Document:

Exhibit101FifthAmendmenttotheThirdAmendedandRestatedReceivablesPurchaseAgreement

EXECUTION COPY

FIFTH AMENDMENT TO THE 
THIRD AMENDED AND RESTATED  
RECEIVABLES PURCHASE AGREEMENT

This FIFTH AMENDMENT TO THE THIRD AMENDED AND RESTATED RECEIVABLES PURCHASE AGREEMENT, dated as of December 5, 2014 (this “Amendment”), is among:
		
	(i) 
	RADNOR FUNDING CORP., as Seller (the “Seller”);

		
	(ii) 
	AIRGAS, INC. (in its individual capacity, “Airgas”), as Servicer (in such capacity, the “Servicer”);

		
	(iii) 
	VICTORY RECEIVABLES CORPORATION (“Victory”), as a Conduit Purchaser;

		
	(iv) 
	THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., NEW YORK BRANCH, as Administrator (in such capacity, the “Administrator”), as Purchaser Agent (in such capacity, the “Victory Purchaser Agent”) and as Related Committed Purchaser for the Purchaser Group that includes Victory (the “Victory Purchaser Group”);

		
	(v) 
	WORKING CAPITAL MANAGEMENT CO., LP (“Working Capital”), as a Conduit Purchaser and as Related Committed Purchaser for the Purchaser Group that includes Working Capital (the “Working Capital Purchaser Group”);

		
	(vi) 
	MIZUHO BANK, LTD. (f/k/a Mizuho Corporate Bank, Ltd.), as Purchaser Agent (in such capacity, the “Working Capital Purchaser Agent”) for the Working Capital Purchaser Group;

		
	(vii)
	ATLANTIC ASSET SECURITIZATION LLC (“Atlantic”), as a Conduit Purchaser; and

		
	(viii)
	CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK NEW YORK BRANCH, as Purchaser Agent (in such capacity, the “Atlantic Purchaser Agent”) and as Related Committed Purchaser for the Purchaser Group that includes Atlantic (the “Atlantic Purchaser Group”).

The foregoing entities are herein collectively referred to as the “Parties”, and capitalized terms used but not otherwise defined herein (including such terms used above) have the respective meanings set forth in the Receivables Purchase Agreement (as defined below).
BACKGROUND
WHEREAS, the Parties have entered into that certain Third Amended and Restated Receivables Purchase Agreement, dated as of March 17, 2010 (as amended, supplemented or otherwise modified through the date hereof, the “Receivables Purchase Agreement”); and

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WHEREAS, the Parties desire to amend the Receivables Purchase Agreement as set forth herein; and
WHEREAS, in connection with this Amendment and concurrently herewith,  the Seller, the Servicer and the members of the Victory Purchaser Group are entering into a Seventh Amended and Restated Fee Letter, dated the date hereof (the “Victory Fee Letter”); and
WHEREAS, in connection with this Amendment and concurrently herewith,  the Seller, the Servicer and the members of the Working Capital Purchaser Group are entering into an Amended and Restated Fee Letter, dated the date hereof (the “Working Capital Fee Letter”); and
WHEREAS, in connection with this Amendment and concurrently herewith,  the Seller, the Servicer and the members of the Atlantic Purchaser Group are entering into an Amended and Restated Fee Letter, dated the date hereof (the “Atlantic Fee Letter”, together with the Victory Fee Letter and the Working Capital Fee Letter, collectively, the “Fee Letters”).
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:
SECTION 1.Amendments to the Receivables Purchase Agreement.  The Receivables Purchase Agreement is amended as follows:
(a)    The following new defined terms and definitions thereof are added to Exhibit I to the Receivables Purchase Agreement in the appropriate alphabetical order:
“Designated Jurisdiction” means any country or territory to the extent that such country or territory itself is the subject of any Sanction.
“OFAC” means the Office of Foreign Assets Control of the United States Department of the Treasury.
“Sanction(s)” means any sanction administered or enforced by the United States Government (including without limitation, OFAC), the United Nations Security Council, the European Union, Her Majesty’s Treasury or other relevant sanctions authority recognized by the foregoing.
(b)    The definition of “Facility Termination Date” set forth in Exhibit I to the Receivables Purchase Agreement is amended by deleting the date “December 5, 2016” where it appears in clause (a) thereof and substituting the date “December 5, 2017” therefor.
(c)    Section 1(t) of Exhibit III to the Receivables Purchase Agreement is hereby replaced in its entirety with the following:
(t)    The Seller is not an “investment company,” or a company “controlled” by an “investment company” within the 

