CareMax (CMAXQ) 8-KEntry into a Material Definitive Agreement

Exhibit 10.7

$185,000,000

CREDIT AGREEMENT

dated as of June 8, 2021,

by and among

CAREMAX, INC.

(F/K/A/ DEERFIELD HEALTHCARE TECHNOLOGY ACQUISITIONS, CORP.),

as Borrower,

THE LENDERS AND ISSUING BANKS PARTY HERETO

and

ROYAL BANK OF CANADA,

as Administrative Agent, Collateral Agent, Swing Line Lender and Issuing Bank

_______________________________

RBC CAPITAL MARKETS, LLC¹ and TRUIST SECURITIES, INC.,

as Joint Lead Arrangers and Joint Bookrunners,

CITIZENS BANK NA, REGIONS BANK, CAPITAL ONE, N.A. and FIFTH THIRD BANK, NATIONAL ASSOCIATION,

as Senior Managing Agents,

DEUTSCHE BANK SECURITIES INC. and KEYBANK NATIONAL ASSOCIATION,

as Co-Managers

and

BANKUNITED, N.A.,

as Transaction Participant

¹ RBC Capital Markets is a brand name for the capital markets activities of Royal Bank of Canada and its affiliates

ARTICLE I

Definitions

ARTICLE II

The Credits

ARTICLE III

Representations and Warranties

ARTICLE IV

Conditions of Lending

Exhibits and Schedules

CREDIT AGREEMENT, dated as of June 8, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, this “Agreement”), by and among CareMax, Inc. (f/k/a Deerfield Healthcare Technology Acquisitions Corp.), a Delaware corporation (the “Borrower”), the Lenders and Issuing Banks party hereto from time to time and Royal Bank of Canada, as administrative agent (in such capacity, and as further defined in Section 1.01, the “Administrative Agent”), as collateral agent (in such capacity, and as further defined in Section 1.01, the “Collateral Agent”), as Swing Line Lender and as an Issuing Bank.

RECITALS

(1)           Pursuant to that certain Business Combination Agreement, dated as of December 18, 2020 (including all annexes, schedules and exhibits thereto, the “Acquisition Agreement”), by and among, inter alios, the Borrower, the sellers party thereto, CareMax Medical Group, LLC, a Florida limited liability company (“CareMax”), IMC Medical Group Holdings, LLC, a Delaware limited liability company (“IMC” and, together with CareMax, each a “Company” and, collectively, the “Companies”), and Deerfield Partners, L.P. (“Deerfield Partners”), on or prior to the Closing Date (as defined below), the Borrower will acquire (such transactions, collectively, the “Acquisition”), directly or indirectly, all of the issued and outstanding equity interests of the Companies and their respective subsidiaries (collectively, the “Acquired Businesses”) in accordance with terms and subject to the conditions set forth in the Acquisition Agreement, such that, after giving effect to the Acquisition, each Company will be a direct or indirect Wholly-Owned Subsidiary (as defined below) of the Borrower.

(2)           Immediately prior to the consummation of the Acquisition, Deerfield Partners, together with certain other co-investors, will subscribe for and purchase for cash common equity of the Borrower in an aggregate amount equal to $410,000,000 (the “PIPE Transaction”).

(3)           In connection with the consummation of the Transactions (as defined below), the Borrower has requested and the Lenders have agreed to extend credit to the Borrower on the Closing Date (as defined below) in the form of (a) Initial Term Loans (as defined below) in an aggregate principal amount equal to $125,000,000, (b) DDTL Facility Commitments (as defined below) in an aggregate principal amount equal to $20,000,000 and (c) Revolving Facility Commitments (as defined below) in an aggregate amount of $40,000,000.

(4)           The proceeds of the Initial Term Loans funded on the Closing Date, together with the proceeds of (a) any Revolving Loan Borrowing (as defined below) funded on the Closing Date and (b) the PIPE Transaction, will be applied on the Closing Date (i) to pay the consideration in connection with the Acquisition, (ii) to pay the fees, costs and expenses incurred in connection with the Transactions (such fees and expenses, the “Transaction Costs”), (iii) to pay for the Closing Date Refinancing (as defined below) and (iv) for working capital and other general corporate purposes of the Borrower and its Subsidiaries (as defined below).

(5)           The applicable Lenders have indicated their willingness to lend, each Issuing Bank has indicated its willingness to issue Letters of Credit, and the Swing Line Lender has indicated its willingness to make Swing Line Loans, in each case, on the terms and subject to the conditions set forth herein.

AGREEMENT

In consideration of the mutual covenants and agreements herein contained, the parties hereto covenant and agree as follows:

ARTICLE I

Definitions

Section 1.01          Defined Terms.

As used in this Agreement (including in the preamble and the recitals above), the following terms shall have the meanings specified below:

“ABR” means, for any day, a fluctuating rate per annum equal to the highest of:

(a)                the Federal Funds Rate plus 0.50%;

(b)                the Prime Rate; and

(c)                the LIBOR Quoted Rate plus 1.00%.

Any change in the ABR due to a change in the Federal Funds Rate, the Prime Rate or the LIBOR Quoted Rate will be effective on the effective date of such change in the Federal Funds Rate, the Prime Rate or the LIBOR Quoted Rate, as the case may be; provided that, in no event shall the ABR be less than 1.75% per annum.

“ABR Borrowing” means a Borrowing comprised of ABR Loans.

“ABR Loan” means any Loan bearing interest at a rate determined by reference to the ABR.

“Acceptable Intercreditor Agreement” an intercreditor agreement substantially in the form of Exhibit G (as such form may be modified in a manner (i) reasonably acceptable to the Borrower and the Administrative Agent, (ii) where such modifications are posted for review by the Lenders, and the Lenders constituting the Required Lenders do not object in writing within three (3) Business Days after such agreement is posted or (iii) the terms of which are consistent with market terms (as determined by the Borrower and the Administrative Agent in good faith) governing arrangements for the sharing and subordination of liens and/or arrangements relating to the distribution of payments, as applicable, at the time the intercreditor agreement is proposed to be established in light of the type of indebtedness subject thereto).

Upon the request of the Borrower, the Administrative Agent and the Collateral Agent will execute and deliver an Acceptable Intercreditor Agreement with the Loan Parties and one or more Debt Representatives for Indebtedness permitted hereunder.

“Accounting Change” has the meaning assigned to such term in Section 1.03.

“Acquired Business” has the meaning assigned to such term in the recitals hereof.

“Acquisition” has the meaning assigned to such term in the recitals hereof.

“Acquisition Agreement” has the meaning assigned to such term in the recitals hereof.

“Additional Lender” means, at any time, any bank, financial institution or other institutional lender or investor (other than a natural person) that is not an existing Lender and that agrees to become a Lender in connection with an Incremental Term Loan, Incremental Revolving Facility Commitment (and corresponding Incremental Revolving Loan), Other Revolving Commitment or Other Refinancing Loan; provided that no Disqualified Institution may be an Additional Lender.

“Adjusted Eurocurrency Rate” means, with respect to any Eurocurrency Borrowing for any Interest Period, an interest rate per annum equal to the Eurocurrency Rate in effect for such Interest Period

divided by one minus the Statutory Reserves applicable to such Eurocurrency Borrowing, if any; provided that, in no event shall the Adjusted Eurocurrency Rate be less than 0.75% per annum.

“Administrative Agent” means Royal Bank of Canada in its capacity as administrative agent for itself and the Lenders hereunder, and any duly appointed successor in such capacity.

“Administrative Agent Fees” has the meaning assigned to such term in Section 2.14(3).

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

“Affected Financial Institution” means (a) any EEA Financial Institution or (b) any UK Financial Institution.

“Affiliate” means, when used 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, such specified Person.

“Affiliated Lender” means, at any time, any Lender that is an Affiliate of the Borrower (other than (1) the Borrower and any of its Subsidiaries and (2) any natural person) at such time.

“After Year End Payment” has the meaning assigned to such term in Section 2.12(3)(b).

“Agents” means the Administrative Agent and the Collateral Agent, in their respective capacities as such.

“Agreement” has the meaning assigned to such term in the introductory paragraph hereof.

“ALTA” has the meaning assigned to such term in Section 5.11(2)(d).

“AML Laws” has the meaning assigned to such term in Section 3.19(3)(a).

“Annual Financial Statements” has the meaning assigned to such term in Section 5.04(1).

“Anti-Corruption Laws” means the U.S. Foreign Corrupt Practices Act of 1977, as amended, and the rules and regulations thereunder, and all similar laws, rules, and regulations of any jurisdiction applicable to the Borrower and its Restricted Subsidiaries from time to time concerning or relating to bribery or corruption.

“Applicable Period” has the meaning assigned to such term in the definition of “Applicable Rate”.

“Applicable Rate” means a percentage per annum equal to:

(1)                with respect to Initial Term Loans, DDTLs, Revolving Loans and Swing Line Loans (which Swing Line Loans are to be maintained solely as ABR Loans), (i) until delivery of financial statements for the first full fiscal quarter commencing on or after the Closing Date pursuant to Section 5.04(2), (A) 2.00% in the case of ABR Loans and (B) 3.00% in the case of Eurocurrency Loans, and (ii) thereafter, the following percentages per annum, based upon the First Lien Net Leverage Ratio as set forth in the most recent certificate received by the Administrative Agent pursuant to Section 5.04(3) as of the end of the Test Period to which such certificate relates:

Any increase or decrease in the Applicable Rate resulting from a change in the First Lien Net Leverage Ratio shall become effective as of the first Business Day immediately following the date a certificate is delivered pursuant to Section 5.04(3); provided that the highest pricing level shall apply (i) following the occurrence and during the continuation of a Specified Event of Default, and shall continue to so apply to but excluding the date on which such Specified Event of Default is cured or waived (and thereafter the pricing level otherwise determined in accordance with this definition shall apply) and (ii) as of the first (1^st) Business Day after the date on which a certificate pursuant to Section 5.04(3) was required to have been delivered but was not delivered, and shall continue to so apply to and including the date on which such certificate is so delivered (and thereafter the pricing level otherwise determined in accordance with this definition shall apply); and

(2)                with respect to the DDTL Facility Commitment Fee, (i) until delivery of financial statements for the first full fiscal quarter commencing on or after the Closing Date pursuant to Section 5.04(2), 0.40% per annum based upon the average daily undrawn amount of all DDTL Facility Commitments and (ii) thereafter, the following percentages per annum based upon the First Lien Net Leverage Ratio as set forth in the most recent certificate received by the Administrative Agent pursuant to Section 5.04(3) as of the end of the Test Period to which such certificate relates:

Any increase or decrease in the DDTL Facility Commitment Fee resulting from a change in the First Lien Net Leverage Ratio shall become effective as of the first (1^st) Business Day immediately following the date a certificate is delivered pursuant to Section 5.04(3); provided that the highest fee level shall apply (i) following the occurrence and during the continuation of a Specified Event of Default, and shall continue to so apply to but excluding the date on which such Specified Event of Default is cured or waived (and thereafter the pricing level otherwise determined in accordance with this definition shall apply) and (ii) as of the first (1^st) Business Day after the date on which a certificate pursuant to Section 5.04(3) was required to have been delivered but was not delivered, and shall continue to so apply to and including the date on which such certificate is so delivered (and thereafter the fee level otherwise determined in accordance with this definition shall apply); and

(3)                with respect to the Revolving Facility Commitment Fee, (i) until delivery of financial statements for the first full fiscal quarter commencing on or after the Closing Date pursuant to Section 5.04(2), 0.40% per annum based upon the average daily undrawn amount of all Revolving Facility Commitments and (ii) thereafter, the following percentages per annum based upon the First Lien Net Leverage Ratio as set forth in the most recent certificate received by the Administrative Agent pursuant to Section 5.04(3) as of the end of the Test Period to which such certificate relates:

Any increase or decrease in the Revolving Facility Commitment Fee resulting from a change in the First Lien Net Leverage Ratio shall become effective as of the first (1^st) Business Day immediately following the date a certificate is delivered pursuant to Section 5.04(3); provided that the highest fee level shall apply (i) following the occurrence and during the continuation of a Specified Event of Default, and shall continue to so apply to but excluding the date on which such Specified Event of Default is cured or waived (and thereafter the pricing level otherwise determined in accordance with this definition shall apply) and (ii) as of the first (1^st) Business Day after the date on which a certificate pursuant to Section 5.04(3) was required to have been delivered but was not delivered, and shall continue to so apply to and including the date on which such certificate is so delivered (and thereafter the fee level otherwise determined in accordance with this definition shall apply).

In the event that any financial statements under Section 5.04 or a certificate delivered pursuant to Section 5.04(3) are, to the knowledge of the Borrower, or are shown to be, inaccurate at any time that this Agreement is in effect and any Loans or Commitments are outstanding hereunder when such inaccuracy is discovered and such inaccuracy, if corrected, would have led to the application of a higher Applicable Rate for the applicable Loans for any period (an “Applicable Period”) than the Applicable Rate applied for such Applicable Period, then (i) the Borrower shall promptly (and in no event later than five (5) Business Days thereafter) deliver to the Administrative Agent a correct certificate pursuant to Section 5.04(3) for such Applicable Period, (ii) if, as a consequence of such re-calculation, the Applicable Rate was lower that it would have been, the Applicable Rate for the applicable Loans shall be determined as if such higher Pricing Level for such Loans were retroactively applicable for such Applicable Period, (iii) the Administrative Agent shall notify the Borrower of the amount of interest and fees that would have been due in respect of any outstanding Obligations during such Applicable Period had the Applicable Rate been calculated based on the correct First Lien Net Leverage Ratio and (iv) the Borrower shall pay to the Administrative Agent promptly upon demand (and in no event later than five (5) Business Days after demand) any additional interest, DDTL Facility Commitment Fee or Revolving Facility Commitment Fee owing as a result of such increased Applicable Rate for such Applicable Period, which payment shall be promptly applied by the Administrative Agent for the benefit of the applicable Lenders and/or other Persons in accordance with the terms hereof. Any additional interest or fees under this paragraph shall not be due and payable until such demand is made for such payment by the Administrative Agent and accordingly, any nonpayment of such interest or fees as result of any such demand not having been made shall not constitute a Default (whether

retroactively or otherwise) or Event of Default, and none of such additional amounts shall be deemed overdue or accrue interest at the rate set forth in Section 2.14(3), in each case at any time on or prior to the date that is five (5) Business Days following such demand.

Notwithstanding the foregoing, the Applicable Rate in respect of Incremental Facilities, Other Refinancing Loans, Other Revolving Commitments, Extended Term Loans and Extended Revolving Commitments (and corresponding Extended Revolving Loans) shall be the rate per annum specified in the amendment or definitive documentation, as applicable, establishing such facilities.

“Approved Fund” has the meaning assigned to such term in Section 9.04(2).

“Asset Sale” means any sale, transfer or other disposition (including any Sale and Lease-Back Transaction) to any Person of, any asset or assets of the Borrower or any Restricted Subsidiary and including any disposition of property to a Delaware Divided LLC pursuant to a Delaware LLC Division.

“Asset Sale Threshold” shall have the meaning assigned to such term in Section 2.12(2).

“Assignee” has the meaning assigned to such term in Section 9.04(2).

“Assignment and Acceptance” means an assignment and acceptance entered into by a Lender, as Assignor, and any eligible Person, as Assignee, and accepted by the Administrative Agent and the Borrower (if required by Section 9.04), substantially in the form of Exhibit A or such other form that is approved by the Administrative Agent and reasonably satisfactory to the Borrower.

“Assignor” has the meaning assigned to such term in Section 9.04(2).

“Audited Financial Statements” means the audited consolidated balance sheets and related statements of income, changes in equity and cash flows of each of the Acquired Businesses for the two (2) most recently completed fiscal years ended at least ninety (90) days prior to the Closing Date.

“Available Amount” means, as of any date, an amount, not less than zero, determined on a cumulative basis, equal to the sum, without duplication, of:

(1)                the greater of (x) $13,500,000 and (y) 30.0% of Consolidated EBITDA for the most recently ended Test Period at the time of determination; plus

(2)                the Cumulative Retained Excess Cash Flow Amount as of such date (measured annually); plus

(3)                the cumulative amount of cash proceeds and the fair market value of property (other than cash) received by the Borrower in connection with the sale or issuance of Equity Interests of the Borrower after the Closing Date and on or prior to such date (including upon exercise of warrants or options or in connection with a Permitted Acquisition or other Permitted Investment), other than (a) the proceeds of Disqualified Stock, (b) the proceeds of Excluded Contributions, (c) any net cash proceeds that are used prior to such date (I) for Restricted Payments under Section 6.06(1) or Section 6.06(2)(b) or (II) to make a payment in respect of Junior Financing under Section 6.09(1)(g) and (d) the proceeds of Specified Equity Contributions; plus

(4)                100% of the aggregate amount of cash contributions to the capital of the Borrower and the fair market value of property (other than cash) contributed to the capital of the Borrower after the Closing Date, other than (a) the proceeds of Disqualified Stock, (b) the proceeds of Excluded Contributions, (c) any net cash proceeds that are used prior to such date for Restricted Payments under Section 6.06(1) or Section 6.06(2)(b) and (d) the proceeds of Specified Equity Contributions; plus

(5)                100% of the aggregate principal amount of any Indebtedness (including the liquidation preference or maximum fixed repurchase price, as the case may be, of any Disqualified Stock) of the Borrower or any Restricted Subsidiary issued after the Closing Date that is secured on a pari passu basis with the Obligations (other than Indebtedness (including Disqualified Stock) issued to the Borrower or a Restricted Subsidiary), which has been converted into or exchanged for Equity Interests (other than Disqualified Stock) of the Borrower; plus

(6)                100% of the aggregate amount of cash (and the fair market value of property other than cash) received by the Borrower or any of its Restricted Subsidiaries after the Closing Date from (i) the sale or disposition (other than to the Borrower or any Restricted Subsidiary) of the Equity Interests of any Unrestricted Subsidiary or (ii) any dividend or other distribution (including any payment on intercompany Indebtedness) by any such Unrestricted Subsidiary; provided that, any amounts added to the Available Amount pursuant to this clause (6) shall not, in any event, exceed the lesser of (i) the fair market value of the Investments of the Borrower and the Restricted Subsidiaries in the applicable Unrestricted Subsidiary at the time of any such sale, disposition, dividend or distribution and (ii) the amount of the original Investments by the Borrower and the Restricted Subsidiaries in such Unrestricted Subsidiary, in each case, as determined by a Responsible Officer of the Borrower in good faith, plus

(7)                in the event any Unrestricted Subsidiary becomes a Restricted Subsidiary or has been merged, consolidated or amalgamated with or into, or transfers or conveys all or substantially all of its assets to, or is liquidated into, the Borrower or any Restricted Subsidiary, the lesser of (i) the fair market value of the Investments of the Borrower and the Restricted Subsidiaries in such Unrestricted Subsidiary at the time such Unrestricted Subsidiary becomes a Restricted Subsidiary or at the time of such merger, consolidation, amalgamation, transfer or liquidation (or of the assets transferred or conveyed, as applicable) and (ii) the amount of the original Investments by the Borrower and the Restricted Subsidiaries in such Unrestricted Subsidiary, in each case, as determined by a Responsible Officer of the Borrower in good faith; plus

(8)                100% of the aggregate Net Cash Proceeds received by the Borrower and its Restricted Subsidiaries of any sale or disposition of Investments (other than to the Borrower or any Restricted Subsidiary) made using the Available Amount; provided that, any amounts added to the Available Amount pursuant to this clause (8) shall not, in any event, exceed the amount of the original Investments by the Borrower and the Restricted Subsidiaries made using the Available Amount, plus

(9)                100% of the aggregate returns, profits, distributions and similar amounts received in cash or Cash Equivalents by the Borrower and its Restricted Subsidiaries on any Investments made using the Available Amount; provided that, any amounts added to the Available Amount pursuant to this clause (9) shall not, in any event, exceed the amount of the original Investments by the Borrower and the Restricted Subsidiaries made using the Available Amount, plus

(10)              100% of the aggregate mandatory prepayments of Term Loans declined by Lenders; minus

(11)              the use of such Available Amount pursuant to Section 6.04(3), 6.06(8) or Section 6.09(1)(a) since the Closing Date.

“Available Tenor” means, as of any date of determination and with respect to the then-current Benchmark, as applicable, any tenor for such Benchmark or payment period for interest calculated with reference to such Benchmark, as applicable, that is or may be used for determining the length of an Interest Period pursuant to this Agreement as of such date and not including, for the avoidance of doubt, any tenor for such Benchmark that is then-removed from the definition of “Interest Period” pursuant to Section 2.15(6).

“Available Unused DDTL Facility Commitment” means, with respect to a DDTL Lender at any time, an amount equal to the amount by which (1) the DDTL Facility Commitment of such DDTL Lender at such time exceeds (2) the aggregate DDTL Facility Credit Exposure of such DDTL Lender at such time.

“Available Unused Revolving Facility Commitment” means, with respect to a Revolving Lender at any time, an amount equal to the amount by which (1) the Revolving Facility Commitment of such Revolving Lender at such time exceeds (2) the aggregate Revolving Facility Credit Exposure of such Revolving Lender at such time.

“Bail-In Action” means the exercise of any Write-Down and Conversion Powers by the applicable EEA Resolution Authority in respect of any liability of an Affected Financial Institution.

“Bail-In Legislation” means, with respect to any EEA Member Country implementing Article 55 of Directive 2014/59/EU of the European Parliament and of the Council of the European Union, the implementing law for such EEA Member Country from time to time which is described in the EU Bail-In Legislation Schedule.

“Bankruptcy Code” has the meaning assigned to such term in the definition of “Obligations”.

“Below Threshold Asset Sale Proceeds” means the cash proceeds of any Asset Sale involving, as of the date of such Asset Sale, aggregate consideration of an amount equal to or less than the Asset Sale Threshold.

“Benchmark” means, initially, USD LIBOR; provided that if a Benchmark Transition Event or an Early Opt-in Election or a Term SOFR Transition Event, as applicable, and its related Benchmark Replacement Date have occurred with respect to USD LIBOR or the then-current Benchmark, then “Benchmark” means the applicable Benchmark Replacement to the extent that such Benchmark Replacement has replaced such prior benchmark rate pursuant to Section 2.15(2) or Section 2.15(3).

“Benchmark Replacement” means:

(a) in the case of any Benchmark Transition Event or Early Opt-in Election, for any Available Tenor, the first alternative set forth in the order below that can be determined by the Administrative Agent for the applicable Benchmark Replacement Date:

(1)                the sum of: (a) Term SOFR and (b) the related Benchmark Replacement Adjustment;

(2)                the sum of: (a) Daily Simple SOFR and (b) the related Benchmark Replacement Adjustment;

(3)                the sum of: (a) the alternate benchmark rate that has been selected by the Administrative Agent and the Borrower as the replacement for the then-current Benchmark for the applicable Corresponding Tenor giving due consideration to (i) any selection or recommendation of a replacement benchmark rate or the mechanism for determining such a rate by the Relevant Governmental Body or (ii) any evolving or then-prevailing market convention for determining a benchmark rate as a replacement for the then-current Benchmark for U.S. dollar-denominated syndicated credit facilities at such time and (b) the related Benchmark Replacement Adjustment;

provided that, in the case of clause (1), such Unadjusted Benchmark Replacement is displayed on a screen or other information service that publishes such rate from time to time as selected by the Administrative Agent in its reasonable discretion or

(b) in the case of a Term SOFR Transition Event, the sum of (x) Term SOFR and (y) the related Benchmark Replacement Adjustment.

If the Benchmark Replacement as determined pursuant to clause (a) (1), (2) or (3) or (b) above would be less than the Floor, the Benchmark Replacement will be deemed to be the Floor for the purposes of this Agreement and the other Loan Documents.

“Benchmark Replacement Adjustment” means, with respect to any replacement of the then-current Benchmark with an Unadjusted Benchmark Replacement for any applicable Interest Period and Available Tenor for any setting of such Unadjusted Benchmark Replacement:

(1)                for purposes of clauses (a) (1) and (2) and clause (b) of the definition of “Benchmark Replacement”, the first alternative set forth in the order below that can be determined by the Administrative Agent:

(a)                the spread adjustment, or method for calculating or determining such spread adjustment, (which may be a positive or negative value or zero) as of the Reference Time such Benchmark Replacement is first set for such Interest Period that has been selected or recommended by the Relevant Governmental Body for the replacement of such Benchmark with the applicable Unadjusted Benchmark Replacement for the applicable Corresponding Tenor;

(b)                the spread adjustment (which may be a positive or negative value or zero) as of the Reference Time such Benchmark Replacement is first set for such Interest Period that would apply to the fallback rate for a derivative transaction referencing the ISDA Definitions to be effective upon an index cessation event with respect to such Benchmark for the applicable Corresponding Tenor; and

(2)                for purposes of clause (a) (3) of the definition of “Benchmark Replacement”, the spread adjustment, or method for calculating or determining such spread adjustment, (which may be a positive or negative value or zero) that has been selected by the Administrative Agent and the Borrower for the applicable Corresponding Tenor giving due consideration to (i) any selection or recommendation of a spread adjustment, or method for calculating or determining such spread adjustment, for the replacement of such Benchmark with the applicable Unadjusted Benchmark Replacement by the Relevant Governmental Body on the applicable Benchmark Replacement Date or (ii) any evolving or then-prevailing market convention for determining a spread adjustment, or method for calculating or determining such spread adjustment, for the replacement of such Benchmark with the applicable Unadjusted Benchmark Replacement for U.S. dollar-denominated syndicated credit facilities;

provided that, in the case of clause (1) above, such adjustment is displayed on a screen or other information service that publishes such Benchmark Replacement Adjustment from time to time as selected by the Administrative Agent in its reasonable discretion.

“Benchmark Replacement Conforming Changes” means, with respect to any Benchmark Replacement, any technical, administrative or operational changes (including changes to the definition of “ABR,” the definition of “Business Day,” the definition of “Interest Period,” timing and frequency of determining rates and making payments of interest, timing of borrowing requests or prepayment, conversion or continuation notices, length of lookback periods, the applicability of breakage provisions, and other technical, administrative or operational matters) that the Administrative Agent decides may be appropriate to reflect the adoption and implementation of such Benchmark Replacement and to permit the administration thereof by the Administrative Agent in a manner substantially consistent with market practice (or, if the Administrative Agent decides that adoption of any portion of such market practice is not administratively feasible or if the Administrative Agent determines that no market practice for the administration of such Benchmark Replacement exists, in such other manner of administration as the Administrative Agent decides is reasonably necessary in connection with the administration of this Agreement and the other Loan Documents).

“Benchmark Replacement Date” means the earliest to occur of the following events with respect to the then-current Benchmark:

(1)                in the case of clause (1) or (2) of the definition of “Benchmark Transition Event”, the later of (a) the date of the public statement or publication of information referenced therein and (b) the date on which the administrator of such Benchmark (or the published component used in the calculation thereof) permanently or indefinitely ceases to provide all Available Tenors of such Benchmark (or such component thereof);

(2)                in the case of clause (3) of the definition of “Benchmark Transition Event”, the date of the public statement or publication of information referenced therein; or

(3)                in the case of a Term SOFR Transition Event, the date that is ten Business Days after the Administrative Agent has provided the Term SOFR Notice to the Lenders and the Borrower pursuant to Section 2.15(3), or

(4)                in the case of an Early Opt-in Election, the sixth (6th) Business Day after the date notice of such Early Opt-in Election is provided to the Lenders, so long as the Administrative Agent has not received, by 5:00 p.m., New York City time, on the fifth (5th) Business Day after the date notice of such Early Opt-in Election is provided to the Lenders, written notice of objection to such Early Opt-in Election from Lenders comprising the Required Lenders.

For the avoidance of doubt, (i) if the event giving rise to the Benchmark Replacement Date occurs on the same day as, but earlier than, the Reference Time in respect of any determination, the Benchmark Replacement Date will be deemed to have occurred prior to the Reference Time for such determination and (ii) the “Benchmark Replacement Date” will be deemed to have occurred in the case of clause (1) or (2) with respect to any Benchmark upon the occurrence of the applicable event or events set forth therein with respect to all then-current Available Tenors of such Benchmark (or the published component used in the calculation thereof).

