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Exhibit 10.28 AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT

Security Agreement

Exhibit 10.28 AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT | Document Parties: PHC INC /MA/ | CAPITALSOURCE FINANCE LLC | DETROIT BEHAVIORAL INSTITUTE, INC | MICHIGAN, INC | NEVADA, INC | PHC, INC | PIONEER, INC | SEVEN HILLS HOSPITAL, INC | UTAH, INC | VIRGINIA, INC | WELLPLACE, INC You are currently viewing:
This Security Agreement involves

PHC INC /MA/ | CAPITALSOURCE FINANCE LLC | DETROIT BEHAVIORAL INSTITUTE, INC | MICHIGAN, INC | NEVADA, INC | PHC, INC | PIONEER, INC | SEVEN HILLS HOSPITAL, INC | UTAH, INC | VIRGINIA, INC | WELLPLACE, INC

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Title: Exhibit 10.28 AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT
Governing Law: Maryland     Date: 9/28/2007
Industry: Healthcare Facilities     Sector: Healthcare

Exhibit 10.28 AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT, Parties: phc inc /ma/ , capitalsource finance llc , detroit behavioral institute  inc , michigan  inc , nevada  inc , phc  inc , pioneer  inc , seven hills hospital  inc , utah  inc , virginia  inc , wellplace  inc
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Exhibit 10.28

    AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT


                                    between


                          PHC, INC. AND SUBSIDIANRIES


                                      and


                            CAPITALSOURCE FINANCE LLC





                                  Dated as of
                                 June 13, 2007


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<PAGE>
     AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND SECURITY AGREEMENT

     THIS REVOLVING CREDIT,   TERM LOAN AND SECURITY   AGREEMENT (the "Agreement")
dated as of June 13, 2007,   is entered into   between PHC,   INC, a   Massachusetts
corporation,   PHC OF MICHIGAN, INC., a Massachusetts corporation, PHC OF NEVADA,
INC.,   a   Massachusetts    corporation,    PHC   OF   UTAH,   INC.,   a   Massachusetts
corporation,   PHC OF VIRGINIA,   INC., a   Massachusetts   corporation,   WELLPLACE,
INC.,   a   Massachusetts   corporation,   DETROIT   BEHAVIORAL   INSTITUTE,   INC.,   a
Massachusetts   corporation,    NORTH   POINT   -   PIONEER,   INC.,   a   Massachusetts
corporation    and   SEVEN    HILLS    HOSPITAL,    INC.,    a   Delaware    corporation
(individually,   collectively   and jointly and   severally,   the   "Borrower")   and
CAPITALSOURCE FINANCE LLC, a Delaware limited liability company (the "Lender").

     WHEREAS,   pursuant to a certain   Revolving   Credit,   Term Loan and Security
Agreement   by and between   Borrower and Lender dated as of October 19, 2004 (the
"Existing   Credit   Agreement"),   Lender made   available   to Borrower a revolving
credit facility (the "Revolving   Facility") in a maximum principal amount at any
time outstanding of up to Three Million Five Hundred Thousand and No/100 Dollars
($3,500,000)   (the "Facility Cap") and a term loan in a maximum principal amount
of One Million   Four   Hundred   Thousand   and No/100   Dollars   ($1,400,000)   (the
"Existing Term Loan"); and

     WHEREAS,   Borrower has requested that Lender amend and restate the Existing
Credit   Agreement   to   continue   the   Revolving   Facility   and   the   outstanding
principal   amount of the   Existing   Term   Loan as   provided   herein   and to make
available   to Borrower a   multi-draw   term loan (the "Term   Loan") in an initial
principal amount of Three Million and No/100 Dollars   ($3,000,000) (the "Initial
Term   Loan   Amount")   to   consist   of (a) the   Existing   Term   Loan   outstanding
immediately   prior to the   effectiveness   of this Agreement (in other words, the
Existing   Term   Loan   shall   be   continued   as part of the   Term   Loan)   and (b)
additional   term loan draws which Lender agrees to make to Borrower from time to
time following the Restatement Date; and

     WHEREAS, Lender is willing to amend and restate the terms and conditions of
the Existing   Credit   Agreement to continue the Revolving   Facility and make the
Term Loan available to Borrower upon the terms and subject to the conditions set
forth herein.

     NOW,   THEREFORE,   in   consideration of the foregoing and for other good and
valuable    consideration,    the   receipt   and    adequacy   of   which   hereby   are
acknowledged,   Borrower   and   Lender   hereby   agree   that   the   Existing   Credit
Agreement shall be amended and restated as follows:

I.    DEFINITIONS

     1.1   General Terms

     For purposes of this Agreement,   in addition to the   definitions   above and
elsewhere   in this   Agreement,   the terms listed in Appendix A hereto shall have
the meanings   given such terms in Appendix A, which is   incorporated   herein and
made a part   hereof.   All   capitalized   terms   used   which are not   specifically
defined   shall have   meanings   provided in Article 9 of the UCC in effect on the
date hereof to the extent the same are used or defined therein. Unless otherwise
specified herein or in Appendix A, any agreement or contract   referred to herein
or in Appendix A shall mean such agreement as modified,   amended or supplemented
from time to time. Unless otherwise specified,   as used in the Loan Documents or
in any   certificate,   report,   instrument   or other   document   made or delivered


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pursuant   to any of the Loan   Documents,   all   accounting   terms not   defined in
Appendix A elsewhere in this   Agreement   shall have the   meanings   given to such
terms in and shall be interpreted in accordance with GAAP.

II.   ADVANCES, PAYMENT AND INTEREST

     2.1 The Revolving Facility

     (a) Subject to the provisions of this Agreement,   Lender shall continue the
Existing   Advances and make Advances to Borrower   under the   Revolving   Facility
from time to time   during the Term,   provided   that,   notwithstanding   any other
provision of this   Agreement,   the   aggregate   amount of all Advances at any one
time outstanding under the Revolving Facility shall not exceed either of (a) the
Facility Cap and (b) the   Availability.   The   Revolving   Facility is a revolving
credit facility,   which may be drawn,   repaid and redrawn,   from time to time as
permitted   under   this   Agreement.   Any   determination   as to   whether   there is
availability   within the Borrowing   Base for Advances shall be made by Lender in
its sole   discretion   and is final and binding upon Borrower.   Unless   otherwise
permitted   by Lender,   each   Advance   shall be in an amount of at least   $1,000.
Subject to the provisions of this Agreement, Borrower may request Advances under
the Revolving   Facility up to and including the value,   in U.S.   Dollars,   in an
amount equal to the Applicable   Advance Rate of the Borrowing   Base,   minus,   if
applicable,   amounts reserved pursuant to this Agreement (such calculated amount
being   referred to herein as the   "Availability").   Advances under the Revolving
Facility   automatically   shall   be   made   for the   payment   of   interest   on the
Revolving   Facility and the Term Loan and other Obligations on the date when due
to the extent available and as provided for herein.

     (b)   Lender   has    established   the    above-referenced    advance   rate   for
Availability   and,   in   its   sole   credit   judgment,    may   further   adjust   the
Availability and such advance rate by applying   percentages (known as "liquidity
factors") to Eligible   Receivables by payor class based upon   Borrower's   actual
recent collection history for each such payor class (i.e.,   Medicare,   Medicaid,
commercial   insurance,   etc.) in a manner consistent with Lender's   underwriting
practices and   procedures,   including   without   limitation   Lender's   review and
analysis   of,   among   other   things,   Borrower's   historical   returns,   rebates,
discounts,   credits and allowances   (collectively,   the "Dilution Items").   Such
liquidity   factors   and the   advance   rate for   Availability   may be adjusted by
Lender throughout the Term as warranted by Lender's   underwriting   practices and
procedures   in its sole credit   judgment.   Also,   Lender shall have the right to
establish from time to time, in its sole credit   judgment,   reserves against the
Borrowing   Base,   which   reserves   shall have the effect of reducing the amounts
otherwise   eligible to be disbursed   to Borrower   under the   Revolving   Facility
pursuant to this Agreement.

2.2   Revolving Facility Maturity Date

     All amounts   outstanding   under the Revolving   Facility and other Revolving
Facility   Obligations   shall be due and   payable   in   full,   if not   earlier   in
accordance with this Agreement, on the earlier of (i) the occurrence of an Event
of Default if   required   pursuant   hereto or   Lender's   demand   upon an Event of
Default,   and (ii)   October 19,   2011 (such   earlier   date being the   "Revolving
Facility Maturity Date"). The Revolving Facility shall be subject to two (2) one
(1) year extensions, exercisable by written notice to Lender no less than ninety
(90) days prior to the then current Revolving   Facility Maturity Date;   provided
that   no   Default   or   Event   of   Default   has   occurred   or is   continuing.   In
consideration for each extension of the Revolving   Facility Maturity Date and as
a condition   thereof   exercised by Borrower,   Borrower agrees to pay to Lender a
nonrefundable extension fee in the amount of $20,000.00.


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     2.3   Revolving   Facility   Disbursements;   Requirement to Deliver   Borrowing
          Certificate

     So long as no   Default   or Event of   Default   shall   have   occurred   and be
continuing, Borrower Agent may give Lender irrevocable written notice requesting
an Advance under the   Revolving   Facility by delivering to Lender not later than
11:00   a.m.   (New York City   time) at least one but not more than four   Business
Days   before   the   proposed   borrowing   date   of   such   requested   Advance   (the
"Borrowing   Date"), a completed   Borrowing   Certificate and relevant   supporting
documentation   satisfactory   to Lender,   which shall (i)   specify   the   proposed
Borrowing   Date of such Advance   which shall be a Business Day, (ii) specify the
principal amount of such requested Advance,   (iii) certify the matters contained
in   Section   4.2,   and (iv)   specify   the   amount of any   Medicare   or   Medicaid
recoupments and/or recoupments of any third-party payor being sought,   requested
or   claimed,   or,   to   Borrower's   knowledge,   threatened   against   Borrower   or
Borrower's   Affiliates.   Each time a request for an Advance is made, and, in any
event and   regardless   of whether an Advance is being   requested,   on Tuesday of
each week during the Term (and more frequently if Lender shall so request) until
the   Obligations   are   indefeasibly   paid in cash in full and this   Agreement is
terminated,   Borrower   Agent   shall   deliver to Lender a   Borrowing   Certificate
accompanied by (A) a separate   detailed aging and categorizing of Borrower's (i)
accounts   receivable and (ii) if requested by Lender,   accounts   payable and (B)
such other supporting   documentation with respect to the figures and information
in the Borrowing Certificate as Lender shall reasonably request from a credit or
security perspective or otherwise.   On each Borrowing Date, Borrower irrevocably
authorizes   Lender to   disburse   the   proceeds of the   requested   Advance to the
appropriate Borrower's account(s) as set forth on Schedule 2.3, in all cases for
credit to the   appropriate   Borrower   (or to such other   account as to which the
Borrower Agent shall   instruct   Lender) via Federal funds wire transfer no later
than 4:00 p.m. (New York City time).