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meaning of the Investment Company Act of 1940, as amended (the “Investment Company Act”).  The Seller is not a “covered fund” under Section 13 of the U.S. Bank Holding Company Act of 1956, as amended, and the applicable rules and regulations thereunder (the “Volcker Rule”).  In determining that the Seller is not a “covered fund” under the Volcker Rule, the Seller relies on the exemption from the definition of “investment company” set forth in Section 3(c)(5)(A) or (B) of the Investment Company Act.
(d)    Exhibit III to the Receivables Purchase Agreement is hereby amended by adding the following new Section 1(x) thereto immediately following existing Section 1(w) thereof:
(x)    Neither the Seller, nor any of its Subsidiaries, nor, to the knowledge of the Seller and its Subsidiaries, any director, officer, employee, agent, Affiliate or representative thereof, is an individual or entity that is, or is owned or controlled by any individual or entity that is (i) currently the subject or target of any Sanctions or (ii) located, organized, incorporated or resident in a Designated Jurisdiction. 
(e)    Exhibit III to the Receivables Purchase Agreement is hereby amended by adding the following new Section 2(q) thereto immediately following existing Section 2(p) thereof:
(q)    Neither Airgas, nor any of its Subsidiaries, nor, to the knowledge of Airgas and its Subsidiaries, any director, officer, employee, agent, Affiliate or representative thereof, is an individual or entity that is, or is owned or controlled by any individual or entity that is (i) currently the subject or target of any Sanctions or (ii) located, organized, incorporated or resident in a Designated Jurisdiction.
(f)    Exhibit IV to the Receivables Purchase Agreement is hereby amended by adding the following new Section 1(s) thereto immediately following existing Section 1(r) thereof: 
(s)    Sanctions.   No part of the proceeds of any Purchase will directly or, to the knowledge of the Seller, indirectly be used, lent, contributed, or otherwise made available to any Person, to fund any activities of or business with any Person, or in any Designated Jurisdiction, that, at the time of such use, loan or contribution, is the subject of Sanctions, or in any other manner that will result in a violation of Sanctions by any Person.
(g)    Exhibit IV to the Receivables Purchase Agreement is hereby amended by adding the following new Section 2(l) thereto immediately following existing Section 2(k) thereof: 

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(l)    Sanctions.   No part of the proceeds of any Purchase hereunder or sale of Receivables under the Sale Agreement will directly or, to the knowledge of Airgas, indirectly be used, lent, contributed, or otherwise made available to any Person, to fund any activities of or business with any Person, or in any Designated Jurisdiction, that, at the time of such use, loan or contribution, is the subject of Sanctions, or in any other manner that will result in a violation of Sanctions by any Person.
(h)    Schedule VII to the Receivables Purchase Agreement is hereby amended by replacing “Melanie Andrews” with “W. Gary Murray” therein. 
SECTION 2.    Certain Representations, Warranties and Covenants.  Each of the Seller, Airgas and the Servicer hereby represents, warrants and covenants to each of the other Parties that:
(a)    the representations and warranties of such Person contained in Exhibit III to the Receivables Purchase Agreement are true and correct as of the date hereof (unless stated to relate solely to an earlier date, in which case such representations and warranties were true and correct as of such earlier date);
(b)    the execution and delivery by such Person of this Amendment, and the performance of its obligations under this Amendment and the Receivables Purchase Agreement (as amended hereby) are within its corporate powers and have been duly authorized by all necessary corporate action on its part, and this Amendment and the Receivables Purchase Agreement (as amended hereby) are its valid and legally binding obligations, enforceable in accordance with its terms, subject to the effect of bankruptcy, insolvency, reorganization or other similar laws affecting the enforcement of creditors’ rights generally; and
(c)    no Termination Event or Unmatured Termination Event has occurred, is continuing, or would occur as a result of this Amendment.
SECTION 3.    Effectiveness.  This Amendment shall become effective as of the date hereof upon receipt by (i) the Victory Purchaser Agent of counterparts of the Victory Fee Letter, duly executed by each of the Parties party thereto, (ii) the Working Capital Purchaser Agent of counterparts of the Working Capital Fee Letter, duly executed by each of the Parties party thereto, (iii) the Atlantic Purchaser Agent of counterparts of the Atlantic Fee Letter, duly executed by each of the Parties party thereto and (iv) the Administrator of the following, in each case, in form and substance satisfactory to the Administrator:
(a)    counterparts of this Amendment, duly executed by each of the Parties;
(b)    confirmation from each Purchaser Agent that the “Amendment Fee” (as defined in each applicable Fee Letter) payable to such Purchaser Agent has been paid in full in accordance with the terms of the related Fee Letter; and

