Document:

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                                                                     EXHIBIT 4.6

                                                                  EXECUTION COPY

                           SELECT MEDICAL CORPORATION

                                  $660,000,000

                    7 5/8% SENIOR SUBORDINATED NOTES DUE 2015

                   EXCHANGE AND REGISTRATION RIGHTS AGREEMENT

                                February 24, 2005

MERRILL LYNCH, PIERCE, FENNER & SMITH
             INCORPORATED
J.P. MORGAN SECURITIES INC.
WACHOVIA CAPITAL MARKETS, LLC
CIBC WORLD MARKETS CORP.
PNC CAPITAL MARKETS, INC.
c/o Merrill Lynch & Co.
    Merrill Lynch, Pierce, Fenner & Smith
    Incorporated
4 World Financial Center
New York, New York  10080

                  EGL Acquisition Corp., a Delaware corporation ("EGL"),
proposes to issue and sell to Merrill Lynch, Pierce, Fenner & Smith
Incorporated, J.P. Morgan Securities Inc., Wachovia Capital Markets, LLC, CIBC
World Markets Corp. and PNC Capital Markets, Inc. (collectively, the "Initial
Purchasers"), upon the terms and subject to the conditions set forth in a
purchase agreement dated February 3, 2005 (the "Purchase Agreement"),
$660,000,000 aggregate principal amount of its 7 5/8% Senior Subordinated Notes
due 2015 (the "Securities") to be assumed by Select Medical Corporation, a
Delaware corporation (the "Company"), upon the closing of the Merger (defined
below) and to be jointly and severally guaranteed on a senior subordinated basis
following the closing of the Merger by the subsidiaries of the Company listed on
Schedule I and signatories hereto (the "Guarantors"). Capitalized terms used but
not defined herein shall have the meanings given to such terms in the Purchase
Agreement.

                  On October 17, 2004, EGL, the Company and EGL Holding Company,
a Delaware corporation ("Holdings"), entered into a Merger Agreement (the
"Merger Agreement") pursuant to which, on the date hereof, EGL will be merged
(the "Merger") with and into the Company with the Company continuing as the
surviving corporation and a wholly-owned subsidiary of Holdings.

                  As contemplated by the Purchase Agreement, EGL, the Company
and the Guarantors agree with the Initial Purchasers, for the benefit of the
holders (including the Initial Purchasers) of the Securities and the Exchange
Securities (as defined herein) (collectively, the "Holders"), as follows:

                  1. Registered Exchange Offer. Unless doing so would be
prohibited by applicable law, rules, regulations or policy of the Commission,
the Company and the Guarantors shall (i) prepare and, not later than 150 days
following the closing date of the Merger (the "Closing Date"), file with the
Commission a registration statement (as amended or supplemented from time to
time, the "Exchange Offer Registration Statement") on an appropriate form under
the Securities Act with re-

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spect to a proposed offer to the Holders of the Securities (the "Registered
Exchange Offer") who are not prohibited by any applicable law, rules,
regulations or policy of the Commission from participating in the Registered
Exchange Offer to issue and deliver to such Holders, in exchange for the
Securities held by such Holders, a like aggregate principal amount of debt
securities of the Company (the "Exchange Securities") that are identical in all
material respects to the Securities, except for the transfer restrictions
relating to the Securities and the provisions related to the matters described
in Section 3 hereof, (ii) use their commercially reasonable efforts to cause the
Exchange Offer Registration Statement to become effective under the Securities
Act no later than 240 days after the Closing Date and the Registered Exchange
Offer to be consummated no later than 270 days after the Closing Date and (iii)
keep the Exchange Offer Registration Statement effective for not less than 30
days (or longer, if required by applicable law) after the date on which notice
of the Registered Exchange Offer is mailed to the Holders (such period being
called the "Exchange Offer Registration Period"). The Exchange Securities will
be issued under the Indenture or an indenture (the "Exchange Securities
Indenture") between the Company, the Guarantors and the Trustee or such other
bank or trust company that is reasonably satisfactory to the Initial Purchasers,
as trustee (the "Exchange Securities Trustee"), such indenture to be identical
in all material respects to the Indenture, except for the transfer restrictions
relating to the Securities (as described above) and the provisions related to
the matters described in Section 3 hereof.

                  Upon the effectiveness of the Exchange Offer Registration
Statement, the Company and the Guarantors shall promptly commence the Registered
Exchange Offer, it being the objective of such Registered Exchange Offer to
enable each Holder electing to exchange Securities for Exchange Securities
(assuming that such Holder (a) is not an affiliate of the Company or an
Exchanging Dealer (as defined herein) not complying with the requirements of the
next sentence, (b) is not an Initial Purchaser holding Securities that have, or
that are reasonably likely to have, the status of an unsold allotment in an
initial distribution, (c) acquires the Exchange Securities in the ordinary
course of such Holder's business and (d) has no arrangements or understandings
with any person to participate in the distribution of the Exchange Securities
and is not prohibited by applicable law, rules, regulations or policy of the
Commission from participating in the Registered Exchange Offer) and to trade
such Exchange Securities from and after their receipt without any limitations or
restrictions under the Securities Act (it being understood that the requirement
that an Exchanging Dealer or Initial Purchaser deliver the prospectus contained
in the Exchange Offer Registration Statement in connection with the sale of
Exchange Securities shall not result in such Exchange Securities being not
"freely transferable") and without material restrictions under the securities
laws of the several states of the United States. EGL, the Company, the
Guarantors, the Initial Purchasers and each Exchanging Dealer acknowledge that,
pursuant to current interpretations by the Commission's staff of Section 5 of
the Securities Act, each Holder that is a broker-dealer electing to exchange
Securities, acquired for its own account as a result of market-making activities
or other trading activities, for Exchange Securities (an "Exchanging Dealer"),
is required to deliver a prospectus containing substantially the information set
forth in Annex A hereto on the cover of such prospectus, in Annex B hereto in
the sections of such prospectus that set forth the details of the exchange offer
procedures and in Annex C hereto in the "Plan of Distribution" section of such
prospectus in connection with a sale of any such Exchange Securities received by
such Exchanging Dealer pursuant to the Registered Exchange Offer.

                  In connection with the Registered Exchange Offer, the Company
shall:

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

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                  (b) keep the Registered Exchange Offer open for not less than
         30 days (or longer, if required by applicable law) after the date on
         which notice of the Registered Exchange Offer is mailed to the Holders;

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

                  (d) permit Holders to withdraw tendered Securities at any time
         prior to the close of business, New York City time, on the last
         business day on which the Registered Exchange Offer shall remain open;
         and

                  (e) otherwise comply in all material respects with all laws
         that are applicable to the Registered Exchange Offer.

                  Promptly after the close of the Registered Exchange Offer the
Company shall:

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

                  (b) deliver to the Trustee for cancellation all Securities so
         accepted for exchange; and

                  (c) cause the Trustee or the Exchange Securities Trustee, as
         the case may be, promptly to authenticate and deliver to each Holder,
         Exchange Securities equal in principal amount to the Securities of such
         Holder so accepted for exchange.

                  The Company and the Guarantors shall use their commercially
reasonable efforts to keep the Exchange Offer Registration Statement effective
and to amend and supplement the prospectus contained therein in order to permit
such prospectus to be used by all Exchanging Dealers subject to the prospectus
delivery requirements of the Securities Act for such period of time as such
persons must comply with such requirements in order to resell the Exchange
Securities; provided that such period shall not exceed 180 days. The Company
shall make such prospectus and any amendment or supplement thereto available to
any broker-dealer for use in connection with any resale of any Exchange
Securities for a period of not less than 180 days after the consummation of the
Registered Exchange Offer.

                  The Indenture or the Exchange Securities Indenture, as the
case may be, shall provide that the Securities and the Exchange Securities shall
vote and consent together on all matters as one class and that none of the
Securities or the Exchange Securities will have the right to vote or consent as
a separate class from one another on any matter.

                  Interest on each Exchange Security issued pursuant to the
Registered Exchange Offer will accrue from the last interest payment date on
which interest was paid on the Securities surrendered in exchange therefor or,
if no interest has been paid on the Securities, from the Closing Date.

                  Each Holder participating in the Registered Exchange Offer
shall be required to represent to the Company in writing that at the time of the
consummation of the Registered Exchange Offer (i) any Exchange Securities
received by such Holder will be acquired in the ordinary course of business,
(ii) such Holder will have no arrangements or understanding with any person to
participate in the

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distribution of the Securities or the Exchange Securities within the meaning of
the Securities Act, (iii) such Holder is not an affiliate of the Company or, if
it is such an affiliate, such Holder will comply with the registration and
prospectus delivery requirements of the Securities Act to the extent applicable,
(iv) if such Holder is not a broker-dealer, that it is not engaged in, and does
not intend to engage in, the distribution of the Exchange Securities and (v) if
such Holder is a broker-dealer, that it will receive Exchange Securities for its
own account in exchange for Securities that were acquired as a result of
market-making activities or other trading activities and that it will be
required to acknowledge that it will deliver a prospectus in connection with any
resale of such Exchange Securities.

                  Notwithstanding any other provisions hereof, the Company and
the Guarantors will ensure that (i) any Exchange Offer Registration Statement
and any amendment thereto and any prospectus forming part thereof and any
supplement thereto complies in all material respects with the Securities Act and
the rules and regulations of the Commission thereunder, (ii) any Exchange Offer
Registration Statement and any amendment thereto does not, when it becomes
effective, contain an untrue statement of a material fact or omit to state a
material fact required to be stated therein or necessary to make the statements
therein not misleading and (iii) any prospectus forming part of any Exchange
Offer Registration Statement, and any supplement to such prospectus, does not,
as of the consummation of the Registered Exchange Offer, include an untrue
statement of a material fact or omit to state a material fact necessary in order
to make the statements therein, in the light of the circumstances under which
they were made, not misleading.

                  2. Shelf Registration. If (i) the Company and the Guarantors
are not permitted under applicable law, rules, regulations or Commission policy
to effect the Registered Exchange Offer as contemplated by Section 1 hereof , or
(ii) the Registered Exchange Offer is not for any other reason consummated prior
to the later of (x) the 60th day following the effectiveness of the Exchange
Offer Registration Statement and (y) the 270th day after the Closing Date, or
(iii) prior to the 30th day following completion of the Registered Exchange
Offer, any Initial Purchaser so requests in writing with respect to Securities
not eligible to be exchanged for Exchange Securities in the Registered Exchange
Offer and held by it following the consummation of the Registered Exchange Offer
or a broker-dealer notifies us that it holds Securities acquired directly from
the Company or an Affiliate of the Company, or (iv) prior to the 30th day
following completion of the Registered Exchange Offer, any Holder notifies us
that, due to any change or development in law, rules, regulations or Commission
policy, (A) such Holder is not permitted to participate in the Registered
Exchange Offer or (B) such Holder will not receive freely transferable Exchange
Securities in exchange for tendered Securities (it being understood that a
requirement that a Holder deliver the prospectus contained in the Exchange Offer
Registration Statement in connection with the sale of Exchange Securities shall
not result in such Exchange Securities being not "freely transferable"), then
the following provisions shall apply:

                  (a) The Company and the Guarantors shall use their
         commercially reasonable efforts to file prior to the later of (i) 270
         days after the Closing Date and (ii) 120 days after the obligation to
         file arises pursuant to this Section 2, and thereafter shall use their
         commercially reasonable efforts to cause to be declared effective as
         promptly as practical on or prior to 210 days after such filing, a
         shelf registration statement on an appropriate form under the
         Securities Act relating to the offer and sale of the Transfer
         Restricted Securities (as defined below) by the Holders thereof from
         time to time in accordance with the methods of distribution set forth
         in such registration statement (as amended or supplemented from time to
         time, hereafter, a "Shelf Registration Statement" and, together with
         any Exchange Offer Registration Statement, a "Registration Statement")
         provided, however, that no Holder (other than an Initial Purchaser)
         shall be entitled to have the Securities or the Exchange Securities
         held by it covered by the Shelf Registration Statement unless such
         Holder agrees in writing to be bound by

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         all the provisions of this Agreement applicable to such Holder (it
         being agreed that each Initial Purchaser's agreement thereto is
         evidenced by the execution of this Agreement by or on its behalf).

                  (b) The Company and the Guarantors shall use their
         commercially reasonable efforts to keep the Shelf Registration
         Statement continuously effective and available in order to permit the
         prospectus forming part thereof to be used by Holders of Transfer
         Restricted Securities for a period ending on the earlier of (i) two
         years from the date of issuance of the Securities or such shorter
         period that will terminate when all the Transfer Restricted Securities
         covered by the Shelf Registration Statement have been sold pursuant
         thereto and (ii) the date on which such Securities become eligible for
         resale without restrictions pursuant to clauses (c), (e), (f) and (h)
         of Rule 144 under the Securities Act (in any such case, such period
         being called the "Shelf Registration Period").

                  (c) Notwithstanding any other provisions hereof, the Company
         and the Guarantors will ensure that (i) any Shelf Registration
         Statement and any amendment thereto and any prospectus forming part
         thereof and any supplement thereto complies in all material respects
         with the Securities Act and the rules and regulations of the Commission
         thereunder, (ii) any Shelf Registration Statement and any amendment
         thereto (in either case, other than with respect to information
         included therein in reliance upon or in conformity with written
         information furnished to the Company by or on behalf of any Holder
         specifically for use therein (the "Holders' Information")) does not
         contain an untrue statement of a material fact or omit to state a
         material fact required to be stated therein or necessary to make the
         statements therein not misleading and (iii) any prospectus forming part
         of any Shelf Registration Statement, and any supplement to such
         prospectus (in either case, other than with respect to Holders'
         Information), does not include an untrue statement of a material fact
         or omit to state a material fact necessary in order to make the
         statements therein, in the light of the circumstances under which they
         were made, not misleading.

                  3. Additional Interest.

                  (a) The parties hereto agree that the Holders of Transfer
Restricted Securities will suffer damages if the Company and the Guarantors fail
to fulfill their obligations under Section 1 or Section 2, as applicable, and
that it would not be feasible to ascertain the extent of such damages.
Accordingly, if (i) the Company and the Guarantors fail to file the Exchange
Offer Registration Statement on or before the 150th day after the Closing Date
or fail to file the Shelf Registration Statement on or prior to the later of the
270th day after the Closing Date and 120 days after the obligation to file the
Shelf Registration Statement arises under Section 2, (ii) the Exchange Offer
Registration Statement is not declared effective on or prior to the 240th day
after the Closing Date or the Shelf Registration Statement is not declared
effective on or before the 210th day after the filing of the Shelf Registration
Statement, (iii) the Registered Exchange Offer is not consummated on or prior to
the 300th day after the Closing Date and the Shelf Registration Statement is not
declared effective by the Commission on or prior to the 210th day after the
filing of the Shelf Registration Statement, or (iv) the Shelf Registration
Statement is filed and declared effective within the time periods required by
Section 2 but, thereafter ceases to be effective or available for the Holders of
Transfer Restricted Securities in connection with the offer and sale such
Transfer Restricted Securities during the period that the Company and the
Guarantors are obligated to maintain the effectiveness thereof (unless such
Shelf Registration Statement is succeeded by another Shelf Registration
Statement filed and declared effective within 30 days of the date such Shelf
Registration Statement ceased to be effective or such Shelf Registration
Statement otherwise becomes available again within 30 days (so long as the
aggregate number of days for

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which a Shelf Registration Statement has not been effective and available for
the Holders of Transfer Restricted Securities to offer and sell such Transfer
Restricted Securities does not exceed 45 days within any 90 day period or 60
days within any 12-month period) (each such event referred to in clauses (i)
through (iv), a "Registration Default"), the Company and the Guarantors will be
jointly and severally obligated to pay, as liquidated damages, additional
interest ("Additional Interest") to each Holder of Transfer Restricted
Securities as to which such Registration Default relates, with respect to the
first 90-day period (or portion thereof) while a Registration Default is
continuing immediately following the occurrence of such Registration Default, at
a rate equal to 0.25% per annum of the principal amount of such Transfer
Restricted Securities held by such Holder until (i) the applicable Registration
Statement is filed, (ii) the applicable Registration Statement is declared
effective, (iii) the Registered Exchange Offer is consummated, or (iv) the Shelf
Registration Statement again becomes effective and available, as the case may
be. The amount of Additional Interest payable to each Holder of Transfer
Restricted Securities shall increase by an additional 0.25% per annum of the
principal amount of Transfer Restricted Securities held by such Holder at the
end of each subsequent 90-day period (or portion thereof) while a Registration
Default is continuing until all Registration Defaults with respect to such
Transfer Restricted Securities have been cured, up to an aggregate maximum rate
of 1.00% per annum of the principal amount of such Transfer Restricted
Securities. Additional Interest shall be computed based on the actual number of
days elapsed during which any such Registration Default exists. Immediately
following the cure of a Registration Default, the accrual of Additional Interest
with respect to such Registration Default will cease and the interest rate will
revert to the original rate. As used herein, the term "Transfer Restricted
Securities" means each Security, until the earliest to occur of: (i) the date on
which such Security has been exchanged for a freely transferable Exchange
Security in the Registered Exchange Offer (it being understood that the
requirement that an Exchanging Dealer or Initial Purchaser deliver the
prospectus contained in the Exchange Offer Registration Statement in connection
with the sale of Exchange Securities shall not result in such Exchange
Securities being not "freely transferable"), (ii) the date on which such
Security has been effectively registered under the Securities Act and disposed
of in accordance with the Shelf Registration Statement or (iii) the date on
which such Security is distributed to the public pursuant to Rule 144 under the
Securities Act or is saleable pursuant to Rule 144(k) under the Securities Act.
Notwithstanding anything to the contrary in this Section 3(a), neither the
Company nor the Guarantors shall be required to pay Additional Interest to a
Holder of Transfer Restricted Securities if such Holder failed to comply with
its obligations to make the representations set forth in the second to last
paragraph of Section 1 or failed to provide the information required to be
provided by it, if any, pursuant to Section 4(n). Notwithstanding any provision
herein to the contrary, Additional Interest shall not accrue on any Security
that is no longer a Transfer Restricted Security and the amount of Additional
Interest shall not increase over the rates set forth above because more than one
Registration Default has occurred and is pending.

                  (b) The Company shall notify the Trustee and the Paying Agent
under the Indenture immediately upon the happening of each and every
Registration Default. The Company and the Guarantors shall pay the additional
interest due on the Transfer Restricted Securities by depositing with the Paying
Agent (which may not be the Company for these purposes), in trust, for the
benefit of the Holders thereof, prior to 10:00 a.m., New York City time, on the
next interest payment date specified by the Indenture and the Securities, sums
sufficient to pay the additional interest then due. The additional interest due
shall be payable on each interest payment date specified by the Indenture and
the Securities to the record holder entitled to receive the interest payment to
be made on such date. Each obligation to pay additional interest shall be deemed
to accrue from and including the date of the applicable Registration Default.

                  (c) The parties hereto agree that the additional interest
provided for in this Section 3 constitutes a reasonable estimate of and are
intended to constitute the sole damages that will be

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suffered by Holders of Transfer Restricted Securities by reason of the failure
of any Registration Default.

                  4. Registration Procedures. In connection with any
Registration Statement, the following provisions shall apply:

                  (a) The Company shall (i) furnish to each Initial Purchaser
         and counsel for the Initial Purchasers, to the extent requested in
         writing, prior to the filing thereof with the Commission, a copy of the
         Registration Statement and each amendment thereof and each supplement,
         if any, to the prospectus included therein and shall use its
         commercially reasonable efforts to reflect in each such document, when
         so filed with the Commission, such comments as any Initial Purchaser
         may reasonably propose; (ii) include the information set forth in Annex
         A hereto on the cover, in Annex B hereto in the sections setting forth
         the details of the exchange offer procedures and in Annex C hereto in
         the "Plan of Distribution" section of the prospectus forming a part of
         the Exchange Offer Registration Statement, and include the information
         set forth in Annex D hereto in the Letter of Transmittal delivered
         pursuant to the Registered Exchange Offer; and (iii) if requested in
         writing by any Initial Purchaser, include the information required by
         Items 507 or 508 of Regulation S-K, as applicable, in the prospectus
         forming a part of the Exchange Offer Registration Statement.

                  (b) The Company shall advise each Initial Purchaser, each
         Exchanging Dealer under any Exchange Offer Registration Statement that
         has provided in writing to the Issuer a telephone or facsimile number
         and address for notices, and the Holders (if applicable) who are named
         as selling security holders in the prospectus forming part of a Shelf
         Registration Statement and, if requested by any such person in writing,
         confirm such advice in writing (which advice pursuant to clauses (ii) -
         (v) hereof shall be accompanied by an instruction to suspend the use of
         the prospectus until the requisite changes have been made):

                           (i) when any Registration Statement and any amendment
                  thereto has been filed with the Commission and when such
                  Registration Statement or any post-effective amendment thereto
                  has become effective;

                           (ii) of any request by the Commission for amendments
                  or supplements to any Registration Statement or the prospectus
                  included therein or for additional information;

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

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

                           (v) of the happening of any event that requires the
                  making of any changes in any Registration Statement or the
                  prospectus included therein in order that they do not contain
                  any untrue statement of a material fact and do not omit to
                  state a material fact required to be stated therein or
                  necessary to make the statements therein (in case of the
                  prospectus, in light of the circumstances under which they
                  were made) not misleading.

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                  (c) The Company and the Guarantors will use commercially
         reasonable efforts to obtain the withdrawal at the earliest possible
         time of any order suspending the effectiveness of any Registration
         Statement.

                  (d) The Company will furnish, upon written request, to each
         Holder of Transfer Restricted Securities included within the coverage
         of any Shelf Registration Statement, without charge, at least one
         conformed copy of such Shelf Registration Statement and any
         post-effective amendment thereto, including financial statements and
         schedules and, if any such Holder so requests in writing, all exhibits
         thereto (including those, if any, incorporated by reference).

                  (e) The Company will, during the Shelf Registration Period,
         promptly deliver to each Holder of Transfer Restricted Securities
         included within the coverage of any Shelf Registration Statement,
         without charge, as many copies of the prospectus (including each
         preliminary prospectus) included in such Shelf Registration Statement
         and any amendment or supplement thereto as such Holder may reasonably
         request in writing; and the Company consents, subject to the provisions
         of this Agreement to the use of such prospectus or any amendment or
         supplement thereto by each of the selling Holders of Transfer
         Restricted Securities in connection with the offer and sale of the
         Transfer Restricted Securities covered by such prospectus or any
         amendment or supplement thereto.

                  (f) The Company will furnish to each Initial Purchaser and
         each Exchanging Dealer, and to any other Holder who so requests in
         writing, without charge, at least one conformed copy of the Exchange
         Offer Registration Statement and any post-effective amendment thereto,
         including financial statements and schedules and, if any Initial
         Purchaser or Exchanging Dealer or any such Holder so requests in
         writing, all exhibits thereto (including those, if any, incorporated by
         reference).

                  (g) The Company will, during the Exchange Offer Registration
         Period or the Shelf Registration Period, as applicable, promptly
         deliver to each Initial Purchaser, each Exchanging Dealer and such
         other persons that are required to deliver a prospectus following the
         Registered Exchange Offer, without charge, as many copies of the final
         prospectus included in the Exchange Offer Registration Statement or the
         Shelf Registration Statement and any amendment or supplement thereto as
         such Initial Purchaser, Exchanging Dealer or other persons may
         reasonably request in writing; and the Company and the Guarantors
         consent to the use of such prospectus or any amendment or supplement
         thereto by any such Initial Purchaser, Exchanging Dealer or other
         persons, as applicable, as aforesaid.

                  (h) Prior to the effective date of any Registration Statement,
         the Company and the Guarantors will use their commercially reasonable
         efforts to register or qualify, or cooperate with the Holders of
         Securities or Exchange Securities included therein and their respective
         counsel in connection with the registration or qualification of, such
         Securities or Exchange Securities for offer and sale under the
         securities or blue sky laws of such jurisdictions as any such Holder
         reasonably requests in writing and do any and all other acts or things
         necessary or advisable to enable the offer and sale in such
         jurisdictions of the Securities or Exchange Securities covered by such
         Registration Statement; provided that neither the Company nor any
         Guarantor will be required to qualify generally to do business in any
         jurisdiction where it is not then so qualified or to take any action
         which would subject it to general service of process or to taxation in
         any such jurisdiction where it is not then so subject.

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                  (i) The Company and the Guarantors will cooperate with the
         Holders of Securities or Exchange Securities to facilitate the timely
         preparation and delivery of certificates representing Securities or
         Exchange Securities to be sold pursuant to any Registration Statement
         free of any restrictive legends and in such denominations and
         registered in such names as the Holders thereof may request in writing
         prior to sales of Securities or Exchange Securities pursuant to such
         Registration Statement.

                  (j) If any event contemplated by Section 4(b)(ii) through (v)
         occurs during the period for which the Company and the Guarantors are
         required to maintain an effective Registration Statement, the Company
         will promptly prepare and file with the Commission a post-effective
         amendment to the Registration Statement or a supplement to the related
         prospectus or file any other required document so that, as thereafter
         delivered to purchasers of the Securities or Exchange Securities from a
         Holder, the prospectus will not include an untrue statement of a
         material fact or omit to state a material fact necessary in order to
         make the statements therein, in the light of the circumstances under
         which they were made, not misleading.

                  (k) Not later than the effective date of the applicable
         Registration Statement, the Company will provide a CUSIP number for the
         Securities and the Exchange Securities, as the case may be, and provide
         the applicable trustee with printed certificates for the Securities or
         the Exchange Securities, as the case may be, in a form eligible for
         deposit with The Depository Trust Company (it being further agreed
         that, if requested in writing by any Initial Purchaser, subject to
         applicable legal requirements, the Company shall use its commercially
         reasonable efforts to cause any Transferred Restricted Securities
         having the status of (or reasonably likely to have the status of) an
         unsold allotment that are included in any Shelf Registration Statement
         by any such Initial Purchaser to (i) bear the same CUSIP numbers as the
         Exchange Securities and (ii) be governed by the same indenture as the
         Exchange Securities and to vote as a single class with the Exchange
         Securities on all matters under such indneture).

                  (l) The Company and the Guarantors will comply in all material
         respects with all applicable rules and regulations of the Commission
         and will make generally available to its security holders as soon as
         practicable after the effective date of the applicable Registration
         Statement an earning statement satisfying the provisions of Section
         11(a) of the Securities Act; provided that in no event shall such
         earning statement be delivered later than 45 days after the end of a
         12-month period (or 90 days, if such period is a fiscal year) beginning
         with the first month of the Company's first fiscal quarter commencing
         after the effective date of the applicable Registration Statement,
         which statement shall cover such 12-month period.

                  (m) The Company and the Guarantors will cause the Indenture or
         the Exchange Securities Indenture, as the case may be, to be qualified
         under the Trust Indenture Act as required by applicable law in a timely
         manner.

                  (n) The Company may require each Holder of Transfer Restricted
         Securities to be registered pursuant to any Shelf Registration
         Statement to furnish to the Company such information concerning the
         Holder and the distribution of such Transfer Restricted Securities as
         the Company may from time to time reasonably require for inclusion in
         such Shelf Registration Statement, and the Company may exclude from
         such registration the Transfer Restricted Securities of any Holder that
         fails to furnish such information within a reasonable time after
         receiving such request.

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                  (o) In the case of a Shelf Registration Statement, each Holder
         of Transfer Restricted Securities to be registered pursuant thereto
         agrees by acquisition of such Transfer Restricted Securities that, upon
         receipt of any notice from the Company pursuant to Section 4(b)(ii)
         through (v), such Holder will discontinue disposition of such Transfer
         Restricted Securities until such Holder's receipt of copies of the
         supplemental or amended prospectus contemplated by Section 4(j) or
         until advised in writing (the "Advice") by the Company that the use of
         the applicable prospectus may be resumed. If the Company shall give any
         notice under Section 4(b)(ii) through (v) during the period that the
         Company is required to maintain an effective Registration Statement
         (the "Effectiveness Period"), such Effectiveness Period shall be
         extended by the number of days during such period from and including
         the date of the giving of such notice to and including the date when
         each seller of Transfer Restricted Securities covered by such
         Registration Statement shall have received (x) the copies of the
         supplemental or amended prospectus contemplated by Section 4(j) (if an
         amended or supplemental prospectus is required) or (y) the Advice (if
         no amended or supplemental prospectus is required).

                  (p) In the case of a Shelf Registration Statement, the Company
         and the Guarantors shall enter into such customary agreements
         (including, if requested, an underwriting agreement in customary form)
         and use commercially reasonable efforts to take all such other action,
         if any, as Holders of a majority in aggregate principal amount of the
         Securities and Exchange Securities being sold or the managing
         underwriters (if any) shall reasonably request in order to facilitate
         any disposition of Securities or Exchange Securities pursuant to such
         Shelf Registration Statement.

                  (q) In the case of a Shelf Registration Statement, the Company
         shall (i) make reasonably available for inspection by a representative
         of, and Special Counsel (as defined below) acting for, Holders of a
         majority in aggregate principal amount of the Securities and Exchange
         Securities being sold and any underwriter participating in any
         disposition of Securities or Exchange Securities pursuant to such Shelf
         Registration Statement, all relevant financial and other records,
         pertinent corporate documents and properties of the Company and its
         subsidiaries and (ii) use its commercially reasonable efforts to have
         its officers, directors, employees, accountants and counsel make
         reasonably available all relevant information reasonably requested by
         such representative, Special Counsel or any such underwriter in
         connection with such Shelf Registration Statement; provided, however,
         that the foregoing inspection and information gathering shall be
         coordinated on behalf of the such persons by the Special Counsel and
         all such information shall be kept confidential by the recipients and
         their representatives pursuant to a customary confidentiality agreement
         for due diligence investigations by selling security holders in
         offerings registered under the Securities Act to be executed by such
         recipients prior to receiving such information.

                  (r) In the case of a Shelf Registration Statement, the Company
         shall, if requested by Holders of a majority in aggregate principal
         amount of the Securities and Exchange Securities being sold, their
         Special Counsel or the managing underwriters (if any) in connection
         with such Shelf Registration Statement, use its commercially reasonable
         efforts to cause (i) its counsel to deliver an opinion relating to the
         Shelf Registration Statement and the Securities or Exchange Securities,
         as applicable, in customary form, (ii) its officers to execute and
         deliver all customary documents and certificates reasonably requested
         by Holders of a majority in aggregate principal amount of the
         Securities and Exchange Securities being sold, their Special Counsel or
         the managing underwriters (if any) and (iii) its independent public
         accountants to provide a comfort letter or letters in customary form,
         subject to receipt of appropriate documentation as contemplated, and
         only if permitted, by Statement of Auditing Standards No. 72.

                                      -10-
<PAGE>

                  5. Registration Expenses. The Company and the Guarantors will
bear all expenses incurred in connection with the performance of their
obligations under Sections 1, 2 and 4 and the Company will reimburse the Initial
Purchasers and the Holders for the reasonable fees and disbursements of one firm
of attorneys (in addition to any local counsel) chosen by the Holders of a
majority in aggregate principal amount of the Securities and the Exchange
Securities to be sold pursuant to each Registration Statement (the "Special
Counsel") acting for the Initial Purchasers or Holders in connection therewith.

                  6. Indemnification.

                  (a) In the event of a Shelf Registration Statement or in
connection with any prospectus delivery pursuant to an Exchange Offer
Registration Statement by an Initial Purchaser or Exchanging Dealer, as
applicable, the Company and each of the Guarantors shall jointly and severally
indemnify and hold harmless each Holder (including, without limitation, any such
Initial Purchaser or Exchanging Dealer), its affiliates, their respective
officers, directors, employees, representatives and agents, and each person, if
any, who controls such Holder within the meaning of the Securities Act or the
Exchange Act (collectively referred to for purposes of this Section 6 and
Section 7 as a Holder) from and against any loss, claim, damage or liability,
joint or several, or any action in respect thereof (including, without
limitation, any loss, claim, damage, liability or action relating to purchases
and sales of Securities or Exchange Securities), to which that Holder may become
subject, whether commenced or threatened, under the Securities Act, the Exchange
Act, any other federal or state statutory law or regulation, at common law or
otherwise, insofar as such loss, claim, damage, liability or action arises out
of, or is based upon, (i) any untrue statement or alleged untrue statement of a
material fact contained in any such Registration Statement or any prospectus
forming part thereof or in any amendment or supplement thereto or (ii) the
omission or alleged omission to state therein a material fact required to be
stated therein or necessary in order to make the statements therein, in the
light of the circumstances under which they were made, not misleading, and shall
reimburse each Holder promptly upon demand for any legal or other expenses
reasonably incurred by that Holder in connection with investigating or defending
or preparing to defend against or appearing as a third party witness in
connection with any such loss, claim, damage, liability or action as such
expenses are incurred; provided, however, that the Company and the Guarantors
shall not be liable in any such case to the extent that any such loss, claim,
damage, liability or action arises out of, or is based upon, an untrue statement
or alleged untrue statement in or omission or alleged omission from any of such
documents in reliance upon and in conformity with any Holders' Information; and
provided, further, that with respect to any such untrue statement in or omission
from any related preliminary prospectus, the indemnity agreement contained in
this Section 6(a) shall not inure to the benefit of any Holder from whom the
person asserting any such loss, claim, damage, liability or action received
Securities or Exchange Securities to the extent that such loss, claim, damage,
liability or action of or with respect to such Holder results from the fact that
both (A) a copy of the final prospectus was not sent or given to such person at
or prior to the written confirmation of the sale of such Securities or Exchange
Securities to such person and (B) the untrue statement in or omission from the
related preliminary prospectus was corrected in the final prospectus unless, in
either case, such failure to deliver the final prospectus was a result of
non-compliance by the Company with Section 4(d), 4(e), 4(f) or 4(g).

                  (b) In the event of a Shelf Registration Statement, each
Holder shall indemnify and hold harmless the Company, each Guarantor and their
respective affiliates, their respective officers, directors, employees,
representatives and agents, and each person, if any, who controls the Company or
any Guarantor within the meaning of the Securities Act or the Exchange Act
(collectively referred to for purposes of this Section 6(b) and Section 7 as the
Company), from and against any loss, claim, damage or liability, joint or
several, or any action in respect thereof, to which the Company

                                      -11-
<PAGE>

may become subject, whether commenced or threatened, under the Securities Act,
the Exchange Act, any other federal or state statutory law or regulation, at
common law or otherwise, insofar as such loss, claim, damage, liability or
action arises out of, or is based upon, (i) any untrue statement or alleged
untrue statement of a material fact contained in any such Registration Statement
or any prospectus forming part thereof or in any amendment or supplement thereto
or (ii) the omission or alleged omission to state therein a material fact
required to be stated therein or necessary in order to make the statements
therein, in the light of the circumstances under which they were made, not
misleading, but in each case only to the extent that the untrue statement or
alleged untrue statement or omission or alleged omission was made in reliance
upon and in conformity with any Holders' Information furnished to the Company by
such Holder, and shall reimburse the Company for any legal or other expenses
reasonably incurred by the Company in connection with investigating or defending
or preparing to defend against or appearing as a third party witness in
connection with any such loss, claim, damage, liability or action as such
expenses are incurred; provided, however, that no such Holder shall be liable
for any indemnity claims hereunder in excess of the amount of net proceeds
received by such Holder from the sale of Securities or Exchange Securities
pursuant to such Shelf Registration Statement.