     2.4   Revolving Facility Collections;   Repayment; Borrowing Availability and
          Lockbox

     Each of   PHC-Michigan   and PHC-Utah (and each other Borrower whose Accounts
may be included at any time in the future   within the   Borrowing   Base,   and all
Borrowers at the   direction of Lender   following   the   occurrence of an Event of
Default)   shall   maintain   one   or   more   lockbox   accounts    (individually   and
collectively, the "Lockbox Account") with one or more banks acceptable to Lender
(each, a "Lockbox   Bank"),   and shall execute with each Lockbox Bank one or more
agreements   acceptable to Lender   (individually and   collectively,   the "Lockbox
Agreement"),   and such other   agreements   related thereto as Lender may require.
Each   such   Borrower   shall   ensure   that all   collections   of their   respective
Accounts   (other than accounts due from Private Payors and any amounts   received
under   contracts   held by   PHC-Michigan   or PHC-Utah   but for which the services
relating   thereto are   performed by Wellplace)   are paid and delivered   directly
from Account Debtors and other Persons into the appropriate Lockbox Account. The
Lockbox   Agreements   shall   provide   that the   Lockbox   Banks   immediately   will
transfer all funds paid into the Lockbox   Accounts into a depository   account or
accounts   maintained   by Lender or an Affiliate of Lender at such bank as Lender
may   communicate   to each such   Borrower   from time to time (the   "Concentration
Account"),   except,   with respect only to Accounts payable by   Medicaid/Medicare
Account Debtors,   as instructed by the applicable Borrower to whom such Accounts
are   payable as   permitted   pursuant to the   applicable   Lockbox   Agreement   and
provided   that the   Lockbox   Banks   shall not   transfer   the funds paid into the
Lockbox   Account of Seven Hills to the   Concentration   Account until the date on
which Lender   notifies the Lockbox Bank and Borrower   that a Default or Event of
Default has occurred.   Notwithstanding   and without limiting any other provision
of   any   Loan   Document,   Lender   shall   apply,   on a   daily   basis,   all   funds
transferred into the Concentration Account pursuant to the Lockbox Agreement and
this Section 2.4 in such order and manner as determined by Lender. To the extent


                                       119
<PAGE>
that any Accounts   collections   of any such   Borrower or any other cash payments
received by any such Borrower are not sent directly to the   appropriate   Lockbox
Account as required in this Section 2.4 but are received by any such Borrower or
any of their   Affiliates,   such   collections and proceeds shall be held in trust
for the benefit of Lender and immediately   remitted (and in any event within two
(2) Business Days), in the form received, to the appropriate Lockbox Account for
immediate transfer to the Concentration   Account. Each Borrower acknowledges and
agrees that   compliance   with the terms of this Section 2.4 is an essential term
of this Agreement, and that, in addition to and notwithstanding any other rights
Lender may have hereunder,   under any other Loan Document,   under applicable law
or at   equity,   upon   each and every   failure   by any   Borrower   or any of their
Affiliates   to comply with any such terms   Lender   shall be entitled to assess a
non-compliance   fee which shall operate to increase the   Applicable   Rate by two
percent (2.0%) per annum during any period of   non-compliance,   whether or not a
Default or an Event of Default   occurs or is   declared,   provided   that   nothing
shall prevent   Lender from   considering   any failure to comply with the terms of
this Section 2.4 to be a Default or an Event of Default.   All funds   transferred
to the   Concentration   Account   for   application   to the   Obligations   under the
Revolving   Facility   shall be   applied   to   reduce   the   Obligations   under   the
Revolving Facility,   but, for purposes of calculating interest hereunder,   shall
be subject to a four (4)   Business   Day   clearance   period.   If as the result of
collections of Accounts and/or any other cash payments   received by any Borrower
pursuant   to this   Section   2.4 a credit   balance   exists   with   respect   to the
Concentration Account, such credit balance shall not accrue interest in favor of
any Borrower,   but shall be available to the appropriate   Borrower in accordance
with the   terms   of this   Agreement.   If   applicable,   at any time   prior to the
execution of all or any of the Lockbox Agreements and operation of all or any of
the Lockbox   Accounts,   each   Borrower   and their   Affiliates   shall   direct all
collections or proceeds it receives on Accounts or from other   Collateral to the
accounts(s) and in the manner specified by Lender in its sole discretion.

     2.5   The Term Loan

     Subject to the terms and   conditions   set forth in this   Agreement,   Lender
agrees to make the Term Loan   available   to Borrower in the   original   principal
amount of the Term Loan Amount by continuing the outstanding principal amount of
the Existing   Term Loan made by Lender under the Existing   Credit   Agreement and
advancing additional funds as provided in this Agreement,   so that as long as no
Default   or Event of   Default   has   occurred   or is   continuing,   Borrower   may,
commencing   as of the   Restatement   Date from time to time prior to the close of
business on the Term Loan Maturity Date, borrow, in one or more Term Loan Draws,
an amount which,   when aggregated with the outstanding   principal   amount of the
Existing   Term Loan   continued   hereunder,   does not exceed in the aggregate the
Term   Loan   Amount in effect   from   time to time.   The Term Loan is a   revolving
credit facility,   which may be drawn,   repaid and redrawn,   from time to time as
permitted under this Agreement.   So long as no Default or Event of Default shall
have   occurred and be   continuing,   Borrower   Agent may give Lender   irrevocable
written   notice   requesting a Term Loan Draw by   delivering   to Lender not later
than 11:00 a.m.   (Eastern Standard Time) at least one (1) but not more than four
(4) Business Days before the proposed borrowing date of such requested Term Loan
Draw (the "Term Loan Borrowing   Date"),   a completed   Borrowing   Certificate and
relevant   supporting   documentation   satisfactory   to   Lender,   which   shall (i)
specify the proposed   Term Loan   Borrowing   Date which shall be a Business   Day,
(ii)   specify   the   principal   amount of such   requested   Term Loan Draw,   (iii)
certify   the   matters   contained   in Section   4.2 and   Section   4.3.   Subject to
contrary written   instructions from Borrower Agent, each Term Loan Draw shall be
disbursed   on   the   applicable   Term   Loan   Borrowing   Date   to   the   Borrower's
account(s) as set forth on Schedule 2.3.

     2.6   Repayment of Term Loan; Maturity

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     Payment of the outstanding   principal balance of the Term Loan (in addition
to the   interest   payments   in Section   3.2) and all other   amounts   (other than
interest) outstanding under the Term Loan shall be made as follows:

          (a)   All Term Loan   Obligations   shall be due and payable in full,   if
               not earlier in accordance with this Agreement,   on the earlier of
               (i) the   occurrence   and   continuance   of an Event of   Default if
               required   pursuant   hereto or Lender's demand upon the occurrence
                and   continuance   of   an   Event   of   Default,    (ii)   a   Revolver
               Termination   and (iii) the last day of the Term,   the   earlier of
               the   foregoing   (i),   (ii) or (iii) being the "Term Loan Maturity
               Date".

           (b)   The principal balance of the Term Loan outstanding at any time in
               excess of the Term Loan   Amount in effect from time to time shall
               be immediately due and payable by Borrower   without the necessity
                of any demand, at the Payment Office, whether or not a Default or
               Event of Default has occurred or is continuing   and shall be paid
               in the   manner   specified   in   Section   2.7.   Advances   shall   be
               automatically   made under the Revolving   Facility to pay any such
               excess   amounts   to the   extent   available   and as   provided   for
               herein.

     2.7   Promise to Pay; Manner of Payment

     Borrower absolutely and unconditionally promises to pay principal, interest
and all other   amounts   payable   hereunder,   or under any other   Loan   Document,
without any right of rescission and without any deduction whatsoever,   including
any deduction for any setoff,   counterclaim or recoupment,   and   notwithstanding
any damage to,   defects in or   destruction of the Collateral or any other event,
including   obsolescence   of any property or   improvements.   All payments made by
Borrower   (other than payments   automatically   paid through   Advances   under the
Revolving   Facility as provided herein),   shall be made only by wire transfer on
the   date   when   due,   without   offset   or   counterclaim,   in U.S.   Dollars,   in
immediately   available   funds to such   account as may be indicated in writing by
Lender to Borrower from time to time. Any such payment   received after 2:00 p.m.
(New York   City   time) on the date   when due   shall be   deemed   received   on the
following Business Day. Whenever any payment hereunder shall be stated to be due
or shall become due and payable on a day other than a Business Day, the due date
thereof   shall be   extended   to,   and such   payment   shall be made on,   the next
succeeding   Business   Day,   and such   extension   of time in such   case   shall be
included in the   computation   of payment of any interest   (at the interest   rate
then in effect during such extension) and/or fees, as the case may be.

     2.8   Repayment of Excess Advances

     Any balance of Advances   under the Revolving   Facility   outstanding   at any
time in excess of the lesser of the   Facility Cap or the   Availability   shall be
immediately due and payable by Borrower without the necessity of any demand,   at
the Payment Office, whether or not a Default or Event of Default has occurred or
is continuing and shall be paid in the manner specified in Section 2.7.

     2.9   Other Mandatory Prepayments

     In addition to and without limiting any provision of any Loan Document:

     (a) if a Change of Control   occurs,   on or prior to the first   Business Day
following the date of such Change of Control,   Borrower   shall prepay the Loans,
including,    without   limitation,    all   outstanding    Advances   and   all   other
Obligations,   in full in cash together with accrued interest thereon to the date
of prepayment   and all other   amounts owing to Lender under the Loan   Documents;
and

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     (b) if any Borrower sells any of its assets or properties,   sells or issues
any securities (debt or equity)(other than private placements for equity of PHC,
Inc. the terms and conditions of which do not violate any terms or conditions of
this   Agreement or the other Loan   Documents,   employee   stock   purchase   plans,
warrants   issued for services and stock and stock options issued to employees in
the   ordinary   course of   business   (including   shares of stock   issued upon the
exercise of such stock options)), capital stock or ownership interests, receives
any capital contributions, receives any property damage insurance award which is
not used to repair   or   replace   the   property   covered   thereby   or incurs   any
Indebtedness except for Permitted Indebtedness,   then it shall apply 100% of the
proceeds   thereof to the prepayment of the Loans together with accrued   interest
thereon and all other Obligations owing to Lender under the Loan Documents, such
payment to be applied at such time and in such manner and order as Lender   shall
decide in its sole discretion.

     2.10 Payments by Lender

     Should any amount   required   to be paid under any Loan   Document be unpaid,
such amount may be paid by Lender,   which   payment shall be deemed a request for
an Advance under the Revolving   Facility as of the date such payment is due, and
Borrower irrevocably authorizes   disbursement of any such funds to Lender by way
of direct payment of the relevant amount, interest or Obligations. No payment or
prepayment   of any amount by Lender or any other Person shall entitle any Person
to be   subrogated   to the rights of Lender   under any Loan   Document   unless and
until the Obligations have been fully performed and paid irrevocably in cash and
this Agreement has been   terminated.   Any sums expended by Lender as a result of
any   Borrower's or any   Guarantor's   failure to pay,   perform or comply with any
Loan Document or any of the Obligations may be charged to Borrower's   account as
an Advance under the Revolving Facility and added to the Obligations.