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(c)    such other documents and instruments as the Administrator may reasonably request.
SECTION 4.    Effect of Amendment.  Except as expressly amended and modified by this Amendment, all provisions of the Receivables Purchase Agreement remain in full force and effect.  After this Amendment becomes effective, all references in the Receivables Purchase Agreement (or in any other Transaction Document) to “the Receivables Purchase Agreement,” “this Agreement,” “hereof,” “herein” or words of similar effect, in each case referring to the Receivables Purchase Agreement, shall be deemed to be references to the Receivables Purchase Agreement as amended by this Amendment.  This Amendment shall not be deemed to expressly or impliedly waive, amend or supplement any provision of the Receivables Purchase Agreement other than as set forth herein.
SECTION 5.    Ratification.  After giving effect to this Amendment and each of the transactions contemplated by this Amendment, all of the provisions of the Parent Undertaking Agreement shall remain in full force and effect and Airgas, as parent under the Parent Undertaking Agreement, hereby ratifies and affirms the Parent Undertaking Agreement and acknowledges that the Parent Undertaking Agreement has continued and shall continue in full force and effect in accordance with its terms.    
SECTION 6.    Counterparts.  This Amendment may be executed in any number of counterparts and by different Parties on separate counterparts, and each counterpart shall be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument.  Delivery of an executed counterpart of this Amendment by facsimile or other electronic transmission shall be as effective as delivery of a manually executed counterpart.
SECTION 7.    Governing Law.  This Amendment shall be governed by, and construed in accordance with, the internal laws of the State of New York without regard to any otherwise applicable conflict of law principles which would require the application of the laws of any jurisdiction other than those of the state of New York.
SECTION 8.    Section Headings.  The various headings of this Amendment are inserted for convenience only and shall not affect the meaning or interpretation of this Amendment or the Receivables Purchase Agreement or any provision hereof or thereof.
[Signatures begin on the following page]

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IN WITNESS WHEREOF, the Parties have caused this Amendment to be executed by their respective officers thereunto duly authorized, as of the date first above written.

RADNOR FUNDING CORP., as Seller

By: /s/ W. Gary Murray
Name: W. Gary Murray
Title: President & Treasurer

S-1    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

AIRGAS, INC., as Servicer

By: /s/ Joseph C. Sullivan
Name: Joseph C. Sullivan
Title: Vice President and Treasurer

S-2    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., NEW YORK BRANCH, as Administrator

By: /s/ Christopher Pohl
Name: Christopher Pohl
Title: Managing Director

THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., NEW YORK BRANCH, as Purchaser Agent for Victory’s Purchaser Group

By: /s/ Christopher Pohl
Name: Christopher Pohl
Title: Managing Director

THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., NEW YORK BRANCH, as Related Committed Purchaser for Victory’s Purchaser Group

By: /s/ Mustafa Khan
Name: Mustafa Khan
Title: Director

S-3    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

VICTORY RECEIVABLES CORPORATION, as a Conduit Purchaser

By: /s/ David V. DeAngelis
Name: David V. DeAngelis
Title: Vice President

S-4    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

WORKING CAPITAL MANAGEMENT CO., LP, as a Conduit Purchaser and as Related Committed Purchaser for Working Capital’s Purchaser Group

By: /s/ Shinichi Nochiido
Name: Shinichi Nochiido
Title: Attorney-In-Fact

S-5    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

MIZUHO BANK, LTD., 
as Purchaser Agent for Working Capital’s Purchaser Group

By: /s/ Donna DeMagistris
Name: Donna DeMagistris
Title: Authorized Signatory

S-6    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

ATLANTIC ASSET SECURITIZATION LLC, as a Conduit Purchaser

By: /s/ Kostantina Kourmpetis
Name: Kostantina Kourmpetis
Title: Managing Director

By: /s/ Sam Pilcer
Name: Sam Pilcer
Title: Managing Director

S-7    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK NEW YORK BRANCH, as Purchaser Agent and Related Committed Purchaser for Atlantic’s Purchaser Group

By: /s/ Kostantina Kourmpetis
Name: Kostantina Kourmpetis
Title: Managing Director

By: /s/ Sam Pilcer
Name: Sam Pilcer
Title: Managing Director

S-8    Fifth Amendment to Third Amended and  
Restated Receivables Purchase Agreement

Acknowledge and Agreed:

AIRGAS, INC., as the Parent under the 
Parent Undertaking Agreement

By: /s/ Joseph C. Sullivan
Name: Joseph C. Sullivan
Title: Vice President and Treasurer

S-9    Fifth Amendment to Third Amended and  
Restated Receivables Purchase AgreementEX-10.1