                  (c) Promptly after receipt by an indemnified party under this
Section 6 of notice of any claim or the commencement of any action, the
indemnified party shall, if a claim in respect thereof is to be made against the
indemnifying party pursuant to Section 6(a) or 6(b), notify the indemnifying
party in writing of the claim or the commencement of that action; provided,
however, that the failure to notify the indemnifying party shall not relieve it
from any liability which it may have under this Section 6 except to the extent
that it has been materially prejudiced (through the forfeiture of substantive
rights or defenses) by such failure; and provided, further, that the failure to
notify the indemnifying party shall not relieve it from any liability which it
may have to an indemnified party otherwise than under this Section 6. If any
such claim or action shall be brought against an indemnified party, and it shall
notify the indemnifying party thereof, the indemnifying party shall be entitled
to participate therein and, to the extent that it wishes, jointly with any other
similarly notified indemnifying party, to assume the defense thereof with
counsel reasonably satisfactory to the indemnified party. After notice from the
indemnifying party to the indemnified party of its election to assume the
defense of such claim or action, the indemnifying party shall not be liable to
the indemnified party under this Section 6 for any legal or other expenses
subsequently incurred by the indemnified party in connection with the defense
thereof other than the reasonable costs of investigation; provided, however,
that an indemnified party shall have the right to employ its own counsel in any
such action, but the fees, expenses and other charges of such counsel for the
indemnified party will be at the expense of such indemnified party unless (1)
the employment of counsel by the indemnified party has been authorized in
writing by the indemnifying party, (2) the indemnified party has reasonably
concluded (based upon advice of counsel to the indemnified party) that there may
be legal defenses available to it or other indemnified parties that are
different from or in addition to those available to the indemnifying party, (3)
a conflict or potential conflict exists (based upon advice of counsel to the
indemnified party) between the indemnified party and the indemnifying party (in
which case the indemnifying party will not have the right to direct the defense
of such action on behalf of the indemnified party) or (4) the indemnifying party
has not in fact employed counsel reasonably satisfactory to the indemnified
party to assume the defense of such action within a reasonable time after
receiving notice of the commencement of the action, in each of which cases the
reasonable fees, disbursements and other charges of counsel will be at the
expense of the indemnifying party or parties. It is understood that the
indemnifying party or parties shall not, in connection with any proceeding or
related proceedings in the same jurisdiction, be liable for the reasonable fees,
disbursements and other charges of more than one separate firm of attorneys (in
addition to any local counsel) at any one time for all such indemnified party or
parties. Each indemnified party shall use commercially reasonable efforts to
cooperate with the indemnifying party in the defense of any such action or
claim. No indemnifying party shall be liable for any settlement of

                                      -12-
<PAGE>

any such action effected without its written consent (which consent shall not be
unreasonably withheld), but if settled with its written consent or if there be a
final judgment for the plaintiff in any such action, the indemnifying party
agrees to indemnify and hold harmless any indemnified party from and against any
loss or liability by reason of such settlement or judgment. No indemnifying
party shall, without the prior written consent of the indemnified party (which
consent shall not be unreasonably withheld), effect any settlement of any
pending or threatened proceeding in respect of which any indemnified party is or
could have been a party and indemnity could have been sought hereunder by such
indemnified party, unless such settlement includes an unconditional release of
such indemnified party from all liability on claims that are the subject matter
of such proceeding.

                  7. Contribution. If the indemnification provided for in
Section 6 is unavailable or insufficient to hold harmless an indemnified party
under Section 6(a) or 6(b), then each indemnifying party shall, in lieu of
indemnifying such indemnified party, contribute to the amount paid or payable by
such indemnified party as a result of such loss, claim, damage or liability, or
action in respect thereof, (i) in such proportion as shall be appropriate to
reflect the relative benefits received by the Company and the Guarantors from
the offering and sale of the Securities, on the one hand, and a Holder with
respect to the sale by such Holder of Securities or Exchange Securities, on the
other, or (ii) if the allocation provided by clause (i) above is not permitted
by applicable law, in such proportion as is appropriate to reflect not only the
relative benefits referred to in clause (i) above but also the relative fault of
the Company and the Guarantors on the one hand and such Holder on the other with
respect to the statements or omissions that resulted in such loss, claim, damage
or liability, or action in respect thereof, as well as any other relevant
equitable considerations. The relative benefits received by the Company and the
Guarantors on the one hand and a Holder on the other with respect to such
offering and such sale shall be deemed to be in the same proportion as the total
net proceeds from the offering of the Securities (before deducting expenses)
received by or on behalf of the Company as set forth in the table on the cover
of the Offering Memorandum, on the one hand, bear to the total proceeds received
by such Holder with respect to its sale of Securities or Exchange Securities, on
the other. The relative fault shall be determined by reference to, among other
things, whether the untrue or alleged untrue statement of a material fact or the
omission or alleged omission to state a material fact relates to the information
supplied by the Company and the Guarantors on the one hand or to any Holders'
Information supplied by such Holder on the other, the intent of the parties and
their relative knowledge, access to information and opportunity to correct or
prevent such untrue statement or omission. The parties hereto agree that it
would not be just and equitable if contributions pursuant to this Section 7 were
to be determined by pro rata allocation or by any other method of allocation
that does not take into account the equitable considerations referred to herein.
The amount paid or payable by an indemnified party as a result of the loss,
claim, damage or liability, or action in respect thereof, referred to above in
this Section 7 shall be deemed to include, for purposes of this Section 7, any
legal or other expenses reasonably incurred by such indemnified party in
connection with investigating or defending or preparing to defend any such
action or claim. Notwithstanding the provisions of this Section 7, an
indemnifying party that is a Holder of Securities or Exchange Securities shall
not be required to contribute any amount in excess of the amount by which the
total price at which the Securities or Exchange Securities sold by such
indemnifying party to any purchaser exceeds the amount of any damages which such
indemnifying party has otherwise paid or become liable to pay by reason of any
untrue or alleged untrue statement or omission or alleged omission. No person
guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of
the Securities Act) shall be entitled to contribution from any person who was
not guilty of such fraudulent misrepresentation.

                  8. Underwritten Registrations. If any of the Transfer
Restricted Securities covered by any Shelf Registration Statement are to be sold
in an underwritten offering, the investment banker or investment bankers and
manager or managers that will administer the offering will be se-

                                      -13-
<PAGE>

lected by the Holders of a majority in aggregate principal amount of such
Transfer Restricted Securities included in such offering, subject to the consent
of the Company (which shall not be unreasonably withheld or delayed), and such
Holders shall be responsible for all underwriting commissions and discounts in
connection therewith.

                  No person may participate in any underwritten registration
hereunder unless such person (i) agrees to sell such person's Transfer
Restricted Securities on the basis reasonably provided in any underwriting
arrangements approved by the persons entitled hereunder to approve such
arrangements and (ii) completes and executes all questionnaires, powers of
attorney, indemnities, underwriting agreements and other documents reasonably
required under the terms of such underwriting arrangements.

                  9. Miscellaneous.

                  (a) Amendments and Waivers. The provisions of this Agreement
may not be amended, modified or supplemented, and waivers or consents to
departures from the provisions hereof may not be given, unless the Company has
obtained the written consent of Holders of a majority in aggregate principal
amount of the Securities and the Exchange Securities, taken as a single class.
Notwithstanding the foregoing, a waiver or consent to depart from the provisions
hereof with respect to a matter that relates exclusively to the rights of
Holders whose Securities or Exchange Securities are being sold pursuant to a
Registration Statement and that does not directly or indirectly affect the
rights of other Holders may be given by Holders of a majority in aggregate
principal amount of the Securities, the Exchange Securities being sold by such
Holders pursuant to such Registration Statement.

                  (b) Notices. All notices and other communications provided for
or permitted hereunder shall be made in writing by hand-delivery, first-class
mail, telecopier or air courier guaranteeing next-day delivery:

                           (i) if to a Holder, at the most current address given
                  by such Holder to the Company in accordance with the
                  provisions of this Section 9(b), which address initially is,
                  with respect to each Holder, the address of such Holder
                  maintained by the Registrar under the Indenture.

                           (ii) if to an Initial Purchaser, to it c/o Merrill
                  Lynch & Co., Merrill Lynch, Pierce, Fenner & Smith
                  Incorporated, 4 World Financial Center, New York, New York
                  10080, Attn: Sarang Gadkari.

                           (iii) if to EGL, the Company, or the Guarantors,
                  initially at Select Medical Corporation, 4718 Old Gettysburg
                  Road, P.O Box 2034, Mechanicsburg, PA 17055, Attn: Michael E.
                  Tarvin, Senior V.P., General Counsel and Secretary, Facsimile:
                  (717) 975-9981; with a copy to Welsh, Carson, Anderson &
                  Stowe, 320 Park Avenue, Suite 2500, New York, New York
                  10022-6815, Attention: Sean M. Traynor, telecopier no.: (212)
                  893-9559 and a copy to Ropes & Gray LLP, 45 Rockefeller Plaza,
                  New York, New York, Attention: Steven R. Rutkovsky, Esq.,
                  telecopier: (212) 841-5725.

                  All such notices and communications shall be deemed to have
been duly given: when delivered by hand, if personally delivered; one business
day after being delivered to a next-day air courier; five business days after
being deposited in the mail; and when receipt is acknowledged by the recipient's
telecopier machine, if sent by telecopier.

                                      -14-
<PAGE>

                  The Initial Purchasers, on the one hand, or the Company and/or
the Guarantors, on the other hand by notice to the other may designate
additional or different addresses for subsequent notices or communications.

                  (c) Successors And Assigns. This Agreement shall inure to the
benefit of and be binding upon the parties hereto, their respective successors
and assigns, including, without the need for an express assignment, subsequent
Holders of Securities and the Exchange Securities, and the indemnified persons
referred to in Section 6 hereof.

                  (d) Counterparts. This Agreement may be executed in any number
of counterparts (which may be delivered in original form or by telecopier) and
by the parties hereto in separate counterparts, each of which when so executed
shall be deemed to be an original and all of which taken together shall
constitute one and the same agreement.

                  (e) Definition of Terms. For purposes of this Agreement, (a)
the term "business day" means any day on which the New York Stock Exchange, Inc.
is open for trading, (b) the term "subsidiary" has the meaning set forth in the
Indenture and (c) except where otherwise expressly provided, the term
"affiliate" has the meaning set forth in Rule 405 under the Securities Act.

                  (f) Headings. The headings in this Agreement are for
convenience of reference only and shall not limit or otherwise affect the
meaning hereof.

                  (g) Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of New York.

                  (h) Remedies. In the event of a breach by the Company or any
of the Guarantors (other than in respect of a Registration Default for which
liquidated damages under Section 3 shall be the exclusive remedy) or by any
Holder of any of their respective obligations under this Agreement, each Holder
or the Company or any Guarantor, as the case may be, in addition to being
entitled to exercise all rights granted by law, including recovery of damages,
will be entitled to specific performance of its rights under this Agreement.
Except as provided above, the Company, each Guarantor and each Holder agree that
monetary damages would not be adequate compensation for any loss incurred by
reason of a breach by it of any of the provisions of this Agreement and hereby
further agree that, in the event of any action for specific performance in
respect of such breach, it shall waive the defense that a remedy at law would be
adequate.

                  (i) No Inconsistent Agreements. EGL, the Company and each
Guarantor represents, warrants and agrees that (i) it has not entered into, and
shall not, on or after the date of this Agreement, enter into, any agreement
that is inconsistent with the rights granted to the Holders in this Agreement or
otherwise conflicts with the provisions hereof, (ii) it has not previously
entered into any agreement which remains in effect granting any registration
rights with respect to any of its debt securities to any person and (iii)
without limiting the generality of the foregoing, without the written consent of
the Holders of a majority in aggregate principal amount of the then outstanding
Transfer Restricted Securities, it shall not grant to any person the right to
request the Company to register any debt securities of the Company under the
Securities Act unless the rights so granted are not in conflict or inconsistent
with the provisions of this Agreement.

                  (j) No Piggyback on Registrations. Neither the Company nor the
Guarantors nor any of its security holders (other than the Holders of Transfer
Restricted Securities in such capacity)

                                      -15-
<PAGE>

shall have the right to include any securities of the Company in any Shelf
Registration or Registered Exchange Offer other than Transfer Restricted
Securities.

                  (k) Severability. Except as otherwise provided in Section 3,
the remedies provided herein are cumulative and not exclusive of any remedies
provided by law. If any term, provision, covenant or restriction of this
Agreement is held by a court of competent jurisdiction to be invalid, illegal,
void or unenforceable, the remainder of the terms, provisions, covenants and
restrictions set forth herein shall remain in full force and effect and shall in
no way be affected, impaired or invalidated, and the parties hereto shall use
their commercially reasonable efforts to find and employ an alternative means to
achieve the same or substantially the same result as that contemplated by such
term, provision, covenant or restriction. It is hereby stipulated and declared
to be the intention of the parties that they would have executed the remaining
terms, provisions, covenants and restrictions without including any of such that
may be hereafter declared invalid, illegal, void or unenforceable.

                                      -16-
<PAGE>

                  Please confirm that the foregoing correctly sets forth the
agreement among the parties hereto.

                                                     Very truly yours,

                                                     EGL ACQUISITION CORP.

                                                         /s/ Eric J. Lee
                                                     By: _______________________
                                                         Name: Eric J. Lee
                                                         Title: Secretary

                                      S-1
<PAGE>

ACCEPTED AND AGREED TO:

MERRILL LYNCH, PIERCE, FENNER & SMITH
            INCORPORATED
J.P. MORGAN SECURITIES INC.
WACHOVIA CAPITAL MARKETS, LLC,
         for themselves and as Representatives of the other
         Initial Purchasers

BY: MERRILL LYNCH, PIERCE, FENNER & SMITH
                INCORPORATED,

    /s/ illegible
By: _____________________________________
            Authorized Signatory

                                      S-2
<PAGE>

ACCEPTED AND AGREED TO AS OF THE DATE HEREOF
AFTER GIVING EFFECT TO THE MERGER:

SELECT MEDICAL CORPORATION
(AS SUCCESSOR BY MERGER TO EGL ACQUISITION CORP.)

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Senior Vice President,
           General Counsel and Secretary

EACH OF THE GUARANTORS LISTED
ON SCHEDULE 1 HERETO (OTHER THAN
AS SEPARATELY SIGNED FOR BELOW)

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

ARGOSY HEALTH, LLC

By: Kessler Rehab Centers, Inc., as managing member

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

GP THERAPY, L.L.C.

By: Georgia Physical Therapy, Inc.,
    as managing member

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

                                      S-3
<PAGE>

KESSLER PROFESSIONAL SERVICES, LLC

By:      Kessler Institute for Rehabilitation, Inc.,
         as managing member

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

SELECT MEDICAL PROPERTY VENTURES, LLC

By: Select Medical Corporation,
    as managing member

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

SELECT SOFTWARE VENTURES, LLC

By: Rehab Clinics, Inc., as managing member

By: /s/ Michael E. Tarvin
    _____________________________________
    Name: Michael E. Tarvin
    Title: Vice President

                                      S-4
<PAGE>

WALTHAM PHYSICAL THERAPY
ASSOCIATES, INC.

    /s/ John F. Duggan
By: _____________________________________
    Name:  John F. Duggan
    Title: Vice President

                                      S-5
<PAGE>

                                   SCHEDULE I

                                   GUARANTORS

1.       Affiliated Physical Therapists, Ltd.

2.       American Transitional Hospitals, Inc.

3.       Arizona Rehab Provider Network, Inc.

4.       Athens Sports Medicine Clinic, Inc.

5.       Ather Sports Injury Clinic, Inc.

6.       Atlantic Rehabilitation Services, Inc.

7.       Atra Services, Inc.

8.       Buendel Physical Therapy, Inc.

9.       C.E.R.-West, Inc.

10.      C.O.A.S.T. Institute Physical Therapy, Inc.

11.      CCISUB, Inc.

12.      Cenla Physical Therapy & Rehabilitation Agency, Inc.

13.      Center for Evaluation & Rehabilitation, Inc.

14.      Center for Physical Therapy & Sports Rehabilitation, Inc.

15.      CenterTherapy, Inc.

16.      Champion Physical Therapy, Inc.

17.      CMC Center Corporation

18.      Community Rehab Centers of Massachusetts, Inc.

19.      Crowley Physical Therapy Clinic, Inc.

20.      Douglas Avery & Associates, Ltd.

21.      Elk County Physical Therapy, Inc.

22.      Fine, Bryant & Wah, Inc.

23.      Francis Naselli, Jr. & Stewart Rich Physical Therapists, Inc.

24.      Gallery Physical Therapy Center, Inc.

25.      Georgia Physical Therapy of West Georgia, Inc.

26.      Georgia Physical Therapy, Inc.

27.      Greater Sacramento Physical Therapy Associates, Inc.

28.      Grove City Physical Therapy and Sports Medicine, Inc.

29.      Gulf Breeze Physical Therapy, Inc.

30.      Hand Therapy and Rehabilitation Associates, Inc.

31.      Hand Therapy Associates, Inc.

32.      Hangtown Physical Therapy, Inc.

<PAGE>

33.      Hawley Physical Therapy, Inc.

34.      Hudson Physical Therapy Services, Inc.

35.      Human Performance and Fitness, Inc.

36.      Indianapolis Physical Therapy and Sports Medicine, Inc.

37.      Intensiva Healthcare Corporation

38.      Intensiva Hospital of Greater St. Louis, Inc.

39.      Joyner Sports Science Institute, Inc.

40.      Joyner Sportsmedicine Institute, Inc.

41.      Kentucky Rehabilitation Services, Inc.

42.      Kessler Assisted Living Corporation

43.      Kessler Institute for Rehabilitation, Inc.

44.      Kessler Occupational Medicine Centers, Inc.

45.      Kessler Physical Therapy & Rehabilitation, Inc.

46.      Kessler Rehab Centers, Inc.

47.      Kessler Rehabilitation Corporation

48.      Kessler Rehabilitation of Maryland, Inc.

49.      Kessler Rehabilitation Services, Inc.

50.      Lynn M. Carlson, Inc.

51.      Metro Rehabilitation Services, Inc.

52.      Michigan Therapy Centre, Inc.

53.      MidAtlantic Health Group, Inc.

54.      Monmouth Rehabilitation, Inc.

55.      New Mexico Physical Therapists, Inc.

56.      Northside Physical Therapy, Inc.

57.      NovaCare Occupational Health Services, Inc.

58.      NovaCare Outpatient Rehabilitation East, Inc.

59.      NovaCare Outpatient Rehabilitation of California, Inc.

60.      NovaCare Outpatient Rehabilitation West, Inc.

61.      NovaCare Outpatient Rehabilitation, Inc.

62.      NovaCare Rehabilitation, Inc.

63.      P.T. Services Company

64.      P.T. Services Rehabilitation, Inc.

65.      P.T. Services, Inc.

66.      Peter Trailov R.P.T. Physical Therapy Clinic, Orthopedic Rehabilitation
         & Sports Medicine, Ltd.

67.      Physical Rehabilitation Partners, Inc.

68.      Physical Therapy Associates, Inc.

                                      -2-
<PAGE>

69.      Physical Therapy Enterprises, Inc.

70.      Physical Therapy Institute, Inc.

71.      Physical Therapy Services of the Jersey Cape, Inc.

72.      Pro Active Therapy of Ahoskie, Inc.

73.      Pro Active Therapy of Greenville, Inc.

74.      Pro Active Therapy of North Carolina, Inc.

75.      Pro Active Therapy of Rocky Mount, Inc.

76.      Pro Active Therapy of South Carolina, Inc.

77.      Pro Active Therapy of Virginia, Inc.

78.      Pro Active Therapy, Inc.

79.      Professional Therapeutic Services, Inc.

80.      Quad City Management, Inc.

81.      RCI (Colorado), Inc.

82.      RCI (Exertec), Inc.

83.      RCI (Michigan), Inc.

84.      RCI (S.P.O.R.T.), Inc.

85.      RCI (WRS), Inc.

86.      Rebound Oklahoma, Inc.

87.      Redwood Pacific Therapies, Inc.

88.      Rehab Managed Care of Arizona, Inc.

89.      Rehab Provider Network - East I, Inc.

90.      Rehab Provider Network - East II, Inc.

91.      Rehab Provider Network - California, Inc.

92.      Rehab Provider Network - Indiana, Inc.

93.      Rehab Provider Network - New Jersey, Inc.

94.      Rehab Provider Network - New York, Inc.

95.      Rehab Provider Network of Arizona, Inc.

96.      Rehab Provider Network of Colorado, Inc.

97.      Rehab Provider Network of Florida, Inc.

98.      Rehab Provider Network of Nevada, Inc.

99.      Rehab Provider Network of New Mexico, Inc.

100.     Rehab Provider Network of North Carolina, Inc.

101.     Rehab Provider Network of Texas, Inc.

102.     Rehab Provider Network - Ohio, Inc.

103.     Rehab Provider Network - Pennsylvania, Inc.

104.     Rehab Provider Network - Michigan, Inc.

105.     Rehab/Work Hardening Management Associates, Ltd.

                                      -3-
<PAGE>

106.     RehabClinics (GALAXY), Inc.

107.     RehabClinics (PTA), Inc.

108.     RehabClinics (SPT), Inc.

109.     RehabClinics Abilene, Inc.

110.     RehabClinics Dallas, Inc.

111.     RehabClinics Pennsylvania, Inc.

112.     RehabClinics, Inc.

113.     S.T.A.R.T., Inc.

114.     Select Air II, Inc.

115.     Select Employment Services, Inc.

116.     Select Hospital Investors, Inc.

117.     Select Medical of Kentucky, Inc.

118.     Select Medical of Maryland, Inc.

119.     Select Medical of New York, Inc.

120.     Select Medical Rehabilitation Services, Inc.

121.     Select Provider Networks, Inc.

122.     Select Rehabilitation Management Services, Inc.

123.     Select Specialty Hospital - Akron/SHS, Inc.

124.     Select Specialty Hospital - Alachua, Inc.

125.     Select Specialty Hospital - Ann Arbor, Inc.

126.     Select Specialty Hospital - Arizona, Inc.

127.     Select Specialty Hospital - Augusta/UH, Inc.

128.     Select Specialty Hospital - Baton Rouge, Inc.

129.     Select Specialty Hospital - Battle Creek, Inc.

130.     Select Specialty Hospital - Beech Grove, Inc.

131.     Select Specialty Hospital - Belleville, Inc.

132.     Select Specialty Hospital - Bloomington, Inc.

133.     Select Specialty Hospital - Brevard, Inc.

134.     Select Specialty Hospital - Broward, Inc.

135.     Select Specialty Hospital - Central Detroit, Inc.

136.     Select Specialty Hospital - Charleston, Inc.

137.     Select Specialty Hospital - Cincinnati, Inc.

138.     Select Specialty Hospital - Colorado Springs, Inc.

139.     Select Specialty Hospital - Columbus, Inc.

140.     Select Specialty Hospital - Columbus/Grant, Inc.

141.     Select Specialty Hospital - Columbus/University, Inc.

142.     Select Specialty Hospital - Conroe, Inc.

                                      -4-
<PAGE>

143.     Select Specialty Hospital - Covington, Inc.

144.     Select Specialty Hospital - Dallas, Inc.

145.     Select Specialty Hospital - Danville, Inc.

146.     Select Specialty Hospital - Denver, Inc.

147.     Select Specialty Hospital - Durham, Inc.

148.     Select Specialty Hospital - Duval, Inc.

149.     Select Specialty Hospital - Erie, Inc.

150.     Select Specialty Hospital - Escambia, Inc.

151.     Select Specialty Hospital - Evansville, Inc.

152.     Select Specialty Hospital - Flint, Inc.

153.     Select Specialty Hospital - Fort Smith, Inc.

154.     Select Specialty Hospital - Fort Wayne, Inc.

155.     Select Specialty Hospital - Gadsden, Inc.

156.     Select Specialty Hospital - Greensboro, Inc.

157.     Select Specialty Hospital - Greensburg, Inc.

158.     Select Specialty Hospital - Grosse Pointe, Inc.

159.     Select Specialty Hospital - Honolulu, Inc.

160.     Select Specialty Hospital - Houston, Inc.

161.     Select Specialty Hospital - Huntsville, Inc.

162.     Select Specialty Hospital - Indianapolis, Inc.

163.     Select Specialty Hospital - Jackson, Inc.

164.     Select Specialty Hospital - Johnstown, Inc.

165.     Select Specialty Hospital - Kalamazoo, Inc.

166.     Select Specialty Hospital - Kansas City, Inc.

167.     Select Specialty Hospital - Knoxville, Inc.

168.     Select Specialty Hospital - Lancaster, Inc.

169.     Select Specialty Hospital - Lansing, Inc.

170.     Select Specialty Hospital - Lee, Inc.

171.     Select Specialty Hospital - Leon, Inc.

172.     Select Specialty Hospital - Lexington, Inc.

173.     Select Specialty Hospital - Little Rock, Inc.

174.     Select Specialty Hospital - Longview, Inc.

175.     Select Specialty Hospital - Louisville, Inc.

176.     Select Specialty Hospital - Macomb County, Inc.

177.     Select Specialty Hospital - Macon, Inc.

178.     Select Specialty Hospital - Marion, Inc.

179.     Select Specialty Hospital - McKeesport, Inc.

                                      -5-
<PAGE>

180.     Select Specialty Hospital - Memphis, Inc.

181.     Select Specialty Hospital - Midland, Inc.

182.     Select Specialty Hospital - Milwaukee, Inc.

183.     Select Specialty Hospital - Minneapolis, Inc.

184.     Select Specialty Hospital - Morgantown, Inc.

185.     Select Specialty Hospital - Nashville, Inc.

186.     Select Specialty Hospital - New Orleans, Inc.

187.     Select Specialty Hospital - Newark, Inc.

188.     Select Specialty Hospital - North Knoxville, Inc.

189.     Select Specialty Hospital - Northeast Ohio, Inc.

190.     Select Specialty Hospital - Northwest Detroit, Inc.

191.     Select Specialty Hospital - Northwest Indiana, Inc.

192.     Select Specialty Hospital - Ocean, Inc.

193.     Select Specialty Hospital - Oklahoma City/East Campus, Inc.

194.     Select Specialty Hospital - Oklahoma City, Inc.

195.     Select Specialty Hospital - Omaha, Inc.

196.     Select Specialty Hospital - Orange, Inc.

197.     Select Specialty Hospital - Orlando, Inc.

198.     Select Specialty Hospital - Palm Beach, Inc.

199.     Select Specialty Hospital - Panama City, Inc.

200.     Select Specialty Hospital - Paramus, Inc.

201.     Select Specialty Hospital - Philadelphia/AEMC, Inc.

202.     Select Specialty Hospital - Phoenix, Inc.

203.     Select Specialty Hospital - Pine Bluff, Inc.

204.     Select Specialty Hospital - Pittsburgh, Inc.

205.     Select Specialty Hospital - Pittsburgh/UPMC, Inc.

206.     Select Specialty Hospital - Pontiac, Inc.

207.     Select Specialty Hospital - Quad Cities, Inc.

208.     Select Specialty Hospital - Reno, Inc.

209.     Select Specialty Hospital - Riverview, Inc.

210.     Select Specialty Hospital - Saginaw, Inc.

211.     Select Specialty Hospital - San Antonio, Inc.

212.     Select Specialty Hospital - Sarasota, Inc.

213.     Select Specialty Hospital - Savannah, Inc.

214.     Select Specialty Hospital - Sioux Falls, Inc.

215.     Select Specialty Hospital - South Dallas, Inc.

216.     Select Specialty Hospital - Springfield, Inc.

                                      -6-
<PAGE>

217.     Select Specialty Hospital - Topeka, Inc.

218.     Select Specialty Hospital - TriCities, Inc.

219.     Select Specialty Hospital - Tulsa, Inc.

220.     Select Specialty Hospital - Western Michigan, Inc.

221.     Select Specialty Hospital - Western Missouri, Inc.

222.     Select Specialty Hospital - Wichita, Inc.

223.     Select Specialty Hospital - Wilmington, Inc.

224.     Select Specialty Hospital - Winston-Salem, Inc.

225.     Select Specialty Hospital - Wyandotte, Inc.

226.     Select Specialty Hospital - Youngstown, Inc.

227.     Select Specialty Hospital - Zanesville, Inc.

228.     Select Specialty Hospitals, Inc.

229.     Select Synergos, Inc.

230.     Select Transport, Inc.

231.     Select Unit Management, Inc.

232.     SelectMark, Inc.

233.     SemperCare Hospital of Central Illinois, Inc.

234.     SemperCare Hospital of Fort Myers, Inc.

235.     SemperCare Hospital of Hartford, Inc.

236.     SemperCare Hospital of Lakeland, Inc.

237.     SemperCare Hospital of Lakewood, Inc.

238.     SemperCare Hospital of Little Rock, Inc.

239.     SemperCare Hospital of Mobile, Inc.

240.     SemperCare Hospital of Pensacola, Inc.

241.     SemperCare Hospital of Plainfield, Inc.

242.     SemperCare Hospital of Sarasota, Inc.

243.     SemperCare Hospital of Spokane, Inc.

244.     SemperCare Hospital of Springfield, Inc.

245.     SemperCare Hospital of Tallahassee, Inc.

246.     SemperCare Hospital of Volusia, Inc.

247.     SemperCare Hospital of Washington, Inc.

248.     SemperCare, Inc.

249.     SLMC Finance Corporation

250.     South Jersey Physical Therapy Associates, Inc.

251.     South Jersey Rehabilitation and Sports Medicine Center, Inc.

252.     South Philadelphia Occupational Health, Inc.

253.     Southpointe Fitness Center, Inc.

                                      -7-
<PAGE>

254.     Southwest Physical Therapy, Inc.

255.     Southwest Therapists, Inc.

256.     Sports & Orthopedic Rehabilitation Services, Inc.

257.     Sports Therapy and Arthritis Rehabilitation, Inc.

258.     Stephenson-Holtz, Inc.

259.     The Center for Physical Therapy and Rehabilitation, Inc.

260.     The Orthopedic Sports and Industrial Rehabilitation Network, Inc.

261.     Treister, Inc.

262.     Valley Group Physical Therapists, Inc.

263.     Vanguard Rehabilitation, Inc.

264.     Victoria Healthcare, Inc.

265.     Wayzata Physical Therapy Center, Inc.

266.     West Side Physical Therapy, Inc.

267.     West Suburban Health Partners, Inc.

268.     Wilpage, Inc.

269.     Yuma Rehabilitation Center, Inc.

                                      -8-
<PAGE>

                                     ANNEX A

                  Each broker-dealer that receives Exchange Securities for its
own account pursuant to the Registered Exchange Offer must acknowledge that it
will deliver a prospectus in connection with any resale of such Exchange
Securities. The Letter of Transmittal states that by so acknowledging and by
delivering a prospectus, a broker-dealer will not be deemed to admit that it is
an "underwriter" within the meaning of the Securities Act. This Prospectus, as
it may be amended or supplemented from time to time, may be used by a
broker-dealer in connection with resales of Exchange Securities received in
exchange for Securities where such Securities were acquired by such
broker-dealer as a result of market-making activities or other trading
activities. The Company has agreed that, for a period of 180 days after the
Expiration Date (as defined herein), it will make this Prospectus available to
any broker-dealer for use in connection with any such resale. See "Plan of
Distribution"

                                     ANNEX B

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

                                     ANNEX C

                              PLAN OF DISTRIBUTION

                  Each broker-dealer that receives Exchange Securities for its
own account pursuant to the Registered Exchange Offer must acknowledge that it
will deliver a prospectus in connection with any resale of such Exchange
Securities. This Prospectus, as it may be amended or supplemented from time to
time, may be used by a broker-dealer in connection with resales of Exchange
Securities received in exchange for Securities where such Securities were
acquired as a result of market-making activities or other trading activities.
The Company and the Guarantors have agreed that, for a period of 180 days after
the Expiration Date, they will make this prospectus, as amended or supplemented,
available to any broker-dealer for use in connection with any such resale. In
addition, until _______________, 200_, all dealers effecting transactions in the
Exchange Securities may be required to deliver a prospectus.

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

                                      -9-
<PAGE>

                  For a period of 180 days after the Expiration Date the Company
and the Guarantors will promptly send additional copies of this Prospectus and
any amendment or supplement to this Prospectus to any broker-dealer that
requests such documents in the Letter of Transmittal. The Company and the
Guarantors have agreed to pay all expenses incident to the Registered Exchange
Offer (including the expenses of one counsel for the Holders of the Securities)
other than commissions or concessions of any broker-dealers and will indemnify
the Holders of the Securities (including any broker-dealers) against certain
liabilities, including liabilities under the Securities Act.

                                     ANNEX D

                  CHECK HERE IF YOU ARE A BROKER-DEALER AND WISH TO RECEIVE 10
ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR
SUPPLEMENTS THERETO.

Name:
Address:

                  If the undersigned is not a broker-dealer, the undersigned
represents that it is not engaged in, and does not intend to engage in, a
distribution of Exchange Securities. If the undersigned is a broker-dealer that
will receive Exchange Securities for its own account in exchange for Securities
that were acquired as a result of market-making activities or other trading
activities, it acknowledges that it will deliver a prospectus in connection with
any resale of such Exchange Securities; however, by so acknowledging and by
delivering a prospectus, the undersigned will not be deemed to admit that it is
an "underwriter" within the meaning of the Securities Act.

                                      -10-<PAGE>

                                                                    EXHIBIT 10.1

                                CREDIT AGREEMENT

                                 consisting of a

                                  $580,000,000
                          Tranche B Term Loan Facility

                                      and a

                                  $300,000,000
                            Revolving Credit Facility

                                   dated as of

                               February 24, 2005,

                                      among

                      SELECT MEDICAL HOLDINGS CORPORATION,
                                   as Holdings

                           SELECT MEDICAL CORPORATION,
                                 as the Borrower

                   The Lenders Party Hereto from Time to Time

                           JPMORGAN CHASE BANK, N.A.,
                  as Administrative Agent and Collateral Agent

                      WACHOVIA BANK, NATIONAL ASSOCIATION,
                              as Syndication Agent

                                       and

               MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED

                                       and

                                   CIBC INC.,
                           as Co-Documentation Agents
                           ---------------------------

                           J.P. MORGAN SECURITIES INC.

