UNLIMITED GUARANTYUnlimited Guaranty • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This Unlimited Guaranty (this “Guaranty”) is entered into effective November 7, 2008, by UANT VENTURES, L.L.P. (“Guarantor”), a Texas registered limited liability partnership, for the benefit of COMPASS BANK (“Lender”), an Alabama state banking association. For valuable consideration, Guarantor absolutely and unconditionally guarantees and promises to pay to Lender or its order, in legal tender of the United States of America, the Indebtedness (as defined below) of UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“Borrower”), a Texas registered limited liability partnership, to Lender on the terms and conditions set forth in this Guaranty. Under this Guaranty, the liability of Guarantor is unlimited and the obligations of Guarantor are continuing.
SEVERANCE AGREEMENTSeverance Agreement • April 29th, 2016 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This Severance Agreement (“Agreement”) is entered into as of December 1, 2015 (the “Effective Date”), by and between USMD Holdings, Inc. (“Company”) and Jim Berend (“Employee”).
PARTNERSHIP INTEREST PURCHASE AGREEMENTPartnership Interest Purchase Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
THIS PARTNERSHIP INTEREST PURCHASE AGREEMENT (this “Agreement”), effective as of this 1st day of January, 2007 (the “Effective Date”, is entered into by and between U.S. Lithotripsy, a Texas limited partnership (“USL”) and Dr. Paul Thompson (“Seller”).
Impel Management Services, L.L.C. Executive Change-in-Control Severance AgreementExecutive Change-in-Control Severance Agreement • February 10th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec
THIS EXECUTIVE CHANGE-IN-CONTROL SEVERANCE AGREEMENT is made, entered into, and is effective this 1 day of March, 2011 (hereinafter referred to as the “Effective Date”), by and between Impel Management Services, L.L.C. (the “Company”), a Texas limited liability corporation, and KAREN KENNEDY (the “Executive”).
FIRST AMENDMENT TO PARTNERSHIP INTEREST PURCHASE AGREEMENTPartnership Interest Purchase Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This First Amendment to Partnership Interest Purchase Agreement (this “Amendment”), effective as of this 16th day of September, 2009 (the “Effective Date”), is entered into by and between U.S. Lithotripsy, L.P., a Texas limited partnership (“USL”) and John House, M.D. (“Seller”).
Fort Worth, Texas 76116Loan Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec
This letter (this “Amendment”) amends the Loan Agreement dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, as amended by the First Amendment dated March 31, 2009, and the Second Amendment dated January 31, 2010 (the “Loan Agreement”). Capitalized terms below have the meanings assigned in the Loan Agreement.
INVESTOR RIGHTS AGREEMENTInvestor Rights Agreement • March 8th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Delaware
THIS INVESTOR RIGHTS AGREEMENT (“Agreement”), dated as of , 2012, is made by and between USMD Holdings, Inc., a Delaware corporation (“Holdings”), and UANT Ventures LLP, a Texas limited liability partnership (“Ventures”).
Fort Worth, Texas 76116Loan Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec
This letter (this “Amendment”) amends the Loan Agreement dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, as amended by the First Amendment dated March 31, 2009 (the “Loan Agreement”). Capitalized terms below have the meanings assigned in the Loan Agreement.
EMPLOYMENT AGREEMENTEmployment Agreement • April 29th, 2016 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This Employment Agreement (“Agreement”), dated as of January 1, 2013 (the “Effective Date”), is entered into between USMD Holdings, Inc. (the “Company”), and Richard Johnston, M.D. (the “Employee”).
Arlington, Texas 76015Loan Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This letter sets forth the Loan Agreement (this “Loan Agreement”) among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT Ventures, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, with respect to loans from Lender to Borrowers and obligations of Borrowers and Guarantors to Lender.
THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”) OR APPLICABLE STATE SECURITIES LAWS. THIS SECURITY MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN EFFECTIVE...Intercreditor and Subordination Agreement • May 1st, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
THIS NOTE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE INTERCREDITOR AND SUBORDINATION AGREEMENT, DATED AS OF APRIL 29, 2015, BY AND AMONG SOUTHWEST BANK, AS ADMINISTRATIVE AGENT, USMD HOLDINGS, INC. AND THE HOLDER OF THIS NOTE, AS SUCH INTERCREDITOR AND SUBORDINATION AGREEMENT MAY BE AMENDED, RESTATED, REPLACED, REFINANCED, SUPPLEMENTED OR MODIFIED FROM TIME TO TIME (THE “SUBORDINATION AGREEMENT”).