     2.11 Evidence of Loans

     (a)   Lender   shall   maintain,    in   accordance   with   its   usual   practice,
electronic or written   records   evidencing the   Indebtedness   and Obligations to
Lender   resulting   from each Loan   made by Lender   from time to time,   including
without   limitation,   the amounts of principal and interest   payable and paid to
Lender from time to time under this Agreement.   Lender and Borrower   acknowledge
and agree that the Existing   Advances   under the   Revolving   Facility   have been
evidenced   by certain   Revolving   Note dated   October 19, 2004 in the   aggregate
principal   amount of Three Million Five Hundred   Thousand   Dollars   ($3,500,000)
(the   "Existing   Revolving   Note")   and that   the   Existing   Term   Loan has been
evidenced   by a certain   Term Note dated   October 19, 2004 (the   "Existing   Term
Note").   Lender   and   Borrower   acknowledge   and   agree   that   (i) the   Existing
Revolving   Note and the   Existing   Term Note   shall be   cancelled   by Lender and
returned to Borrower as of the Restatement Date but that the cancellation of the
Existing   Revolving   Notes   shall not   constitute   a   novation   of the   Existing
Advances and the Existing Term Loan or any other amounts   evidenced   thereby and
(ii) all Advances   (including the Existing   Advances) and the Term Loan shall as
of the Restatement Date be evidenced as provided in this Section 2.11(a).

      (b) The   entries   made in the   electronic   or   written   records   maintained
pursuant to subsection (a) of this Section 2.11 (the "Register")   shall be prima
facie   evidence,   absent   manifest   error,   of the   existence and amounts of the
Obligations   and   Indebtedness   therein   recorded;   provided   however,   that the
failure of Lender to maintain such records or any error therein shall not in any
manner affect the joint and several   obligations   of Credit Parties to repay the
Loans or Obligations in accordance with their terms.


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     (c) Lender will   account to Borrower   monthly   with a statement of Advances
under the Revolving Facility, and any charges and payments made pursuant to this
Agreement,   and in the absence of manifest error,   such   accounting   rendered by
Lender shall be deemed final,   binding and conclusive   unless Lender is notified
by Borrower in writing to the contrary   within fifteen   calendar days of Receipt
of such   accounting,   which notice   shall be deemed an   objection   only to items
specifically objected to therein.

     (d) Borrower agrees that:

     (i) upon written notice by Lender to Borrower that a Note or other evidence
of   Indebtedness   is   requested   by   Lender   to   evidence   the   Loans   and other
Obligations   owing or   payable   to,   or to be made by,   Lender,   Borrower   shall
promptly   (and in any event within three (3) Business   Days of any such request)
execute and deliver to Lender an appropriate Note or Notes in form and substance
reasonably acceptable to Lender and Borrower;

     (ii) all   references to Notes in the Loan   Documents   shall mean Notes,   if
any, to the extent   issued   (and not   returned   to   Borrower   for   cancellation)
hereunder, as the same may be amended, modified, divided, supplemented, extended
or restated from time to time; and

     (iii) upon   Lender's   written   request,   and in any event   within three (3)
Business Days of any such request,   Borrower shall execute and deliver to Lender


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new Notes and   divide   the Notes in   exchange   for then   existing   Notes in such
smaller   amounts   or   denominations   as   Lender   shall   specify   in its sole and
absolute discretion;   provided,   that the aggregate principal amount of such new
Notes shall not exceed the aggregate   principal amount of the Notes   outstanding
at the time such request is made;   and provided,   further,   that such Notes that
are to be   replaced   shall then be deemed no longer   outstanding   hereunder   and
replaced by such new Notes and returned to Borrower   within a reasonable   period
of time after Lender's receipt of the replacement Notes.

     2.12 Grant of Security Interest; Collateral

     (a)   To   secure   the   payment   and   performance   of the   Obligations,   each
Borrower, each Guarantor, hereby grants to Lender a continuing security interest
in and Lien upon, and pledges to Lender, all of its right, title and interest in
and to the following   (collectively and each   individually,   the   "Collateral"),
which security interest is intended to be a first priority security interest:

     (i) all of such   Borrower's and   Guarantor's   tangible   personal   property,
including   without   limitation   all present and future   Inventory   and Equipment
(including   items of   equipment   which   are or   become   Fixtures),   now owned or
hereafter acquired;

     (ii) all of such Borrower's and Guarantor's   intangible   personal property,
including   without   limitation   all   present   and future   Accounts,   securities,
contract   rights,   Permits,   General   Intangibles,    Chattel   Paper,   Documents,
Instruments   and   Deposit   Accounts,    Letter-of-Credit   Rights   and   Supporting
Obligations,   rights to the payment of money or other forms of   consideration of
any kind, tax refunds,   insurance proceeds, now owned or hereafter acquired, and
all intangible and tangible   personal property relating to or arising out of any
of the foregoing;

     (iii) all of such Borrower's and Guarantor's   present and future Government
Contracts and rights thereunder and the related Government Accounts and proceeds
thereof,   now or hereafter   owned or acquired by such   Borrower   and   Guarantor;


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provided,   however, that Lender shall not have a security interest in any rights
under any   Government   Contract of such Borrower and Guarantor or in the related
Government   Account   where   the   taking   of such   security   interest   would be a
violation of an express   prohibition   contained in the Government   Contract (for
purposes of this limitation,   the fact that a Government Contract is subject to,
or   otherwise   refers to, Title 31,   Section 203 or Title 41,   Section 15 of the
United States Code shall not be deemed an express prohibition against assignment
thereof) or is prohibited by applicable law; and

     (iv)   any   and   all   additions   to any of the   foregoing,   and   any and all
replacements, products and proceeds (including insurance proceeds) of any of the
foregoing.

     (b)   Notwithstanding   the foregoing   provisions of this Section 2.13,   such
grant of a security   interest   shall not   extend   to, and the term   "Collateral"
shall not include,   any General Intangibles of Borrower or such Guarantor to the
extent that (i) such General   Intangibles are not assignable or capable of being
encumbered   as a   matter   of law or under   the   terms   of any   license   or other
agreement applicable thereto (but solely to the extent that any such restriction
shall be enforceable   under   applicable law) without the consent of the licensor
thereof or other   applicable   party thereto,   and (ii) such consent has not been
obtained;   provided,   however,   that the foregoing grant of a security   interest
shall extend to, and the term "Collateral" shall include, each of the following:
(a) any   General   Intangible   which is in the nature of an Account or a right to
the payment of money or a proceed of, or otherwise related to the enforcement or
collection of, any Account or right to the payment of money,   or goods which are
the   subject of any   Account or right to the   payment of money,   (b) any and all
proceeds of any General Intangible that is otherwise excluded to the extent that
the assignment, pledge or encumbrance of such proceeds is not so restricted, and
(c) upon   obtaining the consent of any such licensor or other   applicable   party
with respect to any such otherwise   excluded   General   Intangible,   such General
Intangible as well as any and all proceeds   thereof that might   theretofore have
been   excluded   from   such   grant   of a   security   interest   and   from   the term
"Collateral."

     (c) The payment and   performance of the   Obligations   shall also secured by
the   provisions   of, and the   property   described   in, the   Security   Documents,
including,   but not being   limited   to, (i) a   mortgage   deed or a deed of trust
dated the Closing Date and amended and restated as of the Restatement   Date from
each of   PHC-Michigan   and   PHC-Virginia   with   respect   to the Real   Estate,   a
leasehold mortgage or leasehold deed of trust dated the Closing Date and amended
and restated as of the   Restatement   Date from PHC-Utah with respect to the Utah
Leasehold   and a   leasehold   mortgage   or   leasehold   deed of   trust   dated   the
Restatement   Date from Seven   Hills   Hospital   with   respect to the Seven   Hills
Leasehold (each, as such may be modified,   amended or supplemented   from time to
time, individually and collectively, a "Mortgage"), (ii) a collateral assignment
of leases,   rentals and   property   income dated the Closing Date and amended and
restated as of the Restatement   Date from each of PHC-Michigan   and PHC-Virginia
to Lender (each, as such may be modified,   amended or supplemented   from time to
time,   individually   and   collectively,   an   "Assignment of Rents") and (iii) an
assignment   of   permits   and   licenses   dated   the   Closing   Date   from   each of
PHC-Michigan   and   PHC-Virginia to Lender with respect to the Real Estate (each,
as such may be modified, amended or supplemented from time to time, individually
and collectively, a "Permit Assignment").

     (d)   The    payment    and    performance    of   the    Obligations    shall    be
cross-guaranteed   by each Borrower pursuant to a cross guaranty   agreement dated
the Closing   Date or, in the case of Seven   Hills   Hospital,   a joinder   thereto


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dated the   Restatement   Date   executed by each   Borrower   (each,   as such may be
modified,    amended   or   supplemented   from   time   to   time,    individually   and
collectively, a "Cross Guaranty").

     (e) Reserved.

     (f) In addition to the foregoing,   to secure the payment and performance of
the Obligations,   PHC shall pledge to Lender all of the securities which it owns
in its   Subsidiaries   pursuant,   in the   case   of all   Subsidiaries   other   than
Pivotal, to the Stock Pledge Agreement.

     (g) Upon the execution and delivery of this Agreement,   and upon the proper
filing of the necessary   financing   statements,   the   recordation of the Patent,
Trademark   and   Copyright   Assignment   in the United States Patent and Trademark
Office and/or the United States   Copyright   Office,   and proper   delivery of the
necessary   stock and   membership   interest   certificates,   without   any   further
action,   Lender will have a good,   valid and perfected   first   priority Lien and
security    interest   in   the   Collateral,    subject   to   no   transfer   or   other
restrictions   or   Liens of any kind in favor   of any   other   Person   except   for
Permitted Liens. No financing   statement relating to any of the Collateral is on
file in any public office   except those (i) on behalf of Lender,   and/or (ii) in
connection with Permitted Liens.

     2.13 Collateral Administration

     (a) All Collateral   (except Deposit   Accounts) will at all times be kept by
each Borrower at the locations set forth on Schedule 5.18B hereto and shall not,
without   thirty (30)   calendar   days prior   written   notice to Lender,   be moved
therefrom,   and in any case shall not be moved   outside the   continental   United
States.

