0001104659-09-068624 Sample Contracts

REGISTRATION RIGHTS AGREEMENT DATED AS OF DECEMBER 1, 2009 BY AND BETWEEN ALLIANCE HEALTHCARE SERVICES, INC. AND DEUTSCHE BANK SECURITIES INC. MORGAN STANLEY & CO. INCORPORATED BARCLAYS CAPITAL INC.
Registration Rights Agreement • December 4th, 2009 • Alliance HealthCare Services, Inc • Services-medical laboratories • New York

This Registration Rights Agreement (this “Agreement”) is made and entered into as of December 1, 2009, by and among Alliance HealthCare Services, Inc., a Delaware corporation (the “Company”) and Deutsche Bank Securities Inc., Morgan Stanley & Co. Incorporated and Barclays Capital Inc. as representatives (the “Representatives”) for the several initial purchasers named on Schedule I hereto (the “Initial Purchasers”), who have agreed to purchase the Company’s 8% Senior Notes due 2016 (the “Notes”) pursuant to the Purchase Agreement (as defined below).

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ALLIANCE HEALTHCARE SERVICES, INC. as Issuer and THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. as Trustee
Indenture • December 4th, 2009 • Alliance HealthCare Services, Inc • Services-medical laboratories • New York

INDENTURE, dated as of December 1, 2009, between Alliance HealthCare Services, Inc., a corporation duly organized and existing under the laws of the State of Delaware (the “Company”), having its principal office at 100 Bayview Circle, Suite 400, Newport Beach, California 92660, and The Bank of New York Mellon Trust Company, N.A., a national banking association, as trustee (the “Trustee”).

CREDIT AGREEMENT dated as of December 1, 2009 among ALLIANCE HEALTHCARE SERVICES, INC., as Borrower, THE LENDERS PARTY HERETO, as Lenders, and DEUTSCHE BANK TRUST COMPANY AMERICAS, as Administrative Agent
Credit Agreement • December 4th, 2009 • Alliance HealthCare Services, Inc • Services-medical laboratories

This CREDIT AGREEMENT is dated as of December 1, 2009 and entered into by and among ALLIANCE HEALTHCARE SERVICES, INC., a Delaware corporation (“Company”), THE FINANCIAL INSTITUTIONS LISTED ON THE SIGNATURE PAGES HEREOF (together with their permitted assignees, each individually referred to herein as a “Lender” and collectively as the “Lenders”), and DEUTSCHE BANK TRUST COMPANY AMERICAS (“DB”), as administrative agent for Lenders (in such capacity, “Administrative Agent”). All capitalized terms used herein and defined in Section 1.1 are used herein as therein defined.

ALLIANCE HEALTHCARE SERVICES, INC., Issuer AND THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as Trustee
Supplemental Indenture • December 4th, 2009 • Alliance HealthCare Services, Inc • Services-medical laboratories • New York

This Supplemental Indenture (this “Supplemental Indenture”), dated as of November 27, 2009, amends that certain Indenture, dated as of December 4, 2007 (the “Indenture”), between Alliance HealthCare Services, Inc. (f/k/a Alliance Imaging, Inc.), a Delaware corporation, as issuer (the “Issuer”), having its principal office at 100 Bayview Circle, Suite 400, Newport Beach, California 92660, and The Bank of New York Mellon Trust Company, N.A. (f/k/a The Bank of New York Trust Company, N.A.), a national banking corporation, as trustee (the “Trustee”).

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