FIRST AMENDMENT TO PARTNERSHIP INTEREST PURCHASE AGREEMENTPartnership Interest Purchase Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This First Amendment to Partnership Interest Purchase Agreement (this “Amendment”), effective as of this 16th day of September, 2009 (the “Effective Date”), is entered into by and between U.S. Lithotripsy, L.P., a Texas limited partnership (“USL”) and Paul Thompson, M.D. (“Seller”).
Arlington, Texas 76015Loan Agreement • February 16th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec
This letter (this “Amendment”) amends the Loan Agreement (the “Loan Agreement”) dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association. Capitalized terms below have the meanings assigned in the Loan Agreement.
AMENDMENT NO. 11 TO CREDIT AGREEMENT As of November 13, 2015Credit Agreement • November 16th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
We refer to the Credit Agreement dated as of August 31, 2012 (as amended, the “Credit Agreement”) among USMD Holdings, Inc., a Delaware corporation, the other borrowers that are parties thereto, the lenders that are parties thereto (the “Lenders”), and Southwest Bank, as successor in interest to JPMorgan Chase Bank, N.A. as administrative agent for the Lenders (the “Administrative Agent”). Unless otherwise defined herein, terms defined in the Credit Agreement shall be used herein as therein defined. As used herein, the term “Amendment” means this Amendment No. 11 to Credit Agreement.
AMENDMENT NO. 7 TO CREDIT AGREEMENTCredit Agreement • April 2nd, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 7 TO CREDIT AGREEMENT (this “Amendment”) dated as of March 13, 2015 (the “Amendment No. 7 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas limited liability partnership, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L.C., Texas limi
CONSENT, WAIVER AND AMENDMENT NO. 12 TO CREDIT AGREEMENTCredit Agreement • December 24th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This CONSENT, WAIVER AND AMENDMENT NO. 12 TO CREDIT AGREEMENT (this “Amendment”), dated as of December [ ], 2015, among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas professional limited liability company, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership (“US Lithotripsy”), USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L
FIRST AMENDMENT TO AGREEMENT AND PLAN OF MERGERAgreement and Plan of Merger • August 14th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT TO AGREEMENT AND PLAN OF MERGER (this “Amendment”), dated effective as of May 21, 2012, is by and among USMD Holdings, Inc., a Delaware corporation, UANT Ventures, L.L.P., a Texas limited liability partnership, UANT Acquisition Company, Inc., a Texas corporation and a wholly-owned subsidiary of Ventures and The Medical Clinic of North Texas P.A., a Texas professional association.
SECURITIES PURCHASE AGREEMENT dated as of December 18, 2015 by and among US LITHOTRIPSY HOLDINGS, LLC and USMD INC., USGP, LLC, and U.S. LITHOTRIPSY, L.P.Securities Purchase Agreement • December 24th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Delaware
THIS SECURITIES PURCHASE AGREEMENT (this “Agreement”) is made and entered into as of December 18, 2015 (the “Agreement Date”), by and among US Lithotripsy Holdings, LLC, a Delaware limited liability company (“Purchaser”), USMD Inc., a Texas corporation (“Seller”), USGP, LLC, a Texas limited liability company (“USGP”), and U.S. Lithotripsy, L.P., a Texas limited partnership (“Company”).
April 24, 2015 Gary L. Rudin President and COO USMD HoldingsInterim Management Services Agreement • May 14th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec
AGREEMENT AND PLAN OF MERGERMerger Agreement • December 7th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AGREEMENT AND PLAN OF MERGER (this “Agreement”), dated as of December 1, 2011, is by and among USMD Holdings, Inc., a Delaware corporation (“Holdings”), UANT Ventures, L.L.P., a Texas limited liability partnership, (“Ventures”), UANT Acquisition Company, Inc., a Texas corporation and a wholly-owned subsidiary of Ventures (“Merger Sub”) and The Medical Clinic of North Texas P.A., a Texas professional association (“MCNT”). Each of the parties to this Agreement is individually referred to herein as a “Party” and collectively, as the “Parties.” Capitalized terms used herein that are not otherwise defined herein shall have the meanings ascribed to them in Article VIII herein.
FIRST AMENDMENT TO AGREEMENT AND PLAN OF MERGERAgreement and Plan of Merger • August 14th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT TO AGREEMENT AND PLAN OF MERGER (this “Amendment”), dated effective as of May 21, 2012, is by and among USMD Holdings, Inc., a Delaware corporation, UANT Ventures, L.L.P., a Texas limited liability partnership, UANT Acquisition Company No. 2, L.L.C., a Texas limited liability company and a wholly-owned subsidiary of Ventures and Impel Management Services, L.L.C., a Texas limited liability company.
