6.22   --   Required Certificates
SCHEDULE 7.1.4  --   Insurance
SCHEDULE 7.2.3  --   Existing Liens
SCHEDULE 7.2.5  --   Existing Investments
SCHEDULE 10.1   --   Commitment Percentages

                                     -iv-
<PAGE>

SCHEDULE 10.2     --   Notice Information

EXHIBIT A         Form of Note
EXHIBIT B         Form of Borrowing Request
EXHIBIT C         Form of Continuation/Conversion Notice
EXHIBIT D         Form of Lender Assignment Agreement
EXHIBIT E         Form of Guaranty
EXHIBIT F-1       Form of Borrower Pledge Agreement
EXHIBIT F-2       Form of Guarantor Pledge Agreement
EXHIBIT G-1       Form of Borrower Security Agreement
EXHIBIT G-2       Form of Guarantor Security Agreement
EXHIBIT H         Form of Opinion of Counsel to the Borrower

                                      -v-

<PAGE>

                                CREDIT AGREEMENT

     THIS CREDIT AGREEMENT, dated as of June 28, 2000 among NOVAMED EYECARE,
INC., a Delaware corporation (the "Borrower"), the various financial
institutions from time to time party hereto (collectively, the "Lenders"), and
NATIONAL CITY BANK OF MICHIGAN/ILLINOIS, as agent (the "Agent") for the Lenders;

                              W I T N E S S E T H:

     WHEREAS, the Borrower desires to obtain Revolving Commitments from the
Lenders pursuant to which Loans, in a maximum aggregate principal amount at any
one time outstanding not to exceed $50,000,000, will be made to the Borrower
from time to time prior to the Revolving Commitment Termination Date; and

     WHEREAS, the Lenders are willing, on the terms and subject to the
conditions hereinafter set forth (including Article V), to extend such Revolving
Commitments and make such Loans to the Borrower; and

     WHEREAS, the proceeds of such Loans will be used for general corporate
purposes and working capital purposes of the Borrower and its Subsidiaries and
to finance Permitted Acquisitions by the Borrower;

     NOW, THEREFORE, the parties hereto agree as follows:

                                    ARTICLE I

                        DEFINITIONS AND ACCOUNTING TERMS

     SECTION 1.1 Defined Terms. The following terms (whether or not underscored)
when used in this Agreement, including its preamble and recitals, shall, except
where the context otherwise requires, have the following meanings (such meanings
to be equally applicable to the singular and plural forms thereof):

     "Affected Lender" is defined in Section 4.12.

     "Affiliate" of any Person means any other Person which, directly or
indirectly, controls, is controlled by or is under common control with such
Person (excluding any trustee under, or any committee with responsibility for
administering, any Plan). A Person shall be deemed to be "controlled by" any
other Person if such other Person possesses, directly or indirectly, power

          (a) to vote 10% or more of the securities (on a fully diluted basis)
     having ordinary voting power for the election of directors or managing
     general partners; or
<PAGE>

          (b) to direct or cause the direction of the management and policies of
     such Person whether by contract or otherwise.

     "Agent" means National City Bank of Michigan/Illinois.

     "Agreed EBITDA FORM" is defined in Schedule 2.

     "Agreement" means, on any date, this Credit Agreement as originally in
effect on the Closing Date and as thereafter from time to time amended,
supplemented, amended and restated, or otherwise modified and in effect on such
date.

     "ASC Subsidiary" means a Subsidiary of the Borrower primarily engaged in
the business as an ambulatory surgery center or a laser vision correction
center.

     "ASP Business" means an application services provider business through
which the Borrower will provide information technology-based services and other
services designed to assist health care providers in the growth and development
of their business, which services, will include, without limitation:
installation, maintenance, hosting and support of information technology
systems; installation, maintenance and support of excimer lasers and other
equipment used to perform vision correction surgery; sales and marketing
products and services designed to assist health care professionals in the growth
of their businesses; financial and operations management services; patient
financing and credit card services; and other electronic services and related
electronic commerce capabilities.

     "Asset Disposition" means any sale, transfer or other disposition of any
property of the Borrower or any Subsidiary in a single transaction or in a
series of related transactions (other than the sale of inventory and of
equipment that is obsolete, worn-out or no longer useable by the Borrower or any
of its Subsidiaries, in each case in the ordinary course of business and
Permitted Equity Ownership Sales).

     "Assignee Lender" is defined in Section 10.11.1.

     "Authorized Officer" means, relative to any Credit Party, those of its
officers whose signatures and incumbency shall have been certified to the Agent
and the Lenders pursuant to Section 5.1.1.

     "Base Rate" means, on any date and with respect to all Base Rate Loans, a
fluctuating rate of interest per annum equal to the higher of (i) the rate of
interest most recently announced by the Agent as its prime rate of interest or
(ii) 0.50% per annum above the Federal Funds Effective Rate. The Base Rate is
not necessarily intended to be the lowest rate of interest determined by the
Agent in connection with extensions of credit. Changes in the rate of interest
on that portion of any Loans maintained as Base Rate Loans will take effect
simultaneously with each change in the Base Rate. The Agent will give notice
promptly to the Borrower and the Lenders of changes in the Base Rate.

                                      -2-
<PAGE>

     "Base Rate Loan" means a Loan bearing interest at a fluctuating rate
determined by reference to the Base Rate.

     "Borrower" is defined in the preamble.

     "Borrower Pledge Agreement" means the Pledge Agreement executed and
delivered by the Borrower pursuant to Section 5.1.5, substantially in the form
of Exhibit F-1 hereto, as amended, supplemented, restated or otherwise modified
from time to time.

     "Borrower Security Agreement" means the Security Agreement executed and
delivered pursuant to Section 5.1.6, substantially in the form of Exhibit G-1
hereto, as amended, supplemented, restated or otherwise modified from time to
time.

     "Borrowing" means the Loans of the same type and, in the case of LIBO Rate
Loans, having the same Interest Period made by all Lenders on the same Business
Day and pursuant to the same Borrowing Request in accordance with Section 2.1.

     "Borrowing Request" means a loan request and certificate duly executed by
an Authorized Officer of the Borrower, substantially in the form of Exhibit B
hereto.

     "Business Day" means

          (a) any day which is neither a Saturday or Sunday nor a legal holiday
     on which banks are authorized or required to be closed in Chicago,
     Illinois; and

          (b) relative to the making, continuing, prepaying or repaying of any
     LIBO Rate Loans, any day on which dealings in Dollars are carried on in the
     London interbank market.

     "Capital Expenditures" means, for any period, the aggregate amount of all
expenditures of the Borrower and its Subsidiaries for fixed or capital assets
made during such period which, in accordance with GAAP, would be classified as
capital expenditures.

     "Capitalized Lease Liabilities" means all monetary obligations of any
Credit Party under any leasing or similar arrangement which, in accordance with
GAAP, would be classified as capitalized leases, and, for purposes of this
Agreement and each other Loan Document, the amount of such obligations shall be
the capitalized amount thereof, determined in accordance with GAAP, and the
stated maturity thereof shall be the date of the last payment of rent or any
other amount due under such lease prior to the first date upon which such lease
may be terminated by the lessee without payment of a penalty.

     "Cash Equivalent Investment" means, at any time:

          (a) any evidence of Indebtedness, maturing not more than eighteen
     months after such time, issued or guaranteed by the United States
     Government;

                                      -3-
<PAGE>

          (b) commercial paper, maturing not more than nine months from the date
     of issue, which is issued by:

               (i) a corporation (other than an Affiliate of any Credit Party)
          organized under the laws of any state of the United States or of the
          District of Columbia and rated A-l by Standard & Poor's Corporation or
          P-l by Moody's Investors Service, Inc., or

               (ii) any Lender (or its holding company);

          (c) any certificate of deposit or bankers acceptance, maturing not
     more than one year after such time, which is issued by either:

               (i) a commercial banking institution that is a member of the
          Federal Reserve System and has a combined capital and surplus and
          undivided profits of not less than $500,000,000, or

               (ii) any Lender; or

          (d) any repurchase agreement entered into with any Lender (or other
     commercial banking institution of the stature referred to in clause (c)(i))
     which:

               (i) is secured by a fully perfected security interest in any
          obligation of the type described in any of clauses (a) through (c);
          and

               (ii) has a market value at the time such repurchase agreement is
          entered into of not less than 100% of the repurchase obligation of
          such Lender (or other commercial banking institution) thereunder.

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

     "CERCLIS" means the Comprehensive Environmental Response Compensation
Liability Information System List.

     "Change of Control" means (a) any Person or any two or more Persons acting
in concert (in any such case, excluding the Closing Date Stockholders and their
Affiliates) acquiring beneficial ownership (within the meaning of Rule 13d-3 of
the Securities and Exchange Commission under the Exchange Act), directly or
indirectly, of capital stock (or other securities convertible into such capital
stock) of the Borrower representing 35% or more of the combined voting power of
all capital stock of the Borrower entitled to vote in the election of directors,
or (b) during any period of 12 consecutive calendar months, the ceasing of those
individuals (the "Continuing Directors") who (i) were directors of the Borrower,
on the first day of each such period or (ii) subsequently became directors of
the Borrower, and whose initial election or initial nomination for election
subsequent to that date was approved either by (A) a majority of the

                                      -4-
<PAGE>

Continuing Directors then on the board of directors of the Borrower or (B) the
shareholders who, in accordance with the provisions of the Articles of
Incorporation of the Borrower, are entitled to elect such director, to
constitute a majority of the board of directors of the Borrower.

     "Closing Date" means the date on which all conditions precedent set forth
in Section 5.1 are satisfied or waived by all Lenders.

     "Closing Date Stockholders" means, collectively, the stockholders of record
of the Borrower as of the Closing Date listed on Schedule 1.

     "Code" means the Internal Revenue Code of 1986, and regulations promulgated
thereunder.

     "Collateral" means all property and interests in property and proceeds
thereof now owned or hereafter acquired by any Credit Party in or upon which a
Lien now or hereafter exists in favor of the Agent on behalf of the Lenders,
whether under this Agreement, Collateral Document or under any other documents
executed by any such Credit Party and delivered to the Agent.

     "Collateral Documents" means, collectively, (a) the Borrower Security
Agreement, the Guarantor Security Agreement, the Guaranty, the Borrower Pledge
Agreement, the Guarantor Pledge Agreement, the Intellectual Property Assignments
and all other security agreements, pledge agreements, assignments, guarantees
and other similar agreements between a Credit Party and the Agent for the
benefit of the Lenders now or hereafter delivered to the Lenders or the Agent
pursuant to or in connection with the transactions contemplated hereby, and all
financing statements (or comparable documents now or hereafter filed in
accordance with the Uniform Commercial Code or comparable law) against a Credit
Party as debtor in favor of the Agent, for the benefit of the Lenders, as
secured party and (b) any amendments, supplements, modifications, renewals,
replacements, consolidations, substitutions and extensions of any of the
foregoing.

     "Consideration" means with respect to any Permitted Acquisition, the
aggregate of (i) the cash paid by the Borrower or any of its Wholly-Owned
Subsidiaries, directly or indirectly, to the seller in connection therewith,
(ii) the Indebtedness incurred or assumed by the Borrower or any of its Wholly-
Owned Subsidiaries (including, without limitation, Indebtedness of a person
becoming a Credit Party in connection with a Permitted Acquisition, which
Indebtedness continues to exist following the consummation of such Permitted
Acquisition), whether in favor of the seller or otherwise and whether fixed or
contingent, in connection therewith, (iii) any guaranty given or incurred by the
Borrower or any of its Wholly-Owned Subsidiaries in connection therewith, (iv)
the fair market value of any equity issued by the Borrower, in connection
therewith, and (v) any other consideration given or obligation incurred by the
Borrower or any of its Wholly-Owned Subsidiaries in connection therewith;
provided, however, that the amount of any deferred earn-out payments to any
seller not required by GAAP to be reflected as a liability on the consolidated
balance sheet of the Borrower as of the date of consummation of such Permitted
Acquisition shall be excluded from the determination under clauses (i) through
(v) of this definition.

                                      -5-
<PAGE>

     "Consolidated Interest Expenses" means, for any period, the total interest
expense (including that attributable to capital leases) of the Borrower and its
Subsidiaries on a consolidated basis with respect to all outstanding
Indebtedness of the Borrower and its Subsidiaries, including, without
limitation, all commissions, discounts and other fees and charges owed with
respect to letters of credit and unused line fees but excluding any of the
foregoing to the extent it constitutes a non-cash item.

     "Contingent Liability" means any agreement, undertaking or arrangement
which would be reflected in a footnote to a balance sheet as a contingent
liability in accordance with GAAP.

     "Continuation/Conversion Notice" means a notice of continuation or
conversion and certificate duly executed by an Authorized Officer of the
Borrower, substantially in the form of Exhibit C hereto.

     "Controlled Group" means all members of a controlled group of corporations
and all members of a controlled group of trades or businesses (whether or not
incorporated) under common control which, together with the Borrower, are
treated as a single employer under Section 414(b) or 414(c) of the Code or
Section 4001 of ERISA.

     "Credit Party" means the Borrower and any Subsidiary of the Borrower party
to a Loan Document.

     "Default" means any condition, occurrence or event which, after notice or
lapse of time or both, would constitute an Event of Default.

     "Dollar" and the sign "$" mean lawful money of the United States.

     "Domestic Office" means, relative to any Lender, the office of such Lender
designated as such below its signature hereto or designated in the Lender
Assignment Agreement or such other office of a Lender (or any successor or
assign of such Lender) within the United States as may be designated from time
to time by notice from such Lender, as the case may be, to each other Person
party hereto. A Lender may have separate Domestic Offices for purposes of
making, maintaining or continuing, as the case may be, Base Rate Loans.

     "EBITDA" means, for any applicable computation period, the Borrower's Net
Income on a consolidated basis from continuing operations, plus (a) income and
franchise taxes paid or accrued during such period, (b) interest expenses paid
or accrued during such period, and (c) amortization and depreciation deducted in
determining Net Income for such period. For the purpose of determining
compliance with Section 7.2.4(b) and (c), "EBITDA" shall be as adjusted pursuant
to the formula described in Schedule 2.

     "Effective Maturity Date" is defined in Section 3.1.3.

     "Employment Agreement" means any employment agreement entered into by any
Provider, who is a shareholder of a Practice, with such Practice.

                                      -6-
<PAGE>

     "Environmental Laws" means all applicable federal, state or local statutes,
laws, ordinances, codes, rules, regulations and guidelines (including consent
decrees and administrative orders) relating to public health and safety and
protection of the environment.

     "Equity Provider" means any individual or group of individuals who had an
equity interest in (i) a Practice acquired in a Permitted Acquisition, on the
date of such Permitted Acquisition, or (ii) any other Practice with which the
Borrower has a Service Agreement, on the date of the execution of any such
Service Agreement."

     "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended, and any successor statute of similar import, together with the
regulations thereunder, in each case as in effect from time to time. References
to sections of ERISA also refer to any successor sections.

     "Event of Default" is defined in Section 8.1.

     "Extension Effective Date" is defined in Section 3.1.3.

     "Extension Response Date" is defined in Section 3.1.3.

     "Extension Request" is defined in Section 3.1.3.

     "Federal Funds Effective Rate" means, for any day, an interest 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 for such day (or, if such day is not a
Business Day, for the immediately preceding Business Day) by the Federal Reserve
Bank of New York, or, if such rate is not so published for any day which is a
Business Day, the average of the quotations at approximately 10:00 a.m. (Chicago
time) on such day on such transactions received by Agent from three Federal
funds brokers of recognized standing selected by the Agent in its sole
discretion.

     "Fiscal Quarter" means any quarter of a Fiscal Year.

     "Fiscal Year" means any period of twelve consecutive calendar months ending
on December 31; references to a Fiscal Year with a number corresponding to any
calendar year (e.g. the "2000 Fiscal Year") refer to the Fiscal Year ending on
the December 31 occurring during such calendar year.

     "Fixed Charges" means, with respect to the Borrower and its Subsidiaries on
a consolidated basis, as of any date of determination, (a) Consolidated Interest
Expenses for the period of four fiscal quarters ending on the date of
determination, and (b) scheduled principal payments on Indebtedness required to
be made in such period and (c) 10% of the outstanding principal amount of the
Loans and (d) rent expenses incurred by the Borrower and its Subsidiaries.

                                      -7-
<PAGE>

     "Fraud and Abuse Laws" means Section 1128B(b) of the Social Security Act,
42 U.S.C. Section 1320a-7b(b) and Section 1877 of the Social Security Act, 42
U.S.C. Section 1395nn, each as from time to time amended; any successor
statute(s) thereto; all rules and regulations promulgated thereunder; any other
federal or state law concerning the referral of patients by physicians; and any
law, rule, regulation or successor thereto concerning or related to false or
fraudulent billing for medical goods or services.

     "F.R.S. Board" means the Board of Governors of the Federal Reserve System
or any successor thereto.

     "GAAP" means generally accepted accounting principles set forth from time
to time in the opinions and pronouncements of the Accounting Principles Board
and the American Institute of Certified Public Accountants and statements and
pronouncements of the Financial Accounting Standards Board (or agencies with
similar functions of comparable stature and authority within the U.S. accounting
profession), which are applicable to the circumstances as of the date of
determination; provided, however, that for purposes of all computations required
to be made with respect to compliance by the Borrower with Sections 7.2.4,
8.1.11 and 8.1.12 such term shall mean generally accepted accounting principles
as in effect on the date of this Agreement, applied in a manner consistent with
those used in preparing the financial statements referred to in Section 6.5.

     "Guarantor" means each Person party to a Guaranty.

     "Guarantor Pledge Agreement" means the Pledge Agreement executed and
delivered by each Credit Party to the Guaranty pursuant to Section 5.1.5,
substantially in the form of Exhibit F-2 hereto, as amended, supplemented,
restated or otherwise modified from time to time.

     "Guarantor Security Agreement" means the Security Agreement executed and
delivered by each Credit Party to the Guaranty pursuant to Section 5.1.6,
substantially in the form of Exhibit G-2 hereto, as amended, supplemented,
restated or otherwise modified from time to time.

     "Guaranty" means, collectively, the Guaranty executed and delivered by each
Subsidiary of the Borrower pursuant to Section 5.1.4, substantially in the form
of Exhibit E hereto, as amended, supplemented, restated or otherwise modified
from time to time.

     "Hazardous Material" means

          (a) any "hazardous substance", as defined by CERCLA;

          (b) any "hazardous waste", as defined by the Resource Conservation and
     Recovery Act, as amended;

          (c) any petroleum product; or

                                      -8-
<PAGE>

          (d) any pollutant or contaminant or hazardous, dangerous or toxic
     chemical, material or substance within the meaning of any other applicable
     federal, state or local law, regulation, ordinance or requirement
     (including consent decrees and administrative orders) relating to or
     imposing liability or standards of conduct concerning any medical,
     hazardous, toxic or dangerous waste, substance or material, all as amended
     or hereafter amended.

     "HCFA" shall mean the United States Health Care Financing Administration
and any successor thereto.

     "Hedging Agreements" means any Interest Rate Agreement, foreign currency
exchange agreement, commodity price protection agreement or other interest or
currency exchange rate or commodity price hedging agreement, provided that such
agreement is not entered into for speculative purposes, is entered into with the
Agent or a Lender.

     "herein", "hereof", "hereto", "hereunder" and similar terms contained in
this Agreement or any other Loan Document refer to this Agreement or such other
Loan Document, as the case may be, as a whole and not to any particular Section,
paragraph or provision of this Agreement or such other Loan Document.

     "Impermissible Qualification" means, relative to the opinion or
certification of any independent public accountant as to any financial statement
of any Credit Party, any qualification or exception to such opinion or
certification:

          (a) which is of a "going concern" or similar nature;

          (b) which relates to the limited scope of examination of matters
     relevant to such financial statement; or

          (c) which relates to the treatment or classification of any item in
     such financial statement and which, as a condition to its removal, would
     require an adjustment to such item the effect of which would be to cause
     such Credit Party to be in default of any of its obligations under Section
     7.2.4.

     "including" means including without limiting the generality of any
description preceding such term, and, for purposes of this Agreement and each
other Loan Document, the parties hereto agree that the rule of ejusdem generis
shall not be applicable to limit a general statement, which is followed by or
referable to an enumeration of specific matters, to matters similar to the
matters specifically mentioned.

     "Indebtedness" of any Person means, without duplication:

          (a) all obligations of such Person for borrowed money and all
     obligations of such Person evidenced by bonds, debentures, notes or other
     similar instruments;

                                      -9-
<PAGE>

          (b) all obligations, contingent or otherwise, relative to the face
     amount of all letters of credit (including Letters of Credit), whether or
     not drawn, and banker's acceptances issued for the account of such Person;

          (c) all obligations of such Person as lessee under leases which have
     been or should be, in accordance with GAAP, recorded as Capitalized Lease
     Liabilities;

          (d) all other liabilities for borrowed money in accordance with GAAP
     included  on the liability side of the balance sheet of such Person as of
     the date at which Indebtedness is to be determined;

          (e) net liabilities of such Person under all Hedging Agreements;

          (f) whether or not so included as liabilities in accordance with GAAP,
     all obligations of such Person to pay the deferred purchase price of
     property or services, and indebtedness (excluding prepaid interest thereon)
     secured by a Lien on property owned or being purchased by such Person
     (including indebtedness arising under conditional sales or other title
     retention agreements), whether or not such indebtedness shall have been
     assumed by such Person or is limited in recourse; and

          (g) all Contingent Liabilities of such Person in respect of any of the
     foregoing.

For all purposes of this Agreement, the Indebtedness of any Person shall include
the Indebtedness of any partnership or joint venture in which such Person is a
general partner or a joint venturer, except to the extent payments have been
made or are required to be made with respect to such Indebtedness solely by a
general partner or a joint venture partner other than a Credit Party.

     "Indemnified Liabilities" is defined in Section 10.4.

     "Indemnified Parties" is defined in Section 10.4.

     "Intercompany Loans" is defined in Section 7.2.2.

     "Intercompany Notes" is defined in Section 7.2.2.

     "Intellectual Property Assignment" means that certain Intellectual Property
Assignment in form and substance satisfactory to the Agent, duly executed and
delivered by a Credit Party in favor of the Agent, for the benefit of itself and
the Lenders, as the same may be amended, supplemented or otherwise modified from
time to time.

