SECOND AMENDED AND RESTATED MASTER LEASE AGREEMENT by and between SPIRIT MASTER FUNDING VII, LLC, as Lessor and SPECIALISTS IN UROLOGY SURGERY CENTER, LLC, AND 21sT CENTURY ONCOLOGY, LLC as Lessee Dated: November 10, 2014Master Lease Agreement • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Florida
Liens for Improvements. The interest of Lessor in the Properties shall not be subject to liens for improvements made by the Lessee and any such liens are hereby expressly prohibited. The Lessee shall notify all contractors who make any such improvements of this provision.
TENTH SUPPLEMENTAL INDENTURETenth Supplemental Indenture • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • New York
This Tenth Supplemental Indenture, dated as of March 9, 2015 (this “Tenth Supplemental Indenture”), is by and among 21st Century Oncology of Washington, LLC, a Washington limited liability company (the “New Guarantor”), 21st Century Oncology, Inc., a Florida corporation (the “Company,” which term includes its successors and assigns), each other then existing Guarantor under the Indenture referred to below (the “Guarantors”), and Wells Fargo Bank, National Association, as trustee (“Trustee”) under the Indenture referred to below. Capitalized terms used and not defined herein shall have the same meanings given in the Indenture unless otherwise indicated.
ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENTAdministrative Services Agreement • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine
This Addendum (the “Addendum”) is entered into effective as of January 1, 2015, by and between NORTH CAROLINA RADIATION THERAPY MANAGEMENT SERVICES, LLC., a North Carolina limited liability company (“MANAGEMENT SERVICES”) and RADIATION THERAPY ASSOCIATES OF WESTERN NORTH CAROLINA, P.A., a North Carolina professional corporation (the “PA”). This Addendum amends Section 3.1 of the Administrative Services Agreement dated January 1, 2002 between the parties (the “Agreement”) to update and revise reference to CPT codes that comprise external beam treatments for purposes of computing the monthly Service Fee and replaces the Addendum of that same Section dated July 1, 2014. The parties acknowledge that Management Services neither provides direct marketing services currently under the Agreement nor does this Amendment provide for Management Services to provide direct marketing services.
SECOND SUPPLEMENTAL INDENTURESecond Supplemental Indenture • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • New York
This Second Supplemental Indenture, dated as of March 9, 2015 (this “Second Supplemental Indenture”), is by and among 21st Century Oncology of Washington, LLC, a Washington limited liability company (the “New Guarantor”), 21st Century Oncology, Inc., a Florida corporation (the “Company,” which term includes its successors and assigns), each other then existing Guarantor under the Indenture referred to below (the “Guarantors”), and Wilmington Trust, National Association, as trustee (in such capacity, the “Trustee”) and Collateral Agent (in such capacity, the “Collateral Agent”) under the Indenture referred to below. Capitalized terms used and not defined herein shall have the same meanings given in the Indenture unless otherwise indicated.
ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENTAdministrative Services Agreement • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine
This Addendum (the “Addendum”) is entered into as of January 1, 2015, by and among NEW YORK RADIATION THERAPY MANAGEMENT SERVICES, LLC., a New York limited liability company (“MANAGEMENT SERVICES”) and YONKERS RADIATION MEDICAL PRACTICE, P.C., a New York professional corporation (the “PC”). This Addendum amends Section 3.1 of the Administrative Services Agreement dated January 1, 1999 between the parties (the “Agreement”) to adjust the monthly Service Fee payable at the rate of $550.00 per external beam treatment billed in 2013 to a monthly Service Fee payable at the rate of $425.00 per external beam treatment billed (currently CPT codes 77372, 77373, 77401 – 77416, 77418, and 77781 – 77784) and replaces the Addendum of that same Section dated January 1, 2014. From and after the date hereof, Section 3.1 shall read as follows:
SECOND SUPPLEMENTAL INDENTURESecond Supplemental Indenture • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • New York
This Second Supplemental Indenture, dated as of March 9, 2015 (this “Second Supplemental Indenture”), is by and among 21st Century Oncology of Washington, LLC, a Washington limited liability company (the “New RTS Guarantor”), OnCure Holdings, Inc., a Delaware corporation (the “Company,” which term includes its successors and assigns), each other then existing Guarantor under the Indenture referred to below (the “Guarantors”), and Wilmington Trust, National Association, as trustee (in such capacity, the “Trustee”) and Collateral Agent (in such capacity, the “Collateral Agent”) under the Indenture referred to below. Capitalized terms used and not defined herein shall have the same meanings given in the Indenture unless otherwise indicated.
ADDENDUM TO FACILITY AND MANAGEMENT SERVICES AGREEMENTFacility and Management Services Agreement • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine
This Addendum (the “Addendum”) is entered into effective as of January 1, 2015, by and between U.S. Cancer Care, Inc., a Delaware corporation (“Manager”) and 21st Century Oncology of California, a Medical Corporation (“Medical Group”). This Addendum amends Section 4(a) of the Facility and Management Services Agreement (the “Agreement”) dated October 18, 2013 between Manager and Medical Group to revise the Management Fee, as defined in the Agreement.
FIRST SUPPLEMENTAL INDENTUREFirst Supplemental Indenture • March 27th, 2015 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • New York
This First Supplemental Indenture, dated as of November 19, 2013 (this “First Supplemental Indenture”), is by and among Southern New England Regional Cancer Center, LLC, a Rhode Island limited liability company (the “Rhode Island Guarantor”), Palms West Radiation Therapy, L.L.C., a Florida limited liability company (the “Florida Guarantor” and, together with the Rhode Island Guarantor, the “New RTS Guarantors”), OnCure Holdings, Inc., a Delaware corporation (the “Company,” which term includes its successors and assigns), each other then existing Guarantor under the Indenture referred to below (the “Guarantors”), and Wilmington Trust, National Association, as trustee (in such capacity, the “Trustee”) and Collateral Agent (in such capacity, the “Collateral Agent”) under the Indenture referred to below. Capitalized terms used and not defined herein shall have the same meanings given in the Indenture unless otherwise indicated.