“Benchmark Transition Event” means the occurrence of one or more of the following events with respect to the then-current Benchmark:

(1)                a public statement or publication of information by or on behalf of the administrator of such Benchmark (or the published component used in the calculation thereof) announcing that such administrator has ceased or will cease to provide all Available Tenors of such Benchmark (or such component thereof), permanently or indefinitely, provided that, at the time of such statement or publication, there is no successor administrator that will continue to provide any Available Tenor of such Benchmark (or such component thereof);

(2)                a public statement or publication of information by the regulatory supervisor for the administrator of such Benchmark (or the published component used in the calculation thereof), the Board of Governors of the Federal Reserve System, the Federal Reserve Bank of New York, an insolvency official with jurisdiction over the administrator for such Benchmark (or such component), a resolution authority with jurisdiction over the administrator for such Benchmark (or such component) or a court or an entity with similar insolvency or resolution authority over the administrator for such Benchmark (or such component), which states that the administrator of such Benchmark (or such component) has ceased or will cease to provide all Available Tenors of such Benchmark (or such component thereof) permanently or indefinitely, provided that, at the time of such statement or publication, there is no successor administrator that will continue to provide any Available Tenor of such Benchmark (or such component thereof); or

(3)                a public statement or publication of information by the regulatory supervisor for the administrator of such Benchmark (or the published component used in the calculation thereof) announcing that all Available Tenors of such Benchmark (or such component thereof) are no longer representative.

For the avoidance of doubt, a “Benchmark Transition Event” will be deemed to have occurred with respect to any Benchmark if a public statement or publication of information set forth above has occurred with respect to each then-current Available Tenor of such Benchmark (or the published component used in the calculation thereof).

“Benchmark Unavailability Period” means the period (if any) (x) beginning at the time that a Benchmark Replacement Date pursuant to clauses (1) or (2) of that definition has occurred if, at such time, no Benchmark Replacement has replaced the then-current Benchmark for all purposes hereunder and under any Loan Document in accordance with Section 2.15 and (y) ending at the time that a Benchmark Replacement has replaced the then-current Benchmark for all purposes hereunder and under any Loan Document in accordance with Section 2.15.

“Beneficial Owner” has the meaning given to that term in Rule 13d-3 and Rule 13d-5 under the Exchange Act, except that in calculating the beneficial ownership of any particular “person” (as that term is used in Section 13(d)(3) of the Exchange Act), such “person” will not be deemed to have beneficial ownership of any securities that such “person” has the right to acquire or vote only upon the happening of any future event or contingency (including the passage of time) that has not yet occurred. The terms “Beneficially Own”, “Beneficially Owned” and “Beneficial Ownership” each shall have a corresponding meaning.

“Beneficial Ownership Certificate” means a certificate regarding Beneficial Ownership as required by the Beneficial Ownership Regulation.

“Beneficial Ownership Regulation” means 31 C.F.R. § 1010.230.

“Benefit Plan” means any of (a) an “employee benefit plan” (as defined in ERISA) that is subject to Title I of ERISA, (b) a “plan” as defined in and subject to Section 4975 of the Code or (c) any Person whose assets include (for purposes of ERISA Section 3(42) or otherwise for purposes of Title I of ERISA or Section 4975 of the Code) the assets of any such “employee benefit plan” or “plan”.

“BHC Act Affiliate” of a party means an “affiliate” (as such term is defined under, and interpreted in accordance with, 12 U.S.C. 1841(k)) of such party.

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

“Board of Directors” means, as to any Person, the board of directors, board of managers or other governing body of such Person, or if such Person is owned or managed by a single entity, the board of directors, board of managers or other governing body of such entity. The term “directors” means the members of the Board of Directors.

“Borrower” has the meaning assigned to such term in the recitals to this Agreement.

“Borrower Materials” has the meaning assigned to such term in Section 9.17(1).

“Borrowing” means Loans of the same Class and Type, made, converted or continued on the same date and, in the case of Eurocurrency Loans, as to which a single Interest Period is in effect.

“Borrowing Minimum” means $500,000 or such lower amount reasonably agreed by the Administrative Agent.

“Borrowing Multiple” means $250,000 or such lower amount reasonably agreed by the Administrative Agent.

“Borrowing Request” means a request by the Borrower in accordance with the terms of Section 2.03 and substantially in the form of Exhibit C-1.

“Budget” has the meaning assigned to such term in Section 5.04(5).

“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 and, if such day relates to any fundings, disbursements, settlements or payments in connection with a Eurocurrency Loan or Letter of Credit, any such day that is also a day for trading by and between banks in Dollar deposits in the London interbank currency markets.

“Capital Expenditures” means, for any period, the aggregate of all expenditures (whether paid in cash or accrued as liabilities and including in all events all amounts expended or capitalized under Capitalized Leases) incurred by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices during such period that, in accordance with GAAP, are or should be included as capital expenditures on the consolidated statement of cash flows of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period; provided that Capital Expenditures will not include:

(1)                expenditures to the extent they are made with (a) Equity Interests of the Borrower or (b) proceeds of the issuance of Equity Interests of, or a cash capital contribution to, the Borrower after the Closing Date;

(2)                expenditures with proceeds of insurance settlements, condemnation awards and other settlements in respect of lost, destroyed, damaged or condemned assets, equipment or other property to the extent such expenditures are made to replace or repair such lost, destroyed, damaged or condemned assets, equipment or other property or otherwise to acquire, maintain, develop, construct, improve, upgrade or repair assets or properties useful in the business of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices;

(3)                interest capitalized during such period;

(4)                expenditures that are accounted for as capital expenditures of such Person and that actually are paid for by a third party (excluding the Borrower, any Restricted Subsidiary and any Physician-Owned Practice) and for which none of the Borrower, any Restricted Subsidiary or any Physician-Owned Practice has provided or is required to provide or incur, directly or indirectly, any consideration or obligation to such third party or any other Person (whether before, during or after such period) (it being understood that notwithstanding the foregoing, landlord financed improvements to leased Real Properties shall be excluded from “Capital Expenditures” pursuant to this clause (4));

(5)                the book value of any asset owned by the Borrower, any Restricted Subsidiary or any Physician-Owned Practice prior to or during such period to the extent that such book value is included as a Capital Expenditure during such period as a result of such Person reusing or beginning to reuse such asset during such period without a corresponding expenditure actually having been made in such period; provided that any expenditure necessary in order to permit such asset to be reused will be included as a Capital Expenditure during the period that such expenditure is actually made;

(6)                the purchase price of equipment purchased during such period to the extent the consideration therefor consists of any combination of (a) used or surplus equipment traded in at the time of such purchase or (b) the proceeds of a concurrent sale of used or surplus equipment, in each case, in the ordinary course of business;

(7)                Investments in respect of a Permitted Acquisition;

(8)                the Acquisition;

(9)                the purchase of property, plant or equipment to the extent purchased with the proceeds of Asset Sales that are not applied to prepay Term Loans pursuant to Section 2.12; or

(10)            Capitalized Software Expenditures.

“Capitalized Software Expenditures” shall mean, for any period, the aggregate of all expenditures (whether paid in cash or accrued as liabilities) by a Person and its Restricted Subsidiaries and, in the case of the Borrower, the Physician-Owned Practices, during such period in respect of purchased software or internally developed software and software enhancements that, in conformity with GAAP, are or are required to be reflected as capitalized costs on the consolidated balance sheet of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices.

“Capital Lease” means, with respect to any Person, any lease of, or other arrangement conveying the right to use, any Property by such Person as lessee that has been or is required to be accounted for as a capital lease on a balance sheet of such Person prepared in accordance with GAAP; provided that for all purposes hereunder the amount of obligations under any Capitalized Lease shall be the amount thereof accounted for as a liability in accordance with GAAP.

“Capital Lease Obligations” means, with respect to any Capital Lease of any Person, the amount of all obligations of such Person that would be required to be capitalized on a balance sheet of such Person prepared in accordance with GAAP.

“Capital Stock” means:

(1)                in the case of a corporation, corporate stock;

(2)                in the case of an association or business entity, any and all shares, interests, participations, rights or other equivalents (however designated) of corporate stock;

(3)                in the case of a partnership or limited liability company, partnership or membership interests (whether general or limited); and

(4)                any other interest or participation that confers on a Person the right to receive a share of the profits and losses of, or distributions of assets of, the issuing Person.

“Captive Insurance Company” means a Wholly Owned Subsidiary of the Borrower created solely for providing self-insurance for the Borrower and its Subsidiaries and engaging in no other activities other than activities ancillary thereto and necessary for the maintenance of corporate existence.

“CareMax” has the meaning assigned to such term in the recitals hereof.

“CareMax Representative” has the meaning assigned to such term in the definition of “PPP Escrow Agreement”.

“cash collateralize” means to deposit, or designate funds previously deposited, in a deposit account subject to control of the Administrative Agent or the Collateral Agent or the applicable Issuing Bank, solely for the benefit of the applicable Issuing Bank or the Revolving Lenders, as collateral for Letters of Credit or obligations of Revolving Lenders to fund participations in respect of Letters of Credit, cash, Cash Equivalents or deposit account balances in an aggregate amount equal to 103% of the maximum amount available to be drawn under such Letters of Credit, in each case pursuant to documentation in form and

substance reasonably satisfactory to the applicable Issuing Bank (which documents are hereby consented to by the Lenders). “cash collateral” shall have a meaning correlative to the foregoing.

“Cash Equivalents” means:

(1)                Dollars or, in the case of any Foreign Subsidiary, any local currencies held by it from time to time in the ordinary course of business and not for speculation;

(2)                direct obligations of the United States of America or obligations guaranteed by the United States of America, in each case, with maturities not exceeding two years;

(3)                time deposits, eurodollar time deposits, certificates of deposit and money market deposits, in each case, with maturities not exceeding one year from the date of acquisition thereof, and overnight bank deposits, in each case, with any commercial bank having capital, surplus and undivided profits of not less than $250,000,000;

(4)                repurchase obligations for underlying securities of the types described in clause (2) or (3) above or clause (6) below entered into with a bank meeting the qualifications described in clause (3) above;

(5)                commercial paper or variable or fixed rate notes maturing not more than one year after the date of acquisition issued by a corporation rated at least “P-1” by Moody’s or “A-1” by S&P (or reasonably equivalent ratings of another internationally recognized rating agency);

(6)                securities with maturities of two (2) years or less from the date of acquisition issued or fully guaranteed by any state, commonwealth or territory of the United States of America, or by any political subdivision or taxing authority thereof, having one of the two highest rating categories obtainable from either Moody’s or S&P (or reasonably equivalent ratings of another internationally recognized rating agency);

(7)                Indebtedness issued by Persons with a rating of at least “A-2” by Moody’s or “A” by S&P (or reasonably equivalent ratings of another internationally recognized rating agency), in each case, with maturities not exceeding one year from the date of acquisition, and marketable short-term money market and similar securities having a rating of at least “P-2” or “A-2” from either Moody’s or S&P (or reasonably equivalent ratings of another internationally recognized rating agency);

(8)                Investments in money market funds with average maturities of twelve (12) months or less from the date of acquisition that are rated “Aaa3” by Moody’s and “AAA” by S&P (or reasonably equivalent ratings of another internationally recognized rating agency);

(9)                instruments equivalent to those referred to in clauses (1) through (8) above denominated in any foreign currency comparable in credit quality and tenor to those referred to above customarily utilized in the countries where any such Restricted Subsidiary is located or in which such Investment is made; and

(10)            shares of mutual funds whose investment guidelines restrict 95% of such funds’ investments to those satisfying the provisions of clauses (1) through (9) above.

“Cash Management Bank” means any provider of Cash Management Services that, at the time such Cash Management Obligations were entered into or, if entered into prior to the Closing Date, on the Closing Date, was an Agent, a Lead Arranger or a Lender or an Affiliate of the foregoing, whether or not such Person subsequently ceases to be an Agent, a Lead Arranger or a Lender or an Affiliate of the foregoing.

“Cash Management Obligations” means obligations owed by any Loan Party to any Cash Management Bank in respect of or in connection with Cash Management Services and designated by the

Cash Management Bank and the Borrower in writing to the Administrative Agent as “Cash Management Obligations” under this Agreement (which designation shall include a certification by such Cash Management Bank that it is eligible to be a Cash Management Bank in accordance with the definition thereof and such Cash Management Bank’s agreement to be bound by Section 8.01, 8.03 and 8.07 hereof).

“Cash Management Services” means any treasury or cash management services (including, without limitation, controlled disbursement, automated clearing house transactions, return items, overdrafts and interstate depository network services), depository, pooling, netting, stored value card, purchase card (including so called “procurement card” or “P-card”), debit card, credit card, Worldwide Interbank Financial Telecommunication transfers, operational foreign exchange management, dealer incentive, supply chain finance services (including, without limitation, trade payable services and supplier accounts receivables purchases) and similar services.

“Cash Netting Cap” means $30,000,000.

“Cash Receipts” shall mean all cash received by or on behalf of the Loan Parties, including, without limitation: (a) cash representing operating revenue earned or to be earned by the Loan Parties; (b) proceeds from Loans and (c) any other cash received by the Loan Parties from whatever source (including amounts received in respect of the liquidation of any Hedge Agreements and amounts received in respect of any disposition of assets), other than amounts described in the definition of “Excluded Accounts” which are deposited in Excluded Accounts.

“Casualty Event” means any event that gives rise to the receipt by the Borrower or any Restricted Subsidiary of any insurance proceeds or condemnation awards in respect of any equipment, fixed assets or Real Property (including any improvements thereon) to replace or repair such equipment, fixed assets or Real Property.

“Certain Funds Provision” has the meaning given to such term in the Commitment Letter.

“CFC” means a controlled foreign corporation within the meaning of Section 957 of the Code.

A “Change in Control” will be deemed to occur if any person or “group” (within the meaning of Rules 13d-3 and 13d-5 under the Exchange Act, but excluding any employee benefit plan of such Person and its subsidiaries and any Person or entity acting in its capacity as trustee, agent or other fiduciary or administrator of any such plan), other than the Permitted Holders, acquires Beneficial Ownership of Voting Stock of the Borrower representing (a) more than 35% of the aggregate ordinary voting power for the election of directors represented by the issued and outstanding Equity Interests of the Borrower (determined on a fully diluted basis but without giving effect to contingent voting rights that have not yet vested) and (b) more than the percentage of the aggregate ordinary voting power for the election of directors that is at the time Beneficially Owned, directly or indirectly, by the Permitted Holders, taken together (determined on a fully diluted basis but without giving effect to contingent voting rights that have not yet vested).

“Change in Law” means:

(1)                the adoption of any law, rule or regulation (including, without limitation, any rule or regulation adopted by the NAIC or its Securities Valuation Office) after the Closing Date;

(2)                any change in any law, rule or regulation or in the interpretation or application thereof by any Governmental Authority (including, without limitation, any rule or regulation adopted by the NAIC or its Securities Valuation Office) after the Closing Date; or

(3)                compliance by any Lender (or, for purposes of Section 2.16(2), by any Lending Office of such Lender or by such Lender’s holding company, if any) with any written request, guideline or directive (whether or not having the force of law) of any Governmental Authority (including, without limitation, any rule or regulation adopted by the NAIC or its Securities Valuation Office), made or issued after the Closing Date; provided that, notwithstanding anything herein to the contrary, (a) the Dodd-Frank Wall Street Reform and Consumer Protection Act and all requests, rules, guidelines or directives promulgated thereunder or issued in connection therewith and (b) all requests, rules, guidelines or directives promulgated by the Bank for International Settlements, the Basel Committee on Banking Supervision (or any successor or similar authority) or the United States of America or foreign regulatory authorities, in each case pursuant to Basel III, in each case will be deemed to be a “Change in Law,” regardless of the date enacted, adopted, promulgated or issued.

“Charges” has the meaning assigned to such term in Section 9.09.

“Class” means, with respect to an Initial Term Loan Facility, DDTL Facility or Revolving Facility, (a) when used with respect to Lenders, the Lenders under such Initial Term Loan Facility, DDTL Facility or Revolving Facility, as applicable and (b) when used with respect to Loans, Commitments or Borrowings, Loans, Commitments or Borrowings under such Initial Term Loan Facility, DDTL Facility or Revolving Facility, as applicable.

“Closing Date” means June 8, 2021.

“Closing Date Refinancing” means the repayment, redemption, defeasance, discharge, refinancing or termination in full of all of the existing indebtedness of the Acquired Businesses (excluding certain indebtedness permitted to remain outstanding after the Closing Date in accordance with this Agreement and the other Loan Documents), the termination of all commitments in respect thereof, and the discharge and release all security and guaranties in respect thereof.

“Code” means the Internal Revenue Code of 1986, as amended from time to time, and the regulations promulgated and rulings issued thereunder.

“Collaboration Agreement” means a collaboration agreement to be entered into on or after the Closing Date between the Borrower or one or more of its Restricted Subsidiaries and a commercial health insurance payor (“Payor”) pursuant to which Payor will make unsecured loans, defer rent obligations or make other unsecured credit extensions to the Borrower or one or more of its Restricted Subsidiaries to finance the establishment of de novo facilities, including costs and expenses incurred in connection with entering into a Management Services Agreement and other similar agreements in respect of any Physician-Owned Practice which will operate such facilities.

“Collateral” means the “Collateral” as defined in the Collateral Agreement and also includes all other property that is subject to any Lien in favor of the Collateral Agent for the benefit of the Secured Parties pursuant to any Security Document (but in any event excluding the Excluded Assets).

“Collateral Agent” means Royal Bank of Canada, in its capacity as Collateral Agent for itself and the other Secured Parties, and any duly appointed successor in that capacity.

“Collateral Agreement” means the Guarantee and Collateral Agreement dated as of the Closing Date, among the Loan Parties and the Collateral Agent.

“Co-Managers” means Deutsche Bank Securities Inc. and Keybank National Association, each in its capacity as a co-manager.

“Commitment” means a Term Commitment or a Revolving Facility Commitment, as the context may require.

“Commitment Fees” means, collectively, the DDTL Facility Commitment Fees together with the Revolving Facility Commitment Fees.

“Commitment Letter” means that certain Amended and Restated Commitment Letter, dated as of March 8, 2021, by and among the Borrower, Royal Bank of Canada, RBC Capital Markets, LLC, Truist Bank, Truist Securities, Inc., Citizens Bank NA, Regions Bank, Capital One, N.A., Fifth Third Bank, National Association, Deutsche Bank AG New York Branch, Deutsche Bank Securities Inc., Keybank National Association and BankUnited, N.A.

“Commodity Exchange Act” means the Commodity Exchange Act (7 U.S.C. § 1 et seq.), as amended from time to time, and any successor statute.

“Company” and “Companies” each has the meaning assigned to such term in the recitals hereto.

“Connection Income Taxes” means Other Connection Taxes that are imposed on or measured by net income (however denominated) or that are franchise Taxes or branch profits Taxes.

“Consolidated Cash Interest Expense” means, for any period, the cash Consolidated Interest Expense of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period, including all cash commissions, discounts and other fees and charges owed with respect to letters of credit and bankers’ acceptance financings and net cash costs under Hedge Agreements, but excluding:

(1)                amortization of deferred financing costs, debt issuance costs, commissions, fees and expenses and any other amounts of non-cash interest (including as a result of the effects of acquisition method accounting or pushdown accounting);

(2)                any fees (including any periodic agency fees) and expenses associated with the Transactions, any Asset Sale or other disposition, acquisition, Investment, equity issuances or debt issuances (in each case, whether such transaction is consummated or not);

(3)                non-cash interest expense attributable to the movement of the mark-to-market valuation of obligations under Hedging Transactions or other derivative instruments pursuant to FASB Accounting Standards Codification No. 815-Derivatives and Hedging;

(4)                any one-time cash costs associated with breakage in respect of Hedge Agreements for interest rates;

(5)                any “additional interest” owing pursuant to a registration rights agreement with respect to any securities;

(6)                any payments with respect to make-whole premiums or other breakage costs of any Indebtedness, including, without limitation, any Indebtedness issued in connection with the Transactions;

(7)                penalties and interest relating to taxes;

(8)                accretion or accrual of discounted liabilities not constituting Indebtedness;

(9)                any expense resulting from the discounting of Indebtedness in connection with the application of recapitalization or purchase accounting;

(10)            pay-in-kind interest expense of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices payable pursuant to the terms of the agreements governing such debt for borrowed money;

(11)            commissions, discounts, yield and other fees and charges (including any interest expense) related to any inventory financing agreement;

(12)            any interest expense attributable to the exercise of appraisal rights and the settlement of any claims or actions (whether actual, contingent or potential) with respect thereto and with respect to any acquisition or Investment not prohibited by the terms of the Loan Documents; and

(13)            any other non-cash items included in determining Consolidated Interest Expense,

in each case, as calculated on a consolidated basis in accordance with GAAP, provided that only cash interest items shall be taken into account in determining Consolidated Cash Interest Expense for the purposes of this definition.

“Consolidated Debt” means, as of any date, the sum (without duplication) of all outstanding Indebtedness (other than letters of credit or bank guarantees, to the extent undrawn) consisting of Indebtedness for borrowed money, Capital Lease Obligations, purchase money Indebtedness, deferred purchase price, similar payment obligations and earnouts of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices and all Guarantees of the foregoing, in each case, to the extent the same would be required to be shown as a long-term liability on a balance sheet prepared on a consolidated basis in accordance with GAAP, based upon the financial statements for the most recent four fiscal quarter period for which Required Financial Statements have been delivered (or were required to be delivered), in each case, calculated on a Pro Forma Basis, as such amount may be adjusted to reflect the effect (as determined by the Borrower in good faith) of any Hedge Agreement or other derivative instrument entered into in respect of the currency exchange risk relating to such Indebtedness, calculated on a mark-to-market basis; provided, however, Consolidated Debt shall exclude (a) deferred purchase price, similar payment obligations and earnouts of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices (including those incurred or created in connection with a Permitted Acquisition or other permitted Investment (excluding any obligations in connection with employment or severance arrangements)), in each case, to the extent not overdue by five (5) or more Business Days and the amount payable is not subject to good faith dispute and, for the avoidance of doubt, excluding working capital or other purchase price adjustments, true-up payments, holdbacks, expense reimbursements or indemnification obligations and (b) the principal amount of any PPP Loans outstanding on the Closing Date to the extent the Borrower shall have deposited cash collateral in respect of the unpaid principal of, and interest on such PPP Loans into one or more escrow accounts subject to the control of the PPP Escrow Agent on behalf of the PPP Lender of such PPP Loans.

“Consolidated EBITDA” means, for any period, the Consolidated Net Income of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices on a consolidated basis for such period:

(1)                increased, in each case to the extent deducted in calculating such Consolidated Net Income (other than in respect of clause (k)) (and without duplication), by:

(a)                provision for taxes based on income, profits or capital, including foreign, federal, state, local, provincial, territorial, franchise, excise, property, value added, withholding and similar taxes and foreign withholding taxes paid or accrued, including any penalties and interest relating to any tax examinations, and state taxes in lieu of business fees (including business license fees) and payroll tax credits, income tax credits and similar tax credits, and including an amount equal to the amount of tax distributions actually made to the holders of Equity Interests of the Borrower in respect of such period (in each case, to the extent attributable to the operations of the Borrower and its Subsidiaries), which will be included as though such amounts had been paid as income taxes directly by the Borrower; plus

(b)                Consolidated Interest Expense; plus

(c)                all depreciation and amortization losses, charges and expenses; plus

(d)           all

(i)                 losses, charges and expenses relating to the Transactions;

(ii)               transaction fees, costs and expenses incurred in connection with the consummation of any transaction that is out of the ordinary course of business (or any transaction proposed but not consummated and including any such transaction consummated prior to the Closing Date) permitted under this Agreement, including equity issuances (including any expense relating to enhanced accounting functions or other transaction costs associated with being a public company, including Public Company Costs), investments, acquisitions, asset sales or other dispositions, recapitalizations, consolidations, mergers, amalgamations, option buyouts and the incurrence, modification or repayment of Indebtedness permitted to be incurred under this Agreement (including any Permitted Refinancing Indebtedness in respect thereof) or any amendments, waivers or other modifications under the agreements relating to such Indebtedness or similar transactions; provided, that, that the aggregate amount added back under this clause (d)(ii), clauses (i), (k) and (l)(II) below and clause (2) of the definition of “Pro Forma Basis” shall not exceed 25.0% of Consolidated EBITDA of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for the four fiscal quarter period ending on the last day of such period (the “Expenses and Synergies Cap”) (calculated on a Pro Forma Basis and after giving effect to any such add-backs);

(iii)             transaction fees, costs and expenses incurred in connection with any amendments, waivers or other modifications to the Credit Documents;

(iv)              without duplication of any of the foregoing, non-operating or non-recurring professional fees, costs and expenses for such period;

(v)                costs and expenses related to, or incurred in connection with, business or facilities (including de novo facilities) start-up, opening, pre-opening, transition, consolidation, shut-down and closing, including costs and expenses incurred in connection with entering into Management Services Agreements and other similar agreements in respect of Physician-Owned Practices and/or to ensure that such agreements comply with all applicable laws; provided that the aggregate amount added back under this clause (d)(v) shall not exceed 25.0% of Consolidated EBITDA of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for the four fiscal quarter period ending on the last day of such period (calculated on a Pro Forma Basis and after giving effect to any such add-backs);

(vi)              fees and expenses (including, but not limited to, travel expenses) of, and indemnification payments paid to, board members, board advisors and board observers, and all fees, costs and expenses relating to directors and officers insurance; and

(vii)            proceeds from business interruption insurance (to the extent not reflected as revenue or income in Consolidated Net Income and to the extent that the related loss was deducted in the determination of Consolidated Net Income); plus

(e)                minority interest expense or deduction attributable to minority Equity Interests or non-controlling interests of third parties in any non-Wholly Owned Restricted Subsidiary; plus

(f)                 non-cash earn-out obligations, deferred purchase price or other adjustments of purchase price or, in each case, similar obligations and expenses related thereto incurred in connection with any Permitted Acquisition or other Investment; plus

(g)                all charges, costs, expenses, accruals or reserves in connection with the rollover, acceleration or payout of Equity Interests held by officers or employees of the Borrower and all losses, charges and expenses related to payments made to holders of options or other derivative Equity Interests in the common equity of the Borrower in connection with, or as a result of, any distribution being made to equityholders of such Person or any of its direct or indirect parents, which payments are being made to compensate such option holders as though they were equityholders at the time of, and entitled to share in, such distribution; plus

(h)                all non-cash charges, expenses or losses, including, without limitation, any non-cash expense relating to the vesting of warrants (provided that if any such non-cash charges, expenses or losses represent an accrual or reserve for potential cash items in any future period, (I) the Borrower may determine not to add back such non-cash charges in the current period or (II) to the extent the Borrower decides to add back such non-cash charges, the cash payment in respect thereof in such future period shall be subtracted from Consolidated EBITDA to such extent, and excluding amortization of a prepaid cash item that was paid in a prior period);

(i)                 all losses, charges, expenses, costs, accruals or reserves of any kind (i) attributable to the planning, undertaking and/or implementation of cost savings or strategic initiatives, business optimization, cost rationalization programs, operating expense reductions and/or other initiatives, actions or synergies (including, without limitation, in connection with any integration, restructuring or transition), (ii) relating to the closure or consolidation of any facility and/or discontinued operations (including but not limited to severance, rent termination costs, moving costs and legal costs), any systems implementation, any software development, any expansion and/or relocation or any entry into a new market, or (iii) relating to any severance, any signing, retention or completion bonus, or any modification to any pension and post-retirement employee benefit plan, indemnities and expenses, including, without limitation, any one time expense relating to enhanced accounting function or other transaction costs, including those associated with becoming a standalone entity or a public company (including, for the avoidance of doubt, any one time Public Company Cost and any one time cost related to any Permitted Acquisition); provided that the aggregate amount added back under this clause (i), clause (d)(ii) above, clauses (k) and (l)(II) below and clause (2) of the definition of “Pro Forma Basis” shall not exceed the Expenses and Synergies Cap for the four fiscal quarter period ending on the last day of such period (calculated on a Pro Forma Basis and after giving effect to any such add-backs); plus

(j)                 all non-cash losses, charges and expenses, including any write-offs or write-downs; provided that if any such non-cash charge represents an accrual or reserve for potential cash items in any future four-fiscal quarter period (i) the Borrower may determine not to add back such non-cash charge in the period for which Consolidated EBITDA is being calculated and (ii) to the extent the Borrower does decide to add back such non-cash charge, the cash payment in respect thereof in such future four-fiscal quarter period will be subtracted from Consolidated EBITDA for such future four-fiscal quarter period; plus

(k)                (i) pro forma “run rate” cost savings, operating expense reductions, restructuring charges and synergies related to operational efficiencies, strategic and cost saving initiatives, purchasing improvements, contract arbitrage, acquisitions, divestitures, other specified transactions, restructurings, cost savings initiatives and other initiatives and actions that are related to or resulting from the Transactions, reasonably expected by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices to be realized within 18 months of the date of such calculation (without duplication of the amount of actual benefits realized during such period from such actions), which cost savings, operating expense reductions, restructuring charges and synergies are factually supportable and reasonably identifiable in the good faith determination of the Borrower, as certified in writing by a Financial Officer of the Borrower plus (ii) pro forma “run rate” cost savings, operating expense reductions, restructuring charges and synergies related to operational efficiencies, strategic and cost saving initiatives, purchasing improvements, acquisitions, divestitures, other specified transactions, restructurings and other initiatives and actions, in each case, reasonably expected by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices to be realized within 18 months of the date of such calculation (without duplication of the amount of actual benefits realized during such period from such actions), which cost savings, operating expense reductions, restructuring charges and synergies are factually supportable and reasonably identifiable in the good faith determination of the Borrower, as certified in writing by a Financial Officer of the Borrower; provided that the aggregate amount added back under this clause (k), clauses (d)(ii) and (i) above, clause (l)(II) below and clause (2) of the definition of “Pro Forma Basis” shall not exceed the Expenses and Synergies Cap for the four fiscal quarter period ending on the last day of such period (calculated on a Pro Forma Basis and after giving effect to any such add-backs);

(l)                 without duplication, adjustments and add-backs (which add-backs and adjustments shall not, for the avoidance of doubt, be limited to the time periods in respect of which such add-backs and adjustments were reflected therein) (I) reflected in the Financial Model and/or (II) other adjustments and add-backs that are of the type contained in a quality of earnings report made available to the Administrative Agent prepared by financial advisors (which financial advisors are (A) nationally recognized or (B) reasonably acceptable to the Administrative Agent (it being understood and agreed that any of the “Big Four” accounting firms are acceptable)) and retained by a Loan Party; provided that the aggregate amount added back under this clause (l)(II), clauses (d)(ii), (i) and (k) above and clause (2) of the definition of “Pro Forma Basis” shall not exceed the Expenses and Synergies Cap for the four fiscal quarter period ending on the last day of such period (calculated on a Pro Forma Basis and after giving effect to any such add-backs); and

(2)                decreased, without duplication and to the extent increasing such Consolidated Net Income for such period, by non-cash gains (excluding any non-cash gains that represent the reversal of any accrual of, or cash reserve for, anticipated cash charges that were deducted (and not added back) in the calculation of Consolidated EBITDA for any prior period ending after the Closing Date).