 Exhibit 10.1 

Execution Version 

CONFIDENTIAL SETTLEMENT AND RELEASE AGREEMENT 

This Confidential Settlement and Release Agreement (this “Agreement”) is made and entered into on November 30, 2011 (the
“Effective Date”) by and between Carol Schuster, an individual (“Schuster”), Michael Schuster, an individual (“Michael Schuster”), First Physicians Capital Group, Inc. (f/k/a Tri-Isthmus Group,
Inc.), a Delaware corporation (“First Physicians”), and Rural Hospital Acquisition, LLC, an Oklahoma limited liability company (“RHA”). Schuster, Michael Schuster, First Physicians, and RHA are referred to herein
individually as a “Party” and collectively as the “Parties.” 
 Recitals 

A. Prior to October 30, 2007, Schuster was the sole owner of the membership units of RHA. On October 30, 2007 and December 11,
2008, First Physicians and Schuster entered into certain agreements by which First Physicians became the sole owner of the membership units of RHA, in exchange for which Schuster received an initial cash payment, certain shares of First Physician
stock (the “Shares”), a Promissory Note made by RHA in favor of Schuster for the principal amount of $1,500,000 (the “RHA Note”) and a Guaranty to and for the benefit of Schuster that guaranteed all payments due on
the RHA Note (individually, the “RHA Guaranty” collectively with the RHA Note, the “Debt”). 
 B. From
October of 2007 to December 11, 2008, Michael Schuster, served as RHA’s Chief Executive Officer and was an authorized delegate with respect to transactions and filings with the Centers for Medicare & Medicaid Services
(“CMS”). On December 11, 2008, Schuster and Michael Schuster resigned and relinquished any and all positions (whether as a manager, officer, director, or otherwise) held with RHA. 

C. On August 15, 2011, Schuster filed in the District Court of Oklahoma County, State of Oklahoma (the “Court”) the
state case styled Carol Schuster v. Rural Hospital Acquisitions, LLC and Tri-Isthmus Group, Inc., CJ-2011-5675 (the “Litigation”), claiming default and seeking to collect upon the Debt. 

D. In an effort to resolve all disputes between the Parties, the Parties met on November 9, 2011 and executed a binding Confidential
Settlement Agreement Memorandum (the “Memorandum”) that contemplated the drafting and execution of this Agreement and related Transaction Documents (as defined below). 

E. The Parties now wish to completely and finally resolve all disputes and claims between the Parties arising from or relating to the 2007
Transaction, the 2008 Transaction, the Debt and the Litigation that have been made, or that could have been made on or before November 30, 2011, as more fully described below. 

Agreement 
 NOW,
THEREFORE, in consideration of the terms and agreements contained herein, the Recitals set forth above and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound, the
Parties agree as follows: 
 1. Incorporation of Recitals. The Recitals set forth above are true and correct and are incorporated
herein as if set forth herein in full. 

  
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 2. Definitions. In addition to terms defined elsewhere in this Agreement, the
following capitalized terms have the following meanings assigned to them: 
 “Action” means any lawsuit, claim, demand, or
action, whether or not such matter is by or before any court, tribunal, mediator or arbitrator. 
 “Law” means any foreign,
federal, state, or local law (including common law), statute, code, ordinance, rule, regulation, or other requirement. 

“Lien” means any lien, pledge, interest in property, charge, security interest, hypothecation or encumbrance of any nature
whatsoever. 
 “Transaction Documents” shall mean those documents necessary to carry out the intent and purpose of this
Agreement. 
 3. Closing. The consummation of the transactions contemplated by this Agreement and the Transaction Documents (the
“Closing”) shall take place at the offices of GableGotwals located at One Leadership Square, 15th Floor, 211 N. Robinson, Oklahoma City, OK 73102, or at such other place as the
Parties may mutually agree, on before November 30, 2011 (the “Closing Date”), unless mutually extended by the Parties. 

4. Representations and Warranties of First Physicians and RHA. First Physicians and RHA hereby represent and warrant to Schuster and
Michael Schuster as follows: 
 a. Authority; Binding Effect. 