     "Interest Period" means, relative to any LIBO Rate Loans, the period
beginning on (and including) the date on which such LIBO Rate Loan is made or
continued as, or converted into, a LIBO Rate Loan pursuant to Section 2.3 or 2.4
and shall end on (but exclude) either (i) the day one week subsequent to such
day, or (ii) the day which numerically corresponds to such date

                                      -10-
<PAGE>

one, two, three or six months thereafter (or, if such month has no numerically
corresponding day, on the last Business Day of such month), as the Borrower may
select in its relevant notice pursuant to Section 2.3 or 2.4; provided, however,
that

          (a) the Borrower shall not be permitted to select Interest Periods to
     be in effect at any one time which have expiration dates occurring on more
     than seven different dates;

          (b) Interest Periods commencing on the same date for Loans comprising
     part of the same Borrowing shall be of the same duration;

          (c) if such Interest Period would otherwise end on a day which is not
     a Business Day, such Interest Period shall end on the next following
     Business Day (unless such next following Business Day is the first Business
     Day of the immediately succeeding calendar month, in which case such
     Interest Period shall end on the Business Day next preceding such
     numerically corresponding day);

          (d) no Interest Period with respect to Loans made prior to the
     Revolving Commitment Termination Date may end later than the date set forth
     in clause (a) of the definition of "Revolving Commitment Termination Date";

          (e) no Interest Period for any Loan outstanding on and after the
     Revolving Commitment Termination Date shall extend beyond the Maturity
     Date; and

          (f) no Interest Period applicable to a Loan outstanding on and after
     the Revolving Commitment Termination Date, or portion thereof, shall extend
     beyond any date upon which is due any scheduled principal payment in
     respect of the Loans unless the aggregate principal amount of Loans
     represented by LIBO Rate Loans having Interest Periods that will expire on
     or before such date, equals or exceeds the amount of such principal
     payment.

     "Interest Rate Agreement" means any interest rate swap agreement, interest
rate cap agreement, interest rate collar agreement or other similar agreement or
arrangement designed to protect the Borrower or any of its Subsidiaries against
fluctuations in interest rates.

     "Investment" means, relative to any Person,

          (a) any loan or advance made by such Person to any other Person
     (excluding commission, travel and similar advances to officers and
     employees made in the ordinary course of business);

          (b) any Contingent Liability of such Person; and

                                      -11-
<PAGE>

          (c) any ownership or similar interest held by such Person in any other
     Person.

The amount of any Investment shall be the original principal or capital amount
thereof less all returns of principal or equity thereon (and without adjustment
by reason of the financial condition of such other Person) and shall, if made by
the transfer or exchange of property other than cash, be deemed to have been
made in an original principal or capital amount equal to the fair market value
of such property.

     "LC Notice" has the meaning specified in Section 2.7.

     "Lender Assignment Agreement" means a Lender Assignment Agreement
substantially in the form of Exhibit D hereto.

     "Lenders" is defined in the preamble.

     "Letter of Credit" shall mean a Letter of Credit that is issued pursuant to
Section 2.7.

     "Letter of Credit Cash Collateral Account" has the meaning specified in
Section 8.4.

     "Letter of Credit Expiry Date" shall mean the date which is five Business
Days prior to the Revolving Commitment Termination Date.

     "Letter of Credit Issuer" shall mean National City.

     "Letter of Credit Obligations" shall mean, as at the time of determination
thereof, the sum of (a) the aggregate amount of all unpaid and outstanding
reimbursement obligations and (b) without duplication, the aggregate stated
amount at such time of Letters of Credit then outstanding and undrawn (as such
aggregate stated amount shall be adjusted, from time to time, as a result of
drawings, the issuance of Letters of Credit, or otherwise).

     "Letter of Credit Sublimit" shall mean an aggregate amount of $5,000,000.

     "LIBO Rate" is defined in Section 3.2.1.

     "LIBO Rate Loan" means a Loan bearing interest, at all times during an
Interest Period applicable to such Loan, at a fixed rate of interest determined
by reference to the LIBO Rate (Reserve Adjusted).

     "LIBO Rate (Reserve Adjusted)" is defined in Section 3.2.1.

     "LIBOR Office" means, relative to any Lender, the office of such Lender
designated as such below its signature hereto or designated in the Lender
Assignment Agreement or such other office of a Lender as designated from time to
time by notice from such Lender to the Borrower and the Agent, whether or not
outside the United States, which shall be making or maintaining LIBO Rate Loans
of such Lender hereunder.

                                      -12-
<PAGE>

     "LIBOR Reserve Percentage" is defined in Section 3.2.1.

     "Lien" means any security interest, mortgage, pledge, hypothecation,
assignment, deposit arrangement, encumbrance, lien (statutory or otherwise),
charge against or interest in property to secure payment of a debt or
performance of an obligation or other priority or preferential arrangement of
any kind or nature whatsoever.

     "Loan" is defined in Section 2.1.1.

     "Loan Document" means this Agreement, the Notes, each Collateral Document,
each Hedging Agreement and each other document delivered pursuant to Section
7.1.12.

     "Majority Lenders" means Lenders holding at least 50.1% of the then
aggregate outstanding principal amount of all of the Notes then held by the
Lenders, or, if no such principal amount is then outstanding, Lenders having at
least 50.1% of the Revolving Commitments.

     "Material Adverse Effect" means a material adverse effect on the financial
condition, operations, assets, business, properties or prospects of the Borrower
and its Subsidiaries taken as a whole or the Borrower and its Subsidiaries,
taken as a whole.

     "Maturity Date" means the earliest of:

          (a) June [___], 2003; or

          (b) the date on which any Termination Event occurs.

     "Medicaid Certification" means a certification by a state agency or other
entity responsible for certifying Medicaid providers and suppliers that a health
care provider or supplier is in compliance with all the conditions of
participation set forth in the Medicaid Regulations.

     "Medicaid Provider Agreement" means an agreement entered into between HCFA
or a state agency or other such entity administering the Medicaid program and a
health care provider or supplier under which the health care provider or
supplier agrees to provide services for Medicaid patients in accordance with the
terms of the agreement and Medicaid Regulations.

     "Medicaid Regulations" means, collectively, (i) all federal statutes
(whether set forth in Title XIX of the Social Security Act or elsewhere)
affecting the medical assistance program established by Title XIX of the Social
Security Act and any successor statute(s); (ii) all applicable provisions of all
federal rules, regulations, manuals and orders of all governmental authorities
promulgated pursuant to or in connection with the statutes described in clause
(i) above and all federal administrative, reimbursement and other guidelines of
all governmental authorities having the force of law promulgated pursuant to or
in connection with the statutes described in clause (i) above; (iii) all state
statutes and plans for medical assistance enacted in connection with the
statutes and provisions described in clauses (i) and (ii) above; and (iv) all

                                      -13-
<PAGE>

applicable provisions of all rules, regulations, manuals and orders of all
governmental authorities promulgated pursuant to or in connection with the
statutes described in clause (iii) above and all state administrative,
reimbursement and other guidelines of all governmental authorities having the
force of law promulgated pursuant to or in connection with the statutes
described in clause (iii) above, in each case as may be amended, supplemented or
other wise modified from time to time.

     "Medicare Certification" means certification by HCFA or a state agency or
entity under contract with HCFA that the health care operation is in compliance
with all the conditions of participation set forth in the Medicare Regulation.

     "Medicare Provider Agreement" means an agreement entered into between HCFA
or a state agency or other such entity administering the Medicare program and a
health care provider or supplier under which the health care provider or
supplier agrees to provide services for Medicare patients in accordance with the
terms of the agreement and Medicare Regulations.

     "Medicare Regulations" means, collectively, all federal statues (whether
set forth in Title XVIII of the Social Security Act or elsewhere) affecting the
health insurance program for the aged and disabled established by Title XVIII of
the Social Security Act and any successor statute(s); together with all
applicable provisions of all rules, regulations, manuals and orders and
administrative, reimbursement and other guidelines of all governmental
authorities (including without limitation, the United States Department of
Health and Human Services ("HHS"), HCFA, the Office of the Inspector General for
HHS, or any person succeeding to the functions of any of the foregoing)
promulgated pursuant to or in connection with any of the foregoing having the
force of law, as each may be amended, supplemented or otherwise modified from
time to time.

     "National City" means National City Bank of Michigan/Illinois, acting in
its individual capacity.

     "Net Available Proceeds" means (a) with respect to any Asset Disposition,
the sum of cash or readily marketable cash equivalents received (including by
way of a cash generating sale or discounting of a note or account receivable)
therefrom, whether at the time of such disposition or subsequent thereto, or (b)
with respect to any sale or issuance of any debt or equity securities of the
Borrower or any Subsidiary, cash or readily marketable cash equivalents received
therefrom, whether at the time of such disposition or subsequent thereto, net,
in either case, of all legal, title and recording tax expenses, commissions and
other fees and all costs and expenses incurred and all federal, state, local and
other taxes required to be accrued as a liability as a consequence of such
transactions and, in the case of an Asset Disposition, net of all payments made
by the Borrower or any of its Subsidiaries, including any prepayment premiums,
on any Indebtedness which is secured by such assets pursuant to a Permitted Lien
upon or with respect to such assets or which must, by the terms of such Lien, in
order to obtain a necessary consent to such Asset Disposition, or by applicable
law, be repaid out of the proceeds from such Asset Disposition.

                                      -14-
<PAGE>

     "Net Income" means, for any computation period, with respect to the
Borrower, on a consolidated basis, cumulative net income earned during such
period as determined in accordance with GAAP (other than net income from any
Subsidiary which is restricted from declaring or paying dividends, distributions
or otherwise advancing funds to its borrower whether by contract or otherwise,
except to the extent of any such net income actually received which is not in
violation of the applicable restriction). Net Income shall be determined without
giving effect to any non-cash, non-recurring loss.

     "Net Worth" means, for any computation period, the consolidated
shareholders' equity of the Borrower determined in accordance with GAAP, which
consolidated shareholders' equity shall be deemed to include the preferred stock
of the Borrower.

     "Note" means a promissory note of the Borrower payable to any Lender, in
the form of Exhibit A hereto (as such promissory note may be amended, endorsed
or otherwise modified from time to time), evidencing the aggregate Indebtedness
of the Borrower to such Lender resulting from outstanding Loans, and also means
all other promissory notes accepted from time to time in substitution therefor
or renewal thereof.

     "Obligations" means all obligations (monetary or otherwise) of each Credit
Party arising under or in connection with this Agreement, the Notes, the Letters
of Credit and each other Loan Document.

     "Organizational Document" means, relative to any Credit Party, its
certificate of incorporation, its by-laws, its limited liability company
agreement, partnership agreement and all shareholder agreements, voting trusts
and similar arrangements applicable to any of its authorized shares of capital
stock, partnership interests, or membership interests, as the case may be.

     "Participant" is defined in Section 10.11.

     "PBGC" means the Pension Benefit Guaranty Corporation and any entity
succeeding to any or all of its functions under ERISA.

     "Pension Plan" means a "pension plan", as such term is defined in section
3(2) of ERISA, which is subject to Title IV of ERISA (other than a multiemployer
plan as defined in section 4001(a)(3) of ERISA), and to which the Borrower or
any corporation, trade or business that is, along with the Borrower, a member of
a Controlled Group, may have liability, including any liability by reason of
having been a substantial employer within the meaning of section 4063 of ERISA
at any time during the preceding five years, or by reason of being deemed to be
a contributing sponsor under section 4069 of ERISA.

     "Percentage" means, relative to any Lender, the percentage set forth
opposite its name on Schedule 10.1 hereto or set forth in the Lender Assignment
Agreement, as such percentage may be adjusted from time to time pursuant to
Lender Assignment Agreement(s) executed by such Lender and its Assignee
Lender(s) and delivered pursuant to Section 10.11.

                                      -15-
<PAGE>

     "Permitted Acquisition" means the purchase (by asset purchase, stock
purchase, merger or otherwise, subject to the other requirements of this
definition set forth below) by the Borrower or a Wholly-Owned Subsidiary of the
Borrower of the assets of a Practice (it being acknowledged that medical records
and certain other professional assets that are required by law to be owned by a
Provider are not acquired in these transactions), which purchase meets the
following criteria:

          (a) no Default or Event of Default shall have occurred or be
     continuing both before and after giving effect to such acquisition;

          (b) in the event the Borrower's Total Leverage Ratio on a pro forma
     basis (after giving effect to the Permitted Acquisition) is less than or
     equal to 2.25:1.0, the Borrower must be able to comply on a pro forma basis
     with all of the covenants in this Agreement;

          (c) in the event the Borrower's Total Leverage Ratio on a pro forma
     basis (after giving effect to the Permitted Acquisition) is greater than
     2.25:1.0 the aggregate Consideration (including any Indebtedness pursuant
     to Section 7.2.2(h), (i), (j) and (k) relating to such Permitted
     Acquisitions) in connection with such Permitted Acquisition shall not
     exceed $10,000,000 individually and $30,000,000 for all Permitted
     Acquisitions (without giving effect to the transaction described on
     Schedule 1.1.) consummated within the previous twelve (12) month period;

          (d) the acquisition shall have been of the assets and/or working
     capital of a Practice or, if for stock or other equity interest in a
     Practice, shall be for not less than 51% of the equity interest therein,
     shall either, to the extent permitted by applicable law, be merged with and
     into the Borrower or a Wholly-Owned Subsidiary of the Borrower, or be a
     Wholly-Owned Subsidiary of the Borrower;

          (e) the acquired Practice, on a pro forma basis shall have positive
     EBITDA for the period of four fiscal quarters ending on the date of any
     such acquisition;

          (f) the Borrower shall have delivered to the Agent, not later than 30
     days after the closing of the acquisition (i) pro forma financial
     statements or certificates demonstrating continued compliance with all
     covenants in this Agreement following the inclusion of the target in the
     Borrower's consolidated enterprise, (ii) a copy of the related acquisition
     agreement and Service Agreement and each Employment Agreement (all to the
     extent applicable) provided, however, in the event the approval of the
     Lenders is required for any acquisition, the Borrower shall have delivered
     to the Agent the documents contemplated by clauses (i) and (ii) of this
     clause (f) not later than 15 days prior to the closing of such acquisition
     (with the documents contemplated in (ii) being in draft form); and

          (g) the Borrower shall have delivered to the Agent, not later than 30
     days after the closing of the acquisition a fully executed Agreed EBITDA
     Form.

                                      -16-
<PAGE>

     "Permitted Equity Ownership Sale" means the sale of the outstanding capital
stock or other equity interests in an ASC Subsidiary, so long as:

          (i) after giving effect to such sale, a Credit Party shall own not
     less than 65% of the equity interests (including securities convertible
     into equity interests) of such ASC Subsidiary;

          (ii) such ASC Subsidiary shall remain a party to the Guaranty,
     Guarantor Pledge Agreement and Guarantor Security Agreement as such
     agreements were in effect immediately prior to such sale; and

          (iii) the chief financial officer of the Borrower shall have delivered
     a certificate, dated the date of such sale, to the Agent certifying (a)
     that no Default or Event of Default exists or would result from such sale
     and (b) pro forma financial statements demonstrating compliance with
     Section 7.2.4 for the twelve-month period following such sale.

     "Permitted Liens" means those liens listed in Section 7.2.3.

     "Person" means any natural person, corporation, partnership, limited
liability company, firm, association, trust, government, governmental agency or
any other entity, whether acting in an individual, fiduciary or other capacity.

     "Plan" means any Pension Plan or Welfare Plan.

     "Pledged Collateral" has the meaning specified in the Borrower Pledge
Agreement and the Guarantor Pledge Agreement.

     "Practice" means any ASP Business and any medical or ophthalmology
practice, ambulatory surgery center or management service center, optometry
practice, optical dispensory or optical laboratory, vision correction centers
(including, without limitation, laser vision correction centers), companies that
own, operate and/or manage vision correction centers (including, without
limitation, laser vision correction centers), clinical research organizations or
entities engaged in the provision of clinical research and/or sight management
services to ophthalmic device and/or pharmaceutical companies, or reasonable
extensions thereof (including any company which leases or sells equipment or
provides services to any of the foregoing), at a single location or various
locations. Whenever in this Agreement "Practice" is used in describing an
acquisition by the Borrower or a Wholly-Owned Subsidiary of the Borrower of
equity interests, such reference is to the acquisition of the assets used in the
operation of the Practice that can lawfully be acquired by the Borrower or a
Wholly-Owned Subsidiary of the Borrower or to the acquisition of the equity
interests of a Person that owns, as of the time of purchase, only those assets
that can be lawfully acquired by the Borrower or a Wholly-Owned Subsidiary of
the Borrower.

                                      -17-
<PAGE>

     "Provider" means any Person who performs professional medical services for
a Practice that is either managed by a Credit Party or the assets of which are
owned by a Credit Party.

     "Quarterly EBITDA Certificate" is defined in Schedule 2.

     "Quarterly Payment Date" means the last day of each March, June, September,
and December or, if any such day is not a Business Day, the next succeeding
Business Day.

     "Release" means a "release", as such term is defined in CERCLA.

     "Replacement Lender" is defined in Section 4.12.

     "Reporting Person" shall mean, The Eye Center, Inc., NovaMed Eye Surgery
Center of North County, LLC, Illinois Eye Specialist, LTD, NovaMed Eye Surgery
Center of Maryville, L.L.C., Dominion Eye Associates, P.C., NovaMed of Richmond,
Inc., NovaMed Management of Kansas City, Inc., NovaMed Eye Surgery Center
(Plaza) L.L.C., NovaMed Surgery Center of Overland Park, L.L.C., NovaMed
Management of Hinsdale, Inc., SureVision Eye Centers, LLC, Surevision Eye
Centers Midwest LLC, Hunkler Eye Centers, P.C. and each Practice acquired by the
Borrower pursuant to a Permitted Acquisition.

     "Required Lenders" means, (i) at any time less than three Lenders are a
party to this Agreement, all Lenders and (ii) at any other time, Lenders holding
at least 66-2/3% of the then aggregate outstanding principal amount of all of
the Notes then held by the Lenders, or, if no such principal amount is then
outstanding, Lenders having at least 66-2/3% of the Revolving Commitments.

     "Resource Conservation and Recovery Act" means the Resource Conservation
and Recovery Act, 42 U.S.C. Section 6901, et seq., as in effect from time to
time.

     "Revolving Commitment" means, relative to any Lender, such Lender's
obligation to make Loans pursuant to Section 2.1.1.

     "Revolving Commitment Amount" means, on any date, $50,000,000. The
Revolving Commitment Amount then in effect may be reduced from time to time
pursuant to Section 2.2.

     "Revolving Commitment Termination Date" means the earliest of

          (a) June __, 2003;

          (b) the date on which the Revolving Commitment Amount is terminated in
     full or reduced to zero pursuant to Section 2.2; and

          (c) the date on which any Termination Event occurs.

Upon the occurrence of any event described in clause (b) or (c), the Revolving
Commitments shall terminate automatically and without further action.

                                      -18-
<PAGE>

     "Service Agreement" means any of (i) the Service Agreements listed on
Schedule 6.18 and (ii) any similar agreement entered into by any Credit Party on
and after the Closing Date in each case as any of such agreements may from time
to time be amended, restated, supplemented or otherwise modified.

     "Senior Debt" shall mean Indebtedness of the type described in clauses (a),
(c) and (d) of the definition "Indebtedness" (other than Subordinated Debt) of
the Borrower on a consolidated basis.

     "Solvent" means, when used with respect to a Person, that (a) the fair
saleable value of the assets of such Person is in excess of the total amount of
the present value of its liabilities (including for purposes of this definition
all liabilities whether or not reflected on a balance sheet prepared in
accordance with GAAP and whether direct or indirect, fixed or contingent,
secured or unsecured, disputed or undisputed), (b) such Person is able to pay
its debts or obligations in the ordinary course as they mature and (c) such
Person does not have unreasonably small capital to carry out its business as
conducted and as proposed to be conducted. "Solvency" shall have a correlative
meaning.

     "Subordinated Debt" means all Indebtedness the repayment of which is
subordinated, upon terms satisfactory to the Majority Lenders, in right of
payment to the payment in full in cash of all Obligations.

     "Subsidiary" of a Person means any corporation , association, partnership,
limited liability company, joint venture or other business entity of which more
than 50% of the voting stock, membership interests or other equity interests (in
the case of Persons other than corporations), is owned or controlled directly or
indirectly by the Person, or one or more of the Subsidiaries of the Person, or a
combination thereof.

     "Taxes" is defined in Section 4.6.

     "Termination Event" means

          (a) the occurrence of any Default described in clauses (a) through (e)
     of Section 8.1.9; or

          (b) the occurrence and continuance of any other Event of Default and
     either

               (i) the declaration of the Loans to be due and payable pursuant
          to Section 8.3, or

               (ii) in the absence of such declaration, the giving of notice by
          the Agent, acting at the direction of the Required Lenders, to the
          Borrower that the Revolving Commitments have been terminated.

                                      -19-
<PAGE>

     "Total Funded Debt" of any Person means all Indebtedness of such Person
except Indebtedness specified in clauses (b) and (g) of the definition of
Indebtedness.

     "Total Leverage Ratio" has the meaning assigned to it in Section 3.2.1.

     "Type" means, relative to any Loan, the portion thereof, if any, being
maintained as a Base Rate Loan or a LIBO Rate Loan.

     "United States" or "U.S." means the United States of America, its fifty
States and the District of Columbia.

     "Welfare Plan" means a "welfare plan", as such term is defined in Section
3(1) of ERISA.

     "Wholly-Owned Subsidiary" means any Person in which (other than directors'
qualifying shares required by law) 100% of the equity interests of each class
having ordinary voting power, and 100% of the equity interests of every other
class, in each case, at the time as of which any determination is being made, is
owned, beneficially and of record, by the Borrower or by one or more of the
other Wholly-Owned Subsidiaries, or both.

     SECTION 1.2 Use of Defined Terms. Unless otherwise defined or the context
otherwise requires, terms for which meanings are provided in this Agreement
shall have such meanings when used in the Schedules and in each Note, Borrowing
Request, Continuation/Conversion Notice, Loan Document, notice and other
communication delivered from time to time in connection with this Agreement or
any other Loan Document.

     SECTION 1.3 Cross-References. Unless otherwise specified, references in
this Agreement and in each other Loan Document to any Article or Section are
references to such Article or Section of this Agreement or such other Loan
Document, as the case may be, and, unless otherwise specified, references in any
Article, Section or definition to any clause are references to such clause of
such Article, Section or definition.

     SECTION 1.4 Accounting Principles. Unless the context otherwise clearly
requires, all accounting terms not expressly defined herein shall be construed,
and all financial computations required under this Agreement shall be made, in
accordance with GAAP, consistently applied.

                                   ARTICLE II

              REVOLVING COMMITMENTS, BORROWING PROCEDURES AND NOTES

     SECTION 2.1 Revolving Commitments. On the terms and subject to the
conditions of this Agreement (including Article V), each Lender severally agrees
to make Loans pursuant to the Revolving Commitments described in this Section
2.1.

                                      -20-
<PAGE>

     SECTION 2.1.1 Revolving Commitment of Each Lender. From time to time on any
Business Day occurring prior to the Revolving Commitment Termination Date, each
Lender will make loans (relative to such Lender, and of any type, its "Loans")
to the Borrower, which, when added to the Letter of Credit Obligations at such
time, equal to such Lender's Percentage of the aggregate amount of the Borrowing
requested by the Borrower to be made on such day. The commitment of each Lender
described in this Section 2.1.1 is herein referred to as its "Revolving
Commitment". On the terms and subject to the conditions hereof, the Borrower may
from time to time borrow, prepay and reborrow Loans.

     SECTION 2.1.2 Lenders Not Permitted or Required To Make Loans. No Lender
shall be permitted or required to make any Loan if, after giving effect thereto,
the aggregate outstanding principal amount of all Loans

          (a) of all Lenders would exceed the Revolving Commitment Amount, or

          (b) of such Lender would exceed such Lender's Percentage of the
     Revolving Commitment Amount.