Notwithstanding the foregoing, the Consolidated EBITDA of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for the fiscal quarters ended:

(i)                June 30, 2020 will be deemed to be $13,000,000;

(ii)              September 30, 3020 will be deemed to be $14,500,000;

(iii)             December 31, 2020 will be deemed to be $13,200,000; and

(iv)             March 31, 2021 will be deemed to be $7,300,000.

it being understood that the amounts listed in the foregoing clauses (i), (ii), (iii) and (iv) do not give effect to the adjustments provided for in the definition of Pro Forma Basis for any transactions or events occurring after the Closing Date.

“Consolidated First Lien Net Debt” means, as of any date, all Consolidated Debt as of such date that is secured by a Lien on the Collateral (or in the case of Consolidated Debt of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices consisting of purchase money Indebtedness or Capital Lease Obligations, assets of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices secured thereby) that is pari passu with the Lien securing the Obligations (or, as applicable, secured on a “first priority” basis), minus all Unrestricted Cash of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices as of such date in an amount not to exceed the Cash Netting Cap, in each case, determined based upon the financial statements for the most recent four fiscal quarter period for which Required Financial Statements have been delivered (or were required to be delivered), in each case, calculated on a Pro Forma Basis; provided that for purposes of calculating the amount of Consolidated First Lien Net Debt with respect to any Indebtedness being incurred in reliance on compliance with any financial ratio-based incurrence test, Unrestricted Cash will not include any proceeds received from such Indebtedness.

“Consolidated Interest Expense” means, for any period, with respect to the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices on a consolidated basis, the sum, without duplication, of:

(1)                the aggregate interest expense of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period, calculated on a consolidated basis in accordance with GAAP, to the extent such expense was deducted in computing Consolidated Net Income (including pay-in-kind interest payments, amortization of original issue discount, the interest component of Capital Lease Obligations and net payments and receipts (if any) pursuant to Hedge Agreements relating to interest rates (other than in connection with the early termination thereof) but excluding any non-cash interest expense attributable to the movement in the mark-to-market valuation of hedging obligations, all amortization and write-offs of deferred financing fees, debt issuance costs, commissions, fees and expenses and expensing of any bridge, commitment or other financing fees); plus

(2)                consolidated capitalized interest of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period, whether paid or accrued; plus

(3)                any amounts paid or payable in respect of interest on Indebtedness the proceeds of which have been contributed to the Borrower and that has been Guaranteed by the Borrower, the Restricted Subsidiaries and/or any of the Physician-Owned Practices; less

(4)                interest income of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period;

provided that when determining Consolidated Interest Expense in respect of any four-quarter period ending prior to the first anniversary of the Closing Date, Consolidated Interest Expense will be calculated by multiplying the aggregate Consolidated Interest Expense accrued since the Closing Date by 365 and then dividing such product by the number of days from and including the Closing Date to and including the last day of such period. For purposes of this definition, interest on Capital Lease Obligations will be deemed to accrue at the interest rate reasonably determined by a Responsible Officer of the Borrower to be the rate of interest implicit in such Capital Lease Obligations in accordance with GAAP.

“Consolidated Net Income” means, for any period, the aggregate amount of the net income (or loss) of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period, calculated on a consolidated basis in accordance with GAAP and before any deduction for preferred stock dividends; provided that:

(1)                all net after-tax extraordinary, exceptional, nonrecurring or unusual gains, losses, income, expenses, costs, accruals, charges and reserves of any kind, and in any event including all Transaction Costs, restructuring (whether or not classified as restructuring expense on the consolidated financial statements) (other than restructuring charges and synergies related to operational efficiencies), severance, rent, relocation, retention, consolidation or other similar charges and expenses, one-time charges (including compensation charges), contract termination costs, litigation and other legal and arbitration costs, excess pension charges, system establishment charges, expenses related to any reconstruction, decommissioning, recommissioning or reconfiguration of fixed assets for alternative uses, fees, expenses or charges relating to curtailments or modifications to pension and post-retirement employee benefit plans in connection with the Transactions or otherwise, and any fees, expenses, charges or change in control payments related to the Transactions or otherwise (including any transition-related expenses incurred before, on or after the Closing Date), will be excluded;

(2)                all net after-tax income, loss, expense or charge from abandoned, closed or discontinued operations and any net after tax gain or loss on the disposal of abandoned, closed or discontinued operations will be excluded;

(3)                all net after-tax gain, loss, expense or charge attributable to business dispositions (including Equity Interests of any Person), asset dispositions, abandonments or the designation of an Unrestricted Subsidiary other than in the ordinary course of business (as determined in good faith by a Responsible Officer of the Borrower) will be excluded;

(4)                all net after-tax income, loss, expense or charge attributable to the early extinguishment, conversion or cancellation of Indebtedness, Hedge Agreements or other derivative instruments (including deferred financing costs written off, premiums paid or other expenses incurred) will be excluded;

(5)                all non-cash gain, loss, expense or charge attributable to the movement in the mark-to-market valuation of Hedge Agreements or other derivative instruments, including any ineffectiveness recognized in earnings related to hedge transactions or the fair value of changes therein recognized in earnings for derivatives that do not qualify as hedge transactions, will be excluded;

(6)                (a) the net income for such period of any Person that is not a Restricted Subsidiary of the referent Person, or that is accounted for by the equity method of accounting, will be included only to the extent of the amount of dividends or distributions or other payments that are or are permitted to be paid in cash (or converted into cash) to the referent Person or a Restricted Subsidiary thereof in respect of such period; and (b) the net income for such period will include any ordinary course dividends, distributions or other payments in cash received from any such Person during such period in excess of the amounts included in clause (a) hereof, in each case will be excluded;

(7)                the cumulative effect of a change in law, regulation or accounting principles and changes as a result of the adoption or modification of accounting policies, in each case during such period will be excluded;

(8)                the effects of purchase accounting, fair value accounting or recapitalization accounting adjustments (including the effects of such adjustments pushed down to the referent Person and its Restricted Subsidiaries) resulting from the application of purchase accounting, fair value accounting or recapitalization accounting in relation to the Transactions or any acquisition consummated before or after the Closing Date, and the amortization, write-down or write-off of any amounts thereof, net of taxes, will be excluded;

(9)                all impairment charges and asset write-ups, write-downs and write-offs or write-downs will be excluded;

(10)            all equity-based or non-cash compensation or similar charge, cost or expense or reduction of revenue, realized in connection with or resulting from stock option plans, employee benefit plans or agreements or post-employment benefit plans or agreements, or grants or sales of stock, stock appreciation or similar rights, stock options, restricted stock, preferred stock or similar rights will be excluded;

(11)            any costs or expenses incurred in connection with the payment of dividend equivalent rights to option holders pursuant to any management equity plan, stock option plan or any other management or employee benefit plan or agreement or post-employment benefit plan or agreement will be excluded;

(12)            accruals and reserves for liabilities (including contingent liabilities) or expenses that are established or adjusted as a result of the Transactions within eighteen (18) months after the Closing Date will be excluded;

(13)            all amortization and write-offs of deferred financing fees, debt issuance costs, commissions, fees and expenses and expensing of any bridge, commitment or other financing fees;

(14)            any non-cash currency translation gains and losses related to changes in currency exchange rates (including remeasurements of Indebtedness and any net loss or gain resulting from Hedge Agreements for currency exchange risk), will be excluded;

(15)            (a) the non-cash portion of “straight-line” rent expense will be excluded and (b) the cash portion of “straight-line” rent expense that exceeds the amount expensed in respect of such rent expense will be included;

(16)            expenses and lost profits with respect to liability or Casualty Events or business interruption will be disregarded to the extent covered by insurance (including business interruption insurance) and actually reimbursed, or, so long as such Person has made a determination that there exists reasonable evidence that such amount will in fact be reimbursed by the insurer, but only to the extent that such amount (a) has not been denied by the applicable insurer in writing and (b) is in fact paid or reimbursed within 365 days of the date on which such liability was discovered or such Casualty Event or business interruption occurred (with a deduction for any amounts so added back that are not reimbursed within such 365-day period); provided that any proceeds of such reimbursement when received will be excluded from the calculation of Consolidated Net Income to the extent the expense or lost profit reimbursed was previously disregarded pursuant to this clause (16);

(17)            losses, charges and expenses that are covered by indemnification or other reimbursement provisions in connection with any investment or any sale, conveyance, transfer or other asset disposition will be excluded to the extent actually reimbursed, or, so long as such Person has made a determination that a reasonable basis exists for indemnification or reimbursement, but only to the extent that such amount is in fact paid or reimbursed within 365 days of such determination (with a deduction in the applicable future period for any amount so added back to the extent not so indemnified or reimbursed within such 365 days);

(18)            non-cash charges, expenses, accruals or reserves related to adjustments to historical tax exposures and any deferred tax expense associated with tax deductions or net operating losses arising as a result of the Transactions, or the release of any valuation allowances will be excluded; and

(19)            any income or gain resulting from the forgiveness of any PPP Loans will be excluded.

In addition, to the extent not already included in the Consolidated Net Income of such Person and its Restricted Subsidiaries, notwithstanding anything to the contrary in the foregoing, Consolidated Net Income shall include the amount of: (i) proceeds actually received or reimbursed from business interruption insurance and (ii) reimbursements of any losses, charges and expenses pursuant to indemnification or other reimbursement provisions in connection with any Investment or any sale, conveyance, transfer or other disposition of assets, in each case, permitted under the terms hereof.

“Consolidated Total Net Debt” means, as of any date, all Consolidated Debt as of such date minus all Unrestricted Cash of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices as of such date in an amount not to exceed the Cash Netting Cap, in each case, determined based upon the financial statements for the most recent four fiscal quarter period for which Required Financial Statements have been delivered (or were required to be delivered), and calculated on a Pro Forma Basis; provided that for purposes of calculating the Consolidated Total Net Debt with respect to any Indebtedness being incurred in reliance on compliance with any financial ratio-based incurrence test, Unrestricted Cash will not include any proceeds received from such Indebtedness.

“continuing” means, with respect to any Default or Event of Default, that such Default or Event of Default has not been cured or waived.

“Contractual Obligation” means, as to any Person, any provision of any security issued by such Person or of any agreement, instrument or other undertaking to which such Person is a party or by which it or any of its property is bound.

“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 ownership of voting securities, by contract or otherwise, and the terms “Controlling” and “Controlled” will have correlative meanings.

“Control Agreement” means a deposit account control agreement, a securities account control agreement or a commodity account control agreement, as applicable, in form and substance reasonably satisfactory to the Collateral Agent, which provides the Collateral Agent with springing Control of a Deposit Account after the occurrence of an Event of Default, executed and delivered by the Borrower or another Loan Party, as applicable, and the applicable bank or securities intermediary at which such relevant account is maintained. As used in this definition of “Control Agreement”, “Control” shall have the meaning set forth in Article 8 or, if applicable, in Section 9-104, 9-105, 9-106 or 9-107 of Article 9 of the UCC.

“Corresponding Tenor” with respect to any Available Tenor means, as applicable, either a tenor (including overnight) or an interest payment period having approximately the same length (disregarding business day adjustment) as such Available Tenor.

“Covered Entity” means any of the following:

(1)                a “covered entity” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 252.82(b);

(2)                a “covered bank” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 47.3(b); or

(3)                a “covered FSI” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 382.2(b).

“Covered Party” has the meaning assigned to such term in Section 9.25.

“Credit Agreement Refinancing Indebtedness” means secured or unsecured Indebtedness of the Borrower in the form of one or more series of term loans, revolving commitments (and corresponding revolving loans) or notes; provided that:

(1)                such Indebtedness is incurred or otherwise obtained (including by means of the extension or renewal of existing Indebtedness) in exchange for, or to extend, renew, replace or refinance, in whole or part (and such exchange, extension, renewal, replacement or refinancing occurs substantially concurrently with such incurrence or obtainment), Indebtedness (“Refinanced Debt”) that is existing Term Loans, Revolving Loans or Revolving Facility Commitments or other Credit Agreement Refinancing Indebtedness;

(2)                such Indebtedness is in an original aggregate principal amount not greater than the principal amount of the Refinanced Debt (plus the amount of unpaid accrued or capitalized interest and premiums thereon (including tender premiums), underwriting discounts, defeasance costs, fees, commissions and expenses);

(3)                other than with respect to Customary Bridge Loans, (A) the Weighted Average Life to Maturity of such Indebtedness may not be shorter than the longest remaining Weighted Average Life to Maturity of the Refinanced Debt at the time of incurrence thereof unless the Lenders under any then existing Term Facility are also offered by the Borrower the same percentage amortization prepayments for each year at the corresponding times (less any amounts of any existing amortization for such applicable loans), provided that, for purposes of this clause (3), each such individual Lender will be deemed to have rejected such offer unless such Lender notifies the Administrative Agent that it has accepted such offer by 11:00 a.m., New York City time, three (3) Business Days (or such longer period which the Borrower agrees) after the date of such offer, and (B) the final maturity date of such Indebtedness is not earlier than the maturity date of the Refinanced Debt;

(4)                such Indebtedness may participate on a pro rata basis or on a less than pro rata basis (but not on a greater than pro rata basis) in any mandatory prepayments hereunder;

(5)                such Indebtedness is not secured by any assets or property of the Borrower or any Restricted Subsidiary that does not constitute Collateral (subject to customary exceptions for cash collateral in favor of an agent, letter of credit issuer or similar “fronting” lender);

(6)                such Indebtedness is not guaranteed by any Restricted Subsidiary that is not a Loan Party;

(7)                if such Indebtedness is secured:

(a)                if such Indebtedness is secured by Collateral on a pari passu basis with the Loans, a Debt Representative acting on behalf of the holders of such Indebtedness has become party to or is otherwise subject to the provisions of an Acceptable Intercreditor Agreement;

(b)                if such Indebtedness is secured by Collateral on a junior basis to the Loans, a Debt Representative, acting on behalf of the holders of such Indebtedness, has become party to or is otherwise subject to the provisions of an Acceptable Intercreditor Agreement;

(c)                the terms and conditions (except as otherwise provided in this definition) of such Indebtedness (including pricing and optional prepayment or redemption terms) shall be as otherwise agreed between the Borrower and the applicable Lenders of such Indebtedness; provided that, to the extent such terms and conditions of such Credit Agreement Refinancing Indebtedness are not consistent with the terms of the Initial Term Loans, the DDTLs and/or the Revolving Loans, as applicable, such terms and conditions shall either, at the option of the Borrower, (A) be reasonably satisfactory to the Administrative Agent or (B) reflect market terms and conditions, taken as a whole, at the time of incurrence, issuance or effectiveness thereof (as reasonably determined by the Borrower) (it being understood and agreed that (i) terms differing from those with respect to the relevant Facilities applicable solely to periods after the Latest Maturity Date existing at the time of such incurrence or issuance shall be deemed to be acceptable and (ii) if any more favorable provision is added for the benefit of any Credit Agreement Refinancing Indebtedness, such provision shall be deemed to be acceptable to the extent such provision is added for the benefit of the Initial Term Loan Facility, the DDTL Facility and/or the Revolving Facility, as applicable); and

(d)                such Indebtedness will include any Registered Equivalent Notes issued in exchange therefor.

“Credit Extension” means, as the context may require, (i) the making of a Loan by any Lender or (ii) the issuance of any Letter of Credit, or the amendment or extension of any outstanding Letter of Credit, by the applicable Issuing Bank.

“Cumulative Retained Excess Cash Flow Amount” means, as of any date, an amount determined on a cumulative basis, equal to the product of (i) the Excess Cash Flow for all Excess Cash Flow Periods ending after the Closing Date and prior to such date (with any negative Excess Cash Flow amount for any Excess Cash Flow Period deemed to be zero for such purposes) times (ii) a percentage equal to 100% minus the Required ECF Percentage.

“Cure Expiration Date” has the meaning assigned to such term in Section 7.02.

“Cure Right” has the meaning assigned to such term in Section 7.02.

“Current Assets” means, as of any date, all assets (other than cash, Cash Equivalents or other cash equivalents) that would, in accordance with GAAP, be classified on a consolidated balance sheet of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices as “current assets” (other than amounts related to current or deferred Taxes based on income or profits), determined based upon the then most recently ended Test Period and calculated on a Pro Forma Basis, but excluding: (i) Hedge Agreements to the extent that the mark-to-market Swap Termination Value would be reflected as an asset on the consolidated balance sheet of the Borrower and (ii) deferred financing fees.

“Current Liabilities” means, as of any date, all liabilities that would, in accordance with GAAP, be classified on a consolidated balance sheet of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices as “current liabilities,” other than:

(1)                any Revolving Facility Credit Exposure, Revolving Loans, Revolving L/C Exposure, Swing Line Loans or other revolving loans;

(2)                the current portion of any Indebtedness (including the Swap Termination Value of any Hedge Agreements);

(3)                accruals of Consolidated Interest Expense (excluding Consolidated Interest Expense that is due and unpaid);

(4)                accruals for current or deferred Taxes based on income or profits;

(5)                accruals, if any, of transaction costs resulting from the Transactions;

(6)                accruals of any costs or expenses related to (a) severance or termination of employees prior to the Closing Date or (b) bonuses, pension and other post-retirement benefit obligations or (c) restructuring reserves; and

(7)                any earn-out obligations, purchase price adjustments, deferred purchase money amounts, milestone and/or bonus payments (whether performance or time-based), in each case, characterized as such and, arising expressly out of purchase and sale contracts;

in each case, calculated on a Pro Forma Basis.

“Customary Bridge Loans” means customary bridge loans with a maturity date of no longer than one year that provides for an automatic extension or conversion into permanent loans or notes; provided that (a) the Weighted Average Life to Maturity of any loan or note which is exchanged for or otherwise replaces such bridge loans (including by way of automatic conversion) is not shorter than the Weighted Average Life to Maturity of the then existing Term Loans at the time of incurrence of such bridge loans and (b) the final maturity date of any loan or note which is exchanged for or otherwise replaces such bridge loans (including by way of automatic conversion) is not earlier than the Latest Maturity Date of the Term Loans on the date of the incurrence of such bridge loans.

“Daily Simple SOFR” means, for any day, SOFR, with the conventions for this rate (which will include a lookback) being established by the Administrative Agent in accordance with the conventions for this rate selected or recommended by the Relevant Governmental Body for determining “Daily Simple SOFR” for syndicated business loans; provided, that if the Administrative Agent decides that any such convention is not administratively feasible for the Administrative Agent, then the Administrative Agent may establish another convention in its reasonable discretion.

“DDTL Facility” means the DDTL Facility Commitments and the extensions of credit made hereunder by the DDTL Lenders.

“DDTL Facility Commitment” has the meaning assigned to such term in Section 2.01(2).

“DDTL Facility Commitment Expiration Date” means, with respect to the DDTL Facility Commitment of any DDTL Lender, the earliest of (a) the date on which the entire amount of the DDTL Facility Commitments has been drawn, (b) the date on which the DDTL Facility Commitments have been terminated in full or reduced to zero pursuant to Section 2.08(2) and (c) the six (6) month anniversary of the Closing Date.

“DDTL Facility Commitment Fee” has the meaning assigned to such term in Section 2.13(1)(b).

“DDTL Facility Credit Exposure” means, at any time, the aggregate principal amount of the DDTLs outstanding at such time. The DDTL Facility Credit Exposure of any DDTL at any time will be, subject to adjustment as expressly provided in Section 2.25, the product of (a) such DDTL Lender’s DDTL Facility Percentage and (b) the aggregate DDTL Facility Credit Exposure of all DDTLs, collectively, at such time.

“DDTL Facility Percentage” means, with respect to any DDTL, the percentage of the total DDTL Facility Commitments represented by such DDTL’s DDTL Facility Commitment. If the DDTL Facility Commitments have terminated or expired, the DDTL Facility Percentages will be determined based upon the DDTL Facility Commitments most recently in effect, giving effect to any assignments pursuant to Section 9.04.

“DDTL Lender” means each Lender with a DDTL Facility Commitment or who otherwise holds DDTLs.

“DDTLs” has the meaning assigned to such term in Section 2.01(2).

“Debt Fund Affiliate” means:

(1)                any Affiliate of the Borrower (other than (a) the Borrower and any of its Subsidiaries and (b) any natural person) that is a bona fide bank, diversified debt fund, distressed asset fund, hedge fund, mutual fund, insurance company, financial institution or an investment vehicle that is engaged in the business of making, purchasing, holding or otherwise investing in commercial loans, bonds and similar extensions of credit in the ordinary course, in each case, that is not organized primarily for the purpose of making equity investments;

(2)                any Affiliate, division or internal group of a Permitted Investor that has the principal purpose of investing in, acquiring or trading commercial loans, bonds or similar extensions of credit in the ordinary course;

(3)                any investment fund or account of a Permitted Investor managed by third parties (including by way of a managed account, a fund or an index fund in which a Permitted Investor has invested) or a division or internal group within a Permitted Investor that is not organized or used primarily for the purpose of making equity investments in portfolio companies, in each case, in the case of clauses (1), (2) and (3) with respect to which the Borrower does not, directly or indirectly, possess the power to direct or cause the direction of the investment policies of such entity; and

(4)                any fund or vehicle managed or advised by Deerfield Partners or any Affiliates thereof, that are not organized primarily for the purpose of making equity investments.

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

“Debt Representative” means, with respect to any Indebtedness that is secured on a pari passu basis with, or on a junior basis to, the Loans, the trustee, administrative agent, collateral agent, security agent or similar agent under the indenture or agreement pursuant to which such Indebtedness is issued, incurred or otherwise obtained, as the case may be, and each of their successors in such capacities.

“Deerfield Partners” has the meaning assigned to such term in the recitals hereof.

“Default” means any event or condition which, but for the giving of notice, lapse of time or both (if not cured, waived or otherwise remedied hereunder during such time), would constitute an Event of Default.

“Default Right” has the meaning assigned to that term in, and shall be interpreted in accordance with, 12 C.F.R. §§ 252.81, 47.2 or 382.1, as applicable.

“Defaulting Lender” means any Lender whose acts or failure to act, whether directly or indirectly, constitutes a Lender Default.

“Delaware Divided LLC” means any Delaware LLC which has been formed upon consummation of a Delaware LLC Division.

“Delaware LLC” means any limited liability company organized or formed under the laws of the State of Delaware.

“Delaware LLC Division” means the statutory division of any Delaware LLC into two or more Delaware LLCs pursuant to Section 18-217 of the Delaware Limited Liability Company Act.

“Deposit Account” shall have the meaning assigned to such term in the UCC; provided that, as used herein and in the other Loan Documents, the term “Deposit Account” shall include any “money market” or similar account into which Cash Receipts of one or more Loan Parties is deposited in the ordinary course of business, irrespective of whether any such account would otherwise constitute a “Securities Account” pursuant to the UCC.

“Designated Non-Cash Consideration” means the fair market value of non-cash consideration received by the Borrower or any Restricted Subsidiary in connection with an Asset Sale that is designated in writing as Designated Non-Cash Consideration, less the amount of cash or Cash Equivalents received in connection with a subsequent payment, redemption, retirement, sale or other disposition of such Designated Non-Cash Consideration. A particular item of Designated Non-Cash Consideration will no longer be considered to be outstanding when and to the extent it has been paid, redeemed, retired, sold or otherwise disposed of in compliance with Section 6.05 hereof.

“Disinterested Director” means, with respect to any Person and transaction, a member of the Board of Directors of such Person who does not have any material direct or indirect financial interest in or with respect to such transaction. A member of the Board of Directors shall be deemed not to have such a financial interest by reason of such member’s holding Equity Interests of the Borrower.

“Disqualified Institution” means:

(1)                any Person that is a competitor of the Borrower, any of its Subsidiaries or the Acquired Business and identified by the Borrower to the Lead Arrangers in writing from time to time;

(2)                any bank, financial institution or other Person that is identified by the Borrower in writing from time to time to the Lead Arrangers (if prior to the Closing Date) or to the Administrative Agent; and

(3)                any Affiliate of the entities described in the foregoing clauses (1) and (2), to the extent such Affiliate is clearly identifiable as such on the basis of such Affiliate’s name or has been identified as such by the Borrower to the Lead Arrangers in writing, in each case other than any such Affiliate that is a bona fide bank, diversified debt fund, distressed asset fund, hedge fund, mutual fund, insurance company, financial institution or an investment vehicle that is engaged in the business of making, purchasing, holding or otherwise investing in commercial loans, bonds and similar extensions of credit in the ordinary course of business.

Notwithstanding anything in the Loan Documents to the contrary, the Administrative Agent shall not be responsible (or have any liability) for, or have any duty to ascertain, inquire into, monitor or enforce, compliance with the provisions hereof relating to Disqualified Institutions. Without limiting the generality of the foregoing, the Administrative Agent shall not (1) be obligated to ascertain, monitor or inquire as to whether any Lender or participant or prospective Lender or participant is a Disqualified Institution or (2) have any liability with respect to or arising out of any assignment or participation of Loans or Commitments, or disclosure of confidential information, to any Disqualified Institution. The list of Disqualified Institutions shall be available to Lenders upon request but shall not otherwise be posted to the Lenders without the Borrower’s consent.