                                       and

                         WACHOVIA CAPITAL MARKETS, LLC,
                   as Co-Lead Arrangers and Joint Bookrunners

               MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED,
                                   as Arranger

                                     676356

<PAGE>

                                TABLE OF CONTENTS

<TABLE>
<CAPTION>
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                                    ARTICLE I

                                   Definitions

SECTION 1.01.     Defined Terms.................................................     2
SECTION 1.02.     Classification of Loans and Borrowings........................    28
SECTION 1.03.     Terms Generally...............................................    28
SECTION 1.04.     Accounting Terms; GAAP........................................    28
SECTION 1.05.     Specified Transactions........................................    29

                                   ARTICLE II

                                   The Credits

SECTION 2.01.     Commitments...................................................    29
SECTION 2.02.     Loans and Borrowings..........................................    29
SECTION 2.03.     Requests for Borrowings.......................................    30
SECTION 2.04.     Swingline Loans...............................................    30
SECTION 2.05.     Letters of Credit.............................................    31
SECTION 2.06.     Funding of Borrowings.........................................    35
SECTION 2.07.     Interest Elections............................................    36
SECTION 2.08.     Termination and Reduction of Commitments......................    37
SECTION 2.09.     Repayment of Loans; Evidence of Debt..........................    37
SECTION 2.10.     Amortization of Tranche B Term Loans..........................    38
SECTION 2.11.     Prepayment of Loans...........................................    39
SECTION 2.12.     Fees..........................................................    41
SECTION 2.13.     Interest......................................................    42
SECTION 2.14.     Alternate Rate of Interest....................................    42
SECTION 2.15.     Increased Costs...............................................    43
SECTION 2.16.     Break Funding Payments........................................    44
SECTION 2.17.     Taxes.........................................................    44
SECTION 2.18.     Payments Generally; Pro Rata Treatment; Sharing of Setoffs....    45
SECTION 2.19.     Mitigation Obligations; Replacement of Lenders................    47
SECTION 2.20.     Incremental Extensions of Credit..............................    47

                                   ARTICLE III

                         Representations and Warranties

SECTION 3.01.     Organization; Power...........................................    49
SECTION 3.02.     Authorization; Enforceability.................................    49
SECTION 3.03.     Governmental Approvals; No Conflicts..........................    49
SECTION 3.04.     Financial Condition; No Material Adverse Change...............    50
SECTION 3.05.     Properties....................................................    50
SECTION 3.06.     Litigation and Environmental Matters..........................    51
SECTION 3.07.     Compliance with Laws and Agreements...........................    51
</TABLE>

                                       -i-
<PAGE>

<TABLE>
<CAPTION>
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SECTION 3.08.     Investment and Holding Company Status.........................    51
SECTION 3.09.     Taxes.........................................................    51
SECTION 3.10.     ERISA.........................................................    51
SECTION 3.11.     Disclosure....................................................    52
SECTION 3.12.     Subsidiaries..................................................    52
SECTION 3.13.     Insurance.....................................................    52
SECTION 3.14.     Labor Matters.................................................    52
SECTION 3.15.     Solvency......................................................    52
SECTION 3.16.     Senior Indebtedness...........................................    53
SECTION 3.17.     Reimbursement from Third Party Payors.........................    53
SECTION 3.18.     Fraud and Abuse...............................................    53

                                   ARTICLE IV

                                   Conditions

SECTION 4.01.     Effective Date................................................    54
SECTION 4.02.     Each Credit Event.............................................    57

                                    ARTICLE V

                              Affirmative Covenants

SECTION 5.01.     Financial Statements and Other Information....................    58
SECTION 5.02.     Notices of Material Events....................................    59
SECTION 5.03.     Information Regarding Collateral..............................    60
SECTION 5.04.     Existence; Conduct of Business................................    60
SECTION 5.05.     Payment of Obligations........................................    60
SECTION 5.06.     Maintenance of Properties.....................................    60
SECTION 5.07.     Insurance.....................................................    60
SECTION 5.08.     Casualty and Condemnation.....................................    61
SECTION 5.09.     Books and Records; Inspection and Audit Rights................    61
SECTION 5.10.     Compliance with Laws..........................................    61
SECTION 5.11.     Use of Proceeds and Letters of Credit.........................    61
SECTION 5.12.     Additional Subsidiaries; Succeeding Holdings..................    61
SECTION 5.13.     Further Assurances............................................    62
SECTION 5.14.     Post Closing Matters..........................................    62

                                   ARTICLE VI

                               Negative Covenants

SECTION 6.01.     Indebtedness; Certain Equity Securities.......................    62
SECTION 6.02.     Liens.........................................................    65
SECTION 6.03.     Fundamental Changes...........................................    66
SECTION 6.04.     Investments, Loans, Advances, Guarantees and Acquisitions.....    66
SECTION 6.05.     Asset Sales...................................................    69
SECTION 6.06.     Sale and Leaseback Transactions...............................    69
SECTION 6.07.     Swap Agreements...............................................    70
SECTION 6.08.     Restricted Payments; Certain Payments of Indebtedness.........    70
</TABLE>

                                      -ii-
<PAGE>

<TABLE>
<CAPTION>
                                                                                   Page
                                                                                   ----
<S>                                                                                <C>
SECTION 6.09.     Transactions with Affiliates..................................    72
SECTION 6.10.     Restrictive Agreements........................................    73
SECTION 6.11.     Amendment of Material Documents...............................    74
SECTION 6.12.     Interest Expense Coverage Ratio...............................    74
SECTION 6.13.     Leverage Ratio................................................    75
SECTION 6.14.     Maximum Capital Expenditures..................................    76

                                   ARTICLE VII

                                Events of Default

SECTION 7.01.     Events of Default.............................................    77
SECTION 7.02.     Borrower's Right to Cure......................................    80
SECTION 7.03.     Exclusion of Immaterial Subsidiaries..........................    80

                                  ARTICLE VIII

                                   The Agents

SECTION 8.01.     The Agents....................................................    81

                                   ARTICLE IX

                                  Miscellaneous

SECTION 9.01.     Notices.......................................................    82
SECTION 9.02.     Waivers; Amendments...........................................    83
SECTION 9.02A     Amendment Fees................................................    85
SECTION 9.03.     Expenses; Indemnity; Damage Waiver............................    86
SECTION 9.04.     Successors and Assigns........................................    87
SECTION 9.05.     Survival......................................................    89
SECTION 9.06.     Counterparts; Integration; Effectiveness......................    90
SECTION 9.07.     Severability..................................................    90
SECTION 9.08.     Right of Setoff...............................................    90
SECTION 9.09.     Governing Law; Jurisdiction; Consent to Service of Process....    90
SECTION 9.10.     WAIVER OF JURY TRIAL..........................................    91
SECTION 9.11.     Headings......................................................    91
SECTION 9.12.     Confidentiality...............................................    91
SECTION 9.13.     Interest Rate Limitation......................................    92
SECTION 9.14.     USA Patriot Act...............................................    92
SECTION 9.15.     Release of Collateral.........................................    92
</TABLE>

                                      -iii-
<PAGE>

SCHEDULES:

Schedule 1.01     --  Mortgaged Property
Schedule 2.01     --  Commitments
Schedule 2.05     --  Existing Letters of Credit
Schedule 3.05     --  Real Property
Schedule 3.12     --  Subsidiaries
Schedule 3.13     --  Insurance
Schedule 4.01     --  Local Counsel Jurisdictions
Schedule 5.14     --  Post-Closing Matters
Schedule 6.01     --  Existing Indebtedness
Schedule 6.02     --  Existing Liens
Schedule 6.04     --  Existing Investments
Schedule 6.09     --  Existing Transactions with Affiliates
Schedule 6.10     --  Existing Restrictions

EXHIBITS:

Exhibit A         --  Form of Assignment and Assumption
Exhibit B-1       --  Form of Opinion of Ropes & Gray LLP
Exhibit B-2       --  Form of Opinion of Local Counsel
Exhibit C         --  Form of Collateral Agreement
Exhibit D         --  Form of Perfection Certificate
Exhibit E         --  Form of Borrowing Request
Exhibit F         --  Form of Interest Election Request

                                      -iv-
<PAGE>

            CREDIT AGREEMENT dated as of February 24, 2005, among SELECT MEDICAL
HOLDINGS CORPORATION, a Delaware corporation, SELECT MEDICAL CORPORATION, a
Delaware corporation, the LENDERS party hereto from time to time, JPMORGAN CHASE
BANK, N.A., as Administrative Agent and Collateral Agent, WACHOVIA BANK,
NATIONAL ASSOCIATION, as Syndication Agent, and MERRILL LYNCH, PIERCE, FENNER &
SMITH INCORPORATED, and CIBC INC., as Co-Documentation Agents.

            Pursuant to the Agreement and Plan of Merger dated as of October 17,
2004 (the "Merger Agreement"), by and among Select Medical Holdings Corporation,
a Delaware corporation, EGL Acquisition Corp., a Delaware corporation
("MergerCo"), and Select Medical Corporation, a Delaware corporation (the
"Borrower"), (a) MergerCo will merge with and into the Borrower (the "Merger"),
with the Borrower surviving the Merger, (b) each outstanding share of common
stock (other than shares held by shareholders who properly exercise appraisal
rights and shares held by Holdings (as defined below) (including all shares
previously held by Permitted Investors (as defined below) and contributed to
Holdings)) of the Borrower will be converted into the right to receive $18.00 in
cash, (c) options and warrants to acquire shares of common stock of the Borrower
that are "in-the-money" will be canceled in exchange for a lump-sum payment
based on the per-share merger consideration of $18.00 (the aggregate amount
payable under clauses (b) and (c) together, the "Merger Consideration") and (d)
shares of common stock of the Borrower owned by the Permitted Investors prior to
the Merger in an aggregate amount of not less than $143,100,000 will be
contributed to Holdings in return for shares of common stock of Holdings and
shares of Qualified Preferred Stock (as defined below).

            Immediately prior to or substantially concurrently with the
consummation of the Merger, (a) the Permitted Investors will contribute cash to
Holdings in an aggregate amount of not less than $570,000,000 in exchange for
shares of common stock of Holdings and shares of Qualified Preferred Stock; (b)
Holdings will contribute the aggregate amount described in clause (a) to the
Borrower as common equity in exchange for all the issued and outstanding Equity
Interests (as defined below) of the Borrower (the steps described in clauses (a)
and (b) of this paragraph together, the "Common Equity Contributions"); (c)
certain of the Permitted Investors will purchase for cash Holdings Senior
Subordinated Notes (as defined below) yielding gross proceeds of not less than
$150,000,000; (d) Holdings will contribute the aggregate amount described in
clause (c) to the Borrower as common equity (such contributions, together with
the Common Equity Contributions, being referred to as the "Equity
Contributions"); (e) the Borrower will obtain senior secured credit facilities
having an aggregate principal amount of $880,000,000 pursuant to this Agreement;
(f) the Borrower will issue Senior Subordinated Notes (as defined below) in an
aggregate principal amount of $660,000,000 either in a public offering or
pursuant to Rule 144A under the Securities Act of 1933; (g) the Borrower and the
Subsidiaries will repay all amounts outstanding under the Borrower's existing
Credit Agreement dated as of September 22, 2000 (as amended, the "Existing
Credit Agreement"), by and among the Borrower, certain of its subsidiaries, the
banks and financial institutions named as lenders therein, The Chase Manhattan
Bank, The Chase Manhattan Bank of Canada, Banc of America Securities, LLC and
CIBC, Inc., and the Borrower will terminate all commitments thereunder and all
liens in respect thereof shall be released; (h) the Borrower will consummate a
debt tender offer and consent solicitation in respect of both the Borrower's
9-1/2% Senior Subordinated Notes due 2009 and the Borrower's 7-1/2% Senior
Subordinated Notes due 2013 (together, the "Existing Subordinated Notes"),
pursuant to which the Borrower will (i) repurchase at least a majority of each
series of the Existing Subordinated Notes and (ii) amend the indentures
governing the Existing Subordinated Notes (the "Existing Subordinated Notes
Indentures") to eliminate all significant negative covenants in such Existing
Subordinated Notes Indentures, all in accordance with the Offer to Purchase and
Consent Solicitation Statement dated January 20, 2005, and the related Consent
and Letter of Transmittal dated January 20, 2005 (the steps described in clauses
(i) and (ii) of this clause (h) together, the "Debt Tender Offers"); and (i) the
Borrower and the Subsidiaries will pay all fees, expenses and other

<PAGE>

costs incurred in connection with the foregoing clauses (a) through (h)
(together, the "Transaction Costs") in an aggregate amount not to exceed
$133,100,000.

            The Borrower has requested that the Lenders extend credit in the
form of (a) Tranche B Term Loans (as defined below) on the Effective Date (as
defined below) in an aggregate principal amount not to exceed $580,000,000 and
(b) Revolving Loans, Swingline Loans and Letters of Credit (each as defined
below) at any time and from time to time during the Revolving Availability
Period, in an aggregate principal amount at any time outstanding not to exceed
$300,000,000.

            The proceeds of the Tranche B Term Loans and any Revolving Loans
borrowed on the Effective Date will be used by the Borrower on the Effective
Date, solely (i) first, to pay the Transaction Costs, (ii) second, to pay all
principal, interest, fees and other amounts outstanding under the Existing
Credit Agreement, (iii) third, to repurchase the Existing Subordinated Notes
tendered (and not withdrawn) pursuant to the Debt Tender Offers, including any
premium payments associated therewith, and (iv) fourth, together with the Equity
Contributions, cash on hand at the Borrower and the proceeds of the issuance of
the Senior Subordinated Notes, to pay the Merger Consideration. The proceeds of
Revolving Loans borrowed after the Effective Date, Swingline Loans and Letters
of Credit will be used by the Borrower for working capital and general corporate
purposes (including Permitted Acquisitions).

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

                                   ARTICLE I

                                   Definitions

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

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

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

            "Additional Equity Offering" means any issuance by Holdings of its
common stock to any person who is an employee or consultant of Holdings, the
Borrower or any Subsidiary at the time of such offering and certain other
Persons determined by the Borrower and as reasonably acceptable to the
Administrative Agent; provided that (a) such offering shall be consummated not
later than 180 days following the Effective Date, (b) any proceeds not applied
as permitted in Section 6.08(a)(vii) shall be contributed to the Borrower as
common equity, and (c) the aggregate Net Proceeds from all such offerings shall
not exceed $20,000,000.

            "Additional Lender" has the meaning set forth in Section 2.20.

            "Additional Senior Debt" means unsecured Indebtedness of the
Borrower (that may be guaranteed by those Subsidiaries that are Loan Parties)
that (a) does not have a stated maturity date prior

                                       -2-
<PAGE>

to the date that is 180 days after the Tranche B Maturity Date, (b) does not
require any scheduled payment of principal (including pursuant to a sinking fund
obligation) or amortization prior to the date that is 180 days after the Tranche
B Maturity Date, (c) contains non-pricing terms (including covenants, events of
default, remedies, redemption provisions and sinking fund provisions) no less
favorable to the Lenders than the terms of the Senior Subordinated Notes (it
being understood that such Indebtedness need not be subordinated) and (d) bears
a market rate of interest as determined by the Borrower's Board of Directors.

            "Additional Subordinated Debt" means unsecured Indebtedness of the
Borrower (that may be guaranteed by those Subsidiaries that are Loan Parties)
that (a) does not have a stated maturity date prior to the date that is 180 days
after the Tranche B Maturity Date, (b) does not require any scheduled payment of
principal (including pursuant to a sinking fund obligation) or amortization
prior to the date that is 180 days after the Tranche B Maturity Date, (c) is
(and all guarantees with respect thereto are) subordinated to the Obligations on
terms no less favorable to the Lenders than the terms of the Senior Subordinated
Notes, (d) contains non-pricing terms (including covenants, events of default,
remedies, redemption provisions and sinking fund provisions) no less favorable
to the Lenders than the terms of the Senior Subordinated Notes and (e) bears a
market rate of interest as determined by the Borrower's Board of Directors.

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

            "Administrative Agent" means JPMorgan Chase Bank, N.A., in its
capacity as administrative agent for the Lenders under the Loan Documents.

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

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

            "Agents" means the Administrative Agent, the Collateral Agent, the
Syndication Agent and the Co-Documentation Agents.

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

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

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

                                      -3-
<PAGE>

            "Applicable Rate" means, for any day with respect to (a) any ABR
Loan or Eurodollar Loan that is a Revolving Loan or (b) the commitment fees
payable hereunder in respect of the Revolving Commitments, as applicable, the
applicable rate per annum set forth below under the caption "Revolving Loan ABR
Spread", "Revolving Loan Eurodollar Spread" or "Commitment Fee Rate", as
applicable, in each case, based upon the Leverage Ratio as of the most recent
determination date, provided that prior to the later of (i) the date that is six
months following the Effective Date and (ii) the date of delivery to the
Administrative Agent, pursuant to Section 5.01, of the Borrower's consolidated
financial information for the Borrower's fiscal year ended December 31, 2004,
the "Applicable Rate" for purposes of clauses (a) and (b) above shall be the
applicable rate per annum set forth below in Category 1:

<TABLE>
<CAPTION>
                                        Revolving
                           Revolving      Loan
                           Loan ABR    Eurodollar    Commitment
    Leverage Ratio          Spread       Spread       Fee Rate
------------------------   ---------   ----------    ----------
<S>                        <C>         <C>           <C>
      Category 1             1.50%        2.50%          0.50%
     > or = 4.50x
      Category 2             1.25%        2.25%          0.50%
> or = 4.00x and < 4.50x
      Category 3             1.00%        2.00%         0.375%
> or = 3.50x and < 4.00x
      Category 4             0.75%        1.75%         0.375%
> or = 3.00x and < 3.50x
      Category 5             0.50%        1.50%         0.375%
       < 3.00x
</TABLE>

            The Applicable Rate for Tranche B Term Loans shall at all times be
1.75% per annum for Eurodollar Loans and 0.75% per annum for ABR Loans.

            For purposes of the foregoing, (a) the Leverage Ratio shall be
determined on a Pro Forma Basis as of the end of each fiscal quarter of the
Borrower based upon the Borrower's consolidated financial statements delivered
pursuant to Section 5.01(a) or (b), and (b) each change in the Applicable Rate
resulting from a change in the Leverage Ratio shall be effective during the
period commencing on and including the date of delivery to the Administrative
Agent of such consolidated financial statements indicating such change and
ending on the date immediately preceding the effective date of the next such
change, provided that the Leverage Ratio, for purposes of determining the
Applicable Rate, shall be deemed to be in Category 1 (i) at any time that an
Event of Default has occurred and is continuing or (ii) at the option of the
Administrative Agent or at the request of the Required Lenders if the Borrower
fails to deliver the consolidated financial statements required to be delivered
by it pursuant to Section 5.01(a) or (b), during the period from the expiration
of the time for delivery thereof until such consolidated financial statements
are delivered.

            "Approved Fund" has the meaning assigned to such term in Section
9.04(b).

            "Arrangers" means J.P. Morgan Securities Inc., Wachovia Capital
Markets, LLC and Merrill Lynch, Pierce, Fenner & Smith Incorporated.

            "Assignment and Assumption" means an assignment and assumption
entered into by a Lender and an assignee (with the consent of any party whose
consent is required by Section 9.04) and

                                      -4-
<PAGE>

accepted by the Administrative Agent, in the form of Exhibit A or any other form
approved by the Administrative Agent.

            "Available Amount" means, the sum, without duplication, of:

            (a) the sum (determined on a cumulative basis and in no event less
      than zero) of the Borrower's Portion of Excess Cash Flow for all fiscal
      years ending after January 1, 2006 that has not been, plus

            (b) the amount of Net Proceeds actually received by the Borrower
      from the issuance by Holdings of any Equity Interests (or capital
      contribution in respect thereof) after the Effective Date that was not
      required to be applied to prepay Loans pursuant to Section 2.11(c)(x),
      plus

            (c) the amount of Net Proceeds actually received by the Borrower
      from the issuance after the Effective Date of Qualified Holdings Debt,
      plus

            (d) an amount equal to any returns (including dividends, interest,
      distributions, returns of principal and profits on sale) actually received
      by the Borrower or any of the Subsidiaries in cash in respect of any
      Investments made after the Effective Date pursuant to Section 6.04(xviii),
      minus

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

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

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

            "Borrower's Portion of Excess Cash Flow" means, on any date after
January 1, 2007, the portion of Excess Cash Flow for the immediately preceding
full fiscal year of the Borrower for which financial statements have been
delivered pursuant to Section 5.01 that has not been, or is not required to be,
applied to prepay Loans pursuant to Section 2.11(d).

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

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

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

            "Capital Expenditures" means, for any period (and without
duplication), (a) the additions to property, plant and equipment and other
capital expenditures of the Borrower and any of the Subsidiaries

                                      -5-
<PAGE>

that are (or would be) set forth in a consolidated statement of cash flows of
the Borrower for such period prepared in accordance with GAAP and (b) Capital
Lease Obligations incurred by the Borrower and the Subsidiaries during such
period; provided that Capital Expenditures shall not include (i) expenditures to
the extent they are made with the Net Proceeds of the issuance by Holdings of
Equity Interests (or capital contributions in respect thereof) after the
Effective Date to the extent not Otherwise Applied or Qualified Holdings Debt,
(ii) investments that constitute a portion of the purchase price of a Permitted
Acquisition, (iii) expenditures that constitute a reinvestment of the Net
Proceeds of any event described in clause (a) or (b) of the definition of the
term "Prepayment Event", to the extent permitted by Section 2.11(c), and (iv)
the purchase price of equipment purchased during such period to the extent the
consideration therefor consists of any combination of (x) used or surplus
equipment traded in at the time of such purchase and (y) the proceeds of a
concurrent sale of used or surplus equipment.

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

            "Change in Control" means:

            (a) the acquisition of record ownership by any Person other than
      Holdings of any Equity Interests in the Borrower,

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

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

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

            (e) the occurrence of a "Change of Control", as defined in any of
      the Senior Subordinated Notes Documents, any indenture or other
      instrument, agreement or other document evidencing or governing any
      Qualified Holdings Debt or any certificate of designations relating to the
      Qualified Preferred Stock.

            "Change in Law" means (a) the adoption of any law, rule or
regulation after the date of this Agreement, (b) any change in any law, rule or
regulation or in the interpretation or application thereof by any Governmental
Authority after the date of this Agreement or (c) compliance by any Lender or
the Issuing Bank (or, for purposes of Section 2.15(b), by any lending office of
such Lender or by such Lender's or the Issuing Bank's holding company, if any)
with any request, guideline or directive (whether

                                      -6-
<PAGE>

or not having the force of law) of any Governmental Authority made or issued
after the date of this Agreement.

            "Charges" has the meaning set forth in Section 9.13.

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

            "CLO" has the meaning assigned to such term in Section 9.04(b).

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

            "Collateral" means any and all "Collateral", as defined in any
applicable Security Document.

            "Collateral Agent" means JPMorgan Chase Bank, N.A., in its capacity
as collateral agent for the Lenders under this Agreement and any Security
Document.

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

            "Collateral and Guarantee Requirement" means the requirement that:

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

            (b) all outstanding Equity Interests of (i) the Borrower and (ii)
      each Subsidiary owned directly by any Loan Party shall have been pledged
      pursuant to the Collateral Agreement (except that the Loan Parties shall
      not be required to pledge more than 65% of the outstanding voting Equity
      Interests of any Foreign Subsidiary) and the Collateral Agent shall have
      received certificates or other instruments representing all such Equity
      Interests, together with undated stock powers or other instruments of
      transfer with respect thereto endorsed in blank;

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

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

                                      -7-
<PAGE>

            (e) the Collateral Agent shall have received (i) counterparts of a
      Mortgage with respect to each Mortgaged Property duly executed and
      delivered by the record owner of such Mortgaged Property, (ii) a policy or
      policies of title insurance issued by a nationally recognized title
      insurance company insuring the Lien of each such Mortgage as a valid
      first-priority Lien on the Mortgaged Property described therein, free of
      any other Liens except as expressly permitted by Section 6.02, together
      with such endorsements, coinsurance and reinsurance as the Collateral
      Agent or the Required Lenders may reasonably request, and such surveys,
      appraisals, legal opinions and other documents as the Collateral Agent or
      the Required Lenders may reasonably request with respect to any such
      Mortgage or Mortgaged Property; and

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

Notwithstanding anything to the contrary in this Agreement or any Security
Document, no Loan Party shall be required to pledge or grant security interests
in particular assets if, in the reasonable judgment of the Administrative Agent
or the Collateral Agent, the costs of creating or perfecting such pledges or
security interests in such assets (including any mortgage, stamp, intangibles or
other tax) are excessive in relation to the benefits to the Lenders therefrom.

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

            "Common Equity Contributions" has the meaning set forth in the
preamble to this Agreement.

            "Consolidated EBITDA" means, for any period, Consolidated Net Income
for such period plus

            (a) without duplication and to the extent deducted in determining
such Consolidated Net Income for such period, the sum of: (i) consolidated
interest expense of the Borrower and its subsidiaries for such period, (ii) (A)
consolidated income tax expense of the Borrower and its subsidiaries for such
period and (B) income tax expense of Holdings for such period to the extent paid
in such period using the proceeds of Restricted Payments made by the Borrower
pursuant to clause (v) of Section 6.08(a), (iii) all amounts attributable to
depreciation and amortization expense of the Borrower and its subsidiaries for
such period, (iv) any non-cash charges for such period (but excluding (A) any
non-cash charge in respect of an item that was included in Consolidated Net
Income in a prior period and (B) any non-cash charge that relates to the
write-down or write-off of inventory), (v) (A) any Transaction Costs in an
aggregate amount not to exceed $133,100,000 made or incurred by the Borrower and
its subsidiaries in connection with the Transactions that are paid, accrued or
reserved for within 180 days of the consummation of the Transactions or (B)
additional cash charges or cash expenses not to exceed $160,000,000 (plus any
related taxes or other related expenses) related to the exercise, cancellation
or other retirement of stock options of the Borrower in connection with the
Transactions, (vi) any non-recurring fees, cash charges and other cash expenses
(A) made or incurred by the Borrower and its subsidiaries in connection with the
SemperCare Acquisition or any Permitted Acquisition, including severance,
relocation and facilities closing costs, that are paid, accrued or reserved for
within 180 days of such transaction or (B) incurred in connection with the
issuance of Equity Interests or Indebtedness or the extinguishment of
Indebtedness, (vii) other cash expenses incurred during such period in
connection with the SemperCare Acquisition or a Permitted Acquisition to the
extent that such expenses are reimbursed in cash during such period pursuant

                                      -8-
<PAGE>

to indemnification provisions of any agreement relating to such transaction,
(viii) fees paid to any Sponsor or Sponsor Affiliate under Section 6.09(h), (ix)
Consolidated Net Income attributable to minority interests of a subsidiary (less
the amount of any mandatory cash distribution with respect to any minority
interest other than in connection with a proportionate discretionary cash
distribution with respect to the interest held by the Borrower or any
subsidiary), (x) start-up losses attributable to LTACHs paid under acute care
DRGs during their LTACH qualification period in connection with health care
facilities acquired in any Permitted Acquisition, not to exceed $10,000,000 in
any single acquisition or group of related acquisitions and $15,000,000 in any
fiscal year, and (xi) cash expenses incurred during such period in connection
with extraordinary casualty events to the extent such expenses are reimbursed in
cash by insurance during such period minus

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

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

Consolidated EBITDA for the fiscal quarters ended March 31, 2004, June 30, 2004
and September 30, 2004, shall be $75,673,836, $72,752,142 and $72,470,174,
respectively. Consolidated EBITDA for the fiscal quarter ended December 31, 2004
shall be the sum of the Borrower's actual Consolidated EBITDA for such period
plus SemperCare's Consolidated EBITDA for such period, as adjusted in a manner
consistent with the adjustments made in the prior fiscal quarters.

            "Consolidated Net Income" means, for any period, the net income or
loss of the Borrower and its subsidiaries for such period determined on a
consolidated basis in accordance with GAAP, provided that there shall be
excluded from Consolidated Net Income (a) the income of any subsidiary (other
than a Consolidated Practice) to the extent that the declaration or payment of
dividends or other distributions by such subsidiary of that income is not at the
time permitted by a Requirement of Law or any agreement or instrument applicable
to such subsidiary, except to the extent of the amount of cash dividends or
other cash distributions actually paid to the Borrower or any subsidiary during
such period (unless the income of any subsidiary receiving such dividend or
distribution would be excluded from Consolidated Net Income pursuant to this
proviso), and (b) any gains or losses attributable to sales of assets out of the
ordinary course of business and any extraordinary losses or gains.
Notwithstanding the foregoing, (1) the income of any Permitted Joint Venture
that is not a subsidiary shall be included in Consolidated Net Income during any
four-quarter period only to the extent of the amount of cash dividends or other
cash distributions of such income actually paid to the Borrower or any
subsidiary prior to the date financial statements are required to be delivered
pursuant to Section 5.01(a) or (b) for the most recent fiscal period (unless the
income of the subsidiary receiving such dividend or distribution would be
excluded from Consolidated Net Income pursuant to this definition) and (2) for
purposes of calculating the "Available Amount", Consolidated Net Income shall be
increased (without duplication) by the amount of cash dividends or other cash
distributions actually paid to the Borrower or any subsidiary (unless the income
of the subsidiary receiving such dividend or distribution would be excluded from
Consolidated Net Income pursuant to this definition) since the Effective Date,
to the extent not previously included therein.

            "Consolidated Practice" means any therapist- or physician-owned
professional organization, association or corporation that employs or contracts
with physicians and has entered into a management services agreement with the
Borrower or any other Subsidiary, the accounts of which are consolidated with
the Borrower and its subsidiaries in accordance with GAAP.

                                      -9-
<PAGE>

            "Consolidated Tangible Assets" means, as of any date, the total
assets of the Borrower and its subsidiaries determined in accordance with GAAP
(less, to the extent not deducted in the determination of total assets,
accumulated depreciation and amortization, allowances for doubtful receivables,
other applicable reserves and other properly deductible items) after giving
effect to purchase accounting and, after deducting therefrom, to the extent
otherwise included, the amounts of (without duplication): (a) the excess of cost
over fair market value of real property; (b) any revaluation or other write-up
in book value of assets subsequent to the last day of the fiscal quarter of the
Borrower immediately preceding the Effective Date as a result of any change in
the method of valuation in accordance with GAAP; (c) unamortized debt discount
and expenses and other unamortized deferred charges, goodwill, patents,
trademarks, service marks, trade names, copyrights, licenses, organization or
developmental expenses and other intangible items as to which Statement of
Financial Accounting Standards No. 142 ("Goodwill and Other Intangible Assets")
applies; (d) minority interests in subsidiaries held by Persons other than the
Borrower or any subsidiary; (e) treasury stock; (f) cash or securities set aside
and held in a sinking or other analogous fund established for the purpose of
redemption or other retirement of Equity Interests; (g) investments in (and, for
the avoidance of doubt, assets of) Permitted Joint Ventures; and (h) non-current
deferred tax assets.

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

            "Debt Tender Offers" has the meaning set forth in the preamble to
this Agreement.

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

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

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

            "DRG" means a diagnostics related group.

            "Effective Date" means the date on which the conditions specified in
Section 4.01 are satisfied (or waived).

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

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

                                      -10-
<PAGE>

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

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

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

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

            "ERISA Event" means (a) any "reportable event", as defined in
Section 4043 of ERISA or the regulations issued thereunder, with respect to a
Plan (other than an event for which the 30 day notice period is waived), (b) the
existence with respect to any Plan of an "accumulated funding deficiency" (as
defined in Section 412 of the Code or Section 302 of ERISA), whether or not
waived, (c) the filing pursuant to Section 412(d) of the Code or Section 303(d)
of ERISA of an application for a waiver of the minimum funding standard with
respect to any Plan, (d) the incurrence by the Borrower or any of its ERISA
Affiliates of any liability under Title IV of ERISA with respect to the
termination of any Plan, (e) the receipt by the Borrower or any ERISA Affiliate
from the PBGC or a plan administrator of any notice relating to an intention to
terminate any Plan or Plans or to appoint a trustee to administer any Plan, (f)
the incurrence by the Borrower or any of its ERISA Affiliates of any liability
with respect to the withdrawal or partial withdrawal from any Plan or
Multiemployer Plan or (g) the receipt by the Borrower or any ERISA Affiliate of
any notice, or the receipt by any Multiemployer Plan from the Borrower or any
ERISA Affiliate of any notice, concerning the imposition of Withdrawal Liability
or a determination that a Multiemployer Plan is, or is expected to be, insolvent
or in reorganization, within the meaning of Title IV of ERISA.

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

            "Event of Default" has the meaning assigned to such term in Section
7.01.

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

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

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

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

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

                                      -11-
<PAGE>

            (e) the greater of (x) the amount of Capital Expenditures of the
      Borrower and its subsidiaries in such fiscal year (except to the extent
      attributable to the incurrence of Capital Lease Obligations or otherwise
      financed by incurring Long-Term Indebtedness) and (y) the amount of
      Capital Expenditures budgeted by the Borrower and its subsidiaries for the
      next succeeding fiscal year; minus

            (f) the aggregate principal amount of Long-Term Indebtedness repaid
      or prepaid by the Borrower and its subsidiaries during such fiscal year,
      excluding (i) Indebtedness in respect of Revolving Loans and Letters of
      Credit (unless there is a corresponding reduction in the aggregate
      Revolving Commitments), (ii) Tranche B Term Loans prepaid pursuant to
      Section 2.11(a), (c) or (d), and (iii) repayments or prepayments of
      Long-Term Indebtedness financed by the incurrence of other Long-Term
      Indebtedness by a Parent or any Loan Party or the issuance of Equity
      Interests (or capital contributions in respect thereof) after the
      Effective Date to the extent not Otherwise Applied; minus

            (g) the amount of Restricted Payments made by a Loan Party in such
      fiscal year pursuant to clause (iii) of Section 6.08(a); minus

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

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

            "Excluded Taxes" means, with respect to the Administrative Agent,
any Lender, the Issuing Bank or any other recipient of any payment to be made by
or on account of any obligation of the Borrower hereunder, (a) income or
franchise taxes imposed on (or measured by) its net income by the United States
of America, or by the jurisdiction under the laws of which such recipient is
organized or in which its principal office is located or, in the case of any
Lender, in which its applicable lending office is located, (b) any branch
profits taxes imposed by the United States of America or any similar tax imposed
by any other jurisdiction described in clause (a) above, (c) in the case of a
Foreign Lender (other than an assignee pursuant to a request by the Borrower
under Section 2.19(b)), any withholding tax that is in effect and would apply to
amounts payable to such Foreign Lender at the time such Foreign Lender becomes a
party to this Agreement (or designates a new lending office), except to the
extent that such Foreign Lender (or its assignor, if any) was entitled, at the
time of designation of a new lending office (or assignment), to receive
additional amounts from the Borrower with respect to any withholding tax
pursuant to Section 2.17(a), and (d) any withholding tax that is attributable to
a Foreign Lender's failure to comply with Section 2.17(e).

            "Existing Credit Agreement" has the meaning set forth in the
preamble to this Agreement.

            "Existing Extensions of Credit" has the meaning assigned to such
term in Section 2.20.

            "Existing Lender" has the meaning assigned to such term in Section
2.20.

            "Existing Letter of Credit" means each letter of credit previously
issued for the account of the Borrower pursuant to the Existing Credit Agreement
that (a) is outstanding on the Effective Date and (b) is listed on Schedule
2.05.

                                      -12-
<PAGE>

            "Existing Subordinated Notes" has the meaning set forth in the
preamble to this Agreement.

            "Existing Subordinated Notes Documents" means the Existing
Subordinated Notes Indentures and all other instruments, agreements and other
documents evidencing or governing the Existing Subordinated Notes or providing
for any Guarantee or other right in respect thereof.

            "Existing Subordinated Notes Indentures" has the meaning set forth
in the preamble to this Agreement.

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

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

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

            "Financial Performance Covenants" means the covenants of the
Borrower set forth in Sections 6.12 and 6.13.

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

            "Foreign Subsidiary" means any Subsidiary that is not a Domestic
Subsidiary.

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

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

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

            "Guarantee" of or by any Person (the "guarantor") means any
obligation, contingent or otherwise, of the guarantor guaranteeing or having the
economic effect of guaranteeing any Indebtedness or other obligation of any
other Person (the "primary obligor") in any manner, whether directly or
indirectly, and including any obligation of the guarantor, direct or indirect,
(a) to purchase or pay (or advance

                                      -13-
<PAGE>

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

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

            "Holdings" means (A) Select Medical Holdings Corporation, a Delaware
corporation, or (B) any other entity (such entity, a "Succeeding Holdings") that
becomes the immediate parent of the Borrower.

            "Holdings Leverage Ratio" has the same meaning as "Leverage Ratio,"
but for purposes of determining Total Indebtedness, substituting "Holdings" for
"Borrower".

            "Holdings Senior Subordinated Notes" means Select Medical Holdings
Corporation's 10% Senior Subordinated Notes due 2015, in an initial aggregate
principal amount of $150,000,000.

            "Inactive Subsidiary" means a Subsidiary that (a) conducts no
business operations, (b) has total assets with a fair market value of not more
than $500,000 individually and not more than $5,000,000 in the aggregate and (c)
has no Indebtedness outstanding.

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

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

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

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

                                      -14-
<PAGE>

(j) all obligations, contingent or otherwise, of such Person in respect of
bankers' acceptances. The Indebtedness of any Person shall include the
Indebtedness of any other entity (including any partnership in which such Person
is a general partner) to the extent such Person is liable therefor as a result
of such Person's ownership interest in or other relationship with such entity,
except to the extent the terms of such Indebtedness provide that such Person is
not liable therefor. Notwithstanding the foregoing, the term "Indebtedness"
shall not include post-closing payment adjustments, earn-outs or non-compete
payments to which the seller in any Permitted Acquisition is or may become
entitled or amounts that any member of management, the employees or consultants
of Holdings, the Borrower or any of the Subsidiaries may become entitled to
under any cash incentive plan in existence from time to time.

            "Indemnified Taxes" means Taxes other than Excluded Taxes.

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

            "Information" has the meaning set forth in Section 9.12.

            "Information Memorandum" means the Confidential Information
Memorandum dated January 2005, relating to Holdings, the Borrower and the
Transactions.

            "Insurance Subsidiary" means a subsidiary of the Borrower
established for the sole purpose of providing insurance benefits to the Borrower
and its subsidiaries.

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

            "Interest Expense Coverage Ratio" has the meaning set forth in
Section 6.12.

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

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

                                      -15-
<PAGE>

            "IPO" means a bona fide underwritten initial public offering of
Equity Interests of Holdings after the Effective Date yielding gross proceeds to
Holdings of not less than $100,000,000.

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

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

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

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

            "Letter of Credit" means (a) any letter of credit issued pursuant to
this Agreement and (b) each Existing Letter of Credit.

            "Leverage Ratio" means, on any date, the ratio of (a) Total
Indebtedness on such date to (b) Consolidated EBITDA for the period of four
consecutive fiscal quarters of the Borrower ended on such date (or, if such date
is not the last day of a fiscal quarter, ended on the last day of the fiscal
quarter of the Borrower most recently ended prior to such date), provided that
until the expiration of the fifth Business Day subsequent to the date on which
financial statements are required to be delivered pursuant to Section 5.01 for
the fiscal quarter of the Borrower most recently ended, if (i) Holdings issues
Permitted Securities for cash or otherwise receives a cash contribution from the
Permitted Investors, (ii) such cash is contributed by Holdings to the Borrower
as a cash contribution or in exchange for common equity of the Borrower and
(iii) the Borrower applies such cash to prepay Tranche B Term Loans pursuant to
Section 2.11(a), then such prepayment shall be deemed to have occurred on the
last day of such four-quarter period for purposes of calculating the Leverage
Ratio solely for purposes of Section 6.13; provided, further, that nothing in
this proviso shall cure any Default that may exist until such time as the
Tranche B Term Loans are prepaid as set forth in clause (iii) above.

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

                                      -16-
<PAGE>

-bank market at approximately 11:00 a.m., London time, two Business Days prior
to the commencement of such Interest Period.

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

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

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

            "Loan Parties" means Holdings, the Borrower, the Subsidiary Loan
Parties and each Permitted Joint Venture Loan Party.