     SECTION 2.2 Reduction of Revolving Commitment Amount. The Revolving
Commitment Amount is subject to reduction from time to time pursuant to this
Section 2.2.

     SECTION 2.2.1 Optional. The Borrower may, from time to time on any Business
Day occurring after the time of the initial Borrowing hereunder, voluntarily
reduce the Revolving Commitment Amount; provided, however, that all such
reductions shall require at least three Business Days' prior notice to the Agent
and be permanent, and any partial reduction of the Revolving Commitment Amount
shall be in a minimum amount of $2,000,000 and in an integral multiple of
$1,000,000.

     SECTION 2.2.2 Mandatory Reductions and Prepayments. The Revolving
Commitment Amount shall, without any further action, automatically and
permanently be reduced to zero on the Revolving Commitment Termination Date and:

     (a) The Borrower shall prepay Loans in an amount equal to 100% of the
insurance proceeds received by the Borrower or any Subsidiary following a
casualty involving such Person's Property, to the extent not applied (or
intended to be applied) within 90 days after the consummation or receipt
thereof, as applicable, to the purchase of replacement assets or repair of
damaged assets;

     (b) The Borrower shall prepay Loans in an amount equal to 100% of the sum
of the Net Available Proceeds realized upon all Asset Dispositions to the extent
not applied (or committed to be applied) within 180 days of such Asset
Disposition to the purchase of other assets that are not classified as current
assets under GAAP and are used or useful in the business of the Company and its
Subsidiaries;

                                      -21-
<PAGE>

     (c) The Borrower shall prepay Loans in an amount equal to 50% of the sum of
the Net Available Proceeds realized upon all equity issuances (other than in
connection with a Permitted Acquisition) by the Borrower and its Subsidiaries;

     (d) The Borrower shall prepay Loans in an amount equal to 100% of the sum
of the Net Available Proceeds realized upon all debt issuances (other than in
connection with a Permitted Acquisition) by the Borrower and its Subsidiaries;
and

     (f) The Borrower shall notify the Agent of the amount of any required
prepayment at least three (3) Business Days before it is made. The Borrower
shall pay any accrued interest on the Loans which are being prepaid pursuant to
this Section 2.2.2 and shall pay any break funding costs associated with such
required prepayment.

     Any prepayments pursuant to Sections 2.2.1 or 2.2.2 hereof shall be without
penalty or premium of any kind other than break funding and other charges
expressly provided by this Agreement with respect to LIBOR breakage costs.

     SECTION 2.3 Borrowing Procedure. By delivering a Borrowing Request to the
Agent on or before 10:00 a.m., Chicago time, on a Business Day, the Borrower may
from time to time irrevocably request, on notice on the date of the requested
Borrowing in the case of Base Rate Loans and on not less than three nor more
than five Business Days' notice in the case of LIBO Rate Loans, that a Borrowing
be made in a minimum amount of (i) $500,000 if such Loan is a LIBO Rate Loan or
(ii) the lesser of the unused amount of the Revolving Commitments or $100,000,
if such Loan is a Base Rate Loan and an integral multiple of $100,000, to the
extent such additional amount is permitted to be borrowed hereunder. On the
terms and subject to the conditions of this Agreement, each Borrowing shall be
comprised of the type of Loans, and shall be made on the Business Day, specified
in such Borrowing Request. On or before 1:00 p.m. (Chicago time) on such
Business Day, each Lender shall deposit with the Agent same day funds in an
amount equal to such Lender's Percentage of the requested Borrowing. Such
deposit will be made to an account which the Agent shall specify from time to
time by notice to the Lenders. To the extent funds are received from the
Lenders, the Agent shall make such funds available to the Borrower by wire
transfer to the accounts the Borrower shall have specified in its Borrowing
Request. No Lender's obligation to make any Loan shall be affected by any other
Lender's failure to make any Loan.

     SECTION 2.4 Continuation and Conversion Elections. By delivering a
Continuation/Conversion Notice to the Agent on or before 10:00 a.m., Chicago
time, on a Business Day, the Borrower may from time to time irrevocably elect,
on not less than three nor more than five Business Days' notice that all, or any
portion in an aggregate minimum amount of $500,000 and an integral multiple of
$100,000, of any Loans be, in the case of Base Rate Loans, converted into LIBO
Rate Loans or, in the case of LIBO Rate Loans, be converted into a Base Rate
Loan or continued as a LIBO Rate Loan (in the absence of delivery of a
Continuation/ Conversion Notice with respect to any LIBO Rate Loan at least
three Business Days before the last day of the then current Interest Period with
respect thereto, such LIBO Rate

                                      -22-
<PAGE>

Loan shall, on such last day, automatically convert to a Base Rate Loan);
provided, however, that (i) each such conversion or continuation shall be pro
rated among the applicable outstanding Loans of all Lenders, and (ii) no portion
of the outstanding principal amount of any Loans may be continued as, or be
converted into, LIBO Rate Loans when any Event of Default has occurred and is
continuing.

     SECTION 2.5 Funding. Each Lender may, if it so elects, fulfill its
obligation to make, continue or convert LIBO Rate Loans hereunder by causing one
of its foreign branches or Affiliates (or an international banking facility
created by such Lender) to make or maintain such LIBO Rate Loan; provided,
however, that such LIBO Rate Loan shall nonetheless be deemed to have been made
and to be held by such Lender, and the obligation of the Borrower to repay such
LIBO Rate Loan shall nevertheless be to such Lender for the account of such
foreign branch, Affiliate or international banking facility. In addition, the
Borrower hereby consents and agrees that, for purposes of any determination to
be made for purposes of Sections 4.1, 4.2, 4.3 or 4.4, it shall be conclusively
assumed that each Lender elected to fund all LIBO Rate Loans by purchasing
Dollar deposits in its LIBOR Office's interbank eurodollar market.

     SECTION 2.6 Notes. Each Lender's Loans under its Revolving Commitment shall
be evidenced by a Note payable to the order of such Lender in a maximum
principal amount equal to such Lender's Percentage of the original Revolving
Commitment Amount. The Borrower hereby irrevocably authorizes each Lender to
make (or cause to be made) appropriate notations on the grid attached to such
Lender's Note (or on any continuation of such grid), which notations, if made,
shall evidence, inter alia, the date of, the outstanding principal of, and the
interest rate and Interest Period applicable to the Loans evidenced thereby.
Such notations shall be conclusive and binding on the Borrower absent manifest
error; provided, however, that the failure of any Lender to make any such
notations shall not limit or otherwise affect any Obligations of the Borrower or
any other Credit Party.

     SECTION 2.7 Letters of Credit.

     SECTION 2.7.1 Issuance of Letters of Credit. From and after the date
hereof, the Letter of Credit Issuer agrees, upon the terms and conditions set
forth in this Agreement, and subject to the satisfaction of such policy
standards and conditions relating to the issuance of standby letters of credit
generally as may be established by the Letter of Credit Issuer from time to
time, to issue standby letters of credit, for the account of the Borrower, from
time to time from the Closing Date to the Letter of Credit Expiry Date; provided
that the Borrower shall not request and the Letter of Credit Issuer shall not
issue, any Letter of Credit which would cause the aggregate Letter of Credit
Obligations (after giving effect to the issuance of such Letter of Credit) to
exceed the amount of the lesser of (i) the Letter of Credit Sublimit and (ii)
the unused aggregate Revolving Commitment.

     SECTION 2.7.2 Participating Interests. Immediately upon the issuance by the
Letter of Credit Issuer of a Letter of Credit, each Lender shall be deemed to
have irrevocably and unconditionally purchased and received from the Letter of
Credit Issuer, without recourse,

                                      -23-
<PAGE>

representation or warranty, an undivided participation interest equal to its
Percentage of the face amount of such Letter of Credit and each draw paid by the
Letter of Credit Issuer thereunder. Each Lender's obligation to pay its
proportionate share of all draws under the Letters of Credit, absent gross
negligence or willful misconduct by the Letter of Credit Issuer in honoring any
such draw, shall be absolute, unconditional and irrevocable and in each case
shall be made without counterclaim or set-off by such Lender.

     SECTION 2.7.3 Reimbursement Upon Drawing. (a) The Borrower agrees to
reimburse the Letter of Credit Issuer for the amount of each draft drawn on a
Letter of Credit within one Business Day after the date such draft is so drawn.
The Borrower agrees to reimburse the Letter of Credit Issuer immediately when
due, under all circumstances, including, without limitation, any of the
following circumstances: (w) any lack of validity or enforceability of this
Agreement or any instrument executed pursuant hereto; (x) the existence of any
claim, set-off, defense or other right which the Borrower may have at any time
against a beneficiary named in a Letter of Credit, any transferee of any Letter
of Credit (or any Person for whom any such transferee may be acting), any Lender
or any other Person, whether in connection with this Agreement, any Letter of
Credit, the transactions contemplated herein or any unrelated transactions
(including any underlying transaction between the Borrower and the beneficiary
named in any Letter of Credit); (y) the validity, sufficiency or genuineness of
any document which the Letter of Credit Issuer reasonably has determined in good
faith complies on its face with the terms of the applicable Letter of Credit,
even if such document should later prove, without the knowledge of the Letter of
Credit Issuer, to have been forged, fraudulent, invalid or insufficient in any
respect or any statement therein shall have been untrue or inaccurate in any
respect; or (z) the surrender or material impairment of any security for the
performance or observance of any of the terms hereof.

          (b) If the Borrower does not pay any such reimbursement obligations
     when due, the Borrower shall be deemed to have immediately requested that
     the Lenders make a Base Rate Loan under this Agreement in a principal
     amount equal to such unreimbursed reimbursement obligations. The Agent
     shall promptly notify the Lenders of such deemed request and, without the
     necessity of compliance with the requirements of Sections 2.1 and 5.2, each
     Lender shall make available to the Agent its Loan. The proceeds of such
     Loans shall be paid over by the Agent to the Letter of Credit Issuer for
     the account of the Borrower in satisfaction of such unreimbursed
     reimbursement obligations, which shall thereupon be deemed satisfied by the
     proceeds of, and replaced by, such Loan.

          (c) If the Letter of Credit Issuer makes a payment on account of any
     Letter of Credit and is not concurrently reimbursed therefor by the
     Borrower and if for any reason a Loan may not be made pursuant to Section
     2.7.3(b), then as promptly as practical during normal banking hours on the
     date of its receipt of such notice or, if not practicable on such date, not
     later than 12:00 noon (Chicago time) on the Business Day immediately
     succeeding such date of notification, each Lender shall deliver to the
     Agent for the account of the Letter of Credit Issuer, in immediately
     available funds, the purchase price for such Lender's interest in such
     unreimbursed reimbursement obligations, which shall

                                      -24-
<PAGE>

     be an amount equal to such Lender's pro-rata share of such payment. Each
     Lender shall, upon demand by the Letter of Credit Issuer, pay the Letter of
     Credit Issuer interest on such Lender's pro-rata share of such draw from
     the date of payment by the Letter of Credit Issuer on account of such
     Letter of Credit until the date of delivery of such funds to the Letter of
     Credit Issuer by such Lender at a rate per annum, computed for actual days
     elapsed based on a 360-day year, equal to the Federal Funds Effective Rate
     for such period; provided, that such payments shall be made by the Lenders
     only in the event and to the extent that the Letter of Credit Issuer is not
     reimbursed in full by the Borrower for interest on the amount of any draw
     on the Letters of Credit.

     SECTION 2.7.4 Request for Letter of Credit. Each Letter of Credit shall be
issued upon receipt by the Letter of Credit Issuer and the Agent from the
Borrower of an irrevocable request thereof (an "LC Notice") not later than 11:00
a.m. (Chicago time) three (3) Business Days prior the issuance date. Each LC
Notice for a Letter of Credit issued shall be in form and substance satisfactory
to the Letter of Credit Issuer.

                                  ARTICLE III

                   REPAYMENTS, PREPAYMENTS, INTEREST AND FEES

     SECTION 3.1 Repayments and Prepayments.

     SECTION 3.1.1 Prior to the Revolving Commitment Termination Date. The
Borrower

          (a) may, from time to time on any Business Day prior to the Revolving
     Commitment Termination Date, make a voluntary prepayment, in whole or in
     part, of the outstanding principal amount of any Loans; provided, however,
     that:

               (i) any such prepayment shall be made pro rata among Loans of the
          same type and, if applicable, having the same Interest Period of all
          Lenders;

               (ii) unless the Borrower complies with Section 4.4, no such
          prepayment of any LIBO Rate Loan may be made on any day other than the
          last day of the Interest Period for such Loan; and

          (b) shall, immediately upon any acceleration of the Maturity Date of
     any Loans pursuant to Section 8.2 or Section 8.3, repay all Loans, unless,
     pursuant to Section 8.3, only a portion of all Loans is so accelerated.

Each prepayment of any Loans made pursuant to this Section 3.1.1 shall be
without premium or penalty, except as may be required by Section 4.4. No
voluntary prepayment of principal of any Loans pursuant to this Section 3.1.1
shall cause a reduction in the Revolving Commitment Amount.

                                      -25-
<PAGE>

     SECTION 3.1.2 On the Maturity Date. On the Maturity Date, the Borrower
shall repay the principal of the Loans then outstanding.

     SECTION 3.1.3 Extension of Maturity Date. The Borrower may, by written
request to the Agent and the Lenders given not later than one hundred eighty
(180) days prior to the Maturity Date then in effect (the "Effective Maturity
Date") request (an "Extension Request") that such Effective Maturity Date be
extended to a date which is twenty-four (24) months after such Effective
Maturity Date. No later than the date (the "Extension Response Date") which is
30 days after such Extension Request has been delivered to each of the Lenders,
each Lender will notify the Borrower in writing (with a copy to the Agent)
whether or not it consents to such Extension Request (which consent may be
granted or denied by each Lender in its sole discretion and may be conditioned
on receipt of such financial information or other documentation as may be
specified by such Lender); provided, that any Lender that fails to so advise the
Borrower on or prior to the Extension Response Date shall be deemed to have
denied such Extension Request. The extension of the Maturity Date contemplated
by an Extension Request shall become effective as of the applicable Effective
Maturity Date; provided, that (i) all of the Lenders shall have consented to
such Extension Request; and (ii) (x) each of the representations and warranties
made by the Borrower in or pursuant to the Loan Documents shall be true and
correct in all material respects on and as of each of the date of such Extension
Request and such Effective Maturity Date as if made on and as of such date,
except to the extent relating to an earlier date, (y) no Default or Event of
Default shall have occurred and be continuing on the date of such Extension
Request or on such Effective Maturity Date and (z) on each of the date of such
Extension Request and such Effective Maturity Date, the Agent shall have
received a certificate of the Borrower as to the matters set forth in clauses
(x) and (y) above.

     SECTION 3.2 Interest Provisions. Interest on the outstanding principal
amount of Loans shall accrue and be payable in accordance with this Section 3.2.

     SECTION 3.2.1 Rates. Pursuant to an appropriately delivered Borrowing
Request or Continuation/Conversion Notice, the Borrower may elect that Loans
comprising a Borrowing accrue interest at a rate per annum:

          (a) on that portion maintained from time to time as a Base Rate Loan,
     equal to the sum of the Base Rate from time to time in effect plus the
     Applicable Margin for Base Rate Loans; or

          (b) on that portion maintained as a LIBO Rate Loan, during each
     Interest Period applicable thereto, equal to the sum of the LIBO Rate
     (Reserve Adjusted) for such Interest Period plus the Applicable Margin for
     LIBO Rate Loans.

     The "LIBO Rate (Reserve Adjusted)" means, relative to any Loan to be made,
continued or maintained as, or converted into, a LIBO Rate Loan for any Interest
Period, a rate per annum

                                      -26-
<PAGE>

(rounded upwards, if necessary, to the nearest 1/16 of 1%) determined pursuant
to the following formula:

        LIBO Rate           =              LIBO Rate
                                 -------------------------
     (Reserve Adjusted)          1.00 - LIBOR Reserve Percentage

     The LIBO Rate (Reserve Adjusted) for any Interest Period for LIBO Rate
Loans will be determined by the Agent on the basis of the LIBOR Reserve
Percentage in effect on, and the applicable rates furnished to and received by
the Agent from National City, two Business Days before the first day of such
Interest Period.

     "LIBO Rate" means, relative to any Interest Period for LIBO Rate Loans, the
rate of interest equal to the average (rounded upwards, if necessary, to the
nearest 1/16 of 1%) of the rates per annum at which Dollar deposits in
immediately available funds are offered to National City's LIBOR Office in the
London interbank market as at or about 10:00 a.m. London time two Business Days
prior to the beginning of such Interest Period for delivery on the first day of
such Interest Period, and in an amount approximately equal to the amount of
National City's LIBO Rate Loan and for a period approximately equal to such
Interest Period.

     "LIBOR Reserve Percentage" means, relative to any Interest Period for LIBO
Rate Loans, the reserve percentage (expressed as a decimal) equal to the maximum
aggregate reserve requirements (including all basic, emergency, supplemental,
marginal and other reserves and taking into account any transitional adjustments
or other scheduled changes in reserve requirements) specified under regulations
issued from time to time by the F.R.S. Board and then applicable to assets or
liabilities consisting of and including "Eurocurrency Liabilities", as currently
defined in Regulation D of the F.R.S. Board, having a term approximately equal
or comparable to such Interest Period.

     All LIBO Rate Loans shall bear interest from and including the first day of
the applicable Interest Period to (but not including) the last day of such
Interest Period at the interest rate determined as applicable to such LIBOR Rate
Loan.

     "Applicable Margin" means on any date the applicable percentage set forth
below based upon the Level as shown in the certificate then most recently
delivered to the Lenders pursuant to Section 7.1.1(d):

        Level         Base Rate         LIBOR Rate         Commitment Fee
        -----         ---------         ----------         --------------
         I               .75%             2.25%               .500%
         II              .50%             2.00%               .375%
         III             .25%             1.75%               .375%
         IV                0%             1.50%               .375%

                                      -27-
<PAGE>

; provided, however that if the Borrower shall have failed to deliver to the
Lenders by the date required hereunder any certificate pursuant to Section
7.1.1(d), then from the date such certificate was required to be delivered until
the date of such delivery the Applicable Margin shall be deemed to be Level I.
Each change in the Applicable Margin shall take effect with respect to all
outstanding Loans on the third Business Day immediately succeeding the day on
which such certificate is received by the Agent. Notwithstanding the foregoing,
no reduction in the Applicable Margin shall be effected if a Default or an Event
of Default shall have occurred and be continuing on the date when such change
would otherwise occur, it being understood that on the third Business Day
immediately succeeding the day on which such Default or Event of Default is
either waived or cured (assuming no other Default or Event of Default shall be
then pending), the Applicable Margin shall be reduced (on a prospective basis)
in accordance with the then most recently delivered certificate.

     "Level" means, and includes, Level I, Level II, Level III or Level IV,
whichever is in effect at the relevant time.

     "Level I" shall exist at any time the Total Leverage Ratio is equal to or
less than 3.00:1.0 but equal to or greater than 2.50:1.0.

     "Level II" shall exist at any time the Total Leverage Ratio is less than
2.50:1.0 but equal to or greater than 2.00:1.0.

     "Level III" shall exist at any time the Total Leverage Ratio is less than
2.00:1.0 but equal to or greater than 1.50:1.0.

     "Level IV" shall exist at any time the Total Leverage Ratio is less than
1.50:1.0.

     "Total Leverage Ratio" means, with respect to any period, the ratio of (i)
Total Funded Debt to (ii) EBITDA, as of the end of the relevant period.

     SECTION 3.2.2 Post-Maturity Rates. After the date any principal amount of
any Loan is due and payable (whether on the Revolving Commitment Termination
Date, upon acceleration or otherwise), or after any other monetary Obligation of
the Borrower shall have become due and payable, the Borrower shall pay, but only
to the extent permitted by law, interest (after as well as before judgment) on
such amounts at a rate per annum equal to the Base Rate plus a margin of 2.00%.

     SECTION 3.2.3 Payment Dates. Interest accrued on each Loan shall be
payable, without duplication:

          (a) on the Revolving Commitment Termination Date;

          (b) on the date of any payment or prepayment, in whole or in part, of
     principal outstanding on such Loan;

                                      -28-
<PAGE>

          (c) with respect to Base Rate Loans, on each Quarterly Payment Date
     occurring after the Closing Date;

          (d) with respect to LIBO Rate Loans, the last day of each applicable
     Interest Period and, in the case of an Interest period in excess of three
     months, on the dates which are successively three months after the
     commencement of such Interest Period;

          (e) with respect to any Base Rate Loans converted into LIBO Rate Loans
     on a day when interest would not otherwise have been payable pursuant to
     clause (c), on the date of such conversion; and

          (f) on that portion of any Loans the Maturity Date of which is
     accelerated pursuant to Section 8.2 or Section 8.3, immediately upon such
     acceleration.

Interest accrued on Loans or other monetary Obligations arising under this
Agreement or any other Loan Document after the date such amount is due and
payable (whether on the Maturity Date, upon acceleration or otherwise) shall be
payable upon demand.

     SECTION 3.3 Fees. The Borrower agrees to pay the fees set forth in this

     Section 3.3. All such fees shall be non-refundable.

     SECTION 3.3.1 Revolving Commitment Fee. The Borrower agrees to pay to the
Agent for the account of each Lender, for the period (including any portion
thereof when its Revolving Commitment is suspended by reason of the Borrower's
inability to satisfy any condition of Article V) commencing on the Closing Date
and continuing through the Revolving Commitment Termination Date, a commitment
fee at the rate equal to the Applicable Margin for Commitment Fees per annum on
such Lender's Percentage of the sum of the average daily unused portion of the
Revolving Commitment Amount. Such commitment fees shall be payable by the
Borrower in arrears on each Quarterly Payment Date, commencing with the first
such day following the Closing Date and on the Revolving Commitment Termination
Date.

     SECTION 3.3.2 Letter of Credit Fees. (a) The Borrower agrees to pay the
Agent, for the account of each Lender pro-rata on the basis of its Revolving
Commitment, a fee in respect of each Letter of Credit computed at the Applicable
Margin for LIBO Rate Loans on the average daily stated amount of such Letter of
Credit (computed on the basis of a 360-day year for the actual days elapsed),
such fee to be due and payable quarterly in arrears on each Quarterly Payment
Date and on the Revolving Commitment Termination Date.

          (b) The Borrower shall pay to the Letter of Credit Issuer a letter of
     credit fronting fee for each Letter of Credit issued by the Letter of
     Credit Issuer equal to 1/4 of 1% of the face amount (or increased face
     amount) of such Letter of Credit. Such Letter of Credit fronting fee shall
     be due and payable on each date of issuance (or date of increase) of a
     Letter of Credit.

          (c) The Borrower agrees to pay directly to the Letter of Credit Issuer
     upon each issuance of, drawing under, and/or amendment of, a Letter of
     Credit issued by it in such amount

                                      -29-
<PAGE>

     as shall at the time of such issuance, drawing or amendment be the
     administrative charge which the Letter of Credit Issuer is customarily
     charging for issuances of, drawing under or amendments of, letters of
     credit issued by it.

