0001104659-16-114271 Sample Contracts

AMENDMENT NO. 1
Credit Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This FIRST LIEN CREDIT AGREEMENT (as amended, modified, waived, amended and restated, or otherwise changed, in each case in accordance with the terms hereof, this “Agreement”) is entered into as of February 20, 2013, and amended as of April 26, 2016, among AMERICAN RENAL HOLDINGS INC. (the “Borrower”), AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, a Delaware limited liability company (“Holdings”), each lender from time to time party hereto (collectively, the “Lenders” and individually, a “Lender”), and BANK OF AMERICA, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer.

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TAX RECEIVABLE AGREEMENT between AMERICAN RENAL ASSOCIATES HOLDINGS, INC. and CENTERBRIDGE CAPITAL PARTNERS, L.P. Dated as of April 26, 2016
Tax Receivable Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This TAX RECEIVABLE AGREEMENT (this “Agreement”), is dated as of April 26, 2016, and is between American Renal Associates Holdings, Inc., a Delaware corporation (including any successor corporation, the “Corporate Taxpayer”), and Centerbridge Capital Partners, L.P., a Delaware limited partnership (the “Stockholder Representative”). This Agreement shall be effective as of the IPO Date (as defined below).

AMENDMENT NO. 1 TO THE AMENDED AND RESTATED STOCKHOLDERS AGREEMENT
Stockholders Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

THIS AMENDMENT NO. 1 TO THE AMENDED AND RESTATED STOCKHOLDERS AGREEMENT (this “Agreement”), dated as of April 21, 2016, is entered into by and among American Renal Associates Holdings, Inc. (f/k/a C.P. Atlas Holdings, Inc.) (“Holdings”), Centerbridge Capital Partners, L.P., a Delaware limited partnership (“Centerbridge”), Centerbridge Capital Partners SBS, L.P., a Delaware limited partnership (“Centerbridge SBS”), Centerbridge Capital Partners Strategic, L.P., a Delaware limited partnership (“Centerbridge Strategic” and, collectively with Centerbridge and Centerbridge SBS, the “Centerbridge Stockholders”), Joseph A. Carlucci, Syed T. Kamal, and Christopher T. Ford.

CONTRIBUTION, ASSIGNMENT AND ASSUMPTION AGREEMENT
Contribution, Assignment and Assumption Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This CONTRIBUTION, ASSIGNMENT AND ASSUMPTION AGREEMENT (this “Agreement”), dated as of April 20, 2016, is by and between American Renal Associates LLC, a Delaware limited liability company (“Assignor”), and Term Loan Holdings LLC, a Delaware limited liability company (“NewCo”).

LOAN SERVICING AGREEMENT Between AMERICAN RENAL ASSOCIATES LLC, a Delaware limited liability company, as Servicer, TERM LOAN HOLDINGS LLC, a Delaware limited liability company, as Lender Dated as of April 26, 2016
Loan Servicing Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

THIS LOAN SERVICING AGREEMENT (this “Agreement”) is made as of April 26, 2016, among AMERICAN RENAL ASSOCIATES LLC, a Delaware limited liability company (“Servicer”) and TERM LOAN HOLDINGS LLC, a Delaware limited liability company (the “Lender”).

AMENDMENT NO. 1 TO THE AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • April 26th, 2016 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

THIS AMENDMENT NO. 1 TO THE AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of 26, 2016, in entered into by and among American Renal Associates Holdings, Inc. (f/k/a 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 SBS”), and Centerbridge Capital Partners Strategic, L.P., a Delaware limited partnership (“Centerbridge Strategic” and, collectively with Centerbridge and Centerbridge SBS, the “Centerbridge Stockholders”).

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