AMENDMENT TO CONTRIBUTION AND PURCHASE AGREEMENTContribution and Purchase Agreement • February 14th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT TO CONTRIBUTION AND PURCHASE AGREEMENT (this “Amendment”), executed on this 9th day of February, 2012, to be effective as of December 15, 2011, is by and among USMD Holdings, Inc., a Delaware corporation (“Holdings”), Urology Associates of North Texas, L.L.P., a Texas limited liability partnership (“UANT”), UANT Ventures, L.L.P., a Texas limited liability partnership (“Ventures”), and USMD Inc., a Texas corporation (“USMD”), and is joined in for limited purposes by John M. House, M.D. and Richard C. Johnston, M.D. Each of the parties to this Agreement is individually referred to herein as a “Party” and collectively, as the “Parties.” Capitalized terms used herein that are not otherwise defined herein shall have the meanings ascribed to them in Article IX of the Agreement (as defined below).
AMENDMENT NO. 10 TO CREDIT AGREEMENTCredit Agreement • September 24th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 10 TO CREDIT AGREEMENT (this “Amendment”), dated as of September 18, 2015 (the “Amendment No. 10 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas professional limited liability company, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.
THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”) OR APPLICABLE STATE SECURITIES LAWS. THIS SECURITY MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF AN EFFECTIVE...Intercreditor and Subordination Agreement • September 16th, 2013 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
THIS NOTE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE INTERCREDITOR AND SUBORDINATION AGREEMENT, DATED AS OF SEPTEMBER 13, 2013, TO BE EFFECTIVE AS OF SEPTEMBER 1, 2013, BY AND AMONG JPMORGAN CHASE BANK, N.A., AS ADMINISTRATIVE AGENT, USMD HOLDINGS, INC. AND THE HOLDER OF THIS NOTE, AS SUCH INTERCREDITOR AND SUBORDINATION AGREEMENT MAY BE AMENDED, RESTATED, REPLACED, REFINANCED, SUPPLEMENTED OR MODIFIED FROM TIME TO TIME (THE “SUBORDINATION AGREEMENT”).
AGREEMENT AND PLAN OF MERGERMerger Agreement • December 19th, 2011 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AGREEMENT AND PLAN OF MERGER (this “Agreement”), dated as of December 15, 2011, is by and among USMD Holdings, Inc., a Delaware corporation (“Holdings”), UANT Ventures, L.L.P., a Texas limited liability partnership, (“Ventures”), UANT Acquisition Company No. 2, L.L.C., a Texas limited liability company and a wholly-owned subsidiary of Ventures (“Merger Sub”) and Impel Management Services, L.L.C., a Texas limited liability company (“Impel”). Each of the parties to this Agreement is individually referred to herein as a “Party” and collectively, as the “Parties.” Capitalized terms used herein that are not otherwise defined herein shall have the meanings ascribed to them in Article VIII herein.
AGREEMENT AND PLAN OF MERGER BY AND AMONG USMD HOLDINGS, INC. WELLMED MEDICAL MANAGEMENT, INC. AND PROJECT Z MERGER SUB, INC. Dated as of August 29, 2016Agreement and Plan of Merger • August 30th, 2016 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Delaware
THIS AGREEMENT AND PLAN OF MERGER, dated as of August 29, 2016 (this “Agreement”), is entered into by and among USMD Holdings, Inc., a Delaware corporation (the “Company”), WellMed Medical Management, Inc., a Texas corporation (“Parent”), and Project Z Merger Sub, Inc., a Delaware corporation and a wholly-owned subsidiary of Parent (“Merger Sub”). Capitalized terms used in this Agreement have the meanings set forth or referenced in Appendix A.
AMENDMENT NO. 5 TO CREDIT AGREEMENTCredit Agreement • September 25th, 2014 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 5 TO CREDIT AGREEMENT (this “Amendment”) dated as of September 23, 2014 (the “Amendment No. 5 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas limited liability partnership, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L.C., Texas
SECURITIES EXCHANGE AGREEMENTSecurities Exchange Agreement • September 16th, 2013 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
THIS SECURITIES EXCHANGE AGREEMENT (the “Agreement”) is made and entered into as of September 1, 2013 by and between USMD Holdings, Inc., a Delaware corporation (the “Company”) and the person signing this Agreement as “Investor.”
