0000950123-09-056427 Sample Contracts

FOURTH AMENDMENT
Fourth Amendment • November 3rd, 2009 • Psychiatric Solutions Inc • Services-specialty outpatient facilities, nec • New York

THIS FOURTH AMENDMENT (this “Amendment”) dated as of September 25, 2009 to the Credit Agreement referenced below is by and among Psychiatric Solutions, Inc., a Delaware corporation (“PSI”), BHC Holdings, Inc., a Delaware corporation (“BHC”), Premier Behavioral Solutions, Inc., a Delaware corporation (“PBS”), Alternative Behavioral Services, Inc., a Virginia corporation, (“ABS”), Horizon Health Corporation, a Delaware corporation (“HHC”), Community Cornerstones, Inc., a Puerto Rico corporation (“CCI”), FHP Puerto Rico, Inc., a Puerto Rico corporation (“FHP”), First Hospital Panamericano, Inc., a Puerto Rico corporation (“PAN”), FHCHS of Puerto Rico, Inc., a Puerto Rico corporation (“FHCHS” and together with PSI, BHC, PBS, ABS, HHC, CCI, FHP and PAN the “Borrowers”), the Subsidiaries of PSI identified as “Guarantors” on the signature pages hereto (the “Guarantors”), the Revolving Credit Lenders identified on the signature pages hereto, Citicorp North America, Inc., as Term Loan Facility

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