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AMENDMENT NO. 1 TO CREDIT AGREEMENT

Loan Agreement

AMENDMENT NO. 1 TO CREDIT AGREEMENT | Document Parties: INTEGRATED HEALTHCARE HOLDINGS INC | ADDITIONAL CREDIT PARTIES | CHAPMAN MEDICAL CENTER, INC | COASTAL COMMUNITIES HOSPITAL, INC | GANESHA REALTY, LLC | GUARANTORS AND CREDIT PARTIES You are currently viewing:
This Loan Agreement involves

INTEGRATED HEALTHCARE HOLDINGS INC | ADDITIONAL CREDIT PARTIES | CHAPMAN MEDICAL CENTER, INC | COASTAL COMMUNITIES HOSPITAL, INC | GANESHA REALTY, LLC | GUARANTORS AND CREDIT PARTIES

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Title: AMENDMENT NO. 1 TO CREDIT AGREEMENT
Date: 4/7/2009
Industry: Healthcare Facilities     Sector: Healthcare

AMENDMENT NO. 1 TO CREDIT AGREEMENT, Parties: integrated healthcare holdings inc , additional credit parties , chapman medical center  inc , coastal communities hospital  inc , ganesha realty  llc , guarantors and credit parties
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EXHIBIT 10.6

                       AMENDMENT NO. 1 TO CREDIT AGREEMENT
                       -----------------------------------


                  ($80,000,000 FACILITY DATED OCTOBER 9, 2007)


         This AMENDMENT NO. 1 TO CREDIT AGREEMENT (this "AMENDMENT NO. 1"),
dated as of April 2, 2009 ("EFFECTIVE DATE"), is made by and among INTEGRATED
HEALTHCARE HOLDINGS, INC., a Nevada corporation ("IHHI"), WMC-SA, INC., a
California corporation ("WMC-SA"), WMC-A, INC., a California corporation
("WMC-A"), CHAPMAN MEDICAL CENTER, INC., a California corporation ("CHAPMAN"),
COASTAL COMMUNITIES HOSPITAL, INC., a California corporation ("COASTAL"),
PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company
("PCHI"), ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited
liability company ("OC-PIN"), GANESHA REALTY, LLC, a California limited
liability company ("GANESHA"), WEST COAST HOLDINGS, LLC, a California limited
liability company ("WEST COAST"), and MEDICAL PROVIDER FINANCIAL CORPORATION II,
a Nevada corporation ("LENDER"). IHHI, WMC-SA, WMC-A, Chapman and Coastal are
sometimes collectively referred to herein as "BORROWERS"; PCHI, Ganesha, and
West Coast are hereinafter together sometimes referred to as the "CREDIT
PARTIES"; and PCHI and OC-PIN are hereinafter together sometimes referred to as
the "GUARANTORS." This Amendment No. 1 amends that certain Credit Agreement
($80,000,000 Loan Facility) dated as of October 9, 2007 ("$80 MILLION CREDIT
AGREEMENT") by and between Lender, Borrowers, the Credit Parties and the
Guarantors.


                                    RECITALS

         A. Lender, Borrowers, and the Credit Parties are parties to the $80
Million Credit Agreement; Lender, West Coast and OC-PIN are parties to that
certain Guaranty Agreement dated October 9, 2007 ("GUARANTY"); and Lender, West
Coast, Ganasha and IHHI are parties to that certain Pledge Agreement dated
October 9, 2007 ("PLEDGE AGREEMENT"). The $80 Million Credit Agreement, the
Guaranty and the Pledge Agreement, and each of the other documents and
instruments executed in connection with the $80 Million Credit Agreement, are
hereinafter collectively referred to as the "$80 MILLION LOAN DOCUMENTS."
Capitalized terms not defined in this Amendment No. 1 shall have the same
meaning as set forth in the $80 Million Credit Agreement. Pursuant to the $80
Million Credit Agreement, Lender extended to Borrowers a $45,000,000 real estate
term loan ("$45,000,000 REAL ESTATE TERM LOAN") and a $35,000,000 non-revolving
line of credit loan ("$35,000,000 NON-REVOLVING LINE OF CREDIT LOAN"). The
$45,000,000 Real Estate Term Loan and the $35,000,000 Non-Revolving Line of
Credit Loan are hereinafter together referred to as the "$80 MILLION LOANS."

         B. Separately:

                                       1
<PAGE>

                  1. Medical Provider Financial Corporation III, a Nevada
corporation and an affiliate of Lender ("MPFC III"), Borrowers, the Credit
Parties and certain other persons and entities named therein are parties to that
certain Credit Agreement ($10.7 Million Facility) dated as of October 9, 2007
("NEW $10.7 MILLION CREDIT AGREEMENT"), pursuant to which MPFC III agreed to and
did make a $10,700,000 convertible term loan ("$10.7 MILLION CONVERTIBLE TERM
LOAN") to the Borrowers. Repayment of the $10.7 Million Loan is evidenced by
that certain $10,700,000 promissory note dated as of October 9, 2007 (the "$10.7
MILLION CONVERTIBLE NOTE"). The New $10.7 Million Credit Agreement, the $10.7
Million Convertible Term Note and all other agreements, documents, and
instruments evidencing and/or securing the payment or performance of the $10.7
Million Convertible Term Loan are hereinafter collectively sometimes referred to
as the "NEW $10.7 MILLION LOAN DOCUMENTS."

                  2. Lender, MPFC III, Borrowers and certain other persons and
entities named therein are parties to that certain Early Loan Payoff Agreement
dated as of July 18, 2008 as first amended on January 30, 2009 (together the
"EARLY LOAN PAYOFF AGREEMENT"). Pursuant to the Early Loan Payoff Agreement,
among other things, Borrowers requested, and Lender agreed, to grant Borrowers
the right and option to extend the Maturity Date of the $80 Million Credit
Agreement upon the occurrence of certain events.

         C. Pursuant to this Amendment No. 1, the undersigned intend to amend
the $80 Million Credit Agreement as set forth below.

                                    AGREEMENT

         NOW, THEREFORE, in consideration of the premises and the mutual
covenants hereinafter contained, and for other good and valuable consideration,
the parties hereto agree as follows:

         1. RECITALS. The foregoing Recitals are incorporated by reference as if
fully set forth herein.

         2. AMENDMENTS TO $80 MILLION CREDIT AGREEMENT. The $80 Million Credit
Agreement is hereby amended to provide as follows:

                  (i) INTEREST RATE. Annex A to the $80 Million Credit Agreement
is hereby amended by deleting the definition of Interest Rate set forth therein
and replac 


 
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