     (b) Each Borrower shall keep accurate and complete   records of its Accounts
and all payments and collections thereon and shall submit such records to Lender
on such   periodic   bases as Lender may   request.   In   addition,   if   Accounts of
PHC-Michigan   or PHC-Utah (or any other   Borrower whose Accounts may be included
at any time in the future within the Borrowing Base) in an aggregate face amount
in excess of   $10,000   become   ineligible   because   they fall   within one of the
specified   categories of   ineligibility   set forth in the definition of Eligible
Receivables,   each such Borrower   shall notify Lender of such   occurrence on the
first Business Day following the discovery of such   occurrence and the Borrowing
Base shall   thereupon   be adjusted to reflect such   occurrence.   If requested by
Lender,   each   Borrower   shall   execute   and   deliver to Lender   formal   written
assignments   of all of its   Accounts   weekly   or daily as   Lender   may   request,
including all Accounts created since the date of the last   assignment,   together
with copies of claims, invoices and/or other information related thereto. To the
extent that   collections   from such assigned   accounts   exceed the amount of the
Obligations,   such excess amount shall not accrue interest in favor of Borrower,
but shall be available to the Borrower upon Borrower's written request.

     (c) Whether or not an Event of Default   has   occurred,   upon prior   written
notice to Borrower,   any of Lender's   officers,   employees,   representatives   or
agents shall have the right,   at any time during normal   business   hours, in the
name of Lender, any designee of Lender or any Borrower,   to verify the validity,
amount or any other matter   relating to any Accounts of any   Borrower;   provided
that such prior written notice to Borrower is not required if a Default or Event
of Default has occurred and be continuing.   Each Borrower shall   cooperate fully
with Lender in an effort to facilitate and promptly   conclude such   verification
process.

     (d) To   expedite   collection,   each   Borrower   shall   endeavor in the first
instance to make   collection   of its Accounts for Lender.   Lender shall have the

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right at all times after the occurrence   and during the   continuance of an Event
of Default to notify (i) Account   Debtors owing   Accounts to any Borrower   other
than Medicaid/Medicare Account Debtors that their Accounts have been assigned to
Lender   and to   collect   such   Accounts   directly   in its own name and to charge
collection   costs   and   expenses,    including   reasonable   attorney's   fees,   to
Borrower,   and (ii)   Medicaid/Medicare   Account   Debtors that such   Borrower has
waived any and all defenses and   counterclaims it may have or could interpose in
any such   action   or   procedure   brought   by   Lender   to   obtain   a court   order
recognizing the collateral assignment or security interest and lien of Lender in
and to any Account or other Collateral and that Lender is seeking or may seek to
obtain a court order recognizing the collateral   assignment or security interest
and lien of   Lender   in and to all   Accounts   and other   Collateral   payable   by
Medicaid/Medicare Account Debtors.

     (e) As and when   determined by Lender in its sole   discretion,   Lender will
perform   the   searches   described   in clauses   (i) and (ii) below   against   each
Borrower   and   Guarantor   (the   results   of   which   are   to be   consistent   with
Borrower's    representations   and   warranties   under   this   Agreement),   all   at
Borrower's   expense:   (i) UCC   searches   with the   Secretary   of State and local
filing   offices   of   each   jurisdiction   where   any   Borrower   and/or   Guarantor
maintains their respective executive offices, a place of business or assets; and
(ii) judgment, federal tax lien and corporate and partnership tax lien searches,
in each   jurisdiction   searched   under clause (i) above.   UCC searches   shall be
conducted at the expense of Borrower on a quarterly basis; provided, that Lender
shall have the right to conduct such   searches   more   frequently   at its expense
and,   if a Default or Event of Default   shall have   occurred,   at the expense of
Borrower.

     (f) Each of   PHC-Michigan   and   PHC-Utah   (and   any   other   Borrower   whose
Accounts may be included at any time in the future   within the   Borrowing   Base)
(i) shall   provide   prompt   written   notice to its current   bank to transfer all
items,   collections and   remittances to the   Concentration   Account,   (ii) shall
provide    prompt    written    notice   to   each    Account    Debtor    (other    than
Medicaid/Medicare   Account   Debtors)   that   Lender   has been   granted a lien and
security interest in, upon and to all Accounts applicable to such Account Debtor
and shall direct each Account Debtor to make payments to the appropriate Lockbox
Account,   and each such Borrower hereby authorizes   Lender,   upon any failure to
send such notices and directions within ten (10) calendar days after the date of
this   Agreement (or ten (10)   calendar days after the Person   becomes an Account
Debtor),   to send any and all similar   notices and   directions   to such   Account
Debtors,   and (iii) shall do anything   further that may be lawfully   required by
Lender to secure Lender and effectuate the intentions of the Loan Documents.   At
Lender's   request,   each such Borrower shall   immediately   deliver to Lender all
items for which Lender must receive   possession   to obtain a perfected   security
interest and all notes,   certificates,   and documents of title,   Chattel   Paper,
warehouse receipts,   Instruments, and any other similar instruments constituting
Collateral.   Notwithstanding   any   provision   of   this   subsection   (f)   to   the
contrary,   following the   occurrence of an Event of Default each Borrower   shall
comply with the provisions of this subsection (f) if directed by Lender.

     2.14 Power of Attorney

     Lender is hereby   irrevocably made,   constituted and appointed the true and
lawful attorney for each Borrower (without requiring any of them to act as such)
with full power of substitution to do the following: (i) endorse the name of any
such Person upon any and all checks, drafts, money orders, and other instruments
for the   payment   of money   that   are   payable   to such   Person   and   constitute
collections   on its or their   Accounts;   (ii) execute in the name of such Person
any financing statements,   schedules, assignments,   instruments,   documents, and
statements   that it is or they or are   obligated to give Lender under any of the
Loan   Documents to enable   Lender to preserve or exercise any rights or remedies
in any   Collateral;   and (iii) do such other and   further   acts and deeds in the
name of such Person that Lender may deem   necessary   or desirable to enforce any
Account or other Collateral or to perfect Lender's   security interest or lien in

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any   Collateral.   In   addition,   if any   such   Person   breaches   its   obligation
hereunder to direct payments of Accounts or the proceeds of any other Collateral
to the appropriate Lockbox Account, Lender, as the irrevocably made, constituted
and   appointed   true and   lawful   attorney   for   such   Person   pursuant   to this
paragraph,   may, by the   signature   or other act of any of Lender's   officers or
authorized   signatories   (without   requiring   any of them to do so),   direct any
federal,   state or   private   payor or fiscal   intermediary   to pay   proceeds   of
Accounts or any other Collateral to the appropriate Lockbox Account.

     2.15 Acknowledgement of Joint and Several Liability

     Each Borrower   acknowledges that it is jointly and severally liable for all
of   the   Obligations    under   the   Loan   Documents.    Each   Borrower    expressly
understands,   agrees   and   acknowledges   that   (i)   Borrowers   are all   entities
affiliated   by   common   ownership,   (ii)   each   Borrower   desires   to   have   the
availability   of   one   common   credit    facility    instead   of   separate   credit
facilities,   (iii) each Borrower has requested   that Lender extend such a common
credit   facility   on the terms   herein   provided,   (iv)   Lender   will be lending
against,   and relying on a lien upon,   all of Borrowers'   assets even though the
proceeds of any particular loan made hereunder may not be advanced directly to a
particular Borrower, (v) each Borrower will nonetheless benefit by the making of
all such loans by Lender and the   availability   of a single credit facility of a
size   greater   than   each   could   independently   warrant,   and   (vi)   all of the
representations,   warranties, covenants, obligations, conditions, agreements and
other terms   contained in the Loan Documents shall be applicable to and shall be
binding upon each Borrower. Each Borrower hereby appoints PHC (in such capacity,
"Borrower   Agent") to act as agent on behalf of each Borrower and to deliver any
statement,    notice,   authorization   or   other   writing   required   or   permitted
hereunder or under any of the Loan   Documents.   Lender shall be entitled to rely
upon any   statement,   notice,   authorization   or   other   writing   received   from
Borrower   Agent without   investigation   and each   Borrower   agrees that any such
statement, notice, authorization or other writing shall be binding on it.

III. INTEREST, FEES AND OTHER CHARGES; ALLOCATION OF PURCHASE PRICE

     3.1 Interest on the Revolving Facility

     Commencing   July 1, 2007, and continuing   until the later of the expiration
of the   Term   and   the   Payment   in   Full   and   full   performance   of all of the
Obligations and termination of this Agreement   interest on outstanding   Advances
under the Revolving   Facility   shall be payable   monthly in arrears on the first
day of each calendar   month at an annual rate of Prime Rate plus   one-quarter of
one percentage   point (.25%) in accordance   with the procedures   provided for in
Section   2.7 and   Section   2.4,   provided   however,   that,   notwithstanding   any
provision of any Loan Document,   for the purpose of calculating   interest at any
time   hereunder,   the   Prime   Rate   shall be not less   than   4.5%,   in each case
calculated   on the basis of a 360-day year and for the actual number of calendar
days elapsed in each   interest   calculation   period.   The payment due under this
Section 3.1 on July 1, 2007 shall   include   any   accrued and unpaid   interest on
outstanding   Advances under the Revolving   Facility   existing under the Existing
Credit Agreement.

     3.2 Interest on the Term Loan

     Commencing   July 1, 2007, and continuing   until the later of the expiration
of the   Term   and   the   Payment   in   Full   and   full   performance   of all of the
Obligations   and   termination   of this   Agreement   interest   on the   outstanding
principal   balance of the Term Loan   shall be payable   monthly in arrears on the
first   day of   each   calendar   month   at an   annual   rate   of   Prime   Rate   plus

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three-quarters   of one percentage point (.75%) in accordance with the procedures
provided   for   in   Section   2.7   and   Section   2.4.,   provided   however,    that,
notwithstanding   any   provision   of   any   Loan   Document,   for   the   purpose   of
calculating   interest   at any time   hereunder,   the Prime Rate shall be not less
than 5.5%,   in each case   calculated   on the basis of a 360-day year and for the
actual   number of calendar   days elapsed in each   interest   calculation   period.
Advances   under   the   Revolving   Facility   shall be made   automatically   for the
payment   of   Obligations   under the Term Loan on the date when due to the extent
available and as provided for herein.   The payment due under this Section 3.2 on
July 1, 2007 shall   include   any   accrued   and unpaid   interest   on   outstanding
principal amount of the Existing Term Loan under the Existing Credit Agreement.

     3.3   Commitment Fee

     On or before   the   Restatement   Date,   Borrower   shall   pay to   Lender   the
following as a nonrefundable commitment fees:

          (a)   .5% of the Facility Cap in respect of the Revolving Facility;

          (b)   .5% of the Initial Term Loan Amount; and

     3.4   Collateral Management Fee and Unused Line Fee

      Borrower   shall pay   Lender as   additional   interest   a monthly   collateral
management   fee (the   "Collateral   Management   Fee")   equal to 0.042%   per month
calculated   on the basis of the daily average   amount of the balances   under the
Revolving   Facility   outstanding   during the   preceding   month.   The   Collateral
Management   Fee shall be   payable   monthly   in   arrears on the first day of each
successive calendar month (starting with the month in which the Restatement Date
occurs).   The payment due under this   Section 3.4 on July 1, 2007 shall   include
any   accrued and unpaid   Collateral   Management   Fee due and   payable   under the
Existing Credit   Agreement as well as any accrued and unpaid Unused Line Fee (as
such term is defined in the Existing Credit Agreement) due and payable under the
Existing Credit Agreement (which Unused Line Fee shall not be charged under this
Agreement commencing as of the Restatement Date).