“Disqualified Stock” means, with respect to any Person, any Equity Interests of such Person that, by their terms (or by the terms of any security or other Equity Interests into which they are convertible or for which they are redeemable or exchangeable at the option of the holder thereof), or upon the happening of any event or condition:

(1)                mature or are mandatorily redeemable (other than solely for Qualified Equity Interests), pursuant to a sinking fund obligation or otherwise (except as a result of a change of control or asset sale so long as any rights of the holders thereof upon the occurrence of a change of control or asset sale are subject to the prior repayment in full of the Loans and all other Obligations that are accrued and payable and the termination of the Commitments);

(2)                are redeemable at the option of the holder thereof (other than solely for Qualified Equity Interests), in whole or in part;

(3)                provide for the scheduled payments of dividends in cash; or

(4)                either mandatorily or at the option of the holders thereof, are or become convertible into or exchangeable for Indebtedness or any other Equity Interests that would constitute Disqualified Stock, in each case, prior to the date that is 91 days after the earlier of:

(a)                the Latest Maturity Date at the time of issuance thereof; and

(b)                the Termination Date;

provided that only the portion of the Equity Interests that so mature or are mandatorily redeemable, are so convertible or exchangeable or are so redeemable at the option of the holder thereof prior to such date will be deemed to be Disqualified Stock; provided, further, that if such Equity Interests are issued to any employee or to any plan for the benefit of employees of the Borrower or its Subsidiaries or by any such plan to such employees, such Equity Interests will not constitute Disqualified Stock solely because they may be required to be repurchased by the Borrower or any of its Subsidiaries in order to satisfy applicable statutory or regulatory obligations or as a result of such employee’s termination, death or disability; and provided, further, that any class of Equity Interests of such Person that by its terms authorizes such Person to satisfy its obligations thereunder by delivery of Equity Interests that is not Disqualified Stock will not be deemed to be Disqualified Stock.

“Distressed Person” has the meaning assigned to such term in the definition of “Lender-Related Distress Event.”

“DNF” has the meaning assigned to such term in the definition of “DNF Acquisition”.

“DNF Acquisition” means the acquisition by CareMax of substantially all of the assets of Unlimited Medical Services of Florida, LLC, a Florida limited liability company (“DNF”), dba DNF Medical Centers, from DNF’s existing equity holders (the “DNF Sellers”), pursuant to a purchase agreement to be entered into by and among CareMax, DNF and the DNF Sellers.

“DNF Sellers” has the meaning assigned to such term in the definition of “DNF Acquisition”.

“Dollars” or “$” means lawful money of the United States of America.

“Domestic Subsidiary” means any Subsidiary of the Borrower that is organized under the laws of the United States or any political subdivision thereof, and “Domestic Subsidiaries” means any two or more of them. Unless otherwise indicated in this Agreement, all references to Domestic Subsidiaries will mean Domestic Subsidiaries of the Borrower.

“Dutch Auction” means an auction of Term Loans conducted:

(1)                pursuant to Section 9.04(10) to allow an Affiliated Lender to acquire Term Loans at a discount to par value and on a pro rata basis; or

(2)                pursuant to Section 9.04(14) to allow a Purchasing Borrower Party to prepay Term Loans at a discount to par value and on a pro rata basis,

in each case, in accordance with the applicable Dutch Auction Procedures.

“Dutch Auction Procedures” means, with respect to a purchase of Term Loans in a Dutch Auction, Dutch Auction procedures as reasonably agreed upon by the applicable Affiliated Lender or Purchasing Borrower Party, as the case may be, and the Administrative Agent; provided that the Administrative Agent shall have no obligation to act as the manager in any Dutch Auction and any such Dutch Auction may instead be managed by any other bank or another investment bank of recognized standing selected by the Borrower in consultation with the Administrative Agent.

“Early Opt-in Election” means, if the then-current Benchmark is USD LIBOR, the occurrence of:

(1)                a notification by the Administrative Agent to (or the request by the Borrower to the Administrative Agent to notify) each of the other parties hereto that at least five currently outstanding U.S. dollar-denominated syndicated credit facilities at such time contain (as a result of amendment or as originally executed) a SOFR-based rate (including SOFR, a term SOFR or any other rate based upon SOFR) as a benchmark rate (and such syndicated credit facilities are identified in such notice and are publicly available for review), and

(2)                the joint election by the Administrative Agent and the Borrower to trigger a fallback from USD LIBOR and the provision by the Administrative Agent of written notice of such election to the Lenders.

“ECF De Minimis Amount” means, for any Excess Cash Flow Period, the greater of (x) $4,500,000 and (y) 10.0% of Consolidated EBITDA for the Test Period ending on the last day of such Excess Cash Flow Period.

“EEA Financial Institution” means (a) any credit institution or investment firm established in any EEA Member Country which is subject to the supervision of an EEA Resolution Authority, (b) any entity established in an EEA Member Country which is a parent of an institution described in clause (a) of this definition, or (c) any financial institution established in an EEA Member Country which is a subsidiary of an institution described in clauses (a) or (b) of this definition and is subject to consolidated supervision with its parent.

“EEA Member Country” means any of the member states of the European Union, Iceland, Liechtenstein, and Norway.

“EEA Resolution Authority” means any public administrative authority or any person entrusted with public administrative authority of any EEA Member Country (including any delegee) having responsibility for the resolution of any EEA Financial Institution.

“Electronic Transmission” means each document, instruction, authorization, file, information and any other communication transmitted, posted or otherwise made or communicated by e-mail or E-Fax, or otherwise to or from an E-System.

“Environment” means ambient and indoor air, surface water and groundwater (including potable water, navigable water and wetlands), the land surface or subsurface strata, and natural resources such as flora and fauna.

“Environmental Laws” means all applicable laws (including common law), statutes, rules, regulations, codes, ordinances, orders, binding agreements and final, binding decrees or judgments, in each case, promulgated or entered into by or with any Governmental Authority, relating in any way to the environment, preservation or reclamation of natural resources, the generation, management, Release or threatened Release of, or exposure to, any Hazardous Material or to occupational health and safety matters (to the extent relating to the environment or exposure to Hazardous Materials).

“Environmental Liability” means any liability, contingent or otherwise (including any liability for damages, costs of environmental remediation, fines, penalties or indemnities) directly or indirectly resulting from or based upon (a) violation of 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 into the Environment or (e) any contract, agreement or other consensual arrangement pursuant to which liability is assumed or imposed with respect to any of the foregoing.

“Equity Interests” means Capital Stock and all warrants, options or other rights to acquire Capital Stock (but excluding any debt security that is convertible into, or exchangeable for, Capital Stock, which shall not be deemed to be Equity Interests unless and until such instrument is so converted or exchanged).

“ERISA” means the Employee Retirement Income Security Act of 1974, as the same may be amended from time to time, and any final regulations promulgated and the rulings issued thereunder.

“ERISA Affiliate” means any trade or business (whether or not incorporated) that, together with the Borrower or any of its Restricted Subsidiaries, is treated as a single employer under Section 414(b) or (c) of the Code or, solely for purposes of Section 302 of ERISA and Section 412 of the Code, is treated as a single employer under Section 414 of the Code.

“ERISA Event” means:

(1)                a Reportable Event, or the requirements of Section 4043(b) of ERISA apply, with respect to a Plan;

(2)                a withdrawal by the Borrower or any of its Subsidiaries or, to the knowledge of the Borrower, any ERISA Affiliate from a Plan subject to Section 4063 of ERISA during a plan year in which it was a substantial employer (as defined in Section 4001(a)(2) of ERISA) or a cessation of operations by the Borrower or any of its Subsidiaries or, to the knowledge of the Borrower, any ERISA Affiliate that is treated as a termination under Section 4062(e) of ERISA;

(3)                a complete or partial withdrawal by the Borrower or any of its Subsidiaries or, to the knowledge of the Borrower, any ERISA Affiliate from a Multiemployer Plan, receipt of written notification by the Borrower or any of its Restricted Subsidiaries or, to the knowledge of the Borrower, any ERISA Affiliate concerning the imposition of Withdrawal Liability or written notification that a Multiemployer Plan is, or is expected to be, insolvent within the meaning of Title IV of ERISA or endangered or in critical status within the meaning of Section 305 of ERISA;

(4)                the provision by a Plan administrator or the PBGC of notice of intent to terminate a Plan, to appoint a trustee to administer a Plan, the treatment of a Plan or Multiemployer Plan amendment as a termination under Sections 4041 or 4041A of ERISA or the commencement of proceedings by the PBGC to terminate a Plan or Multiemployer Plan;

(5)                the incurrence by the Borrower or any of its Restricted Subsidiaries or, to the knowledge of the Borrower, any ERISA Affiliate of any liability under Title IV of ERISA with respect to the termination of any Plan or Multiemployer Plan, other than for the payment of plan contributions or PBGC premiums due but not delinquent under Section 4007 of ERISA;

(6)                the application for a minimum funding waiver under Section 302(c) of ERISA with respect to a Plan;

(7)                the imposition of a lien under Section 303(k) of ERISA with respect to any Plan; and

(8)                a determination that any Plan is in “at risk” status (within the meaning of Section 303 of ERISA).

“Erroneous Payment” has the meaning assigned to such term in Section 8.13(a).

“Erroneous Payment Return Deficiency” has the meaning assigned to such term in Section 8.13(d).

“EU Bail-In Legislation Schedule” means the EU Bail-In Legislation Schedule published by the Loan Market Association (or any successor person), as in effect from time to time.

“Eurocurrency Borrowing” means a Borrowing comprised of Eurocurrency Loans.

“Eurocurrency Loan” means any Loan bearing interest at a rate determined by reference to the Adjusted Eurocurrency Rate.

“Eurocurrency Rate” means with respect to any Eurocurrency Borrowing for any Interest Period, the rate per annum equal to the arithmetic mean of the offered rates for deposits in the relevant currency with a term equivalent to such Interest Period that appears on the applicable Reuters page (or any service selected by the Administrative Agent that has been nominated by ICE Benchmark Administration Limited (or any successor service or entity that has been authorized by the U.K. Financial Conduct Authority to administer the London interbank offered rate)) at approximately 11:00 a.m., London time, two (2) Business Days prior to the commencement of such Interest Period (unless market practice differs in the relevant market where the Eurocurrency Rate for such currency is to be determined, in which case the date of quotation will be determined by the Administrative Agent in accordance with market practices in such market (and if quotations would normally be given on more than one day, then the date of quotation will be the last of those days)) (as applicable, the “Screen Rate”); provided that if the applicable Screen Rate is not available at such time for any reason, “Eurocurrency Rate” shall be the interest rate per annum equal to the Interpolated Screen Rate.

“Eurocurrency Revolving Loan” has the meaning assigned to such term in Section 1.09.

“Eurocurrency Revolving Loan Borrowing” has the meaning assigned to such term in Section 1.09.

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

“Event of Loss” means, with respect to any property, any of the following: (a) any loss, damage or destruction of such property; or (b) any condemnation, seizure or taking, by exercise of the power of eminent domain or otherwise, of such property, or confiscation of such property or the requisition of the use of such property.

“Excess Cash Flow” means, for any Excess Cash Flow Period, the Consolidated Net Income of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for such period, minus, without duplication:

(1)                cash repayments, cash prepayments and other cash payments made with respect to the principal of any Indebtedness or the principal component of any Capital Lease Obligations of the Borrower, any Restricted Subsidiary or any Physician-Owned Practice during such period (excluding voluntary and mandatory prepayments of Term Loans, voluntary prepayments of Indebtedness described in Section 2.12(3)(b) and prepayments of other revolving Indebtedness (except to the extent accompanied by a corresponding reduction in commitments), but including all premium, make-whole or penalty payments paid in cash (to the extent such payments were not already deducted in calculating Consolidated Net Income and are not otherwise prohibited under this Agreement)); minus

(2)                an amount equal to the aggregate net non-cash gain on acquisitions or dispositions by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices during such period (other than dispositions in the ordinary course of business) to the extent included in arriving at such Consolidated Net Income; minus

(3)                to the extent not otherwise deducted in calculating Consolidated Net Income, cash payments made by the Borrower, any Restricted Subsidiary or any Physician-Owned Practice during such period in respect of (a) long-term liabilities other than Indebtedness or (b) items for which an accrual or reserve was established in a prior period; minus

(4)                (a) cash payments made by the Borrower, any Restricted Subsidiary or any Physician-Owned Practice during such period in respect of Taxes, to the extent such payments exceed the amount of tax expense deducted in calculating such Consolidated Net Income, and (b) at the option of the Borrower, cash payments that the Borrower, any Restricted Subsidiary or any Physician-Owned Practice will be required to make in respect of Taxes within 365 days after the end of such period; provided that amounts described in this clause (b) will not reduce Excess Cash Flow in subsequent periods; minus

(5)                all cash payments and other cash expenditures made by the Borrower, any Restricted Subsidiary or any Physician-Owned Practice during such period (a) with respect to items that were excluded in the calculation of such Consolidated Net Income pursuant to clauses (1) through (18) of the definition of Consolidated Net Income or (b) that were not expensed during such period in accordance with GAAP; minus

(6)                all non-cash credits included in calculating such Consolidated Net Income (including insured or indemnified losses referred to in clauses (16) and (17) of Consolidated Net Income to the extent not reimbursed in cash during such period); provided that any cash reimbursement of any such non-cash credit in any future period will be added to Excess Cash Flow in such future period to the extent previously deducted pursuant to this clause (7); minus

(7)                an amount equal to the increase in the Working Capital of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices during such period, if any, (other than any such increases contemplated by this clause (8) that are directly attributable to acquisitions of a Person or business unit by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices during such period); minus

(8)                the aggregate principal amount of all mandatory prepayments pursuant to Section 2.12(2), or reinvestments of Net Cash Proceeds in lieu thereof, to the extent that the applicable Net Cash Proceeds were taken into account in calculating Consolidated Net Income for such period; plus

(9)                all non-cash charges, losses and expenses of the Borrower, any Restricted Subsidiary or any Physician-Owned Practice that were deducted in calculating such Consolidated Net Income; plus

(10)            an amount equal to the aggregate net non-cash loss on acquisitions or dispositions by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices during such period (other than dispositions in the ordinary course of business) to the extent deducted in arriving at such Consolidated Net Income; plus

(11)            all cash payments received by the Borrower, any Restricted Subsidiary or any Physician-Owned Practice during such period pursuant to Hedge Agreements that were not treated as revenue or net income under GAAP; plus

(12)            an amount equal to the decrease in Working Capital of the Borrower during such period, if any; plus

(13)            all amounts referred to in clauses (1) and (3) above to the extent funded with the proceeds of the issuance or the incurrence of long-term Indebtedness (other than proceeds of revolving loans), the sale or issuance of Equity Interests or any loss, damage, destruction or condemnation of, or any sale, transfer or other disposition to any Person of, any assets.

“Excess Cash Flow Period” means each fiscal year of the Borrower, commencing with and including the fiscal year ending December 31, 2021.

“Exchange Act” means the Securities Exchange Act of 1934, as amended.

“Excluded Accounts” means “Excluded Accounts” as defined in the Collateral Agreement.

“Excluded Assets” means “Excluded Assets” as defined in the Collateral Agreement.

“Excluded Contributions” means, as of any date, the aggregate amount of the net cash proceeds and Cash Equivalents, together with the aggregate fair market value of other assets that are used or useful in a business permitted under Section 6.08, received by the Borrower after the Closing Date from:

(1)                contributions to its common equity capital; or

(2)                the sale of Capital Stock of the Borrower;

in each case, designated as Excluded Contributions, less the aggregate amount of Investments made pursuant to Section 6.04(24), in each case prior to such date; provided that the proceeds of Disqualified Stock, Specified Equity Contributions or any net cash proceeds that are used prior to such date (A) to make Restricted Payments under Section 6.06(1) or Section 6.06(2)(b) or (B) to make an Investment under Section 6.04(3), a Restricted Payment under Section 6.06(8) or a payment in respect of Junior Financing under Section 6.09(1)(a), in each case in reliance on clause (3) or (4) of the definition of Available Amount.

“Excluded Equity Interests” means “Excluded Equity Interests” as defined in the Collateral Agreement.

“Excluded Indebtedness” means all Indebtedness not incurred in violation of Section 6.01.

“Excluded Subsidiary” means any:

(1)                Immaterial Subsidiary;

(2)                Subsidiary that is not a Wholly Owned Subsidiary of the Borrower;

(3)                Unrestricted Subsidiary;

(4)                Foreign Subsidiary or CFC;

(5)                direct or indirect Subsidiary of a direct or indirect Foreign Subsidiary;

(6)                direct or indirect Domestic Subsidiary that has no material assets other than cash, Cash Equivalents, direct or indirect Equity Interests (including, for this purpose, any debt or other instrument treated as equity for U.S. federal income tax purposes) or direct or indirect Equity Interests (including, for this purpose, any debt or other instrument treated as equity for U.S. federal income tax purposes) and indebtedness (including, for this purpose, any debt or other instrument treated as equity for U.S. federal income tax purposes) in one or more direct or indirect Foreign Subsidiaries that are CFCs;

(7)                Subsidiary if acting as a Guarantor, or its Guarantee, would, and only so long as it would, (a) be prohibited or restricted by applicable law, rule or regulation or by any contractual obligation (with respect to any such contractual obligations, only to the extent existing on the Closing Date or on the date such Person becomes a direct or indirect Subsidiary of the Borrower (to the extent not created or entered into in contemplation of the Transactions or the acquisition thereof) or (b) require a governmental or regulatory consent, approval, license or authorization (unless such consent, approval, license or authorization has been received);

(8)                Subsidiary that is treated as a disregarded entity or partnership for U.S. federal income tax purposes the assets of which consist of direct or indirect Equity Interests or direct or indirect Equity Interests and Indebtedness of one or more CFCs;

(9)                Subsidiary for which the provision of a Guarantee would result in material adverse tax consequences (including as a result of the operation of Section 956 of the Code, or any similar law or regulation in any applicable jurisdiction) to the Borrower or one of its Subsidiaries (as reasonably determined by the Borrower);

(10)            acquired Restricted Subsidiary, acquired pursuant to a Permitted Acquisition or similar investment, the purchase of which is financed with Excluded Indebtedness constituting assumed indebtedness and any Restricted Subsidiary thereof that guarantees such indebtedness, in each case to the extent, and so long as, such Indebtedness prohibits or therein prevents such Restricted Subsidiary from becoming a Guarantor and such prohibition or prevention was not entered into in contemplation of such acquisition;

(11)            any Subsidiary that is a captive insurance subsidiary (including any Captive Insurance Company), any not-for-profit Subsidiary or any Subsidiary which is a special purpose entity for any receivables or other securitization transaction; and

(12)            Subsidiary in circumstances where the Borrower and the Administrative Agent reasonably agree that any of the cost, difficulty, burden or consequences of providing a Guarantee is excessive in relation to the value to the Lenders afforded thereby.

in each case, unless the Borrower determines in its sole discretion, from time to time, upon notice to the Administrative Agent, that any of the foregoing Persons that is a Restricted Subsidiary should not be an Excluded Subsidiary; provided that (x) such Restricted Subsidiary shall comply with Section 5.11 upon such designation and shall provide a guaranty and credit support that is substantially similar to the guarantees and credit support provided by the Subsidiary Guarantors party hereto on the Closing Date and (y) such designation shall remain in effect until the date on which the Borrower has informed the Administrative Agent in writing that it elects to have such Restricted Subsidiary redesignated as an Excluded Subsidiary, and such redesignation shall be permitted so long as, after giving effect thereto, (A) such Restricted Subsidiary would qualify as an Excluded Subsidiary pursuant to one of the above provisions and (B) if immediately after such designation it shall be a Restricted Subsidiary any Investments made by a Loan Party into such Restricted Subsidiary after the Closing Date while it is a Loan Party shall be deemed made for purposes of Section 6.04 immediately following such redesignation (net of Returns actually received in respect of such Investments), and any incurrence of Indebtedness by such Restricted Subsidiary and the incurrence of Liens on the assets of such Restricted Subsidiary, in each case, after the Closing Date that remains outstanding on the date of such designation shall be deemed incurred for purposes hereof immediately following such redesignation, and no Event of Default would result from such designation.

“Excluded Swap Obligation” means, with respect to any Guarantor, any Swap Obligation if, and to the extent that, all or a portion of the guarantee of such Guarantor of, or the grant by such Guarantor of a security interest to secure, such Swap Obligation (or any Guarantee thereof) is or becomes illegal under the Commodity Exchange Act or any rule, regulation or order of the Commodity Futures Trading Commission (or the application or official interpretation of any thereof) by virtue of such Guarantor’s failure for any reason to constitute an “eligible contract participant” as defined in the Commodity Exchange Act and the regulations thereunder at the time the guarantee of such Guarantor or the grant of such security interest becomes effective with respect to such Swap Obligation. If a Swap Obligation arises under a master agreement governing more than one swap, such exclusion shall apply only to the portion of such Swap Obligation that is attributable to swaps for which such Guarantee or security interest is or becomes illegal.

“Excluded Taxes” means, with respect to any Recipient of any payment to be made by or on account of any obligation of any Loan Party hereunder:

(1)                Taxes imposed on or measured by its net income (however denominated), franchise Taxes or branch profits Taxes, in each case, (a) imposed as a result of such Recipient being organized under the laws of, or having its principal office or, in the case of any Lender, its applicable Lending Office located in, the jurisdiction imposing such Tax (or any political subdivision thereof) or (b) that are Other Connection Taxes;

(2)                any U.S. federal withholding Tax imposed on amounts payable hereunder to or for the account of a Recipient under any law applicable at the time such Recipient becomes a party to this Agreement (or in the case of a Lender, under any law applicable at the time such Lender changes its Lending Office), in each case except to the extent that the Recipient’s assignor (if any), immediately before the assignment (or such Lender, immediately before it changed its Lending Office), was entitled to receive additional amounts from the Loan Party with respect to any withholding Tax pursuant to Section 2.18(1) or Section 2.18(3);

(3)                Taxes that are attributable to such Lender’s or Administrative Agent’s failure to comply with Section 2.18(4); and

(4)                any withholding Taxes imposed under FATCA.

“Executive Order” has the meaning assigned to such term in Section 3.19(3)(a).

“Expenses and Synergies Cap” has the meaning assigned to such term in clause (d)(ii) of the definition of “Consolidated EBITDA”.

“Extended Revolving Commitments” has the meaning assigned to such term in Section 2.24(1), as such amount may be adjusted from time to time in accordance with this Agreement.

“Extended Revolving Loans” has the meaning assigned to such term in Section 2.24(1).

“Extended Term Loan Installment Date” has the meaning assigned to such term in Section 2.10(3).

“Extended Term Loans” has the meaning assigned to such term in Section 2.24(1).

“Extending Lender” has the meaning assigned to such term in Section 2.24(1).

“Extending Revolving Lender” has the meaning assigned to such term in Section 2.24(1).

“Extending Term Lender” has the meaning assigned to such term in Section 2.24(1).

“Extension” has the meaning assigned to such term in Section 2.24(1).

“Extension Amendment” has the meaning assigned to such term in Section 2.24(2).

“Extension Offer” has the meaning assigned to such term in Section 2.24(1).

“Facilities” means the Initial Term Loan Facility, the DDTL Facility, the Revolving Facility, the Letter of Credit Sublimit and/or the Swing Line Sublimit, as the context may require.

“fair market value” means, with respect to any asset or group of assets on any date of determination, the value of the consideration obtainable in a sale of such asset or group of assets at such date of determination assuming a sale by a willing seller to a willing purchaser dealing at arm’s length and arranged in an orderly manner over a reasonable period of time taking into account the nature and characteristics of such assets, as determined in good faith by a Responsible Officer of the Borrower (which determination shall be conclusive absent manifest error).

“FATCA” means Sections 1471 through 1474 of the Code, as of the date of this Agreement (or any amended or successor version that is substantively comparable and not materially more onerous to comply with), any current or future regulations or official interpretations thereof, any agreements entered into pursuant to Section 1471(b)(1) of the Code, any intergovernmental agreements entered into in connection with the foregoing and any treaty, law, fiscal or regulatory legislation, rules or official practices adopted pursuant to any such intergovernmental agreement.

“Federal Funds Rate” means, for any day, the rate per annum (rounded upward, if necessary, to a whole multiple of 1/100 of 1.00%) equal to the weighted average of the rates on overnight federal funds transactions with members of the Federal Reserve System on such day, as published by the Federal Reserve Bank of New York on the Business Day next succeeding such day; provided that:

(1)                if such day is not a Business Day, the Federal Funds Rate for such day will be such rate on such transactions on the next succeeding Business Day as so published on such next succeeding Business Day;

(2)                if no such rate is so published on such next succeeding Business Day, the Federal Funds Rate for such day will be the average rate (rounded upward, if necessary, to a whole multiple of 1/100 of 1.00%) of the quotations for such day on such transactions received by the Administrative Agent from three (3) federal funds brokers of recognized standing selected by the Administrative Agent; and

(3)                in no event will the Federal Funds Rate be less than zero.

“Fee Letter” means that certain Amended and Restated Fee Letter, dated as of March 8, 2021, by and among the Borrower, Royal Bank of Canada, RBC Capital Markets, LLC, Truist Bank, Truist Securities, Inc., Citizens Bank NA, Regions Bank, Capital One, N.A., Fifth Third Bank, National Association, Deutsche Bank AG New York Branch, Deutsche Bank Securities Inc., Keybank National Association and BankUnited, N.A.

“Fees” means the Commitment Fees, the L/C Participation Fees, the Issuing Bank Fees, Administrative Agent Fees and all other fees set forth in the Fee Letter and payable to any Lender, the Administrative Agent, or any Lead Arranger, in each case, with respect to Loans.

“Financial Model” means the financial model delivered on behalf of the Borrower to RBCCM on November 25, 2020.

“Financial Officer” means, with respect to any Person, the chief financial officer, president, principal accounting officer, director of financial services, treasurer, assistant treasurer or controller of such Person.

“Financial Performance Covenants” has the meaning assigned to such term in Section 6.12(2).

“First Lien Net Leverage Ratio” means, as of any date, the ratio of (a) Consolidated First Lien Net Debt as of the last day of the then most recently ended Test Period, to (b) Consolidated EBITDA for the then most recently ended Test Period, calculated on a Pro Forma Basis.

“Fixed Amounts” has the meaning assigned to such term in Section 1.07(2).

“Fixed Charge Coverage Ratio” means, as of any date of determination, the ratio of:

(1)                (a) Consolidated EBITDA of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for the most recently ended Test Period, minus (b) the unfinanced portion of all Capital Expenditures (excluding any Capital Expenditures made with the proceeds of any Reinvestment Deferred Amounts), minus (c) federal, state and foreign income taxes paid in cash by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices (net of refunds received) for the most recently ended Test Period, minus (d) Restricted Payments made paid by the Borrower during the most recently ended Test Period pursuant to Section 6.06(11)(ii); to

(2)                (a) Consolidated Cash Interest Expense of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices for the most recently ended Test Period, plus (b) scheduled payments of principal on Consolidated Debt paid or payable in cash for the most recently ended Test Period, plus (c) Restricted Payments made paid by the Borrower during the most recently ended Test Period pursuant to Sections 6.06(9) and (10);

provided that, for purposes of calculating the Fixed Charge Coverage Ratio, for each component (other than Consolidated EBITDA) for each date of determination ending prior to the first anniversary of the Closing Date, (i) all Capital Expenditure amounts pursuant to clause (1)(b) above, all tax amounts pursuant to clause (1)(c) above and all Restricted Payments pursuant to clause (1)(d) above and (ii) all amounts under clause (2) of this definition shall, in each case, be measured from the Closing Date through such date of determination, divided by the number of days in such period, and multiplied by 365.

“Flood Certificate” means a life of loan “Standard Flood Hazard Determination Form” of the U.S. Federal Emergency Management Agency or any successor Governmental Authority performing a similar function.

“Flood Insurance Laws” means, collectively, (i) National Flood Insurance Reform Act of 1994 (which comprehensively revised the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973) as now or hereafter in effect or any successor statute thereto, (ii) the Flood Insurance Reform Act of 2004 as now or hereafter in effect or any successor statue thereto and (iii) the Biggert-Waters Flood Insurance Reform Act of 2012 as now or hereafter in effect or any successor statute thereto and any and all official rulings, regulations and interpretations thereunder or thereof.