AMENDED AND RESTATED GUARANTY AGREEMENTGuaranty Agreement • September 24th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
AMENDED AND RESTATED GUARANTY AGREEMENT, dated as of September 18, 2015, made by MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company (the “Guarantor”), in favor of JPMORGAN CHASE BANK, N.A., as administrative agent (in such capacity, the “Administrative Agent”) for the lenders (the “Lenders”) from time to time parties to the Amended and Restated Credit Agreement, dated as of even date herewith (as amended, restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), among USMD HOSPITAL AT ARLINGTON, L.P., a Texas limited partnership (the “Borrower”), the Lenders and the Administrative Agent.
CREDIT AGREEMENT among USMD HOLDINGS, INC., USMD INC., UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., IMPEL MANAGEMENT SERVICES, L.L.C., IMPEL CONSULTING EXPERTS, L.L.C., MAT-RX DEVELOPMENT, L.L.C., USMD OF ARLINGTON GP, L.L.C., US LITHOTRIPSY, L.P.,...Credit Agreement • November 14th, 2012 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
CREDIT AGREEMENT, dated as of August 31, 2012, among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas limited liability partnership, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L.C., Texas limited liability company, USGP, LLC., a Texas limited liability company, LITHO GP,
AMENDMENT NO. 8 TO CREDIT AGREEMENTCredit Agreement • May 1st, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 8 TO CREDIT AGREEMENT (this “Amendment”) dated as of April 29, 2015 (the “Amendment No. 8 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas professional limited liability company, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L.C., T
AMENDMENT NO. 6 TO CREDIT AGREEMENT AND AMENDMENT NO. 1 TO GUARANTEE AND COLLATERAL AGREEMENTCredit Agreement • December 30th, 2014 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 6 TO CREDIT AGREEMENT AND AMENDMENT NO. 1 TO GUARANTEE AND COLLATERAL AGREEMENT (this “Amendment”) dated as of December 22, 2014 (the “Amendment No. 6 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas limited liability partnership, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liabil
WAIVER AND AMENDMENT NO. 4 TO CREDIT AGREEMENTCredit Agreement • April 15th, 2014 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This WAIVER AND AMENDMENT NO. 4 TO CREDIT AGREEMENT (this “Amendment”) dated as of April 14, 2014 (the “Amendment No. 4 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas limited liability partnership, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability company, MAT-RX FORT WORTH GP, L.L.C., a Texas limited liability company, USMD ADMINISTRATIVE SERVICES, L.L.C.,
AMENDMENT NO. 1 TO CREDIT AGREEMENT February 28, 2013Credit Agreement • March 6th, 2013 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
We refer to the Credit Agreement dated as of August 31, 2012 (the “Credit Agreement”) among USMD Holdings, Inc., a Delaware corporation, the other borrowers that are parties thereto, the lenders that are parties thereto (the “Lenders”), and JPMorgan Chase Bank, N.A., as administrative agent for the Lenders (the “Administrative Agent”). Unless otherwise defined herein, terms defined in the Credit Agreement shall be used herein as therein defined. As used herein, the term “Amendment” means this Amendment No. 1 to Credit Agreement.
AMENDMENT NO. 9 TO CREDIT AGREEMENT AND AMENDMENT NO. 2 TO GUARANTEE AND COLLATERAL AGREEMENTCredit Agreement • August 13th, 2015 • USMD Holdings, Inc. • Services-general medical & surgical hospitals, nec • Texas
This AMENDMENT NO. 9 TO CREDIT AGREEMENT AND AMENDMENT NO. 2 TO GUARANTEE AND COLLATERAL AGREEMENT (this “Amendment”), dated August 11, 2015 (the “Closing Date”) but effective as of June 30, 2015 (the “Amendment No. 9 Effective Date”), among USMD HOLDINGS, INC., a Delaware corporation “Holdings”), UROLOGY ASSOCIATES OF NORTH TEXAS, P.L.L.C., Texas professional limited liability company, USMD INC., a Texas corporation, IMPEL MANAGEMENT SERVICES, L.L.C., a Texas limited liability company, IMPEL CONSULTING EXPERTS, L.L.C., a Texas limited liability company, MAT-RX DEVELOPMENT, L.L.C., a Texas limited liability company, USMD OF ARLINGTON GP, L.L.C., a Texas limited liability company, US LITHOTRIPSY, L.P., a Texas limited partnership, USMD CANCER TREATMENT CENTERS, L.L.C., a Texas limited liability company, USMD CANCER TREATMENT CENTERS GP, L.L.C., Texas limited liability company, USMD PPM, LLC, a Texas limited liability company, USMD DIAGNOSTIC SERVICES, LLC, a Texas limited liability comp