     3.5   Finance Fee

     If   Borrower   makes   any final   prepayment   or any   payment   in full of the
principal   amount   of the Term   Loan or other   satisfaction   of the   outstanding
balance of the Term Loan and/or the Term Loan is otherwise   terminated,   in each
case for any reason,   then, on such date, Borrower shall pay Lender (in addition
to any other Obligations relating to the Term Loan pursuant to the terms of this
Agreement and any other Loan Document), an amount equal to the Term Loan Finance
Fee Amount;   provided,   however, that no fee shall be due and payable under this
subsection (a) if the Term Loan Termination   results from the refinancing of the
Term Loan with the proceeds   from a financing   under a program   sponsored by the
United   States   Department   of   Housing   and Urban   Development.   Lender   hereby
acknowledges that the Finance Fee (as such term is defined in Section 3.4 of the
Existing Credit   Agreement) due and payable under the Existing Credit   Agreement
in respect of the Existing Term Loan is hereby waived (the "Waived Finance Fee")
and Borrower shall have no further obligation to pay the Waived Finance Fee.

     3.6   Computation of Fees; Lawful Limits

     All fees hereunder shall be computed on the basis of a year of 360 days and
for the actual number of days elapsed in each calculation period, as applicable.
In no   contingency or event   whatsoever,   whether by reason of   acceleration   or

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otherwise,   shall the   interest   and other   charges paid or agreed to be paid to
Lender for the use,   forbearance   or   detention   of money   hereunder   exceed the
maximum   rate   permissible   under   applicable   law   which a court   of   competent
jurisdiction shall, in a final determination, deem applicable hereto. If, due to
any circumstance   whatsoever,   fulfillment of any provision   hereof, at the time
performance of such provision   shall be due, shall exceed any such limit,   then,
the obligation to be so fulfilled shall be reduced to such lawful limit, and, if
Lender shall have received interest or any other charges of any kind which might
be deemed to be interest   under   applicable   law in excess of the maximum lawful
rate,   then such   excess   shall be applied   first to any unpaid fees and charges
hereunder,   then to unpaid principal balance owed by Borrower hereunder,   and if
the then   remaining   excess   interest   is   greater   than the   previously   unpaid
principal   balance,   Lender shall promptly refund such excess amount to Borrower
and   the   provisions   hereof   shall   be   deemed   amended   to   provide   for   such
permissible   rate. The terms and provisions of this Section 3.6 shall control to
the extent any other provision of any Loan Document is inconsistent herewith.

     3.7   Default Rate of Interest

     Upon the occurrence and during the continuation of an Event of Default, the
Applicable   Rate   of   interest   in   effect   at such   time   with   respect   to the
Obligations shall be increased by 5.0% per annum (the "Default Rate").

     3.8   Reserved

     3.9   Debt Service Reserve

     Borrower and Lender   acknowledge that Borrower deposited with Lender on the
Closing   Date the amount of $30,000   in order to fund the Debt   Service   Reserve
Amount   to   be   held   by   Lender   in   escrow.   Upon   the   full   performance   and
satisfaction and indefeasible payment in full in cash of all the Obligations and
the termination of this Agreement,   Lender shall return to Borrower that portion
of the Debt Service   Reserve   Amount not already used by Lender to make payments
of principal or interest pursuant to this Agreement. Notwithstanding and without
limiting or being   limited by any other   provision of this   Agreement,   upon the
occurrence and continuation of an Event of Default, Lender shall have the right,
in its sole   discretion,   to use all or any portion of the Debt Service   Reserve
Amount to pay any amount or Obligation   hereunder and/or under the Loans,   Notes
and other Loan   Documents,   to be   applied   at such time and in such   manner and
order as Lender shall decide in its sole discretion. After any cure of any Event
of Default,   if amounts from the Debt Service   Reserve   Amount have been used by
Lender pursuant to the immediately   preceding   sentence,   Borrower shall deposit
such   additional   cash   with   Lender   to   be   held   by   Lender   in   escrow   in a
non-interest   bearing   account to restore   the full   amount of the Debt   Service
Reserve Amount in such account.

     3.10 Minimum Balance

     Notwithstanding   any provision of this   Agreement to the   contrary,   if the
consolidated   average daily amount of the balances under the Revolving   Facility
and the Term Loan for any   calendar   month is less than One Million Five Hundred
Thousand Dollars ($1,500,000) Borrower acknowledges and agrees that Lender shall
be entitled to calculate   interest and fees under   Sections 2.4, 3.1 and 3.4 for
such calendar month as if the average daily outstanding balance of the Revolving
Facility for such calendar month was One Million Five Hundred   Thousand   Dollars
($1,500,000).   Notwithstanding the foregoing,   if for any calendar month the sum
of the average daily   Availability for such month (as calculated by reference to

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the Borrowing   Certificates submitted to Lender and effective during such month)
plus the Term Loan Amount in effect for such month   (such sum being   referred to
as the "Average Availability Amount") is less than $1,500,000, then Lender shall
calculate   interest   and fees under this   Section   3.10 for such month as if the
average   daily   outstanding   balance of the   Revolving   Facility was the Average
Availability Amount.

     IV. CONDITIONS PRECEDENT

     4.1   Conditions to Amendment   and   Restatement,   Continuation   of Loans and
Closing

     The   obligations   of Lender to   consummate   the   transactions   contemplated
herein and to amend and restate the Existing   Credit   Agreement and continue the
Existing   Advances and the Existing   Term Loan and make   available the Term Loan
are   subject   to the   satisfaction,   in the   sole   judgment   of   Lender,   of the
following:

     (a) (i) Each   Borrower or Borrower   Agent on behalf of Borrower   shall have
delivered   to Lender (A) the Loan   Documents   to which it is a party,   each duly
executed by an authorized officer of Borrower and the other parties thereto, and
(B) a Borrowing Certificate for any Advance under the Revolving Facility or Term
Loan Draw to be   requested on the   Restatement   Date   executed by an   authorized
officer of Borrower   Agent,   and (ii) each   Guarantor   shall have   delivered   to
Lender the Loan Documents to which such Guarantor is a party, each duly executed
and delivered by such Guarantor or an authorized   officer of such Guarantor,   as
applicable, and the other parties thereto;

     (b)   all   in   form   and   substance   satisfactory   to   Lender   in   its   sole
discretion,   Lender shall have received (i) a report of Uniform   Commercial Code
financing   statement,   tax and judgment lien searches   performed with respect to
each   Borrower and   Guarantor in each   jurisdiction   determined by Lender in its
sole   discretion,   and such report shall show no Liens on the Collateral   (other
than Permitted Liens), (ii) each document   (including,   without limitation,   any
Uniform   Commercial Code financing   statement)   required by any Loan Document or
under law or requested by Lender to be filed,   registered   or recorded to create
in favor of Lender,   a   perfected   first   priority   security   interest   upon the
Collateral   and first   priority   Lien   (second   priority in the case of the Real
Estate owned by PHC-Virginia)   on the Real Estate and the Utah Leasehold,   (iii)
evidence of each such filing,   registration or recordation and of the payment by
Borrower of any necessary fee, tax or expense relating   thereto,   (iv) objective
evidence   that no part of the Real Estate or the Utah   Leasehold is located in a
flood hazard zone,   (v) such surveys,   environmental   reports,   engineering   and
inspection   reports and appraisals as Lender may require in its sole   discretion
with respect to the Real Estate or the Leasehold,   (vi) evidence satisfactory to
Lender   that the Real Estate and the Utah   Leasehold   complies   with   applicable
codes and ordinances, is zoned for its current use, is served by adequate public
utilities,   is free of mechanics and materialsman's   liens and is not subject to
condemnation,   and (vii) an   endorsement   to each ALTA   title   insurance   policy
insuring each Mortgage in form and substance   satisfactory to Lender in its sole
discretion;

     (c) Lender shall have received (i) the Charter and Good Standing Documents,
all in form and   substance   acceptable   to   Lender,   (ii) a   certificate   of the
corporate   secretary or assistant secretary of each Borrower and Guarantor dated
the   Restatement   Date,   as to the   incumbency   and   signature   of   the   Persons
executing the Loan Documents,   in form and substance   acceptable to Lender,   and
(iii) the written legal opinion of counsel for each Borrower and   Guarantor,   in
form and substance satisfactory to Lender and its counsel;

     (d) Lender shall have received a certificate of the chief financial officer
(or, in the absence of a chief financial   officer,   the chief executive officer)
for each of   PHC-Michigan   and   PHC-Utah and for PHC and its   Subsidiaries   on a

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consolidated   basis,   in form and   substance   satisfactory   to Lender   (each,   a
"Solvency Certificate"), certifying (i) the solvency of such Person after giving
effect   to the   transactions   and   the   Indebtedness   contemplated   by the   Loan
Documents as of the   Restatement   Date,   and (ii) as to such Person's   financial
resources and ability to meet its   obligations   and   liabilities   as they become
due, to the effect that as of the   Restatement   Date and after giving   effect to
any funding under this Agreement on the Restatement Date: (A) the assets of such
Person, at a Fair Valuation, exceed the total liabilities (including contingent,
subordinated, unmatured and unliquidated liabilities) of such Person, and (B) no
unreasonably small capital base with which to engage in its anticipated business
exists with respect to such Person;

     (e) Lender shall have completed examinations, the results of which shall be
satisfactory in form and substance to Lender,   of the Collateral,   the financial
statements and the books, records,   business,   obligations,   financial condition
and operational state of each Borrower and Guarantor, and each such Person shall
have demonstrated to Lender's   satisfaction   that (i) its operations   comply, in
all   respects   deemed   material   by   Lender,   in its   sole   judgment,   with   all
applicable   federal,   state,   foreign and local laws,   statutes and regulations,
(ii) its   operations   are not the   subject   of any   governmental   investigation,
evaluation   or any   remedial   action which could   result in any   expenditure   or
liability deemed material by Lender,   in its sole judgment,   and (iii) it has no
liability   (whether   contingent or otherwise) that is deemed material by Lender,
in its sole judgment;

     (f) Lender   shall   have   received   all fees,   charges,   expenses   and other
amounts   payable to Lender on or prior to the   Restatement   Date pursuant to the
Loan Documents;

     (g)   Lender   shall have   received   true and   correct   copies of any and all
leases   set   forth on   Schedule   5.4,   and such   consents,   approvals,   estoppel
certificates   and   agreements,   including,   without   limitation,   any applicable
Landlord   Waivers and   Consents   with respect to any and all leases set forth on
Schedule 5.4, from such third parties as Lender and its counsel shall   determine
are   necessary or desirable   with respect to (i) the Loan   Documents   and/or the
transactions   contemplated   thereby,   and/or (ii) claims against any Borrower or
Guarantor, the Collateral or the Real Estate;