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

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

            "LTACH" means (a) a long-term hospital as defined in Volume 42,
Section 412.23 of the Code of Federal Regulations (or any successor definition)
or (b) any long-term hospital that is in development to achieve such status.

            "Maintenance Capital Expenditures" means any Capital Expenditure for
the maintenance, repair, restoration or refurbishment of any property of the
Borrower or any of the Subsidiaries, but excluding any Capital Expenditure which
materially adds to or further improves such property.

            "Material Adverse Effect" means a material adverse effect on (a) the
business, operations, assets, liabilities, financial condition or results of
operations of Holdings, the Borrower and the Subsidiaries, taken as a whole,
whether or not covered by insurance, (b) the ability of any Loan Party to
perform any obligation under any Loan Document or (c) the rights of or benefits
available to the Lenders under any Loan Document.

            "Material Disposition" means the sale by the Borrower or any
Subsidiary of assets (including the capital stock of a Subsidiary or a business
unit) for aggregate consideration (including amounts received in connection with
post-closing payment adjustments, earn-outs and noncompete payments) of at least
$20,000,000.

            "Material Indebtedness" means Indebtedness (other than the Loans and
Letters of Credit), or obligations in respect of one or more Swap Agreements, of
any one or more of Holdings, the Borrower and the Subsidiaries in an aggregate
principal amount exceeding $20,000,000. For purposes of determining

                                      -17-
<PAGE>

Material Indebtedness, the "principal amount" of the obligations of the Borrower
or any Subsidiary in respect of any Swap Agreement at any time shall be the
maximum aggregate amount (giving effect to any netting agreements) that the
Borrower or such Subsidiary would be required to pay if such Swap Agreement were
terminated at such time.

            "Maximum Rate" has the meaning set forth in Section 9.13.

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

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

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

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

            "MergerCo" has the meaning set forth in the preamble to this
Agreement.

            "Moody's" means Moody's Investors Service, Inc.

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

            "Mortgaged Property" means, initially, each parcel of real property
and the improvements thereto owned by a Loan Party and identified on Schedule
1.01 and includes each other parcel of real property owned by a Loan Party and
improvements thereto with respect to which a Mortgage is granted pursuant to
Section 5.12 or 5.13.

            "Multiemployer Plan" means a multiemployer plan as defined in
Section 4001(a)(3) of ERISA.

            "Net Proceeds" means, with respect to any event, (a) the cash
proceeds received in respect of such event including (i) any cash received in
respect of any non-cash proceeds (including any cash payments received by way of
deferred payment of principal pursuant to a note or installment receivable or
purchase price adjustment receivable or otherwise, but excluding any interest
payments), but only as and when received, (ii) in the case of a casualty,
insurance proceeds and (iii) in the case of a condemnation or similar event,
condemnation awards and similar payments, net of (b) the sum of (i) all
reasonable fees and out-of-pocket expenses paid to third parties (other than
Affiliates) in connection with such event, (ii) in the case of a sale, transfer
or other disposition of an asset (including pursuant to a sale and leaseback
transaction or a casualty or a condemnation or similar proceeding), the amount
of all payments required to be made as a result of such event to repay
Indebtedness (other than Loans) secured by such asset or otherwise subject to
mandatory prepayment as a result of such event and (iii) the amount of all taxes
paid (or reasonably estimated to be payable) and the amount of any reserves
established to fund liabilities reasonably estimated to be payable, in each case
during the year that such event occurred or the next succeeding year and that
are directly attributable to such event (as determined reasonably and in good
faith by a Financial Officer), provided that no net proceeds calculated in
accordance with the foregoing of less than $2,500,000 realized in a single
transaction or series of related transactions shall constitute Net Proceeds.

                                      -18-
<PAGE>

            "Net Working Capital" means, at any date, (a) the consolidated
current assets of the Borrower and its subsidiaries as of such date (excluding
cash and Permitted Investments) minus (b) the consolidated current liabilities
of the Borrower and its subsidiaries as of such date (excluding current
liabilities in respect of Indebtedness). Net Working Capital at any date may be
a positive or negative number. Net Working Capital increases when it becomes
more positive or less negative and decreases when it becomes less positive or
more negative.

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

            "Obligations" has the meaning assigned to such term in the
Collateral Agreement.

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

            "Otherwise Applied" means, with respect to any Net Proceeds, the
amount of such Net Proceeds that was (i) required to prepay the Loans pursuant
to Section 2.11 or (ii) otherwise previously applied under the Loan Documents.

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

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

            "Patriot Act" has the meaning set forth in Section 9.14.

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

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

            "Permitted Acquisitions" means any acquisition by the Borrower or
any Subsidiary Loan Party at least 80% of all outstanding Equity Interests
(other than directors' qualifying shares or shares issued to foreign nationals
to the extent required by applicable law) in, all or substantially all the
assets of, or all or substantially all the assets constituting a division or
line of business of, a Person if (a) such acquisition was not preceded by, or
consummated pursuant to, a hostile offer (including a proxy contest), (b) no
Default has occurred and is continuing or would result therefrom, (c) after
giving effect to such acquisition, the Borrower and the Subsidiary Loan Party
shall have aggregate unused and available Revolving Commitments and unrestricted
cash and Permitted Investments of not less than $40,000,000, (d) after giving
effect to such acquisition, the aggregate Consolidated Tangible Assets acquired
in all Permitted Acquisitions consummated since the Effective Date (excluding
acquisitions resulting in a newly formed Domestic Subsidiary or otherwise
related to assets substantially located in the United States of America) does
not exceed 5% of Consolidated Tangible Assets, (e) such acquisition and all
transactions related thereto are consummated in accordance in all material
respects with all applicable laws, (f) all actions required to be taken with
respect to such acquired or newly formed Subsidiary (if a Domestic Subsidiary)
or assets (if held by a Domestic Subsidiary) to cause such Person to become a
Loan Party under Sections 5.12 and 5.13 shall have been taken (or shall be taken
promptly thereafter), (g) the Borrower and the Subsidiaries are in compliance on
a Pro Forma Basis with the Financial Performance Covenants recomputed

                                      -19-
<PAGE>

as of the last day of the most recently ended fiscal quarter of the Borrower for
which financial statements are available, and (h) the Borrower has delivered to
the Administrative Agent an officer's certificate to the effect set forth in
clauses (a), (b), (c), (d), (e), (f) and (g) above, together with all relevant
financial information for the Person or assets to be acquired.

            "Permitted Encumbrances" means:

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

            (b) carriers', warehousemen's, mechanics', materialmen's,
      repairmen's and other like Liens imposed by law, arising in the ordinary
      course of business and securing obligations that are not overdue by more
      than 30 days or are being contested in compliance with Section 5.05;

            (c) pledges and deposits made in the ordinary course of business in
      compliance with workers' compensation, unemployment insurance and other
      social security laws or regulations;

            (d) deposits to secure the performance of bids, trade contracts,
      leases, statutory obligations, surety and appeal bonds, performance bonds
      and other obligations of a like nature;

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

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

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

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

            (i) leases or subleases which are subordinate to the Lien of any
      Mortgage,

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

            "Permitted Investments" means:

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

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

            (c) investments in certificates of deposit, banker's acceptances and
      time deposits maturing within 365 days from the date of acquisition
      thereof issued or guaranteed by or placed

                                      -20-
<PAGE>

      with, and money market deposit accounts issued or offered by, any domestic
      office of any commercial bank organized under the laws of the United
      States of America or any State thereof that has a combined capital and
      surplus and undivided profits of not less than $500,000,000;

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

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

            "Permitted Investors" means (A) Welsh, Carson, Anderson & Stowe IX,
L.P., WCAS Capital Partners IV, L.P., Thoma Cressey Fund VI, L.P., Thoma Cressey
Fund VII, L.P., and their respective Sponsor Affiliates and (B) (i) Rocco A.
Ortenzio, Robert A. Ortenzio and each of the other directors, officers and
employees of the Borrower who owned capital stock of Holdings on the first date
the Borrower became a wholly owned subsidiary of Holdings; (ii) the spouses,
ancestors, siblings, descendants (including children or grandchildren by
adoption) and the descendants of any of the siblings of the Persons referred to
in clause (i); (iii) in the event of the incompetence or death of any of the
Persons described in clauses (i) or (ii), such Person's estate, executor,
administrator, committee or other personal representative, in each case who at
any particular date shall be the beneficial owner or have the right to acquire,
directly or indirectly, capital stock of the Borrower or Holdings (or any other
direct or indirect parent company of the Borrower); (iv) any trust created for
the benefit of the Persons described in any of clauses (i) through (iii) or any
trust for the benefit of any such trust; or (v) any Person Controlled by any of
the Persons described in any of clauses (i) through (iv).

            "Permitted Joint Venture" means any investment by which the Borrower
or any Subsidiary Loan Party acquires at least 10% but not more than 99% of the
Equity Interests of any Person, provided that the primary business of such
Person is (x) to own, lease or operate facilities which provide long-term acute
care services or (y) to provide long-term acute care services or any related
services to a hospital or other health care facility.

            "Permitted Joint Venture Loan Party" means any Permitted Joint
Venture which (x) is a subsidiary of the Borrower or any Subsidiary Loan Party
and (y) satisfies the terms of the Collateral and Guarantee Requirement.

            "Permitted Real Estate Joint Venture" means any Permitted Joint
Venture which is a subsidiary and owns real property used in the business of the
Borrower or any Subsidiary, provided that such Permitted Real Estate Joint
Venture is not engaged in any business or activity other than the ownership of
such real property and activities incidental thereto.

            "Permitted Security" means (a) common stock of Holdings or (b)
Qualified Preferred Stock, in each case (i) (x) issued to the Permitted
Investors for cash or (y) issued to any other Person that makes an equity
investment in Holdings in connection with the Transactions and (ii) the proceeds
of which are contributed by Holdings to the Borrower in exchange for common
stock or as a capital contribution.

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

                                      -21-
<PAGE>

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

            "Prepayment Event" means:

            (a) any sale, transfer or other disposition (excluding pursuant to a
      sale and leaseback transaction permitted under Section 6.06) of any
      property or asset of Holdings, the Borrower or any Subsidiary in excess of
      $5,000,000 in any fiscal year, other than dispositions described in
      clauses (a), (b), (c) and (d) of Section 6.05; or

            (b) any casualty or other insured damage to, or any taking under
      power of eminent domain or by condemnation or similar proceeding of, any
      property or asset of Holdings, the Borrower or any Subsidiary with a fair
      value immediately prior to such event equal to or greater than $2,500,000;
      or

            (c) the issuance by Holdings, the Borrower or any Subsidiary of any
      Equity Interests, or the receipt by Holdings, the Borrower or any
      Subsidiary of any capital contribution, other than (i) any Additional
      Equity Offering, (ii) Permitted Securities, (iii) any issuance of
      directors' qualifying shares, (iv) any issuance by the Borrower or any
      Subsidiary of common Equity Interests to, or receipt of any such capital
      contribution from, Holdings, the Borrower or any other Subsidiary or (v)
      any issuance to management, employees or consultants of Holdings, the
      Borrower or any of the Subsidiaries under any employment or similar
      agreement, stock option or stock purchase plan or benefit plan in
      existence from time to time; or

            (d) the incurrence by Holdings, the Borrower or any Subsidiary of
      any Indebtedness, other than Indebtedness permitted under Section 6.01 or
      permitted by the Required Lenders pursuant to Section 9.02.

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

            "Pro Forma Basis" means, for purposes of calculating the Leverage
Ratio, the Holdings Leverage Ratio or the Interest Expense Coverage Ratio for
any period, that any Specified Transaction that has been consummated in such
period and the following transactions in connection therewith shall be deemed to
have occurred as of the first day of such period:

            (a) income statement items (whether positive or negative)
      attributable to the property or Person subject to such Specified
      Transaction, in the case of the SemperCare Acquisition or a Permitted
      Acquisition,

            (b) any retirement of Indebtedness, and

            (c) any Indebtedness incurred or assumed by Holdings, the Borrower
      or any of their subsidiaries in connection therewith (or in any Specified
      Transaction) and if such Indebtedness has a floating or formula rate, it
      shall have an implied rate of interest for the applicable period for
      purposes of this definition determined by utilizing the rate which is or
      would be in effect with respect to such Indebtedness as at the relevant
      date of determination;

                                      -22-
<PAGE>

provided that the foregoing pro forma adjustments may be applied to any such
test solely to the extent that such adjustments are consistent with the
definition of "Consolidated EBITDA" and give effect to events (including cost
savings) to the extent they (i) would be permitted to be reflected in pro forma
financial information complying with the requirements of GAAP and Article XI of
Regulation S-X under the Securities Act of 1933, as amended, as interpreted by
the Staff of the SEC; (ii) were actually implemented by the business that was
the subject of the SemperCare Acquisition or the applicable Permitted
Acquisition or Material Disposition, as the case may be, within 12 months after
the date of such transaction, and are supportable and quantifiable by the
underlying accounting records of such business or (iii) for all purposes other
than determining the "Applicable Rate", relate to the business that is the
subject of such Specified Transaction, and are reasonably determined by the
Borrower to be probable based upon specifically identifiable actions to be taken
within 12 months after the date of such Specified Transaction, and, in each case
are certified by a Financial Officer (accompanied by reasonably detailed
supporting evidence).

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

            "Qualified Holdings Debt" means Qualified Holdings Discount Debt and
Qualified Holdings Subordinated Debt.

            "Qualified Holdings Discount Debt" means unsecured Indebtedness of
Holdings or a Parent that (a) is not subject to any Guarantee by the Borrower or
any Subsidiary Loan Party, (b) does not mature prior to the date that is 180
days after the Tranche B Maturity Date, (c) has no scheduled amortization or
payments of principal prior to such 180th day (except to the extent required to
prevent such Indebtedness from being treated as an "Applicable High Yield
Discount Obligation" within the meaning of Section 163(i)(1) of the Internal
Revenue Code of 1986, as amended; provided that any such payment obligation of
Holdings shall be subordinated to the Obligations to the same extent as the
Senior Subordinated Notes are subordinated to the Obligations), (d) does not
require any payments in cash of interest or other amounts in respect of the
principal thereof for at least four (4) years from the date of issuance or
incurrence thereof, and (e) has mandatory prepayment, repurchase or redemption,
covenant, default and remedy provisions customary for senior discount notes of
an issuer that is the parent of a borrower under senior secured credit
facilities and in any event, with respect to default and remedy provisions, not
materially more restrictive than those set forth in the Senior Subordinated
Notes, taken as a whole (other than provisions customary for senior discount
notes of a holding company).

            "Qualified Holdings Subordinated Debt" means unsecured Indebtedness
of Holdings or a Parent issued to Permitted Investors, including the Holdings
Senior Subordinated Notes and additional unsecured Subordinated Indebtedness
that (a) does not mature prior to the date that is 180 days after the Tranche B
Maturity Date and (b) has subordination provisions and other non-pricing terms
and conditions that are no less favorable to the Lenders than the analogous
provisions of the Holdings Senior Subordinated Notes.

            "Qualified Preferred Stock" means preferred stock of Holdings that
(a) does not require the payment of cash dividends (it being understood that
cumulative dividends shall be permitted), (b) is not mandatorily redeemable
pursuant to a sinking fund obligation or otherwise prior to the date that is 180
days after the Tranche B Maturity Date (other than upon an event of default or
change in control, provided that any such payment is subordinated (whether by
contract or pursuant to the Holdings charter or the certificate of designations
of such preferred stock) in right of payment to the Obligations on the terms set
forth in the certificate of incorporation of Holdings in existence on the
Effective Date or such other terms reasonably satisfactory to the Administrative
Agent), (c) contains no maintenance covenants, other

                                      -23-
<PAGE>

covenants materially adverse to the Lenders or remedies (other than voting
rights) and (d) is convertible only into common equity of Holdings or securities
that would constitute Qualified Preferred Stock.

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

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

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

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

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

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

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

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

            "Revolving Commitment" means, with respect to each Lender, the
commitment, if any, of such Lender to make Revolving Loans and to acquire
participations in Letters of Credit and Swingline Loans hereunder, expressed as
an amount representing the maximum possible aggregate amount of such Lender's
Revolving Exposure hereunder, as such commitment may be (a) reduced from time to
time pursuant to Section 2.08 and (b) reduced or increased from time to time
pursuant to assignments by or to such Lender pursuant to Section 9.04. The
initial amount of each Lender's Revolving Commitment is set forth on Schedule
2.01 or in the Assignment and Assumption pursuant to which such Lender shall
have assumed its Revolving Commitment, as applicable. The initial aggregate
amount of the Lenders' Revolving Commitments is $300,000,000.

                                      -24-
<PAGE>

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

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

            "Revolving Loan" means a Loan made pursuant to clause (b) of Section
2.01.

            "Revolving Maturity Date" means February 24, 2011.

            "S&P" means Standard & Poor's Ratings Group, Inc.

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

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

            "SemperCare" means SemperCare, Inc.

            "SemperCare Acquisition" means the acquisition of SemperCare
pursuant to the terms of the SemperCare Acquisition Agreement.

            "SemperCare Acquisition Agreement" means the Agreement and Plan of
Merger and Reorganization by and among Select Medical Corporation, Camp Hill
Acquisition Corp., SemperCare, Inc. and Jeffrey C. Collinson, as stockholders'
agent, dated November 19, 2004.

            "Senior Subordinated Notes" means the 7-5/8% Senior Subordinated
Notes due 2015 issued by the Borrower on or prior to the Effective Date in the
aggregate principal amount of $660,000,000 and the Indebtedness represented
thereby.

            "Senior Subordinated Notes Documents" means the indenture dated as
of February 24, 2005, among the Borrower, the Subsidiaries listed therein and
U.S. Bank National Association, as trustee, in respect of the Senior
Subordinated Notes and all other instruments, agreements and other documents
evidencing or governing the Senior Subordinated Notes or providing for any
Guarantee or other right in respect thereof.

            "Specified Transactions" means (a) the SemperCare Acquisition and
any Permitted Acquisition, (b) any Material Disposition and (c) any proposed
incurrence of Indebtedness in respect of which the Interest Expense Coverage
Ratio, Leverage Ratio or Holdings Leverage Ratio is by the terms of this
Agreement required to be calculated on a Pro Forma Basis.

            "Sponsor" means (A) Welsh, Carson, Anderson & Stowe IX, L.P. and (B)
Thoma Cressey Equity Partners.

            "Sponsor Affiliate" means (i) each Affiliate of the Sponsor that is
neither an operating company nor a company controlled by an operating company,
(ii) each partner, officer, director, principal or member of the Sponsor or any
Sponsor Affiliate and (iii) any spouse, parent or lineal descendant (including

                                      -25-
<PAGE>

by adoption) of any of the foregoing who are natural persons and any trust for
the benefit of such persons.

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

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

            "subsidiary" means, with respect to any Person (the "parent") at any
date, any corporation, limited liability company, partnership, association or
other entity the accounts of which would be consolidated with those of the
parent in the parent's consolidated financial statements if such financial
statements were prepared in accordance with GAAP as of such date, as well as any
other corporation, limited liability company, partnership, association or other
entity of which securities or other ownership interests representing more than
50% of the equity or more than 50% of the ordinary voting power or, in the case
of a partnership, more than 50% of the general partnership interests are, as of
such date, owned, controlled or held.

            "Subsidiary" means any subsidiary of the Borrower, other than any
Permitted Joint Venture that is not a Permitted Joint Venture Loan Party.

            "Subsidiary Loan Party" means any Domestic Subsidiary (other than
(a) any Inactive Subsidiary for which the Borrower has not satisfied the
Collateral and Guarantee Requirement, (b) any Consolidated Practice and (c) any
Insurance Subsidiary).

            "Succeeding Holdings" has the meaning set forth in the definition of
"Holdings".

            "Supermajority Lenders" means Lenders having Revolving Exposures,
Tranche B Term Loans, Loans in respect of Incremental Extensions of Credit, if
any, and unused Commitments representing more than 75% of the aggregate
Revolving Exposures, outstanding Tranche B Term Loans, outstanding Loans in
respect of Incremental Extensions of Credit, if any, and unused Commitments at
such time.

            "Swap Agreement" means any agreement with respect to any swap,
forward, future or derivative transaction or option or similar agreement
involving, or settled by reference to, one or more rates, currencies,
commodities, equity or debt instruments or securities, or economic, financial or
pricing indices or measures of economic, financial or pricing risk or value or
any similar transaction or any combination of these transactions, provided that
no phantom stock or similar plan providing for payments only on account of
services provided by current or former directors, officers, employees or
consultants of the Borrower or the Subsidiaries shall be a Swap Agreement.

                                      -26-
<PAGE>

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

            "Swingline Lender" means JPMorgan Chase Bank, N.A., in its capacity
as lender of Swingline Loans hereunder.

            "Swingline Loan" means a Loan made pursuant to Section 2.04.

            "Syndication Agent" means Wachovia Bank, National Association.

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

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

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

            "Total Indebtedness" means, as of any date, (x) the aggregate
principal amount of Indebtedness of the Borrower and the Subsidiaries
outstanding as of such date, in the amount that would be reflected on a balance
sheet prepared as of such date on a consolidated basis in accordance with GAAP,
minus (y) up to $125,000,000 of unrestricted cash and Permitted Investments
held, on such date, by the Borrower and the Subsidiary Loan Parties.

            "Tranche B Commitment" means, with respect to each Lender, the
commitment, if any, of such Lender to make a Tranche B Term Loan hereunder on
the Effective Date, expressed as an amount representing the maximum principal
amount of the Tranche B Term Loan to be made by such Lender hereunder, as such
commitment may be (a) reduced from time to time pursuant to Section 2.08 and (b)
reduced or increased from time to time pursuant to assignments by or to such
Lender pursuant to Section 9.04. The initial amount of each Lender's Tranche B
Commitment is set forth on Schedule 2.01 or in the Assignment and Assumption
pursuant to which such Lender shall have assumed its Tranche B Commitment, as
applicable. The initial aggregate amount of the Lenders' Tranche B Commitments
is $580,000,000.

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

            "Tranche B Maturity Date" means February 24, 2012.

            "Tranche B Term Loan" means a Loan made pursuant to clause (a) of
Section 2.01.

            "Transaction Costs" has the meaning set forth in the preamble to
this Agreement.

            "Transactions" means (a) the Merger and the other transactions
contemplated by the Acquisition Documents, (b) the Equity Contributions, (c) the
consummation of the Debt Tender Offers, (d)

                                      -27-
<PAGE>

the repayment in full of all obligations under the Existing Credit Agreement,
the termination of all commitments thereunder and the release of all liens in
respect thereof, (e) the execution, delivery and performance by each Loan Party
of the Loan Documents to which it is to be a party, the borrowing of Loans, the
use of the proceeds thereof and the issuance of Letters of Credit hereunder, (f)
the execution, delivery and performance by each Loan Party of the Senior
Subordinated Notes Documents to which it is to be a party, the issuance of the
Senior Subordinated Notes and the use of the proceeds thereof, (g) the issuance
of the Holdings Senior Subordinated Notes and the use of the proceeds thereof
and (h) payment of the Transaction Costs.

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

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

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

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

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

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

                                      -28-
<PAGE>

shall be interpreted on the basis of GAAP as in effect and applied immediately
before such change shall have become effective until such notice shall have been
withdrawn or such provision amended in accordance herewith.

            SECTION 1.05. Specified Transactions. Notwithstanding anything to
the contrary herein, solely for purposes of determining the Interest Expense
Coverage Ratio, Leverage Ratio and Holdings Leverage Ratio, with respect to any
period during which any Specified Transaction occurs, such ratios shall be
calculated with respect to such period and such Specified Transaction (and all
other Specified Transactions that have been consummated during such period) on a
Pro Forma Basis.

                                   ARTICLE II

                                   The Credits

            SECTION 2.01. Commitments. Subject to the terms and conditions set
forth herein, each Lender agrees (a) to make a Tranche B Term Loan to the
Borrower on the Effective Date in a principal amount not exceeding its Tranche B
Commitment and (b) to make Revolving Loans to the Borrower from time to time
during the Revolving Availability Period in an aggregate principal amount that
will not result in such Lender's Revolving Exposure exceeding such Lender's
Revolving Commitment. Within the foregoing limits and subject to the terms and
conditions set forth herein, the Borrower may borrow, prepay and reborrow
Revolving Loans. Amounts repaid or prepaid in respect of Tranche B Term Loans
may not be reborrowed.

            SECTION 2.02. Loans and Borrowings.

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

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

            (c) At the commencement of each Interest Period for any Eurodollar
Borrowing, such Borrowing shall be in an aggregate amount that is an integral
multiple of $500,000 and not less than $2,000,000. At the time that each ABR
Borrowing is made, such Borrowing shall be in an aggregate amount that is an
integral multiple of $500,000 and not less than $1,000,000. Borrowings of more
than one Type and Class may be outstanding at the same time. There shall not at
any time be more than a total of 20 Eurodollar Borrowings outstanding.
Notwithstanding anything to the contrary herein, an ABR Revolving Borrowing or
Swingline Loan may be in an aggregate amount (i) that is equal to the entire
unused balance of the aggregate Revolving Commitments or (ii) that is required
to finance the reimbursement of an LC Disbursement as contemplated by Section
2.05(e).

                                      -29-
<PAGE>

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

            SECTION 2.03. Requests for Borrowings. To request a Revolving
Borrowing or Tranche B Term Loan Borrowing, the Borrower shall notify the
Administrative Agent of such request by telephone (a) in the case of a
Eurodollar Borrowing, not later than 12:00 noon, New York City time, three
Business Days before the date of the proposed Borrowing or (b) in the case of an
ABR Borrowing, not later than 12:00 noon, New York City time, one Business Day
before the date of the proposed Borrowing, provided that any such notice of an
ABR Revolving Borrowing to finance the reimbursement of an LC Disbursement as
contemplated by Section 2.05(e) may be given not later than 10:00 a.m., New York
City time, on the date of the proposed Borrowing. Each such telephonic Borrowing
Request shall be irrevocable and shall be confirmed promptly by hand delivery or
telecopy to the Administrative Agent of a written Borrowing Request signed by
the Borrower. Each such telephonic and written Borrowing Request shall specify
the following information in compliance with Section 2.02:

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

            (ii) the aggregate amount of such Borrowing;

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

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

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

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

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

            SECTION 2.04. Swingline Loans.

            (a) Subject to the terms and conditions set forth herein, the
Swingline Lender agrees to make Swingline Loans to the Borrower from time to
time during the Revolving Availability Period, in an aggregate principal amount
at any time outstanding that will not result in (i) the aggregate principal
amount of outstanding Swingline Loans exceeding $15,000,000 or (ii) the
aggregate Revolving Exposures exceeding the aggregate Revolving Commitments,
provided that the Swingline Lender shall not be required to make a Swingline
Loan to refinance an outstanding Swingline Loan. Within the foregoing limits and
subject to the terms and conditions set forth herein, the Borrower may borrow,
prepay and reborrow Swingline Loans.

                                      -30-
<PAGE>

            (b) To request a Swingline Loan, the Borrower shall notify the
Administrative Agent of such request by telephone (confirmed by telecopy), not
later than 2:00 p.m., New York City time, on the day of a proposed Swingline
Loan. Each such notice shall be irrevocable and shall specify the requested date
(which shall be a Business Day) and amount of the requested Swingline Loan. The
Administrative Agent will promptly advise the Swingline Lender of any such
notice received from the Borrower. The Swingline Lender shall make each
Swingline Loan available to the Borrower by means of a credit to the general
deposit account of the Borrower maintained with the Swingline Lender (or, in the
case of a Swingline Loan made to finance the reimbursement of an LC Disbursement
as provided in Section 2.05(e), by remittance to the Issuing Bank) by 3:00 p.m.,
New York City time, on the requested date of such Swingline Loan.

            (c) The Swingline Lender may by written notice given to the
Administrative Agent not later than 12:00 noon, New York City time, on any
Business Day require the Revolving Lenders to acquire participations on such
Business Day in all or a portion of the Swingline Loans outstanding. Such notice
shall specify the aggregate amount of Swingline Loans in which Revolving Lenders
will participate. Promptly upon receipt of such notice, the Administrative Agent
will give notice thereof to each Revolving Lender, specifying in such notice
such Lender's Applicable Percentage of such Swingline Loan or Swingline Loans.
Each Revolving Lender hereby absolutely and unconditionally agrees, upon receipt
of notice as provided above, to pay to the Administrative Agent, for the account
of the Swingline Lender, such Lender's Applicable Percentage of such Swingline
Loan or Swingline Loans. Each Revolving Lender acknowledges and agrees that its
obligation to acquire participations in Swingline Loans pursuant to this
paragraph is absolute and unconditional and shall not be affected by any
circumstance whatsoever, including the occurrence and continuance of a Default
or reduction or termination of the Commitments, and that each such payment shall
be made without any offset, abatement, withholding or reduction whatsoever. Each
Revolving Lender shall comply with its obligation under this paragraph by wire
transfer of immediately available funds, in the same manner as provided in
Section 2.06 with respect to Loans made by such Lender (and Section 2.06 shall
apply, mutatis mutandis, to the payment obligations of the Revolving Lenders),
and the Administrative Agent shall promptly pay to the Swingline Lender the
amounts so received by it from the Revolving Lenders. The Administrative Agent
shall notify the Borrower of any participations in any Swingline Loan acquired
pursuant to this paragraph, and thereafter payments in respect of such Swingline
Loan shall be made to the Administrative Agent and not to the Swingline Lender.
Any amounts received by the Swingline Lender from the Borrower (or other party
on behalf of the Borrower) in respect of a Swingline Loan after receipt by the
Swingline Lender of the proceeds of a sale of participations therein shall be
promptly remitted to the Administrative Agent; any such amounts received by the
Administrative Agent shall be promptly remitted by the Administrative Agent to
the Revolving Lenders that shall have made their payments pursuant to this
paragraph and to the Swingline Lender, as their interests may appear, provided
that any such payment so remitted shall be repaid to the Swingline Lender or to
the Administrative Agent, as applicable, if and to the extent such payment is
required to be refunded to the Borrower for any reason. The purchase of
participations in a Swingline Loan pursuant to this paragraph shall not relieve
the Borrower of any default in the payment thereof.

            SECTION 2.05. Letters of Credit.

            (a) General. Upon satisfaction of the conditions specified in
Section 4.01 on the Effective Date, each Existing Letter of Credit will,
automatically and without any action on the part of any Person, be deemed to be
a Letter of Credit issued hereunder for all purposes of this Agreement and the
other Loan Documents. In addition, subject to the terms and conditions set forth
herein, the Borrower may request the issuance of additional Letters of Credit
for its own account (or for the account of any of its subsidiaries so long as
the Borrower is a co-applicant), in a form reasonably acceptable to the
Administrative Agent and the Issuing Bank, at any time and from time to time
during the Revolving Availability

                                      -31-
<PAGE>

Period. In the event of any inconsistency between the terms and conditions of
this Agreement and the terms and conditions of any form of letter of credit
application or other agreement submitted by the Borrower to, or entered into by
the Borrower with, the Issuing Bank relating to any Letter of Credit, the terms
and conditions of this Agreement shall control.

            (b) Notice of Issuance, Amendment, Renewal, Extension; Certain
Conditions. To request the issuance of a Letter of Credit (or the amendment,
renewal or extension of an outstanding Letter of Credit), the Borrower shall
hand deliver or telecopy (or transmit by electronic communication, if
arrangements for doing so have been approved by the Issuing Bank) to the Issuing
Bank (except that the Issuing Bank in respect of Existing Letters of Credit
shall not issue additional Letters of Credit and shall not be required to renew
or extend an Existing Letter of Credit unless agreed by it) and the
Administrative Agent (reasonably in advance of the requested date of issuance,
amendment, renewal or extension) a notice requesting the issuance of a Letter of
Credit, or identifying the Letter of Credit to be amended, renewed or extended,
and specifying the date of issuance, amendment, renewal or extension (which
shall be a Business Day), the date on which such Letter of Credit is to expire
(which shall comply with paragraph (c) of this Section 2.05), the amount of such
Letter of Credit, the name and address of the beneficiary thereof and such other
information as shall be necessary to prepare, amend, renew or extend such Letter
of Credit. If requested by the Issuing Bank, the Borrower also shall submit a
letter of credit application on the Issuing Bank's standard form in connection
with any request for a Letter of Credit. A Letter of Credit shall be issued,
amended, renewed or extended only if (and upon issuance, amendment, renewal or
extension of each Letter of Credit the Borrower shall be deemed to represent and
warrant that), after giving effect to such issuance, amendment, renewal or
extension, (i) the LC Exposure shall not exceed $50,000,000 and (ii) the
aggregate Revolving Exposures shall not exceed the aggregate Revolving
Commitments.

            (c) Expiration Date. Each Letter of Credit shall expire at or prior
to the close of business on the earlier of (i) the date that is one year after
the date of the issuance of such Letter of Credit (or, in the case of any
renewal or extension thereof, one year after such renewal or extension) and (ii)
the date that is five Business Days prior to the Revolving Maturity Date.

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

            (e) Reimbursement. If the Issuing Bank shall make any LC
Disbursement in respect of a Letter of Credit, the Borrower shall reimburse such
LC Disbursement by paying to the Administrative Agent an amount equal to such LC
Disbursement not later than 12:00 noon, New York City time, on (i) the date that
such LC

                                      -32-
<PAGE>

Disbursement is made, if the Borrower shall have received notice of such LC
Disbursement prior to 10:00 a.m., New York City time, on such date, or, if such
notice has not been received by the Borrower prior to such time on such date,
then not later than 12:00 noon, New York City time, on the Business Day that the
Borrower receives such notice, if such notice is received prior to 10:00 a.m.,
New York City time, on the day of receipt, or (ii) the Business Day immediately
following the day that the Borrower receives such notice, if such notice is not
received prior to such time on the day of receipt; provided that, if such LC
Disbursement is not less than $2,000,000, the Borrower may, subject to the
conditions to borrowing set forth herein, request (and, if the Borrower fails to
reimburse such LC Disbursement when due, the Borrower shall be deemed to have
requested) in accordance with Section 2.03 or 2.04 that such LC Disbursement be
financed with an ABR Revolving Borrowing or Swingline Loan in an equivalent
amount and, to the extent so financed, the Borrower's obligation to make such
payment shall be discharged and replaced by the resulting ABR Revolving
Borrowing or Swingline Loan (and the time for reimbursement of such LC
Disbursement shall automatically be extended to the Business Day following such
request or deemed request). If the Borrower fails to make such payment when due,
the Administrative Agent shall notify each Revolving Lender of the applicable LC
Disbursement, the payment then due from the Borrower in respect thereof and such
Lender's Applicable Percentage thereof. Promptly following receipt of such
notice, each Revolving Lender shall pay to the Administrative Agent its
Applicable Percentage of the payment then due from the Borrower, in the same
manner as provided in Section 2.06 with respect to Loans made by such Lender
(and Section 2.06 shall apply, mutatis mutandis, to the payment obligations of
the Revolving Lenders), and the Administrative Agent shall promptly pay to the
Issuing Bank the amounts so received by it from the Revolving Lenders. Promptly
following receipt by the Administrative Agent of any payment from the Borrower
pursuant to this paragraph, the Administrative Agent shall distribute such
payment to the Issuing Bank or, to the extent that Revolving Lenders have made
payments pursuant to this paragraph to reimburse the Issuing Bank, then to such
Lenders and the Issuing Bank as their interests may appear. Any payment made by
a Revolving Lender pursuant to this paragraph to reimburse the Issuing Bank for
any LC Disbursement (other than the funding of ABR Revolving Loans or a
Swingline Loan as contemplated above) shall not constitute a Loan and shall not
relieve the Borrower of its obligation to reimburse such LC Disbursement.