“Flood Program” means the National Flood Insurance Program created by the U.S. Congress pursuant to the Flood Insurance Laws.

“Flood Zone” means areas designated as having special flood hazards as determined by the U.S. Federal Emergency Management Agency or any successor Governmental Authority performing a similar function, and as described in the Flood Insurance Laws.

“Floor” means the benchmark rate floor, if any, provided in this Agreement initially (as of the execution of this Agreement, the modification, amendment or renewal of this Agreement or otherwise) with respect to USD LIBOR.

“Foreign Lender” means any Lender that is organized under the laws of a jurisdiction other than the United States of America. For purposes of this definition, the United States of America, each state thereof and the District of Columbia will be deemed to constitute a single jurisdiction.

“Foreign Subsidiary” means any Subsidiary that is not a Domestic Subsidiary.

“Fronting Exposure” means, at any time there is a Defaulting Lender, (a) with respect to each applicable Issuing Bank, such Defaulting Lender’s Revolving Facility Percentage of the outstanding Revolving L/C Exposure, other than Revolving L/C Exposure as to which such Defaulting Lender’s participation obligation has been reallocated to Revolving Lenders that are not Defaulting Lenders or cash collateralized in accordance with the terms hereof and (b) with respect to the Swing Line Lender, such Defaulting Lender’s Revolving Facility Percentage of the aggregate principal amount of outstanding Swing Line Loans, other than Swing Line Loans as to which such Defaulting Lender’s participation obligation has been reallocated to Revolving Lenders that are not Defaulting Lenders in accordance with the terms thereof.

“GAAP” means generally accepted accounting principles in the United States of America as in effect from time to time, including those set forth in (i) the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and (ii) the statements and pronouncements of the Financial Accounting Standards Board or in such other statements by such other entity as approved by a significant segment of the accounting profession (or agencies with similar functions and comparable stature and authority within the accounting profession (but excluding the policies, rules and regulations of the SEC applicable only to public companies)) that are applicable to the circumstances as of the date of determination.

Notwithstanding anything to the contrary contained in this definition, in the event of an Accounting Change requiring all leases to be capitalized, only those leases (assuming for purposes hereof that they were in existence on the date hereof) that would constitute capital leases as of December 31, 2017 shall be considered capital leases and all calculations and deliverables under this Agreement or any other Loan Document shall be made or delivered, as applicable, in accordance therewith (provided, that together with all financial statements delivered to the Administrative Agent in accordance with the terms of this Agreement after the date of such Accounting Change the Borrower shall deliver a schedule showing the adjustments necessary to reconcile such financial statements with GAAP as in effect immediately prior to such Accounting Change).

“Governmental Authority” means any federal, state, local or foreign court or governmental agency, authority, instrumentality or regulatory or legislative body (including any supra-national bodies such as the European Union or the European Central Bank).

“Guarantee” of or by any Person (the “guarantor”) means:

(1)                any obligation, contingent or otherwise, of the guarantor guaranteeing or having the economic effect of guaranteeing any Indebtedness or other obligation payable or performable by another 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 or supply funds for the purchase or payment of) such Indebtedness or other obligation (whether arising by virtue of partnership arrangements, by agreement to keep well, to purchase assets, goods, securities or services, to take or pay or otherwise) or to purchase (or to advance or supply funds for the purchase of) any security for the payment of such Indebtedness or other obligations;

(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;

(d)                entered into for the purpose of assuring in any other manner the holders of such Indebtedness or other obligation of the payment thereof or to protect such holders against loss in respect thereof (in whole or in part); or

(e)                as an account party in respect of any letter of credit, bank guarantee or other letter of credit guaranty issued to support such Indebtedness or other obligation;

provided, that the term “Guarantee” will not include endorsements of instruments for deposit or collection in the ordinary course of business or customary and reasonable indemnity obligations in effect on the Closing Date or entered into after the Closing Date in connection with any acquisition or disposition of assets permitted by this Agreement (other than such obligations with respect to Indebtedness).

The amount of any Guarantee will be deemed to be an amount equal to the stated or determinable amount of the related primary obligation or portion thereof, in respect of which such Guarantee is made or, if not stated or determinable, the maximum reasonably anticipated liability in respect thereof (assuming such Person is required to perform thereunder) as determined by such Person in good faith. The term “Guarantee” as a verb has a corresponding meaning.

“Guarantor” means (1) the Borrower (other than with respect to its own Obligations); (2) each Subsidiary Loan Party; and (3) each Restricted Subsidiary that the Borrower may elect, in its sole discretion, from time to time, upon written notice to the Administrative Agent, to cause to Guarantee the Obligations until the date on which the Borrower has informed the Administrative Agent that it elects not to have such Person Guarantee the Obligations; provided that, in the case of this clause (3), such Restricted Subsidiary shall provide a guaranty and credit support that is substantially similar to the guarantees and credit support provided by the Subsidiary Guarantors party hereto on the Closing Date.

“Hazardous Materials” means all pollutants, contaminants, wastes, chemicals, materials, substances and constituents, including explosive or radioactive substances or petroleum or petroleum byproducts or distillates, friable asbestos or friable asbestos-containing materials, polychlorinated biphenyls or radon gas, in each case, that are regulated or would reasonably be expected to give rise to liability under any Environmental Law.

“Heat” has the meaning assigned to such term in the definition of “Heat Acquisition”.

“Heat Acquisition” means the acquisition by Interamerican Medical Center Group, LLC, a Florida limited liability company (“IMCG”), of 100% of the issued and outstanding equity interests of Senior Medical Associates, LLC, a Florida limited liability company (“SMA”) and Stallion Medical Management, LLC, a Florida limited liability company (“SMM” and, together with SMA, collectively, “Heat”), from Moshin Jaffer (the “Heat Seller”), pursuant to that certain Securities Purchase Agreement, dated as of March 8, 2021, by and among IMCG, Heat and the Heat Seller.

“Heat Seller” has the meaning assigned to such term in the definition of “Heat Acquisition”.

“Hedge 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, in each case, not entered into for speculative purposes; 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 any of its Subsidiaries will be a Hedge Agreement.

“IMC” has the meaning assigned to such term in the recitals hereof.

“IMCG” has the meaning assigned to such term in the definition of “Heat Acquisition”.

“Immaterial Subsidiary” means, as of any date, any Restricted Subsidiary that (i) did not, as of the last day of the most recent fiscal quarter of the Borrower for which Required Financial Statements have been delivered (or were required to be delivered), have either net revenues on a Pro Forma Basis with a value in excess of 5.0% of the consolidated net revenues of the Borrower and the Restricted Subsidiaries for the most recent four quarter fiscal period or net assets on a Pro Forma Basis with a value in excess of 5.0% of the consolidated net assets of the Borrower and the Restricted Subsidiaries for the most recent four quarter fiscal period; and (ii) taken together with all Immaterial Subsidiaries designated pursuant to the preceding clause (i) (or re-designated pursuant to the definition of “Excluded Subsidiary”) as of the last day of the most recent fiscal quarter of the Borrower for which Required Financial Statements have been delivered (or were required to be delivered), did not have either net revenues on a Pro Forma Basis with a value in excess of 10.0% of the consolidated net revenues of the Borrower and the Restricted Subsidiaries for the most recent four quarter fiscal period or net assets on a Pro Forma Basis with a value in excess of 10.0% of the consolidated net assets of the Borrower and the Restricted Subsidiaries for the most recent four quarter fiscal period.

“Incremental Facility” has the meaning assigned to such term in Section 2.22(1).

“Incremental Facility Amendment” has the meaning assigned to such term in Section 2.22(5).

“Incremental Lenders” has the meaning assigned to such term in Section 2.22(5).

“Incremental Loans” has the meaning assigned to such term in Section 2.22(1).

“Incremental Revolving Facility Commitment” has the meaning assigned to such term in Section 2.22(1).

“Incremental Revolving Lender” has the meaning assigned to such term in Section 2.22(9).

“Incremental Revolving Loan” has the meaning assigned to such term in Section 2.22(1).

“Incremental Term Facility” has the meaning assigned to such term in Section 2.22(1).

“Incremental Term Loan Installment Date” has the meaning assigned to such term in Section 2.10(2).

“Incremental Term Loans” has the meaning assigned to such term in Section 2.22(1).

“Incremental Yield” has the meaning assigned to such term in Section 2.22(8).

“Incurrence Based Amounts” has the meaning assigned to such term in Section 1.07(2).

“Indebtedness” means, with respect to any Person, without duplication:

(1)                all obligations of such Person for borrowed money;

(2)                all obligations of such Person evidenced by bonds, debentures, notes or similar instruments;

(3)                all obligations of such Person under conditional sale or title retention agreements relating to property or assets purchased by such Person;

(4)                all obligations of such Person issued or assumed as the deferred purchase price of property or services, to the extent the same would be required to be shown as a long-term liability on a balance sheet prepared in accordance with GAAP;

(5)                all Capital Lease Obligations of such Person;

(6)                all net payments that such Person would have to make in the event of an early termination, on the date Indebtedness of such Person is being determined, in respect of outstanding Hedge Agreements;

(7)                the principal component of all obligations, contingent or otherwise, of such Person as an account party in respect of letters of credit and bank guarantees;

(8)                the principal component of all obligations of such Person in respect of bankers’ acceptances;

(9)                all Guarantees by such Person of Indebtedness described in clauses (1) through (8) above; and

(10)            the amount of all obligations of such Person with respect to the redemption, repayment or other repurchase of any Disqualified Stock (excluding accrued dividends that have not increased the liquidation preference of such Disqualified Stock);

provided that Indebtedness will not include:

(a)                trade payables, accrued expenses and intercompany liabilities arising in the ordinary course of business;

(b)                prepaid or deferred revenue arising in the ordinary course of business;

(c)                purchase price holdbacks arising in the ordinary course of business in respect of a portion of the purchase prices of an asset to satisfy unperformed obligations of the seller of such asset;

(d)                earn-out, purchase price or working capital adjustment obligation, non-compete agreement obligations, consulting obligations and deferred compensation obligations until any such obligation is not paid within five (5) Business Days after becoming due and payable and such obligation becomes a liability on the balance sheet of such Person in accordance with GAAP;

(e)                royalty payments made in the ordinary course of business in respect of licenses (to the extent such licenses are not prohibited hereby); or

(f)                 obligations in respect of warrants or similar Equity Interests not otherwise constituting Disqualified Stock, regardless whether such obligations are required to be shown as a liability on the balance sheet of such Person in accordance with GAAP or otherwise.

The Indebtedness of any Person will include the Indebtedness of any partnership in which such Person is a general partner, other than to the extent that the instrument or agreement evidencing such Indebtedness expressly limits the liability of such Person in respect thereof.

“Indemnified Taxes” means (1) all Taxes, other than Excluded Taxes, imposed on or with respect to any payment made by or on account of any obligation of any Loan Party under any Loan Document; and (2) to the extent not otherwise described in clause (1), Other Taxes.

“Indemnitee” has the meaning assigned to such term in Section 9.05(2).

“Initial Term Loan Commitment” has the meaning assigned to such term in Section 2.01.

“Initial Term Loans” means the Term Loans incurred on the Closing Date pursuant to Section 2.01(1).

“Initial Term Loan Facility” means the facility and commitments utilized in incurring Initial Term Loans hereunder.

“Intellectual Property Rights” has the meaning assigned to such term in Section 3.20(1).

“Intellectual Property Security Agreements” shall have the meaning set forth in the Collateral Agreement.

“Interest Election Request” means a request by the Borrower to convert or continue a Borrowing in accordance with Section 2.07.

“Interest Payment Date” means (1) with respect to any Eurocurrency Loan, the last day of each Interest Period applicable to the Borrowing of which such Loan is a part and, in the case of a Eurocurrency Borrowing with an Interest Period of more than three months’ duration, each day that would have been an Interest Payment Date had successive Interest Periods of three months’ duration been applicable to such Borrowing; (2) with respect to any ABR Loan, the last Business Day of each March, June, September and December commencing with the last Business Day of March 2021 and the Maturity Date of the Facility under which such Loan was made; and (3) to the extent necessary to create a fungible Class of Revolving Loans or Term Loans, on any Business Day that any Incremental Term Loan, Incremental Revolving Facility Commitment or DDTL, as applicable, is incurred or part of such Class.

“Interest Period” means, as to any Eurocurrency Borrowing, the period commencing on the date of such Borrowing or on the last day of the immediately preceding Interest Period applicable to such Borrowing, as applicable, and ending on the numerically corresponding day (or, if there is no numerically corresponding day, on the last day) in the calendar month that is one, three or six months thereafter (or, if agreed to by all Lenders under such applicable Class, 12 months or any other period not provided for above, which rate in such case shall be calculated using the Interpolated Screen Rate) (or such other periods as agreed to by the Administrative Agent to facilitate the alignment of interest payments with other borrowings under the Facilities or the end of a fiscal or calendar period, which rate in such case shall be calculated using the Interpolated Screen Rate or such other manner as reasonably agreed between the Administrative Agent and the Borrower), as the Borrower may elect, or the date any Eurocurrency Borrowing is converted to an ABR Borrowing in accordance with Section 2.07 or repaid or prepaid in accordance with Section 2.11, 2.12 or 2.13; provided that:

(1)                if any Interest Period would end on a day other than a Business Day, such Interest Period will 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 will end on the next preceding Business Day;

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

(3)                no Interest Period will extend beyond the applicable Maturity Date;

(4)                Interest will accrue from and including the first day of an Interest Period to but excluding the last day of such Interest Period; and

(5)                the initial Interest Period(s), commencing on the Closing Date, will be as specified in the Borrowing Request(s) delivered by the Borrower to the Administrative Agent on or prior to the Closing Date.

“Interpolated Screen Rate” means, with respect to any Eurocurrency Loan for any Interest Period, a rate per annum which results from interpolating on a linear basis between (a) the applicable Screen Rate for the longest maturity for which a Screen Rate is available that is shorter than such Interest Period and (b) the applicable Screen Rate for the shortest maturity for which a Screen Rate is available that is longer than such Interest Period, in each case as such Screen Rates are determined as of approximately 11:00 a.m., London time, two (2) Business Days prior to the commencement of such Interest Period.

“Investment” means, as to any Person, the acquisition or investment by such Person, by means of (a) the purchase or other acquisition (including by merger or otherwise) of Equity Interests of another Person, (b) a loan, advance or capital contribution to, Guarantee or assumption of Indebtedness of, or purchase or other acquisition of any other debt or equity participation or interest in, another Person, including any partnership or joint venture interest in such other Person (excluding, in the case of the Borrower and the Restricted Subsidiaries, intercompany loans, advances, or Indebtedness, in each case (x) having a term not exceeding 364 days (inclusive of any roll-over or extensions of terms) and (y) made in the ordinary course of business) or (c) the purchase or other acquisition (in one transaction or a series of transactions, including by merger or otherwise) of all or substantially all of the property and assets of another Person or assets constituting a line of business or division or business or operating unit of such Person; provided that, in the event that any Investment is made by the Borrower or any Restricted Subsidiary in any Person through substantially concurrent interim transfers of any amount through the Borrower or any Restricted Subsidiaries, then such other substantially concurrent interim transfers shall be disregarded for purposes of Section 6.04. For purposes of covenant compliance, the amount of any Investment at any time shall be the amount actually invested (measured at the time made (which, in the case of any Investment constituting the contribution of an asset or property, shall be based on the Borrower’s good faith estimate of the fair market value of such asset or property at the time such Investment is made)), without adjustment for subsequent changes in the value of such Investment, net of any Returns with respect to such Investment.

“Investment Grade Rating” means a rating equal to or higher than Baa3 (or the equivalent) by Moody’s and BBB- (or the equivalent) by S&P (or reasonably equivalent ratings of another internationally recognized rating agency).

“Investment Grade Securities” means:

(1)                securities issued or directly and fully Guaranteed or insured by the U.S. government or any agency or instrumentality thereof (other than Cash Equivalents);

(2)                securities that have an Investment Grade Rating, but excluding any debt securities or debt instruments constituting loans or advances among the Borrower and its Restricted Subsidiaries;

(3)                corresponding instruments in countries other than the United States customarily utilized for high quality investments and in each case with maturities not exceeding two years from the date of acquisition; and

(4)                investments in any fund that invests at least 95.0% of its assets in investments of the type described in clauses (1) and (2) above which fund may also hold immaterial amounts of cash pending investment and/or distribution.

“ISDA Definitions” means the 2006 ISDA Definitions published by the International Swaps and Derivatives Association, Inc. or any successor thereto, as amended or supplemented from time to time, or any successor definitional booklet for interest rate derivatives published from time to time by the International Swaps and Derivatives Association, Inc. or such successor thereto.

“Issuing Bank” means (1) those Lenders listed on Schedule 2.01 hereto and (2) each other Revolving Lender designated as an Issuing Bank pursuant to Section 2.05(12), in each case, in its capacity as an issuer of Letters of Credit hereunder, and its successors in such capacity as provided in Section 2.05(10). An Issuing Bank may, in its discretion, arrange for one or more Letters of Credit to be issued by one or more Affiliates or designees of such Issuing Bank, in which case the term “Issuing Bank” will include any such Affiliate or designee with respect to Letters of Credit issued by such Affiliate or designee for all purposes of the Loan Documents. Royal Bank of Canada may cause Letters of Credit to be issued by unaffiliated financial institutions and such Letters of Credit shall be treated as issued by Royal Bank of Canada, as applicable, for all purposes under the Loan Documents. On the Closing Date, the only Issuing Bank shall be Royal Bank of Canada.

“Issuing Bank Fees” has the meaning assigned to such term in Section 2.13(2)(b).

“Junior Financing” means (1) (A) any Indebtedness permitted to be incurred hereunder that is contractually subordinated in right of payment to the Obligations, (B) any Indebtedness for borrowed money secured by Liens on Collateral that are contractually subordinated or junior to the Liens securing the Obligations and (C) any unsecured Indebtedness for borrowed money (in each case other than Indebtedness among the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices permitted hereunder) or (2) any Permitted Refinancing Indebtedness for borrowed money in respect of any of the foregoing.

“L/C Disbursement” means a payment or disbursement made by an Issuing Bank pursuant to a Letter of Credit.

“L/C Participation Fee” has the meaning assigned such term in Section 2.13(2)(a).

“Latest Maturity Date” means, as of any date of determination, the latest Maturity Date of the applicable Facilities in effect on such date.

“LCA Election” has the meaning assigned to such term in Section 1.07(1).

“LCA Test Date” has the meaning assigned to such term in Section 1.07(1).

“Lead Arrangers” means RBC Capital Markets, LLC and Truist Securities, Inc., each in its capacity as a joint lead arranger and joint bookrunner.

“Lender” means each financial institution listed on Schedule 2.01 (other than any such Person that has ceased to be a party hereto pursuant to an Assignment and Acceptance in accordance with Section 9.04) as a Lender, any Person that becomes a Lender hereunder pursuant to Section 9.04 and any Additional Lender.

“Lender Default” means:

(1)                the refusal (which may be given verbally or in writing and so long as such refusal has not been retracted) or failure of any Lender to make available its portion of any Borrowing or reimbursement obligations hereunder, which refusal or failure is not cured within one (1) Business Day after the date of such refusal or failure, unless such Lender notifies the Administrative Agent and the Borrower in writing that such failure is the result of such Lender’s good faith determination that one or more conditions precedent to funding (each of which conditions precedent, together with any applicable Default, shall be specifically identified in such writing) has not been satisfied;

(2)                the failure of any Lender to pay over to the Administrative Agent, each applicable Issuing Bank, the Swing Line Lender or any other Lender any other amount required to be paid by it hereunder within one (1) Business Day of the date when due;

(3)                any Lender has notified the Borrower or the Administrative Agent that it does not intend to comply with its funding obligations or has made a public statement to that effect with respect to its funding obligations hereunder or under other similar agreements in which it commits to extend credit, unless such notification or public statement relates to such Lender’s obligation to fund a Loan hereunder and states that such position is based on such Lender’s determination that a condition precedent to funding (which condition precedent, together with any applicable default, shall be specifically identified in such public statement) cannot be satisfied;

(4)                the failure of any Lender within two (2) Business Days after request by the Administrative Agent, to confirm that it will comply with its funding obligations hereunder (provided that such Lender will cease to be a Defaulting Lender pursuant to this clause (d) upon timely receipt of such written confirmation by the Administrative Agent and the Borrower);

(5)                any Lender or a direct or indirect parent company of such Lender becoming subject to a Bail-In Action; or

(6)                the admission in writing by any Lender that it is insolvent or such Lender becoming subject to a Lender-Related Distress Event.

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

“Lending Office” means, as to any Lender, the applicable branch, office or Affiliate of such Lender designated by such Lender to make Loans.

“Letter of Credit” has the meaning assigned to such term pursuant to Section 2.05.

“Letter of Credit Commitment” means, with respect to each Issuing Bank, the commitment of such Issuing Bank to issue Letters of Credit pursuant to Section 2.05. The Letter of Credit Commitments of each of the Issuing Banks on the Closing Date shall be those Commitments listed on Schedule 2.01 hereto. Any Issuing Bank shall be permitted at any time to increase its Letter of Credit Commitment with the written consent of the Borrower and notice to the Administrative Agent of such increase, so long as such Issuing Bank’s Letter of Credit Commitment does not exceed the Letter of Credit Sublimit.

“Letter of Credit Request” means a request by the Borrower substantially in the form of Exhibit C-2 (or such other form as may be agreed between the Borrower and the applicable Issuing Bank).

“Letter of Credit Sublimit” means the aggregate Letter of Credit Commitments of the Issuing Banks, in an amount not to exceed $7,500,000.

“LIBOR Quoted Rate” means, for any day (or if such day is not a Business Day, the immediately preceding Business Day), a fluctuating rate per annum equal to the Adjusted Eurocurrency Rate for an interest period of one month available as of 11:00 a.m., London time, on such day by reference to the ICE Benchmark Administration Interest Settlement Rates (or by reference to the rates provided by any Person that takes over the administration of such rate if the ICE Benchmark Administration is no longer making a “Eurocurrency Rate” rate available) for deposits in dollars (as set forth by the Screen Rate); provided that if such Screen Rate is not available at such time for any reason, “LIBOR Quoted Rate” shall be the interest rate per annum equal to the Interpolated Screen Rate.

“Lien” means, with respect to any asset (1) any mortgage, deed of trust, lien, hypothecation, pledge, charge, security interest or similar encumbrance in or on such asset; or (2) 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; provided that in no event will an operating lease, any capital lease in respect of Real Property permitted hereunder, or an agreement to sell be deemed to constitute a Lien.

“Limited Condition Transaction” means any acquisition or other investment, including by way of merger, whose consummation is not conditioned on the availability of, or on obtaining, third party financing, in each case by the Borrower or one or more Restricted Subsidiaries permitted pursuant to the Loan Documents.

“Loan Documents” means this Agreement, the Security Documents, any Acceptable Intercreditor Agreement, any Incremental Facility Amendment, any Extension Amendment, any Refinancing Amendment, any Note and, solely for the purposes of Section 3.01, 3.02, and 7.01(3) hereof, the Fee Letter.

“Loan Parties” means the Borrower and the other Guarantors.

“Loans” means the Term Loans, the Revolving Loans, the Swing Line Loans and any other loans made by any Lenders to the Borrower pursuant to this Agreement, any Incremental Facility Amendment and/or any Refinancing Amendment.

“Management Group” means the group consisting of (i) the directors, executive officers and other management personnel of the Borrower, the Companies, the Acquired Businesses or the Restricted Subsidiaries on the Closing Date that have, after giving effect to the Transactions on the Closing Date, direct or indirect Equity Interests in the Borrower as of the Closing Date, (ii) any trust, partnership, limited liability company, corporate body or other entity established by any such current or former director, officer, employee, or member of management of the Borrower or any Person described in the succeeding clauses (iii) and (iv), as applicable, to hold a direct or indirect investment in the Borrower in connection with such Person’s estate or tax planning, (iii) any current or former spouse, current or former qualified domestic partner, siblings, parents or grandparents or any descendant (including adopted children and step-children), father-in-law, mother-in-law, son-in-law, daughter-in-law or current or former spouse or qualified domestic partner of the foregoing of those Persons described in clause (i) above, who is transferred Equity Interests of the Borrower by any Person described in clause (i) (or by any vehicle described in clause (ii) above), in connection with such Person’s estate or tax planning, and (iv) any Person who acquires an investment in the Borrower by will or by the laws of intestate succession as a result of the death of any of the Persons described in clauses (i) or (iii) above.

“Management Services Agreement” means a management services agreement (x) in substantially the same form provided to the Lenders prior to the Closing Date (other than any changes to the form required by applicable law or any applicable rule, regulation or order of any Governmental Authority) or (y) in any other form reasonably acceptable to the Required Lenders, in each case, between the Borrower, any other Loan Party or any Wholly Owned Subsidiary of a Loan Party and a Physician-Owned Practice, pursuant to which the Borrower, such other Loan Party or such other Wholly Owned Subsidiary of a Loan Party shall manage such Physician-Owned Practice; provided that, if a Management Services Agreement is entered into with a Wholly Owned Subsidiary of a Loan Party, such Wholly Owned Subsidiary becomes a Loan Party in accordance with Section 5.11 within sixty (60) days after the date such Management Services Agreement is entered into.

“Margin Stock” has the meaning assigned to such term in Regulation U.

“Material Adverse Effect” means (a) on the Closing Date, a Material Adverse Effect (as defined in the Acquisition Agreement) and (b) after the Closing Date, a circumstance, event or condition that would reasonably be expected to have a material adverse effect on:

(1)                the consolidated business, financial condition or results of operations, in each case, of the Borrower and its Restricted Subsidiaries (taken as a whole);

(2)                the ability of the Borrower and the Guarantors (taken as a whole) to perform their material payment obligations under the Loan Documents; or

(3)                the material rights and remedies of the Administrative Agent and the Lenders (taken as a whole) under the Loan Documents.

“Material Agreement” means any agreement, contract or similar instrument to which any Loan Party is a party or to which any of its property or assets may be subject to or bound for, which breach, non-performance, cancellation or failure to renew would reasonably be expected to result in a Material Adverse Effect.

“Material Indebtedness” means Indebtedness (other than the Loans) of the Borrower or any Subsidiary Loan Party in an aggregate outstanding principal amount exceeding $12,500,000 at the time of any determination.

“Material Real Property” means any Real Property located in the United States (other than Excluded Assets) owned in fee by any Loan Party that has a fair market value (as of the Closing Date or, with respect to fee-owned Real Property acquired after the Closing Date, at the time of acquisition thereof by a Loan Party) of at least the greater of (x) $2,250,000 and (y) 5.0% of Consolidated EBITDA for the most recently ended Test Period at such time.

“Maturity Date” means, as the context may require:

(1)                with respect to the Initial Term Loans and the DDTLs, the fifth anniversary of the Closing Date;

(2)                with respect to the Revolving Facility Commitments, any Revolving Loans and any Letters of Credit in respect thereof that have not been extended pursuant to Section 2.24, the fifth anniversary of the Closing Date;

(3)                with respect to any Incremental Term Loans or any Incremental Revolving Facility Commitments (and corresponding Incremental Revolving Loans), the final maturity date specified therefor in the applicable Incremental Facility Amendment;

(4)                with respect to any Other Term Loans or any Other Revolving Commitments (and/or any corresponding Other Revolving Loans), the final maturity date specified therefor in the applicable Refinancing Amendment; and

(5)                with respect to any Extended Term Loans or any Extended Revolving Commitments and any Extended Revolving Loans and any Letters of Credit in respect thereof, the final maturity date specified therefor in the applicable Extension Amendment;

provided that, in each case, if such day is not a Business Day, the Maturity Date shall be the Business Day immediately preceding such day.

“Maturity Provision” has the meaning assigned to such term in Section 2.22(7)(a).

“Maximum Rate” has the meaning assigned to such term in Section 9.09.

“Maximum Total Net Leverage Ratio Financial Covenant” has the meaning assigned to such term in Section 6.12(1).

“Minimum Fixed Charge Coverage Ratio Financial Covenant” has the meaning assigned to such term in Section 6.12(2).