     SECTION 3.3.3 Agency Fees. The Borrower shall pay to the Agent (x) on the
Closing Date for its own account and/or for distribution to the Lenders such
fees as heretofore agreed by the Borrower and the Agent and (y) for its own
account such other fees as may be agreed to from time to time between the
Borrower and the Agent, when and as due.

                                   ARTICLE IV

                         LIBO RATE AND OTHER PROVISIONS

     SECTION 4.1 LIBO Rate Lending Unlawful. If any Lender shall determine
(which determination shall, upon notice thereof to the Borrower and the Lenders,
be conclusive and binding on the Borrower) that the introduction of or any
change in or in the interpretation of any law makes it unlawful, or any central
bank or other governmental authority asserts that it is unlawful, for such
Lender to make, continue or maintain any Loan as, or to convert any Loan into, a
LIBO Rate Loan of a certain type, subject to the provisions of Section 4.11
hereof, the obligations of all Lenders to make, continue, maintain or convert
any such Loans shall, upon such determination, forthwith be suspended until such
Lender shall notify the Agent that the circumstances causing such suspension no
longer exist, and all LIBO Rate Loans of such type shall automatically convert
into Base Rate Loans at the end of the then current Interest Periods with
respect thereto or sooner, if required by such law or assertion.

     SECTION 4.2 Deposits Unavailable. If the Agent shall have determined that

          (a) Dollar certificates of deposit or Dollar deposits, as the case may
     be, in the relevant amount and for the relevant Interest Period are not
     available to a Lender in its relevant market; or

          (b) by reason of circumstances affecting a Lender's relevant market,
     adequate means do not exist for ascertaining the interest rate applicable
     hereunder to LIBO Rate Loans of such type,

then, upon notice from the Agent to the Borrower and the Lenders, subject to the
provisions of Section 4.11 hereof, the obligations of all Lenders under Section
2.3 and Section 2.4 to make or continue any Loans as, or to convert any Loans
into, LIBO Rate Loans of such type shall forthwith be suspended until the Agent
shall notify the Borrower and the Lenders that the circumstances causing such
suspension no longer exist.

     SECTION 4.3 Increased LIBO Rate Loan Costs, etc. The Borrower agrees to
reimburse each Lender for any increase in the cost to such Lender of, or any
reduction in the amount of any sum receivable by such Lender in respect of,
making, continuing or maintaining (or of its

                                      -30-
<PAGE>

obligation to make, continue or maintain) any Loans as, or of converting (or of
its obligation to convert) any Loans into, LIBO Rate Loans, subject to the
provisions of Section 4.11 hereof. Such Lender shall promptly notify the Agent
and the Borrower in writing of the occurrence of any such event, such notice to
state, in reasonable detail, the reasons therefor and the additional amount
required fully to compensate such Lender for such increased cost or reduced
amount. Such additional amounts shall be payable by the Borrower directly to
such Lender within five days of its receipt of such notice, and such notice
shall, in the absence of manifest error, be conclusive and binding on the
Borrower; provided, however, in no event shall Borrower be obligated to pay
increased costs for a period greater than 180 days prior to the date of receipt
of such notice.

     SECTION 4.4 Funding Losses. In the event any Lender shall incur any loss or
expense (including any loss or expense incurred by reason of the liquidation or
reemployment of deposits or other funds acquired by such Lender to make,
continue or maintain any portion of the principal amount of any Loan as, or to
convert any portion of the principal amount of any Loan into, a LIBO Rate Loan)
as a result of;

          (a) any conversion or repayment or prepayment of the principal amount
     of any LIBO Rate Loans on a date other than the scheduled last day of the
     Interest Period applicable thereto, whether pursuant to Section 3.1 or
     otherwise;

          (b) any Loans not being made as LIBO Rate Loans in accordance with the
     Borrowing Request therefor; or

          (c) any Loans not being continued as, or converted into, LIBO Rate
     Loans in accordance with the Continuation/ Conversion Notice therefor;

then, subject to the provisions of Section 4.11 hereof, upon the written notice
of such Lender (which notice shall be delivered within thirty days of the
incurrence thereof by such Lender) to the Borrower (with a copy to the Agent),
the Borrower shall, within five days of its receipt thereof, pay directly to
such Lender such amount as will (in the reasonable determination of such Lender)
reimburse such Lender for such loss or expense. Such written notice (which shall
include calculations in reasonable detail) shall, in the absence of manifest
error, be conclusive and binding on the Borrower.

     SECTION 4.5 Increased Capital Costs. If any change in, or the introduction,
adoption, effectiveness, interpretation, reinterpretation or phase-in of, any
law or regulation, directive, guideline, decision or request (whether or not
having the force of law) of any court, central bank, regulator or other
governmental authority affects or would affect the amount of capital required or
expected to be maintained by any Lender or any Person controlling such Lender,
and such Lender determines (in its sole and absolute discretion) that the rate
of return on its or such controlling Person's capital as a consequence of its
Revolving Commitment or the Loans made by such Lender is reduced to a level
below that which such Lender or such controlling Person could have achieved but
for the occurrence of any such circumstance, then, in any such

                                      -31-
<PAGE>

case upon notice from time to time by such Lender to the Borrower, subject to
the provisions of Section 4.11 hereof, the Borrower shall immediately pay
directly to such Lender additional amounts sufficient to compensate such Lender
or such controlling Person for such reduction in rate of return. A statement of
such Lender as to any such additional amount or amounts (including calculations
thereof in reasonable detail) shall, in the absence of manifest error, be
conclusive and binding on the Borrower. In determining such amount, such Lender
may use any method of averaging and attribution that it (in its sole and
absolute discretion) shall deem applicable; provided, however, in no event shall
Borrower be obligated to pay increased costs for a period greater than 180 days
prior to the date of receipt of the notice required by this Section 4.5.

     SECTION 4.6 Taxes. All payments by the Borrower of principal of, and
interest on, the Loans and all other amounts payable hereunder shall be made
free and clear of and without deduction for any present or future income,
excise, stamp or franchise taxes and other taxes, fees, duties, withholdings or
other charges of any nature whatsoever imposed by any taxing authority, but
excluding franchise taxes and taxes imposed on or measured by any Lender's net
income or receipts (such non-excluded items being called "Taxes"). In the event
that any withholding or deduction from any payment to be made by the Borrower
hereunder is required in respect of any Taxes pursuant to any applicable law,
rule or regulation, then the Borrower will:

          (a) pay directly to the relevant authority the full amount required to
     be so withheld or deducted;

          (b) promptly forward to the Agent an official receipt or other
     documentation satisfactory to the Agent evidencing such payment to such
     authority; and

          (c) pay to the Agent for the account of the Lenders such additional
     amount or amounts as is necessary to ensure that the net amount actually
     received by each Lender will equal the full amount such Lender would have
     received had no such withholding or deduction been required.

Moreover, if any Taxes are directly asserted against the Agent or any Lender
with respect to any payment received by the Agent or such Lender hereunder, the
Agent or such Lender may pay such Taxes and the Borrower will promptly pay such
additional amounts (including any penalties, interest or expenses, other than
those penalties, interest or expenses which are due to any delay by Agent or any
Lender) as is necessary in order that the net amount received by such person
after the payment of such Taxes (including any Taxes on such additional amount)
shall equal the amount such person would have received had not such Taxes been
asserted.

     If the Borrower fails to pay any Taxes when due to the appropriate taxing
authority or fails to remit to the Agent, for the account of the respective
Lenders, the required receipts or other required documentary evidence, the
Borrower shall indemnify the Lenders for any incremental Taxes, interest or
penalties that may become payable by any Lender as a result of

                                      -32-
<PAGE>

any such failure. For purposes of this Section 4.6, a distribution hereunder by
the Agent or any Lender to or for the account of any Lender shall be deemed a
payment by the Borrower.

     Upon the request of the Borrower or the Agent, each Lender that is
organized under the laws of a jurisdiction other than the United States shall,
prior to the due date of any payments under the Notes, execute and deliver to
the Borrower and the Agent, on or about the first scheduled payment date in each
Fiscal Year, one or more (as the Borrower or the Agent may reasonably request)
United States Internal Revenue Service Forms 4224 or Forms 1001 or such other
forms or documents (or successor forms or documents), appropriately completed,
as may be applicable to establish the extent, if any, to which a payment to such
Lender is exempt from withholding or deduction of Taxes.

     SECTION 4.7 Payments, Computations, etc. Unless otherwise expressly
provided, all payments by the Borrower pursuant to this Agreement, the Notes or
any other Loan Document shall be made by the Borrower to the Agent for the pro
rata account of the Lenders entitled to receive such payment. All such payments
required to be made to the Agent shall be made, without setoff, deduction or
counterclaim, not later than 11:00 a.m., Chicago time, on the date due, in same
day or immediately available funds, to such account as the Agent shall specify
from time to time by notice to the Borrower. Funds received after that time
shall be deemed to have been received by the Agent on the next succeeding
Business Day. The Agent shall promptly remit in same day funds to each Lender
its share, if any, of such payments received by the Agent for the account of
such Lender. All interest and fees shall be computed on the basis of the actual
number of days (including the first day but excluding the last day) occurring
during the period for which such interest or fee is payable over a year
comprised of 360 days (or, in the case of interest on a Base Rate Loan, 365 days
or, if appropriate, 366 days). Whenever any payment to be made shall otherwise
be due on a day which is not a Business Day, such payment shall (except as
otherwise required by clause (c) of the definition of the term "Interest Period"
with respect to LIBO Rate Loans) be made on the next succeeding Business Day and
such extension of time shall be included in computing interest and fees, if any,
in connection with such payment.

     SECTION 4.8 Sharing of Payments. If any Lender shall obtain any payment or
other recovery (whether voluntary, involuntary, by application of setoff or
otherwise) on account of any Loan (other than pursuant to the terms of Sections
4.3, 4.4 and 4.5) in excess of its pro rata share of payments then or therewith
obtained by all Lenders, such Lender shall purchase from the other Lenders such
participations in Loans made by them as shall be necessary to cause such
purchasing Lender to share the excess payment or other recovery ratably with
each of them; provided, however, that if all or any portion of the excess
payment or other recovery is thereafter recovered from such purchasing Lender,
the purchase shall be rescinded and each Lender which has sold a participation
to the purchasing Lender shall repay to the purchasing Lender the purchase price
to the ratable extent of such recovery together with an amount equal to such
selling Lender's ratable share (according to the proportion of:

                                      -33-
<PAGE>

          (a) the amount of such selling Lender's required repayment to the
     purchasing Lender

to

          (b) the total amount so recovered from the purchasing Lender);

of any interest or other amount paid or payable by the purchasing Lender in
respect of the total amount so recovered. The Borrower agrees that any Lender so
purchasing a participation from another Lender pursuant to this Section may, to
the fullest extent permitted by law, exercise all its rights of payment
(including pursuant to Section 4.9) with respect to such participation as fully
as if such Lender were the direct creditor of the Borrower in the amount of such
participation. If under any applicable bankruptcy, insolvency or other similar
law, any Lender receives a secured claim in lieu of a setoff to which this
Section applies, such Lender shall, to the extent practicable, exercise its
rights in respect of such secured claim in a manner consistent with the rights
of the Lenders entitled under this Section to share in the benefits of any
recovery on such secured claim.

     SECTION 4.9 Setoff. Each Lender shall, upon the occurrence of any Default
described in clauses (a) through (d) of Section 8.1.9 or, with the consent of
the Required Lenders, upon the occurrence of any other Event of Default, have
the right to appropriate and apply to the payment of the Obligations owing to it
(whether or not then due), and (as security for such Obligations) the Borrower
hereby grants to each Lender a continuing security interest in, any and all
balances, credits, deposits, accounts or moneys of the Borrower then or
thereafter maintained with such Lender; provided, however, that any such
appropriation and application shall be subject to the provisions of Section 4.8.
Each Lender agrees promptly to notify the Borrower and the Agent after any such
setoff and application made by such Lender; provided, however, that the failure
to give such notice shall not affect the validity of such setoff and
application. The rights of each Lender under this Section are in addition to
other rights and remedies (including other rights of setoff under applicable law
or otherwise) which such Lender may have.

     SECTION 4.10 Use of Proceeds. The Borrower shall apply the proceeds of each
Borrowing in accordance with the third recital; without limiting the foregoing,
no proceeds of any Loan will be used to acquire any equity security of a class
which is registered pursuant to Section 12 of the Securities Exchange Act of
1934 or any "margin stock", as defined in F.R.S. Board Regulation U.

     SECTION 4.11 Changes to Other Branches; Equal Treatment of Borrower. If a
Lender claims any additional amounts payable or that its is unable to make LIBOR
Loans available, as described more fully in Sections 4.1 through 4.5 hereof,
such Lender shall (i) use its reasonable efforts (consistent with legal and
regulatory restrictions) to avoid the need for paying such additional amounts or
such unavailability, including changing the jurisdiction of its applicable
lending office or moving the applicable Loan(s) to an Affiliate or Subsidiary;
provided, that the

                                      -34-
<PAGE>

taking of any such action would not, in the reasonable judgment of such Lender,
be disadvantageous to such Lender and (ii) treat the Borrower, with respect to
all such issues, in a manner consistent with the treatment of other similarly
situated borrowers with respect to such issues.

     SECTION 4.12 Replacement of Lenders. Within fifteen (15) days after receipt
by Borrower of written notice and demand from any Lender for payment pursuant to
Section 4.5 or 4.6 (any such Lender demanding such payment being referred to
herein as an "Affected Lender"), Borrower may, at its option, notify Agent and
such Affected Lender of its intention to do one of the following:

               (A) Borrower may obtain, at Borrower's expense, a replacement
          Lender ("Replacement Lender") for such Affected Lender, which
          Replacement Lender shall be reasonably satisfactory to Agent. In the
          event Borrower obtains a Replacement Lender that will refinance all
          outstanding Obligations owed to such Affected Lender and assume its
          Commitments hereunder within ninety (90) days following notice of
          Borrower's intention to do so, the Affected Lender shall sell and
          assign all of its rights and delegate all of its obligations under
          this Agreement to such Replacement Lender in accordance with the
          provisions of Section 10.11.1, provided that Borrower has reimbursed
          such Affected Lender for any administrative fee payable pursuant to
          Section 10.11.1 and, in any case where such replacement occurs as the
          result of a demand for payment pursuant to Section 4.5 or 5.6, paid
          all amounts required to be paid to such Affected Lender pursuant to
          subsection 4.5 or 4.6 through the date of such sale and assignment; or

               (B) Borrower may, upon consent of the Majority Lenders (other
          than the Affected Lender), prepay in full all outstanding Obligations
          owed to such Affected Lender and terminate such Affected Lender's
          Revolving Commitment, in which case the Revolving Commitment Amount
          will be reduced by the amount of such Affected Lender's Revolving
          Commitment. Borrower shall, within ninety (90) days following notice
          of its intention to do so, prepay in full all outstanding Obligations
          owed to such Affected Lender (including, in any case where such
          replacement occurs as the result of a demand for payment for increased
          costs, such Affected Lender's increased costs for which it is entitled
          to reimbursement under this Agreement through the date of such
          prepayment), and terminate such Affected Lender's obligations under
          the Revolving Commitment Amount.

                                   ARTICLE V

                             CONDITIONS TO BORROWING

     SECTION 5.1 Initial Borrowing. The obligations of the Lenders to fund the
initial Borrowing and the Letter of Credit Issuer to issue, and the Lenders to
participate in, any letter of Credit, shall be subject to the prior or
concurrent satisfaction of each of the conditions precedent set forth in this
Section 5.1.

                                      -35-
<PAGE>

     SECTION 5.1.1 Resolutions, etc. The Agent shall have received from each
Credit Party a certificate, dated the date of the initial Borrowing, of its
Secretary or Assistant Secretary as to:

          (a) resolutions of its Board of Directors then in full force and
     effect authorizing the execution, delivery and performance of this
     Agreement, the Notes and each other Loan Document to be executed by it; and

          (b) the incumbency and signatures of those of its officers authorized
     to act with respect to this Agreement, the Notes and each other Loan
     Document executed by it;

upon which certificate each Lender may conclusively rely until it shall have
received a further certificate of the Secretary of such Credit Party canceling
or amending such prior certificate.

     SECTION 5.1.2 Delivery of Notes. The Agent shall have received, for the
account of each Lender, its Notes duly executed and delivered by the Borrower.

     SECTION 5.1.3 Applicable Margin. The Agent shall receive a certificate,
executed by an Authorized Officer of the Borrower, delineating the Applicable
Margin after giving pro forma effect to the Loans to be incurred on the Closing
Date.

     SECTION 5.1.4 Guaranty. The Agent shall have received the Guaranty, dated
the date hereof, duly executed by each Subsidiary of the Borrower.

     SECTION 5.1.5 Pledge Agreements. The Agent shall have received executed
counterparts of the Borrower Pledge Agreement and the Guarantor Pledge
Agreement, each dated as of the date hereof, duly executed by each Credit Party
party thereto, together with stock certificates, accompanied by undated stock
powers duly executed in blank, and promissory notes, duly endorsed in blank,
required to be delivered to the Agent pursuant to the Borrower Pledge Agreement
and the Guarantor Pledge Agreement.

     SECTION 5.1.6 Security Agreements. The Agent shall have received executed
counterparts of the Borrower Security Agreement and the Guarantor Security
Agreement, each dated as of the date hereof, duly executed by each Credit Party
thereto, together with:

          (a) acknowledgment copies of properly filed Uniform Commercial Code
     financing statements (Form UCC-1) naming the relevant Credit Party as the
     debtor and the Agent as the secured party, or other similar instruments or
     documents, filed under the Uniform Commercial Code of all jurisdictions as
     may be necessary or, in the opinion of the Agent, desirable to perfect the
     security interest of the Agent pursuant to such Security Agreement;

          (b) executed copies of proper Uniform Commercial Code Form UCC-3
     termination statements, if any, necessary to release all Liens and other
     rights of any Person:

                                      -36-
<PAGE>

               (i) in any collateral described in such Security Agreement
          previously granted by any Person, and

               (ii) securing any of the Indebtedness identified in Part A of
          Schedule 6.17, together with such other Uniform Commercial Code Form
          UCC-3 termination statements as the Agent may reasonably request from
          such Credit Party; and

          (c) copies of Uniform Commercial Code Requests for Information or
     Copies (Form UCC-11), or a similar search report certified by a party
     acceptable to the Agent, dated a date reasonably near to the date of the
     initial Borrowing, listing all effective financing statements which name
     each Credit Party (under its present name and any previous names) as the
     debtor and which are filed in the jurisdictions in which filings were made
     pursuant to clause (a) above, together with copies of such financing
     statements (none of which (other than those described in clause (a), if
     such Form UCC-11 or search report, as the case may be, is current enough to
     list such financing statements described in clause (a)) shall cover any
     collateral described in such Security Agreement).

     SECTION 5.1.7 Intellectual Property Assignment. The Agent shall have
received executed counterparts of an Intellectual Property Assignment, dated the
date hereof, duly executed by each Credit Party.

     SECTION 5.1.8 Opinions of Counsel. The Agent shall have received opinions,
dated the date of the initial Borrowing and addressed to the Agent and all
Lenders, from Katten Muchin & Zavis, counsel to the Borrower and its
Subsidiaries, substantially in the form of Exhibit H hereto.

     SECTION 5.1.9 Agreements. The Agent shall have received true and correct
copies, certified as such by an Authorized Officer of the Borrower, of each
agreement governing Indebtedness listed on Schedule 6.17 and each Service
Agreement and Employment Agreement listed on Schedule 6.18.

     SECTION 5.1.10 Closing Fees, Expenses, etc. The Agent shall have received
for its own account, or for the account of each Lender, as the case may be, all
fees, costs and expenses due and payable on the Closing Date pursuant to Section
3.3 and, to the extent invoiced on such date, Section 10.3.

     SECTION 5.2 All Borrowings and Letters of Credit. The obligation of each
Lender to fund any Loan on the occasion of any Borrowing (including the initial
Borrowing) and the obligation of the Letter of Credit Issuer to issue any Letter
of Credit shall be subject to the satisfaction of each of the conditions
precedent set forth in this Section 5.2.

                                      -37-
<PAGE>

     SECTION 5.2.1 Compliance with Warranties, No Default, etc. Both before and
after giving effect to any Borrowing (but, if any Default of the nature referred
to in Section 8.1.5 shall have occurred with respect to any other Indebtedness,
without giving effect to the application, directly or indirectly, of the
proceeds thereof) the following statements shall be true and correct:

          (a) the representations and warranties set forth in Article VI shall
     be true and correct with the same effect as if then made (unless stated to
     relate solely to an early date, in which case such representations and
     warranties shall be true and correct as of such earlier date); and

          (b) no Default or Event of Default shall have then occurred and be
     continuing.

     SECTION 5.2.2 Borrowing Request; LC Notice. The Agent shall have received a
Borrowing Request for such Borrowing or LC Notice for the issuance of a Letter
of Credit. Each of the delivery of a Borrowing Request or LC Notice, as the case
may be, and the acceptance by the Borrower of the proceeds of such Borrowing or
the issuance of such Letter of Credit, as the case may be, shall constitute a
representation and warranty by the Borrower that on the date of such Borrowing
or the issuance of such Letter of Credit, as the case may be (both immediately
before and after giving effect to such Borrowing and the application of the
proceeds thereof or the issuance of such Letter of Credit, as the case may be,)
the statements made in Section 5.2.1 are true and correct.

     SECTION 5.2.3 Satisfactory Legal Form. All documents executed or submitted
pursuant hereto by or on behalf of each Credit Party shall be reasonably
satisfactory in form and substance to the Agent and its counsel; the Agent and
its counsel shall have received all information, approvals, opinions, documents
or instruments as the Agent or its counsel may reasonably request.

                                   ARTICLE VI

                         REPRESENTATIONS AND WARRANTIES

     In order to induce the Lenders and the Agent to enter into this Agreement
and to make Loans hereunder, the Borrower represents and warrants unto the Agent
and each Lender as set forth in this Article VI.

     SECTION 6.1 Organization, etc. The Borrower and each of its Subsidiaries,
including, without limitation, the Borrower, is validly organized and existing
and in good standing under the laws of the State of its organization, is duly
qualified to do business and is in good standing as a foreign corporation in
each jurisdiction where the nature of its business requires such qualification,
and has full power and authority and holds all requisite governmental licenses,
permits and other approvals to enter into and perform its Obligations under this
Agreement, the

                                      -38-
<PAGE>

Notes and each other Loan Document to which it is a party and to own and hold
under lease its property and to conduct its business substantially as currently
conducted by it.

     SECTION 6.2 Due Authorization, Non-Contravention, etc. The execution,
delivery and performance by the Borrower and each of its Subsidiaries, including
without limitation, the Borrower, of this Agreement, the Notes and each other
Loan Document executed or to be executed by it, are within each such Credit
Party's powers, have been duly authorized by all necessary corporate action, and
do not:

          (a) contravene such Credit Party's Organizational Documents;

          (b) contravene any contractual restriction, law or governmental
     regulation or court decree or order binding on or affecting such Credit
     Party, which contravention reasonably would be expected to have a Material
     Adverse Effect; or

          (c) result in, or require the creation or imposition of, any Lien on
     any of such Credit Party's properties other than a Permitted Lien.