(i) First Physicians has the requisite corporate right, power, authority, and capacity to execute and deliver this Agreement
and the Transaction Documents, to perform its obligations hereunder and thereunder on its part to be performed, and to consummate the transactions contemplated hereby and thereby. The execution and delivery by First Physicians of this Agreement and
the Transaction Documents and the performance of its obligations hereunder and thereunder have been duly approved by all necessary corporate action, and no further approvals are required by the officers, directors, or equity holders of First
Physicians in connection therewith. This Agreement and each of the Transaction Documents contemplated hereby to be entered into by First Physicians constitute (or, when executed, will constitute) the legal, valid, and binding obligations of First
Physicians. 
 (ii) RHA has the requisite limited liability company right, power, authority, and capacity to execute and
deliver this Agreement and the Transaction Documents, to perform its obligations hereunder and thereunder on its part to be performed, and to consummate the transactions contemplated hereby and thereby. The execution and delivery by RHA of this
Agreement and the Transaction Documents and the performance of its obligations hereunder and thereunder have 

  
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 Execution Version 

 

 
been duly approved by all necessary limited liability company action, and no further approvals are required by the officers, directors, managers, members, or equity holders of RHA in connection
therewith. This Agreement and each of the Transaction Documents contemplated hereby to be entered into by RHA constitute (or, when executed, will constitute) the legal, valid, and binding obligations of RHA. 

b. Title to Assets. 

(i) RHA is the lawful holder of that certain promissory note effective June 30, 2011 made by Southern Plains Associates
II, LLC (“SPA II”) in favor of RHA for the principal amount of $1,855,000 and accruing interest at the rate of 5.00% per annum (the “SPMC Note 1”). RHA has not transferred the SPMC Note 1, and the SPMC Note 1
is not subject to any Liens. 
 (ii) RHA is the lawful holder of those certain guarantees effective June 30, 2011 one
made by Medical Equity partners, LLC and TTMB, LLC in favor of RHA and the other made by Southern Plains Medical Center, Inc. (“SPMC”) in favor of RHA (collectively, the “Guarantees”). RHA has not transferred the
Guarantees, and the Guarantees are not subject to any Liens. 
 (iii) RHA is the lawful holder of that certain promissory
note effective June 30, 2011 made by SPA II in favor of SPMC for the principal amount of $295,000 and accruing interest at the rate of 5.00% per annum (the “SPMC Note 2”). RHA not transferred the SPMC Note 2, and the SPMC
Note 2 is not subject to any Liens. 
 5. Representations and Warranties of Schuster. Schuster hereby represents and warrants to
First Physicians, RHA, and Michael Schuster as follows: 
 a. Binding Effect. This Agreement and each of the
Transaction Documents contemplated hereby to be entered into by Schuster constitute (or, when executed, will constitute) the legal, valid, and binding obligation of Schuster. 

b. Title to Assets. 

(i) Schuster is the lawful holder of the Shares. Schuster has not transferred the Shares, and the Shares are not subject to any
Liens. 
 (ii) Schuster is the lawful holder of the RHA Note. Schuster has not transferred the RHA Note, and the RHA Note is
not subject to any Lien. 
 (iii) Schuster is the lawful holder of the RHA Guaranty. Schuster has not transferred the RHA
Guaranty, and the RHA Guaranty is not subject to any Lien. 
 6. Representations and Warranties of Michael Schuster. Michael Schuster
hereby represents and warrants to First Physicians, RHA, and Schuster that this Agreement and each of the Transaction Documents contemplated hereby to be entered into by Michael Schuster constitute (or, when executed, will constitute) the legal,
valid, and binding obligation of Michael Schuster. 

  
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 Execution Version 

 

 7. Obligations of First Physicians and RHA. Subject to the terms and conditions of
this Agreement, at the Closing, First Physicians, RHA, or both shall perform the following: 
 a. First Physicians or RHA
shall deliver to Schuster via check $20,000. 
 b. RHA shall transfer, assign, grant, deliver and convey to Schuster all
without recourse the SPMC Note 1, the SPMC Note 2, the Guarantees and any and all other guarantees associated therewith, free and clear of all Liens and without any conditions or restrictions on transferability. The transactions contemplated by
this Section 7(b) will be effected and evidenced by the endorsement and delivery by RHA to Schuster of the original SPMC Note 1, endorsed to the order of Schuster, the original SPMC Note 2, endorsed to the order of Schuster, the original
Guarantees and all other documents as Schuster may reasonably request. RHA shall provide written notice to SPA II of the transactions contemplated by this Section 7(b ). 