“MNPI” means any material Non-Public Information regarding the Borrower and its Subsidiaries that has not been disclosed to the Lenders generally (other than Lenders who elect not to receive such information). For purposes of this definition, “material Non-Public Information” means Non-Public Information that would reasonably be expected to be material to a decision by any Lender whether to assign or acquire any Term Loans or whether to enter into any of the transactions contemplated thereby.

“Moody’s” means Moody’s Investors Service, Inc.

“Mortgaged Properties” means all Material Real Property as to which the Collateral Agent for the benefit of the Secured Parties shall be granted a Mortgage pursuant to this Agreement.

“Mortgages” means each of the mortgages and deeds of trust creating a Lien on Mortgaged Property or any interest in Material Real Property made by any Loan Party, reasonably acceptable to the Administrative Agent, in favor of, or for the benefit of, the Collateral Agent for the benefit of the Secured Parties, as the same may be amended, restated, amended and restated, supplemented or otherwise modified from time to time.

“Multiemployer Plan” means a multiemployer plan as defined in Section 4001(a)(3) of ERISA to which the Borrower or any Restricted Subsidiary or any ERISA Affiliate (other than one considered an ERISA Affiliate only pursuant to subsection (m) or (o) of Code Section 414) is making or accruing an obligation to make contributions, or has within any of the preceding five plan years made or accrued an obligation to make contributions.

“NAIC” shall mean The National Association of Insurance Commissioners, and any successor thereto.

“Net Cash Proceeds” means the aggregate cash proceeds (using the fair market value of any Cash Equivalents) received by the Borrower or any Restricted Subsidiary in respect of any Asset Sale (including any cash received in respect of or upon the sale or other disposition of any Designated Non-Cash Consideration received in any Asset Sale and any cash payments received by way of deferred payment of principal pursuant to a note or installment receivable or otherwise, but only as and when received, and including any proceeds received as a result of unwinding any related Hedge Agreements in connection with such transaction but excluding the assumption by the acquiring Person of Indebtedness relating to the disposed assets or other consideration received in any other non-cash form) or any Event of Loss, net of the direct cash costs relating to such Asset Sale or Event of Loss and the sale or disposition of such Designated Non-Cash Consideration (including legal, accounting and investment banking fees, and brokerage and sales commissions), and any relocation expenses incurred as a result thereof, taxes paid or payable as a result thereof (after taking into account any available tax credits or deductions and any tax sharing arrangements related thereto), amounts required to be applied to the repayment of principal, premium (if any) and interest on Indebtedness required to be paid as a result of such transaction that is secured by a Permitted Lien (provided that, in the case of Collateral, such Lien is prior or senior to the Lien securing the Obligations), any costs associated with unwinding any related Hedge Agreements in connection with such transaction and any deduction of appropriate amounts to be provided by the Borrower or any of the Restricted Subsidiaries as a reserve in accordance with GAAP against any liabilities associated with the asset disposed of in such transaction and retained by the Borrower or any of the Restricted Subsidiaries after such sale or other disposition thereof, including pension and other post-employment benefit liabilities and liabilities related to environmental matters or against any indemnification obligations associated with such transaction; provided that such reserved amounts will be deemed to be Net Cash Proceeds to the extent and at the time of any reversal thereof (to the extent not applied to the satisfaction of any applicable liabilities in cash in a corresponding amount).

“New DDTLs” has the meaning assigned to such term in Section 2.10(2).

“New York Courts” has the meaning assigned to such term in Section 9.15(1).

“Non-Consenting Lender” has the meaning assigned to such term in Section 2.20(3).

“Non-Debt Fund Affiliate” means any Affiliated Lender other than a Debt Fund Affiliate.

“Non-Debt Fund Affiliate Assignment and Acceptance” has the meaning assigned to such term in Section 9.04(10)(b).

“Non-Public Information” means information that is (i) not publicly available and (ii) material with respect to a Person or its securities for purposes of United States Federal and State securities laws.

“Note” has the meaning assigned to such term in Section 2.09(5).

“Obligations” means:

(1)                all advances to, and debts, liabilities, obligations, covenants and duties of, any Loan Party arising under any Loan Document or otherwise with respect to any Loan or Letter of Credit, whether direct or indirect (including those acquired by assumption), absolute or contingent, due or to become due, now existing or hereafter arising and all amounts owing to any Agent, any Issuing Bank, any Lender, any Swing Line Lender or any beneficiary of any indemnification obligation undertaken by any Loan Party, in each case pursuant to the terms of this Agreement or any other Loan Document, including all interest, fees, expenses and other amounts accrued or accruing (or that would, absent the commencement of an insolvency or liquidation proceeding, accrue) after the commencement by or against any Loan Party of any proceeding under Title 11 of the United States Code, as now constituted or hereafter amended (the “Bankruptcy Code”), or any other federal, state or foreign bankruptcy, insolvency, receivership or similar law naming such Loan Party as the debtor in such proceeding, in accordance with and at the rate specified in this Agreement, whether or not the claim for such interest or expense is allowed or allowable as a claim in such proceeding;

(2)                any Specified Hedge Obligations; and

(3)                any Cash Management Obligations;

provided that:

(a)                the Specified Hedge Obligations and Cash Management Obligations will be secured and Guaranteed pursuant to the Security Documents only to the extent that, and for so long as, the other Obligations are so secured and Guaranteed;

(b)                any release of Collateral or Guarantors effected in the manner permitted by this Agreement or any Security Document will not require the consent of any Cash Management Bank or Qualified Counterparty; and

(c)                Obligations shall not, in any event, include any Excluded Swap Obligation.

“OFAC” has the meaning assigned to such term in Section 3.19(3)(a).

“Organizational Documents” means, (a) for any corporation, the certificate or articles of incorporation, the bylaws, any certificate of determination or instrument relating to the rights of preferred shareholders of such corporation, (b) for any partnership, the certificate of limited partnership (if any) and partnership agreement, (c) for any limited liability company, the articles or certificate of formation or organization and operating agreement or limited liability company agreement or (d) for any other entity, the applicable certificate, articles or other document of formation or organization and any agreement, instrument or other document setting forth the manner of election or duties of the officers, directors, managers or other similar persons, or the designation, amount or relative rights, limitations and preference of the Equity Interests of such entity.

“Original Term Loan Installment Date” has the meaning assigned to such term in Section 2.10(1).

“Other Connection Taxes” means, with respect to any Recipient, Taxes imposed as a result of a present or former connection between such Recipient and the jurisdiction imposing such Tax (other than connections arising solely from such Recipient having executed, delivered, become a party to, performed its obligations under, received payments under, received or perfected a security interest under, engaged in any other transaction pursuant to or enforced any Loan Document, or sold or assigned an interest in any Term Loan or Loan Document).

“Other Refinancing Loans” has the meaning assigned to such term in Section 2.23(1).

“Other Revolving Commitments” has the meaning assigned to such term in Section 2.23(1).

“Other Revolving Loans” has the meaning assigned to such term in Section 2.23(1).

“Other Taxes” means all present or future stamp, court or documentary, intangible, recording, filing or similar Taxes that arise from any payment made under, from the execution, delivery, performance, enforcement or registration of, from the receipt or perfection of a security interest under, or otherwise with respect to, any Loan Document, except any such Taxes that are Other Connection Taxes imposed with respect to an assignment (other than an assignment made pursuant to Section 2.20(2)).

“Other Term Loan Installment Date” has the meaning assigned to such term in Section 2.11(2).

“Other Term Loans” has the meaning assigned to such term in Section 2.23(1).

“Participant” has the meaning assigned to such term in Section 9.04(4)(a).

“Participant Register” has the meaning assigned to such term in Section 9.04(4)(a).

“Payment Notice” has the meaning assigned to such term in Section 8.13(a).

“Payment Office” means the office of the Administrative Agent located at Royal Bank of Canada, 20 King Street West, 4th Floor, Toronto, Ontario, Canada, M5H 1C4, Attention: Manager, Agency Services, Fax: (416) 842-4023 or such other office or account as the Administrative Agent may designate to the Borrower and the Lenders from time to time.

“Payment Recipient” has the meaning assigned to such term in Section 8.13(a).

“Payor” has the meaning assigned to such term in the definition of “Collaboration Agreement”.

“PBGC” means the Pension Benefit Guaranty Corporation referred to and defined in ERISA, or any successor thereto.

“Permitted Acquisition” means any acquisition of all or substantially all the assets of, or a majority of the Equity Interests (or any acquisition of Equity Interests of a Person if, following the acquisition of such Equity Interests, a majority of the Equity Interests of such Person is owned and such Person is, or becomes, a Restricted Subsidiary) in, or merger, consolidation or amalgamation with, a Person (in the case of a merger, consolidation or amalgamation, so long as such Person is, or becomes, the Borrower or a Restricted Subsidiary), or any acquisition of assets constituting a division or line of business or business or operating unit of a Person (or any subsequent investment made in a Person, division or line of business or business or operating unit previously acquired in a Permitted Acquisition); provided that (1) immediately following such acquisition after giving Pro Forma Effect thereto, (a) no Event of Default shall have occurred and be continuing; provided, further, that if such Permitted Acquisition is in connection with a Limited Condition Transaction, no Event of Default shall have occurred and be continuing as of the LCA Test Date and no Specified Event of Default shall have occurred and be continuing on the date of consummation of such Permitted Acquisition and (b) the Borrower shall be in compliance, on a Pro Forma Basis, with a Total Net Leverage Ratio that is 0.25:1.00 below the then applicable Maximum Total Net Leverage Ratio Financial Covenant as set forth in Section 6.12(1) and (2) the portion of the total consideration paid (except to the extent consisting of, or financed with the proceeds of, Equity Interests of, or capital contributions to, the Borrower (other than Disqualified Stock) issued or made substantially contemporaneously with such acquisition) in connection with such acquisition allocable to acquisitions of entities which are not, or in the case of asset acquisitions, are not owned by, any Loan Party, in each case shall not, when aggregated with the amount of any Investments made by the Borrower and the Guarantors in Restricted Subsidiaries that are not Guarantors pursuant to Section 6.04(5), exceed the greater of (i) $15,750,000 and (ii) 35.0% of Consolidated EBITDA for the most recently ended Test Period; provided that, for the avoidance of doubt, such limitation shall not apply to any Physician-Owned Practice.

“Permitted Amendment” means any Incremental Facility Amendment, Refinancing Amendment or Extension Amendment.

“Permitted Debt” has the meaning assigned thereto in Section 6.01.

“Permitted Holders” means each of:

(1)                Deerfield Partners;

(2)                any member of the Management Group (or any controlled Affiliate thereof);

(3)                any other holder of a direct or indirect Equity Interest in the Borrower that holds such interest as of the Closing Date and is disclosed to the Lead Arrangers prior to the Closing Date; and

(4)                any group (within the meaning of Rules 13d-3 and 13d-5 under the Exchange Act) of which Persons described in the foregoing clauses (1), (2) or (3) are members; provided that, without giving effect to the existence of such group or any other group, the Persons described in clauses (1), (2) and (3), collectively, Beneficially Own Voting Stock representing 50% or more of the aggregate ordinary voting power represented by the issued and outstanding Equity Interests of the Borrower (determined on a fully diluted basis but without giving effect to contingent voting rights not yet vested) then held by such group.

“Permitted Investment” has the meaning assigned to such term in Section 6.04.

“Permitted Investor” means:

(1)                Deerfield Partners or any fund or account managed thereby;

(2)                any employee benefit plan of the Borrower or any of its Subsidiaries and any Person acting in its capacity as trustee, agent or other fiduciary or administrator of any such plan; and

(3)                investment vehicles of members of management of the Borrower that invest in, acquire or trade commercial loans but excluding natural persons.

“Permitted Liens” has the meaning assigned to such term in Section 6.02.

“Permitted Refinancing Indebtedness” means any Indebtedness issued in exchange for, or the net proceeds of which are used to extend, refinance, renew, replace, defease, retire, discharge, repurchase, exchange or refund (collectively, “Refinance”) the Indebtedness being Refinanced (or previous refinancings thereof constituting Permitted Refinancing Indebtedness); provided that:

(1)                the principal amount (or accreted value, if applicable) of such Permitted Refinancing Indebtedness does not exceed the principal amount (or accreted value, if applicable) of the Indebtedness so Refinanced (plus unpaid accrued interest and premium (including tender premiums) thereon and underwriting discounts, defeasance costs, fees, commissions and other costs and expenses incurred in connection with such Refinancing);

(2)                other than with respect to Customary Bridge Loans, (i) the Weighted Average Life to Maturity of such Permitted Refinancing Indebtedness may not be shorter than the longest remaining Weighted Average Life to Maturity of the Refinanced Debt at the time of incurrence thereof and (ii) the final maturity date of such Permitted Refinancing Indebtedness is not earlier than the maturity of the Indebtedness being Refinanced;

(3)                if the Indebtedness being Refinanced is subordinated in right of payment or lien priority to any Obligations under this Agreement, such Permitted Refinancing Indebtedness is subordinated in right of payment or lien priority to such Obligations on terms at least as favorable to the Lenders (as determined in good faith by a Responsible Officer of the Borrower) as those contained in the documentation governing the Indebtedness being Refinanced;

(4)                no Permitted Refinancing Indebtedness may have different obligors, or greater Guarantees or security, than the Indebtedness being Refinanced; and

(5)                in the case of a Refinancing of Indebtedness that is secured on a pari passu basis with, or on a junior basis to, the Loans with Indebtedness that is secured on a junior basis to the Loans, a Debt Representative acting on behalf of the holders of such Indebtedness has become party to or is otherwise subject to the provisions of an Acceptable Intercreditor Agreement.

Indebtedness constituting Permitted Refinancing Indebtedness will not cease to constitute Permitted Refinancing Indebtedness as a result of the subsequent extension of the Latest Maturity Date after the date of original incurrence thereof.

“Person” means any natural person, corporation, business trust, joint venture, association, company, partnership, limited liability company, government, individual or family trust, Governmental Authority or other entity of whatever nature.

“Physician-Owned Practice” means with respect to any facility located in any jurisdiction in which ownership of the relevant medical practice(s) to be provided at such facility by non-licensed medical professionals is prohibited by applicable law, any entity (i) 100% of the Equity Interests of which is owned by one or more physicians or other licensed medical professionals who provide services in connection with the applicable medical practice and (ii) that has entered into and continues to be subject to a Management Services Agreement.

“PIPE Transaction” has the meaning assigned to such term in the recitals hereof.

“Plan” means any “employee pension benefit plan” as defined in Section 3(2) of ERISA (other than a Multiemployer Plan) that is (1) subject to the provisions of Title IV of ERISA or Section 412 of the Code or Section 302 of ERISA; and (2) either (a) sponsored or maintained (at the time of determination or at any time within the five years prior thereto) by the Borrower or any of its Subsidiaries or any ERISA Affiliate or (b) in respect of which the Borrower or any of its Subsidiaries 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.

“Plan of Reorganization” has the meaning assigned to such term in Section 8.01(5).

“Platform” has the meaning assigned to such term in Section 9.17(1).

“Pledged Collateral” means “Pledged Collateral” as defined in the Collateral Agreement.

“PPP Escrow Agent” means JPMorgan Chase Bank., N.A., in its capacity as the escrow agent under the PPP Escrow Agreement.

“PPP Escrow Agreement” means a Security Agreement re: Deposit Account in a form agreed upon between the PPP Escrow Agent, the Borrower and O.M. Investment Group, Inc. as the CareMax Representative (the “CareMax Representative”), which form shall include joint instructions from the CareMax Representative and the Borrower to release any funds being held in escrow with the PPP Escrow Agent.

“PPP Lender” means JPMorgan Chase Bank., N.A., in its capacity as the lender in connection with the PPP Loans.

“PPP Loans” means those certain outstanding loans as set forth on Section 6.30 of the Company Disclosure Schedules annexed to the Acquisition Agreement.

“Prime Rate” means the rate of interest per annum determined by the Administrative Agent from time to time as its prime commercial lending rate for United States Dollar loans in the United States for such day, changing effective on the date of announcement of changes to such prime commercial lending rate. The Prime Rate is not necessarily the lowest rate that the Administrative Agent is charging any corporate customer.

“Pro Forma Basis”, “Pro Forma Compliance” and “Pro Forma Effect” mean, with respect to the calculation of the First Lien Net Leverage Ratio, the Total Net Leverage Ratio, the Fixed Charge Coverage Ratio, Consolidated EBITDA, or any other calculation (including, without limitation, of any basket, threshold, test, financial ratio or covenant hereunder (including, for the avoidance of doubt, the Financial Performance Covenants), required by the terms of this Agreement or the other Loan Documents to be made on a Pro Forma Basis, as of any date, that (1) pro forma effect will be given to Specified Transactions, in each case that have occurred during the four consecutive fiscal quarter period of the Borrower being used to calculate such financial ratio (the “Reference Period”), or, other than with respect to the calculation of any Required ECF Percentage (other than in respect of any permanent payments of Indebtedness on or prior to the date any Excess Cash Flow mandatory payment is made for which such Required ECF Percentage is being calculated (including any such Excess Cash Flow mandatory payment) not funded with long term indebtedness (other than revolving indebtedness)), Applicable Rate and actual compliance with the Financial Performance Covenants, subsequent to the end of the Reference Period but prior to such date or prior to or simultaneously with the event for which a determination under this definition is made (including any such event occurring at a Person who became a Restricted Subsidiary after the commencement of the Reference Period), as if each such event occurred on the first day of the Reference Period, and (2) without duplication with any addback in the definition of Consolidated EBITDA, pro forma effect will be given to (i) pro forma “run rate” cost savings, operating expense reductions, restructuring charges and synergies related to operational efficiencies, strategic initiatives, purchasing improvements, acquisitions, divestitures, other specified transactions, restructurings, cost savings initiatives and other initiatives and actions that are related to or resulting from the Transactions, reasonably expected by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices to be realized within 18 months of the date of such calculation (without duplication of the amount of actual benefits realized during such period from such actions), which cost savings, operating expense reductions, restructuring charges and synergies are factually supportable and reasonably identifiable in the good faith determination of the Borrower, as certified in writing by a Financial Officer of the Borrower plus (ii) factually supportable and identifiable pro forma “run rate” cost savings, operating expense reductions, restructuring charges and synergies related to operational efficiencies, strategic and cost savings initiatives, purchasing improvements, acquisitions, divestitures, other specified transactions, restructurings, Permitted Acquisitions or any other acquisition that constitutes a Permitted Investment and other initiatives and actions, in each case, reasonably expected by the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices to be realized based upon actions that have been taken as of such date of such calculation or are reasonably expected to be taken within 18 months of the date of such calculation (without duplication of the amount of actual benefit realized during such period from such actions), which cost savings, operating expense reductions, restructuring charges, improvements and synergies can be reasonably computed, as certified in writing by a Financial Officer of the Borrower; provided that the aggregate amount added back under this clause (2) and clauses (d)(ii), (i), (k) and (l)(II) of the definition of “Consolidated EBITDA” shall not exceed the Expenses and Synergies Cap for the four fiscal quarter period ending on the last day of such period (calculated on a Pro Forma Basis and after giving effect to any such add-backs).

“Pro Forma Financial Statements” means the unaudited pro forma consolidated balance sheet of the Borrower and its Subsidiaries as of the date of the most recent consolidated balance sheet delivered pursuant to Section 4.01(4) and a pro forma statement of operations and Consolidated EBITDA for the twelve-month period ending on such balance sheet date, in each case adjusted to give effect to the Transactions, the other transactions related thereto and such other adjustments as are reflected in the Financial Model.

“Projections” means all projections (including financial estimates, financial models, forecasts and other forward-looking information) furnished to the Lenders or the Administrative Agent by or on behalf of the Borrower or any of its Subsidiaries on or prior to the Closing Date.

“PTE” means a prohibited transaction class exemption issued by the U.S. Department of Labor, as any such exemption may be amended from time to time.

“Public Company Costs” means, as to any Person, costs associated with, or in anticipation of, or preparation for, compliance with the requirements of the Sarbanes-Oxley Act of 2002 and the rules and regulations promulgated in connection therewith and costs relating to compliance with the provisions of the Securities Act and the Exchange Act or other comparable body of laws, rules or regulations, as companies with listed equity, directors’ compensation, fees and expense reimbursement, costs relating to enhanced accounting functions and investor relations, stockholder meetings and reports to stockholders, directors’ and officers’ insurance and other executive costs, legal and other professional fees, listing fees and other transaction costs, in each case to the extent arising solely by virtue of the listing of such Person’s equity securities on a national securities exchange or issuance of public debt securities.

“Public Lender” has the meaning assigned to such term in Section 9.17(2).

“Purchase Documents” means the collective reference to the Acquisition Agreement, all exhibits and schedules thereto and all agreements expressly contemplated thereby.

“Purchasing Borrower Party” means the Borrower or any Subsidiary of the Borrower that becomes an Assignee or Participant pursuant to Section 9.04(14).

“QFC” has the meaning assigned to the term “qualified financial contract” in, and shall be interpreted in accordance with, 12 U.S.C. 5390(c)(8)(D).

“QFC Credit Support” has the meaning assigned to such term in Section 9.25.

“Qualified Counterparty” means any counterparty to any Specified Hedge Agreement that, at the time such Specified Hedge Agreement was entered into or on the Closing Date, was an Agent, a Lead Arranger or a Lender or an Affiliate of the foregoing, whether or not such Person subsequently ceases to be an Agent, a Lead Arranger or a Lender or an Affiliate of the foregoing.

“Qualified Equity Interests” means any Equity Interests other than Disqualified Stock.

“Quarterly Financial Statements” has the meaning assigned to such term in Section 5.04(2).

“Real Property” means, collectively, all right, title and interest (including any leasehold estate) in and to any and all parcels of or interests in real property owned in fee or leased by any Loan Party, together with, in each case, all easements, hereditaments and appurtenances relating thereto, and all improvements and appurtenant fixtures incidental to the ownership or lease thereof.

“Recipient” means the Administrative Agent and any Lender, as applicable.

“Reference Time” with respect to any setting of the then-current Benchmark means (1) if such Benchmark is USD LIBOR, 11:00 a.m., London time, on the day that is two (2) London banking days preceding the date of such setting, and (2) if such Benchmark is not USD LIBOR, the time determined by the Administrative Agent in its reasonable discretion.

“Refinance” has the meaning assigned to such term in the definition of “Permitted Refinancing Indebtedness,” and the terms “Refinanced” and “Refinancing” will have correlative meanings.

“Refinanced Debt” has the meaning assigned to such term in the definition of “Credit Agreement Refinancing Indebtedness”.

“Refinancing Amendment” means an amendment to this Agreement (and, as necessary, each other Loan Document) executed by each of (1) the Borrower; (2) the Administrative Agent; and (3) each Lender that agrees to provide any portion of the Other Refinancing Loans in accordance with Section 2.23.

“Refunded Swing Line Loans” has the meaning assigned to such term in Section 2.04(2)(d).

“Register” has the meaning assigned to such term in Section 2.04(2)(d).

“Registered Equivalent Notes” means, with respect to any notes originally issued in a Rule 144A or other private placement transaction under the Securities Act, substantially identical notes (having the same Guarantees and collateral provisions) issued by the Borrower in a dollar-for-dollar exchange therefor pursuant to an exchange offer registered with the SEC.

“Regulation T” means Regulation T of the Board as from time to time in effect and all official rulings and interpretations thereunder or thereof.

“Regulation U” means Regulation U of the Board as from time to time in effect and all official rulings and interpretations thereunder or thereof.

“Regulation X” means Regulation X of the Board as from time to time in effect and all official rulings and interpretations thereunder or thereof.

“Reinvestment Deferred Amount” means, with respect to any Reinvestment Event, the aggregate amount of Net Cash Proceeds received by the Borrower or a Restricted Subsidiary in connection therewith that are not applied to prepay the Term Loans as a result of the delivery of a Reinvestment Notice.

“Reinvestment Event” means any Asset Sale or Event of Loss in respect of which the Borrower has delivered a Reinvestment Notice.

“Reinvestment Notice” means a written notice executed by a Responsible Officer stating that the Borrower or any Restricted Subsidiary intends and expects to use the amount of Net Cash Proceeds of an Asset Sale or Event of Loss to restore, rebuild, repair, construct, improve, replace or otherwise acquire assets used or useful in the Borrower’s or a Restricted Subsidiary’s business.

“Reinvestment Prepayment Amount” means, with respect to any Reinvestment Event, the Reinvestment Deferred Amount relating thereto that would be required to be prepaid under Section 2.12(2) less any amount expended by the Borrower or a Restricted Subsidiary prior to the relevant Reinvestment Prepayment Date to restore, rebuild, repair, construct, improve, replace or otherwise acquire assets used or useful in the Borrower’s or a Restricted Subsidiary’s business.

“Reinvestment Prepayment Date” means, with respect to any Reinvestment Event, the date occurring twelve (12) months after such Reinvestment Event or, if the Borrower or a Restricted Subsidiary has entered into a legally binding commitment within one year after such Reinvestment Event to restore, rebuild, repair, construct, improve, replace or otherwise acquire assets used or useful in the Borrower’s or a Restricted Subsidiary’s business, the date occurring eighteen (18) months after such Reinvestment Event.

“Related Parties” means, with respect to any specified Person, such Person’s Affiliates and the respective directors, officers, employees, agents, advisors, controlled Affiliates and controlling Persons of such Person and such Person’s Affiliates.

“Related Persons” means, in respect of an Indemnitee, (a) any controlling Person or controlled Affiliate of such Person, (b) the respective directors, officers and employees of such Person or any of its controlling Persons or controlled Affiliates and (c) the respective agents of such Person or any of its controlling Persons or controlled Affiliates, in the case of this clause (c), acting on behalf of or at the express instructions of such Person, controlling Person or controlled Affiliate.

“Release” means any spilling, leaking, seepage, pumping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, disposing, depositing or migrating in, into, upon, onto or through the Environment.

“Relevant Governmental Body” means the Board of Governors of the Federal Reserve System or the Federal Reserve Bank of New York, or a committee officially endorsed or convened by the Board of Governors of the Federal Reserve System or the Federal Reserve Bank of New York, or any successor thereto.

“Remaining Present Value” means, as of any date with respect to any lease, the present value as of such date of the scheduled future lease payments with respect to such lease, determined with a discount rate equal to a market rate of interest for such lease reasonably determined at the time such lease was entered into.

“Reportable Event” means any reportable event as defined in Section 4043(c) of ERISA or the regulations issued thereunder, other than those events as to which the 30 day notice period referred to in Section 4043(c) of ERISA has been waived, with respect to a Plan (other than a Plan maintained by an ERISA Affiliate that is considered an ERISA Affiliate only pursuant to subsection (m) or (o) of Section 414 of the Code).

“Required DDTL Lenders” means, at any time, DDTL Lenders (other than Defaulting Lenders) then holding DDTL Facility Commitments (and after such DDTL Facility Commitments are terminated, DDTL Facility Credit Exposures) representing more than 50% of the DDTL Facility Commitments (and after the DDTL Facility Commitments are terminated, DDTL Facility Credit Exposures) at such time. The DDTL Facility Commitments (and after such DDTL Facility Commitments are terminated, DDTL Facility Credit Exposures) of any Defaulting Lender will be disregarded in determining Required DDTL Lenders.

“Required ECF Percentage” means, with respect to any Excess Cash Flow Period, the percentage set forth in the table below based on the First Lien Net Leverage Ratio determined as of the last day of such Excess Cash Flow Period (but after giving Pro Forma Effect to any permanent payments of Indebtedness prior to the date any Excess Cash Flow mandatory payment is made for which such Required ECF Percentage is being calculated:

“Required Financial Statements” has the meaning assigned to such term in Section 5.04(2).

“Required Lender Consent Items” has the meaning assigned to such term in Section 9.04(12)(c).

“Required Lenders” means, at any time, Lenders (other than Defaulting Lenders) then holding Revolving Facility Commitments (and after such Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures), Term Commitments and outstanding Term Loans representing more than 50% of the Revolving Facility Commitments (and after the Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures), the DDTL Facility Commitments (and after the DDTL Facility Commitments are terminated, DDTL Facility Credit Exposures) and outstanding Term Loans at such time. The Revolving Facility Commitments (and after such Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures), Term Commitments and outstanding Term Loans of any Defaulting Lender will be disregarded in determining Required Lenders; provided that subject to the Borrower’s right to replace Defaulting Lenders as set forth herein, Defaulting Lenders will be included in determining Required Lenders with respect to any amendment that would disproportionately affect the obligation of the Borrower to make payment of the Loans or Commitments of such Defaulting Lender as compared to other Lenders holding the same Class of Loans or Commitments in a manner that is adverse to such Defaulting Lender.