     (h) each Borrower shall be in compliance   with Section   7.13(b) and Section
6.5, and Lender   shall have   received   original   certificates   of all   insurance
policies   of each   Borrower   confirming   that   they are in   effect   and that the
premiums   due and owing with   respect   thereto have been paid in full and naming
Lender as sole beneficiary or loss payee and additional insured, as appropriate;

     (i) all corporate and other proceedings,   documents,   instruments and other
legal   matters in   connection   with the   transactions   contemplated   by the Loan
Documents   (including,   but not limited to,   those   relating   to   corporate   and
capital structures of each Borrower) shall be satisfactory to Lender;

     (j) Lender   shall have   received,   in form and   substance   satisfactory   to
Lender,    (i)   evidence   of   the   repayment   in   full   and   termination   of   all
Indebtedness of Borrower to be repaid on the   Restatement   Date, if any, and all
related   documents,   agreements   and   instruments   and   of all   Liens,   security
interests and Uniform Commercial Code financing statements relating thereto, and
(ii) release and   termination   of any and all Liens,   security   interest   and/or
Uniform Commercial Code financing   statements in, on, against or with respect to
any of the   Collateral,   the Real Estate or the Leasehold   (other than Permitted
Liens and the   existing   first   priority   Lien   against the Real Estate owned by
PHC-Virginia);

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     (k) Each Borrower and each Guarantor shall have executed and filed IRS Form
8821 with the   appropriate   office of the   Internal   Revenue   Service to include
Lender as an appointee thereon for all tax matters;

     (l) PHC shall have   issued the Warrant to CSE Equity   Holdings   LLC in form
and substance satisfactory to Lender;

     (m) Lender shall have received true and correct copies of any amendments or
modifications to the Pivotal   Acquisition   Documents executed or delivered since
the Closing Date, certified by a duly authorized officer of PHC; and

     (n)   Lender   shall   have   received   such   other   documents,    certificates,
information or legal opinions as Lender may reasonably request,   all in form and
substance reasonably satisfactory to Lender.

     4.2 Conditions to Each Advance

     The   obligations   of   Lender   to   make   any   Advance   are   subject   to   the
satisfaction,   in the sole   judgment   of   Lender,   of the   following   additional
conditions precedent:

     (a) Borrower Agent shall have   delivered to Lender a Borrowing   Certificate
for the Advance executed by an authorized officer of Borrower Agent, which shall
constitute a representation and warranty by Borrower as of the Borrowing Date of
such   Advance   that the   conditions   contained   in this   Section   4.2 have   been
satisfied;   provided,   however,   that any   determination   as to   whether to fund
Advances or extensions of credit shall be made by Lender in its sole discretion;

     (b)   each of the   representation   and   warranties   made by   Borrower   in or
pursuant to this Agreement shall be accurate,   before and after giving effect to
such Advance;

     (c) no Default or Event of Default   shall have occurred or be continuing or
would exist after giving effect to the Advance   under the Revolving   Facility on
such date;

     (d)   immediately   after giving   effect to the   requested   Advance under the
Revolving   Facility , the   aggregate   outstanding   principal   amount of Advances
under the Revolving   Facility shall not exceed either the   Availability   and the
Facility Cap;

     (e) except as disclosed in the historical financial statements, there shall
be no   liabilities   or   obligations   with   respect   to   Borrower   of any   nature
whatsoever which, either   individually or in the aggregate,   would reasonably be
likely to have a Material Adverse Effect; and

     (f) Lender shall have   received all fees,   charges and expenses   payable to
Lender on or prior to such date pursuant to the Loan Documents.

     4.3 Conditions to Term Loan Draws

     In addition to the   satisfaction of the conditions set forth in Section 4.1
hereof,   the   obligation   of the Lender to make any Term Loan Draw is subject to
the satisfaction of the following conditions precedent:

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     (a) Borrower Agent shall have   delivered to Lender a Borrowing   Certificate
for the Term Loan Draw   executed by an   authorized   officer of   Borrower   Agent,
which shall constitute a representation   and warranty by Borrower as of the Term
Loan   Borrowing   Date for such Term Loan Draw that the   conditions   contained in
this Section 4.3 have been satisfied;   provided, however, that any determination
as to   whether   the   conditions   contained   in this   Section   4.3 and the   other
conditions set forth in this Agreement to Lender's   obligation to make Term Loan
Draw have been satisfied shall be made by Lender in its sole discretion;

     (b) each of the   representations   and   warranties   made by   Borrower   in or
pursuant to this Agreement shall be accurate,   before and after giving effect to
such Term Loan Draw;

     (c) no Default or Event of Default   shall have occurred or be continuing or
would exist after giving effect to the Term Loan Draw on such date;

     (d)   immediately   after giving effect to the requested   Term Loan Draw, the
aggregate   outstanding   principal   amount of the Term Loan   shall not exceed the
Term Loan Amount in effect from time to time;

     (e) except as disclosed in the historical financial statements, there shall
be no   liabilities   or   obligations   with   respect   to   Borrower   of any   nature
whatsoever which, either   individually or in the aggregate,   would reasonably be
likely to have a Material Adverse Effect; and

     (f) Lender shall have   received all fees,   charges and expenses   payable to
Lender on or prior to such date pursuant to the Loan Documents.

V. REPRESENTATIONS AND WARRANTIES

     Each Borrower and Guarantor, jointly and severally, represents and warrants
as of the date   hereof,   the   Restatement   Date,   each   Borrowing   Date and,   if
applicable, the date of any funding of the Loans as follows:

     5.1   Organization and Authority

     Each Borrower and Guarantor is a corporation or limited   liability   company
duly   organized,   validly   existing and in good   standing   under the laws of its
state of formation.   Each Borrower and Guarantor (i) has all requisite corporate
power   and   authority   to own its   properties   and   assets   and to   carry on its
business as now being conducted and as contemplated in the Loan Documents,   (ii)
is duly   qualified to do business in every   jurisdiction   in which failure so to
qualify could   reasonably   be expected to have a Material   Adverse   Effect,   and
(iii) has all requisite power and authority (A) to execute,   deliver and perform
the Loan   Documents   to which it is a party,   (B) to   borrow   hereunder,   (C) to
consummate the transactions   contemplated   under the Loan Documents,   and (D) to
grant the Liens with regard to the Collateral pursuant to the Security Documents
to which it is a party.   No Borrower or   Guarantor   is an   "investment   company"
registered   or required to be   registered   under the   Investment   Company Act of
1940, as amended, or is controlled by such an "investment company."

     5.2   Loan Documents

     The execution,   delivery and   performance by each Borrower and Guarantor of
the   Loan   Documents   to   which   it is a   party,   and   the   consummation   of the

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transactions   contemplated   thereby,   (i)   have   been   duly   authorized   by   all
requisite   action of each such Person and have been duly   executed and delivered
by or on behalf of each such Person;   (ii) do not violate any   provisions of (A)
applicable law, statute, rule, regulation, ordinance or tariff, (B) any order of
any Governmental Authority binding on any such Person or any of their respective
properties,   or (C) the   certificate   of   incorporation   or bylaws (or any other
equivalent governing agreement or document) of any such Person, or any agreement
between any such Person and its respective   stockholders,   members,   partners or
equity   owners   or among   any such   stockholders,   members,   partners   or equity
owners; (iii) are not in conflict with, and do not result in a breach or default
of   or   constitute   an   event   of   default,   or an   event,   fact,   condition   or
circumstance which, with notice or passage of time, or both, would constitute or
result in a conflict,   breach, default or event of default under, any indenture,
agreement or other   instrument to which any such Person is a party,   or by which
the   properties   or assets of such   Person are bound,   the effect of which could
reasonably   be expected to have a Material   Adverse   Effect;   (iv) except as set
forth   herein,   will not result in the creation or imposition of any Lien of any
nature upon any of the   properties or assets of any such Person,   and (v) except
as set   forth   on   Schedule   5.2,   do   not   require   the   consent,   approval   or
authorization    of,   or   filing,    registration   or    qualification    with,   any
Governmental Authority or any other Person. When executed and delivered, each of
the   Loan   Documents   to   which   each   Borrower   or   Guarantor   is a party   will
constitute   the legal,   valid and binding   obligation   of each such   Borrower or
Guarantor, enforceable against such Borrower or Guarantor in accordance with its
terms,   subject   to   the   effect   of   any   applicable   bankruptcy,    moratorium,
insolvency,   reorganization or other similar law affecting the enforceability of
creditors'   rights   generally and to the effect of general   principles of equity
which may limit the availability of equitable   remedies (whether in a proceeding
at law or in equity).

     5.3   Subsidiaries, Capitalization and Ownership Interests

     Schedule   5.3   states the   authorized   and   issued   capitalization   of each
Borrower   and   Guarantor,   the   number   and   class of equity   securities   and/or
ownership,   voting or partnership or membership interests issued and outstanding
of each Borrower and Guarantor   and, for each Borrower and Guarantor   other than
PHC, the record and beneficial owners thereof (including   options,   warrants and
other rights to acquire any of the foregoing) and, for PHC, the holders of 5% or
more   of   any   class   of   equity   securities   thereof.   The   outstanding   equity
securities and/or ownership, voting or membership interests of each Borrower and
Guarantor   have been duly   authorized   and validly issued and are fully paid and
nonassessable.   Each Person   listed on   Schedule   5.3 owns   beneficially   and of
record   all the   equity   securities   and/or   ownership,   voting   or   partnership
interests of each Borrower and Guarantor   (other than PHC) such Person is listed
as owning free and clear of any Liens other than Liens   created by the   Security
Documents.   Schedule   5.3 also lists the   directors,   members,   managers   and/or
partners of each   Borrower and   Guarantor.   Except as listed on Schedule 5.3, no
Borrower or Guarantor owns an interest or   participates   or engages in any joint
venture, partnership or similar arrangements with any Person.

     5.4   Properties

     Except as set forth on Schedule 5.4, each Borrower and Guarantor (i) is the
sole owner and has good,   valid and   marketable   title to, or a valid   leasehold
interest in, all of its properties and assets,   including the Collateral and the
Real Estate,   whether personal or real,   subject to no transfer   restrictions or
Liens of any kind except for Permitted   Liens,   and (ii) is in compliance in all

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material   respects   with each lease to which it is a party or   otherwise   bound.
Schedule 5.4 lists all real properties (and their   locations) owned or leased by
or to, and all other   assets or property   that are leased or   licensed   by, such
Borrower or Guarantor and all leases   (including leases of leased real property)
covering or with   respect to such   properties   and   assets.   Each   Borrower   and
Guarantor   enjoys peaceful and undisturbed   possession under all such leases and
such leases are all the leases   necessary for the   operation of such   properties
and assets, are valid and subsisting and are in full force and effect.