            (f) Obligations Absolute. The Borrower's obligation to reimburse LC
Disbursements as provided in paragraph (e) of this Section 2.05 shall be
absolute, unconditional and irrevocable, and shall be performed strictly in
accordance with the terms of this Agreement under any and all circumstances
whatsoever and irrespective of (i) any lack of validity or enforceability of any
Letter of Credit or this Agreement, or any term or provision therein, (ii) any
draft or other document presented under a Letter of Credit proving to be forged,
fraudulent or invalid in any respect or any statement therein being untrue or
inaccurate in any respect, (iii) payment by the Issuing Bank under a Letter of
Credit against presentation of a draft or other document that does not comply
with the terms of such Letter of Credit, or (iv) any other event or circumstance
whatsoever, whether or not similar to any of the foregoing, that might, but for
the provisions of this Section 2.05, constitute a legal or equitable discharge
of, or provide a right of setoff against, the Borrower's obligations hereunder.
Neither the Administrative Agent, the Lenders nor the Issuing Bank, nor any of
their Related Parties, shall have any liability or responsibility by reason of
or in connection with the issuance or transfer of any Letter of Credit or any
payment or failure to make any payment thereunder (irrespective of any of the
circumstances referred to in the preceding sentence), or any error, omission,
interruption, loss or delay in transmission or delivery of any draft, notice or
other communication under or relating to any Letter of Credit (including any
document required to make a drawing thereunder), any error in interpretation of
technical terms or any consequence arising from causes beyond the control of the
Issuing Bank, provided that the foregoing shall not be construed to excuse the
Issuing Bank from liability to the Borrower to the extent of any direct damages
(as opposed to consequential or punitive damages, claims in respect of which are
hereby waived by the Borrower to the extent permitted by applicable law)
suffered by the Borrower that are caused by the Issuing Bank's failure to
exercise care when determining whether drafts and other documents presented
under a Letter of Credit comply

                                      -33-
<PAGE>

with the terms thereof. The parties hereto expressly agree that, in the absence
of gross negligence or willful misconduct on the part of the Issuing Bank (as
finally determined by a court of competent jurisdiction), the Issuing Bank shall
be deemed to have exercised care in each such determination. In furtherance of
the foregoing and without limiting the generality thereof, the parties agree
that, with respect to documents presented that appear on their face to be in
substantial compliance with the terms of a Letter of Credit, the Issuing Bank
may, in its sole discretion, either accept and make payment upon such documents
without responsibility for further investigation, regardless of any notice or
information to the contrary, or refuse to accept and make payment upon such
documents if such documents are not in strict compliance with the terms of such
Letter of Credit.

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

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

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

            (j) Cash Collateralization. If any Event of Default shall occur and
be continuing, on the Business Day that the Borrower receives notice from the
Administrative Agent or the Required Lenders (or, if the maturity of the Loans
has been accelerated, Revolving Lenders with LC Exposure representing greater
than 50% of the aggregate LC Exposure) demanding the deposit of cash collateral
pursuant to this paragraph, the Borrower shall deposit in an account with the
Collateral Agent, in the name of the Collateral Agent and for the benefit of the
Lenders, an amount in cash equal to 105% the LC Exposure as of such date plus
any accrued and unpaid interest thereon, provided that the obligation to deposit
such cash

                                      -34-
<PAGE>

collateral shall become effective immediately, and such deposit shall become
immediately due and payable, without demand or other notice of any kind, upon
the occurrence of any Event of Default with respect to the Borrower described in
paragraph (h) or (i) of Section 7.01. The Borrower also shall deposit cash
collateral pursuant to this paragraph as and to the extent required by Section
2.11(b). Each such deposit shall be held by the Collateral Agent as collateral
for the payment and performance of the obligations of the Borrower under this
Agreement. The Collateral Agent shall have exclusive dominion and control,
including the exclusive right of withdrawal, over such account. Other than any
interest earned on the investment of such deposits, which investments shall be
made at the option and sole discretion of the Administrative Agent and at the
Borrower's risk and expense, such deposits shall not bear interest. Interest or
profits, if any, on such investments shall accumulate in such account. Moneys in
such account shall be applied by the Administrative Agent to reimburse the
Issuing Bank for LC Disbursements for which it has not been reimbursed and, to
the extent not so applied, shall be held for the satisfaction of the
reimbursement obligations of the Borrower for the LC Exposure at such time or,
if the maturity of the Loans has been accelerated (but subject to the consent of
Revolving Lenders with LC Exposure representing greater than 50% of the
aggregate LC Exposure), be applied to satisfy other obligations of the Borrower
under this Agreement. If the Borrower is required to provide an amount of cash
collateral hereunder as a result of the occurrence of an Event of Default, such
amount (to the extent not applied as aforesaid) shall be returned to the
Borrower within three Business Days after all Events of Default have been cured
or waived.

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

            SECTION 2.06. Funding of Borrowings.

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

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

                                      -35-
<PAGE>

Lender pays such amount to the Administrative Agent, then such amount shall
constitute such Lender's Loan included in such Borrowing.

            SECTION 2.07. Interest Elections.

            (a) Each Revolving Borrowing and Tranche B Term Loan Borrowing
initially shall be of the Type specified in the applicable Borrowing Request
and, in the case of a Eurodollar Borrowing, shall have an initial Interest
Period as specified in such Borrowing Request or as designated by Section 2.03.
Thereafter, the Borrower may elect to convert such Borrowing to a different Type
or to continue such Borrowing and, in the case of a Eurodollar Borrowing, may
elect Interest Periods therefor, all as provided in this Section 2.07. The
Borrower may elect different options with respect to different portions of the
affected Borrowing, in which case each such portion shall be allocated ratably
among the Lenders holding the Loans comprising such Borrowing, and the Loans
comprising each such portion shall be considered a separate Borrowing. This
Section 2.07 shall not apply to Swingline Borrowings, which may not be converted
or continued.

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

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

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

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

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

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

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

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

            (e) If the Borrower fails to deliver a timely Interest Election
Request with respect to a Eurodollar Borrowing prior to the end of the Interest
Period applicable thereto, then, unless such Borrowing

                                      -36-
<PAGE>

is repaid as provided herein, at the end of such Interest Period such Borrowing
shall be converted to an ABR Borrowing.

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

            SECTION 2.08. Termination and Reduction of Commitments.

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

            (b) The Borrower may at any time terminate, or from time to time
reduce, the Commitments of any Class, provided that (i) each reduction of the
Commitments of any Class shall be in an amount that is an integral multiple of
$500,000 and not less than $2,000,000 and (ii) the Borrower shall not terminate
or reduce the Revolving Commitments if, after giving effect to any concurrent
prepayment of the Revolving Loans in accordance with Section 2.11, the aggregate
Revolving Exposures would exceed the aggregate Revolving Commitments.

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

            SECTION 2.09. Repayment of Loans; Evidence of Debt.

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

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

                                      -37-
<PAGE>

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

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

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

            SECTION 2.10. Amortization of Tranche B Term Loans.

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

<TABLE>
<CAPTION>
          Date                       Amount
-----------------------         ----------------
<S>                             <C>
June 30, 2005                   $      1,450,000
September 30, 2005              $      1,450,000
December 31, 2005               $      1,450,000
March 31, 2006                  $      1,450,000
June 30, 2006                   $      1,450,000
September 30, 2006              $      1,450,000
December 31, 2006               $      1,450,000
March 30, 2007                  $      1,450,000
June 30, 2007                   $      1,450,000
September 30, 2007              $      1,450,000
December 31, 2007               $      1,450,000
March 31, 2008                  $      1,450,000
June 30, 2008                   $      1,450,000
September 30, 2008              $      1,450,000
December 31, 2008               $      1,450,000
March 31, 2009                  $      1,450,000
June 30, 2009                   $      1,450,000
September 30, 2009              $      1,450,000
December 31, 2009               $      1,450,000
</TABLE>

                                      -38-
<PAGE>

<TABLE>
<CAPTION>
          Date                       Amount
-----------------------         ----------------
<S>                             <C>
March 31, 2010                  $      1,450,000
June 30, 2010                   $      1,450,000
September 30, 2010              $      1,450,000
December 31, 2010               $      1,450,000
March 31, 2011                  $    136,662,500
June 30, 2011                   $    136,662,500
September 30, 2011              $    136,662,500
Tranche B Maturity Date         $    136,662,500
</TABLE>

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

            (c) Any prepayment of a Tranche B Term Loan Borrowing shall be
applied (i) first, to reduce, in the direct order of maturity, the scheduled
repayments of the Tranche B Term Loan Borrowings to be made pursuant to this
Section 2.10 on the four consecutive scheduled payment dates next following the
date of such prepayment unless and until each such scheduled repayment has been
eliminated as a result of reductions hereunder; and (ii) second, to reduce
ratably the remaining scheduled repayments of the Tranche B Term Loan
Borrowings.

            SECTION 2.11. Prepayment of Loans.

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

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

            (c) In the event and on each occasion that any Net Proceeds are
received by or on behalf of Holdings, the Borrower or any Subsidiary in respect
of any Prepayment Event, the Borrower shall, promptly after such Net Proceeds
are received by Holdings, the Borrower or such Subsidiary (and in any event not
later than the fifth Business Day after such Net Proceeds are received), prepay
Tranche B Term Loan Borrowings in an aggregate amount equal to:

            (x) in the case of a prepayment event described in clause (c) of the
      definition of the term "Prepayment Event", (I) 50% of such Net Proceeds if
      the Leverage Ratio at the end of the immediately preceding fiscal quarter
      for which financial statements are available is greater than 3.75 to 1.00,
      (II) 25% of such Net Proceeds if the Leverage Ratio at the end of the
      immediately preceding fiscal quarter for which financial statements are
      available is greater than 3.25 to 1.00 and less than or equal to 3.75 to
      1.00 and (III) none of such Net Proceeds if the Leverage Ratio at the end
      of the immediately preceding fiscal quarter is less than or equal to 3.25
      to 1.00, and

            (y) in the case of all other Prepayment Events, 100% of such Net
      Proceeds,

provided that in the case of any event described in clause (a) or (b) of the
definition of the term "Prepayment Event", if the Borrower shall deliver to the
Administrative Agent a certificate of a Financial Officer to the effect that the
Borrower and the Subsidiaries intend to apply the Net Proceeds from such event
(or a portion thereof specified in such certificate), within 360 days after
receipt of such Net Proceeds, to acquire

                                      -39-
<PAGE>

or replace real property, equipment or other tangible assets (excluding
inventory) to be used in the business of the Borrower and the Subsidiaries, and
certifying that no Default has occurred and is continuing, then no prepayment
shall be required pursuant to this paragraph in respect of the Net Proceeds
specified in such certificate, except to the extent of any such Net Proceeds
therefrom that have not been so applied or contractually committed in writing by
the end of such 360-day period (and, if so contractually committed in writing
but not applied prior to the end of such 360-day period, applied within 90 days
of the end of such period), promptly after which time a prepayment shall be
required in an amount equal to such Net Proceeds that have not been so applied.

            (d) Following the end of each fiscal year of the Borrower,
commencing with the fiscal year ending December 31, 2006, the Borrower shall
prepay Tranche B Term Loan Borrowings in an aggregate amount equal to:

            (x) the excess of (A) 50% of Excess Cash Flow over (B) prepayments
      of Tranche B Term Loans under Section 2.11(a) during such fiscal year
      (other than prepayments with the proceeds from sales of Permitted
      Securities and Qualified Holdings Debt) for any fiscal year for which the
      Leverage Ratio at the end of such fiscal year is greater than 3.75 to
      1.00,

            (y) the excess of (A) 25% of Excess Cash Flow over (B) prepayments
      of Tranche B Term Loans under Section 2.11(a) during such fiscal year for
      any fiscal year for which the Leverage Ratio at the end of such fiscal
      year is less than or equal to 3.75 to 1.00 and greater than 3.25 to 1.00
      and

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

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

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

            (f) The Borrower shall notify the Administrative Agent (and, in the
case of prepayment of a Swingline Loan, the Swingline Lender) by telephone
(confirmed by telecopy) of any prepayment hereunder (i) in the case of
prepayment of a Eurodollar Borrowing, not later than 12:00 noon, New York City
time, three Business Days before the date of prepayment, (ii) in the case of
prepayment of an ABR Borrowing, not later than 12:00 noon, New York City time,
one Business Day before the date of prepayment or (iii) in the case of
prepayment of a Swingline Loan, not later than 2:00 p.m., New York City time, on
the date of prepayment. Each such notice shall be irrevocable and shall specify
the prepayment date, the principal amount of each Borrowing or portion thereof
to be prepaid and, in the case of a mandatory prepayment, a reasonably detailed
calculation of the amount of such prepayment, provided that, if a notice of
optional prepayment is given in connection with a conditional notice of
termination of the Revolving Commitments as contemplated by Section 2.08, then
such notice of prepayment may be revoked if such notice of termination is
revoked in accordance with Section 2.08. Promptly following receipt of any such
notice (other than a notice relating solely to Swingline Loans), the
Administrative Agent shall advise the Lenders of the contents thereof. Each
partial prepayment of any Borrowing shall be in an amount that would be
permitted in the case of an advance of a Borrowing of the same Type as

                                      -40-
<PAGE>

provided in Section 2.02, except as necessary to apply fully the required amount
of a mandatory prepayment. Each prepayment of a Borrowing shall be applied
ratably to the Loans included in the prepaid Borrowing. Prepayments shall be
accompanied by accrued interest to the extent required by Section 2.13 but shall
in no event include premium or penalty.

            SECTION 2.12. Fees.

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

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

            (c) All voluntary prepayments of the Tranche B Term Loans effected
on or prior to the first anniversary of the Effective Date with the proceeds of
a substantially concurrent issuance or incurrence of new term loans (excluding a
refinancing of all the facilities outstanding under this Agreement in connection
with another transaction not permitted by this Agreement (as determined prior to
giving effect to any amendment or waiver of this Agreement being adopted in
connection with such transaction)), shall be accompanied by a prepayment fee
equal to 1.00% of the aggregate principal amount of such prepayments if the
Applicable Rate applicable to such new term loans is less than the Applicable
Rate applicable to the Tranche B Term Loans on the Effective Date.

                                      -41-
<PAGE>

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

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

            SECTION 2.13. Interest.

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

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

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

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

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

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

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

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

                                      -42-
<PAGE>

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

            SECTION 2.15. Increased Costs.

            (a) If any Change in Law shall:

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

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

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

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

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

            (d) Failure or delay on the part of any Lender or the Issuing Bank
to demand compensation pursuant to this Section 2.15 shall not constitute a
waiver of such Lender's or the Issuing Bank's right to demand such compensation,
provided that the Borrower shall not be required to compensate a Lender or the
Issuing Bank pursuant to this Section 2.15 for any increased costs or reductions
incurred more than 270 days prior to the date that such Lender or the Issuing
Bank, as applicable, notifies

                                      -43-
<PAGE>

the Borrower of the Change in Law giving rise to such increased costs or
reductions and of such Lender's or the Issuing Bank's intention to claim
compensation therefor, provided, further, that, if the Change in Law giving rise
to such increased costs or reductions is retroactive, then the 270-day period
referred to above shall be extended to include the period of retroactive effect
thereof.

            SECTION 2.16. Break Funding Payments. In the event of (a) the
payment of any principal of any Eurodollar Loan other than on the last day of an
Interest Period applicable thereto (including as a result of an Event of
Default), (b) the conversion of any Eurodollar Loan other than on the last day
of the Interest Period applicable thereto, (c) the failure to borrow, convert,
continue or prepay any Revolving Loan or Tranche B Term Loan on the date
specified in any notice delivered pursuant hereto (regardless of whether such
notice may be revoked under Section 2.11(f) and is revoked in accordance
therewith), or (d) the assignment of any Eurodollar Loan other than on the last
day of the Interest Period applicable thereto as a result of a request by the
Borrower pursuant to Section 2.19, then, in any such event, the Borrower shall
compensate each Lender for the loss, cost and expense attributable to such
event. In the case of a Eurodollar Loan, such loss, cost or expense to any
Lender shall be deemed to include an amount determined by such Lender to be the
excess, if any, of (i) the amount of interest that would have accrued on the
principal amount of such Loan had such event not occurred, at the Adjusted LIBO
Rate that would have been applicable to such Loan, for the period from the date
of such event to the last day of the then current Interest Period therefor (or,
in the case of a failure to borrow, convert or continue, for the period that
would have been the Interest Period for such Loan), over (ii) the amount of
interest that would accrue on such principal amount for such period at the
interest rate that such Lender would bid were it to bid, at the commencement of
such period, for dollar deposits of a comparable amount and period from other
banks in the eurodollar market. A certificate of any Lender setting forth any
amount or amounts that such Lender is entitled to receive pursuant to this
Section 2.16 shall be delivered to the Borrower and shall be conclusive absent
manifest error. The Borrower shall pay such Lender the amount shown as due on
any such certificate within 10 days after receipt thereof. Notwithstanding the
foregoing, no additional amounts shall be due and payable pursuant to this
Section 2.16 to the extent that on the relevant due date the Borrower deposits
in a Prepayment Account an amount equal to any payment of Eurodollar Loans
otherwise required to be made on a date that is not the last day of the
applicable Interest Period; provided that on the last day of the applicable
Interest Period, the Administrative Agent shall be authorized, without any
further action by or notice to or from the Borrower or any other Loan Party, to
apply such amount to the prepayment of such Eurodollar Loans. For purposes of
this Agreement, the term "Prepayment Account" shall mean a non-interest bearing
account established by the Borrower with the Administrative Agent and over which
the Administrative Agent shall have exclusive dominion and control, including
the right of withdrawal for application in accordance with this Section 2.16.

            SECTION 2.17. Taxes.

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

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

                                      -44-
<PAGE>

            (c) The Borrower shall indemnify the Administrative Agent, each
Lender and the Issuing Bank, within 30 days after written demand therefor, for
the full amount of any Indemnified Taxes or Other Taxes paid by the
Administrative Agent, such Lender or the Issuing Bank, as applicable, on or with
respect to any payment by or on account of any obligation of the Borrower
hereunder or under any other Loan Document (including Indemnified Taxes or Other
Taxes imposed or asserted on or attributable to amounts payable under this
Section 2.17) and any penalties, interest and reasonable expenses arising
therefrom or with respect thereto, whether or not such Indemnified Taxes or
Other Taxes were correctly or legally imposed or asserted by the relevant
Governmental Authority. A certificate as to the amount of such payment or
liability delivered to the Borrower by a Lender or the Issuing Bank, or by the
Administrative Agent on its own behalf or on behalf of a Lender or the Issuing
Bank, shall be conclusive absent manifest error.

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

            (e) Any Foreign Lender that is entitled to an exemption from or
reduction of withholding tax under the law of the jurisdiction in which the
Borrower is located, or any treaty to which such jurisdiction is a party, with
respect to payments under this Agreement shall deliver to the Borrower (with a
copy to the Administrative Agent), on or prior to the Effective Date in the case
of each Foreign Lender that is a signatory hereto, and on the date of assignment
pursuant to which it becomes a Lender in the case of each other Lender and from
time to time thereafter as reasonably requested by either of the Borrower or the
Administrative Agent, such properly completed and executed documentation
prescribed by applicable law or reasonably requested by the Borrower as will
permit such payments to be made without withholding or at a reduced rate,
provided that such Foreign Lender has received written notice from the Borrower
advising it of the availability of such exemption or reduction and supplying all
applicable documentation.

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

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

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

                                      -45-
<PAGE>

required hereunder or under such other Loan Document for such payment (or, if no
such time is expressly required, prior to 3:00 p.m., New York City time), on the
date when due, in immediately available funds, without setoff or counterclaim.
Any amounts received after such time on any date may, in the discretion of the
Administrative Agent, be deemed to have been received on the next succeeding
Business Day for purposes of calculating interest thereon. All such payments
shall be made to the Administrative Agent at its offices at 270 Park Avenue, New
York, New York, except payments to be made directly to the Issuing Bank or
Swingline Lender as expressly provided herein and except that payments pursuant
to Sections 2.15, 2.16, 2.17 and 9.03 shall be made directly to the Persons
entitled thereto and payments pursuant to other Loan Documents shall be made to
the Persons specified therein. The Administrative Agent shall distribute any
such payments received by it for the account of any other Person to the
appropriate recipient promptly following receipt thereof. If any payment under
any Loan Document shall be due on a day that is not a Business Day, the date for
payment shall be extended to the next succeeding Business Day, and, in the case
of any payment accruing interest, interest thereon shall be payable for the
period of such extension. All payments under each Loan Document shall be made in
dollars.

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

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

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

                                      -46-
<PAGE>

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

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

            SECTION 2.19. Mitigation Obligations; Replacement of Lenders.

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

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

            SECTION 2.20. Incremental Extensions of Credit. At any time during
the Revolving Availability Period, subject to the terms and conditions set forth
herein, the Borrower may at any time and from time to time, by notice to the
Administrative Agent (whereupon the Administrative Agent shall promptly deliver
a copy to each of the Lenders), request to add additional term loans or
additional revolving

                                      -47-
<PAGE>

commitments (together, the "Incremental Extensions of Credit") in minimum
principal amounts of $25,000,000; provided that such amount may be less than
$25,000,000 if such amount represents all the remaining availability under the
aggregate principal amount set forth below; provided, further, that (x)
immediately prior to and after giving effect to any Incremental Facility
Amendment (as defined below), no Default has occurred or is continuing or shall
result therefrom and (y) the Borrower shall be in compliance on a Pro Forma
Basis with the Financial Performance Covenants recomputed as of the last day of
the most recently ended fiscal quarter of the Borrower for which financial
statements are available. The Incremental Extensions of Credit:

            (a) shall be in an aggregate principal amount not exceeding
      $100,000,000,

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

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

provided that (i) if the Applicable Rate (which, for such purposes only, shall
be deemed to include all upfront or similar fees or original issue discount
payable to all Lenders providing such Incremental Extensions of Credit) relating
to the Incremental Extensions of Credit that are revolving loans and term loans
exceeds the Applicable Rate (which, for such purposes only, shall be deemed to
include all upfront or similar fees or original issue discount payable to all
Lenders providing such Existing Extensions of Credit) relating to the Revolving
Loans and Tranche B Term Loans, respectively, by more than 0.50%, the Applicable
Rate relating to the applicable Existing Extensions of Credit shall be adjusted
to be equal to the Applicable Rate (which, for such purposes only, shall be
deemed to include all upfront or similar fees or original issue discount payable
to all Lenders providing such Incremental Extensions of Credit) relating to the
applicable Incremental Extensions of Credit minus 0.50%, (ii) the Incremental
Extensions of Credit in the form of term loans shall not have a final maturity
date earlier than the Tranche B Maturity Date, (iii) the Incremental Extensions
of Credit in the form of revolving loans shall not have a final maturity date
earlier than the Revolving Maturity Date, (iv) the Incremental Extensions of
Credit in the form of term loans shall not have a weighted average life that is
shorter than that of the then-remaining weighted average life of the Existing
Extensions of Credit that are Tranche B Term Loans and (v) the Incremental
Extensions of Credit in the form of revolving loans shall not require any
mandatory commitment reductions, mandatory prepayments or scheduled payments
other than those applicable to the Revolving Loans and Revolving Commitments.
The Borrower shall by written notice offer each Lender providing Existing
Extensions of Credit (an "Existing Lender") the opportunity for no less than ten
(10) Business Days after delivery of the notice to commit to provide its pro
rata portion (based on the amount of its outstanding Tranche B Term Loans or
outstanding Revolving Loans and unused Revolving Commitments, as applicable, on
the date of such notice) of any requested Incremental Extension of Credit,
provided that no Existing Lender shall be obligated to provide any Incremental
Extension of Credit unless it so agrees. Any additional bank, financial
institution, Existing Lender or other Person that elects to extend Incremental
Extensions of Credit shall be reasonably satisfactory to the Borrower and the
Administrative Agent and, in the case of Incremental Extensions of Credit in the
form of revolving loans, the Issuing Bank (any such bank, financial institution,
Existing Lender or other Person being called an "Additional Lender") and shall
become a Lender under this Agreement pursuant to an amendment (an "Incremental
Facility Amendment") to this Agreement giving effect to the modifications
permitted by this Section 2.20 and, as appropriate, the other Loan Documents and
executed by the Borrower, each Additional Lender and the Administrative Agent.
Commitments in respect of Incremental Extensions of Credit shall be Commitments
under this Agreement. An Incremental Facility Amendment may, without the consent

                                      -48-
<PAGE>

of any other Lenders, effect such amendments to this Agreement and the other
Loan Documents as may be necessary or appropriate, in the opinion of the
Administrative Agent, to effect the provisions of this Section 2.20 (including
voting provisions applicable to the Additional Lenders comparable to the
provisions of clause (B) of the second proviso of Section 9.02(b)). The
effectiveness of any Incremental Facility Amendment shall be subject to the
satisfaction on the date thereof (each, an "Incremental Facility Closing Date")
of each of the conditions set forth in Section 4.02 (it being understood that
all references to "the date of such Borrowing" in such Section 4.02 shall be
deemed to refer to the Incremental Facility Closing Date). The proceeds of the
Incremental Extensions of Credit shall be used for working capital and general
corporate purposes (including Permitted Acquisitions).

                                   ARTICLE III

                         Representations and Warranties

            The Borrower represents and warrants to the Lenders that:

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

            SECTION 3.02. Authorization; Enforceability. The Transactions to be
entered into by each Loan Party have been duly authorized by all necessary
corporate or other action and, if required, stockholder action. This Agreement
has been duly executed and delivered by each of Holdings and the Borrower and
constitutes, and each other Loan Document to which any Loan Party is to be a
party, when executed and delivered by such Loan Party, will constitute, a legal,
valid and binding obligation of Holdings, the Borrower or such Loan Party, as
applicable, enforceable in accordance with its terms, subject to applicable
bankruptcy, insolvency, reorganization, moratorium or other laws affecting
creditors' rights generally and subject to general principles of equity,
regardless of whether considered in a proceeding in equity or at law.

            SECTION 3.03. Governmental Approvals; No Conflicts. The Transactions
(a) do not require any consent or approval of, registration or filing with, or
any other action by, any Governmental Authority, except such as have been
obtained or made and are in full force and effect and except filings necessary
to perfect Liens created under the Loan Documents, (b) will not violate any
Requirement of Law applicable to Holdings, the Borrower or any of the
Subsidiaries, as applicable, (c) will not violate or result in a default under
any indenture or other material agreement or instrument binding upon Holdings,
the Borrower or any of the Subsidiaries or its assets, or give rise to a right
thereunder to require any payment to be made by Holdings, the Borrower or any of
the Subsidiaries or give rise to a right of, or result in, termination,
cancellation or acceleration of any material obligation thereunder, (d) will not
result in a Limitation on any right, qualification, approval, permit,
accreditation, authorization, Reimbursement Approval, license or franchise or
authorization granted by any Governmental Authority, Third Party

                                      -49-
<PAGE>

Payor or other Person applicable to the business, operations or assets of the
Borrower or any of the Subsidiaries or adversely affect the ability of the
Borrower or any of the Subsidiaries to participate in any Third Party Payor
Arrangement except for Limitations, individually or in the aggregate, that are
not material to the business of the Borrower and the Subsidiaries, taken as a
whole, and (e) will not result in the creation or imposition of any Lien on any
asset of Holdings, the Borrower or any of the Subsidiaries, except Liens created
under the Loan Documents. There is no pending or, to the knowledge of the
Borrower, threatened Limitation by any Governmental Authority, Third Party Payor
or any other Person of any right, qualification, approval, permit,
authorization, accreditation, Reimbursement Approval, license or franchise of
the Borrower, or any Subsidiary, except for such Limitations, individually or in
the aggregate, as are not reasonably likely to result in a Material Adverse
Effect. No certifications by any Governmental Authority or any Third Party Payor
are required for operation of the business of the Borrower and the Subsidiaries
that are not in place, except for such certifications or agreements, the absence
of which do not materially and adversely affect the operation of the business.

            SECTION 3.04. Financial Condition; No Material Adverse Change.

            (a) The Borrower has heretofore furnished to the Lenders its
consolidated balance sheet and consolidated statements of operations and
comprehensive income, stockholders' equity and cash flows (i) as of and for the
fiscal years ended December 31, 2001, December 31, 2002, and December 31, 2003,
reported on by PricewaterhouseCoopers LLP, independent public accountants, and
(ii) as of and for the fiscal year ended December 31, 2004 certified by its
chief financial officer. Such financial statements present fairly, in all
material respects, the financial position and results of operations and cash
flows of the Borrower and the Subsidiaries as of such dates and for such periods
in accordance with GAAP consistently applied, subject to year-end audit
adjustments and the absence of footnotes in the case of the statements referred
to in clause (ii) above.

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

            (c) Except as disclosed in the financial statements referred to
above or the notes thereto or in the Information Memorandum, after giving effect
to the Transactions, none of the Borrower or its Subsidiaries has, as of the
Effective Date, any material direct or contingent liabilities.

            (d) No event, change or condition has occurred that has had, or is
reasonably likely to have, a material adverse effect on the business,
operations, assets, liabilities, financial condition or results of operations of
Holdings, the Borrower and the Subsidiaries, taken as a whole, since December
31, 2003.

            SECTION 3.05. Properties.

            (a) Each of Holdings, the Borrower and the Subsidiaries has good
title to, or valid leasehold interests in, all its real and personal property
material to its business (including its Mortgaged Properties), free and clear of
all Liens, except for Permitted Encumbrances and minor defects in title that do
not interfere in any material respect with its ability to conduct its business
or to utilize such properties for their intended purposes.

                                      -50-
<PAGE>

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

            (c) Schedule 3.05 sets forth the address of each real property that
is owned or leased by Holdings, the Borrower or any of the Subsidiaries as of
the Effective Date after giving effect to the Transactions.

            (d) As of the Effective Date, neither Holdings or the Borrower nor
any of the Subsidiaries has received written notice of, or has knowledge of, any
pending or contemplated condemnation proceeding affecting any Mortgaged Property
or any sale or disposition thereof in lieu of condemnation. As of the Effective
Date, neither any Mortgaged Property nor any interest therein is subject to any
right of first refusal, option or other contractual right to purchase such
Mortgaged Property or interest therein.

            SECTION 3.06. Litigation and Environmental Matters.

            (a) There are no actions, suits or proceedings by or before any
arbitrator or Governmental Authority pending against or, to the knowledge of
Holdings, the Borrower or any Subsidiary, threatened against or affecting
Holdings, the Borrower or any Subsidiary that are reasonably likely to (i) have
a Material Adverse Effect or (ii) adversely affect in any material respect the
ability of the Loan Parties to consummate the Transactions or the other
transactions contemplated hereby.

            (b) Except with respect to any other matters that, individually or
in the aggregate, are not reasonably likely to result in a Material Adverse
Effect, neither Holdings, the Borrower nor any Subsidiary (i) has failed to
comply with any Environmental Law or to obtain, maintain or comply with any
permit, license or other approval required under any Environmental Law, (ii) has
become subject to any Environmental Liability or (iii) knows of any basis for
any Environmental Liability.

            SECTION 3.07. Compliance with Laws and Agreements. Except with
respect to any matters that, individually or in the aggregate, are not material
to the business of the Borrower and the Subsidiaries, taken as a whole, each of
Holdings, the Borrower and the Subsidiaries is in compliance with all material
Requirements of Law applicable to it or its property and all material
indentures, agreements and other instruments binding upon it or its property.

            SECTION 3.08. Investment and Holding Company Status. Neither
Holdings, the Borrower nor any Subsidiary is (a) an "investment company" as
defined in, or subject to regulation under, the Investment Company Act of 1940,
as amended or (b) a "holding company" as defined in, or subject to regulation
under, the Public Utility Holding Company Act of 1935, as amended.

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

            SECTION 3.10. ERISA. No ERISA Event has occurred or is reasonably
likely to occur that, when taken together with all other such ERISA Events for
which liability is reasonably likely to

                                      -51-
<PAGE>

occur, is reasonably likely to result in a Material Adverse Effect. The present
value of all accumulated benefit obligations under each Plan (based on the
assumptions used for purposes of Statement of Financial Accounting Standards No.
87) did not, as of the date of the most recent financial statements reflecting
such amounts, exceed the fair value of the assets of such Plan.

            SECTION 3.11. Disclosure. Neither the Information Memorandum nor any
of the other reports, financial statements, certificates or other information
furnished by or on behalf of any Loan Party to the Administrative Agent or any
Lender in connection with the negotiation of this Agreement or any other Loan
Document or delivered hereunder or thereunder (as modified or supplemented by
other information so furnished) contains any material misstatement of fact or
omits to state any material fact necessary to make the statements therein, in
the light of the circumstances under which they were made, not misleading,
provided that the foregoing shall not apply to any projected financial
information other than the projected financial information included in the
Information Memorandum, and with respect to such projected financial
information, Holdings and the Borrower represent only that such information was
prepared in good faith based upon assumptions believed by them to be reasonable
at the time delivered and as of the Effective Date.

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

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

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

            SECTION 3.15. Solvency. Immediately after the consummation of the
Transactions to occur on the Effective Date, (a) the fair value of the assets of
each Loan Party, at a fair valuation, will exceed its debts and liabilities,
subordinated, contingent or otherwise, (b) the present fair saleable value of
the property of each Loan Party will be greater than the amount that will be
required to pay the probable liability of its debts and other liabilities,
subordinated, contingent or otherwise, as such debts and other liabilities
become absolute and matured, (c) each Loan Party will be able to pay its debts
and liabilities, subordinated, contingent or otherwise, as such debts and
liabilities become absolute and matured, and (d) no Loan Party will have
unreasonably small capital with which to conduct the business in which it is
engaged as such business is now conducted and is proposed to be conducted
following the Effective Date,

                                      -52-
<PAGE>

in each case after giving effect to any rights of indemnification, contribution
or subrogation arising among the Subsidiary Loan Parties pursuant to the
Collateral Agreement or by law.

            SECTION 3.16. Senior Indebtedness. The Obligations constitute (a)
"Designated Senior Debt" under and as defined in the Senior Subordinated Notes
Documents and (b) "Senior Debt" or a comparable term under and as defined in (i)
the Existing Subordinated Notes Documents and (ii) the documentation governing
any Additional Subordinated Debt.

            SECTION 3.17. Reimbursement from Third Party Payors. The accounts
receivable of Holdings, the Borrower and the Subsidiaries have been and will
continue to be adjusted to reflect the reimbursement policies required by all
applicable Requirements of Law and other Third Party Payor Arrangements to which
Holdings, the Borrower or such Subsidiary is subject, and do not exceed in any
material respect amounts the Borrower or such Subsidiary is entitled to receive
under any capitation arrangement, fee schedule, discount formula, cost-based
reimbursement or other adjustment or limitation to usual charges. All billings
by Holdings, the Borrower and each Subsidiary pursuant to any Third Party Payor
Arrangements have been made in compliance with all applicable Requirements of
Law, except where failure to comply would not, individually or in the aggregate,
be reasonably likely to have a Material Adverse Effect. There has been no
intentional or material over-billing or over-collection by the Borrower or any
Subsidiary pursuant to any Third Party Payor Arrangements, other than as created
by routine adjustments and disallowances made in the ordinary course of business
by the Third Party Payors with respect to such billings.

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

                                      -53-
<PAGE>

                                   ARTICLE IV

                                   Conditions

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

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

            (b) The Administrative Agent shall have received a written opinion
      (addressed to the Administrative Agent and the Lenders and dated the
      Effective Date) of each of (i) Ropes & Gray LLP, counsel for Holdings and
      the Borrower, substantially in the form of Exhibit B-1, and (ii) local
      counsel in each jurisdiction where a Subsidiary is organized as specified
      on Schedule 4.01 or a Mortgaged Property is located, substantially in the
      form of Exhibit B-2, and, in the case of each such opinion required by
      this paragraph, covering such other matters relating to the Loan Parties,
      the Loan Documents or the Transactions as the Administrative Agent shall
      reasonably request.

            (c) The Administrative Agent shall have received such documents and
      certificates as the Administrative Agent or its counsel may reasonably
      request relating to the organization, existence and good standing of each
      Loan Party, the authorization of the Transactions and any other legal
      matters relating to the Loan Parties, the Loan Documents or the
      Transactions, all in form and substance reasonably satisfactory to the
      Administrative Agent.

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

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

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

                                      -54-
<PAGE>

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

            (h) The Borrower shall have received (or simultaneously with the
      initial funding of the Loans shall receive) gross cash proceeds of
      $660,000,000 from the issuance of the Senior Subordinated Notes. The terms
      and conditions of the Senior Subordinated Notes and the form and substance
      of the Senior Subordinated Notes Documents shall be reasonably
      satisfactory to the Lenders. The Administrative Agent shall have received
      copies of the Senior Subordinated Notes Documents, certified by a
      Financial Officer as complete and correct in all material respects.

            (i) All requisite material Governmental Authorities and third
      parties shall have approved or consented to the Transactions, all
      applicable waiting or appeal periods (including any extensions thereof)
      shall have expired and there shall be no governmental or judicial action,
      actual or threatened, that could reasonably be expected to restrain,
      prevent or impose materially burdensome conditions on the Transactions.