“Required Prepayment Asset Sale” has the meaning assigned to such term in Section 2.12(2).

“Required Revolving Lenders” means, at any time, Revolving Lenders (other than Defaulting Lenders) having Revolving Facility Commitments (and after such Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures) representing more than 50% of the Revolving Facility Commitments (and after the Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures) at such time. The Revolving Facility Commitments (and after such Revolving Facility Commitments are terminated, Revolving Facility Credit Exposures) of any Defaulting Lender will be disregarded in determining Required Revolving Lenders.

“Resolution Authority” means an EEA Resolution Authority or, with respect to any UK Financial Institution, a UK Resolution Authority.

“Responsible Officer” means, with respect to any Loan Party, the chief executive officer, vice president, chief administrative officer, secretary, assistant secretary or any Financial Officer or other similar officer of such Loan Party, or any other individual designated in writing to the Administrative Agent by an existing Responsible Officer of such Loan Party as an authorized signatory of any certificate or other document to be delivered hereunder. Any document delivered hereunder that is signed by a Responsible Officer of a Loan Party will be conclusively presumed to have been authorized by all necessary corporate, partnership or other action on the part of such Loan Party and such Responsible Officer will be conclusively presumed to have acted on behalf of such Loan Party.

“Restricted Payments” has the meaning assigned to such term in Section 6.06.

“Restricted Subsidiary” means any Subsidiary of a Person other than an Unrestricted Subsidiary of such Person. Unless otherwise indicated in this Agreement, all references to Restricted Subsidiaries will mean Restricted Subsidiaries of the Borrower.

“Return” means, with respect to any Investment, any dividend, distribution, interest, fee, premium, return of capital, repayment of principal, income, profit (from a disposition or otherwise) and any other amount received or realized in respect in cash (or the fair market value of property and assets received as determined by the Borrower in good faith) thereof.

“Revolving Facility” means the Revolving Facility Commitments and the extensions of credit made hereunder by the Revolving Lenders. Following the establishment of any Other Revolving Commitments or Extended Revolving Commitments, such Other Revolving Commitments or Extended Revolving Commitments will be considered a separate Revolving Facility hereunder.

“Revolving Facility Commitment” means, as to each Revolving Lender, its obligation to (a) make Revolving Loans to the Borrower pursuant to Section 2.01(3), (b) purchase participations in Letter of Credit Commitments and (c) make (or acquire participations in) Swing Line Loans, in an aggregate principal amount at any one time outstanding not to exceed the amount set forth opposite such Revolving Lender’s name on Schedule 2.01 under the caption “Revolving Facility Commitment” or in the Assignment and Acceptance pursuant to which such Lender becomes a party hereto, as applicable, as such amount may be adjusted from time to time in accordance with this Agreement and includes an Extended Revolving Commitment, an Other Revolving Commitment and/or any Incremental Revolving Facility Commitment, as the context may require. References to “Revolving Facility Commitments” shall mean the Revolving Facility Commitment of each Revolving Lender taken together in the aggregate. The initial aggregate amount of Revolving Facility Commitments of all Revolving Lenders is $40,000,000.

“Revolving Facility Commitment Fee” has the meaning assigned to such term in Section 2.13(1)(a).

“Revolving Facility Commitment Termination Date” means, with respect to the Revolving Facility Commitment of any Revolving Lender, the earliest of (a) the applicable Maturity Date of such Revolving Facility Commitment and (b) the date on which the Revolving Facility Commitments have been terminated in full or reduced to zero pursuant to Section 2.08(2).

“Revolving Facility Credit Exposure” means, at any time, the sum of: (a) the aggregate principal amount of the Revolving Loans outstanding at such time, (b) the Revolving L/C Exposure at such time and (c) the aggregate outstanding principal amount of all Swing Line Loans outstanding at such time. The Revolving Facility Credit Exposure of any Revolving Lender at any time will be, subject to adjustment as expressly provided in Section 2.25, the product of (a) such Revolving Lender’s Revolving Facility Percentage and (b) the aggregate Revolving Facility Credit Exposure of all Revolving Lenders, collectively, at such time.

“Revolving Facility Percentage” means, with respect to any Revolving Lender, the percentage of the total Revolving Facility Commitments represented by such Lender’s Revolving Facility Commitment. If the Revolving Facility Commitments have terminated or expired, the Revolving Facility Percentages will be determined based upon the Revolving Facility Commitments most recently in effect, giving effect to any assignments pursuant to Section 9.04.

“Revolving L/C Exposure” means at any time the sum of (a) the aggregate undrawn amount of all outstanding Letters of Credit at such time and (b) the aggregate amount of all L/C Disbursements that have not yet been reimbursed by or on behalf of the Borrower at such time. The Revolving L/C Exposure of any Revolving Lender at any time will mean its Revolving Facility Percentage of the aggregate Revolving L/C Exposure at such time. For all purposes of this Agreement, if on any date of determination a Letter of Credit has expired by its terms but any amount may still be drawn thereunder by reason of the operation of Rule 3.14 of the International Standby Practices, International Chamber of Commerce No. 590, such Letter of Credit shall be deemed to be “outstanding” in the amount so remaining available to be drawn. Unless otherwise specified herein, the amount of a Letter of Credit at any time shall be deemed to be the stated amount of such Letter of Credit in effect at such time; provided, that with respect to any Letter of Credit that, by its terms or the terms of any document related thereto, provides for one or more automatic increases in the stated amount thereof, the amount of such Letter of Credit shall be deemed to be the maximum stated amount of such Letter of Credit after giving effect to all such increases, whether or not such maximum stated amount is in effect at such time.

“Revolving Lender” means each Lender with a Revolving Facility Commitment or outstanding Revolving Facility Credit Exposure.

“Revolving Loan Borrowing” has the meaning assigned to such term in Section 1.09.

“Revolving Loans” means the revolving loans made by the Revolving Lenders pursuant to Section 2.01(3).

“S&P” means Standard & Poor’s Ratings Services or any successor entity thereto.

“Sale and Lease-Back Transaction” has the meaning assigned to such term in Section 6.03.

“Sanctioned Country” has the meaning assigned to such term in Section 3.19(3)(b).

“Sanctioned Persons” has the meaning assigned to such term in Section 3.19(3)(b).

“Sanctions” has the meaning assigned to such term in Section 3.19(3)(a).

“Screen Rate” has the meaning assigned to such term in the definition of “Eurocurrency Rate.”

“SEC” means the Securities and Exchange Commission or any successor thereto.

“Secured Parties” means the collective reference to the “Secured Parties” as defined in the Collateral Agreement.

“Securities Act” means the Securities Act of 1933, as amended.

“Security Documents” means the collective reference to the Collateral Agreement, the Mortgages (if any), the Intellectual Property Security Agreements and each of the security agreements and other instruments and documents executed and delivered by any Loan Party pursuant hereto, thereto or pursuant to which a Loan Party grants a Lien on Collateral to secure the Obligations.

“Senior Managing Agents” means Citizens Bank NA, Regions Bank, Capital One, N.A. and Fifth Third Bank, National Association, each in its capacity as a senior managing agent.

“SMA” has the meaning assigned to such term in the definition of “Heat Acquisition”.

“SMM” has the meaning assigned to such term in the definition of “Heat Acquisition”.

“SOFR” means, with respect to any Business Day, a rate per annum equal to the secured overnight financing rate for such Business Day published by the SOFR Administrator on the SOFR Administrator’s Website on the immediately succeeding Business Day.

“SOFR Administrator” means the Federal Reserve Bank of New York (or a successor administrator of the secured overnight financing rate).

“SOFR Administrator’s Website” means the website of the Federal Reserve Bank of New York, currently at http://www.newyorkfed.org, or any successor source for the secured overnight financing rate identified as such by the SOFR Administrator from time to time.

“Specified Acquisition Agreement Representations” means such of the representations and warranties made by or with respect to the Acquired Business in the Acquisition Agreement as are material to the interests of the Lenders, but only to the extent that the accuracy of such representations and warranties is a condition to the Borrower or any of its Affiliates’ obligation to consummate the Acquisition under the Acquisition Agreement or to the extent that the Borrower has the right to terminate all of its (or any of the Borrower’s Affiliates has the right to terminate its) obligations under the Acquisition Agreement (without giving effect to notice or lapse of time or both) as a result of a breach of such representations and warranties in the Acquisition Agreement.

“Specified Equity Contribution” has the meaning assigned to such term in Section 7.02(1).

“Specified Event of Default” means any Event of Default under Section 7.01(2), 7.01(3), 7.01(8) or 7.01(9).

“Specified Hedge Agreement” means any Hedge Agreement entered into or assumed between or among the Borrower or any other Restricted Subsidiary and any Qualified Counterparty and designated by the Qualified Counterparty and the Borrower in writing to the Administrative Agent as a “Specified Hedge Agreement” under this Agreement (which designation shall include a certification by such Qualified Counterparty that it is eligible to be a Qualified Counterparty in accordance with the definition thereof).

“Specified Hedge Obligations” means all amounts owing to any Qualified Counterparty under any Specified Hedge Agreement.

“Specified Representations” means the representations and warranties of each of the Borrower and the other Loan Parties set forth in the following sections of this Agreement:

(1)                Section 3.01(1) and (4) (but solely with respect to its organizational existence and status and organizational power and authority as to the execution, delivery and performance of this Agreement and the other Loan Documents to which it is a party);

(2)                Section 3.02(1) (but solely with respect to its authorization of this Agreement and the other Loan Documents to which it is a party);

(3)                Section 3.02(2)(a)(i) (but solely as it relates to the execution, delivery and performance of this Agreement and the other Loan Documents to which it is a party, and solely with respect to non-conflict of this Agreement and the other Loan Documents to which it is a party with its Organizational Documents);

(4)                Section 3.03 (but solely with respect to execution and delivery by it, and enforceability against them, of this Agreement and the other Loan Documents to which it is a party);

(5)                Section 3.08(2);

(6)                Section 3.09;

(7)                Section 3.14 (subject to Permitted Liens and subject to the Certain Funds Provision);

(8)                Section 3.16;

(9)                Section 3.19(1) and 3.19(3)(a); and

(10)              Section 3.25.

To the extent any of the Specified Representations with respect to the Companies and any of their respective Subsidiaries are qualified by or subject to “Material Adverse Effect,” the definition thereof shall be “Material Adverse Effect” as defined in and construed in accordance with the Acquisition Agreement for purposes of any representations and warranties made or to be made on, or as of, the Closing Date (or a date prior thereto).

“Specified Transaction” means the Transactions, any Permitted Acquisition or Investment (including any Limited Condition Transaction), any fundamental changes, any issuance, incurrence, assumption or permanent repayment of Indebtedness (including Indebtedness issued, incurred or assumed as a result of, or to finance, any relevant transaction and for which any such financial ratio or other calculation is being calculated), all sales, transfers and other dispositions of any Subsidiary, line of business or division, or any conversion of a Restricted Subsidiary to an Unrestricted Subsidiary or of an Unrestricted Subsidiary to a Restricted Subsidiary, any Restricted Payment, any incurrence of Liens or any restructuring, strategic and other cost savings initiatives, in each case, in connection with an acquisition or Investment or any other event that by the terms of this Agreement requires Pro Forma Compliance with a test or covenant hereunder or requires a test or covenant to be calculated on a Pro Forma Basis or after giving Pro Forma Effect; provided that any increase in the Commitments (including, for this purpose, any Commitment in respect of any incurrence of DDTLs, any Incremental Facility or Extended Term Loan or Extended Revolving Commitment) above the amount of Commitments in effect immediately prior to such calculation, for purposes of this “Specified Transaction” definition, shall be deemed to be fully drawn solely on the date of any such increase in connection with determining if such increase is permitted hereunder; provided, further, that, at the Borrower’s election, any such Specified Transaction (other than a Restricted Payment) having an aggregate value of less than or equal to the greater of (x) $2,250,000 and (y) 5.0% of Consolidated EBITDA shall not be calculated on a “Pro Forma Basis.”

“Standby Letters of Credit” has the meaning assigned to such term in Section 2.05(1).

“Statutory Reserves” means the aggregate of the maximum reserve percentages (including any marginal, special, emergency or supplemental reserves) established by the Board and any other banking authority, domestic or foreign, to which the Administrative Agent or any Lender (including any branch, Affiliate or other fronting office making or holding a Loan) is subject for Eurocurrency Liabilities (as defined in Regulation D of the Board). Eurocurrency Loans shall be deemed to constitute Eurocurrency Liabilities 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. Statutory Reserves shall be adjusted automatically on and as of the effective date of any change in any reserve percentage.

“Subagent” has the meaning assigned to such term in Section 8.02.

“Subsidiary” means, with respect to any Person, any corporation, partnership, limited liability company, joint venture, association or other entity of which (1) Equity Interests having ordinary voting power (other than Equity Interests having such power only by reason of the happening of a contingency) to elect a majority of the Board of Directors of such corporation, partnership, limited liability company, joint venture, association or other entity are at the time owned by such Person; or (2) more than 50.0% of the Equity Interests are at the time owned by such Person. Unless otherwise indicated in this Agreement, all references to Subsidiaries will mean Subsidiaries of the Borrower. For the avoidance of doubt, no Physician-Owned Practice is a Subsidiary of the Borrower or any Restricted Subsidiary.

“Subsidiary Loan Parties” means (1) each Wholly Owned Domestic Subsidiary (other than any Excluded Subsidiary) of the Borrower on the Closing Date and (2) each Wholly Owned Domestic Subsidiary (other than any Excluded Subsidiary) of the Borrower that becomes a party to the Collateral Agreement after the Closing Date.

“Successor Company” has the meaning assigned to such term in Section 6.05(1)(a).

“Supported QFC” has the meaning assigned to such term in Section 9.25.

“Swap Obligation” means, with respect to any Guarantor, any obligation to pay or perform under any agreement, contract or transaction that constitutes a “swap” within the meaning of section 1a(47) of the Commodity Exchange Act.

“Swap Termination Value” means, in respect of any one or more Hedge Agreements, after taking into account the effect of any legally enforceable netting agreement relating to such Hedge Agreements, (a) for any date on or after the date such Hedge Agreements have been closed out and termination value(s) determined in accordance therewith, such termination value(s), and (b) for any date prior to the date referenced in clause (a), the amount(s) determined as the mark-to-market value(s) for such Hedge Agreements, as determined based upon one or more mid-market or other readily available quotations provided by any recognized dealer in such Hedge Agreements (which may include a Lender or any Affiliate of a Lender).

“Swing Line Lender” means Royal Bank of Canada in its capacity as provider of Swing Line Loans, or any successor swing line lender pursuant to Section 2.04(3).

“Swing Line Loan” has the meaning assigned to such term in Section 2.04.

“Swing Line Sublimit” means $7,500,000. The Swing Line Sublimit is part of, and not in addition to, the Revolving Facility.

“Taxes” means any and all present or future taxes, levies, imposts, duties, deductions, withholdings (including backup withholding) or similar charges imposed by any Governmental Authority and any and all interest and penalties related thereto.

“Term Commitment” means, as to each Term Lender, its obligation to make Term Loans to the Borrower hereunder, expressed as an amount representing the maximum principal amount of the Term Loans to be made by such Lender under this Agreement, as such commitment may be (a) reduced from time to time pursuant to this Agreement and (b) reduced or increased from time to time pursuant to (i) assignments by or to such Lender pursuant to an Assignment and Acceptance, (ii) an Incremental Facility Amendment, (iii) a Refinancing Amendment or (iv) an Extension Amendment. The amount of each Lender’s initial Term Commitment is set forth on Schedule 2.01 under the captions “Initial Term Loan Commitment” and “DDTL Facility Commitment” and the amount of each Lender’s other Term Commitments shall be as set forth in the Assignment and Acceptance, Extension Amendment, Incremental Facility Amendment or Refinancing Amendment pursuant to which such Term Lender shall have assumed or made its Term Commitment, as the case may be, as such amounts may be adjusted from time to time in accordance with this Agreement. The initial aggregate amount of (i) Initial Term Loan Commitments is $125,000,000 and (ii) DDTL Facility Commitments is $20,000,000.

“Term Facility” means the facility and commitments utilized in making Term Loans hereunder. Following the establishment of any Incremental Term Loans (other than an increase to an existing Term Facility), Other Term Loans or Extended Term Loans, such Incremental Term Loans, Other Term Loans or Extended Term Loans will be considered a separate Term Facility hereunder.

“Term Lender” means any Lender that holds Term Loans and/or Term Commitments at such time.

“Term Loan Installment Date” means, as the context requires, an Original Term Loan Installment Date, an Incremental Term Loan Installment Date, an Other Term Loan Installment Date or an Extended Term Loan Installment Date.

“Term Loans” means, collectively, any term loan made hereunder pursuant to Section 2.01 (including the Initial Term Loans and any DDTLs), including, unless the context otherwise requires, any Incremental Term Loans, any Other Term Loans and any Extended Term Loans.

“Term SOFR” means, for the applicable Corresponding Tenor as of the applicable Reference Time, the forward-looking term rate based on SOFR that has been selected or recommended by the Relevant Governmental Body.

“Term SOFR Notice” means a notification by the Administrative Agent to the Lenders and the Borrower of the occurrence of a Term SOFR Transition Event.

“Term SOFR Transition Event” means the determination by the Administrative Agent that (a) Term SOFR has been recommended for use by the Relevant Governmental Body, and is determinable for each Available Tenor and (b) the administration of Term SOFR is administratively feasible for the Administrative Agent.

“Termination Date” means the date the Commitments have been terminated and the Obligations (other than (i) Specified Hedge Obligations and Cash Management Obligations that are not then due and payable and (ii) contingent indemnification and reimbursement obligations that are not yet due and payable and for which no claim has been asserted) have been paid in full and all Letters of Credit have expired, terminated or been cash-collateralized or back stopped or grandfathered into another facility on terms satisfactory to the applicable Issuing Bank.

“Test Period” means at any time, the most recent period of four (4) consecutive fiscal quarters of the Borrower for which Required Financial Statements have been delivered (or were required to have been delivered) pursuant to Section 5.04(1) or (2)).

“Third Party Material” has the meaning assigned to such term in Section 3.12(i).

“Title Company” has the meaning assigned to such term in Section 5.11(2)(c).

“Title Policy” has the meaning assigned to such term in Section 5.11(2)(c).

“Total Net Leverage Ratio” means, as of any date, the ratio of (a) Consolidated Total Net Debt as of the last day of the then most recently ended Test Period, to (b) Consolidated EBITDA for the then most recently ended Test Period, calculated on a Pro Forma Basis.

“Trade Date” has the meaning assigned to such term in Section 9.04(8).

“Trade Letters of Credit” has the meaning assigned to such term in Section 2.05(1).

“Transaction Costs” has the meaning assigned to such term in the recitals hereof.

“Transaction Documents” means the Purchase Documents and the Loan Documents.

“Transaction Participant” means BankUnited, N.A., in its capacity as a participant.

“Transactions” means, collectively, the transactions to occur pursuant to the Transaction Documents, including:

(1)                the consummation of the Acquisition;

(2)                the execution and delivery of the Loan Documents, the creation of the Liens pursuant to the Security Documents and the initial Borrowings and other initial Credit Extensions hereunder on the Closing Date;

(3)                the consummation of the PIPE Transaction;

(4)                the closing of the Closing Date Refinancing;

(5)                the de-SPAC process, including, without limitation, the preparation, SEC review, printing and circulation of the proxy statement with respect to the Acquisition, the meeting of the shareholders of the Borrower to approve the Acquisition and the preparation and filing of the Borrower’s other filings with the SEC pursuant to the Securities Act and the Exchange Act in connection therewith and the PIPE Transaction; and

(6)                the payment of the Transaction Costs.

“Type” means, when used in respect of any Loan or Borrowing, the Rate by reference to which interest on such Loan or on the Loans comprising such Borrowing is determined. For purposes hereof, the term “Rate” means Adjusted Eurocurrency Rate or ABR, as applicable.

“UK Financial Institution” means any BRRD Undertaking (as such term is defined under the PRA Rulebook (as amended from time to time) promulgated by the United Kingdom Prudential Regulation Authority) or any person subject to IFPRU 11.6 of the FCA Handbook (as amended from time to time) promulgated by the United Kingdom Financial Conduct Authority, which includes certain credit institutions and investment firms, and certain affiliates of such credit institutions or investment firms.

“UK Resolution Authority” means the Bank of England or any other public administrative authority having responsibility for the resolution of any UK Financial Institution.

“Unadjusted Benchmark Replacement” means the applicable Benchmark Replacement excluding the related Benchmark Replacement Adjustment.

“Unaudited Financial Statements” means the unaudited consolidated balance sheets and related statements of income, changes in equity and cash flows of each of the Acquired Businesses, in each case, for each subsequent fiscal quarter ended at least forty-five (45) days prior to the Closing Date.

“Uniform Commercial Code” or “UCC” means the Uniform Commercial Code as the same may from time to time be in effect in the State of New York or the Uniform Commercial Code (or similar code or statute) of another jurisdiction, to the extent it may be required to apply to any item or items of Collateral.

“Unrestricted Cash” means, as of any date, the amount of (x) all cash and Cash Equivalents of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices as of such date that would not appear as “restricted” on the Required Financial Statements and (y) all cash and Cash Equivalents of the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices that are restricted in favor of (i) the Collateral Agent on behalf of the Secured Parties in respect of any of the Facilities and/or (ii) in the case of the Physician-Owned Practices, that are restricted in favor of the Loan Parties, in each case, whether or not held in a pledged account, determined on a consolidated basis in accordance with GAAP based upon the financial statements for the then most recently ended Test Period as of such date, and calculated on a Pro Forma Basis; provided that, other than in the case of determining compliance with the Financial Performance Covenants, cash funded to the balance sheet on the Closing Date shall be deemed to be “restricted” for all purposes hereunder.

“Unrestricted Subsidiary” means any Subsidiary of the Borrower (a) designated by the Borrower as an Unrestricted Subsidiary hereunder by written notice to the Administrative Agent and (b) any Subsidiary of an Unrestricted Subsidiary, in the case of clause (a) above, until such Subsidiary is redesignated as a Restricted Subsidiary in accordance with the terms of this Agreement; provided that the Borrower will only be permitted to so designate a new Unrestricted Subsidiary after the Closing Date or subsequently re-designate any such Unrestricted Subsidiary as a Restricted Subsidiary (by written notice to the Administrative Agent) if:

(1)                no Default or Event of Default is continuing;

(2)                such designation or re-designation would not cause a Default or Event of Default;

(3)                immediately after giving effect to such designation, the Borrower shall be in compliance, on a Pro Forma Basis, with the Financial Performance Covenants for the Test Period then last ended; and

(4)                such Subsidiary designated as an Unrestricted Subsidiary is not the owner of Intellectual Property Rights or other assets which, after giving effect to such designation, would be material to the business of the Borrower and its Restricted Subsidiaries (taken as a whole).

The designation of any Restricted Subsidiary as an Unrestricted Subsidiary will constitute an Investment for purposes of Section 6.04 at the date of designation in an amount equal to the fair market value thereof. Subject to the provisos in clauses (1) and (2) above, the designation of any Unrestricted Subsidiary as a Restricted Subsidiary will constitute the incurrence at the time of such designation of Indebtedness of such Unrestricted Subsidiary and the Liens on the assets of such Unrestricted Subsidiary, in each case outstanding on the date of such redesignation, as applicable. No Unrestricted Subsidiary shall be subject to, or included within the scope of, any provision herein or in any other Loan Document, including, without limitation, any representation, warranty, covenant or Event of Default herein or in any other Loan Document, and the results of operations, cash and Indebtedness of Unrestricted Subsidiaries will not be taken into account for purposes of determining compliance with any financial tests contained in the Loan Documents.

“USA PATRIOT Act” means the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001 (Title III of Pub. L. No. 107-56 (signed into law October 26, 2001)).

“USD LIBOR” means the London interbank offered rate for U.S. dollars.

“U.S. Person” means any Person that is a “United States Person” as defined in Section 7701(a)(30) of the Code.

“U.S. Special Resolution Regimes” has the meaning assigned to such term in Section 9.25.

“Voting Stock” means, as of any date, all classes of Capital Stock of any Person then outstanding that is at the time entitled to vote in the election of the Board of Directors (or similar governing body) of such Person, other than Capital Stock having such power only by reason of the happening of a contingency.

“Weighted Average Life to Maturity” means, when applied to any Indebtedness as of any date, the number of years obtained by dividing: (1) the sum of the products obtained by multiplying (a) the amount of each then remaining installment, sinking fund, serial maturity or other required payment of principal (excluding nominal amortization), including payment at final maturity, in respect thereof by (b) the number of years (calculated to the nearest 1/12) that will elapse between such date and the making of such payment; by (2) the then outstanding principal amount of such Indebtedness; provided that for purposes of determining the Weighted Average Life to Maturity of any Indebtedness that is being modified, refinanced, refunded, renewed, replaced or extended, the effects of any prepayments made on such Indebtedness prior to the date of the applicable extension shall be disregarded.

“Wholly Owned Domestic Subsidiary” means, with respect to any Person, a Domestic Subsidiary of such Person that is a Wholly Owned Subsidiary. Unless otherwise indicated in this Agreement, all references to Wholly Owned Domestic Subsidiaries will mean Wholly Owned Domestic Subsidiaries of the Borrower.

“Wholly Owned Subsidiary” means, with respect to any Person as of any date, any subsidiary of such Person of which 100% of the Equity Interests (other than directors’ qualifying shares or nominal or other similar shares issued to foreign nationals to the extent required by applicable laws) are, as of such date, owned by such Person, or one or more Wholly Owned Subsidiaries of such Person or by such Person and one or more Wholly Owned Subsidiaries of such Person. Unless otherwise indicated in this Agreement, all references to Wholly Owned Subsidiaries will mean Wholly Owned Subsidiaries of the Borrower.

“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 Part I of Subtitle E of Title IV of ERISA.

“Working Capital” means, with respect to the Borrower, the Restricted Subsidiaries and the Physician-Owned Practices on a consolidated basis as of any date of determination, their Current Assets at such date of determination minus their Current Liabilities at such date of determination; provided that, for purposes of calculating Excess Cash Flow, increases or decreases in Working Capital will exclude, without duplication, (a) the impact of any of the items adjusted for in the definition of “Consolidated EBITDA” and (b) be calculated without regard to any changes in Current Assets or Current Liabilities as a result of (i) any reclassification after the Closing Date in accordance with GAAP of assets or liabilities, as applicable, between current and non-current or (ii) the effects of purchase accounting adjustments; provided, further, that, to the extent that the Borrower, any Restricted Subsidiary or any Physician-Owned Practice consummates an acquisition or Asset Sale or experiences an Event of Loss (outside the ordinary course) during such period, Working Capital shall be adjusted to eliminate any distortion resulting from such acquisitions, Asset Sales and Events of Loss occurring during the applicable period.

“Write-Down and Conversion Powers” means, (a) with respect to any EEA Resolution Authority, the write-down and conversion powers of such EEA Resolution Authority from time to time under the Bail-In Legislation for the applicable EEA Member Country, which write-down and conversion powers are described in the EU Bail-In Legislation Schedule, and (b) with respect to the United Kingdom, any powers of the applicable Resolution Authority under the Bail-In Legislation to cancel, reduce, modify or change the form of a liability of any UK Financial Institution or any contract or instrument under which that liability arises, to convert all or part of that liability into shares, securities or obligations of that person or any other person, to provide that any such contract or instrument is to have effect as if a right had been exercised under it or to suspend any obligation in respect of that liability or any of the powers under that Bail-In Legislation that are related to or ancillary to any of those powers.

