0001144204-12-018696 Sample Contracts

FIFTH AMENDMENT TO LETTER LOAN AGREEMENT
Loan Agreement • March 30th, 2012 • First Surgical Partners Inc. • Blank checks

This Fifth Amendment to Letter Loan Agreement ("Fifth Amendment") is made and entered into effective as of October31, 2011, by and between FIRST STREET HOSPITAL, L.P., a Texas limited partnership (the "Borrower"), and THE BANK OF RIVER OAKS (the "Lender").

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SIXTH AMENDMENT TO LETTER LOAN AGREEMENT
Letter Loan Agreement • March 30th, 2012 • First Surgical Partners Inc. • Blank checks

This Sixth Amendment to Letter Loan Agreement ("Sixth Amendment") is made and entered into effective as of January 8, 2012, by and between FIRST STREET HOSPITAL, L.P., a Texas Limited Partnership (the "Borrower"), and THE BANK OF RIVER OAKS (the "Lender").

MODIFICATION, RENEWAL AND EXTENSION AGREEMENT
Renewal and Extension Agreement • March 30th, 2012 • First Surgical Partners Inc. • Blank checks

This Modification, Renewal and Extension Agreement ("Agreement") is entered into effective as of January 8, 2012, by and between FIRST STREET HOSPITAL, L.P., a Texas limited partnership (the "Borrower") FIRST STREET HOLDINGS, LTD., a Texas limited partnership (the "Grantor,"), and THE BANK OF RIVER OAKS (the "Lender").

Management Agreement Addendum
Themanagement Agreement • March 30th, 2012 • First Surgical Partners Inc. • Blank checks

THEMANAGEMENT AGREEMENT ADDENDUM (the “Agreement”) is executed and delivered this 1st day of February 2012 by First Surgical Partners, L.L.C (the “General Partner”) and First Surgical Woodlands, L.P. (the “Company”).

MODIFICATION, RENEWAL AND EXTENSION AGREEMENT
Renewal and Extension Agreement • March 30th, 2012 • First Surgical Partners Inc. • Blank checks

This Modification, Renewal and Extension Agreement ("Agreement") is entered into effective as of January 8, 2012, by and between FIRST STREET SURGICAL CENTER, L.P., a Texas limited partnership (the "Borrower"), FIRST STREET HOLDINGS, LTD., a Texas limited partnership (the "Grantor,"), and THE BANK OF RIVER OAKS (the "Lender").

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