            (j) The Lenders shall have received a pro forma consolidated balance
      sheet of Holdings as of the Effective Date, reflecting all pro forma
      adjustments as if the Transactions had been consummated on such date, and
      such pro forma consolidated balance sheet shall be consistent in all
      material respects with the forecasts and other information previously
      provided to the Lenders. After giving effect to the Transactions, none of
      Holdings, the Borrower or any Subsidiary shall have outstanding any
      preferred stock or any Indebtedness, other than (i) Indebtedness incurred
      under the Loan Documents, (ii) the Senior Subordinated Notes, (iii)
      preferred stock issued to Investors in connection with the Transactions
      and (iv) Indebtedness set forth on Schedule 6.01. The terms and conditions
      of (a) all Indebtedness to remain outstanding after the Effective Date
      (including terms and conditions relating to interest rates, fees,
      amortization, maturity, redemption, subordination, covenants, events of
      default and remedies) and (b) all preferred stock to be issued in
      connection with the Transactions or to remain outstanding after the
      Effective Date (including terms and conditions relating to cash dividend
      payments, dividend rates, redemption, subordination, covenants,
      conversion, voting rights, events of default and remedies) shall be in
      compliance with this Agreement or otherwise reasonably satisfactory in all
      material respects to the Lenders.

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

            (l) The Administrative Agent shall have received a certificate,
      dated the Effective Date and signed by a Financial Officer, confirming
      that since December 31, 2003, there has been no event, change, condition,
      circumstance or state of facts or aggregation of events, changes,
      conditions, circumstances or state of facts, that has had or could
      reasonably be expected to have, individually or in the aggregate, (i) a
      material adverse effect on the business, operations, assets, liabilities,
      financial condition or results of operations of Holdings, the Borrower and
      the Subsidiaries taken as a whole, whether or not covered by insurance, or
      (ii) a material adverse effect on the ability of the Borrower to perform
      its obligations under the Loan Documents, provided that for purposes of
      this paragraph (l) only, a "material adverse effect" shall not be deemed
      to include any such material adverse effect arising as a result of
      conditions, events or circumstances (other

                                      -55-
<PAGE>

      than any changes or proposed changes in any statute, law, ordinance, rule,
      regulation, New York Stock Exchange or other stock exchange rule or
      listing requirement, permit or authorization, including changes or
      proposed changes in payment or reimbursement by government payors, but
      excluding the final regulatory changes announced by the Center for
      Medicare and Medicaid Services on August 2, 2004 applicable to long-term
      acute care hospitals operated as "hospitals within hospitals") affecting
      either (x) the United States economy generally or (y) the industry of
      Holdings, the Borrower and the Subsidiaries generally, which in each case
      does not have a materially disproportionate effect on Holdings, the
      Borrower and the Subsidiaries, taken as a whole.

            (m) The Lenders shall have received (i) audited consolidated balance
      sheets and consolidated statements of operations and comprehensive income,
      stockholders' equity and cash flows of the Borrower as of and for the
      fiscal years ended December 31, 2001, December 31, 2002, and December 31,
      2003 (and of SemperCare for the fiscal year ended December 31, 2003, the
      six months ended December 31, 2002 and the fiscal year ended June 30,
      2002) and, if available, the audited financial statements for the fiscal
      year ending December 31, 2004, which in any event shall be provided within
      75 days of fiscal year end, and in the case of the Borrower (and when
      available in the case of SemperCare) related notes thereto, accompanied by
      a true and correct copy of the reports thereon by PricewaterhouseCoopers
      LLP, independent public accountants, and (ii) unaudited consolidated
      balance sheets and consolidated statements of operations and comprehensive
      income, stockholders' equity and cash flows of the Borrower (and
      SemperCare) for each subsequent fiscal quarter at least 40 days before the
      Effective Date (and comparable periods for the prior fiscal year).

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

            (o) The Transactions shall have been consummated or shall be
      consummated simultaneously with the Effective Date in accordance with
      applicable law, the Merger Agreement, the SemperCare Acquisition Agreement
      and all other related documentation (in each case without giving effect to
      any amendments or waivers to or of such documents that are adverse in any
      material respect to the Lenders not approved by the Arrangers). No more
      than 8% of the outstanding common stock of the Borrower at the time the
      Merger is consummated shall constitute shares held by holders who properly
      exercise appraisal rights.

            (p) The Equity Contributions shall have been made.

            (q) The Debt Tender Offers shall have been consummated or shall be
      consummated substantially simultaneous with the initial funding of the
      Loans.

            (r) There shall be no litigation, arbitration, administrative
      proceeding or consent decree that could reasonably be expected to have a
      material adverse effect on (a) the business, operations, performance,
      properties, condition (financial or otherwise), prospects or material
      agreements of or applicable to Holdings, the Borrower or the Subsidiaries,
      taken as a whole, after giving effect to the Transactions or (b) the
      ability of the parties to consummate the Transactions.

            (s) The Lenders shall be reasonably satisfied in all respects with
      any tax sharing agreements among Holdings, the Borrower and the
      Subsidiaries after giving effect to the Transactions, and with the plans
      of Holdings with respect thereto.

                                      -56-
<PAGE>

            (t) The consummation of the Transactions shall not (i) violate any
      applicable law, statute, rule or regulation or (ii) conflict with, or
      result in a default or event of default under, any material agreement of
      Holdings, the Borrower or any Subsidiary, after giving effect to the
      Transactions, in each case which could reasonably be expected to have (1)
      a material adverse effect on the business, operations, assets,
      liabilities, financial condition or results of operations of Holdings, the
      Borrower and the Subsidiaries, taken as a whole, or (2) a material adverse
      effect on the ability of the Borrower to perform its obligations under
      this Agreement.

            (u) The Lenders shall have received a certificate, dated the
      Effective Date and signed by a financial officer of Holdings, certifying
      that, after giving effect to the Transactions, (i) the Holdings Leverage
      Ratio for the period of four fiscal quarters ending on December 31, 2004,
      determined on a Pro Forma Basis after giving effect to the Transactions,
      does not exceed 6.10 to 1.00, (ii) the Leverage Ratio for the period of
      four fiscal quarters ending on December 31, 2004, determined on a Pro
      Forma Basis after giving effect to the Transactions, shall not exceed 5.50
      to 1.00 and (iii) Holdings' Consolidated EBITDA for the period of four
      fiscal quarters ending on December 31, 2004 is greater than $264,000,000.

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

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

            (a) The representations and warranties of each Loan Party set forth
      in the Loan Documents shall be true and correct in all material respects
      (except to the extent any such representation or warranty is qualified by
      "materially", "Material Adverse Effect" or a similar term, in which case
      such representation and warranty shall be true and correct in all
      respects) on and as of the date of such Borrowing or the date of issuance,
      amendment, renewal or extension of such Letter of Credit, as applicable,
      except to the extent such representations and warranties expressly relate
      to an earlier date (in which case such representations and warranties
      shall be true and correct (or true and correct in all material respects,
      as the case may be) as of such earlier date).

            (b) At the time of and immediately after giving effect to such
      Borrowing or the issuance, amendment, renewal or extension of such Letter
      of Credit, as applicable, no Default shall have occurred and be
      continuing.

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

                                    ARTICLE V

                              Affirmative Covenants

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

                                      -57-
<PAGE>

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

            (a) within 90 days (or such shorter period as the SEC shall specify
      for the filing of annual reports on Form 10-K) after the end of each
      fiscal year of the Borrower commencing with the fiscal year ended December
      31, 2004, (i) its audited consolidated balance sheet and consolidated
      statements of operations and comprehensive income, stockholders' equity
      and cash flows as of the end of and for such fiscal year, and the related
      notes thereto, setting forth in each case in comparative form the figures
      for the previous fiscal year, all reported on by independent public
      accountants of recognized national standing (without a "going concern" or
      like qualification or exception and without any qualification or exception
      as to the scope of such audit) to the effect that such consolidated
      financial statements present fairly in all material respects the financial
      condition and results of operations of the Borrower and the Subsidiaries
      on a consolidated basis in accordance with GAAP consistently applied, and
      (ii) if at any time the Borrower is not subject to the reporting
      requirements of Section 13 or 15(d) of the Exchange Act, a "Management's
      Discussion and Analysis of Financial Condition and Results of Operations"
      that describes the financial condition and results of operations of the
      Borrower and its consolidated Subsidiaries;

            (b) within 45 days (or such shorter period as the SEC shall specify
      for the filing of quarterly reports on Form 10-Q) after the end of each of
      the first three fiscal quarters of each fiscal year of the Borrower
      commencing with the fiscal quarter ending March 31, 2005, its consolidated
      balance sheet and consolidated statements of operations and comprehensive
      income, stockholders' equity and cash flows as of the end of and for such
      fiscal quarter and the then-elapsed portion of the fiscal year, setting
      forth in each case in comparative form the figures for the corresponding
      period or periods of (or, in the case of the balance sheet, as of the end
      of) the previous fiscal year, all certified by a Financial Officer as
      presenting fairly in all material respects the financial condition and
      results of operations of the Borrower and the Subsidiaries on a
      consolidated basis in accordance with GAAP consistently applied, subject
      to normal year-end audit adjustments and the absence of footnotes;

            (c) concurrently with any delivery of financial statements under
      paragraph (a) or (b) above, a certificate of a Financial Officer (i)
      certifying as to whether a Default has occurred and, if a Default has
      occurred, specifying the details thereof and any action taken or proposed
      to be taken with respect thereto, (ii) setting forth (A) reasonably
      detailed calculations demonstrating compliance with Sections 6.12, 6.13
      and 6.14 (including (x) any prepayment of the Loans as set forth in the
      definition of "Leverage Ratio" and (y) any exercise of the rights set
      forth in Section 7.02) and (B) in the case of financial statements
      delivered under paragraph (a) above beginning in 2007 with respect to
      fiscal year 2006, reasonably detailed calculations of Excess Cash Flow,
      (iii) stating whether any change in GAAP or in the application thereof has
      occurred since the date of the Borrower's audited financial statements
      referred to in Section 3.04 and, if any such change has occurred,
      specifying the effect of such change on the financial statements
      accompanying such certificate, and (iv) certifying as to the calculation
      of Consolidated EBITDA on a Pro Forma Basis for the four fiscal quarter
      period ending on the date of such financial statements and accompanied by
      reasonably detailed supporting evidence, it being understood that each of
      the calculations described in this paragraph (c) shall provide a
      reconciliation to the financial statements delivered under paragraphs (a)
      and (b) above;

            (d) concurrently with any delivery of financial statements under
      paragraph (a) above, a certificate of the accounting firm that reported on
      such financial statements stating whether they obtained knowledge during
      the course of their examination of such financial statements of any

                                      -58-
<PAGE>

      Default and, if such knowledge has been obtained, describing such Default
      (which certificate may be limited to the extent required by accounting
      rules or guidelines);

            (e) concurrently with the issuance of any Indebtedness permitted by
      Sections 6.01(a)(xii) and (xiii), or a Restricted Payment permitted by
      Section 6.08(a)(x), a certificate of a Financial Officer certifying as to
      (i) the Holdings Leverage Ratio or Leverage Ratio, as the case may be,
      accompanied by reasonably detailed supporting evidence, (ii) the use of
      proceeds from such issuance and (iii) whether a Default has occurred and,
      if a Default has occurred, specifying the details thereof and any action
      taken or proposed to be taken with respect thereto, it being understood
      that each of the calculations described in this paragraph (e) shall
      provide a reconciliation to the financial statements delivered under
      paragraphs (a) and (b) above;

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

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

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

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

            (a) the occurrence of any Default;

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

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

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

                                      -59-
<PAGE>

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

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

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

            SECTION 5.03. Information Regarding Collateral.

            (a) The Borrower will furnish to the Collateral Agent prompt written
notice (but in no event later than 90 days) of any change (i) in any Loan
Party's corporate name, (ii) in the jurisdiction of incorporation or
organization of any Loan Party or (iii) in any Loan Party's organizational
identification number. The Borrower agrees not to effect or permit any change
referred to in the preceding sentence unless all filings have been made under
the Uniform Commercial Code or otherwise that are required in order for the
Collateral Agent to continue at all times following such change to have a valid,
legal and perfected security interest in all the Collateral. The Borrower also
agrees promptly to notify the Collateral Agent if any material portion of the
Collateral is damaged or destroyed.

            (b) Each year, at the time of delivery of annual financial
statements pursuant to Section 5.01(a), the Borrower shall deliver to the
Collateral Agent a certificate executed by a Financial Officer and the chief
legal officer of the Borrower setting forth the information required pursuant to
the Perfection Certificate or confirming that there has been no change in such
information since the date of the Perfection Certificate delivered on the
Effective Date or the date of the most recent certificate delivered pursuant to
this Section.

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

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

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

            SECTION 5.07. Insurance. Each of Holdings and the Borrower will, and
will cause each of the Subsidiaries to, maintain, with financially sound and
reputable insurance companies (which

                                      -60-
<PAGE>

may include self-insurance), (a) insurance in such amounts (with no greater risk
retention) and against such risks as are customarily maintained by companies of
established repute engaged in the same or similar businesses operating in the
same or similar locations and (b) all insurance required to be maintained
pursuant to the Security Documents. The Borrower will furnish to the Lenders,
upon request of the Administrative Agent, information in reasonable detail as to
the insurance so maintained.

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

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

            SECTION 5.10. Compliance with Laws. Each of Holdings and the
Borrower will cause each of the Subsidiaries to comply with all Requirements of
Law, including Environmental Laws, applicable to it or its property, except
where the failure to do so, individually or in the aggregate, is not reasonably
likely to result in a Material Adverse Effect.

            SECTION 5.11. Use of Proceeds and Letters of Credit. The proceeds of
the Tranche B Term Loans and any Revolving Loans borrowed on the Effective Date
will be used by the Borrower on the Effective Date solely for (a) first, the
payment of the Transaction Costs, (b) second, the payment of all principal,
interest, fees and other amounts outstanding under the Existing Credit
Agreement, (c) third, the repurchase of the Existing Subordinated Notes tendered
(and not withdrawn) pursuant to the Debt Tender Offers, including any premium
payments associated therewith, and (d) fourth, together with the Equity
Contributions, cash on hand of the Borrower and the proceeds of the Senior
Subordinated Notes, the payment of the Merger Consideration. The proceeds of the
Revolving Loans (except as described above), Swingline Loans and Letters of
Credit will be used only for working capital and for other general corporate
purposes. No part of the proceeds of any Loan and no Letter of Credit will be
used, whether directly or indirectly, for any purpose that entails a violation
of any of the Regulations of the Board, including Regulations T, U and X.

            SECTION 5.12. Additional Subsidiaries; Succeeding Holdings.

            (a) If any additional Subsidiary (other than a Consolidated
Practice) is formed or acquired after the Effective Date (or if (x) any Inactive
Subsidiary that is not a Subsidiary Loan Party ceases to qualify as an Inactive
Subsidiary or (y) a Permitted Joint Venture that is not otherwise a Permitted
Joint Venture Loan Party becomes a wholly owned Subsidiary of the Borrower), the
Borrower will, promptly after such Subsidiary is formed or acquired, notify the
Collateral Agent and the Lenders (through the Administrative Agent) thereof and
promptly cause the Collateral and Guarantee Requirement to be satisfied

                                      -61-
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with respect to such Subsidiary (if it is a Subsidiary Loan Party) and with
respect to any Equity Interest in or Indebtedness of such Subsidiary owned by or
on behalf of any Loan Party.

            (b) Upon the addition of a Succeeding Holdings, the Borrower will
notify the Collateral Agent and the Lenders (through the Administrative Agent)
thereof and promptly cause the Collateral and Guarantee Requirement to be
satisfied with respect to the Succeeding Holdings.

            SECTION 5.13. Further Assurances.

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

            (b) If any material assets (including any real property (other than
any leased real property) or improvements thereto or any interest therein, other
than any real property with a fair value of less than $2,500,000) are acquired
by the Borrower or any Subsidiary Loan Party after the Effective Date (other
than assets constituting Collateral under the Collateral Agreement that become
subject to the Lien in favor of the Collateral Agreement upon acquisition
thereof), the Borrower will notify the Administrative Agent and the Lenders
thereof and, if requested by the Administrative Agent or the Required Lenders,
the Borrower will cause such assets to be subjected to a Lien securing the
Obligations and will take, and cause the Subsidiary Loan Parties to take, such
actions as shall be necessary or reasonably requested by the Administrative
Agent to grant and perfect such Liens, including actions described in paragraph
(a) of this Section 5.13, all at the expense of the Loan Parties, provided that
the Collateral Agent may, in its reasonable judgment, grant extensions of time
for compliance or exceptions with the provisions of this paragraph by any Loan
Party.

            SECTION 5.14. Post Closing Matters. Execute and deliver the
documents and complete the tasks set forth on Schedule 5.14, in each case within
the time limits specified on such schedule; provided that the Administrative
Agent or Collateral Agent, as applicable, may in its reasonable judgment, grant
extensions of up to 30 days for compliance or exceptions with the provisions of
this paragraph.

                                   ARTICLE VI

                               Negative Covenants

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

            SECTION 6.01. Indebtedness; Certain Equity Securities.

            (a) Neither Holdings nor the Borrower will, nor will they permit any
Subsidiary to, create, incur, assume or permit to exist any Indebtedness,
except:

                                      -62-
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            (i) Indebtedness created under the Loan Documents;

            (ii) the Senior Subordinated Notes;

            (iii) the Existing Subordinated Notes, to the extent not repurchased
      pursuant to the Debt Tender Offers;

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

            (v) Indebtedness of the Borrower owed to any Subsidiary and of any
      Subsidiary owed to the Borrower or any other Subsidiary, provided that
      Indebtedness of the Borrower owed to any Subsidiary and Indebtedness of
      any Subsidiary Loan Party owed to the Borrower or any other Subsidiary
      shall be subordinated to the Obligations on terms reasonably satisfactory
      to the Administrative Agent; provided further that, (A) Indebtedness owed
      to any Insurance Subsidiary by the Borrower or any other Subsidiary shall
      be limited in principal amount to the aggregate amount of Investments made
      in such Insurance Subsidiary pursuant to Section 6.04(xx) and (B)
      notwithstanding the first proviso above, such Indebtedness shall only be
      subordinated to the extent permitted by applicable laws or regulations;

            (vi) Guarantees by the Borrower of Indebtedness of any Subsidiary
      and by any Subsidiary of Indebtedness of the Borrower or any other
      Subsidiary, provided that (A) the Indebtedness so Guaranteed is permitted
      by this Section 6.01, (B) Guarantees permitted under this clause (vi)
      shall be subordinated to the Obligations of the Borrower or the applicable
      Subsidiary to the same extent and on the same terms as the Indebtedness so
      Guaranteed is subordinated to the Obligations and (C) except in the case
      of Foreign Subsidiaries that provide Guarantees of Indebtedness of other
      Foreign Subsidiaries, no Subsidiary shall Guarantee any Indebtedness
      unless it is a Subsidiary Loan Party;

            (vii) Indebtedness of the Borrower or any Subsidiary incurred to
      finance the acquisition, construction or improvement of any fixed or
      capital assets, including Capital Lease Obligations, and any Indebtedness
      assumed by the Borrower or any Subsidiary in connection with the
      acquisition of any such assets or secured by a Lien on any such assets
      prior to the acquisition thereof, and extensions, renewals and
      replacements of any such Indebtedness that do not increase the outstanding
      principal amount thereof (including the principal and any accrued but
      unpaid interest or premium in respect thereof), provided that (A) such
      Indebtedness is incurred prior to or within 120 days after such
      acquisition or the completion of such construction or improvement and (B)
      the aggregate principal amount of Indebtedness permitted by this clause
      (vii) shall not exceed at any time outstanding the greater of (x)
      $40,000,000 and (y) 6.0% of Consolidated Tangible Assets as of the end of
      the immediately preceding fiscal quarter;

            (viii) (A) Indebtedness of any Person that becomes a Subsidiary
      after the date hereof, provided that (1) such Indebtedness exists at the
      time such Person becomes a Subsidiary and is

                                      -63-
<PAGE>

      not created in contemplation of or in connection with such Person becoming
      a Subsidiary and (2) the aggregate amount of Indebtedness permitted by
      this clause (viii) (including subclause (B)) shall not exceed $50,000,000
      at any time outstanding, and (B) any refinancings, renewals and
      replacements of any such Indebtedness pursuant to the preceding clause (A)
      that do not increase the outstanding principal amount (plus accrued
      interest and premium) thereof;

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

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

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

            (xii) with respect to Holdings, Qualified Holdings Debt; provided
      that other than with respect to any additional principal amounts resulting
      from the accrual of pay-in-kind interest, (A) such Indebtedness may only
      be issued or incurred to the extent that after giving effect to the
      incurrence of such additional Indebtedness on a Pro Forma Basis, the
      Holdings Leverage Ratio would be less than 5.85 to 1.00 and (B) no Default
      has occurred and is continuing or would result therefrom;

            (xiii) with respect to the Borrower and the Guarantors, Additional
      Subordinated Debt, provided that the Net Proceeds of such Additional
      Subordinated Debt are used, promptly after such Net Proceeds are received,
      (A) to consummate one or more Permitted Acquisitions so long as after
      giving effect to the incurrence of such Additional Subordinated Debt and
      such Permitted Acquisitions on a Pro Forma Basis, the Leverage Ratio would
      be less than the Leverage Ratio set forth in Section 6.13 for such date
      minus 0.25, (B) to refinance or replace the Senior Subordinated Notes (or
      Additional Subordinated Debt incurred for that purpose) or (C) to prepay
      Tranche B Term Loans pursuant to Section 2.11(a); provided further that no
      Default has occurred and is continuing or would result therefrom;

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

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

            (xvi) Indebtedness of any Foreign Subsidiary or any Subsidiary of
      the Borrower that is not a Loan Party in an amount not to exceed
      $20,000,000 at any time outstanding;

            (xvii) Additional Senior Debt, to the extent the Net Proceeds of
      such Additional Senior Debt are used, promptly after such Net Proceeds are
      received by the Borrower, (A) to prepay Tranche B Term Loans pursuant to
      Section 2.11(a) or (B) to refinance or replace Additional Senior Debt
      incurred for that purpose; provided in each case that after giving effect
      to the incurrence of such Additional Senior Debt on a Pro Forma Basis, no
      Default has occurred and is continuing or would result therefrom; and

                                      -64-
<PAGE>

            (xviii) other Indebtedness of the Borrower or any Subsidiary in an
      aggregate principal amount not exceeding $120,000,000 less amounts
      incurred pursuant to Section 6.01(a)(vii) at any time outstanding.

            (b) The Borrower will not, and Holdings and the Borrower will not
permit any Subsidiary to, issue any preferred Equity Interests.

            (c) Holdings will not issue any preferred Equity Interests other
than Qualified Preferred Stock.

            SECTION 6.02. Liens. Neither Holdings nor the Borrower will, nor
will they permit any Subsidiary to, create, incur, assume or permit to exist any
Lien on any property or asset now owned or hereafter acquired by it, or assign
or sell any income or revenues (including accounts receivable) or rights in
respect of any thereof, except:

            (i) Liens created by the Loan Documents;

            (ii) Permitted Encumbrances;

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

            (iv) any Lien existing on any property or asset prior to the
      acquisition thereof by the Borrower or any Subsidiary or existing on any
      property or asset of any Person that becomes a Subsidiary after the date
      hereof prior to the time such Person becomes a Subsidiary, provided that
      (A) such Lien is not created in contemplation of or in connection with
      such acquisition or such Person becoming a Subsidiary, as applicable, (B)
      such Lien shall not apply to any other property or asset of the Borrower
      or any Subsidiary and (C) such Lien shall secure only those obligations
      that it secures on the date of such acquisition or the date such Person
      becomes a Subsidiary, as applicable, and extensions, renewals and
      replacements thereof that do not increase the outstanding principal amount
      thereof (plus accrued interest and premium thereon);

            (v) Liens on fixed or capital assets acquired, constructed or
      improved by the Borrower or any Subsidiary, provided that (A) such
      security interests secure Indebtedness permitted by clause (vii) of
      Section 6.01(a), (B) such security interests and the Indebtedness secured
      thereby are incurred prior to or within 120 days after such acquisition or
      the completion of such construction or improvement, (C) the Indebtedness
      secured thereby does not exceed 100% of the cost of acquiring,
      constructing or improving such fixed or capital assets and (D) such
      security interests shall not apply to any other property or assets of the
      Borrower or any Subsidiary;

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

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

                                      -65-
<PAGE>

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

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

            (x) Liens on assets of any Foreign Subsidiary securing Indebtedness
      (and related obligations) permitted by Section 6.01(a) (xvi); and

            (xi) Liens on assets of the Borrower or the Subsidiaries not
      otherwise permitted by this Section 6.02, so long as neither (i) the
      aggregate outstanding principal amount of the obligations secured thereby
      nor (ii) the aggregate fair value (determined as of the date such Lien is
      incurred) of the assets subject thereto exceeds $10,000,000 at any time
      outstanding, provided that in no event shall Holdings, the Borrower or any
      Subsidiary create, incur, assume or permit to exist any Lien on any Equity
      Interests of the Borrower or any Subsidiary.

            SECTION 6.03. Fundamental Changes.

            (a) Neither Holdings nor the Borrower will, nor will they permit any
Subsidiary to, merge into or consolidate with any other Person, or permit any
other Person to merge into or consolidate with it, or liquidate or dissolve,
except that, if at the time thereof and immediately after giving effect thereto
no Default shall have occurred and be continuing, (i) any Person may merge into
the Borrower in a transaction in which the surviving entity is a Person
organized or existing under the laws of the United States of America, any State
thereof or the District of Columbia and, if such surviving entity is not the
Borrower, such Person expressly assumes, in writing, all the obligations the
Borrower under the Loan Documents, (ii) any Person may merge into any Subsidiary
in a transaction in which the surviving entity is a Subsidiary and, if any party
to such merger is a Subsidiary Loan Party, is or becomes a Subsidiary Loan Party
concurrently with such merger, (iii) any Subsidiary (other than a Subsidiary
Loan Party) may liquidate or dissolve if the Borrower determines in good faith
that such liquidation or dissolution is in the best interests of the Borrower
and is not materially disadvantageous to the Lenders and (iv) any asset sale
permitted by Section 6.05(g) may be effected through the merger of a subsidiary
of the Borrower with a third party, provided that any such merger referred to in
clauses (i), (ii) or (iv) above involving a Person that is not a wholly owned
Subsidiary immediately prior to such merger shall not be permitted unless also
permitted by Section 6.04.

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

            (c) Holdings will not engage in any business or activity other than
the ownership of all the outstanding shares of capital stock of the Borrower and
engaging in corporate and administrative functions and other activities
incidental thereto. Holdings will not own or acquire any assets (other than
Equity Interests of the Borrower and the cash proceeds of any Restricted
Payments permitted by Section 6.08 or proceeds of any issuance of Indebtedness
or Equity Interests permitted by this Agreement pending application as required
by this Agreement) or incur any liabilities (other than liabilities under and
permitted to be incurred under the Loan Documents and liabilities reasonably
incurred in connection with its maintenance of its existence and activities
incidental thereto.

            SECTION 6.04. Investments, Loans, Advances, Guarantees and
Acquisitions. Neither Holdings nor the Borrower will, nor will they permit any
Subsidiary to, purchase or acquire (including

                                      -66-
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pursuant to any merger with any Person that was not a wholly owned Subsidiary
prior to such merger) any Equity Interests in or evidences of indebtedness or
other securities (including any option, warrant or other right to acquire any of
the foregoing) of, make any loans or advances to, Guarantee any obligations of,
or make any investment or any other interest in, any other Person, or purchase
or otherwise acquire (in one transaction or a series of transactions) any assets
of any other Person constituting a business unit (collectively, "Investments"),
except:

            (i) Permitted Acquisitions;

            (ii) Permitted Investments;

            (iii) Investments set forth on Schedule 6.04;

            (iv) Investments by Holdings in the Borrower and by the Borrower and
      the Subsidiaries in Equity Interests in their respective Subsidiaries,
      provided that (A) any such Equity Interests held by a Loan Party shall be
      pledged pursuant to the Collateral Agreement (subject to the limitations
      applicable to common stock of a Foreign Subsidiary referred to in the
      definition of "Collateral and Guarantee Requirement") and (B) the
      aggregate amount of investments (other than investments set forth on
      Schedule 6.04) by Loan Parties in Subsidiaries that are not Loan Parties
      (together with outstanding intercompany loans permitted under clause (B)
      to the proviso to Section 6.04(v) and outstanding Guarantees permitted to
      be incurred under clause (B) to the proviso to Section 6.04(vi)) shall not
      exceed $15,000,000 at any time outstanding (in each case determined
      without regard to any write-downs or write-offs);

            (v) loans or advances made by the Borrower to any Subsidiary and
      made by any Subsidiary to the Borrower or any other Subsidiary, provided
      that (A) any such loans and advances made by a Loan Party shall be
      evidenced by a promissory note pledged pursuant to the Collateral
      Agreement and (B) the amount of such loans and advances made by Loan
      Parties to Subsidiaries that are not Loan Parties (together with
      outstanding investments permitted under clause (B) to the proviso to
      Section 6.04(iv) and outstanding Guarantees permitted under clause (B) to
      the proviso to Section 6.04(vi)) shall not exceed $15,000,000 at any time
      outstanding (in each case determined without regard to any write-downs or
      write-offs);

            (vi) Guarantees constituting Indebtedness permitted by Section 6.01,
      provided that (and without limiting the foregoing) the aggregate principal
      amount of Indebtedness of Subsidiaries that are not Loan Parties that is
      Guaranteed by any Loan Party (together with outstanding investments
      permitted under clause (B) to the proviso to Section 6.04(iv) and
      outstanding intercompany loans permitted under clause (B) to the proviso
      to Section 6.04(v)) shall not exceed $15,000,000 at any time outstanding
      (in each case determined without regard to any write-downs or write-offs);

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

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

                                      -67-
<PAGE>

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

            (x) loans or advances by the Borrower or any Subsidiary to employees
      made in the ordinary course of business (including travel, entertainment
      and relocation expenses) of the Borrower or any Subsidiary not exceeding
      $2,500,000 in the aggregate at any time outstanding (determined without
      regard to any write-downs or write-offs of such loans or advances);

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

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

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

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

            (xv) Investments in Permitted Joint Ventures in an amount determined
      at cost not to exceed $50,000,000 outstanding at any time plus an amount
      equal to any returns (including dividends, interest, distributions,
      returns of principal and profits on sale) actually received in cash in
      respect of any such Investments (which amount shall not exceed the amount
      of such Investment valued at cost at the time such Investment was made);

            (xvi) Investments in Permitted Real Estate Joint Ventures in an
      aggregate amount not to exceed $100,000,000 outstanding at any time;

            (xvii) payments, loans, advances to, and investments in,
      Consolidated Practices in the ordinary course of business and consistent
      with past practice in satisfaction of their obligations under any
      management services agreements;

            (xviii) Investments by the Borrower or any Subsidiary (including
      Investments in Permitted Joint Ventures) in an aggregate amount, as valued
      at cost at the time each such Investment is made and including all related
      commitments for future advances, not exceeding the Available Amount
      immediately prior to the time of the making of any such Investment;

            (xix) Investments by the Borrower or any Subsidiary (including
      Investments in Permitted Joint Ventures) in an aggregate amount not to
      exceed the sum of (A) $80,000,000 and (B) an amount equal to any returns
      (including dividends, interest, distributions, returns of principal and
      profits on sale) actually theretofore received in cash in respect of any
      such investment, loan or advance (which amount shall not exceed the amount
      of such Investment valued at cost at the time such Investment was made);
      and

            (xx) Investments, loans and advances by the Borrower or any
      Subsidiary to any Insurance Subsidiary in an amount equal to (A) the
      capital required under the applicable laws or regulations of the
      jurisdiction in which such Insurance Subsidiary is formed or determined by
      independent

                                      -68-
<PAGE>

      actuaries as prudent and necessary capital to operate such Insurance
      Subsidiary plus (B) any reasonable general corporate and overhead expenses
      of such Insurance Subsidiary.

            SECTION 6.05. Asset Sales. Neither Holdings nor the Borrower will,
nor will they permit any Subsidiary to, sell, transfer, lease or otherwise
dispose of any asset, including any Equity Interest owned by it, nor will the
Borrower permit any Subsidiary to issue any additional Equity Interest in such
Subsidiary (other than to the Borrower or another Subsidiary in compliance with
Section 6.04), except:

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

            (b) sales, transfers and dispositions to the Borrower or any
      Subsidiary, provided that any such sales, transfers or dispositions
      involving a Subsidiary that is not a Loan Party shall be made in
      compliance with Section 6.09;

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

            (d) sales, transfers and dispositions of property to the extent such
      property constitutes an investment permitted by clauses (ii), (viii),
      (xii) and (xiv) of Section 6.04;

            (e) sale and leaseback transactions permitted by Section 6.06;

            (f) dispositions resulting from any casualty or other insured damage
      to, or any taking under power of eminent domain or by condemnation or
      similar proceeding of, any property or asset of the Borrower or any
      Subsidiary;

            (g) sales, transfers and other dispositions of assets (other than
      Equity Interests in a Subsidiary unless all Equity Interests in such
      Subsidiary are sold) that are not permitted by any other paragraph of this
      Section 6.05, provided that the aggregate fair value of all assets sold,
      transferred or otherwise disposed of in reliance upon this paragraph (g)
      shall not exceed $100,000,000 during the term of this Agreement (excluding
      any single transaction or series of related transactions that involves
      assets having a Fair Market Value of less than $2,500,000); and

            (h) exchanges of property for similar replacement property for fair
      value;

provided that all sales, transfers, leases and other dispositions permitted
hereby (other than those permitted by paragraphs (b), (c) and (f) above) shall
be made for fair value and (other than those permitted by paragraphs (b), (d)
and (h) above) for at least 75% cash consideration, plus (for all such sales,
transfers, leases and other dispositions permitted hereby) an aggregate
additional amount of non-cash consideration in the amount of $20,000,000 (it
being understood that for purposes of paragraph (a) above, accounts receivable
received in the ordinary course and any property received in exchange for used,
obsolete, worn out or surplus equipment or property and any non-cash
consideration that was actually converted into cash within 6 months following
the applicable sale, transfer, lease or other disposition by the Borrower or any
of its Subsidiaries shall be deemed to constitute cash consideration).

            SECTION 6.06. Sale and Leaseback Transactions. Neither Holdings nor
the Borrower will, nor will they permit any Subsidiary to, enter into any
arrangement, directly or indirectly, whereby it shall sell or transfer any
property, real or personal, used or useful in its business, whether now owned or

                                      -69-
<PAGE>

hereafter acquired, and thereafter rent or lease such property or other property
that it intends to use for substantially the same purpose or purposes as the
property sold or transferred, except for (x) any such sale of any fixed or
capital assets by the Borrower or any Subsidiary that is made for cash
consideration in an amount not less than the fair value of such fixed or capital
asset and is consummated within 120 days after the Borrower or such Subsidiary
acquires or completes the construction of such fixed or capital asset or (y)
sale and leaseback transactions with respect to properties acquired after the
Effective Date, where the Fair Market Value of such properties in the aggregate
does not to exceed $50,000,000.

            SECTION 6.07. Swap Agreements. Neither Holdings nor the Borrower
will, nor will they permit any Subsidiary to, enter into any Swap Agreement,
except (a) Swap Agreements entered into to hedge or mitigate risks to which the
Borrower or any Subsidiary has actual exposure (other than those in respect of
Equity Interests of the Borrower or any of the Subsidiaries) and (b) Swap
Agreements entered into in order to effectively cap, collar or exchange interest
rates (from fixed to floating rates, from one floating rate to another floating
rate or otherwise) with respect to any interest-bearing liability or investment
of the Borrower or any Subsidiary.

            SECTION 6.08. Restricted Payments; Certain Payments of Indebtedness.