Section 1.02          Terms Generally. Unless otherwise specified herein or therein, all terms defined in this Agreement or in any other Loan Document shall have the defined meanings set forth in Section 1.01 of this Agreement when used in any certificate or other document made or delivered pursuant hereto. The definitions set forth or referred to in Section 1.01 will apply equally to both the singular and plural forms of the terms defined. Terms (including uncapitalized terms) not otherwise defined herein and that are defined in the UCC shall have the meanings therein described. Whenever the context may require, any pronoun will include the corresponding masculine, feminine and neuter forms. Unless the context requires otherwise,

All references herein to Articles, Sections, Exhibits and Schedules will be deemed references to Articles and Sections of, and Exhibits and Schedules to, this Agreement unless the context otherwise requires. Except as otherwise expressly provided herein, any reference in this Agreement to any Loan Document or Organizational Document of the Loan Parties means such document as amended, restated, amended and restated, supplemented or otherwise modified from time to time (subject to any restrictions on such amendments, restatements, amendments and restatements, supplements or modifications set forth herein or in any other Loan Document). Any reference to any law will include all statutory and regulatory provisions consolidating, amending, replacing, supplementing or interpreting such law and any reference to any law or regulation means, unless otherwise specified, such law or regulation as amended, modified or supplemented from time to time. Whenever this Agreement refers to the “knowledge” of the Borrower or any Loan Party, such reference will be construed to mean the actual knowledge of a Responsible Officer of such Person.

Section 1.03          Accounting Terms; GAAP. Except as otherwise expressly provided herein, all terms of an accounting or financial nature will be construed in accordance with GAAP, as in effect from time to time; provided that, notwithstanding anything to the contrary herein, all accounting or financial terms used herein will be construed, and all financial computations pursuant hereto will be made, without giving effect to any election under Statement of Financial Accounting Standards Board Accounting Standards Codification 825-10 (or any other Statement of Financial Accounting Standards Board Accounting Standards Codification having a similar effect) to value any Indebtedness or other liabilities of the Borrower or any Subsidiary at “fair value,” as defined therein. In the event that any Accounting Change (as defined below) occurs and such change results in a change in the method of calculation of financial covenants, standards or terms in this Agreement, then upon the written request of the Borrower or the Administrative Agent (acting upon the request of the Required Lenders), the Borrower, the Administrative Agent and the Lenders will enter into good faith negotiations in order to amend such provisions of this Agreement so as to equitably reflect such Accounting Change with the desired result that the criteria for evaluating the Borrower’s financial condition will be the same after such Accounting Change as if such Accounting Change had not occurred; provided that such Accounting Change shall be disregarded for purposes of this Agreement until the effective date of such amendment. “Accounting Change” means (1) any change in accounting principles required by the promulgation of any rule, regulation, pronouncement or opinion by the Financial Accounting Standards Board of the American Institute of Certified Public Accountants or (2) any change in the application of GAAP by the Borrower. Notwithstanding anything to the contrary above or in the definition of “Capital Lease Obligations” or “Capital Expenditures”, all obligations of any Person that are or would have been treated as operating leases for purposes of GAAP prior to the effectiveness of Accounting Standards Codification 842 shall continue to be accounted for as operating leases hereunder or under any other Loan Documents (whether or not such operating lease obligations were in effect on such date) notwithstanding the fact that such obligations are required in accordance with Accounting Standards Codification 842 (on a prospective or retroactive basis or otherwise) to be treated as Capital Leases.

Section 1.04         Effectuation of Transfers. Each of the representations and warranties of the Borrower contained in this Agreement (and all corresponding definitions) is made after giving effect to the Transactions, unless the context otherwise requires.

Section 1.05          Currencies. Unless otherwise specifically set forth in this Agreement, monetary amounts are in Dollars.

Section 1.06          Required Financial Statements. With respect to the determination of Consolidated EBITDA, the First Lien Net Leverage Ratio, the Total Net Leverage Ratio, the Fixed Charge Coverage Ratio or any determination under any other applicable provision of the Loan Documents (including the definition of Immaterial Subsidiary) made on or prior to the date on which Required Financial Statements have been delivered (or were required to have been delivered pursuant to Section 5.04(1) or (2)), for the first fiscal quarter ending on or after the Closing Date, such calculation will be determined for the period of four (4) consecutive fiscal quarters ended March 31, 2021, and calculated on a Pro Forma Basis. Notwithstanding anything to the contrary herein, for purposes of determining compliance with any test contained in this Agreement with respect to any period during which any Specified Transaction occurs, the First Lien Net Leverage Ratio, the Total Net Leverage Ratio or any determination under any other applicable provision of the Loan Documents (including the definition of Immaterial Subsidiary) shall be calculated with respect to such period and such Specified Transaction on a Pro Forma Basis.

Section 1.07          Certain Calculations and Tests.

Section 1.08          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 “Eurocurrency Loan”) or by Class and Type (e.g., a “Eurocurrency Revolving Loan”). Borrowings also may be classified and referred to by Class (e.g., a “Revolving Loan Borrowing”) or by Type (e.g., a “Eurocurrency Borrowing”) or by Class and Type (e.g., a “Eurocurrency Revolving Loan Borrowing”).

Section 1.09          Reclassification. For purposes of determining compliance at any time with Section 6.01, Section 6.02, Section 6.03, Section 6.04, Section 6.05, Section 6.06, Section 6.07 and Section 6.09, in the event that any Lien, Indebtedness, Asset Sales and other dispositions, Permitted Investments, Restricted Payment, Affiliate transaction or prepayment of Indebtedness meets the criteria of more than one of the categories of transactions or items (or any combination of one or more thereof) in the same covenant permitted pursuant to any clause of such Section 6.01, Section 6.02, Section 6.03, Section 6.04, Section 6.05, Section 6.06, Section 6.07 and Section 6.09, the Borrower, in its sole discretion, may classify and/or reclassify or divide such transaction or item (or portion thereof) in the same covenant from time to time and will only be required to include the amount and type of such transaction (or portion thereof) in any one category in the same covenant.

Section 1.10          Calculation of Baskets and Ratios. If any of the baskets set forth in Article VI of this Agreement are exceeded solely as a result of fluctuations to Consolidated EBITDA for the most recently completed fiscal quarter after the last time such baskets were calculated for any purpose under Article VI, such baskets will not be deemed to have been exceeded solely as a result of such fluctuations.

Section 1.11          Certifications. All certificates and other statements required to be made by any director, officer, employee or member of management or other Responsible Officer of a Loan Party pursuant to any Loan Document are and will be made on the behalf of such Loan Party and not in such officer’s, director’s, employee’s, or Responsible Officer’s or member of management’s individual capacity.

Section 1.12          Available Amount Transactions. If more than one action occurs on any given date the permissibility or the taking of which is determined hereunder by reference to the Available Amount immediately prior to the taking of such action, the permissibility of the taking of each such action shall be determined independently and in no event may any two or more such actions be treated as occurring simultaneously but shall instead occur in the order determined by the Borrower, i.e., each transaction must be permitted under Available Amount as so calculated.

Section 1.13          Divisions. For all purposes under the Loan Documents, in connection with any Delaware LLC Division (or any comparable event under a different jurisdiction’s laws): (a) if any asset, right, obligation or liability of any Person becomes the asset, right, obligation or liability of a different Person, then it shall be deemed to have been transferred from the original Person to the subsequent Person, and (b) if any new Person comes into existence, such new Person shall be deemed to have been organized on the first date of its existence by the holders of its Equity Interests at such time.

Article II

The Credits

Section 2.01          Commitments.

Section 2.02          Loans and Borrowings.

Section 2.03          Request for Borrowing. To request a Borrowing, the Borrower will deliver to the Administrative Agent a Borrowing Request not later than: (a) in the case of an ABR Borrowing, 2:00 p.m., New York City time, one (1) Business Day before the date of the proposed Borrowing, (or such later time as the Administrative Agent may agree in its sole discretion); provided that any such notice of an ABR Borrowing to finance the reimbursement of an L/C Disbursement as contemplated by Section 2.05(5) may be given not later than 12:00 noon, New York City time, on the date of the proposed Borrowing, (b) in the case of a Eurocurrency Borrowing, 2:00 p.m., New York City time, three (3) Business Days before the date of the proposed Borrowing, (or such later time as the Administrative Agent may agree in its sole discretion); provided that any notice of a Eurocurrency Borrowing to be made on the Closing Date may be given not later than 12:00 noon, New York City time, one (1) Business Day prior to the date of the proposed Eurocurrency Borrowing (or such later time as the Administrative Agent may reasonably agree), which notice may be subject to the effectiveness of this Agreement. Each Borrowing Request must specify:

If no election as to the Type of Borrowing is specified in the applicable Borrowing Request, then the requested Borrowing shall be an ABR Borrowing. If no Interest Period with respect to any Eurocurrency Borrowing is specified in the applicable Borrowing Request, then the Borrower will be deemed to have selected an Interest Period of one-month’s duration. Upon receipt of such Borrowing Request, the Administrative Agent will promptly notify each Lender of such Borrowing Request and of the amount (if any) of such Lender’s pro rata share of the requested Borrowing. The proceeds of the Loans requested under this Section 2.03 will be disbursed by the Administrative Agent in immediately available funds by wire transfer to such bank account or accounts as designated by the Borrower in each Borrowing Request.

Section 2.04          Swing Line Loans.

Section 2.05          Letters of Credit.

Section 2.06          Funding of Borrowings.

Section 2.07          Interest Elections.

Section 2.08          Termination and Reduction of Commitments.

Section 2.09          Promise to Pay; Evidence of Debt.

Section 2.10          Repayment of Term Loans.

provided that, such payments for the Initial Term Loans will be (x) reduced as a result of the application of prepayments of Initial Term Loans in accordance with the order of priority set forth in Section 2.11 or 2.12, as applicable and (y) subject to adjustments as set forth in any Incremental Facility Amendment that increases the aggregate principal amount of the Initial Term Loans (each such date being referred to as an “Original Term Loan Installment Date”).

together, in each case, with accrued and unpaid interest on the principal amount to be paid to but excluding the date of such payment.

Section 2.11          Optional Prepayment of Loans. The Borrower may at any time and from time to time prepay the Loans of any Class, in whole or in part, without premium or penalty (subject to Section 2.17), in an aggregate principal amount, (1) in the case of Eurocurrency Loans, that is an integral multiple of $500,000 and not less than $1,000,000, and (2) in the case of ABR Loans, that is an integral multiple of $500,000 and not less than $1,000,000, or, in each case, if less, the amount outstanding or as may be otherwise agreed with the Administrative Agent. The Borrower will notify the Administrative Agent in writing (substantially in the form attached hereto as Exhibit H) by hand delivery, facsimile transmission or e-mail of such election not later than 2:00 p.m., New York City time, (a) in the case of a Eurocurrency Borrowing, three (3) Business Days before the anticipated date of such prepayment, (b) in the case of an ABR Borrowing, one (1) Business Day before the anticipated date of such prepayment and (c) in the case of a prepayment of Swing Line Loans, not later than 2:00 p.m., New York City time, on the date of prepayment, in each case, or such shorter period as is acceptable to the Administrative Agent; provided that prior written notice shall not be required and no minimum shall apply in respect of Revolving Loans and Swing Line Loans. Each such notice of prepayment will specify the relevant Borrowing to be prepaid, the prepayment date and the principal amount of each Borrowing (or portion thereof) to be prepaid. All prepayments under this Section 2.11 will be accompanied by accrued and unpaid interest on the principal amount to be prepaid to but excluding the date of payment. Any such notice may be revocable or conditioned on a refinancing of all or any portion of any Facility, in which case such notice may be revoked or postponed by the Borrower (by notice to the Administrative Agent prior to 2:00 p.m., New York City time, on the specified effective date) if such condition is not satisfied; provided that the provisions of Section 2.17 shall apply with respect to any such revocation or extension. Any optional prepayments of Term Loans pursuant to this Section 2.11 shall be applied among the Classes of Term Loans as directed by the Borrower (or, in the case of no such direction, pro rata to each of the Classes of Term Loans) and within each Class of Term Loans subject to such prepayment will be applied to the remaining scheduled amortization payments of such applicable Class of Term Loans as directed by the Borrower (or in the absence of such direction, in direct order of maturity, to the amortization payments of such applicable Class of Term Loans) and will be applied ratably to the Term Loans of such Class included in the prepaid Borrowing.

Section 2.12          Mandatory Prepayment of Loans.

in each case, (i) made during the applicable fiscal year or after year-end and prior to the time such prepayment pursuant to this Section 2.12(3)(b) is due (any payments described in this sub-clause (i) made after the end of the applicable fiscal year but prior to the time such prepayment pursuant to this Section 2.12(3) is due in respect of such fiscal year, an “After Year End Payment”; provided that no such After Year End Payment applied in respect of any Excess Cash Flow Period may be applied in any succeeding Excess Cash Flow Period) and (ii) not financed with the proceeds of the issuance or the incurrence of long-term Indebtedness (other than proceeds of revolving loans); minus

Not later than the date on which the Borrower is required to deliver financial statements with respect to the end of each Excess Cash Flow Period under Section 5.04(1), the Borrower will deliver to the Administrative Agent a certificate signed by a Financial Officer of the Borrower setting forth the amount, if any, of Excess Cash Flow for such fiscal year and the calculation thereof in reasonable detail.

Section 2.13          Fees.

Section 2.14          Interest.

Section 2.15          Inability to Determine Rates.

then the Administrative Agent shall give notice thereof to the Borrower and the Lenders by facsimile transmission or e-mail 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 Eurocurrency Borrowing shall be ineffective, and any Eurocurrency Borrowing that is requested to be continued, shall be converted to an ABR Borrowing on the last day of the Interest Period applicable thereto and (ii) if any Borrowing Request requests a Eurocurrency Borrowing, such Borrowing shall be made as an ABR Borrowing.

Section 2.16          Increased Costs.

and the result of any of the foregoing is to increase the cost to such Lender of making or maintaining any Eurocurrency Loan (or of maintaining its obligation to make any such Loan) or to increase the cost to such Lender or 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 Issuing Bank hereunder (whether of principal, interest or otherwise), the Borrower will pay to such Lender or Issuing Bank, as applicable, such additional amount or amounts as will compensate such Lender or Issuing Bank, as applicable, for such additional costs incurred or reduction suffered; provided that the Borrower shall not be liable for such compensation if (x) the relevant Change in Law occurs on a date prior to the date such Lender becomes a party hereto, (y) any Lender invokes Section 2.21 or (z) in the case of requests for reimbursement under clause (b) above resulting from a market disruption, (A) such circumstances are not generally affecting the banking market or (B) such request has not been made by Lenders constituting the Required Lenders.

Section 2.17          Break Funding Payments. Except as otherwise set forth herein, the Borrower will compensate each Lender for the actual out-of-pocket loss, cost and expense (excluding loss of anticipated profits) attributable to the following events:

Such loss, cost or expense to any Lender will be deemed to be the amount determined by such Lender to be the excess, if any, of (i) the amount of interest which would have accrued on the principal amount of such Loan had such event not occurred, at the Adjusted Eurocurrency Rate that would have been applicable to such Loan (but not including the Applicable Rate applicable thereto), 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 a Eurocurrency Loan, for the period that would have been the Interest Period for such Loan) over (ii) the amount of interest which would accrue on such principal amount for such period at the interest rate which such Lender would bid were it to bid, at the commencement of such period, for deposits in Dollars of a comparable amount and period from other banks in the London interbank market; it being understood that such loss, cost or expense shall in any case exclude any interest rate floor and all administrative, processing or similar fees.

A certificate of any Lender setting forth in reasonable detail any amount or amounts that such Lender is entitled to receive pursuant to this Section 2.17 and the basis therefor and setting forth in reasonable detail the manner in which such amount or amounts were determined will be delivered to the Borrower and will be conclusive absent manifest error. The Borrower will pay such Lender the amount shown as due on any such certificate within thirty (30) days after receipt thereof.

Section 2.18          Taxes.

(A)              In the case of a Foreign Lender claiming the benefits of an income tax treaty to which the United States is a party (x) with respect to payments of interest under any Loan Document, executed copies of Internal Revenue Service Form W-8BEN or Internal Revenue Service Form W-8BEN-E establishing an exemption from, or reduction of, U.S. federal withholding Tax pursuant to the “interest” article of such tax treaty and (y) with respect to any other applicable payments under any Loan Document, Internal Revenue Service Form W-8BEN or Internal Revenue Service Form W-8BEN-E establishing an exemption from, or reduction of, U.S. federal withholding Tax pursuant to the “business profits” or “other income” article of such tax treaty;

(B)              duly completed and executed copies of Internal Revenue Service Form W-8ECI (or any subsequent versions thereof or successors thereto);

(C)              in the case of a Foreign Lender claiming the benefits of the exemption for portfolio interest under Section 871(h) or 881(c) of the Code,

(x) a certificate substantially in the form of the applicable Exhibit F to the effect that such Foreign Lender is not a “bank” within the meaning of Section 881(c)(3)(A) of the Code, a “10 percent shareholder” of the Borrower within the meaning of Section 871(h)(3) or 881(c)(3)(B) of the Code; or a “controlled foreign corporation” described in Section 881(c)(3)(C) of the Code; and

(y) duly completed and executed copies of Internal Revenue Service Form W-8BEN or W-8BEN-E, as applicable (or any subsequent versions thereof or successors thereto); or

(D)              to the extent a Foreign Lender is not the Beneficial Owner, duly completed and executed copies of Internal Revenue Service Form W-8IMY, accompanied by Internal Revenue Service Form W-8ECI, Internal Revenue Service Form W-8BEN, Internal Revenue Service Form W-8BEN-E, a certificate substantially in the form of the applicable Exhibit F, Internal Revenue Service Form W-9, and/or other certification documents from each Beneficial Owner, as applicable; provided that if the Foreign Lender is a partnership and one or more direct or indirect partners of such Foreign Lender are claiming the portfolio interest exemption, such Foreign Lender may provide a certificate substantially in the form of the applicable Exhibit F on behalf of each such direct and indirect partner;

In addition, each Lender agrees that if any form or certification it previously delivered expires or becomes obsolete, invalid, or inaccurate in any respect, it shall update such form or certification or promptly notify the Borrower and the Administrative Agent in writing of its legal inability to do so.

Section 2.19          Payments Generally; Pro Rata Treatment; Sharing of Set-offs.

Section 2.20          Mitigation Obligations; Replacement of Lenders.

Section 2.21          Illegality. If any Lender reasonably determines that any Change in Law has made it unlawful, or if any Governmental Authority has asserted after the Closing Date that it is unlawful, for any Lender or its applicable Lending Office to make or maintain any Eurocurrency Loans, then, upon notice thereof by such Lender to the Borrower through the Administrative Agent, any obligations of such Lender to make or continue Eurocurrency Loans or to convert ABR Borrowings to Eurocurrency Borrowings will be suspended until such Lender notifies the Administrative Agent and the Borrower that the circumstances giving rise to such determination no longer exist. Upon receipt of such notice, the Borrower will upon demand from such Lender (with a copy to the Administrative Agent), convert all Eurocurrency Borrowings of such Lender to ABR Borrowings, either on the last day of the applicable Interest Period therefor, if such Lender may lawfully continue to maintain such Eurocurrency Borrowings to such day, or immediately, if such Lender may not lawfully continue to maintain such Loans. Upon any such prepayment or conversion, the Borrower will also pay accrued interest on the amount so prepaid or converted.

Section 2.22          Incremental Facilities.

The Borrower may, in the case of any such Incremental Term Loans, elect to incur such Incremental Facilities as a separate tranche or as an increase to any existing tranche of Loans. Each tranche of Incremental Term Loans or Incremental Revolving Facility Commitment will be in an integral multiple of $1,000,000 and in an aggregate principal amount that is not less than $5,000,000 (or such lesser minimum amount approved by the Administrative Agent in its reasonable discretion); provided that such amount may be less than the applicable minimum amount or integral multiple amount if such amount represents all the remaining availability under this clause (3) at such time.

Section 2.23          Other Loans.

Section 2.24          Extensions of Term Loans and Revolving Facility Commitments.

Section 2.25          Defaulting Lenders.

Article III

Representations and Warranties

Each of the Borrower and the Restricted Subsidiaries represents and warrants to each Agent, to each of the Lenders and to the Issuing Banks, with respect to Credit Extensions made on the Closing Date that, on the Closing Date, the Specified Acquisition Agreement Representations and the Specified Representations are true and correct in all material respects.

With respect to any Credit Extensions made after the Closing Date, to the extent required by Section 4.02, the Borrower, with respect to itself and each of the Restricted Subsidiaries, will represent and warrant to each Agent and to each of the Lenders that:

Section 3.01          Organization; Powers. Each of the Borrower and each Restricted Subsidiary:

Section 3.02          Authorization. The execution, delivery and performance by the Loan Parties of each of the Loan Documents to which it is a party, the Borrowings hereunder and the Transactions:

except, with respect to clauses (a) and (b) of this Section 3.02(2), as would not reasonably be expected to have, individually or in the aggregate, a Material Adverse Effect.

Section 3.03          Enforceability. This Agreement has been duly executed and delivered by the Borrower and constitutes, and each other Loan Document when executed and delivered by each Loan Party that is party thereto will constitute, a legal, valid and binding obligation of such Loan Party enforceable against each such Loan Party in accordance with its terms, subject to:

Section 3.04          Governmental Approvals. No action, consent or approval of, registration or filing with or any other action by any Governmental Authority or third party is or will be required in connection with the Transactions, the perfection or maintenance of the Liens created under the Security Documents or the exercise by the Administrative Agent, Collateral Agent or any Lender of its rights under the Loan Documents or the remedies in respect of the Collateral, except for:

Section 3.05          Title to Properties. Each of the Borrower and the Subsidiary Loan Parties has good fee simple title to, or valid leasehold interests in, all of the Real Property necessary and material to its business as currently conducted, and valid title to its personal property and assets (other than Real Property) (including Intellectual Property Rights), in each case, except for Permitted Liens.

Section 3.06          Subsidiaries.

Section 3.07          Litigation; Compliance with Laws.

Section 3.08          Federal Reserve Regulations.

Section 3.09          Investment Company Act. None of the Borrower or any Guarantor is an “investment company” as defined in, or subject to regulation under, the Investment Company Act of 1940, as amended.

Section 3.10          Use of Proceeds.

Section 3.11          Tax Returns. Except as set forth on Schedule 3.11:

Section 3.12          No Material Misstatements.

Section 3.13          Environmental Matters. Except as to matters that would not reasonably be expected to have, individually or in the aggregate, a Material Adverse Effect:

Section 3.14          Security Documents. The Collateral Agreement is effective to create in favor of the Collateral Agent (for the benefit of the Secured Parties) legal and valid Liens on the Collateral described therein; and when financing statements in appropriate form are filed in the offices specified on Schedule III to the Collateral Agreement, and the Collateral Agreement or a summary thereof or an Intellectual Property Security Agreement (in substantially the form of Exhibit B to the Collateral Agreement (for trademarks), Exhibit C to the Collateral Agreement (for patents) or Exhibit D to the Collateral Agreement (for copyrights)) is properly filed in the United States Patent and Trademark Office or the United States Copyright Office, as applicable, and the Pledged Collateral described in the Collateral Agreement is delivered to the Collateral Agent, the Liens on the Collateral granted pursuant to the Collateral Agreement will constitute fully perfected Liens on all right, title and interest of the applicable Loan Party in such Collateral in which (and to the extent) a security interest can be perfected under Article 9 of the Uniform Commercial Code, in each case prior to and superior in right of the Lien of any other Person (except for Permitted Liens) (it being understood that subsequent recordings in the United States Patent and Trademark Office or the United States Copyright Office may be necessary to perfect a Lien on registered trademarks and patents, trademark and patent applications and registered copyrights later owned, created or acquired by (or, if applicable, on behalf of), and registered copyrights exclusively licensed to, the applicable Loan Party after the Closing Date). Notwithstanding anything herein (including this Section 3.14) or in any other Loan Document to the contrary, neither the Borrower nor any other Loan Party makes any representation or warranty as to the effects of perfection or non-perfection, the priority or the enforceability of any pledge of or security interest in any Equity Interests of any Foreign Subsidiary, or as to the rights and remedies of the Agents or any Lender with respect thereto, under foreign law except in the case of a Foreign Subsidiary that becomes a Guarantor with respect to the laws of the jurisdiction of organization of such Foreign Subsidiary.

Section 3.15          Financial Statements.

Each Lender, each Issuing Bank and the Administrative Agent hereby acknowledges and agrees that the Borrower and its Subsidiaries may be required to restate historical financial statements as the result of the implementation of changes in GAAP or the interpretation thereof, and that such restatements will not result in a Default or Event of Default under the Loan Documents.

Section 3.16          Solvency. On the Closing Date, after giving effect to the consummation of the Transactions, including the making of the Loans hereunder and after giving effect to the application of the proceeds thereof:

For purposes of this Section 3.16, the amount of any contingent liability at any time shall be computed as the amount that would reasonably be expected to become an actual and matured liability.

Section 3.17          No Material Adverse Effect. Since December 31, 2020, there has been no event that has had, or would reasonably be expected to have, either individually or in the aggregate, a Material Adverse Effect.

Section 3.18          Beneficial Ownership Certificate. As of the Closing Date, the information included in the Beneficial Ownership Certification, if applicable, is true and correct in all respects.

Section 3.19          USA PATRIOT Act; Anti-Corruption Laws; OFAC; Anti-Terrorism.

Section 3.20          Intellectual Property; Licenses, Material Agreements, Etc. Except as set forth on Schedule 3.20 and except as would not reasonably be expected to have a Material Adverse Effect:

Section 3.21          Employee Benefit Plans. Except as would not reasonably be expected to have a Material Adverse Effect, the Borrower and each of its ERISA Affiliates are in compliance with the applicable provisions of ERISA and the Code and the regulations and published interpretations thereunder. No ERISA Event has occurred or is reasonably expected to occur that, when taken together with all other such ERISA Events, would reasonably be expected to have a Material Adverse Effect. Except as would not reasonably be expected to have a Material Adverse Effect, the present value of all accumulated benefit obligations under all Plans (based on the assumptions used for purposes of Accounting Standards Codification Topic 715) did not, as of the date of the most recent financial statements reflecting such amounts, exceed the fair market value (as determined in good faith by a Responsible Officer of the Borrower) of the assets of such Plans, in the aggregate.

Section 3.22          Labor Matters. As of the Closing Date, except as, in the aggregate, would not reasonably be expected to have a Material Adverse Effect: (a) there are no strikes or other labor disputes against the Borrower or any of its Restricted Subsidiaries pending or, to the knowledge of the Borrower, threatened in writing; (b) the hours worked by and payments made to employees of the Borrower or any of its Restricted Subsidiaries have not been in material violation of the Fair Labor Standards Act or any other applicable law dealing with such matters; and (c) all payments due from the Borrower or any of its Restricted Subsidiaries on account of employee health and welfare insurance have been paid or accrued as a liability on the books of the relevant party. The execution, delivery and performance by the Loan Parties of the Loan Documents to which they are a party and the consummation of the financing contemplated by the Loan Documents will not give rise to any right of termination or right of renegotiation on the part of any union under any material collective bargaining agreement by which any Loan Party is bound.

Section 3.23          Insurance. Each of the Loan Parties are insured with insurance companies reasonably believed to be financially sound and reputable, in such amounts and against such risks as are customarily maintained by similarly situated companies engaged in the same or similar businesses of the same size and character and operating in the same or similar locations as the business of the Loan Parties.

Section 3.24          No Default. No Default has occurred and is continuing or would result from the consummation of the transactions contemplated by this Agreement or any other Loan Document.

Section 3.25          Senior Indebtedness. The Obligations constitute “Senior Indebtedness” (or any comparable term) under and as defined in the documentation governing any Indebtedness that is subordinated in right of payment to the Obligations.

Article IV

Conditions of Lending

Section 4.01          Conditions Precedent to Credit Extensions on the Closing Date. The agreement of each Lender to make Credit Extensions on the Closing Date is subject solely to the satisfaction or waiver by the Administrative Agent, prior to or concurrently with the making of the Credit Extensions on the Closing Date, of the following conditions precedent (the making of such initial Credit Extensions by a Lender being conclusively deemed to be its satisfaction or waiver of such conditions precedent):

After giving effect to the Acquisition, the Closing Date Refinancing and the other transactions contemplated hereby, the Borrower and its Restricted Subsidiaries shall have no outstanding Indebtedness or Disqualified Stock, other than the Loans and other Credit Extensions under the Facilities and other permitted Indebtedness.