     5.5   Other Agreements

     Except as set forth on Schedule   5.5, no   Borrower   or   Guarantor   is (i) a
party to any judgment, order or decree or any agreement, document or instrument,
or subject to any restriction, which would have a Material Adverse Effect on its
ability to execute and deliver,   or perform   under,   any Loan Document or to pay
the Obligations,   (ii) in default in the performance,   observance or fulfillment
of any obligation, covenant or condition contained in any agreement, document or
instrument   to which it is a party or to which any of its   properties   or assets
are subject,   which default, if not remedied within any applicable grace or cure
period could   reasonably be expected to have a Material   Adverse Effect,   nor is
there any event, fact,   condition or circumstance   which, with notice or passage
of time or both,   would constitute or result in a conflict,   breach,   default or
event of default under,   any of the foregoing   which, if not remedied within any
applicable   grace or cure period could reasonably be expected to have a Material
Adverse   Effect;   or (iii) a party or   subject   to any   agreement,   document   or
instrument with respect to, or obligation to pay any,   service or management fee
with respect to, the ownership,   operation, leasing or performance of any of its
business   or any   facility,   nor is there any manager   with   respect to any such
facility.

     5.6   Litigation

     Except as set forth on Schedule 5.6, there is no action,   suit,   proceeding
or investigation pending or, to their knowledge, threatened against any Borrower
or any Guarantor   that (i) questions or could prevent the validity of any of the
Loan   Documents or the right of any Borrower or any   Guarantor to enter into any
Loan Document,   or to consummate the   transactions   contemplated   thereby,   (ii)
could reasonably be expected to have, either individually or in the aggregate, a
Material Adverse Effect,   or (iii) could reasonably be expected to result in any
Change   of   Control   or   other   change   in the   current   ownership,   control   or
management   of any   Borrower or any   Guarantor.   Except as set forth on Schedule
5.6, no Borrower is aware that there is any basis for the foregoing. No Borrower
or Guarantor is a party or subject to any order, writ,   injunction,   judgment or
decree of any Governmental   Authority except as set forth on Schedule 5.6. There
is no action, suit, proceeding or investigation initiated by any Borrower or any
Guarantor   currently pending.   No Borrower or Guarantor has any existing accrued
and/or   unpaid    Indebtedness   to   any   Governmental    Authority   or   any   other
governmental payor.

      5.7   Hazardous Materials

     Each Borrower and Guarantor is in compliance in all material   respects with
all applicable Environmental Laws. No Borrower or Guarantor has been notified of
any   action,   suit,   proceeding   or   investigation   (i)   relating   in any way to
compliance   by   or   liability   of   any   Borrower   or   any   Guarantor   under   any
Environmental   Laws, (ii) which otherwise deals with any Hazardous   Substance or
any Environmental Law, or (iii) which seeks to suspend,   revoke or terminate any
license,   permit or approval   necessary for the generation,   handling,   storage,
treatment or disposal of any Hazardous Substance.

     5.8   Tax Returns; Governmental Reports

     Each Borrower and Guarantor (i) has filed all federal,   state,   foreign (if
applicable) and local tax returns and other reports which are required by law to
be   filed   by   such   Borrower   or   Guarantor,   and   (ii)   has   paid   all   taxes,
assessments, fees and other governmental charges, including, without limitation,
payroll   and   other   employment   related   taxes,   in each   case that are due and
payable,   except   only for items   that a   Borrower   or   Guarantor   is   currently
contesting in good faith and that are described on Schedule 5.8.

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     5.9   Financial Statements and Reports

     All   financial   statements   and   financial   information   relating   to   each
Borrower and Guarantor that have been or may hereafter be delivered to Lender by
any   Borrower or Guarantor   are accurate and complete and have been   prepared in
accordance   with GAAP   consistently   applied with prior periods.   No Borrower or
Guarantor has any material   obligations or liabilities of any kind not disclosed
in such   financial   information   or   statements,   and since the date of the most
recent   financial   statements   submitted   to Lender,   there has not occurred any
Material   Adverse Change,   Material Adverse Effect or Liability Event or, to any
Borrower's or   Guarantor's   knowledge,   any other event or condition   that could
reasonably be expected to have a Material Adverse Effect or Liability Event.

     5.10 Compliance with Law

     Each Borrower and Guarantor (i) is in compliance   with all laws,   statutes,
rules,   regulations,   ordinances   and   tariffs   of   any   Governmental   Authority
applicable to such Borrower or Guarantor   and/or such   Borrower's or Guarantor's
business,   assets   or   operations,   including,   without   limitation,   applicable
requirements   of the Standards for Privacy of Individually   Identifiable   Health
Information which were promulgated pursuant to the Health Insurance   Portability
and Accountability Act of 1996 ("HIPAA"), ERISA and Healthcare Laws, and (ii) is
not in   violation of any order of any   Governmental   Authority or other board or
tribunal,   except where   noncompliance   or   violation   could not   reasonably   be
expected to have a Material Adverse Effect.   There is no event, fact,   condition
or circumstance which, with notice or passage of time, or both, would constitute
or result in any noncompliance   with, or any violation of, any of the foregoing,
in each case except where   noncompliance   or violation   could not   reasonably be
expected   to have a Material   Adverse   Effect.   No   Borrower   or   Guarantor   has
received any notice that such   Borrower or Guarantor is not in compliance in any
respect with any of the   requirements   of any of the   foregoing.   No Borrower or
Guarantor has (a) engaged in any Prohibited   Transactions   as defined in Section
406 of ERISA and Section 4975 of the Internal   Revenue Code of 1986, as amended,
and the rules and   regulations   promulgated   thereunder,   (b) failed to meet any
applicable minimum funding requirements under Section 302 of ERISA in respect of
its plans and no   funding   requirements   have been   postponed   or   delayed,   (c)
knowledge   of any event or   occurrence   which would   cause the   Pension   Benefit
Guaranty   Corporation   to   institute   proceedings   under   Title   IV of   ERISA to
terminate any of the employee benefit plans, (d) fiduciary   responsibility under
ERISA for   investments   with   respect to any plan   existing   for the   benefit of
Persons   other   than   its   employees   or   former   employees,   or (e)   withdrawn,
completely or partially,   from any   multi-employer   pension plans so as to incur
liability under the MultiEmployer   Pension Plan Amendments of 1980. With respect
to each   Borrower,   there   exists no event   described   in Section 4043 of ERISA,
excluding   Subsections   4043(b)(2) and 4043(b)(3) thereof,   for which the thirty
(30) day   notice   period   contained   in 12 C.F.R.   Section   2615.3   has not been
waived.   Each Borrower and Guarantor has maintained in all material respects all
records   required to be maintained by the Joint   Commission on   Accreditation of
Healthcare   Organizations,   the Food and Drug   Administration,   Drug Enforcement
Agency and State   Boards of   Pharmacy   and the federal   and state   Medicare   and
Medicaid   programs as required by the Healthcare Laws and, to the best knowledge
of   each   such    Borrower   or   Guarantor,    there   are   no   presently    existing
circumstances which likely would result in material violations of the Healthcare
Laws. There is no Liability Event.

     5.11 Intellectual Property

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      Except as set forth on   Schedule   5.11,   no   Borrower   or   Guarantor   owns,
licenses   or   utilizes,   and is a party to, any   patents,   patent   applications,
trademarks,   trademark   applications,    service   marks,   registered   copyrights,
copyright   applications,   copyrights,   trade names,   trade secrets,   software or
licenses (collectively, the "Intellectual Property").

     5.12 Licenses and Permits; Labor

     Each Borrower and Guarantor is in compliance   with and owns, or is licensed
or otherwise authorized to use, all Permits and Intellectual   Property necessary
or required by applicable law or Governmental Authority for the operation of its
businesses.   All of the   foregoing are in full force and effect and not in known
conflict with the rights of others. No Borrower or Guarantor is (i) in breach of
or default under the provisions of any of the foregoing, nor is there any event,
fact,   condition or circumstance   which, with notice or passage of time or both,
would   constitute or result in a conflict,   breach,   default or event of default
under,   any of the foregoing   which, if not remedied within any applicable grace
or cure period could   reasonably be expected to have a Material   Adverse Effect,
(ii) a party to or subject to any agreement,   instrument or restriction   that is
so unusual or burdensome that it might have a Material   Adverse   Effect,   and/or
(ii) and has been   involved   in any   labor   dispute,   strike,   walkout   or union
organization   which could   reasonably   be   expected   to have a Material   Adverse
Effect

     5.13 No Default

     There does not exist any Default or Event of Default.

     5.14 Disclosure

     Neither any Loan Document nor any other agreement,   document,   certificate,
or statement furnished to Lender by or on behalf of any Borrower or Guarantor in
connection with the   transactions   contemplated   by the Loan Documents,   nor any
representation   or   warranty   made by any   Borrower   or   Guarantor   in any   Loan
Document,   contains any untrue   statement of material fact or omits to state any
fact necessary to make the statements therein not materially   misleading.   There
is no fact   known to any   Borrower   which   has not been   disclosed   to Lender in
writing which could reasonably be expected to have a Material Adverse Effect.

     5.15 Existing Indebtedness; Investments, Guarantees and Certain Contracts

     Except as   contemplated   by the Loan Documents or as otherwise set forth on
Schedule 5.15, no Borrower or Guarantor (i) has outstanding   Indebtedness,   (ii)
is subject or party to any mortgage, note, indenture, indemnity or guarantee of,
with respect to or evidencing   any   Indebtedness   of any other Person,   or (iii)
owns or holds any equity or long-term debt investments in, and does not have any
outstanding advances to or any outstanding guarantees for the obligations of, or
any   outstanding   borrowings   from, any Person.   Each Borrower and Guarantor has
performed   all   material   obligations   required to be   performed by Borrower and
Guarantor   pursuant to or connection   with any items listed on Schedule 5.15 and
there has   occurred no breach,   default or event of default   under any   document
evidencing any such items or any fact,   circumstance,   condition or event which,
with the giving of notice or passage of time or both, would constitute or result
in a breach, default or event of default thereunder.

     5.16 Other Agreements

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     Except as set forth on Schedule 5.16, (i) there are no existing or proposed
agreements, arrangements, understandings or transactions between any Borrower or
Guarantor and any of such Borrower's or Guarantor's officers, members, managers,
directors,    stockholders,    partners,   other   interest   holders,   employees   or
Affiliates or any members of their respective immediate families,   and (ii) none
of the   foregoing   Persons are directly or   indirectly,   indebted to or have any
direct or indirect   ownership,   partnership   or voting   interest in, to any such
Borrower's or Guarantor's knowledge, any Affiliate of any Borrower or any Person
that competes   with any Borrower or Guarantor   (except that any such Persons may
own stock in (but not   exceeding   two (2%)   percent of the   outstanding   capital
stock of) any   publicly   traded   company   that may compete   with any Borrower or
Guarantor.

     5.17 Insurance

     Each   Borrower and   Guarantor   has in full force and effect such   insurance
policies as are   customary in its   industry   and as may be required   pursuant to
Section 6.5 hereof.   All such   insurance   policies   are listed and   described on
Schedule 5.17.