     SECTION 6.3 Government Approval, Regulation, etc. No authorization or
approval or other action by, and no notice to or filing with, any governmental
authority or regulatory body or other Person is required for the due execution,
delivery or performance by any Credit Party, including, without limitation, the
Borrower, of this Agreement, the Notes or any other Loan Document to which it is
a party, other than as described in Schedule 6.3 which have been obtained or
delivered on or prior to the Closing Date. Neither the Borrower nor any of its
Subsidiaries, is an "investment company" within the meaning of the Investment
Company Act of 1940, as amended, or a "holding company", or a "subsidiary
company" of a "holding company", or an "affiliate" of a "holding company" or of
a "subsidiary company" of a "holding company", within the meaning of the Public
Utility Holding Company Act of 1935, as amended.

     SECTION 6.4 Validity, etc. This Agreement constitutes, and the Notes and
each other Loan Document executed by each Credit Party thereto will, on the due
execution and delivery thereof, constitute, the legal, valid and binding
obligations of such Credit Party enforceable in accordance with their respective
terms, except that the validity or enforceability of any such Loan Document may
be limited by bankruptcy, insolvency, reorganization, moratorium or other
similar laws affecting the enforceability of creditors' rights generally or by
equitable principles, whether enforcement thereof is sought in a court of law or
equity.

     SECTION 6.5 Financial Information. The audited financial statements of the
Borrower and its Subsidiaries on a consolidated basis as of December 31, 1999,
and the unaudited financial statements of the Borrower and its Subsidiaries on a
consolidated basis as at March 31, 2000, copies of which have been furnished to
the Agent and each Lender, have been prepared in accordance with GAAP
consistently applied (subject to ordinary, good faith year end audit
adjustments), and present fairly the consolidated financial position of the
Persons

                                      -39-
<PAGE>

covered thereby as at the dates thereof and the results of their operations for
the periods then ended.

     SECTION 6.6 No Material Adverse Change. Since December 31, 1999, there has
been no material adverse change in the financial condition, operations, assets,
business, properties or prospects of the Borrower and its Subsidiaries taken as
a whole.

     SECTION 6.7 Litigation, Labor Controversies, etc. There is no pending or,
to the knowledge of the Borrower, threatened litigation, action, proceeding, or
labor controversy affecting any Credit Party, or any of their respective
properties, businesses, assets or revenues, or any Person who provided health
care services under contract with any Credit Party, which reasonably would be
expected to have a Material Adverse Effect or which purports to affect the
legality, validity or enforceability of this Agreement, the Notes or any other
Loan Document.

     SECTION 6.8 Subsidiaries. (a) The Borrower has no Subsidiaries, except
those Subsidiaries:

          (i) which are identified in Schedule 6.8; or

          (ii) which are permitted to have been acquired by the Borrower in
     accordance with Section 7.2.5 or 7.2.8.

     SECTION 6.9 Ownership of Properties. The Borrower and each of its
Subsidiaries owns good and marketable title (or valid leasehold title, with
respect to leasehold estates) to all of its properties and assets, real and
personal, tangible and intangible, of any nature whatsoever (including patents,
trademarks, trade names, service marks and copyrights), free and clear of all
Liens, charges or claims (including infringement claims with respect to patents,
trademarks, copyrights and the like) except as permitted pursuant to Section
7.2.3.

     SECTION 6.10 Taxes. Except as described on Schedule 6.10, the Borrower and
each of its Subsidiaries has filed all tax returns and reports required by law
to have been filed by it and has paid all taxes and governmental charges thereby
shown to be owing, except any such taxes or charges which are being diligently
contested in good faith by appropriate proceedings and for which adequate
reserves in accordance with GAAP shall have been set aside on its books.

     SECTION 6.11 Pension and Welfare Plans. During the twelve-consecutive-month
period prior to the Closing Date and prior to the date of any Borrowing
hereunder, no steps have been taken to terminate any Pension Plan, and no
contribution failure has occurred with respect to any Pension Plan sufficient to
give rise to a Lien under Section 302(f) of ERISA. No condition exists or event
or transaction has occurred with respect to any Pension Plan which reasonably
would be expected to result in the incurrence by the Borrower or any member of
the Controlled Group of any material liability, fine or penalty. Neither the
Borrower nor any member of the Controlled Group has any contingent liability
with respect to any post-retirement

                                      -40-
<PAGE>

benefit under a Welfare Plan, other than liability for continuation coverage
described in Part 6 of Title I of ERISA.

     SECTION 6.12 Environmental Warranties. (a) All facilities and property
(including underlying groundwater) owned or leased by the Borrower or any of its
Subsidiaries have been, and continue to be, owned or leased by the Borrower and
its Subsidiaries in material compliance with all applicable Environmental Laws.

          (b) There have been no past (which have not been remedied or
     resolved), and there are no pending or, to the best knowledge of the
     Borrower, threatened:

               (i) claims, complaints, notices or requests for information
          received by the Borrower or any of its Subsidiaries with respect to
          any alleged material violation of any Environmental Law, or

               (ii) complaints, notices or inquiries to the Borrower or any of
          its Subsidiaries regarding potential material liability under any
          Environmental Law.

          (c) There have been no Releases of Hazardous Materials at, on or under
     any property now or previously owned or leased by the Borrower or any of
     its Subsidiaries that, singly or in the aggregate, have, or would
     reasonably be expected to have, a Material Adverse Effect.

          (d) The Borrower and its Subsidiaries have been issued and are in
     material compliance with all material permits, certificates, approvals,
     licenses and other material authorizations relating to environmental
     matters and necessary or desirable for their businesses.

          (e) No property now or previously owned or leased by the Borrower or
     any of its Subsidiaries is listed or proposed for listing (with respect to
     owned property only) on the National Priorities List pursuant to CERCLA, on
     the CERCLIS or on any similar state list of sites requiring investigation
     or clean- up.

          (f) There are no underground storage tanks, active or abandoned,
     including petroleum storage tanks, on or under any property now or
     previously owned or leased by the Borrower or any of its Subsidiaries.

          (g) Neither the Borrower nor any of its Subsidiaries has directly
     transported or directly arranged for the transportation of any Hazardous
     Material to any location which is listed or proposed for listing on the
     National Priorities List pursuant to CERCLA, on the CERCLIS or on any
     similar state list or which is the subject of federal, state or local
     enforcement actions or other investigations which reasonably would be
     expected to lead to material claims against the Borrower or such Subsidiary
     thereof for any remedial work, damage to natural resources or personal
     injury, including claims under CERCLA.

                                      -41-
<PAGE>

          (h) To the best of the Borrower's knowledge after due inquiry, there
     are no polychlorinated biphenyls or friable asbestos present at any
     property now or previously owned or leased by the Borrower or any of its
     Subsidiaries.

          (i) No conditions exist at, on or under any property now or previously
     owned or leased by the Borrower or any of its Subsidiaries which, with the
     passage of time, or the giving of notice or both, reasonably would be
     expected to give rise to any material liability under any Environmental
     Law.

     SECTION 6.13 Regulations T, U and X. Neither the Borrower nor any of its
Subsidiaries is engaged in the business of extending credit for the purpose of
purchasing or carrying margin stock, and no proceeds of any Loans or any Letter
of Credit will be used for a purpose which violates, or would be inconsistent
with, F.R.S. Board Regulation U or X. Terms for which meanings are provided in
F.R.S. Board Regulation T, U or X or any regulations substituted therefor, as
from time to time in effect, are used in this Section with such meanings.

     SECTION 6.14 Accuracy of Information. All factual information heretofore or
contemporaneously furnished by or on behalf of any Credit Party in writing to
the Agent or any Lender for purposes of or in connection with this Agreement or
any transaction contemplated hereby is, and all other such factual information
hereafter furnished by or on behalf of any Credit Party to the Agent or any
Lender will be, true and accurate in every material respect on the date as of
which such information is dated or certified and as of the date of execution and
delivery of this Agreement by the Agent and such Lender, and such information is
not, or shall not be, as the case may be, incomplete by omitting to state any
material fact necessary to make such information not misleading.

     SECTION 6.15 Solvency. As of the Closing Date, after giving effect to the
consummation of the transaction contemplated by the Loan Documents and the
payment of all fees, costs and expenses payable by the Borrower with respect to
the transactions contemplated by the Loan Documents, the Borrower and its
Subsidiaries are Solvent on a consolidated basis.

     SECTION 6.16 Collateral Documents. (a) Subject to the provisions of clause
(b) below with respect to the requirement of the Agent to maintain possession as
the Pledged Collateral, the provisions of each of the Collateral Documents are
effective to create in favor of the Agent for the benefit of the Lenders and the
Agent, a legal, valid and enforceable first priority security interest in all
right, title and interest of each Credit Party in the Collateral described
therein; and financing statements have been filed in the offices in all of the
jurisdictions listed in the schedule to the Borrower Security Agreement and the
Guarantor Security Agreement, and each Intellectual Property Assignment has been
filed in the U.S. Patent and Trademark Office and the U.S. Copyright Office.

          (b) The provisions of the Borrower Pledge Agreement and the Guarantor
     Pledge Agreement are effective to create, in favor of the Agent for the
     benefit of the Lenders and the Agent, a legal, valid and enforceable first
     priority security interest in all of the Collateral

                                      -42-
<PAGE>

     described therein; and the Pledged Collateral was delivered to the Agent or
     its nominee in accordance with the terms thereof. The Lien of the Borrower
     Pledge Agreement and the Guarantor Pledge Agreement constitutes a
     perfected, first priority security interest in all right, title and
     interest of the Credit Party thereto in the Pledged Collateral described
     therein, prior and superior to all other Liens and interests, provided the
     Agent maintains possession of the Pledged Collateral for the term of each
     such Borrower Pledge Agreement or Guarantor Pledge Agreement, as
     applicable.

          (c) All representations and warranties of each Credit Party contained
     in the Collateral Documents are true and correct as of the date on which
     made, except to the extent such representations pertain to a prior date, in
     which case such representations and warranties are true and correct as of
     such prior date.

     SECTION 6.17 Indebtedness. Attached hereto as Schedule 6.17 is a complete
and correct list of all Indebtedness of the Borrower and its Subsidiaries
outstanding on the Closing Date, showing the aggregate principal amount which
was outstanding on such date. The Borrower has delivered or caused to be
delivered to the Agent a true and complete copy of each instrument evidencing
any Indebtedness listed on Schedule 6.17 and of each document pursuant to which
any of such Indebtedness was issued.

     SECTION 6.18 Service Agreements; Employment Agreements. As of the Closing
Date, the Borrower has delivered to the Agent a true and complete copy of each
Service Agreement and Employment Agreement, and of each amendment of
modification thereof, listed on Schedule 6.18. Each such Service Agreement and
Employment Agreement is a valid and subsisting agreement and is in full force
and effect in accordance with the terms thereof, and no material default by the
Borrower or any of its Subsidiaries exists under any such Service Agreement or
such Employment Agreement and, to the best of the Borrower's knowledge, no party
to any Service Agreement or Employment Agreement has any accrued right to
terminate any such Service Agreement or Employment Agreement on account of a
default by the Borrower or any of its Subsidiaries which right of default
reasonably would be expected to have a Material Adverse Effect.

     SECTION 6.19 Other Agreements/Program Eligibility. Neither the Borrower nor
any of its Subsidiaries, and to the knowledge of the Borrower's officers, no
Practice or Provider, is in default in the performance, observance or
fulfillment of any obligation, covenant or condition contained in or applicable
with respect to any Medicaid Provider Agreement, Medicare Provider Agreement,
other agreement or instrument to which the Borrower, a Subsidiary, Practice or
Provider is a party with a third party payor, or participation in medicare,
medicaid or a third party payor program in which the Borrower, a Subsidiary,
Practice or Provider participates, which default, if not remedied within any
applicable grace period, reasonably would be expected to (i) result in the
revocation, termination, cancellation, suspension or non-renewal of Medicaid
Certification, Medicare Certification, any similar certification of a material
third party payor, if any, a Medicare Provider Agreement, Medicaid Provider
Agreement or agreement with a third party payor, or eligibility to participate,
directly or indirectly, in

                                      -43-
<PAGE>

medicare, medicaid or material third party payor programs, or (ii) have a
Material Adverse Effect.

     SECTION 6.20 Reimbursement from Third Party Payors. The accounts receivable
of the Borrower, each of its Subsidiaries and, to the knowledge of the
Borrower's officers, each Practice, have been and will continue to be adjusted
reasonably to reflect reimbursement experiences with and policies of third party
payors such as Medicare, Medicaid, Blue Cross/Blue Shield, private insurance
companies, health maintenance organizations, preferred provider organizations,
alternative delivery systems, managed care systems, government contracting
agencies and other third party payors. In particular, accounts receivable
relating to such third party payors do not and shall not exceed amounts any
obligee is entitled to receive under any capitation arrangement, fee schedule,
discount formula, cost-based reimbursement or other adjustment or limitation to
its usual charges.

     SECTION 6.21 Legal Compliance. The Borrower and each of its Subsidiaries,
and to the knowledge of any of the Borrower's or any of its Subsidiaries'
officers, each Practice and each Provider, have duly complied and are in
compliance with all requirements, restrictions and prohibitions of law,
including, without limitation, any statute, law, treaty, rule, regulation,
manual, guidelines, rules of professional conduct, or order, decree, writ,
injunction or other determination of an arbitrator, court or other governmental
authority, in each case applicable to or binding upon such Person or any of its
property or to which such person or its property is subject and having the force
of law, other than those noncompliance with which would not reasonably be
expected to have a Material Adverse Effect.

     SECTION 6.22 Licensing and Accreditation. Each of the Borrower and each of
its Subsidiaries, and, to the extent applicable, to the knowledge of the
Borrower's officers, each Practice and Provider has, to the extent applicable,
(i) obtained (or been duly assigned) all required certificates of need (other
than as described on Schedule 6.22) or determinations of need, as required by
the relevant state governmental authority, for the acquisition, construction,
expansion of, investment in or operation of its businesses or facilities as
currently operated; (ii) obtained and maintains in good standing all required
licenses; (iii) to the extent customary in the industry in which it is engaged,
obtained and maintains accreditation from all generally recognized accrediting
agencies; (iv) obtained and maintains Medicaid Certification, Medicare
Certification and any similar third party payor certification, if any; and (v)
entered into and maintains in good standing, if applicable, its Medicare
Provider Agreement, its Medicaid Provider Agreement and its agreements with
third party payors. To the knowledge of the Borrower's officers, each Provider
is duly licensed (where licensing is required) by each federal or state agency
or commission, or any other governmental authority having jurisdiction over the
provision of such services rendered by such Provider, and all such required
licenses are in full force and effect on the date hereof and have not been
revoked or suspended or otherwise limited.

     SECTION 6.23 Subordination Provisions. The subordination provisions
contained in all notes, debentures and other instruments entered into or issued
in respect of Subordinated Debt

                                      -44-
<PAGE>

are enforceable against the issuer of the respective security and the holders
thereof in accordance with their respective terms, and the Loans and all other
Obligations are within the definitions of "Senior Indebtedness", or other
comparable definition, included in such provisions.

     SECTION 6.24 RICO. None of the Borrower nor any of its Subsidiaries is
engaged in or has engaged in any course of conduct that reasonably would be
expected to subject any of their respective properties to any Lien, seizure or
other forfeiture under any criminal law, racketeer influenced and corrupt
organizations law, civil or criminal, or other similar laws.

     SECTION 6.25 Year 2000 Problem. The Borrower and each of its Subsidiaries
have reviewed the areas within its business and operations, as such business and
operations exist as of the Closing Date, which reasonably would be expected to
be adversely affected by, and have developed or is developing a program to
address on a timely basis the risk that certain computer applications used and
controlled by such Person may be unable to recognize and perform properly date-
sensitive functions involving dates prior to and after December 31, 1999 (the
"Year 2000 Problem"). The Year 2000 Problem will not result, and is not
reasonably expected to result, in any Material Adverse Effect, or the ability of
any Credit Party to duly and punctually pay or perform its obligations under
this Agreement or under the other Loan Documents. With respect to any Permitted
Acquisition, the Borrower will use its best efforts to ensure that any Year 2000
Problem which exists as a result of such Permitted Acquisition will not result,
and will not reasonably be expected to result, in any Material Adverse Effect.

                                   ARTICLE VII

                                    COVENANTS

     SECTION 7.1 Affirmative Covenants. The Borrower agrees with the Agent and
each Lender that, until all Revolving Commitments have terminated and all
Obligations have been paid and performed in full, each Credit Party will perform
the obligations set forth in this Section 7.1 applicable to such Credit Party.

     SECTION 7.1.1 Financial Information, Reports, Notices, etc. The Borrower
will furnish, or will cause to be furnished, to each Lender and the Agent copies
of the following financial statements, reports, notices and information:

          (a) as soon as available and in any event within 45 days after the end
     of each of the first three Fiscal Quarters (commencing with the Fiscal
     Quarter ending June 30, 2000) of each Fiscal Year of the Borrower, to the
     extent prepared to comply with SEC requirements, a copy of the SEC Form 10-
     Qs filed by the Borrower with the SEC for each such quarterly period, or if
     no such Form 10-Q was so filed by the Borrower with respect to any such
     quarterly period, consolidated and consolidating balance sheets of the
     Borrower and its Subsidiaries as of the end of such Fiscal Quarter and
     consolidated and consolidating statements of earnings and cash flow of the
     Borrower and its Subsidiaries

                                      -45-
<PAGE>

     for such Fiscal Quarter and for the period commencing at the end of the
     previous Fiscal Year and ending with the end of such Fiscal Quarter,
     certified by the Authorized Officer of the Borrower;

          (b) as soon as available and in any event within 90 days after the end
     of each Fiscal Year of the Borrower, to the extent prepared to comply with
     SEC requirements, a copy of the SEC Form 10-Ks filed by the Borrower with
     the SEC for such fiscal year, or, if no such Form 10-K was so filed by the
     Borrower for such fiscal year, a copy of the annual audit report for such
     Fiscal Year for the Borrower and its Subsidiaries including therein
     consolidated and consolidating balance sheets of the Borrower and its
     Subsidiaries (which consolidating balance sheets shall be prepared and
     delivered under separate cover by the Borrower) as of the end of such
     Fiscal Year and consolidated and consolidating statements of earnings and
     cash flow of the Borrower and its Subsidiaries (which consolidating
     statements shall be prepared and delivered under separate cover by the
     Borrower) for such Fiscal Year, in the case of the consolidated financial
     statements, certified (without any Impermissible Qualification) by Arthur
     Andersen LLP or other independent public accountants reasonably acceptable
     to the Agent, together with a certificate from such accountants containing
     a computation of, and showing compliance with, each of the financial ratios
     and restrictions contained in Section 7.2.4 and to the effect that, in
     making the examination necessary for the signing of such annual report by
     such accountants, they have not become aware of any Default or Event of
     Default that has occurred and is continuing, or, if they have become aware
     of such Default or Event of Default, describing such Default or Event of
     Default and the steps, if any, which they have been advised are being taken
     to cure it;

          (c) as soon as available and in any event within 45 days after the end
     of each Fiscal Quarter, a certificate, executed by the chief financial
     officer and/or principal accounting officer of the Borrower, showing (in
     reasonable detail and with appropriate calculations and computations in all
     respects satisfactory to the Agent, including, without limitation, the
     delivery of a Quarterly EBITDA Certificate for each Reporting Person)
     compliance with the financial covenants set forth in Section 7.2.4.;

          (d) as soon as possible and in any event within three Business Days
     after the occurrence of each Default, a statement of the chief financial
     officer and/or principal accounting officer of the Borrower setting forth
     details of such Default and the action which the Borrower has taken and
     proposes to take with respect thereto;

          (e) as soon as possible and in any event within three Business Days
     after (x) the occurrence of any adverse development with respect to any
     litigation, action, proceeding, or labor controversy described in Section
     6.7 or (y) the commencement of any labor controversy, litigation, action,
     proceeding of the type described in Section 6.7, any of which reasonably
     would be expected to have a Material Adverse Effect, notice thereof and
     copies of all documentation relating thereto;

                                      -46-
<PAGE>

          (f) promptly, but not later than five days after the date of filing
     with the SEC, copies of all financial statements and reports that Borrower
     sends to its shareholders, and copies of all financial statements and
     regular, periodical or special reports (including Forms 10-K, 10-Q and 8-K)
     that Borrower or any of its Subsidiaries may make to, or file with, the SEC
     (including, without limitation, pursuant to Section 7.2.9(b) or any
     national securities exchange;

          (g) immediately upon becoming aware of the institution of any steps by
     the Borrower or any other Person to terminate any Pension Plan, or the
     failure to make a required contribution to any Pension Plan if such failure
     is sufficient to give rise to a Lien under Section 302(f) of ERISA, or the
     taking of any action with respect to a Pension Plan which reasonably would
     be expected to result in the requirement that the Borrower furnish a bond
     or other security to the PBGC or such Pension Plan, or the occurrence of
     any event with respect to any Pension Plan which reasonably would be
     expected to result in the incurrence by the Borrower of any material
     liability, fine or penalty, or any material increase in the contingent
     liability of the Borrower with respect to any post-retirement Welfare Plan
     benefit, notice thereof and copies of all documentation relating thereto;

          (h) immediately upon becoming aware of any litigation or other
     proceedings being instituted against any Credit Party or any Practice or
     Provider to suspend, revoke or terminate any Medicaid Provider Agreement,
     Medicaid Certification, Medicare Provider Agreement, Medicare
     Certification, eligibility to participate in Medicare or Medicaid, or
     agreement with or certification by, if any, or eligibility to participate
     in a program of a third party payor, which suspension, revocation or
     termination reasonably would be expected to have a Material Adverse Effect,
     promptly deliver to the Agent written notice thereof stating the nature and
     status of such litigation, dispute, proceeding, levy, execution or other
     process; and

          (i) such other information respecting the condition or operations,
     financial or otherwise, of the Borrower or any of its Subsidiaries or any
     Practice as any Lender through the Agent may from time to time reasonably
     request.

     SECTION 7.1.2 Compliance with Laws, etc. (a) The Borrower will, and will
cause each of its Subsidiaries to, comply in all material respects with all
applicable laws, rules, regulations and orders (including, without limitation,
Fraud and Abuse Laws, Medicare Regulations, Medicaid Regulations and the rules
and regulations established by any third party payor), such compliance to
include (without limitation):

               (i) the maintenance and preservation of its corporate existence
          and qualification as a foreign corporation, except to the extent no
          longer necessary within the reasonable business judgement of the
          Borrower or such Subsidiary, as applicable, or if otherwise terminated
          pursuant to a transaction consummated in accordance with the
          provisions of Section 7.2.8; and

                                      -47-
<PAGE>

               (ii) the payment, before the same become delinquent, of all
          taxes, assessments and governmental charges imposed upon it or upon
          its property except to the extent being diligently contested in good
          faith by appropriate proceedings and for which adequate reserves in
          accordance with GAAP shall have been set aside on its books.