8. Obligations of Schuster. Subject to the terms and conditions of this Agreement, at the Closing, Schuster shall perform the
following: 
 a. Schuster shall transfer, assign, grant, deliver and convey to First Physicians the Shares, along with any
other shares of any class or type of First Physicians’ stock held by Schuster, free and clear of all Liens and without any conditions or restrictions on transferability. The transactions contemplated by this Section 8(a) will be effected
and evidenced by the endorsement and delivery by Schuster to First Physicians of the original stock certificates representing the Shares or any other shares of any class or type of First Physicians’ stock and the execution of any other
documents as First Physicians may reasonably request. 
 b. Schuster shall transfer, assign, grant, deliver and convey to
First Physicians the RHA Note and RHA Guaranty, free and clear of all Liens and without any conditions or restrictions on transferability. The transactions contemplated by this Section 8(b) will be effected and evidenced by the endorsement and
delivery by Schuster to First Physicians of the original RHA Note, the original RHA Guaranty, and all other documents as First Physicians may reasonably request. 

c. In connection with the 2007 and the 2008 change of ownership and change of management transactions identified in the
Recitals, certain change of ownership and change of management forms were required to be filed with the CMS. As of the Effective Date, CMS is still missing certain paperwork. First Physicians has been working with CMS and Trailblazer Health
Enterprises, LLC (“Trailblazer”) to correct these problems. Schuster shall execute or re-execute and deliver all paperwork and forms necessary or appropriate to effectuate on CMS’s records, Trailblazer’s records, and the
records of any other governmental entity the effects of the 2007 and 2008 transactions as if such paperwork and forms were executed and filed at the time of the respective events requiring them. Nothing in this Agreement alters the respective
liability of the Parties or 

  
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commits a Party to indemnify another Party (the “Second Party”) for any matter arising from or relating to events or transactions that occurred while the Second Party owned a
majority interest in RHA or was an authorized delegate of RHA, as applicable. 
 d. Schuster shall execute all documents
necessary to dismiss, with prejudice, the Litigation. Schuster shall file such documents within five days after Closing. 
 9.
Obligations of Michael Schuster. Subject to the terms and conditions of this Agreement, at the Closing, Michael Schuster shall execute or re-execute and deliver all paperwork and forms necessary or appropriate to effectuate on CMS’s
records, Trailblazer’s records, and the records of any other governmental entity the effects of the 2007 and 2008 transactions as if such paperwork and forms were executed and filed at the time of the respective events requiring them. Nothing
in this Agreement alters the respective liability of the Parties or commits a Party to indemnify a Second Party for any matter arising from or relating to events or transactions that occurred while the Second Party owned a majority interest in RHA
or was an authorized delegate of RHA, as applicable. 
 10. Scope of Releases. 

a. Subject only to the deliveries and exchanges required at Closing and except for such claims as may arise from any
non-performance or breach of this Agreement and as otherwise expressly provided in this Agreement, Schuster, for herself and her heirs, successors and assigns, hereby releases, discharges, and acquits First Physicians and RHA and their respective
successors, assigns, subsidiaries, parent entities, directors, officers, owners, agents, and employees from and in regard to any and all claims, damages, causes of action, costs, attorneys’ fees or any other form of recovery whatsoever which
have existed or which may hereafter arise, with regard to any and all disputes or claims arising from or relating to the 2007 transaction, the 2008 transactions, or both that have been made, or that could have been made on or before
November 30, 2011, including, but not limited to, any claim regarding the RHA Note, the Shares, the RHA Guaranty, or the Litigation. 

b. Subject only to the deliveries and exchanges required at Closing and except for such claims as may arise from any
non-performance or breach of this Agreement and as otherwise expressly provided in this Agreement, Michael Schuster, for himself, and his heirs, successors and assigns, hereby releases, discharges, and acquits First Physicians and RHA and their
respective successors, assigns, subsidiaries, parent entities, directors, officers, owners, agents, and employees from and in regard to any and all claims, damages, causes of action, costs, attorneys’ fees or any other form of recovery
whatsoever which have existed or which may hereafter arise, with regard to any and all disputes or claims arising from or relating to the 2007 transaction, the 2008 transactions, or both that have been made, or that could have been made on or before
November 30, 2011, including, but not limited to, any claim regarding the RHA Note, the Shares, the RHA Guaranty, or the Litigation. 

c. Subject only to the deliveries and exchanges required at Closing and except for such claims as may arise from any
non-performance or breach of this 

  
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 Execution Version 

 

 
Agreement and as otherwise expressly provided in this Agreement, First Physicians and RHA, for themselves and their respective successors, assigns, subsidiaries, parent entities, hereby releases,
discharges, and acquits Schuster and Michael Schuster and their respective successors, heirs and assigns from and in regard to any and all claims, damages, causes of action, costs, attorneys’ fees or any other form of recovery whatsoever which
have existed or which may hereafter arise, with regard to any and all disputes or claims arising from or relating to the 2007 transaction, the 2008 transactions, or both that have been made, or that could have been made on or before
November 30, 2011, including, but not limited to, any claim regarding the RHA Note, the Shares, the RHA Guaranty, or the Litigation. 

d. The releases described in this Section 10 may be pled as a full and complete defense to, and may be used as the basis
for an injunction against, any action, suit, or other proceeding that may be instituted, prosecuted, or attempted in breach of the releases contained herein. 