     5.18 Names; Location of Offices, Records and Collateral

     During the   preceding   five years,   no Borrower or Guarantor   has conducted
business   under or used any name   (whether   corporate,   partnership   or assumed)
other than as shown on Schedule   5.18A.   Each Borrower and Guarantor is the sole
owner of all of its names   listed on Schedule   5.18A,   and any and all   business
done and invoices issued in such names are such Borrower's or Guarantor's sales,
business and   invoices.   Each trade name of a Borrower   represents a division or
trading   style of such   Borrower   or   Guarantor.   Each   Borrower   and   Guarantor
maintains   its   places of   business   and   chief   executive   offices   only at the
locations   set forth on Schedule   5.18B,   and all Accounts of each such Borrower
and Guarantor   arise,   originate and are located,   and all of the Collateral and
all books and records in connection   therewith or in any way relating thereto or
evidence the Collateral are located and shall be only, in and at such locations.
All of the Collateral is located only in the continental United States.

     5.19 Non-Subordination

     The Obligations are not subordinated in any way to any other obligations of
any Borrower or Guarantor or to the rights of any other Person.

     5.20 Accounts

     In determining which Accounts are Eligible Receivables,   Lender may rely on
all   statements   and   representations   made by a   Borrower   with   respect to any
Account.   Unless   otherwise   indicated   in writing to Lender,   each Account of a
Borrower   (i) is genuine and in all   respects   what is purports to be and is not
evidenced   by a   judgment,   (ii) arises out of a   completed,   bona fide sale and
delivery of goods or   rendering   of Services   by such   Borrower in the   ordinary
course of   business   and in   accordance   with the terms   and   conditions   of all
purchase orders, contracts, certifications, participations, certificates of need
and other documents   relating   thereto or forming a part of the contract between
such Borrower and the Account Debtor,   (iii) is for a liquidated amount maturing
as stated in a claim or   invoice   covering   such sale of goods or   rendering   of
Services,   a copy of which has been   furnished or is   available to Lender,   (iv)
together with Lender's security interest therein,   is not and will not be in the
future (by   voluntary   act or   omission   by any such   Borrower),   subject to any
offset,   lien,   deduction,   defense,   dispute,   counterclaim   or   other   adverse
condition,   is absolutely   owing to such   Borrower and is not   contingent in any
respect or for any reason   (except   Accounts owed or owing by   Medicaid/Medicare
Account   Debtors   that may be subject to offset or   deduction   under   applicable
law), (v) there are no facts,   events or occurrences which in any way impair the

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validity   or   enforceability   thereof   or   tend to   reduce   the   amount   payable
thereunder from the face amount of the claim or invoice and statements delivered
to   Lender   with   respect   thereto,   (vi) to the   best of each   such   Borrower's
knowledge, (A) the Account Debtor thereunder had the capacity to contract at the
time any   contract or other   document   giving rise   thereto was executed and (B)
such   Account   Debtor   is   solvent,   (vii) to the best of each   such   Borrower's
knowledge,   subject to subsection (x) below, there are no proceedings or actions
which are   threatened or pending   against any Account   Debtor   thereunder   which
might result in any Material Adverse Change in such Account   Debtor's   financial
condition or the collectability thereof, (viii) has been billed and forwarded to
the Account   Debtor for payment in   accordance   with   applicable   laws and is in
compliance   and   conformance   with any requisite   procedures,   requirements   and
regulations   governing   payment   by such   Account   Debtor   with   respect to such
Account,   and,   if due from a   Medicaid/Medicare   Account   Debtor,   is   properly
payable directly to Borrower, (ix) each such Borrower has obtained and currently
has all Permits necessary in the generation thereof,   and (x) each such Borrower
has disclosed to Lender on each Borrowing Certificate the amount of all Accounts
of such Borrower for which   Medicare is the Account Debtor and for which payment
has been denied and subsequently appealed pursuant to the procedure described in
the   definition   of Eligible   Receivables   hereof,   and such Borrower is, except
where the failure to do so would not have a Material   Adverse   Effect,   pursuing
all available appeals in respect of such Accounts.

     5.21 Healthcare

     Without   limiting   or being   limited   by any   other   provision   of any Loan
Document, each Borrower and Guarantor has timely filed or caused to be filed all
cost and other   reports of every kind   required by law,   agreement or otherwise.
Subject to   subsection   (x) of   Section   5.20,   there are no claims,   actions or
appeals   pending (and no Borrower or   Guarantor   has filed any claims or reports
which could reasonably result in any such claims, actions or appeals) before any
commission, board or agency or other Governmental Authority,   including, without
limitation, any intermediary or carrier, the Provider Reimbursement Review Board
or the   Administrator   of the Centers for Medicare and Medicaid   Services,   with
respect to any state or federal   Medicare   or   Medicaid   cost   reports or claims
filed by such Borrower,   or any disallowance by any commission,   board or agency
or other   Governmental   Authority   in   connection   with any   audit of such   cost
reports.   No   validation   review or   program   integrity   review   related   to any
Borrower or the consummation of the transactions   contemplated   herein or to the
Collateral   have   been   conducted   by any   commission,   board or agency or other
Governmental Authority in connection with the Medicare or Medicaid programs, and
to the knowledge of each Borrower and Guarantor,   no such reviews are scheduled,
pending or   threatened   against or affecting   any of the   providers,   any of the
Collateral or the consummation of the transactions contemplated hereby.

     5.22 Survival

     Each   Borrower   and   Guarantor   makes the   representations   and   warranties
contained   herein with the knowledge   and   intention   that Lender is relying and
will rely thereon.   All such   representations   and   warranties   will survive the
execution and delivery of this   Agreement,   the making of the Advances under the
Revolving Facility and the funding of the Term Loan.

VI. AFFIRMATIVE COVENANTS

     Each Borrower and Guarantor,   jointly and   severally,   covenants and agrees
that, until full performance and satisfaction,   and indefeasible payment in full
in cash, of all the Obligations and termination of this Agreement:

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     6.1   Financial   Statements,    Borrowing   Certificate,    Reports   and   Other
          Information

     (a) Financial Reports.   In addition to providing the Borrowing   Certificate
in   accordance   with   Section   2.3,   PHC shall   furnish to Lender (i) as soon as
available and in any event within the earlier of ninety (90) calendar days after
the end of each fiscal year of PHC and its   Subsidiaries   or the date upon which
PHC files its report on Form 10-K with the United States Securities and Exchange
Commission,   audited annual consolidated and consolidating   financial statements
of PHC and its   Subsidiaries,   including   the   notes   thereto,   consisting   of a
consolidated and consolidating balance sheet at the end of such completed fiscal
year and the   related   consolidated   and   consolidating   statements   of   income,
retained earnings, cash flows and owners' equity for such completed fiscal year,
which financial statements shall be prepared and certified without qualification
by an independent   certified public   accounting firm   satisfactory to Lender and
accompanied by related   management   letters,   if available,   and (ii) as soon as
available and in any event within   thirty-five   (35) calendar days after the end
of each   calendar   month or earlier or in the case of any   calendar   month which
coincides with the end of a fiscal quarter of PHC, the date upon which PHC files
its   report   on Form   10-Q   with   the   United   States   Securities   and   Exchange
Commission, unaudited consolidated and consolidating financial statements of PHC
and its   Subsidiaries   consisting of a balance   sheet and   statements of income,
retained   earnings,   cash   flows   and   owners'   equity   as of   the   end   of   the
immediately   preceding   calendar month.   All such financial   statements shall be
prepared in accordance with GAAP consistently   applied with prior periods.   With
each such financial statement, PHC shall also deliver a certificate of its chief
financial   officer   in the form of   Exhibit   B   attached   hereto   (the   "Monthly
Compliance   Certificate")   stating   (A)(i)   that such   person has   reviewed   the
relevant terms of the Loan Documents and the condition of Borrower, (ii) that no
Default or Event of Default   has   occurred or is   continuing,   or, if any of the
foregoing has occurred or is   continuing,   specifying   the nature and status and
period of   existence   thereof   and the steps   taken or proposed to be taken with
respect   thereto,   and (iii) that Borrower is in   compliance   with all financial
covenants   attached as Annex I hereto and (B) the Average   Census at Harbor Oaks
and   Highland   Ridge,   Borrower's   EBITDAM,   Cash   Velocity   of Harbor   Oaks and
Highland   Ridge,   and   Borrower's   Available   Cash.   Such   certificate   shall be
accompanied by the calculations   necessary to show compliance with the financial
covenants in a form satisfactory to Lender.

     (b) Other Materials. Each Borrower and Guarantor shall furnish to Lender as
soon as   available,   and in any event   within ten (10)   calendar   days after the
preparation   or issuance   thereof or at such other time as set forth below:   (i)
copies of such financial   statements   (other than those required to be delivered
pursuant to Section   6.1(a))   prepared by, for or on behalf of such   Borrower or
Guarantor   and any other notes,   reports and other   materials   related   thereto,
including,   without   limitation,   any pro forma financial   statements,   (ii) any
reports, returns, information,   notices and other materials that any Borrower or
Guarantor   shall send to its   stockholders,   members,   partners or other   equity
owners   at any time or file   with the   United   States   Securities   and   Exchange
Commission,   (iii) all Medicare and Medicaid cost reports and other document and
materials   filed   by   Borrower   and   any   other   reports,    materials   or   other
information regarding or otherwise relating to Medicaid or Medicare prepared by,
for or on behalf of Borrower,   (iv) all reports,   materials or other information
filed with or pertaining   to any Account   Debtor which could   reasonably   have a
Material   Adverse   Effect,   (v)   promptly   upon receipt   thereof,   copies of any
reports submitted to any Borrower or Guarantor by its independent accountants in
connection   with any   interim   audit of the   books of such   Person or any of its
Affiliates   and   copies   of each   management   control   letter   provided   by such
independent   accountants,   and   (vi)   such   additional   information,   documents,
statements,   reports and other materials as Lender may reasonably request from a
credit or security perspective or otherwise from time to time.

     (c) Notices.   Each Borrower and Guarantor shall promptly,   and in any event
within   two (2)   calendar   days   after any such   Borrower   or   Guarantor   or any
authorized   officer of such   Borrower or Guarantor   obtains   knowledge   thereof,

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<PAGE>
notify   Lender in writing of (i) any   pending or   threatened   litigation,   suit,
investigation,   arbitration,   dispute   resolution   proceeding or   administrative
proceeding   brought or   initiated   by such   Borrower or   Guarantor   or otherwise
affecting   or involving or relating to Borrower or any of its property or assets
to the extent   (A) the   amount in   controversy   exceeds   $10,000,   or (B) to the
extent any of the foregoing seeks injunctive   relief,   (ii) any Default or Event
of Default, which notice shall specify the nature and status thereof, the period
of   existence   thereof   and what   action is   proposed   to be taken with   respect
thereto,   (iii) any other development,   event,   fact,   circumstance or condition
that c  


 
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