          (b) the Borrower will further use its reasonable best efforts, subject
     to applicable laws, to assure the compliance by all Practices and Providers
     with all applicable laws, including, but not limited to, medical licensure
     and Fraud and Abuse Laws, relating to their providing of healthcare
     services in all material respects.

     SECTION 7.1.3 Maintenance of Properties. The Borrower will, and will cause
each of its Subsidiaries to, maintain, preserve, protect and keep its properties
in good repair, working order and condition, and make necessary and proper
repairs, renewals and replacements so that its business carried on in connection
therewith may be properly conducted at all times unless the Borrower determines
in good faith that the continued maintenance of any of its properties is no
longer economically desirable.

     SECTION 7.1.4 Insurance. (a) Schedule 7.1.4 sets forth as of the date of
this Agreement a true and complete listing of all insurance maintained by the
Borrower and each of its Subsidiaries and by each physician and non-physician
Provider. The Borrower will, and will cause each of its Subsidiaries to,
maintain or cause to be maintained with responsible insurance companies
insurance with respect to its properties and business (including business
interruption insurance) against at least such casualties and contingencies and
of at least such types and in at least such amounts as are described in Schedule
7.1.4 which insurance shall name the Agent as loss payee and an additional
insured, and will, upon request of the Agent, furnish to each Lender at
reasonable intervals (provided that, so long as no Event of Default shall have
occurred and be continuing, no such certification shall be required to be
delivered more than once in any Fiscal Year) a certificate of an Authorized
Officer of the Borrower setting forth the nature and extent of all insurance
maintained by the Borrower and its Subsidiaries in accordance with this Section.

          (b) The Borrower will, and with cause each of its Subsidiaries to,
     maintain insurance for claims, however characterized, against them in
     connection with the provision of medical services by Providers and/or
     ancillary services provided by them for Practices covered by Service
     Agreements, in at least such amounts per occurrence as are described in
     Schedule 7.1.4, which insurance shall name the Agent as an additional
     insured. The Borrower will further cause each Practice to maintain medical
     malpractice insurance in at least such amounts per occurrence as are
     described in Schedule 7.1.4.

     SECTION 7.1.5 Books and Records. The Borrower will, and will cause each of
its Subsidiaries to, keep books and records which accurately reflect all of its
business affairs and transactions and permit the Agent and each Lender or any of
their respective representatives, at reasonable times and intervals, upon, so
long as no Event of Default shall exist and be continuing, reasonable prior
notice delivered during regular business hours, to visit all of its

                                      -48-
<PAGE>

offices, to discuss its financial matters with its officers and independent
public accountant (and the Borrower hereby authorizes such independent public
accountant to discuss the Borrower's financial matters with each Lender or its
representatives, provided, so long as no Event of Default shall exist or be
continuing, a representative of the Borrower is present) and to examine (and, at
the expense of the Borrower, photocopy extracts from) any of its books or other
corporate records. The Borrower shall pay any fees of such independent public
accountant incurred in connection with the Agent's or any Lender's exercise of
its rights pursuant to this Section provided, however, that so long as no Event
of Default shall exist and be continuing, the Borrower shall not be liable for
the fees and expenses of such independent public accountant related to more than
one visit during any Fiscal Year. All visits conducted pursuant to this Section
7.1.5 shall be conducted in such a manner so as not to disrupt the business
operations of the applicable office. All information obtained during any such
visit shall be subject to the provisions of Section 10.12.

     SECTION 7.1.6 Environmental Covenant. The Borrower will, and will cause
each of its Subsidiaries to:

          (a) use and operate all of its facilities and properties in material
     compliance with all Environmental Laws, keep all necessary material
     permits, approvals, certificates, licenses and other authorizations
     relating to environmental matters in effect and remain in material
     compliance therewith, and handle all Hazardous Materials in material
     compliance with all applicable Environmental Laws;

          (b) immediately notify the Agent and provide copies upon receipt of
     all written material claims, complaints, notices or inquiries relating to,
     the condition of its facilities and properties or compliance with
     Environmental Laws, and shall promptly cure and have dismissed with
     prejudice to the reasonable satisfaction of the Agent any actions and
     proceedings relating to compliance with Environmental Laws; and

          (c) provide such information and certifications which the Agent may
     reasonably request from time to time to evidence compliance with this
     Section 7.1.6.

     SECTION 7.1.7 Changes to Certain Agreements. Without Required Lender's
prior written consent, no Credit Party shall make any amendment, supplement or
modification to any agreements evidencing Subordinated Debt; provided, however,
that any such amendment which conforms with applicable law in all material
respects and is not materially adverse to the interests of the Lenders as
Lenders under the Loan Documents shall be permitted without any consent. Copies
of such amended agreements shall be delivered promptly to the Agent by the
Borrower.

     SECTION 7.1.8 Governmental Licenses. The Borrower will, and will cause each
of its Subsidiaries to, obtain and maintain all material licenses, permits,
agreements, certifications and approvals of all applicable governmental
authorities as are required for the conduct of its

                                      -49-
<PAGE>

business as currently conducted and herein contemplated, Medicaid Certifications
and Medicare Certifications and certifications of third party payors, if any.

     SECTION 7.1.9 Covenants Extending to Other Persons. The Borrower will, and
will cause each of its Subsidiaries to, use its reasonable best efforts, in
accordance with applicable law (which shall include, without limitation, the
exercise of contractual rights and remedies available to the Borrower and its
Subsidiaries) to cause each Practice or Provider, as appropriate to do with
respect to itself, its business and its assets, each of the things required of a
Credit Party in Sections 7.1.2 through 7.1.8 inclusive, subject, however, in the
case of Section 7.1.5 to any laws, rules or regulations concerning the
confidentiality of medical records.

     SECTION 7.1.10 Solvency. The Borrower and its Subsidiaries on a
consolidated basis shall at all times be Solvent.

     SECTION 7.1.11 Further Assurances. (a) The Borrower shall ensure that all
written information, exhibits and reports furnished to the Agent or the Lenders
do not and will not contain any untrue statement of a material fact and do not
and will not omit to state any material fact or any fact necessary to make the
statements contained therein not misleading in light of the circumstances in
which made, and will promptly disclose to the Agent and the Lenders and correct
any defect or error that may be discovered therein or in any Loan Document or in
the execution, acknowledgment or recordation thereof.

          (b) Promptly upon request of the Agent or the Required Lenders, the
     Borrower shall (and shall cause any of its Subsidiaries to) execute,
     acknowledge, deliver, record, re-record, file, re-file, register and re-
     register, any and all such further acts, deeds, conveyances, security
     agreements, mortgages, assignments, estoppel certificates, financing
     statements and continuations thereof, termination statements, notices of
     assignment, transfers, certificates, assurances and other instruments the
     Agent or such Lenders, as the case may be, may reasonably require from time
     to time in order (i) to carry out more effectively the purposes of this
     Agreement or any other Loan Document, (ii) to subject any of the
     properties, rights or interests covered by any of the Collateral Documents
     to the Liens intended to be created by any of the Collateral Documents,
     (iii) to perfect and maintain the validity, effectiveness and priority of
     any of the Collateral Documents and the Liens intended to be created
     thereby, and (iv) to better assure, convey, grant, assign, transfer,
     preserve, protect and confirm to the Agent and the Lenders the rights
     granted or now or hereafter intended to be granted to the Agent and the
     Lenders under any Loan Document or under any other document executed in
     connection therewith.

     SECTION 7.1.12 New Subsidiaries. Within 30 Business Days after the date of
the acquisition or creation of any Subsidiary by the Borrower or Wholly-Owned
Subsidiary, such Person will cause to be delivered to the Agent for the benefit
of the Lenders each of the following:

          (i) a joinder to the Guaranty, the Guarantor Pledge Agreement and the
     Guarantor Security Agreement;

                                      -50-
<PAGE>

          (ii) if such Subsidiary is a corporation, a limited liability company
     or a partnership that has issued certificates evidencing ownership of
     interests therein, the capital stock or, if applicable, certificates of
     ownership of such limited liability company or partnership, as the case may
     be, of such Person pertaining thereto, together with duly executed stock
     powers or powers of assignment in blank affixed thereto;

          (iii) if such Subsidiary is a limited liability company or a
     partnership not described in clause (ii) immediately above, an
     acknowledgment of security interest of such limited liability company or
     partnership, as the case may be, with respect to the registration of the
     Lien on membership or partnership interests in such Subsidiary, as the case
     may be, of such Person which acknowledgment shall be in form and substance
     satisfactory to the Agent;

          (iv) a supplement to the appropriate schedules attached to the
     Collateral Documents to reflect the acquisition by the Borrower or, a
     Wholly-Owned Subsidiary of the Borrower, of such Subsidiary, certified as
     true, correct and complete by the Authorized Officer of the relevant Credit
     Party (provided that the failure to deliver such supplement shall not
     impair the rights conferred under the Collateral Documents in after
     acquired Collateral and Pledged Collateral);

          (v) to the extent requested by Agent in its reasonable discretion, an
     opinion or opinions of counsel to the Borrower and such Subsidiary, dated
     as of the date of delivery of the Guaranty, provided in the foregoing
     clause (i) and addressed to the Agent and the Lenders, in form and
     substance reasonably acceptable to the Agent (which opinion may include
     assumptions and qualifications of similar effect to those contained in the
     opinions of counsel delivered pursuant to Section 5.1.8), to the effect
     that:

               (A) such Subsidiary is duly organized, validly existing and in
          good standing in the jurisdiction of its organization, has the
          requisite power and authority to own its properties and conduct its
          business as then owned and then proposed to be conducted and is duly
          qualified to transact business and is in good standing in each
          jurisdiction listed on the schedule attached to such opinion;

               (B) the execution, delivery and performance of the Guaranty, the
          Guarantor Pledge Agreement and the Guarantor Security Agreement
          described in clause (i) of this Section 7.1.12, have been duly
          authorized by all requisite action (including any required
          shareholder, member or partner approval), such agreement has been duly
          executed and delivered and constitutes the valid and binding
          obligation of such Subsidiary, enforceable against such Subsidiary in
          accordance with its terms, except to the extent such enforceability
          may be limited by applicable bankruptcy, insolvency, reorganization,
          moratorium or similar laws relating to creditors' rights and remedies
          generally, or to general principles of equity, whether enforcement
          thereof is considered in a court of law or equity; and

                                      -51-
<PAGE>

               (C) all financing statements, instruments and documents are in a
          form which is sufficient to create a security interest in favor of the
          Agent in the Pledged Collateral and the Collateral, as the case may
          be;

          (vi) current copies of the charter documents, including, limited
     liability agreements and certificates of formation, partnership agreements
     and certificates of limited partnership, if applicable, and bylaws of such
     Subsidiary, minutes of duly called and conducted meetings (or duly effected
     consent actions) of the Board of Directors, members, partners, or
     appropriate committees thereof (and, if required by such charter documents,
     bylaws or by applicable laws, of the shareholders, members or partners) of
     such Subsidiary authorizing the actions and the execution and delivery of
     documents described in this Section 7.1.2 and evidence satisfactory to the
     Agent (confirmation of the receipt of which will be provided by the Agent
     to the Lenders) that such Subsidiary is Solvent as of such date and after
     giving effect to the Guaranty.

     SECTION 7.2 Negative Covenants. The Borrower agrees with the Agent and each
Lender that, until all Revolving Commitments have terminated and all Obligations
have been paid and performed in full, each Credit Party will perform the
obligations set forth in this Section 7.2.

     SECTION 7.2.1 Business Activities. The Borrower will not, and will not
permit any of its Subsidiaries, including, without limitation, any New
Subsidiary, to, engage in any business activity, except in the fields of
enterprise relating to eye care as it is presently conducting and such
activities as may be incidental or related thereto and reasonable extensions
thereof, including, without limitation, the ASP Business.

     SECTION 7.2.2 Indebtedness. The Borrower will not, and will not permit any
of its Subsidiaries to, create, incur, assume or suffer to exist or otherwise
become or be liable in respect of any Indebtedness, other than, without
duplication, the following:

          (a) Indebtedness in respect of the Loans and other Obligations;

          (b) until the date of the initial Borrowing, Indebtedness identified
     in Part A of Schedule 6.17;

          (c) Indebtedness, including Subordinated Debt, existing as of the
     Closing Date which is identified in Part B of Schedule 6.17, but without
     giving effect to any extensions, renewals or refinancing thereof;

          (d) Indebtedness in respect of Liens to the extent permitted in
     Section 7.2.3(c);

          (e) unsecured Indebtedness incurred in the ordinary course of business
     (including open accounts extended by suppliers on normal trade terms in
     connection with

                                      -52-
<PAGE>

     purchases of goods and services, but excluding Indebtedness incurred
     through the borrowing of money or Contingent Liabilities);

          (f) Indebtedness, in respect of Capitalized Lease Liabilities, at any
     one time not to exceed in the aggregate $6,000,000 less the amount of any
     Indebtedness which is outstanding and permitted solely under subsection
     7.2.3.(c);

          (g) Indebtedness consisting of intercompany loans and advances made by
     the Borrower to any Credit Party or by such Credit Party to the Borrower or
     another Credit Party ("Intercompany Loans"), provided that (i) if requested
     by the Agent, the payor Credit Party shall have executed and delivered to
     the payee Credit Party a demand note (the "Intercompany Note") to evidence
     any such Intercompany Loan, which Intercompany Note shall be in form and
     substance satisfactory to Agent pledged to the Agent pursuant to the
     relevant Collateral Documents as additional collateral security for the
     Obligations, (ii) the payee Credit Party shall record all Intercompany
     Loans on its books and records in a manner satisfactory to Agent, (iii) at
     the time any such Intercompany Loan is made by a payee Credit Party and
     after giving effect thereto, each of the payee Credit Party and the payor
     Credit Party shall be Solvent and (iv) the aggregate outstanding principal
     amount of Intercompany Loans to Credit Parties that are non-Wholly-Owned
     Subsidiaries of the Borrower shall not at any one time exceed in the
     aggregate $500,000, provided, however, that the dollar limitation contained
     in this clause (iv) shall not apply to any non-Wholly-Owned Subsidiary that
     has executed and delivered to the Agent a guaranty, pledge agreement and
     security agreement in form and substance similar to the forms of such
     documents executed by Wholly-Owned Subsidiaries of the Borrower;

          (h) Subordinated Debt of the Borrower issued to a Provider in
     connection with a Permitted Acquisition, such Indebtedness to be on terms
     and conditions reasonably satisfactory to the Agent (the Agent hereby
     acknowledges and agrees that the subordination provisions contained in the
     Subordinated Debt existing as of the date hereof are satisfactory);

          (i) Subordinated Debt of the Borrower, such Subordinated Debt to
     mature no earlier than one year after the Maturity Date and shall otherwise
     be on terms and conditions reasonably satisfactory to the Agent (the Agent
     hereby acknowledges and agrees that the subordination provisions contained
     in the Subordinated Debt existing as of the date hereof are satisfactory);

          (j) Indebtedness of the Borrower constituting unpaid minority
     interests to a Provider in connection with a Permitted Acquisition, such
     Indebtedness to be on terms and conditions reasonably satisfactory to the
     Agent;

          (k) Indebtedness of a Practice which exists at the time such Practice
     is the subject of a Permitted Acquisition, which Indebtedness is assumed by
     the Credit Party

                                      -53-
<PAGE>

     which is a party to such Permitted Acquisition and is otherwise permitted
     pursuant to this Section 7.2.2; and

          (l) Indebtedness represented by the Investments described in Section
     7.2.5(h);

provided, however, that no Indebtedness otherwise permitted by clauses (d), (e),
(f), (g), (h), (i), (j), (k) or (l) shall be permitted if, after giving effect
to the incurrence thereof, any Default shall have occurred and be continuing.

     SECTION 7.2.3 Liens. The Borrower will not, and will not permit any of its
Subsidiaries to, create, incur, assume or suffer to exist any Lien upon any of
its property, revenues or assets, whether now owned or hereafter acquired,
except:

          (a) Liens securing payment of the Obligations, granted pursuant to any
     Loan Document;

          (b) until the date of the initial Borrowing; Liens securing payment of
     Indebtedness of the type permitted and described in clause (b) of Section
     7.2.2;

          (c) purchase money security interests, in addition to, and not in
     limitation of, the Capitalized Lease Liabilities described in clause (j)
     hereof, on any property acquired or held by any Credit Party in the
     ordinary course of business, securing Indebtedness incurred or assumed for
     the purpose of financing all or any part of the cost of acquiring such
     property; provided that (i) any such Lien attaches to such property
     concurrently with or within 20 days after the acquisition thereof, (ii)
     such Lien attaches solely to the property so acquired in such transaction,
     (iii) the principal amount of the Indebtedness secured thereby does not
     exceed 75% of the cost of such property and (iv) the principal amount of
     the Indebtedness which is outstanding and which is secured by any and all
     such purchase money security interests shall not at any time exceed
     $6,000,000 less the amount of Indebtedness outstanding and permitted solely
     under subsection 7.2.2(f);

          (d) Liens for taxes, assessments or other governmental charges or
     levies not at the time delinquent or thereafter payable without penalty or
     being diligently contested in good faith by appropriate proceedings and for
     which adequate reserves in accordance with GAAP shall have been set aside
     on its books;

          (e) Liens of carriers, warehousemen, mechanics, materialmen and
     landlords incurred in the ordinary course of business for sums not overdue
     or being diligently contested in good faith by appropriate proceedings and
     for which adequate reserves in accordance with GAAP shall have been set
     aside on its books;

          (f) Liens (other than any Lien imposed by ERISA) incurred in the
     ordinary course of business in connection with workmen's compensation,
     unemployment insurance or other forms of governmental insurance or
     benefits, or to secure performance of tenders, statutory obligations,
     leases and contracts (other than for borrowed money)

                                      -54-
<PAGE>

     entered into in the ordinary course of business or to secure obligations on
     surety or appeal bonds;

          (g) judgment Liens in existence less than 30 days after the entry
     thereof or with respect to which execution has been stayed or the payment
     of which is bonded or covered in full (subject to a customary deductible)
     by insurance maintained with responsible insurance companies;

          (h) Liens in existence on the Closing Date and listed on Schedule
     7.2.3, but without giving effect to any extensions or renewals thereof; and

          (i) easements, rights-of-way, restrictions and other similar
     encumbrances incurred in the ordinary course of business which, in the
     aggregate, do not materially detract from the value of the property subject
     thereto or interfere with the ordinary conduct of the business of the
     property of the Person which is subject thereto;

          (j) Liens in connection with Capitalized Lease Liabilities in the
     amount and to the extent permitted by subsection 7.2.2(f);

          (k) Liens on property leased by the Borrower or any Subsidiary or
     other interest or title of the lessor under operating leases securing
     obligations of the Borrower or such Subsidiary to the lessor under such
     leases; and

          (l) Liens on property of a Practice which exist at the time such
     Practice becomes the subject of a Permitted Acquisition to the extent such
     Liens are otherwise permitted pursuant to this Section 7.2.3.

     SECTION 7.2.4 Financial Condition. The Borrower will not permit:

          (a) Its Net Worth as of the end of each Fiscal Quarter to be less than
     85% of the amount of its Net Worth existing on the Closing Date, plus 50%
     of Net Income (without giving effect to any losses) for each Fiscal Quarter
     occurring since the Closing Date, plus 50% of the net proceeds from any
     equity issuance by the Borrower or any of its Subsidiaries occurring since
     the Closing Date, plus 50% of any incremental additive equity associated
     with any Permitted Acquisition.

          (b) the Total Leverage Ratio as of the end of each Fiscal Quarter for
     the twelve-month period preceding such date to be greater than 3.00:1.00.

          (c) as of the last day of any Fiscal Quarter the ratio of (a) EBITDA
     plus rent expenses incurred by the Borrower and its Subsidiaries, minus
     Capital Expenditures incurred by the Borrower and its Subsidiaries, minus
     cash taxes paid by the Borrower and its Subsidiaries, in each case for the
     period of four fiscal quarters then ending, to (b) Fixed Charges for such
     four fiscal quarter period to be less than the ratio set forth below for
     such period:

                                      -55-
<PAGE>

               Fiscal Quarter Ended                            Ratio
               --------------------                            -----
          Closing through June 30, 2000                        1.15:1.0
          July 1, 2000 through September 30, 2000              1.20:1.0
          October 1, 2000 and each
           Fiscal Quarter thereafter                           1.25:1.0

     SECTION 7.2.5 Investments. The Borrower will not, and will not permit any
of its Subsidiaries to, make, incur, assume or suffer to exist any Investment in
any other Person, except:

          (a) Investments existing on the Closing Date and identified in
     Schedule 7.2.5;

          (b) Cash Equivalent Investments and cash, provided, however, that the
     balance maintained in any deposit account not subject to a Lien of the
     Agent shall not exceed $100,000 for a period of seven consecutive days;

          (c) without duplication, Investments permitted as Indebtedness
     pursuant to Section 7.2.2;

          (d) without duplication, Investments permitted as Capital
     Expenditures;

          (e) in the ordinary course of business, Investments by the Borrower in
     any of its Subsidiaries, or in any new Subsidiary created after the Closing
     Date in connection with a Permitted Acquisition, or by any Subsidiary in
     any of its Subsidiaries, by way of contributions to capital;

          (f) Permitted Acquisitions by the Borrower or a Wholly-Owned
     Subsidiary of the Borrower;

          (g) the acquisition by the Borrower or a Wholly-Owned Subsidiary of
     the Borrower of 100% of the minority interests held by a Provider in a non-
     Wholly-Owned Subsidiary, provided that any such acquisition is made solely
     in connection with the merger of such non-Wholly-Owned Subsidiary into the
     Borrower or a Wholly-Owned Subsidiary of the Borrower as permitted by
     Section 7.2.8;

          (h) Investments by the Borrower or any Subsidiary consisting of loans
     to Providers in an amount not to exceed $300,000 individually or $2,000,000
     in the aggregate outstanding at any one time;

          (i) Investments constituting Hedging Agreements of the Borrower; and

                                      -56-
<PAGE>

          (j) Investments by a Practice which exist at the time such Practice is
     the subject of a Permitted Acquisition to the extent such Investments are
     otherwise permitted pursuant to this Section 7.2.5.

provided, however, that

          (k) any Investment which when made complies with the requirements of
     the definition of the term "Cash Equivalent Investment" may continue to be
     held notwithstanding that such Investment if made thereafter would not
     comply with such requirements; and

          (l) no Investment otherwise permitted by clause (e), (f), (g), (h),
     (i), (j), (k) or (l) shall be permitted to be made if, immediately before
     or after giving effect thereto, any Default shall exist and be continuing.