11. Confidentiality and Non-Disparagement. 

a. Until such time as they have first been disclosed publicly in circumstances not violating this Agreement, the substantive
terms of the Memorandum and this Agreement shall be confidential and shall not be publicly disclosed without the written consent of all Parties to this Agreement. Nothing in this paragraph, however, shall preclude disclosure of non-public
information: (1) as necessary to effect the terms of this Agreement, (2) to accountants, attorneys, auditors, or tax advisors to whom disclosure is necessary, provided such individuals are advised of the confidentiality provisions herein
and agree to be bound thereby; or (3) to the extent required by applicable Law, duly issued subpoena or civil investigative demand, in which case, the Party receiving such subpoena, civil investigative demand or court order shall provide prompt
notice to the Other Parties (unless affirmatively prohibited by Law) to enable such other Parties to object, seek a protective order, or both. 

b. As of the Effective Date, each of the Parties shall have a continuing obligation to refrain from making disparaging or
negative comments about another Party or their respective family members to any third party. Nothing in this Section ll(b) shall apply to any pleadings or documents filed in good faith in a later legal proceeding. 

c. Notwithstanding the foregoing, First Physicians and RHA are permitted to disclose the substantive terms of the Memorandum
and this Agreement to potential acquirers, outside investors, or other sources of financing, without reference to the details or merits of the underlying dispute or other aspects of the settlement, provided such acquirer, outside investor, or
creditor signs an appropriate non-disclosure agreement, is subject to an obligation of confidentiality, or both. 
 d.
Notwithstanding the foregoing, the Parties may disclose the terms and provisions of this Agreement in any action deemed necessary by one Party against another to enforce the terms of this Agreement. 

e. Any Party aggrieved by a breach or threatened breach of this Section 11 shall be entitled to all remedies available at
law and in equity, including, without limitation, preliminary and permanent injunctive relief against the breaching, or potentially breaching, Party. For the avoidance of doubt, nothing in this Agreement shall make a Party jointly and severally
liable for another Party’s breach or threatened breach. 

  
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 12. Further Assurances. Each of the Parties hereby agrees to execute and deliver such
other documents or agreements and take such other actions as may reasonably be necessary or desirable for consummation of the transactions contemplated by this Agreement or for the purposes of this Agreement. 

13. Survival of Covenants, Warranties, and Representations. Notwithstanding any other provision in this Agreement, all representations,
warranties, covenants, and agreements of each of the Parties contain in this Agreement will survive the consummation of the transactions contemplated in this Agreement, will not be deemed merged into any instruments or agreements delivered at
Closing, and will not be affected by any investigation by or on behalf of the other party. 
 14. Costs and Expenses. 

a. Except as provided in Section 14(b), each Party agrees to pay, without right of reimbursement from any other Party, the
costs and expenses incurred by such party incident to the Litigation, including, but not limited to, the negotiation, preparation and execution of the Memorandum, the negotiation, preparation and execution of this Agreement, and the performance of
each Party’s respective obligations hereunder. Such costs and expenses includes, but is not limited to, the fees and disbursements of legal counsel, accountants and consultants employed by the respective parties in connection with the
Litigation. 
 b. If any Action is brought for the enforcement or interpretation of any of the rights or provisions of this
Agreement, or because of an alleged dispute, breach, default or misrepresentation in connection with any of the provisions of this Agreement, the prevailing party will be entitled to recover reasonable attorneys’ fees and all other costs and
expenses incurred in that Action, in addition to any other relief to which it may be entitled. 
 15. No Admission of Liability. In
making this Agreement, no Party is admitting the truth of any claims, allegations, contentions or positions of another Party. The Parties hereto desire to resolve their disputes in an amicable fashion and have entered into this Agreement in good
faith and with the desire to forever settle between them those matters described in this Agreement. 
 16. Acknowledgment. The
Parties to this Agreement have entered into this Agreement based upon their own independent analysis of the facts and claims at issue and understand that the facts relied upon may hereafter prove to be other than or different from the facts now
known or believed to be true. Each Party expressly accepts and assumes the risk of the facts proving to be different, and each party agrees that the terms and provisions of this Agreement shall be in all respects effective and not subject to
termination or rescission by any such difference in facts. 