            (a) Neither Holdings nor the Borrower will, nor will they permit any
Subsidiary to, declare or make, or agree to pay or make, directly or indirectly,
any Restricted Payment, or incur any obligation (contingent or otherwise) to do
so, except:

            (i) each of Holdings and the Borrower may declare and pay dividends
      with respect to its common stock payable solely in additional shares of
      its common stock, and, with respect to its preferred stock, payable solely
      in additional shares of such preferred stock or in shares of its common
      stock;

            (ii) Subsidiaries may declare and pay dividends ratably with respect
      to their capital stock, membership or partnership interests or other
      similar Equity Interests;

            (iii) Holdings may (or may make Restricted Payments to allow a
      Parent to) purchase or redeem (and the Borrower may declare and pay
      dividends or make other distributions to Holdings, the proceeds of which
      are used by Holdings or a Parent to purchase or redeem) Equity Interests
      of Holdings or a Parent acquired by employees, consultants or directors of
      Holdings, the Borrower or any Subsidiary upon such Person's death,
      disability, retirement or termination of employment, provided that the
      aggregate amount of such purchases or redemptions under this clause (iii)
      shall not exceed $5,000,000 in any fiscal year (and, to the extent that
      the aggregate amount of purchases or redemptions made in any fiscal year
      pursuant to this clause (iii) is less than $5,000,000, the amount of such
      difference may be carried forward and used for such purpose in the
      following fiscal year);

            (iv) the Borrower may make Restricted Payments to Holdings to be
      used by Holdings solely to pay (or to make Restricted Payments to allow a
      Parent to pay) its franchise taxes and other fees required to maintain its
      corporate existence and to pay for general corporate and overhead expenses
      (including salaries and other compensation of employees) incurred by
      Holdings or a Parent in the ordinary course of its business, provided that
      such Restricted Payments shall not exceed $5,000,000 in any fiscal year;

            (v) the Borrower may make Restricted Payments to Holdings in an
      amount necessary to enable Holdings to pay (or make Restricted Payments to
      allow a Parent to pay) the Taxes directly attributable to (or arising as a
      result of) the operations of a Parent, Holdings, the Borrower

                                      -70-
<PAGE>

      and the Subsidiaries, provided that (A) the amount of such Restricted
      Payments shall not exceed the amount that the Borrower and the
      Subsidiaries would be required to pay in respect of Federal, state and
      local taxes were the Borrower and the Subsidiaries to pay such taxes as
      stand-alone taxpayers (including any interest or penalties thereon, if
      applicable) and (B) all Restricted Payments made to Holdings or a Parent
      pursuant to this clause (v) are used by Holdings or a Parent for the
      purposes specified herein within 20 days of the receipt thereof;

            (vi) cashless repurchases of Equity Interests of Holdings deemed to
      occur upon exercise of stock options or warrants if such Equity Interests
      represent a portion of the exercise price of such options or warrants;

            (vii) Holdings may, not later than five Business Days following the
      consummation of the Additional Equity Offering (or may make Restricted
      Payments to a Parent so that a Parent may), repurchase shares of its or
      its Parent's common stock from the Permitted Investors using the proceeds
      of the Additional Equity Offering;

            (viii) the Borrower may make Restricted Payments to Holdings to pay
      management, consulting and advisory fees to any Sponsor or Sponsor
      Affiliate to the extent permitted by Section 6.09;

            (ix) the Borrower may make Restricted Payments to Holdings in an
      amount necessary to permit Holdings to pay (or to make Restricted Payments
      to allow a Parent to pay) interest in cash (including interest previously
      paid "in kind" or added to the principal amount thereof) on Qualified
      Holdings Debt, but only to the extent the proceeds (together with a pro
      rata portion of related transaction expenses paid from such proceeds) of
      which were used to make Capital Expenditures (without giving effect to the
      proviso in the definition of the term "Capital Expenditures"), prepay
      Tranche B Term Loans, make Investments pursuant to Section 6.04(xvii) or
      repay, redeem, defease or otherwise refinance the Holdings Senior
      Subordinated Notes (or any Qualified Holdings Debt previously issued
      hereunder) or were Otherwise Applied, provided that (A) the Borrower has
      made all prepayments required pursuant to Section 2.11(d) prior to or
      contemporaneously with any such payment of interest, (B) no Default has
      occurred and is continuing or would result therefrom and (C) all
      Restricted Payments made pursuant to this clause (ix) are used by Holdings
      or a Parent for the purposes specified herein within 20 days of receipt
      thereof;

            (x) the Borrower and the Subsidiaries may make additional Restricted
      Payments (and Holdings may make Restricted Payments with such amounts
      received from the Borrower) in an aggregate amount not exceeding the
      Available Amount immediately prior to the time of the making of such
      Restricted Payment; provided that (A) immediately prior to and after
      giving effect to such Restricted Payment, the Leverage Ratio is less than
      or equal to 4.00 to 1.00 and (B) no Default has occurred and is continuing
      or would result therefrom;

            (xi) the Borrower may make Restricted Payments to Holdings to pay
      any non-recurring fees, cash charges and cost expenses incurred in
      connection with the issuance of Equity Interests or Indebtedness, in each
      case only to the extent that such transaction is not consummated;

            (xii) payments to former stockholders of the Borrower in connection
      with the exercise of appraisal rights under applicable law;

            (xiii) the Merger Consideration paid on or promptly following the
      Effective Date;

                                      -71-
<PAGE>

            (xiv) the Borrower and its Subsidiaries may make additional
      Restricted Payments (and Holdings may make Restricted Payments with such
      amounts received from the Borrower) in an aggregate amount not to exceed
      $40,000,000 provided that no Default or Event of Default has occurred and
      is continuing or would result therefrom; and

            (xv) subject to the requirements of Section 2.11, Holdings may make
      Restricted Payments with the Net Proceeds received by Holdings from any
      issuance of any Equity Interests (or capital contribution in respect
      thereof) or Qualified Holdings Debt to the extent such Net Proceeds are
      not contributed or otherwise received by the Borrower or any of the
      Subsidiaries; provided that no Default or Event of Default has occurred
      and is continuing or would result therefrom,

            (b) The Borrower will not nor will it permit any Subsidiary to, make
or agree to pay or make, directly or indirectly, any payment or other
distribution (whether in cash, securities or other property) of or in respect of
principal of or interest on, or any payment or other distribution (whether in
cash, securities or other property), including any sinking fund or similar
deposit, on account of the purchase, redemption, retirement, acquisition,
cancellation or termination of, any Subordinated Indebtedness (other than
intercompany loans among Subsidiaries and the Borrower), except:

            (i) payment of regularly scheduled interest and principal payments
      as and when due in respect of any Subordinated Indebtedness, other than as
      prohibited by the subordination provisions thereof;

            (ii) the conversion or exchange of any Subordinated Indebtedness
      into, or redemption, repurchase, prepayment, defeasance or other
      retirement of any such Indebtedness with the Net Proceeds of the issuance
      by Holdings or a Parent of, (A) Equity Interests (or capital contributions
      in respect thereof) after the Effective Date to the extent not Otherwise
      Applied or (B) Qualified Holdings Debt, plus any fees and expenses in
      connection with such conversion, exchange, redemption, repurchase,
      prepayment, defeasance or other retirement; and

            (iii) so long as no Default or Event of Default has occurred and is
      continuing or would result therefrom, the prepayment, redemption,
      defeasance, repurchase or other retirement of Senior Subordinated Notes,
      Additional Subordinated Debt or Existing Subordinated Notes for an
      aggregate purchase price not to exceed the Available Amount.

            SECTION 6.09. Transactions with Affiliates. Neither Holdings nor the
Borrower will, nor will they permit any Subsidiary to, sell, lease or otherwise
transfer any property or assets to, or purchase, lease or otherwise acquire any
property or assets from, or otherwise engage in any other transactions with, any
of its Affiliates, except

            (a) transactions that are at prices and on terms and conditions not
      less favorable to Holdings, the Borrower or such Subsidiary than could be
      obtained on an arm's-length basis from unrelated third parties,

            (b) (i) transactions between or among the Borrower and the
      Subsidiary Loan Parties, and (ii) transactions between or among the
      Borrower and its subsidiaries consistent with past practice and made in
      the ordinary course,

            (c) any investment permitted under Section 6.04(iv), 6.04(v),
      6.04(vii) or 6.04(xiii),

            (d) any Indebtedness permitted under Section 6.01(a)(v) and Section
      6.01(a)(xii),

                                      -72-
<PAGE>

            (e) any Restricted Payment permitted under Section 6.08,

            (f) loans or advances to employees permitted under Section 6.04,

            (g) any lease entered into between the Borrower or any Subsidiary,
      as lessee, and any of the Affiliates (as of the Effective Date) of the
      Borrower or entity controlled by such Affiliates, as lessor, which is
      approved in good faith by a majority of the disinterested members of the
      Board of Directors of the Borrower,

            (h) so long as no Default described in Section 7.01(b) and no Event
      of Default has occurred and is continuing, the Borrower may pay, or may
      pay cash dividends to enable Holdings to pay, (A) customary management,
      consulting, monitoring or advisory fees to the Sponsor or any Sponsor
      Affiliates in an aggregate amount not greater than $2,500,000 during any
      fiscal year (plus any unpaid management, consulting, monitoring or
      advisory fees within such amount accrued in any prior year) and (B) fees
      in respect of any financings, acquisitions or dispositions with respect to
      which the Sponsor or any Sponsor Affiliate acts as an adviser to Holdings,
      the Borrower or any Subsidiary in an amount not to exceed 2.0% of the
      value of any such transaction,

            (i) any contribution to the capital of Holdings directly or
      indirectly by the Permitted Investors or any purchase of Equity Interests
      of Holdings by the Permitted Investors not prohibited by this Agreement,

            (j) the payment of reasonable fees to directors of Holdings, the
      Borrower or any Subsidiary who are not employees of Holdings, the Borrower
      or any Subsidiary, and compensation and employee benefit arrangements paid
      to, and indemnities provided for the benefit of, directors, officers or
      employees of Holdings, the Borrower or any Subsidiary in the ordinary
      course of business,

            (k) any issuances of securities or other payments, awards or grants
      in cash, securities or otherwise pursuant to, or the funding of,
      employment agreements, stock options and stock ownership plans approved by
      the Borrower's Board of Directors,

            (l) transactions pursuant to agreements set forth on Schedule 6.09
      and any amendments thereto to the extent such amendments are not
      materially less favorable to the Borrower or such Subsidiary Loan Party
      than those provided for in the original agreements,

            (m) employment and severance arrangements entered into in the
      ordinary course of business and approved by the Borrower's Board of
      Directors between a Parent, Holdings, the Borrower or any Subsidiary and
      any employee thereof,

            (n) all payments made or to be made in connection with the
      Transactions, including the payment of the Transaction Costs in an
      aggregate amount not to exceed $133,100,000, and

            (o) payments by the Borrower or any of its Subsidiaries of
      reasonable insurance premiums to, and any borrowings or dividends received
      from, any Insurance Subsidiary.

            SECTION 6.10. Restrictive Agreements.

            (a) Subject to clauses (b) through (d) below, neither Holdings nor
the Borrower will, nor will they permit any Subsidiary to, directly or
indirectly, enter into, incur or permit to exist any agreement or other
arrangement that prohibits, restricts or imposes any condition upon (i) the
ability of

                                      -73-
<PAGE>

Holdings, the Borrower or any Subsidiary to create, incur or permit to exist any
Lien upon any of its property or assets or (ii) the ability of any Subsidiary to
pay dividends or other distributions with respect to any shares of its capital
stock or to make or repay loans or advances to the Borrower or any other
Subsidiary or to Guarantee Indebtedness of the Borrower or any other Subsidiary.

            (b) The foregoing clause (a) shall not apply to restrictions and
conditions (i) imposed by law or by any Loan Document, Senior Subordinated Notes
Document or documentation governing any Additional Subordinated Debt, Additional
Senior Debt, or Indebtedness of a Foreign Subsidiary permitted to be incurred
under this Agreement (provided that such restrictions shall apply only to such
Foreign Subsidiary), (ii) existing on the date hereof identified on Schedule
6.10 (but shall apply to any extension or renewal of, or any amendment or
modification expanding the scope of, any such restriction or condition), (iii)
contained in agreements relating to the sale of a Subsidiary pending such sale,
provided such restrictions and conditions apply only to the Subsidiary that is
to be sold and such sale is permitted hereunder, (iv) imposed on any
Consolidated Practice by (and for the benefit of) any Loan Party and (v) imposed
by any customary provisions restricting assignment of any agreement entered into
the ordinary course of business.

            (c) The foregoing clause (a)(i) shall not apply to restrictions or
conditions (i) imposed by any agreement relating to secured Indebtedness
permitted by this Agreement if such restrictions or conditions apply only to the
property or assets securing such Indebtedness and (ii) imposed by customary
provisions in leases restricting the assignment thereof.

            (d) The foregoing clause (a)(ii) shall not apply to customary
provisions in joint venture agreements relating to purchase options, rights of
first refusal or call or similar rights of a third party that owns Equity
Interests in such joint venture.

            SECTION 6.11. Amendment of Material Documents. Neither Holdings nor
the Borrower will, nor will they permit any Subsidiary to, amend, modify or
waive any of its rights under (a) any Senior Subordinated Notes Document, (b)
any Existing Subordinated Notes Document, (c) the documentation governing any
Additional Subordinated Debt, (d) the documentation governing any Additional
Senior Debt or (e) its certificate of incorporation, by-laws or other
organizational documents, in each case to the extent such amendment,
modification or waiver would be materially adverse to the Lenders.

            SECTION 6.12. Interest Expense Coverage Ratio. The Borrower will not
permit the ratio (the "Interest Expense Coverage Ratio") of (a) Consolidated
EBITDA to (b) cash interest expense of Holdings and its subsidiaries, in each
case for any period of four consecutive fiscal quarters ending on any date set
forth below, to be less than the ratio set forth below opposite such date:

<TABLE>
<CAPTION>
       Date                                      Ratio
------------------                            ------------
<S>                                           <C>
March 31, 2005                                1.75 to 1.00
June 30, 2005                                 1.75 to 1.00
September 30, 2005                            1.75 to 1.00
December 31, 2005                             2.00 to 1.00
</TABLE>

                                      -74-
<PAGE>

<TABLE>
<CAPTION>
       Date                                      Ratio
------------------                            ------------
<S>                                           <C>
March 31, 2006                                2.00 to 1.00
June 30, 2006                                 2.00 to 1.00
September 30, 2006                            2.00 to 1.00
December 31, 2006                             2.00 to 1.00
March 31, 2007                                2.25 to 1.00
June 30, 2007                                 2.25 to 1.00
September 30, 2007                            2.25 to 1.00
December 31, 2007                             2.25 to 1.00
March 31, 2008                                2.50 to 1.00
June 30, 2008                                 2.50 to 1.00
September 30, 2008                            2.50 to 1.00
December 31, 2008                             2.50 to 1.00
March 31, 2009                                2.75 to 1.00
June 30, 2009                                 2.75 to 1.00
September 30, 2009                            2.75 to 1.00
December 31, 2009                             2.75 to 1.00
March 31, 2010                                3.00 to 1.00
June 30, 2010                                 3.00 to 1.00
September 30, 2010                            3.00 to 1.00
December 31, 2010                             3.00 to 1.00
March 31, 2011                                3.00 to 1.00
June 30, 2011                                 3.00 to 1.00
September 30, 2011                            3.00 to 1.00
December 31, 2011                             3.00 to 1.00
</TABLE>

            SECTION 6.13. Leverage Ratio. The Borrower will not permit the
Leverage Ratio as of any date set forth below to exceed the ratio set forth
opposite such date:

<TABLE>
<CAPTION>
       Date                                      Ratio
------------------                            ------------
<S>                                           <C>
March 31, 2005                                5.50 to 1.00
June 30, 2005                                 5.50 to 1.00
September 30, 2005                            5.25 to 1.00
December 31, 2005                             5.00 to 1.00
</TABLE>

                                      -75-
<PAGE>

<TABLE>
<CAPTION>
       Date                                      Ratio
------------------                            ------------
<S>                                           <C>
March 31, 2006                                4.75 to 1.00
June 30, 2006                                 4.75 to 1.00
September 30, 2006                            4.50 to 1.00
December 31, 2006                             4.50 to 1.00
March 31, 2007                                4.25 to 1.00
June 30, 2007                                 4.25 to 1.00
September 30, 2007                            4.00 to 1.00
December 31, 2007                             4.00 to 1.00
March 31, 2008                                3.75 to 1.00
June 30, 2008                                 3.75 to 1.00
September 30, 2008                            3.50 to 1.00
December 31, 2008                             3.50 to 1.00
March 31, 2009                                3.25 to 1.00
June 30, 2009                                 3.25 to 1.00
September 30, 2009                            3.25 to 1.00
December 31, 2009                             3.25 to 1.00
March 31, 2010                                3.00 to 1.00
June 30, 2010                                 3.00 to 1.00
September 30, 2010                            3.00 to 1.00
December 31, 2010                             3.00 to 1.00
March 31, 2011                                3.00 to 1.00
June 30, 2011                                 3.00 to 1.00
September 30, 2011                            3.00 to 1.00
December 31, 2011                             3.00 to 1.00
</TABLE>

            SECTION 6.14. Maximum Capital Expenditures.

            (a) The Borrower will not, nor will it permit any Subsidiary to,
incur or make any Capital Expenditures except and as set forth below:

<TABLE>
<CAPTION>
                     Maximum
Fiscal Year    Capital Expenditures
-----------    --------------------
<S>            <C>
    2005         $50.0 million
    2006         $50.0 million
    2007         $50.0 million
    2008         $50.0 million
</TABLE>

                                      -76-
<PAGE>

<TABLE>
<CAPTION>
                     Maximum
Fiscal Year    Capital Expenditures
-----------    --------------------
<S>            <C>
    2009         $50.0 million
    2010         $70.0 million
    2011         $70.0 million
    2012         $70.0 million
</TABLE>

; provided that (x) in fiscal year 2005 through and including fiscal year 2009,
such amounts shall be available only for Maintenance Capital Expenditures and
(y) if the aggregate amount of Capital Expenditures made in any of fiscal year
2010, 2011 or 2012 shall be less than the maximum amount of Capital Expenditures
permitted under this Section 6.14 for such fiscal year (including any
carryover), then an amount of such shortfall not exceeding 50% of such maximum
amount (not including any carryover) may be added to the amount of Capital
Expenditures permitted under this Section 6.14 for the immediately succeeding
(but not any other) fiscal year.

            (b) The Borrower may make, and may permit the Subsidiaries to make,
additional Capital Expenditures (which Capital Expenditures will not be included
in any determination under the foregoing clause (a)) through fiscal year 2009,
in an aggregate amount not to exceed $325,000,000 (the "Aggregate Capital
Expenditures Amount"), of which (x) no more than $65,000,000 of such Aggregate
Capital Expenditures Amount shall be applied in fiscal year 2005 (the "2005
Expenditure") and (y) no more than $113,750,000 of such Aggregate Capital
Expenditures Amount shall be applied in any fiscal year thereafter; provided,
however, that to the extent that the aggregate amount of Maintenance Capital
Expenditures made in fiscal year 2005 pursuant to Section 6.14(a) is less than
the amount set forth therein for such fiscal year, the amount of such difference
may be used to supplement the 2005 Expenditure.

                                   ARTICLE VII

                                Events of Default

            SECTION 7.01. Events of Default. If any of the following events (any
such event, an "Event of Default") shall occur:

            (a) the Borrower shall fail to pay any principal of any Loan or any
      reimbursement obligation in respect of any LC Disbursement when and as the
      same shall become due and payable, whether at the due date thereof or at a
      date fixed for prepayment thereof or otherwise;

            (b) the Borrower shall fail to pay any interest on any Loan or any
      fee or any other amount (other than an amount referred to in paragraph (a)
      of this Section 7.01) payable under this Agreement or any other Loan
      Document, when and as the same shall become due and payable, and such
      failure shall continue unremedied for a period of three Business Days;

            (c) any representation or warranty made or deemed made by or on
      behalf of Holdings, the Borrower or any Subsidiary in or in connection
      with any Loan Document or any amendment or modification thereof or waiver
      thereunder, or in any report, certificate, financial statement or other
      document furnished pursuant to or in connection with any Loan Document or
      any amendment or modification thereof or waiver thereunder, shall prove to
      have been incorrect in any material respect (except to the extent any such
      representation or warranty is qualified by "materially," "Material Adverse
      Effect" or a similar term, in which case such representation or warranty
      shall prove to have been incorrect in any respect) when made or deemed
      made;

                                      -77-
<PAGE>

            (d) Holdings or the Borrower shall fail to observe or perform any
      covenant, condition or agreement contained in Section 5.02, 5.03, 5.04
      (with respect to the existence of Holdings and the Borrower), 5.11 or in
      Article VI;

            (e) Holdings, the Borrower or any Subsidiary Loan Party shall fail
      to observe or perform any covenant, condition or agreement contained in
      any Loan Document (other than those specified in paragraph (a), (b) or (d)
      of this Section 7.01), and such failure shall continue unremedied for a
      period of 30 days after notice thereof from the Administrative Agent to
      the Borrower (which notice will be given at the request of any Lender);

            (f) Holdings, the Borrower or any Subsidiary shall fail to make any
      payment (whether of principal or interest and regardless of amount) in
      respect of any Material Indebtedness, when and as the same shall become
      due and payable (after giving effect to any applicable grace period);

            (g) any event or condition occurs that results in any Material
      Indebtedness becoming due prior to its scheduled maturity or that enables
      or permits (with or without the giving of notice, the lapse of time or
      both) the holder or holders of any Material Indebtedness or any trustee or
      agent on its or their behalf to cause any Material Indebtedness to become
      due, or to require the prepayment, repurchase, redemption or defeasance
      thereof, prior to its scheduled maturity, provided that this paragraph (g)
      shall not apply to secured Indebtedness that becomes due as a result of
      the voluntary sale or transfer of the property or assets (to the extent
      not prohibited under this Agreement) securing such Indebtedness;

            (h) an involuntary proceeding shall be commenced or an involuntary
      petition shall be filed seeking (i) liquidation, reorganization or other
      relief in respect of Holdings, the Borrower or any Subsidiary or its
      debts, or of a substantial part of its assets, under any Federal, state or
      foreign bankruptcy, insolvency, receivership or similar law now or
      hereafter in effect or (ii) the appointment of a receiver, trustee,
      custodian, sequestrator, conservator or similar official for Holdings, the
      Borrower or any Subsidiary or for a substantial part of its assets, and,
      in any such case, such proceeding or petition shall continue undismissed
      for 60 days or an order or decree approving or ordering any of the
      foregoing shall be entered;

            (i) Holdings, the Borrower or any Subsidiary shall (i) voluntarily
      commence any proceeding or file any petition seeking liquidation,
      reorganization or other relief under any Federal, state or foreign
      bankruptcy, insolvency, receivership or similar law now or hereafter in
      effect, (ii) consent to the institution of, or fail to contest in a timely
      and appropriate manner, any proceeding or petition described in paragraph
      (h) of this Section 7.01, (iii) apply for or consent to the appointment of
      a receiver, trustee, custodian, sequestrator, conservator or similar
      official for Holdings, the Borrower or any Subsidiary or for a substantial
      part of its assets, (iv) file an answer admitting the material allegations
      of a petition filed against it in any such proceeding, (v) make a general
      assignment for the benefit of creditors or (vi) take any formal action for
      the purpose of effecting any of the foregoing;

            (j) Holdings, the Borrower or any Subsidiary shall become unable,
      admit in writing its inability or fail generally to pay its debts as they
      become due;

            (k) one or more judgments for the payment of money (to the extent
      not paid or covered by insurance provided by a carrier that has
      acknowledged its obligation to pay such claim in writing and that has a
      credit rating of at least "A" by A.M. Best Company, Inc.) in an aggregate
      amount in excess of $20,000,000 shall be rendered against Holdings, the
      Borrower, any Subsidiary

                                      -78-
<PAGE>

      or any combination thereof and the same shall remain undischarged for a
      period of 30 consecutive days during which execution shall not be
      effectively stayed, or any action shall be legally taken by a judgment
      creditor to attach or levy upon any assets of Holdings, the Borrower or
      any Subsidiary to enforce any such judgment;

            (l) an ERISA Event shall have occurred that, in the opinion of the
      Required Lenders, when taken together with all other ERISA Events that
      have occurred, could reasonably be expected to result in liability of the
      Borrower and the Subsidiaries in an aggregate amount exceeding $20,000,000
      for all periods;

            (m) any Lien purported to be created under any Security Document
      shall cease to be, or shall be asserted by any Loan Party not to be, a
      valid and perfected Lien on any Collateral with a fair value in excess of
      $5,000,000, with the priority required by the applicable Security
      Document, except (i) as a result of the sale or other disposition of the
      applicable Collateral in a transaction permitted under the Loan Documents
      or (ii) as a result of the Administrative Agent's failure to maintain
      possession of any stock certificates, promissory notes or other
      instruments delivered to it under the Collateral Agreement;

            (n) any Loan Document shall for any reason be asserted by any Loan
      Party not to be a legal, valid and binding obligation of any party
      thereto;

            (o) the Guarantees of the Obligations by Holdings and the Subsidiary
      Loan Parties pursuant to the Collateral Agreement shall cease to be in
      full force and effect (other than in accordance with the terms of the Loan
      Documents) or shall be asserted by Holdings, the Borrower or any
      Subsidiary Loan Party not to be in effect or not to be legal, valid and
      binding obligations;

            (p) the Existing Subordinated Notes, the Senior Subordinated Notes,
      any Additional Subordinated Debt or any Guarantees thereof shall cease,
      for any reason, to be validly subordinated to the Obligations or the
      obligations of Holdings and the Subsidiary Loan Parties in respect of
      their Guarantees under the Collateral Agreement, as applicable, as
      provided in the Existing Subordinated Notes Documents, the Senior
      Subordinated Notes Documents or the documentation governing any Additional
      Subordinated Debt, as applicable, or any Loan Party or the holders of at
      least 25% in aggregate principal amount of the Existing Subordinated
      Notes, Senior Subordinated Notes or any series of Additional Subordinated
      Debt shall so assert; or

            (q) a Change in Control shall occur;

then, and in every such event (other than an event with respect to the Borrower
described in paragraph (h) or (i) of this Section 7.01), and at any time
thereafter during the continuance of such event, the Administrative Agent may,
and at the request of the Required Lenders shall, by notice to the Borrower,
take either or both of the following actions, at the same or different times:
(i) terminate the Commitments, and thereupon the Commitments shall terminate
immediately, and (ii) declare the Loans then outstanding to be due and payable
in whole (or in part, in which case any principal not so declared to be due and
payable may thereafter be declared to be due and payable), and thereupon the
principal of the Loans so declared to be due and payable, together with accrued
interest thereon and all fees and other obligations of the Borrower accrued
hereunder, shall become due and payable immediately, without presentment,
demand, protest or other notice of any kind, all of which are hereby waived by
the Borrower; and in case of any event with respect to the Borrower described in
paragraph (h) or (i) of this Section 7.01, the Commitments shall automatically
terminate and the principal of the Loans then outstanding, together with accrued
interest thereon and all fees and other obligations of the Borrower accrued
hereunder, shall automatically become

                                      -79-
<PAGE>

due and payable, without presentment, demand, protest or other notice of any
kind, all of which are hereby waived by the Borrower.

            SECTION 7.02. Borrower's Right to Cure.

            (a) Notwithstanding anything to the contrary contained in Section
7.01, in the event that the Borrower fails to comply with the requirement of any
Financial Performance Covenant, until the expiration of the fifth Business Day
subsequent to the date on which financial statements with respect to the fiscal
period for which such Financial Performance Covenant is being measured are
required to be delivered pursuant to Section 5.01, Holdings shall have the right
to issue Permitted Securities (the "Cure Right"), and upon the receipt by the
Borrower of cash (such amount of cash being referred to as the "Cure Amount")
pursuant to the exercise by Holdings of such Cure Right, such Financial
Performance Covenants shall be recalculated giving effect to the following pro
forma adjustments:

            (i) Consolidated EBITDA shall be increased, solely for the purpose
      of determining the existence of a Default or Event of Default under the
      Financial Performance Covenants with respect to any period of four
      consecutive fiscal quarters that includes the fiscal quarter for which the
      Cure Right was exercised and not for any other purpose under this
      Agreement, by an amount equal to the Cure Amount; and

            (ii) if, after giving effect to the foregoing recalculations, the
      Borrower shall then be in compliance with the requirements of all
      Financial Performance Covenants (including for purposes of Section 4.02),
      the Borrower shall be deemed to have satisfied the requirements of the
      Financial Performance Covenants as of the relevant date of determination
      with the same effect as though there had been no failure to comply
      therewith at such date, and the applicable breach or default of the
      Financial Performance Covenants that had occurred shall be deemed cured
      for the purposes of this Agreement.

            (b) Notwithstanding anything herein to the contrary, (i) the Cure
Amount shall not exceed $30,000,000 and (ii) the Borrower shall apply the Cure
Amount to the prepayment of outstanding Revolving Loans, if any; provided that
any such prepayment shall not reduce any Lender's Revolving Commitment; provided
further that (a) in each four fiscal quarter period there shall be a period of
at least one fiscal quarter in which no Cure Right is made, (b) in each eight
fiscal quarter period there shall be a period of at least four consecutive
fiscal quarters during which no Cure Right is made and (c) the Cure Amount shall
be no greater than the amount required to cause Borrower to be in compliance
with such Financial Performance Covenant.

            SECTION 7.03. Exclusion of Immaterial Subsidiaries. Solely for the
purposes of determining whether a Default has occurred under clause (h) or (i)
of Section 7.01, any reference in any such clause to any Subsidiary shall be
deemed not to include any Subsidiary affected by any event or circumstance
referred to in any such clause that did not, as of the last day of the fiscal
quarter of the Borrower most recently ended, have assets with a value in excess
of 5% of the consolidated total assets of the Borrower and the Subsidiaries or
5% of the total revenues of the Borrower and the Subsidiaries as of such date;
provided that if it is necessary to exclude more than one Subsidiary from clause
(h) or (i) of Section 7.01 pursuant to this Section 7.03 in order to avoid an
Event of Default thereunder, all excluded Subsidiaries shall be considered to be
a single consolidated Subsidiary for purposes of determining whether the
condition specified above is satisfied.

                                      -80-
<PAGE>

                                  ARTICLE VIII

                                   The Agents

            SECTION 8.01. The Agents. Each of the Lenders and the Issuing Bank
hereby irrevocably appoints the Administrative Agent as its agent and authorizes
the Administrative Agent to take such actions on its behalf and to exercise such
powers as are delegated to the Administrative Agent by the terms of the Loan
Documents, together with such actions and powers as are reasonably incidental
thereto. For purposes of this Article VIII, all references to the Administrative
Agent shall be deemed to be references to both the Administrative Agent and the
Collateral Agent.

            The bank serving as the Administrative Agent hereunder shall have
the same rights and powers in its capacity as a Lender as any other Lender and
may exercise the same as though it were not the Administrative Agent, and such
bank and its Affiliates may accept deposits from, lend money to and generally
engage in any kind of business with the Borrower or any Subsidiary or other
Affiliate thereof as if it were not the Administrative Agent hereunder.

            The Administrative Agent shall not have any duties or obligations
except those expressly set forth in the Loan Documents. Without limiting the
generality of the foregoing, (a) the Administrative Agent shall not be subject
to any fiduciary or other implied duties, regardless of whether a Default has
occurred and is continuing, (b) the Administrative Agent shall not have any duty
to take any discretionary action or exercise any discretionary powers, except
discretionary rights and powers expressly contemplated by the Loan Documents
that the Administrative Agent is required to exercise in writing as directed by
the Required Lenders (or such other number or percentage of the Lenders as shall
be necessary under the circumstances as provided in Section 2.05(j) and Section
9.02), and (c) except as expressly set forth in the Loan Documents, the
Administrative Agent shall not have any duty to disclose, and shall not be
liable for the failure to disclose, any information relating to Holdings, the
Borrower or any of the Subsidiaries that is communicated to or obtained by the
bank serving as Administrative Agent or any of its Affiliates in any capacity.
The Administrative Agent shall not be liable for any action taken or not taken
by it with the consent or at the request of the Required Lenders (or such other
number or percentage of the Lenders as shall be necessary under the
circumstances as provided in Section 9.02) or in the absence of its own gross
negligence or willful misconduct. The Administrative Agent shall be deemed not
to have knowledge of any Default unless and until written notice thereof is
given to the Administrative Agent by Holdings, the Borrower or a Lender, and the
Administrative Agent shall not be responsible for or have any duty to ascertain
or inquire into (i) any statement, warranty or representation made in or in
connection with any Loan Document, (ii) the contents of any certificate, report
or other document delivered thereunder or in connection therewith, (iii) the
performance or observance of any of the covenants, agreements or other terms or
conditions set forth in any Loan Document, (iv) the validity, enforceability,
effectiveness or genuineness of any Loan Document or any other agreement,
instrument or document, or (v) the satisfaction of any condition set forth in
Article IV or elsewhere in any Loan Document, other than to confirm receipt of
items expressly required to be delivered to the Administrative Agent.

            The Administrative Agent shall be entitled to rely upon, and shall
not incur any liability for relying upon, any notice, request, certificate,
consent, statement, instrument, document or other writing believed by it to be
genuine and to have been signed or sent by the proper Person. The Administrative
Agent also may rely upon any statement made to it orally or by telephone and
believed by it to be made by the proper Person, and shall not incur any
liability for relying thereon. The Administrative Agent may consult with legal
counsel (who may be counsel for the Borrower), independent accountants and other
experts selected by it, and shall not be liable for any action taken or not
taken by it in accordance with the advice of any such counsel, accountants or
experts.

                                      -81-
<PAGE>

            The Administrative Agent may perform any and all its duties and
exercise its rights and powers by or through any one or more subagents appointed
by the Administrative Agent. The Administrative Agent and any such subagent may
perform any and all its duties and exercise its rights and powers through their
respective Related Parties. The exculpatory provisions of the preceding
paragraphs shall apply to any such subagent and to the Related Parties of each
Administrative Agent and any such subagent, and shall apply to their respective
activities in connection with the syndication of the credit facilities provided
for herein as well as activities as Administrative Agent.

            The Administrative Agent may resign at any time by notifying the
Lenders, the Issuing Bank and the Borrower. Upon any such resignation, the
Required Lenders shall have the right, in consultation with the Borrower, to
appoint a successor. If no successor shall have been so appointed by the
Required Lenders and shall have accepted such appointment within 30 days after
the retiring Administrative Agent gives notice of its resignation, then the
retiring Administrative Agent may, on behalf of the Lenders and the Issuing
Bank, appoint a successor Administrative Agent which shall be a bank with an
office in New York, New York, or an Affiliate of any such bank. Upon the
acceptance of its appointment as Administrative Agent hereunder by a successor,
such successor shall succeed to and become vested with all the rights, powers,
privileges and duties of the retiring Administrative Agent, and the retiring
Administrative Agent shall be discharged from its duties and obligations
hereunder. The fees payable by the Borrower to a successor Administrative Agent
shall be the same as those payable to its predecessor unless otherwise agreed
between the Borrower and such successor. After the Administrative Agent's
resignation hereunder, the provisions of this Article and Section 9.03 shall
continue in effect for the benefit of such retiring Administrative Agent, its
subagents and their respective Related Parties in respect of any actions taken
or omitted to be taken by any of them while it was acting as Administrative
Agent.

            Each Lender acknowledges that it has, independently and without
reliance upon the Administrative Agent or any other Lender and based on such
documents and information as it has deemed appropriate, made its own credit
analysis and decision to enter into this Agreement. Each Lender also
acknowledges that it will, independently and without reliance upon the
Administrative Agent or any other Lender and based on such documents and
information as it shall from time to time deem appropriate, continue to make its
own decisions in taking or not taking action under or based upon this Agreement,
any other Loan Document or related agreement or any document furnished hereunder
or thereunder. The Lenders identified in this Agreement as the Syndication Agent
and the Documentation Agent shall not have any right, power, obligation,
liability, responsibility or duty under this Agreement other than those
applicable to all Lenders. Without limiting the foregoing, neither the
Syndication Agent nor the Documentation Agent shall have or be deemed to have a
fiduciary relationship with any Lender.

                                   ARTICLE IX

                                  Miscellaneous

            SECTION 9.01. Notices.

            (a) Except in the case of notices and other communications expressly
permitted to be given by telephone, all notices and other communications
provided for herein shall be in writing and shall be delivered by hand or
overnight courier service, mailed by certified or registered mail or sent by
telecopy, as follows:

            (i) if to the Borrower, to Select Medical Corporation, 4716 Old
      Gettysburg Road, P.O. Box 2034, Mechanicsburg, PA 17055, Attention:
      Michael E. Tarvin (Telecopy No. (717) 975-9981);

                                      -82-
<PAGE>

            (ii) if to the Administrative Agent, to JPMorgan Chase Bank, N.A.,
      270 Park Avenue, 4th Floor, New York, New York 10017, Attention of
      Stephanie Parker (Telecopy No. (212) 270-6637), with a copy to JPMorgan
      Chase Bank, N.A., Loan and Agency Services, 1111 Fannin Street, 10th
      Floor, Houston, TX 77002, Attention: Vikki Toller (Telecopy No. (713) 750-
      2782);

            (iii) if to the Issuing Bank, to JPMorgan Chase Bank, N.A., Loan and
      Agency Services, 1111 Fannin Street, 10th Floor, Houston, TX 77002,
      Attention: Vikki Toller (Telecopy No. (713) 750-2782);

            (iv) if to the Swingline Lender, to JPMorgan Chase Bank, N.A., Loan
      and Agency Services, 1111 Fannin Street, 10th Floor, Houston, TX 77002,
      Attention: Vikki Toller (Telecopy No. (713) 750-2782);

            (v) if to the Collateral Agent, to JPMorgan Chase Bank, N.A., Loan
      and Agency Services, 1111 Fannin Street, 10th Floor, Houston, TX 77002,
      Attention: Vikki Toller (Telecopy No. (713) 750-2782); and

            (vi) if to any other Lender, to it at its address (or telecopy
      number) set forth in its Administrative Questionnaire.