     SECTION 7.2.6 Restricted Payments, etc. On and at all times after the
Closing Date:

          (a) The Borrower will not, and will not permit any of its Subsidiaries
     to, declare, pay or make any dividend or distribution (in cash, property or
     obligations) on any shares of any class of capital stock (now or hereafter
     outstanding) of the Borrower or such Subsidiary or on any warrants, options
     or other rights with respect to any shares of any class of capital stock
     (now or hereafter outstanding) of the Borrower or such Subsidiary (other
     than in the case of (I) the Borrower (x) dividends or distributions payable
     in its common stock or warrants to purchase its common stock or splitups or
     reclassifications of its stock into additional or other shares of its
     common stock, (y) scheduled dividend payments on its preferred stock so
     long as no Default or Event of Default has occurred and is continuing both
     before and after giving effect to the payment of such dividend and (z)
     distributions to any Subsidiary which is a limited liability company of the
     Borrower solely to permit the members thereof to make payment of its
     federal and state income tax liability attributable to such limited
     liability company's taxable income, whether or not a Default or an Event of
     Default then or (II) any Subsidiary which is a limited liability company,
     distributions to members of any such Subsidiary solely to permit such
     members to make payment of their federal and state income tax liability
     attributably to such member's taxable income of such Subsidiary whether or
     not a Default or an Event of Default than exists) or apply, or permit any
     of its Subsidiaries to apply, any of its funds, property or assets to the
     purchase, redemption, sinking fund or other retirement of, or agree or
     permit any of its Subsidiaries to purchase or redeem, any shares of any
     class of capital stock (now or hereafter outstanding) of the Borrower, or
     warrants, options or other rights with respect to any shares of any class
     of capital stock (now or hereafter outstanding) of the Borrower, except
     that, (A), in addition to distributions permitted pursuant to clause
     (a)(II) above, any Subsidiary of the Borrower may declare and pay cash
     dividends and distributions to its equity holders and (B) so long as no
     Default or Event of Default then exists or would result therefrom, the
     Borrower may redeem or purchase shares of its stock held by former
     employees of the

                                      -57-
<PAGE>

     Borrower or any of its Subsidiaries following their death, disability or
     the termination of their employment;

          (b) Borrower will not, and will not permit any of its Subsidiaries to:

               (i) make any payment or prepayment of principal of, or make any
          payment of interest on, any Subordinated Debt or on any put option
          granted to a holder of Subordinated Debt on any day other than the
          stated, scheduled date for such payment or prepayment set forth in the
          documents and instruments memorializing such Subordinated Debt or such
          put option, or which would violate the subordination provisions of
          such Subordinated Debt or such put option, or while any Default or
          Event of Default exists and is continuing both before and after giving
          effect to such payment; or

               (ii) redeem, purchase or defease any Subordinated Debt other than
          Subordinated Debt held by a Provider or a Practice, so long as no
          Default or Event of Default exists or is continuing both before and
          after giving effect to such redemption, purchase or defeasance; and

          (c) Borrower will not, and will not permit any Subsidiary to, make any
     sinking fund payment or deposit for any of the foregoing purposes.

     SECTION 7.2.7 Intentionally Omitted.

     SECTION 7.2.8 Consolidation, Merger, etc. The Borrower will not, and will
not permit any of its Subsidiaries to, liquidate or dissolve, consolidate with,
or merge into or with, any other corporation, or purchase or otherwise acquire
all or substantially all of the assets of any Person (or of any division
thereof) except:

          (a) any such Subsidiary may liquidate or dissolve voluntarily into,
     and may merge with and into, the Borrower or any Wholly-Owned Subsidiary of
     the Borrower or any Guarantor, and the assets or stock of any Subsidiary
     may be purchased or otherwise acquired by the Borrower or any Wholly-Owned
     Subsidiary of the Borrower or any Guarantor;

          (b) so long as no Default or Event of Default exists and is continuing
     or would occur after giving effect thereto, the Borrower or any Wholly-
     Owned Subsidiary of the Borrower may consummate a Permitted Acquisition;
     and

          (c) any Subsidiary may liquidate or dissolve into or merge with or
     into any other Person, provided that, after giving effect thereto (i) no
     Default or Event of Default shall exist or be continuing; (ii) the Net
     Worth of the surviving Person shall be at least equal to the Net Worth of
     the applicable Subsidiary immediately prior to the consummation of any such
     liquidation, dissolution or merger and (iii) the surviving

                                      -58-
<PAGE>

     Person shall assume all Obligations of the applicable Subsidiary under the
     Loan Documents.

     SECTION 7.2.9 Asset and Capital Stock Dispositions, etc.(a) The Borrower
will not, and will not permit any of its Subsidiaries to, sell, transfer, lease,
contribute or otherwise convey, or grant options, warrants or other rights with
respect to, all or any substantial part of its assets (including accounts
receivable and capital stock of Subsidiaries) to any Person, unless:

               (a) such sale, transfer, lease, contribution or conveyance is in
          the ordinary course of its business or is permitted by Section
          7.2.9(b); or

               (b) the net book value of such assets, together with the net book
          value of all other assets sold, transferred, leased, contributed or
          conveyed otherwise than in the ordinary course of business by the
          Borrower or any of its Subsidiaries pursuant to this clause since the
          Closing Date, does not exceed [$100,000] (exclusive of the value of
          any transaction described in the preceding clause (i)).

          (b) the Borrower will not, and will not permit any of its Subsidiaries
     to, issue, sell, assign, pledge or otherwise encumber or dispose of any
     shares of capital stock or other equity securities in the Borrower or any
     such Subsidiary (other than pursuant to this Agreement or any other Loan
     Document), including warrants, rights or options to acquire shares or other
     equity securities of the Borrower or any of its Subsidiaries; provided
     that, notwithstanding the foregoing, and so long as no Default or Event of
     Default will result therefrom, :

               (i) (x) the Borrower may issue capital stock (or warrants, rights
          or options to purchase capital stock) of the Borrower in connection
          with a Permitted Acquisition and (y) a Subsidiary of the Borrower may
          issue its capital stock in connection with a Permitted Equity
          Ownership Sale;

               (ii) the Borrower may issue common stock of the Borrower to a
          Provider upon the conversion of Subordinated Debt held by such
          Provider into common stock of the Borrower pursuant to the terms and
          conditions contained in the documentation governing such Subordinated
          Debt;

               (iii) the Borrower may issue common stock of the Borrower in
          connection with a registered offering, provided, however, that the
          Borrower shall have delivered a certified copy of each agreement,
          document or other instrument (including, without limitation, any
          registration statement and underwriting agreement) entered into by the
          Borrower in connection with such registered offering;

               (iv) the Borrower may issue capital stock, and related options,
          of the Borrower to any permitted participant under Borrower's stock
          incentive plan or to

                                      -59-
<PAGE>

          any permitted participant under any future stock incentive plans
          established by the Borrower and reasonably acceptable to the Agent;
          and

               (v) the Borrower may issue capital stock (or warrants, rights or
          options to purchase capital stock) of the Borrower so long as in
          connection with a private placement of its capital stock the
          consideration received by the Borrower in connection with such sale is
          (x) for fair market value (as determined by the Board of Directors of
          the Borrower) and (y) paid in immediately available funds.

     To the extent the Required Lenders waive the provisions of this Section
7.2.9 with respect to the sale of any Collateral, or any Collateral is sold as
permitted by this Section 7.2.9, such Collateral shall be sold free and clear of
the Liens created by the Collateral Documents and, if requested by the Borrower,
the Guarantor owner of such Collateral shall be released from the Guaranty, and
the portion of the Collateral owned by such Guarantor shall be released from the
Guarantor Security Agreement and the Agent shall be authorized to take any
actions deemed appropriate in order to effect the foregoing.

                                      -60-
<PAGE>

     SECTION 7.2.10 Modification of Certain Agreements. Except as otherwise
permitted pursuant to Section 7.1.7 hereof, the Borrower will not, and will not
permit any of its Subsidiaries to, consent to any amendment, supplement or other
modification of any of the terms or provisions contained in, or applicable to,
its Organizational Documents, any Service Agreement or Employment Agreement
listed on Schedule 6.18, any document, once entered into, relating to a
Permitted Acquisition, other than any amendment, supplement or other
modification that conforms with applicable laws in all material respects and is
not material or does not have an adverse effect on the Lenders as Lenders under
the Loan Documents, or any document or instrument evidencing or applicable to
any Subordinated Debt or any put option granted to the holders of Subordinated
Debt, other than any amendment, supplement or other modification which extends
the date or reduces the amount of any required repayment or redemption.

     SECTION 7.2.11 Transactions with Affiliates. The Borrower will not, and
will not permit any of its Subsidiaries to, enter into, or cause, suffer or
permit to exist any arrangement or contract with any of its other Affiliates
(other than a Subsidiary Guarantor) unless such arrangement or contract is fair
and equitable to the Borrower or such Subsidiary and is an arrangement or
contract of the kind which would be entered into by a prudent Person in the
position of the Borrower or such Subsidiary with a Person which is not one of
its Affiliates.

     SECTION 7.2.12 Negative Pledges, Restrictive Agreements, etc. The Borrower
will not, and will not permit any of its Subsidiaries to, enter into any
agreement (excluding this Agreement, any other Loan Document and any agreement
governing any Indebtedness permitted either by clause (b) of Section 7.2.2 as in
effect on the Closing Date or by clause (d) of Section 7.2.2 as to the assets
financed with the proceeds of such Indebtedness) prohibiting:

          (a) the creation or assumption of any Lien upon its properties,
     revenues or assets, whether now owned or hereafter acquired, or the ability
     of any Credit Party to amend or otherwise modify this Agreement or any
     other Loan Document; or

          (b) the ability of any Subsidiary to make any payments, directly or
     indirectly, to the Borrower by way of dividends, distributions, advances,
     repayments of loans or advances, reimbursements of management and other
     intercompany charges, expenses and accruals or other returns on
     investments, or any other agreement or arrangement which restricts the
     ability of any such Subsidiary to make any payment, directly or indirectly,
     to the Borrower.

                                  ARTICLE VIII

                                EVENTS OF DEFAULT

     SECTION 8.1 Listing of Events of Default. Each of the following events or
occurrences described in this Section 8.1 shall constitute an "Event of
Default".

                                      -61-
<PAGE>

     SECTION 8.1.1 Non-Payment of Obligations. The Borrower shall default in the
payment or prepayment when due of any principal of or interest on any Loan or
any reimbursement obligation when due, or the Borrower shall default (and such
default shall continue unremedied for a period of five days) in the payment when
due of any commitment fee or other fee or of any other Obligation.

     SECTION 8.1.2 Breach of Warranty. Any representation or warranty of any
Credit Party made or deemed to be made hereunder or in any other Loan Document
executed by it, any Letter of Credit or any other writing or certificate
furnished by or on behalf of any Credit Party to the Agent or any Lender for the
purposes of or in connection with this Agreement or any such other Loan Document
or Letter of Credit (including any certificates delivered pursuant to Article V)
is or shall be incorrect when made in any material respect.

     SECTION 8.1.3 Non-Performance of Certain Covenants and Obligations. Any
Credit Party shall default in the due performance and observance of any of its
obligations under Sections 7.1.1, 7.1.7, 7.1.8, 7.1.11, 7.1.12 or Section 7.2.

     SECTION 8.1.4 Non-Performance of Other Covenants and Obligations. Any
Credit Party shall default in the due performance and observance of any other
agreement contained herein or in any other Loan Document executed by it, and
such default shall continue unremedied for a period of 30 days after notice
thereof shall have been given to the Borrower by the Agent or any Lender.

     SECTION 8.1.5 Default on Other Indebtedness. A default shall occur in the
payment when due (subject to any applicable grace period), whether by
acceleration or otherwise, of any Indebtedness (other than Indebtedness
described in Section 8.1.1) of any Credit Party having a principal amount,
individually or in the aggregate, in excess of $1,000,000, or a default shall
occur in the performance or observance of any obligation or condition with
respect to such Indebtedness if the effect of such default is to accelerate the
maturity of any such Indebtedness or such default shall continue unremedied for
any applicable period of time sufficient to permit the holder or holders of such
Indebtedness, or any trustee or agent for such holders, to cause such
Indebtedness to become due and payable prior to its expressed maturity.

     SECTION 8.1.6 Judgments. Any judgment or order for the payment of money in
excess of $1,000,000 shall be rendered against any Credit Party (which judgement
is not covered by insurance and with respect to such judgment an insurance
carrier has not accepted responsibility for coverage) and either:

          (a) enforcement proceedings shall have been commenced by any creditor
     upon such judgment or order; or

          (b) there shall be any period of 10 consecutive days during which a
     stay of enforcement of such judgment or order, by reason of a pending
     appeal or otherwise, shall not be in effect.

                                      -62-
<PAGE>

     SECTION 8.1.7 Pension Plans. Any of the following events shall occur with
respect to any Pension Plan:

          (a) the institution of any steps by the Borrower, any member of its
     Controlled Group or any other Person to terminate a Pension Plan if, as a
     result of such termination, the Borrower or any such member reasonably
     would be expected to be required to make a contribution to such Pension
     Plan, or would reasonably expect to incur a liability or obligation to such
     Pension Plan, in excess of $1,000,000; or

          (b) a contribution failure occurs with respect to any Pension Plan
     sufficient to give rise to a Lien under Section 302(f) of ERISA.

     SECTION 8.1.8 Change of Control. Any Change of Control shall occur.

     SECTION 8.1.9 Bankruptcy, Insolvency, etc. Any Credit Party shall:

          (a) become insolvent or generally fail to pay, or admit in writing its
     inability or unwillingness to pay, its debts as they become due;

          (b) apply for, consent to, or acquiesce in, the appointment of a
     trustee, receiver, sequestrator or other custodian for such Credit Party or
     any property of such Credit Party, or make a general assignment for the
     benefit of creditors;

          (c) in the absence of such application, consent or acquiescence,
     permit or suffer to exist the appointment of a trustee, receiver,
     sequestrator or other custodian for such Credit Party or for a substantial
     part of the property of such Credit Party, and such trustee, receiver,
     sequestrator or other custodian shall not be discharged within 60 days,
     provided that the Borrower hereby expressly authorizes the Agent and each
     Lender to appear in any court conducting any relevant proceeding during
     such 60-day period to preserve, protect and defend their rights under the
     Loan Documents;

          (d) permit or suffer to exist the commencement of any bankruptcy,
     reorganization, debt arrangement or other case or proceeding under any
     bankruptcy or insolvency law, or any dissolution, winding up or liquidation
     proceeding, in respect of such Credit Party, and, if any such case or
     proceeding is not commenced by such Credit Party, such case or proceeding
     shall be consented to or acquiesced in by such Credit Party or shall result
     in the entry of an order for relief or shall remain for 60 days
     undismissed, provided that the Borrower hereby expressly authorizes the
     Agent and each Lender to appear in any court conducting any such case or
     proceeding during such 60-day period to preserve, protect and defend their
     rights under the Loan Documents; or

          (e) take any action authorizing, or in furtherance of, any of the
     foregoing.

     SECTION 8.1.10 Impairment of Security, etc. Any Loan Document, or any Lien
granted thereunder, shall (except in accordance with its terms or pursuant to
Section 7.2.9), in

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whole or in part, terminate, cease to be effective or cease to be the legally
valid, binding and enforceable obligation of any Credit Party thereto; any
Credit Party or any other party shall, directly or indirectly, contest in any
manner the effectiveness, validity, binding nature or enforceability of any Loan
Document or Lien granted thereunder; or any Lien securing any Obligation shall,
in whole or in part, cease to be a perfected first priority Lien, subject only
to those exceptions expressly permitted by such Loan Document.

     SECTION 8.1.11 Fraud and Abuse Laws. Receipt by any Credit Party, Practice
or Provider of a notice from a governmental authority or third party payor that
it intends to disallow requested reimbursements, or intends to demand or demands
adjustment or repayment of past reimbursements in excess of two percent (2%) of
the gross revenues of the Borrower for the previous fiscal quarter respecting
amounts submitted for reimbursement or collected by such Credit Party, Practice
or Provider from participation in the Medicare, Medicaid or third party payor
programs if the gross revenues (determined in accordance with GAAP) to such
Credit Party arising from the affected Credit Party, Practice or Provider exceed
one-half percent ( 1/2%) of the gross revenues (determined in accordance with
GAAP) of the Borrower for the previous Fiscal Quarter.

     SECTION 8.1.12 Certifications. (i) Revocation, suspension or involuntary
cancellation or termination of any Medicare Certification, Medicare Provider
Agreement, Medicaid Certification, Medicaid Provider Agreement or third party
payor certification, if any, or agreement of or affecting any Credit Party,
Practice or Provider, or (ii) the loss of any other permits, licenses,
authorizations, certifications or approval from any federal, state or local
governmental authority or termination of any contract with any such authority by
a Credit Party, Practice or Provider, in either case which cancellation,
revocation, suspension or termination, (x) continues for a period greater than
60 days and (y) results in the suspension or termination of operations of any
Credit Party or Practice or in the failure of any Credit Party, Practice or
Provider to be eligible to participate in Medicare, Medicaid or third party
payor programs or to accept assignments of rights to reimbursement under
Medicaid Regulations, Medicare Regulations or guidelines established by a third
party payor, provided that any such events described in this Section 8.1.12
shall result either singly or in the aggregate in the termination, cancellation,
revocation, suspension or material impairment of operations or rights to
reimbursement which produce two percent (2%) or more of the Borrower's gross
revenues (determined in accordance with GAAP).

     SECTION 8.1.13 Service Agreements. (a) The termination of any Service
Agreement by a Credit Party or Practice which, either individually, or when
aggregated with other Service Agreements that have been terminated during the
preceding twelve-month period constitutes more than 10% of annual EBITDA of the
Borrower; or (b) any Equity Provider or group of Equity Providers within a given
Practice cease to be employed or otherwise retained by such Practice and such
Equity Provider or group of Equity Providers accounted for 10% or more of the
consolidated net revenues (either individually, or when aggregated with the net
revenues of other Equity Providers who have ceased to be employed or otherwise
retained by Reporting

                                      -64-
<PAGE>

Persons within the preceding twelve-month period) of the Borrower and its
Subsidiaries, in each case for the twelve-month period immediately preceding the
date of such termination.

     SECTION 8.2 Action if Bankruptcy. If any Event of Default described in
clauses (a) through (e) of Section 8.1.9 shall occur, the Revolving Commitments
(if not theretofore terminated) and the obligation of the Letter of Credit
Issuer to issue Letters of Credit shall automatically terminate and the
outstanding principal amount of all outstanding Loans and all other Obligations
shall automatically be and become immediately due and payable, without notice or
demand.

     SECTION 8.3 Action if Other Event of Default. If any Event of Default
(other than any Event of Default described in clauses (a) through (e) of Section
8.1.9) shall occur for any reason, whether voluntary or involuntary, and be
continuing, the Agent, upon the direction of the Required Lenders, shall by
notice to the Borrower declare all or any portion of the outstanding principal
amount of the Loans and other Obligations to be due and payable and/or the
Revolving Commitments (if not theretofore terminated) and/or the obligation of
the Letter of Credit Issuer to issue Letters of Credit to be terminated,
whereupon the full unpaid amount of such Loans and other Obligations which shall
be so declared due and payable shall be and become immediately due and payable,
without further notice, demand or presentment, and/or, as the case may be, the
Revolving Commitments shall terminate.

     SECTION 8.4 Letters of Credit. In addition to the foregoing, following the
occurrence and during the continuance of an Event of Default, so long as any
Letter of Credit has not been fully drawn and has not been canceled or expired
by its terms, upon demand by the Lenders, the Borrower shall deposit in an
account (the "Letter of Credit Cash Collateral Account") maintained with
National City in the name of the Agent, for the benefit of itself and the
Lenders, cash in an amount equal to the aggregate undrawn face amount of all
outstanding Letters of Credit and all fees and other amounts due or which may
become due with respect thereto. The Borrower shall have no control over funds
in the Letter of Credit Cash Collateral Account, which funds shall be invested
by the Agent from time to time in its discretion in certificates of deposit of
National City having a maturity not exceeding thirty days. Such funds shall be
promptly applied by the Agent to reimburse the Letter of Credit Issuer for
drafts drawn from time to time under the Letters of Credit. Such funds, if any,
remaining in the Letter of Credit Cash Collateral Account following the payment
of all Obligations in full or the earlier termination of all Events of Default
shall, unless the Agent is otherwise directed by a court of competent
jurisdiction, be promptly paid over to the Borrower.

                                   ARTICLE IX

                                    THE AGENT

     SECTION 9.1 Actions. Each Lender hereby appoints National City as its Agent
under and for purposes of this Agreement, the Notes and each other Loan
Document. Each Lender authorizes the Agent to act on behalf of such Lender under
this Agreement, the Notes and each

                                      -65-
<PAGE>

other Loan Document and, in the absence of other written instructions from the
Required Lenders received from time to time by the Agent (with respect to which
the Agent agrees that it will comply, except as otherwise provided in this
Section or as otherwise advised by counsel), to exercise such powers hereunder
and thereunder as are specifically delegated to or required of the Agent by the
terms hereof and thereof, together with such powers as may be reasonably
incidental thereto. Each Lender hereby indemnifies (which indemnity shall
survive any termination of this Agreement) the Agent, pro rata according to such
Lender's Percentage, from and against any and all liabilities, obligations,
losses, damages, claims, costs or expenses of any kind or nature whatsoever
which may at any time be imposed on, incurred by, or asserted against, the Agent
in any way relating to or arising out of this Agreement, the Notes and any other
Loan Document, including reasonable attorneys' fees, and as to which the Agent
is not reimbursed by the Borrower; provided, however, that no Lender shall be
liable for the payment of any portion of such liabilities, obligations, losses,
damages, claims, costs or expenses which are determined by a court of competent
jurisdiction in a final proceeding to have resulted solely from the Agent's
gross negligence or willful misconduct. The Agent shall not be required to take
any action hereunder, under the Notes or under any other Loan Document, or to
prosecute or defend any suit in respect of this Agreement, the Notes or any
other Loan Document, unless it is indemnified hereunder to its satisfaction. If
any indemnity in favor of the Agent shall be or become, in the Agent's
determination, inadequate, the Agent may call for additional indemnification
from the Lenders and cease to do the acts indemnified against hereunder until
such additional indemnity is given.

     SECTION 9.2 Funding Reliance, etc. Unless the Agent shall have been
notified by telephone, confirmed in writing, by any Lender by 5:00 p.m., Chicago
time, on the day prior to a Borrowing that such Lender will not make available
the amount which would constitute its Percentage of such Borrowing on the date
specified therefor, the Agent may assume that such Lender has made such amount
available to the Agent and, in reliance upon such assumption, make available to
the Borrower a corresponding amount. If and to the extent that such Lender shall
not have made such amount available to the Agent, such Lender and the Borrower
severally, without duplication, agree to repay the Agent forthwith on demand
such corresponding amount together with interest thereon, for each day from the
date the Agent made such amount available to the Borrower to the date such
amount is repaid to the Agent, at the interest rate applicable at the time to
Loans comprising such Borrowing.

