American Renal Associates Holdings, Inc. Sample Contracts

AMENDMENT NO. 2 TO CREDIT AGREEMENT
Credit Agreement • November 9th, 2012 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This AMENDMENT No. 2 dated as of August 27, 2012 (this “Amendment”), is entered into among AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, a Delaware limited liability company (“Holdings”), AMERICAN RENAL HOLDINGS INC., a Delaware corporation (the “Borrower”), the Subsidiary Guarantors party hereto and BANK OF AMERICA, N.A., in its capacity as administrative agent for the Lenders (as hereinafter defined) (in such capacity, the “Administrative Agent”), and amends the Credit Agreement dated as of May 7, 2010 (as amended to the date hereof and as the same may be further amended, supplemented or otherwise modified from time to time, the “Credit Agreement”) entered into among Holdings, the Borrower, the institutions from time to time party thereto as Lenders (the “Lenders”), the Administrative Agent, and the other agents and arrangers party thereto. Capitalized terms used herein and not otherwise defined herein shall have the meanings ascribed to them in the Credit Agreement.

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AMENDED AND RESTATED STOCKHOLDERS AGREEMENT
Stockholders Agreement • May 18th, 2012 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This AMENDED AND RESTATED STOCKHOLDERS AGREEMENT (as amended from time to time, this “Agreement”) is dated as of June 28, 2010, and is entered into by and among C.P. Atlas Holdings, Inc., a Delaware corporation (“Holdings”), Centerbridge Capital Partners, L.P., a Delaware limited partnership (“Centerbridge”), Centerbridge Capital Partners SBS, L.P., a Delaware limited partnership (“Centerbridge SB S”), Centerbridge Capital Partners Strategic, L.P., a Delaware limited partnership (“Centerbridge Strategic” and, collectively with Centerbridge and Centerbridge SBS, the “Centerbridge Stockholders”), and the other holders of Shares (as defined herein) party hereto, including such other holders who become party hereto as a result of executing the Joinder Agreement substantially in the form attached as Annex A hereto (such other holders are the “Other Stockholders”, and, together with the Centerbridge Stockholders, are collectively referred to herein as the “Stockholders”). The Other Stockhold

FIRST AMENDMENT TO EMPLOYMENT AGREEMENT
Employment Agreement • June 6th, 2012 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Massachusetts

This FIRST AMENDMENT to Employment Agreement (the “Amendment”) is made and entered into as of this 15th day of May, 2012 (the “Effective Date”) by and among American Renal Management, LLC, a Delaware limited liability company (the “Company”), American Renal Holdings, Inc., a Delaware corporation (“ARH”), American Renal Associates Holdings, Inc., a Delaware corporation (“ARAH”), and Joseph A. Carlucci, a resident of the Commonwealth of Massachusetts (the “Executive”).

REGISTRATION RIGHTS AGREEMENT by and between American Renal Holdings Company, Inc., and Merrill Lynch, Pierce, Fenner & Smith Incorporated Barclays Capital Inc. as Representatives of the several Initial Purchasers Dated as of March 4, 2011
Registration Rights Agreement • July 22nd, 2011 • American Renal Associates Holdings, Inc. • New York

This Registration Rights Agreement (this “Agreement”) is made and entered into as of March 4, 2011, by and between American Renal Holdings Company, Inc., a Delaware corporation (the “Company”) and Merrill Lynch, Pierce, Fenner & Smith Incorporated and Barclays Capital Inc., as Representatives of the several initial purchasers (collectively, the “Initial Purchasers” named on Schedule A to the Purchase Agreement), each of whom has agreed to purchase the Company’s 9.75% / 10.50% Senior PIK Toggle Notes due 2016 (the “Initial Notes”) pursuant to the Purchase Agreement (as defined below).

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