  
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 17. Predecessors, Successors, Heirs, and Assigns. This Agreement and all of its terms
and provisions shall be binding upon and shall inure to the benefit of the Parties and their heirs, beneficiaries, predecessors, successors, assigns, agents, representatives, officers, directors, employees, members, shareholders, owners, parent
entities, subsidiaries divisions, affiliates, and attorneys. 
 18. Choice of Law and Venue. This Agreement and all rights and
obligations of the parties hereunder is governed by, and is to be construed and interpreted in accordance with, the laws of the State of Oklahoma applicable to agreements made and to be performed entirely within such State, including all matters of
enforcement, validity and performance, and without giving effect to the principles of conflict of laws to the contrary. A Party may initiate in the courts of the State of Oklahoma, County of Oklahoma, or, if it has or can acquire jurisdiction, in
the United States District Court for the Western District of Oklahoma, but only in one of those courts and not in any other court, a proceeding seeking to enforce any provision of this Agreement or seeking any remedy in connection with the
transactions contemplated by this Agreement. Each of the parties consents to the exclusive jurisdiction of those courts (and of the appropriate appellate courts) in any such action or proceeding and waives any objection to venue laid therein. 

19. Certain Interpretive Matters. In construing this Agreement, it is the intent of the Parties that: 

a. no consideration may be given to the captions of the sections or subsections, all of which are inserted for convenience in
locating the provisions of this Agreement and not as an aid in its construction; 
 b. examples are not to be construed to
limit, expressly or by implication, the matter they illustrate; 
 c. the word “includes” and its derivatives means
“includes, but is not limited to,” and corresponding derivative expressions; 
 d. a defined term has its defined
meaning throughout this Agreement, regardless of whether it appears before or after the place where it is defined; 
 e. the
meanings of the defined terms are applicable to both the singular and plural forms thereof; 
 f. all references to prices,
values or monetary amounts refer to United States dollars; 
 g. all references to articles, sections, paragraphs, clauses,
exhibits or schedules refer to articles, sections, paragraphs and clauses of this Agreement, and to exhibits or schedules attached to this Agreement, unless expressly provided otherwise; 

  
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 h. the words “this Agreement,” “herein,”
“hereby,” “hereunder,” and words of similar import refer to this Agreement as a whole and not to any particular article, section or other subdivision, unless expressly so limited; 

i. the word “or” is disjunctive but not necessarily exclusive; and 

j. all references to agreements or laws are deemed to refer to such agreements or Laws as amended or as in effect at the
applicable time. 
 20. Joint Preparation. The Parties acknowledge that this Agreement was jointly prepared by them, by and through
their respective legal counsel, and any uncertainty or ambiguity existing herein shall not be interpreted against either of the Parties, but otherwise according to the application of the rules on the interpretation of contracts, with an overriding
intent to fully finally and forever release any and all claims and end all disputes between and among them. 
 21. Entire Integrated
Agreement. This Agreement constitutes the entire integrated agreement between the Parties which have executed it and supersedes any and all other agreements, understandings, negotiations, or discussions, either oral or in writing, express or
implied, regarding the subject matters of this Agreement, including the Memorandum. The Parties each acknowledge that no representations, inducements, promises, agreements, or warranties, oral or otherwise, have been made by them, or anyone acting
on their behalf, which are not embodied in this Agreement, that they have not executed this Agreement in reliance on any such representation, inducement, promise, agreement, or warranty, and that no representation, inducement, promise, agreement, or
warranty not contained in this Agreement including, but not limited to, any purported supplements, modifications, waivers, or terminations of this Agreement shall be valid or binding, unless executed in writing by all Parties to this Agreement. 

22. Execution in Multiple Originals. This Agreement may be executed in multiple originals, each of which will be deemed an original but
all of which together will constitute but one and the same instrument. A signature of a party to this Agreement sent by facsimile or other electronic transmission will be deemed to constitute an original and fully effective signature of such Party.

 [signature page follows] 

  
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 IN WITNESS WHEREOF, the undersigned have executed this Agreement on the date first written
above. 
  

					
	 /s/ Carol Schuster

	Carol Schuster
	
	 /s/ Michael Schuster

	Michael Schuster
	
	FIRST PHYSICIANS CAPITAL GROUP, INC.
	(f/k/a TRI-ISTHMUS GROUP, INC.)
		
	By:	 	 /S/ SEAN KIRRANE

		 	Name:	 	 SEAN KIRRANE

		 	Title:	 	 CFO & CORPORATE SECRETARY

	
	RURAL HOSPITAL ACQUISITION, LLC
		
	By:	 	 /S/ SEAN KIRRANE

		 	Name:	 	 SEAN KIRRANE

		 	Title:	 	 MANAGING MEMBER

  
 10

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