     SECTION 9.3 Exculpation. Neither the Agent nor any of its directors,
officers, employees or agents shall be liable to any Lender for any action taken
or omitted to be taken by it under this Agreement or any other Loan Document, or
in connection herewith or therewith, except for its own willful misconduct or
gross negligence, nor responsible for any recitals or warranties herein or
therein, nor for the effectiveness, enforceability, validity or due execution of
this Agreement or any other Loan Document, nor for the creation, perfection or
priority of any Liens purported to be created by any of the Loan Documents, or
the validity, genuineness, enforceability, existence, value or sufficiency of
any collateral security, nor to make any inquiry respecting the performance by
the Borrower of its obligations hereunder or under any other Loan Document. Any
such inquiry which may be made by the Agent shall not obligate it to

                                      -66-
<PAGE>

make any further inquiry or to take any action. The Agent shall be entitled to
rely upon advice of counsel concerning legal matters and upon any notice,
consent, certificate, statement or writing which the Agent believes to be
genuine and to have been presented by a proper Person.

     SECTION 9.4 Successor. The Agent may resign as such at any time upon at
least 30 days' prior notice to the Borrower and all Lenders. If the Agent at any
time shall resign, the Required Lenders, with, so long as no Default or Event of
Default exists and is continuing, the consent of the Borrower, may appoint
another Lender as a successor Agent which shall thereupon become the Agent
hereunder. If no successor Agent shall have been so appointed by the Required
Lenders, and shall have accepted such appointment, within 30 days after the
retiring Agent's giving notice of resignation, then the retiring Agent may, on
behalf of the Lenders, appoint a successor Agent, which shall be one of the
Lenders or a commercial banking institution organized under the laws of the U.S.
(or any State thereof) or a U.S. branch or agency of a commercial banking
institution, and having a combined capital and surplus of at least $500,000,000.
Upon the acceptance of any appointment as Agent hereunder by a successor Agent,
such successor Agent shall be entitled to receive from the retiring Agent such
documents of transfer and assignment as such successor Agent may reasonably
request, and shall thereupon succeed to and become vested with all rights,
powers, privileges and duties of the retiring Agent, and the retiring Agent
shall be discharged from its duties and obligations under this Agreement. After
any retiring Agent's resignation hereunder as the Agent, the provisions of

          (i) this Article IX shall inure to its benefit as to any actions taken
     or omitted to be taken by it while it was the Agent under this Agreement;
     and

          (ii) Section 10.3 and Section 10.4 shall continue to inure to its
     benefit.

     SECTION 9.5 Loans by National City. National City shall have the same
rights and powers with respect to (x) the Loans made by it or any of its
Affiliates, and (y) the Notes held by it or any of its Affiliates as any other
Lender and may exercise the same as if it were not the Agent. National City and
its Affiliates may accept deposits from, lend money to, and generally engage in
any kind of business with the Borrower or any Subsidiary or Affiliate of
Borrower as if National City were not the Agent hereunder.

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<PAGE>

     SECTION 9.6 Credit Decisions. Each Lender acknowledges that it has,
independently of the Agent and each other Lender, and based on such Lender's
review of the financial information of each Credit Party, this Agreement, the
other Loan Documents (the terms and provisions of which being satisfactory to
such Lender) and such other documents, information and investigations as such
Lender has deemed appropriate, made its own credit decision to extend its
Revolving Commitment. Each Lender also acknowledges that it will, independently
of the Agent and each other Lender, and based on such other documents,
information and investigations as it shall deem appropriate at any time,
continue to make its own credit decisions as to exercising or not exercising
from time to time any rights and privileges available to it under this Agreement
or any other Loan Document.

     SECTION 9.7 Copies, etc. The Agent shall give prompt notice to each Lender
of each notice or request required or permitted to be given to the Agent by any
Credit Party pursuant to the terms of this Agreement (unless concurrently
delivered to the Lenders by such Credit Party). The Agent will distribute to
each Lender each document or instrument received for its account and copies of
all other communications received by the Agent from any Credit Party for
distribution to the Lenders by the Agent in accordance with the terms of this
Agreement.

                                   ARTICLE X

                            MISCELLANEOUS PROVISIONS

     SECTION 10.1 Waivers, Amendments, etc. The provisions of this Agreement and
of each other Loan Document may from time to time be amended, modified or
waived, if such amendment, modification or waiver is in writing and consented to
by the Borrower and the Required Lenders; provided, however, that no such
amendment, modification or waiver which would:

          (a) modify any requirement hereunder that any particular action be
     taken by all the Lenders or by the Required Lenders shall be effective
     unless consented to by each Lender;

          (b) modify this Section 10.1, change the definition of "Required
     Lenders", increase the Revolving Commitment Amount or the Percentage of any
     Lender, reduce any fees described in Article III, change the schedule of
     repayments of Loans provided for in Section 3.1.2, release any Guarantor
     from its obligations pursuant to any Guaranty, release all or substantially
     all of the collateral security, except as otherwise specifically provided
     in any Loan Document or extend the Revolving Commitment Termination Date or
     Maturity Date shall be made without the consent of each Lender and each
     holder of a Note;

          (c) extend the due date for, or reduce the amount of, any scheduled
     repayment or prepayment of principal of or interest on any Loan or any fee
     payable to a Lender (or reduce the principal amount of or rate of interest
     on any Loan) shall be made without the consent of the holder of that Note
     evidencing such Loan or Lender entitled to such fee;

                                      -68-
<PAGE>

          (d) affect adversely the interests, rights or obligations of the Agent
     qua the Agent shall be made without consent of the Agent; or

          (e) modify Section 2.7 or 8.4 shall be made without the consent of the
     Letter of Credit Issuer.

No failure or delay on the part of the Agent, any Lender or the holder of any
Note in exercising any power or right under this Agreement or any other Loan
Document shall operate as a waiver thereof, nor shall any single or partial
exercise of any such power or right preclude any other or further exercise
thereof or the exercise of any other power or right. No notice to or demand on
any Credit Party in any case shall entitle it to any notice or demand in similar
or other circumstances. No waiver or approval by the Agent, any Lender or the
holder of any Note under this Agreement or any other Loan Document shall, except
as may be otherwise stated in such waiver or approval, be applicable to
subsequent transactions. No waiver or approval hereunder shall require any
similar or dissimilar waiver or approval thereafter to be granted hereunder.

     SECTION 10.2 Notices. All notices and other communications provided to any
party hereto under this Agreement or any other Loan Document shall be in writing
or by facsimile transmission and addressed, delivered or transmitted to such
party at its address, facsimile number transmission set forth below in Schedule
10.2 hereto or set forth in the Lender Assignment Agreement or at such other
address, or facsimile transmission number as may be designated by such party in
a notice to the other parties. Any notice, if mailed and properly addressed with
postage prepaid or if properly addressed and sent by pre-paid courier service,
shall be deemed given when received; any notice, if transmitted by facsimile
transmission, shall be deemed given when transmitted, provided such notice is
delivered or facsimile transmitted during regular business hours on a Business
Day.

     SECTION 10.3 Payment of Costs and Expenses. The Borrower agrees to pay on
demand all reasonable expenses of the Agent (including the reasonable fees and
out-of-pocket expenses of counsel to the Agent and of local counsel, if any, who
may be retained by counsel to the Agent) in connection with:

          (i) the negotiation, preparation, execution and delivery of this
     Agreement and of each other Loan Document, including schedules and
     exhibits, and any amendments, waivers, consents, supplements or other
     modifications to this Agreement or any other Loan Document as may from time
     to time hereafter be required, whether or not the transactions contemplated
     hereby are consummated, and

          (ii) the filing, recording, refiling or rerecording of any Security
     Document and/or any Uniform Commercial Code financing statements relating
     thereto and all amendments, supplements and modifications to any thereof
     and any and all other documents or instruments of further assurance
     required to be filed or recorded or refiled or rerecorded by the terms
     hereof or of such Security Document, and

                                      -69-
<PAGE>

          (iii) the preparation and review of the form of any document or
     instrument required by this Agreement or any other Loan Document.

The Borrower further agrees to pay, and to save the Agent and the Lenders
harmless from all liability for, any stamp or other taxes which may be payable
in connection with the execution or delivery of this Agreement, the borrowings
hereunder, or the issuance of the Notes or any other Loan Documents. The
Borrower also agrees to reimburse the Agent and each Lender upon demand for all
reasonable out-of-pocket expenses (including reasonable attorneys' fees and
legal expenses) incurred by the Agent or such Lender in connection with (x) the
negotiation of any restructuring or "work-out", whether or not consummated, of
any Obligations and (y) the enforcement of any Obligations. Notwithstanding
anything contained herein to the contrary, the Borrower shall not be responsible
for any costs or expenses incurred by the Agent or any Lender in connection with
the transactions contemplated by either of Section 10.11(a) or 10.11(b) hereof.

     SECTION 10.4 Indemnification. In consideration of the execution and
delivery of this Agreement by each Lender and the extension of the Revolving
Commitments and the making of the Loans, the Borrower hereby indemnifies,
exonerates and holds the Agent and each Lender and each of their respective
officers, directors, employees and agents (collectively, the "Indemnified
Parties") free and harmless from and against any and all actions, causes of
action, suits, losses, costs, liabilities and damages, and expenses incurred in
connection therewith (irrespective of whether any such Indemnified Party is a
party to the action for which indemnification hereunder is sought), including
reasonable attorneys' fees and disbursements (collectively, the "Indemnified
Liabilities"), incurred by the Indemnified Parties or any of them as a result
of, or arising out of, or relating to:

          (i) any transaction financed or to be financed in whole or in part,
     directly or indirectly, with the proceeds of any Loan;

          (ii) the entering into and performance of this Agreement and any other
     Loan Document by any of the Indemnified Parties (including any action
     brought by or on behalf of the Borrower as the result of any determination
     by the Required Lenders pursuant to Article V not to fund any Borrowing);

          (iii) any investigation, litigation or proceeding related to any
     acquisition or proposed acquisition by the Borrower of all or any portion
     of the stock or assets of any Person, whether or not the Agent or such
     Lender is party thereto;

          (iv) any investigation, litigation or proceeding related to any
     environmental cleanup, audit, compliance or other matter relating to the
     protection of the environment or the Release by Borrower or any of its
     Subsidiaries of any Hazardous Material; or

          (v) the presence on or under, or the escape, seepage, leakage,
     spillage, discharge, emission, discharging or releases from, any real
     property owned or operated by the Borrower or any Subsidiary thereof of any
     Hazardous Material (including any

                                      -70-
<PAGE>

     losses, liabilities, damages, injuries, costs, expenses or claims asserted
     or arising under any Environmental Law), regardless of whether caused by,
     or within the control of, the Borrower or such Subsidiary,

except for any such Indemnified Liabilities arising for the account of a
particular Indemnified Party by reason of the relevant Indemnified Party's gross
negligence or wilful misconduct.  If and to the extent that the foregoing
undertaking may be unenforceable for any reason, the Borrower hereby agrees to
make the maximum contribution to the payment and satisfaction of each of the
Indemnified Liabilities which is permissible under applicable law.

     SECTION 10.5 Survival. The obligations of the Borrower under Sections 4.3,
4.4, 4.5, 4.6 and 10.3 and 10.4, and the obligations of the Lenders under
Section 9.1, shall in each case survive any termination of this Agreement, the
payment in full of all Obligations and the termination of all Revolving
Commitments. The representations and warranties made by the Borrower in this
Agreement and in each other Loan Document shall survive the execution and
delivery of this Agreement and each such other Loan Document.

     SECTION 10.6 Severability. Any provision of this Agreement or any other
Loan Document which is prohibited or unenforceable in any jurisdiction shall, as
to such provision and such jurisdiction, be ineffective to the extent of such
prohibition or unenforceability without invalidating the remaining provisions of
this Agreement or such Loan Document or affecting the validity or enforceability
of such provision in any other jurisdiction.

     SECTION 10.7 Headings. The various headings of this Agreement and of each
other Loan Document are inserted for convenience only and shall not affect the
meaning or interpretation of this Agreement or such other Loan Document or any
provisions hereof or thereof.

     SECTION 10.8 Execution in Counterparts, Effectiveness, etc. This Agreement
may be executed by the parties hereto in several counterparts, each of which
shall be executed by the Borrower and the Agent and be deemed to be an original
and all of which shall constitute together but one and the same agreement. This
Agreement shall become effective when counterparts hereof executed on behalf of
the Borrower and each Lender (or notice thereof satisfactory to the Agent) shall
have been received by the Agent and notice thereof shall have been given by the
Agent to the Borrower and each Lender.

     SECTION 10.9 Governing Law; Entire Agreement. THIS AGREEMENT, THE NOTES AND
EACH OTHER LOAN DOCUMENT SHALL EACH BE DEEMED TO BE A CONTRACT MADE UNDER AND
GOVERNED BY THE INTERNAL LAWS OF THE STATE OF ILLINOIS. This Agreement, the
Notes and the other Loan Documents constitute the entire understanding among the
parties hereto with respect to the subject matter hereof and supersede any prior
agreements, written or oral, with respect thereto.

                                      -71-
<PAGE>

     SECTION 10.10 Successors and Assigns. This Agreement shall be binding upon
and shall inure to the benefit of the parties hereto and their respective
successors and assigns; provided, however, that:

          (i) the Borrower may not assign or transfer its rights or obligations
     hereunder without the prior written consent of the Agent and all Lenders;
     and

          (ii) the rights of sale, assignment and transfer of the Lenders are
     subject to Section 10.11.

     SECTION 10.11 Sale and Transfer of Loans and Note; Participations in Loans
and Note. Each Lender may assign, or sell participations in, its Loans and
Revolving Commitment to one or more other Persons in accordance with this
Section 10.11.

     SECTION 10.11.1 Assignments. Any Lender:

          (i) with the written consent of the Agent and, provided no Event of
     Default then shall exist or be continuing, the Borrower (which consent
     shall not be unreasonably delayed or withheld) may at any time assign and
     delegate to one or more commercial banks or other financial institutions,
     and

          (ii) with notice to the Borrower and the Agent, but without the
     consent of the Borrower or the Agent, may assign and delegate to any of its
     Affiliates or to any other Lender,

(each Person described in either of the foregoing clauses as being the Person to
whom such assignment and delegation is to be made, being hereinafter referred to
as an "Assignee Lender"), all or any fraction of such Lender's total Loans and
Revolving Commitment (which assignment and delegation shall be of a constant,
and not a varying, percentage of all the assigning Lender's Loans and Revolving
Commitment) in a minimum aggregate amount of $5,000,000 (or such lesser amount
to the extent that after giving effect to such assignment such Lender's total
Loans and Revolving Commitment is reduced to zero); provided, however, that any
such Assignee Lender will comply, if applicable, with the provisions contained
in the penultimate sentence of Section 4.6, and provided further, however, that,
the Borrower and the Agent shall be entitled to continue to deal solely and
directly with such Lender in connection with the interests so assigned and
delegated to an Assignee Lender until:

          (iii) written notice of such assignment and delegation, together with
     payment instructions, addresses and related information with respect to
     such Assignee Lender, shall have been given to the Borrower and the Agent
     by such Lender and such Assignee Lender,

          (iv) such Assignee Lender shall have executed and delivered to the
     Borrower and the Agent a Lender Assignment Agreement, accepted by the
     Agent, and

                                      -72-
<PAGE>

          (v) the processing fees described below shall have been paid.

From and after the date that the Agent accepts such Lender Assignment Agreement,
(x) the Assignee Lender thereunder shall be deemed automatically to have become
a party hereto and to the extent that rights and obligations hereunder have been
assigned and delegated to such Assignee Lender in connection with such Lender
Assignment Agreement, shall have the rights and obligations of a Lender
hereunder and under the other Loan Documents, and (y) the assignor Lender, to
the extent that rights and obligations hereunder have been assigned and
delegated by it in connection with such Lender Assignment Agreement, shall be
released from its obligations hereunder and under the other Loan Documents.
Within five Business Days after its receipt of notice that the Agent has
received an executed Lender Assignment Agreement, the Borrower shall execute and
deliver to the Agent (for delivery to the relevant Assignee Lender) a new Note
evidencing such Assignee Lender's assigned Loans and Revolving Commitment and,
if the assignor Lender has retained Loans and a Revolving Commitment hereunder,
a replacement Note in the principal amount of the Loans and Revolving Commitment
retained by the assignor Lender hereunder (such Note to be in exchange for, but
not in payment of, that Note then held by such assignor Lender). Each such Note
shall be dated the date of the predecessor Note. The assignor Lender shall mark
the predecessor Note "exchanged" and deliver it to the Borrower. Accrued
interest on that part of the predecessor Note evidenced by the new Note, and
accrued fees, shall be paid as provided in the Lender Assignment Agreement.
Accrued interest on that part of the predecessor Note evidenced by the
replacement Note shall be paid to the assignor Lender. Accrued interest and
accrued fees shall be paid at the same time or times provided in the predecessor
Note and in this Agreement. Such assignor Lender or such Assignee Lender must
also pay a processing fee to the Agent upon delivery of any Lender Assignment
Agreement in the amount of $3,500. Any attempted assignment and delegation not
made in accordance with this Section 10.11.1 shall be null and void.

     SECTION 10.11.2 Participations. Any Lender may at any time sell to one or
more commercial banks or other Persons (each of such commercial banks and other
Persons being herein called a "Participant") participating interests in any of
the Loans, its Revolving Commitment, or other interests of such Lender
hereunder; provided, however, that:

          (i) no participation contemplated in this Section 10.11 shall relieve
     such Lender from its Revolving Commitment or its other obligations
     hereunder or under any other Loan Document,

          (ii) such Lender shall remain solely responsible for the performance
     of its Revolving Commitment and such other obligations,

          (iii) the Borrower and the Agent shall continue to deal solely and
     directly with such Lender in connection with such Lender's rights and
     obligations under this Agreement and each of the other Loan Documents,

          (iv) no Participant, unless such Participant is an Affiliate of such
     Lender, or is itself a Lender, shall be entitled to require such Lender to
     take or refrain from taking any

                                      -73-
<PAGE>

     action hereunder or under any other Loan Document, except that such Lender
     may agree with any Participant that such Lender will not, without such
     Participant's consent, take any actions of the type described in clause (b)
     or (c) of Section 10.1, and

          (v) the Borrower shall not be required to pay any amount under Section
     4.6 that is greater than the amount which it would have been required to
     pay had no participating interest been sold.

The Borrower acknowledges and agrees that each Participant, for purposes of
Sections 4.3, 4.4, 4.5, 4.6, 4.8, 4.9, 10.3 and 10.4, shall be considered a
Lender.

     SECTION 10.12 Confidentiality. The Lenders shall hold all non-public
information (which has been identified as such by Borrower) obtained pursuant to
the requirements of this Agreement in accordance with their customary procedures
for handling confidential information of this nature and in accordance with safe
and sound banking practices and in any event may make disclosure to any of their
examiners, Affiliates, outside auditors, counsel and other professional advisors
in connection with this Agreement or as reasonably required by any bona fide
transferee, participant or assignee or as required or requested by any
governmental agency or representative thereof or pursuant to legal process;
provided, however, that:

          (i) unless specifically prohibited by applicable law or court order,
     each Lender shall notify the Borrower of any request by any governmental
     agency or representative thereof (other than any such request in connection
     with an examination of the financial condition of such Lender by such
     governmental agency) for disclosure of any such non-public information
     prior to disclosure of such information;

          (ii) prior to any such disclosure pursuant to this Section 10.12, each
     Lender shall require any such bona fide transferee, participant and
     assignee receiving a disclosure of non-public information to agree in
     writing:

               (1) to be bound by this Section 10.12; and

               (2) to require such Person to require any other Person to whom
          such Person discloses such non-public information to be similarly
          bound by this Section 10.12; and

          (iii) except as may be required by an order of a court of competent
     jurisdiction and to the extent set forth therein, no Lender shall be
     obligated or required to return any materials furnished by any Credit
     Party.

     SECTION 10.13 Other Transactions. Nothing contained herein shall preclude
the Agent or any other Lender from engaging in any transaction, in addition to
those contemplated by this Agreement or any other Loan Document, with the
Borrower or any of its Affiliates in which Borrower or such Affiliate is not
restricted hereby from engaging with any other Person.

                                      -74-
<PAGE>

     SECTION 10.14 Forum Selection and Consent to Jurisdiction. ANY LITIGATION
BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR
ANY OTHER LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF THE AGENT, THE LENDERS OR ANY CREDIT
PARTY SHALL BE BROUGHT AND MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF
ILLINOIS OR IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF
ILLINOIS; PROVIDED, HOWEVER, THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY
COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT THE AGENT'S OPTION, IN THE
COURTS OF ANY JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND.
THE BORROWER HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE
COURTS OF THE STATE OF ILLINOIS AND OF THE UNITED STATES DISTRICT COURT FOR THE
NORTHERN DISTRICT OF ILLINOIS FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET
FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY
IN CONNECTION WITH SUCH LITIGATION. BORROWER FURTHER IRREVOCABLY CONSENTS TO THE
SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE
WITHIN OR WITHOUT THE STATE OF ILLINOIS. THE BORROWER HEREBY EXPRESSLY AND
IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH
IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION
BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH
LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT THE
BORROWER HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY
COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT
PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO
ITSELF OR ITS PROPERTY, EACH SUCH CREDIT PARTY HEREBY IRREVOCABLY WAIVES SUCH
IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THIS AGREEMENT AND THE OTHER LOAN
DOCUMENTS.

     SECTION 10.15 Waiver of Jury Trial. THE AGENT, THE LENDERS AND THE BORROWER
HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE ANY RIGHTS THEY MAY HAVE
TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING OUT OF,
UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT, OR ANY
COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN) OR
ACTIONS OF THE AGENT, THE LENDERS OR THE BORROWER. THE BORROWER ACKNOWLEDGES AND
AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION
(AND EACH OTHER PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY)
AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE AGENT AND THE

                                      -75-
<PAGE>

LENDERS ENTERING INTO THIS AGREEMENT AND EACH SUCH OTHER LOAN DOCUMENT.

                               *    *    *

                                      -76-
<PAGE>

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

                              NOVAMED EYECARE, INC.

                              By
                                ----------------------------------
                                   Title:

                              NATIONAL CITY BANK OF
                              MICHIGAN/ILLINOIS,
                              Individually as a Lender, as Letter of Credit
                              Issuer and as Agent
                              By
                                ----------------------------------
                                   Title:

                              LASALLE BANK NATIONAL ASSOCIATION
                              Individually as a Lender
                              By
                                ----------------------------------
                                   Title:

                              THE NORTHERN TRUST COMPANY
                              Individually as a Lender
                              By
                                ----------------------------------
                              Title:

                              BANK OF AMERICA, N.A.
                              Individually as a Lender
                              By
                                ----------------------------------
                                   Title:
<PAGE>

                                                                   Schedule 10.1
                                                                   -------------

                             COMMITMENT PERCENTAGES

--------------------------------------------------------------------------------
       Name of Bank          Amount of Commitment    Percentage of aggregate
                                                     Revolving Commitment Amount
--------------------------------------------------------------------------------
National City Bank of            $17,500,000                    35%
 Michigan/Illinois
--------------------------------------------------------------------------------
Lasalle Bank National            $15,000,000                    30%
 Association
--------------------------------------------------------------------------------
The Northern Trust Company       $12,500,000                    25%
--------------------------------------------------------------------------------
Bank of America, N.A.            $ 5,000,000                    10%
--------------------------------------------------------------------------------
Totals                           $50,000,000                    100%
--------------------------------------------------------------------------------

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