            (b) Notices and other communications to the Lenders hereunder may be
delivered or furnished by electronic communications pursuant to procedures
approved by the Administrative Agent, provided that the foregoing shall not
apply to notices pursuant to Article II unless otherwise agreed by the
Administrative Agent and the applicable Lender. The Administrative Agent or the
Borrower may, in its discretion, agree to accept notices and other
communications to it hereunder by electronic communications pursuant to
procedures approved by it, provided that approval of such procedures may be
limited to particular notices or communications.

            (c) Any party hereto may change its address or telecopy number for
notices and other communications hereunder by notice to the Administrative Agent
(and, in the case of the Administrative Agent, by written notice to the
Borrower). All notices and other communications given to any party hereto in
accordance with the provisions of this Agreement shall be deemed to have been
given on the date of receipt.

            SECTION 9.02. Waivers; Amendments.

            (a) No failure or delay by the Administrative Agent, the Issuing
Bank, the Collateral Agent, the Swingline Lender or any Lender in exercising any
right or power hereunder or under any other Loan Document shall operate as a
waiver thereof, nor shall any single or partial exercise of any such right or
power, or any abandonment or discontinuance of steps to enforce such a right or
power, preclude any other or further exercise thereof or the exercise of any
other right or power. The rights and remedies of the Administrative Agent, the
Issuing Bank, the Collateral Agent, the Swingline Lender and the Lenders
hereunder and under the other Loan Documents are cumulative and are not
exclusive of any rights or remedies that they would otherwise have. No waiver of
any provision of any Loan Document or consent to any departure by any Loan Party
therefrom shall in any event be effective unless the same shall be permitted by
paragraph (b) of this Section 9.02, and then such waiver or consent shall be
effective only in the specific instance and for the purpose for which given.
Without limiting the generality of the foregoing, the making of a Loan or
issuance of a Letter of Credit shall not be construed as a waiver of any
Default, regardless of whether the Administrative Agent, any Lender, the
Collateral Agent, the Swingline Lender or the Issuing Bank may have had notice
or knowledge of such Default at the time.

                                      -83-
<PAGE>

            (b) Except as provided in Section 2.20 with respect to an
Incremental Facility Amendment (or to give effect to any restatement of this
Agreement, the substantive terms of which are otherwise permitted hereby),
neither this Agreement nor any other Loan Document nor any provision hereof or
thereof may be waived, amended or modified except, in the case of this
Agreement, pursuant to an agreement or agreements in writing entered into by
Holdings, the Borrower and the Required Lenders or, in the case of any other
Loan Document, pursuant to an agreement or agreements in writing entered into by
the Administrative Agent and the Loan Party or Loan Parties that are parties
thereto, in each case with the consent of the Required Lenders; provided that no
such agreement shall

            (i) increase the Commitment of any Lender without the written
      consent of such Lender,

            (ii) reduce the principal amount of any Loan or LC Disbursement or
      reduce the rate of interest thereon, or reduce any fees payable hereunder,
      without the written consent of each Lender affected thereby,

            (iii) postpone the maturity of any Loan, or any scheduled date of
      payment of the principal amount of any Tranche B Term Loan under Section
      2.10, the required date of reimbursement of any LC Disbursement, or any
      date for the payment of any interest or fees payable hereunder, or reduce
      the amount of, waive or excuse any such payment, or postpone the scheduled
      date of expiration of any Commitment, without the written consent of each
      Lender affected thereby,

            (iv) change Section 2.18(b) or (c) in a manner that would alter the
      pro rata sharing of payments required thereby, without the written consent
      of each Lender,

            (v) change any of the provisions of this Section 9.02 or the
      percentage set forth in the definition of "Required Lenders" or any other
      provision of any Loan Document specifying the number or percentage of
      Lenders (or Lenders of any Class) required to waive, amend or modify any
      rights thereunder or make any determination or grant any consent
      thereunder, without the written consent of each Lender (or each Lender of
      such Class, as applicable),

            (vi) release Holdings or any Subsidiary Loan Party from its
      Guarantee under the Collateral Agreement (except as provided in Section
      9.15 or in the Collateral Agreement) or limit its liability in respect of
      such Guarantee, without the written consent of each Lender,

            (vii) release all or substantially all the Collateral from the Liens
      of the Security Documents (except as provided in Section 9.15 or in the
      Collateral Agreement), without the written consent of each Lender, or

            (viii) change any provisions of any Loan Document in a manner that
      by its terms adversely affects the rights in respect of payments due to
      Lenders holding Loans of any Class differently than those holding Loans of
      any other Class, without the written consent of Lenders holding a majority
      in interest of the outstanding Loans and unused Commitments of each
      adversely affected Class,

provided, further, that (A) no such agreement shall amend, modify or otherwise
affect the rights or duties of the Administrative Agent, the Issuing Bank or the
Swingline Lender without the prior written consent of the Administrative Agent,
the Issuing Bank or the Swingline Lender, as applicable, and (B) any waiver,
amendment or modification of this Agreement that by its terms affects the rights
or duties under this Agreement of the Revolving Lenders (but not

                                      -84-
<PAGE>

the Tranche B Lenders) or the Tranche B Lenders (but not the Revolving Lenders)
may be effected by an agreement or agreements in writing entered into by
Holdings, the Borrower and requisite percentage in interest of the affected
Class of Lenders that would be required to consent thereto under this Section
9.02(b) if such Class of Lenders were the only Class of Lenders hereunder at the
time. In connection with any proposed amendment, modification, waiver or
termination (a "Proposed Change") requiring the consent of all affected Lenders,
if the consent of the Supermajority Lenders (and, to the extent any Proposed
Change requires the consent of Lenders holding Loans of any Class pursuant to
clause (viii) of this Section 9.02(b), the consent of not less than 75% in
interest of the outstanding Loans and unused Commitments of such Class) to such
Proposed Change is obtained, but the consent to such Proposed Change of other
Lenders whose consent is required is not obtained (any such Lender whose consent
is not obtained as described in this Section 9.02(b) being referred to as a
"Non-Consenting Lender"), then, so long as the Lender that is acting as the
Administrative Agent is not a Non-Consenting Lender, at the Borrower's request,
any assignee that is acceptable to the Administrative Agent shall have the
right, with the Administrative Agent's consent, to purchase from such
Non-Consenting Lender, and such Non-Consenting Lender agrees that it shall, upon
the Borrower's request, sell and assign to such assignee, at no expense to such
Non-Consenting Lender, all the Commitments, Tranche B Term Loans and Revolving
Exposure of such Non-Consenting Lender for an amount equal to the principal
balance of all Tranche B Term Loans and Revolving Loans (and funded
participations in Swingline Loans and unreimbursed LC Disbursements) held by
such Non-Consenting Lender and all accrued interest and fees with respect
thereto through the date of sale (including amounts under Sections 2.15, 2.16
and 2.17), such purchase and sale to be consummated pursuant to an executed
Assignment and Assumption in accordance with Section 9.04(b) (which Assignment
and Assumption need not be signed by such Non-Consenting Lender).

            (c) Notwithstanding the provisions of clause (b), this Agreement may
be amended (or amended and restated) with the written consent of the Required
Lenders, the Administrative Agent, Holdings and the Borrower (i) to add one or
more additional credit facilities to this Agreement and to permit the extensions
of credit from time to time thereunder and the accrued interest and fees in
respect thereof to share ratably in the benefits of this Agreement and the other
Loan Documents with the Tranche B Term Loans and the Revolving Loans and the
accrued interest and fees in respect thereof, and (ii) to include appropriately
the Lenders holding such credit facilities in any determination of the Required
Lenders. In addition, this Agreement may be amended with the written consent of
the Administrative Agent, Holdings, the Borrower and the Lenders providing the
relevant Replacement Term Loans (as defined below) to permit the refinancing of
all outstanding Tranche B Term Loans (the "Refinanced Term Loans") with a
replacement term loan tranche hereunder (the "Replacement Term Loans"); provided
that (i) the aggregate principal amount of such Replacement Term Loans shall not
exceed the aggregate principal amount of such Refinanced Term Loans, (ii) the
Applicable Rate for such Replacement Term Loans shall not be higher than the
Applicable Rate for such Refinanced Term Loans, (iii) the weighted average life
to maturity of such Replacement Term Loans shall not be shorter than the
weighted average life to maturity of such Refinanced Term Loans at the time of
such refinancing (except to the extent of nominal amortization for periods where
amortization has been eliminated as a result of prepayment of the Tranche B Term
Loans) and (iv) all other terms applicable to such Replacement Term Loans shall
be substantially identical to, or less favorable to the Lenders providing such
Replacement Term Loans than, those applicable to such Refinanced Term Loans,
except to the extent necessary to provide for covenants and other terms
applicable to any period after the latest final maturity of the Tranche B Term
Loans in effect immediately prior to such refinancing.

            SECTION 9.02A Amendment Fees. In the event that this Agreement is
amended at any time on or prior to the date that is one year after the Effective
Date and such amendment to this Agreement reduces the Applicable Rate applicable
to the Tranche B Term Loans on the Effective Date, the Borrower agrees to pay to
the Administrative Agent for the account of each Lender (whether or not

                                      -85-
<PAGE>

such Lender consents to such amendment) a fee in an amount equal to 1.00% of
such Lender's Tranche B Term Loans outstanding on the effective date of such
amendment; provided that no such fee shall be payable if a prepayment fee is
payable in accordance with Section 2.12(c) related to such amendment.
Notwithstanding the provisions of Section 9.02, this Section 9.02A shall not be
waived, amended or modified without the written consent of each Lender adversely
affected thereby.

            SECTION 9.03. Expenses; Indemnity; Damage Waiver.

            (a) The Borrower shall pay (i) all reasonable out-of-pocket expenses
incurred by the Agents and their respective Affiliates, including the reasonable
fees, charges and disbursements of counsel for the Agents, in connection with
the syndication of the credit facilities provided for herein, the preparation
and administration of the Loan Documents or any amendments, modifications or
waivers of the provisions thereof (whether or not the transactions contemplated
hereby or thereby shall be consummated), (ii) all reasonable out-of-pocket
expenses incurred by the Issuing Bank in connection with the issuance,
amendment, renewal or extension of any Letter of Credit or any demand for
payment thereunder and (iii) all reasonable out-of-pocket expenses incurred by
the Administrative Agent, the Issuing Bank or any Lender, including the
reasonable fees, charges and disbursements of any counsel for the Administrative
Agent, the Issuing Bank or any Lender, in connection with the enforcement or
protection of its rights in connection with the Loan Documents, including its
rights under this Section 9.03, or in connection with the Loans made or Letters
of Credit issued hereunder, including all such reasonable out-of-pocket expenses
incurred during any workout, restructuring or negotiations in respect of such
Loans or Letters of Credit.

            (b) The Borrower shall indemnify the Administrative Agent, the
Issuing Bank and each Lender, and each Related Party of any of the foregoing
Persons (each such Person being called an "Indemnitee"), and hold each
Indemnitee harmless, from and against any and all losses, claims, damages,
liabilities and related expenses, including the fees, charges and disbursements
of any counsel for any Indemnitee, incurred by or asserted against any
Indemnitee arising out of, in connection with, or as a result of (i) the
execution or delivery of any Loan Document or any other agreement or instrument
contemplated hereby, the performance by the parties to the Loan Documents of
their respective obligations thereunder or the consummation of the Transactions
or any other transactions contemplated hereby, (ii) any Loan or Letter of Credit
or the use of the proceeds therefrom (including any refusal by the Issuing Bank
to honor a demand for payment under a Letter of Credit if the documents
presented in connection with such demand do not strictly comply with the terms
of such Letter of Credit), (iii) any actual or alleged presence or Release of
Hazardous Materials on or from any Mortgaged Property or any other property
currently or formerly owned or operated by the Borrower or any of its
Subsidiaries, or any actual or alleged Environmental Liability related in any
way to the Borrower or any of its Subsidiaries or their respective properties or
operations, or (iv) any actual or prospective claim, litigation, investigation
or proceeding relating to any of the foregoing, whether based on contract, tort
or any other theory and regardless of whether any Indemnitee is a party thereto,
provided that such indemnity shall not, as to any Indemnitee, be available to
the extent that such losses, claims, damages, liabilities or related expenses
are finally judicially determined by a court of competent jurisdiction to have
resulted from the gross negligence or willful misconduct of such Indemnitee.

            (c) To the extent that the Borrower fails to pay any amount required
to be paid by it to the Administrative Agent, the Issuing Bank or the Swingline
Lender under paragraph (a) or (b) of this Section 9.03, each Lender severally
agrees to pay to the Administrative Agent, the Issuing Bank or the Swingline
Lender, as applicable, such Lender's pro rata share (determined as of the time
that the applicable unreimbursed expense or indemnity payment is sought) of such
unpaid amount, provided that the unreimbursed expense or indemnified loss,
claim, damage, liability or related expense, as applicable, was

                                      -86-
<PAGE>

incurred by or asserted against the Administrative Agent, the Issuing Bank or
the Swingline Lender in its capacity as such. For purposes hereof, a Lender's
"pro rata share" shall be determined based upon its share of the aggregate
Revolving Exposures, outstanding Tranche B Term Loans and unused Commitments at
the time.

            (d) To the extent permitted by applicable law, neither Holdings nor
the Borrower shall assert, and each hereby waives, any claim against any
Indemnitee, on any theory of liability, for special, indirect, consequential or
punitive damages (as opposed to direct or actual damages) arising out of, in
connection with, or as a result of, this Agreement or any agreement or
instrument contemplated hereby, the Transactions, any Loan or Letter of Credit
or the use of the proceeds thereof.

            (e) All amounts due under this Section 9.03 shall be payable not
later than three days after written demand therefor.

            SECTION 9.04. Successors and Assigns.

            (a) The provisions of this Agreement shall be binding upon and inure
to the benefit of the parties hereto and their respective successors and assigns
permitted hereby (including any Affiliate of the Issuing Bank that issues any
Letter of Credit), except that (i) the Borrower may not assign or otherwise
transfer any of its rights or obligations hereunder without the prior written
consent of each Lender (and any attempted assignment or transfer by the Borrower
without such consent shall be null and void) and (ii) no Lender may assign or
otherwise transfer its rights or obligations hereunder except in accordance with
this Section. Nothing in this Agreement, express or implied, shall be construed
to confer upon any Person (other than the parties hereto, their respective
successors and assigns permitted hereby (including any Affiliate of the Issuing
Bank that issues any Letter of Credit), Participants (to the extent provided in
paragraph (c) of this Section 9.04) and, to the extent expressly contemplated
hereby, the Related Parties of each of the Administrative Agent, the Issuing
Bank and the Lenders) any legal or equitable right, remedy or claim under or by
reason of this Agreement.

            (b) (i) Subject to the conditions set forth in paragraph (b)(ii)
below, any Lender may assign to one or more assignees all or a portion of its
rights and obligations under this Agreement (including all or a portion of its
Commitment and the Loans at the time owing to it) with the prior written consent
(such consent not to be unreasonably withheld or delayed) of:

            (1) the Borrower, provided that no consent of the Borrower shall be
      required for an assignment to a Lender, an Affiliate of a Lender, an
      Approved Fund (as defined below) or, if an Event of Default has occurred
      and is continuing, any other assignee;

            (2) the Administrative Agent, provided that no consent of the
      Administrative Agent shall be required for an assignment of all or any
      portion of a Tranche B Term Loan to a Lender, an Affiliate of a Lender or
      an Approved Fund; and

            (3) the Issuing Bank, provided that no consent of the Issuing Bank
      shall be required for an assignment of all or any portion of a Tranche B
      Term Loan.

            (ii) Assignments shall be subject to the following conditions:

            (1) except in the case of an assignment to a Lender or an Affiliate
      of a Lender or an assignment of the entire remaining amount of the
      assigning Lender's Commitment or Loans of any Class, the amount of the
      Commitment or Loans of the assigning Lender subject to each such
      assignment (determined as of the date the Assignment and Assumption with
      respect to such assignment

                                      -87-
<PAGE>

      is delivered to the Administrative Agent) shall not be less than
      $5,000,000 or, in the case of a Tranche B Term Loan, $1,000,000, unless
      each of the Borrower and the Administrative Agent otherwise consents;
      provided that no such consent of the Borrower shall be required if an
      Event of Default has occurred and is continuing;

            (2) each partial assignment shall be made as an assignment of a
      proportionate part of all the assigning Lender's rights and obligations
      under this Agreement; provided that this clause shall not be construed to
      prohibit assignment of a proportionate part of all the assigning Lender's
      rights and obligations in respect of one Class of Commitments or Loans;

            (3) the parties to each assignment shall execute and deliver to the
      Administrative Agent an Assignment and Assumption, together with a
      processing and recordation fee of $3,500; and

            (4) the assignee, if it is not already a Lender, shall deliver to
      the Administrative Agent an Administrative Questionnaire.

            For purposes of this Section 9.04(b):

            "Approved Fund" means (a) a CLO and (b) with respect to any Lender
that is a fund which invests in bank loans and similar extensions of credit, any
other fund that invests in bank loans and similar extensions of credit and is
managed or advised by the same investment advisor as such Lender or by an
Affiliate of such investment advisor.

            "CLO" means any entity (whether a corporation, partnership, trust or
otherwise) that is engaged in making, purchasing, holding or otherwise investing
in bank loans and similar extensions of credit in the ordinary course and is
administered or managed by a Lender or an Affiliate of such Lender.

            (iii) Subject to acceptance and recording thereof pursuant to
paragraph (b)(iv) of this Section 9.04, from and after the effective date
specified in each Assignment and Assumption the assignee thereunder shall be a
party hereto and, to the extent of the interest assigned by such Assignment and
Assumption, have the rights and obligations of a Lender under this Agreement,
and the assigning Lender thereunder shall, to the extent of the interest
assigned by such Assignment and Assumption, be released from its obligations
under this Agreement (and, in the case of an Assignment and Assumption covering
all the assigning Lender's rights and obligations under this Agreement, such
Lender shall cease to be a party hereto but shall continue to be entitled to the
benefits of Sections 2.15, 2.16, 2.17 and 9.03). Any assignment or transfer by a
Lender of rights or obligations under this Agreement that does not comply with
this Section 9.04 shall be treated for purposes of this Agreement as a sale by
such Lender of a participation in such rights and obligations in accordance with
paragraph (c) of this Section 9.04.

            (iv) The Administrative Agent, acting for this purpose as an agent
of the Borrower, shall maintain at one of its offices a copy of each Assignment
and Assumption delivered to it and a register for the recordation of the names
and addresses of the Lenders, and the Commitment of, and principal amount of the
Loans and LC Disbursements owing to, each Lender pursuant to the terms hereof
from time to time (the "Register"). The entries in the Register shall be
conclusive, and the Borrower, the Administrative Agent, the Issuing Banks and
the Lenders may treat each Person whose name is recorded in the Register
pursuant to the terms hereof as a Lender hereunder for all purposes of this
Agreement, notwithstanding notice to the contrary. The Register shall be
available for inspection by the Borrower, the Issuing Banks and any Lender, at
any reasonable time and from time to time upon reasonable prior notice.

                                      -88-
<PAGE>

            (v) Upon its receipt of a duly completed Assignment and Assumption
executed by an assigning Lender and an assignee, the assignee's completed
Administrative Questionnaire (unless the assignee shall already be a Lender
hereunder), the processing and recordation fee referred to in paragraph (b) of
this Section 9.04 and any written consent to such assignment required by
paragraph (b) of this Section 9.04, the Administrative Agent shall accept such
Assignment and Assumption and record the information contained therein in the
Register. No assignment shall be effective for purposes of this Agreement unless
it has been recorded in the Register as provided in this paragraph.

            (c) (i) Any Lender may, without the consent of the Borrower, the
Administrative Agent, the Issuing Banks or the Swingline Lender, sell
participations to one or more banks or other entities (a "Participant") in all
or a portion of such Lender's rights and obligations under this Agreement
(including all or a portion of its Commitment and the Loans owing to it),
provided that (A) such Lender's obligations under this Agreement shall remain
unchanged, (B) such Lender shall remain solely responsible to the other parties
hereto for the performance of such obligations and (C) the Borrower, the
Administrative Agent, the Issuing Banks and the other Lenders shall continue to
deal solely and directly with such Lender in connection with such Lender's
rights and obligations under this Agreement. Any agreement or instrument
pursuant to which a Lender sells such a participation shall provide that such
Lender shall retain the sole right to enforce this Agreement and to approve any
amendment, modification or waiver of any provision of this Agreement, provided
that such agreement or instrument may provide that such Lender will not, without
the consent of the Participant, agree to any amendment, modification or waiver
described in the first proviso to Section 9.02(b) that affects such Participant.
Subject to paragraph (c)(ii) of this Section 9.04, the Borrower agrees that each
Participant shall be entitled to the benefits of Sections 2.15, 2.16 and 2.17 to
the same extent as if it were a Lender and had acquired its interest by
assignment pursuant to paragraph (b) of this Section 9.04. To the extent
permitted by law, each Participant also shall be entitled to the benefits of
Section 9.08 as though it were a Lender, provided such Participant agrees to be
subject to Section 2.18(c) as though it were a Lender.

            (ii) A Participant shall not be entitled to receive any greater
payment under Section 2.15 or 2.17 than the applicable Lender would have been
entitled to receive with respect to the participation sold to such Participant,
unless the sale of the participation to such Participant is made with the
Borrower's prior written consent. A Participant that would be a Foreign Lender
if it were a Lender shall not be entitled to the benefits of Section 2.17 unless
the Borrower is notified of the participation sold to such Participant and such
Participant agrees, for the benefit of the Borrower, to comply with Section
2.17(e) as though it were a Lender.

            (iii) Any Lender may at any time pledge, assign or grant a security
interest in all or any portion of its rights under this Agreement to secure
obligations of such Lender, including any pledge, assignment or grant to secure
obligations to a Federal Reserve Bank, and this Section 9.04 shall not apply to
any such pledge, assignment or grant of a security interest, provided that no
such pledge, assignment or grant of a security interest shall release a Lender
from any of its obligations hereunder or substitute any such pledge or assignee
for such Lender as a party hereto.

            SECTION 9.05. Survival. All covenants, agreements, representations
and warranties made by the Loan Parties in the Loan Documents and in the
certificates or other instruments delivered in connection with or pursuant to
this Agreement or any other Loan Document shall have independent significance
and be considered to have been relied upon by the other parties hereto and shall
survive the execution and delivery of the Loan Documents and the making of any
Loans and issuance of any Letters of Credit, regardless of any investigation
made by any such other party or on its behalf and notwithstanding that the
Administrative Agent, the Issuing Bank or any Lender may have had notice or
knowledge of any Default or incorrect representation or warranty at the time any
credit is extended hereunder, and shall continue

                                      -89-
<PAGE>

in full force and effect as long as the principal of or any accrued interest on
any Loan or any fee or any other amount payable under this Agreement is
outstanding and unpaid or any Letter of Credit is outstanding and so long as the
Commitments have not expired or terminated. The provisions of Sections 2.15,
2.16, 2.17 and 9.03 and Article VIII shall survive and remain in full force and
effect regardless of the consummation of the transactions contemplated hereby,
the repayment of the Loans, the expiration or termination of the Letters of
Credit and the Commitments or the termination of this Agreement or any provision
hereof.

            SECTION 9.06. Counterparts; Integration; Effectiveness. This
Agreement may be executed in counterparts (and by different parties hereto on
different counterparts), each of which shall constitute an original, but all of
which when taken together shall constitute a single contract. This Agreement,
the other Loan Documents and any separate letter agreements with respect to fees
payable to the Administrative Agent constitute the entire contract among the
parties relating to the subject matter hereof and supersede any and all previous
agreements and understandings, oral or written, relating to the subject matter
hereof. Except as provided in Section 4.01, this Agreement shall become
effective when it shall have been executed by the Administrative Agent and when
the Administrative Agent shall have received counterparts hereof which, when
taken together, bear the signatures of each of the other parties hereto, and
thereafter shall be binding upon and inure to the benefit of the parties hereto
and their respective successors and assigns. Delivery of an executed counterpart
of a signature page of this Agreement by telecopy shall be effective as delivery
of a manually executed counterpart of this Agreement.

            SECTION 9.07. Severability. Any provision of this Agreement held to
be invalid, illegal or unenforceable in any jurisdiction shall, as to such
jurisdiction, be ineffective to the extent of such invalidity, illegality or
unenforceability without affecting the validity, legality and enforceability of
the remaining provisions hereof; and the invalidity of a particular provision in
a particular jurisdiction shall not invalidate such provision in any other
jurisdiction.

            SECTION 9.08. Right of Setoff. If an Event of Default shall have
occurred and be continuing, each Lender and each of its Affiliates is hereby
authorized at any time and from time to time, to the fullest extent permitted by
law, to set off and apply any and all deposits (general or special, time or
demand, provisional or final) at any time held and other obligations at any time
owing by such Lender or Affiliate to or for the credit or the account of the
Borrower against any of and all the obligations of the Borrower now or hereafter
existing under this Agreement held by such Lender, irrespective of whether or
not such Lender shall have made any demand under this Agreement and although
such obligations may be unmatured. The applicable Lender shall notify the
Borrower and the Administrative Agent of such setoff or application, provided
that any failure to give or any delay in giving such notice shall not affect the
validity of any such setoff or application under this Section 9.08. The rights
of each Lender under this Section 9.08 are in addition to other rights and
remedies (including other rights of setoff) which such Lender may have.

            SECTION 9.09. Governing Law; Jurisdiction; Consent to Service of
Process.

            (a) This Agreement shall be construed in accordance with and
governed by the law of the State of New York.

            (b) Each of Holdings and the Borrower hereby irrevocably and
unconditionally submits, for itself and its property, to the nonexclusive
jurisdiction of the Supreme Court of the State of New York sitting in New York
County and of the United States District Court of the Southern District of New
York, and any appellate court from any thereof, in any action or proceeding
arising out of or relating to any Loan Document, or for recognition or
enforcement of any judgment, and each of the parties hereto hereby irrevocably
and unconditionally agrees that all claims in respect of any such action or
proceeding

                                      -90-
<PAGE>

may be heard and determined in such New York State or, to the extent permitted
by law, in such Federal court. Each of the parties hereto agrees that a final
judgment in any such action or proceeding shall be conclusive and may be
enforced in other jurisdictions by suit on the judgment or in any other manner
provided by law. Nothing in this Agreement or any other Loan Document shall
affect any right that the Administrative Agent, the Issuing Bank or any Lender
may otherwise have to bring any action or proceeding relating to this Agreement
or any other Loan Document against Holdings, the Borrower or their respective
properties in the courts of any jurisdiction.

            (c) Each of Holdings and the Borrower hereby irrevocably and
unconditionally waives, to the fullest extent it may legally and effectively do
so, any objection that it may now or hereafter have to the laying of venue of
any suit, action or proceeding arising out of or relating to this Agreement or
any other Loan Document in any court referred to in paragraph (b) of this
Section 9.09. Each of the parties hereto hereby irrevocably waives, to the
fullest extent permitted by law, the defense of an inconvenient forum to the
maintenance of such action or proceeding in any such court.

            (d) Each party to this Agreement irrevocably consents to service of
process in the manner provided for notices in Section 9.01. Nothing in this
Agreement or any other Loan Document will affect the right of any party to this
Agreement to serve process in any other manner permitted by law.

            SECTION 9.10. WAIVER OF JURY TRIAL. EACH PARTY HERETO HEREBY WAIVES,
TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A
TRIAL BY JURY IN ANY LEGAL PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR
RELATING TO THIS AGREEMENT, ANY OTHER LOAN DOCUMENT OR THE TRANSACTIONS
CONTEMPLATED HEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY). EACH
PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY
OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD
NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (B)
ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER
INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND
CERTIFICATIONS IN THIS SECTION 9.10.

            SECTION 9.11. Headings. Article and Section headings and the Table
of Contents used herein are for convenience of reference only, are not part of
this Agreement and shall not affect the construction of, or be taken into
consideration in interpreting, this Agreement.

            SECTION 9.12. Confidentiality. Each of the Administrative Agent, the
Issuing Banks and the Lenders agrees to maintain the confidentiality of the
Information (as defined below), except that Information may be disclosed (a) to
its and its Affiliates' directors, officers, employees and agents, including
accountants, legal counsel and other advisors (it being understood that the
Persons to whom such disclosure is made will be informed of the confidential
nature of such Information and instructed to keep such Information
confidential), (b) to the extent requested by any regulatory authority or
self-regulatory authority, (c) to the extent required by applicable laws or
regulations or by any subpoena or similar legal process, (d) to any other party
to this Agreement, (e) in connection with the exercise of any remedies hereunder
or any suit, action or proceeding relating to this Agreement or any other Loan
Document or the enforcement of rights hereunder or thereunder, (f) subject to an
agreement containing provisions substantially the same as those of this Section
9.12, to (i) any assignee of or Participant in, or any prospective assignee of
or Participant in, any of its rights or obligations under this Agreement or (ii)
any actual or prospective counterparty (or its advisors) to any swap or
derivative transaction relating to the Borrower and its obligations, (g) with
the consent of the Borrower or (h) to the extent such Information (i) becomes

                                      -91-
<PAGE>

publicly available other than as a result of a breach of this Section 9.12 or
(ii) becomes available to the Administrative Agent, any Issuing Bank or any
Lender on a nonconfidential basis from a source other than Holdings or the
Borrower, provided that such source is not actually known by such disclosing
party to be bound by an agreement containing provisions substantially the same
as those contained in this Section 9.12. For the purposes of this Section 9.12,
the term "Information" means all information received from Holdings or the
Borrower relating to Holdings or the Borrower or its business, other than any
such information that is available to the Administrative Agent, any Issuing Bank
or any Lender on a nonconfidential basis prior to disclosure by Holdings or the
Borrower, provided that, in the case of information received from Holdings, the
Borrower or any Subsidiary after the date hereof, such information is clearly
identified at the time of delivery as confidential. Any Person required to
maintain the confidentiality of Information as provided in this Section 9.12
shall be considered to have complied with its obligation to do so if such Person
has exercised the same degree of care to maintain the confidentiality of such
Information as such Person would accord to its own confidential information.

            SECTION 9.13. Interest Rate Limitation. Notwithstanding anything
herein to the contrary, if at any time the interest rate applicable to any Loan,
together with all fees, charges and other amounts that are treated as interest
on such Loan under applicable law (collectively, the "Charges"), shall exceed
the maximum lawful rate (the "Maximum Rate") that may be contracted for,
charged, taken, received or reserved by the Lender holding such Loan in
accordance with applicable law, the rate of interest payable in respect of such
Loan hereunder, together with all Charges payable in respect thereof, shall be
limited to the Maximum Rate and, to the extent lawful, the interest and Charges
that would have been payable in respect of such Loan but were not payable as a
result of the operation of this Section 9.13 shall be cumulated and the interest
and Charges payable to such Lender in respect of other Loans or periods shall be
increased (but not above the Maximum Rate therefor) until such cumulated amount,
together with interest thereon at the Federal Funds Effective Rate to the date
of repayment, shall have been received by such Lender.

            SECTION 9.14. USA Patriot Act. Each Lender hereby notifies the
Borrower that pursuant to the requirements of the USA Patriot Act (Title III of
Pub. L. 107-56 (signed into law October 26, 2001)) (the "Patriot Act"), it is
required to obtain, verify and record information that identifies the Borrower,
which information includes the name and address of the Borrower and other
information that will allow such Lender to identify the Borrower in accordance
with the Patriot Act.

            SECTION 9.15. Release of Collateral.

            (a) Upon any sale or other transfer by any Loan Party of any
Collateral that is permitted under this Agreement, or upon the effectiveness of
any written consent to the release of the security interest granted hereby in
any Collateral pursuant to Section 9.02 of this Agreement, the security interest
in such Collateral shall be automatically released.

            (b) Upon the addition of a Succeeding Holdings and satisfaction by
such Succeeding Holdings of the Collateral and Guarantee Requirement, the prior
Holdings shall be automatically released from all of its obligations under the
Security Documents.

                                      -92-
<PAGE>

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

                                           SELECT MEDICAL CORPORATION,
                                            as the Borrower

                                           By: /s/ Martin F. Jackson
                                               ---------------------------------
                                               Name: Martin F. Jackson
                                               Title: Chief Financial Officer

                                           SELECT MEDICAL HOLDINGS CORPORATION

                                           By: /s/ Martin F. Jackson
                                               ---------------------------------
                                               Name: Martin F. Jackson
                                               Title: Chief Financial Officer

                               [Credit Agreement]

<PAGE>

                                           JPMORGAN CHASE BANK, N.A.,
                                            individually and as Administrative
                                             Agent

                                           By: /s/ BRUCE BORDEN
                                               ---------------------------------
                                               Name: BRUCE BORDEN
                                               Title: VICE PRESIDENT

                               [Credit Agreement]

<PAGE>

                                           Wachovia Bank, National Association,
                                            as a Lender

                                           By: /s/ Robert Sevin
                                               ---------------------------------
                                               Name: Robert Sevin
                                               Title: Director

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           MERRILL LYNCH CAPITAL CORPORATION,
                                            as a Lender

                                           By: /s/ Michael E. O'Brien
                                               ---------------------------------
                                               Name: Michael E. O'Brien
                                               Title: Vice President

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           CIBC INC., individually and as
                                           Co-Documentation Agent

                                           By: [ILLEGIBLE]
                                               ---------------------------------
                                               Name: [ILLEGIBLE]
                                               Title: [ILLEGIBLE]

                               (Credit Agreement)

<PAGE>

                                           PNC Bank, National Association,
                                           as a Lender

                                           By: /s/ Marie T. Boyer
                                               ---------------------------------
                                               Name: Marie T. Boyer
                                               Title: Vice President

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           GENERAL ELECTRIC CAPITAL CORPORATION,
                                            as a Lender

                                           By: /s/ Jeffrey P. Hoffman
                                               ---------------------------------
                                               Name: Jeffrey P. Hoffman
                                               Title: Its Duly Authorized
                                                      Signatory

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           Citizens Bank of Pennsylvania,
                                            as a Lender

                                           By: /s/ Joseph N. Butto
                                               ---------------------------------
                                               Name: Joseph N. Butto
                                               Title: Vice President

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           ING CAPITAL LLC, as a Lender

                                           By: /s/ Darren J. Wells
                                               ---------------------------------
                                               Name: Darren J. Wells
                                               Title: Managing Director

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                           The CIT Group/Equipment Financing,
                                            Inc., as a Lender

                                           By: /s/ MARK SAYLOR
                                               ---------------------------------
                                               Name: MARK SAYLOR
                                               Title: VP

                           Select Medical Corporation
                                Credit Agreement
<PAGE>

                                       THE ROYAL BANK OF SCOTLAND PLC
                                       BY: RBS SECURITIES CORPORATION AS AGENT,
                                       as a Lender

                                       By: /s/ KAREN BREWER
                                           --------------------------------
                                           Name:  KAREN BREWER
                                           Title: VICE PRESIDENT

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       BOLDWATER CREDIT OPPORTUNITIES
                                         MASTER FUND LP, as a Lender

                                       By: Boldwater Capital Management LP, its
                                          Investment Manager

                                       By: /s/ Martin E. Kalisker
                                           --------------------------------
                                           Name:  Martin E. Kalisker
                                           Title: CFO

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       KZH SOLEIL-2 LLC, as a Lender

                                       By: /s/ Hi Hua
                                           --------------------------------
                                           Name:  Hi Hua
                                           Title: Authorized Agent

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       KZH SOLEIL LLC, as a Lender

                                       By: /s/ Hi Hua
                                           --------------------------------
                                           Name:  Hi Hua
                                           Title: Authorized Agent

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       The Bank of Nova Scotia, as a Lender

                                       By: /s/ Robert Mustard
                                           --------------------------------
                                           Name:  Robert Mustard
                                           Title: Management Director

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       MFS FLOATING RATE HIGH INCOME FUND,
                                        as a Lender

                                       By: /s/ Philip Robbins
                                           --------------------------------
                                           Name:  Philip Robbins
                                           Title: Vice President

                           Select Medical Corporation
                                Credit Agreement

<PAGE>

                                       ERSTE BANK, as a Lender

                                       By: /s/ Paul Judicke
                                           --------------------------------
                                           Name:  Paul Judicke
                                           Title: Director

                                       By: /s/ John Fay
                                           --------------------------------
                                           Name:  John Fay
                                           Title: Director

                           Select Medical Corporation
                                Credit Agreement

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