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ELEVENTH AMENDMENT AND WAIVER

Waiver Agreement

ELEVENTH AMENDMENT AND WAIVER | Document Parties: ATC HEALTHCARE INC /DE/ | APPLIED MANAGEMENT SOLUTIONS, INC | ATC FUNDING, LLC | ATC HEALTHCARE SERVICES, INC | ATC HEALTHCARE, INC | ATC STAFFING SERVICES, INC | CRITICAL NURSING SOLUTIONS, INC | HEALTHCARE FINANCE GROUP, INC | HFG HEALTHCO-4 LLC | HFG Healthco-4, Inc | PHARMACY RESERVES, INC You are currently viewing:
This Waiver Agreement involves

ATC HEALTHCARE INC /DE/ | APPLIED MANAGEMENT SOLUTIONS, INC | ATC FUNDING, LLC | ATC HEALTHCARE SERVICES, INC | ATC HEALTHCARE, INC | ATC STAFFING SERVICES, INC | CRITICAL NURSING SOLUTIONS, INC | HEALTHCARE FINANCE GROUP, INC | HFG HEALTHCO-4 LLC | HFG Healthco-4, Inc | PHARMACY RESERVES, INC

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Title: ELEVENTH AMENDMENT AND WAIVER
Governing Law: New York     Date: 10/19/2007
Industry: Healthcare Facilities     Sector: Healthcare

ELEVENTH AMENDMENT AND WAIVER, Parties: atc healthcare inc /de/ , applied management solutions  inc , atc funding  llc , atc healthcare services  inc , atc healthcare  inc , atc staffing services  inc , critical nursing solutions  inc , healthcare finance group  inc , hfg healthco-4 llc , hfg healthco-4  inc , pharmacy reserves  inc
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                                                                    EXHIBIT 10.1


\     ELEVENTH   AMENDMENT   AND   WAIVER,   dated   as   of   October   15,   2007    (the
"Eleventh Amendment"),   to the Amended and Restated Loan and Security Agreement,
dated as of November 7, 2002 (as amended by Amendment No. 1, dated as of January
23, 2003,   the Waiver and Second   Amendment,   dated as of February 28, 2003, the
Waiver,   Consent   and Third   Amendment,   dated as of June 12,   2003,   the Fourth
Amendment,   dated January 12, 2004, the Waiver and Fifth Amendment,   dated as of
January 13, 2005,   the Sixth   Amendment,   dated as of April 22, 2005, the Waiver
and   Seventh   Amendment,   dated as of July   15,   2005,   the   Waiver   and   Eighth
Amendment,   dated as of   October   14,   2005,   the Ninth   Amendment,   dated as of
November 7, 2005 and the Consent and Tenth Amendment,   dated as of June 7, 2006,
the "Loan   Agreement"),   among ATC   FUNDING,   LLC, a limited   liability   company
organized   under   the   laws   of the   State   of   Delaware   ("ATC   Funding"),   ATC
HEALTHCARE SERVICES,   INC., a corporation   organized under the laws of the State
of Georgia   ("ATC   Healthcare"),   ATC STAFFING   SERVICES,   INC.,   a   corporation
organized   under the laws of the   State of New York   ("ATC   Stafing"),   CRITICAL
NURSING SOLUTIONS,   INC., a corporation organized under the laws of the State of
Delaware ("CNS"),   PHARMACY   RESERVES,   INC., a corporation   organized under the
laws   of   the   State   of   Delaware   ("Pharmacy   Reserves"),   APPLIED   MANAGEMENT
SOLUTIONS, INC., a corporation organized under the laws of the State of Delaware
("AMS";   AMS,   ATC   Funding,   ATC   Staffing,   CNS,   Pharmacy   Reserves   and   ATC
Healthcare,    each   a   "Borrower"   and   together,   jointly   and   severally,   the
"Borrowers",   and ATC   Healthcare   in its   capacity   as   primary   servicer,   the
"Primary    Servicer"),    and   ATC   HEALTHCARE,    INC.,   a   Delaware   corporation
("Parent"),   HFG HEALTHCO-4 LLC, a Delaware limited   liability company (together
with its   successors   and   assigns,   "HF-4"),   in its   capacity   as a Lender (as
hereinafter   defined),   HEALTHCARE FINANCE GROUP,   INC., a Delaware   corporation
(together with its successors and assigns,   "HFG"),   in its capacity as a Lender
(HF-4 and HFG, in such capacity, each a "Lender" and together, severally and not
jointly,   the   "Lenders"),   HFG   HEALTHCO-4   LLC,   in its   capacity as agent and
collateral agent for the Lenders (in such capacity, together with its successors
and assigns, the "Agent"), and HEALTHCARE FINANCE GROUP, INC. in its capacity as
a program   manager (in such capacity,   together with its successors and assigns,
"Program Manager"). Terms not otherwise defined in this Eleventh Amendment shall
have the meanings set forth in the Loan Agreement.


     HF-4 has delivered to the Parent a notice to exercise HFG's put right under
that   certain   Warrant to Purchase   53,763   Shares   Class A Common   Stock of ATC
Healthcare Inc., dated July 12, 2002 (as amended by Amendment No. 1 thereto, the
"Warrant")   issued   to   HF-4   for a   purchase   price   of   $100,000,   payable   in
immediately available funds (the "Put Price").

     The Borrowers have requested that HFG (a) increase the Revolving Commitment
to   $16,000,000,   (b)   make a term   loan   in the   initial   principal   amount   of
$2,274,766,   which   shall   be   utilized,   among   other   purposes   to   repay   all
outstanding   Overadvances,   and to pay the Put Price to HF-4 and   cancelling the
Warrant,   and to pay   certain   fees   and   expenses   relating   to   this   Eleventh
Amendment,   (c) reduce the interest rate   chargeable   on the Revolving   Loan and
make certain other adjustments and modifications   under the Loan Agreement,   (d)
waive compliance with certain financial covenants for the fiscal quarters ending
February   28,   2007,   May 31,   2007 and   August   31,   2007,   and (e)   extend the
Scheduled   Maturity   Date until   November   7, 2010.   HFG is willing to make such
amendments,   modifications   and adjustments to the Loan   Agreement,   subject and
pursuant to the terms and conditions set forth herein.



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<PAGE>


     Accordingly,   in   consideration   of the   foregoing   and for other   good and
valuable   consideration,   the   receipt   and   sufficiency   of   which   hereby   are
acknowledged,   and subject to fulfillment of the conditions set forth below, the
parties hereto agree as follows:

SECTION 1 AMENDMENTS TO LOAN AGREEMENT

     Effective as of the Eleventh   Amendment   Effective Date, the parties hereto
agree to amend the Loan Agreement as follows:

     Subsection   1.1     Section   1.02(a) of the Loan Agreement is hereby amended
by (i) deleting the figure   "$15,000,000"   appearing on the second line thereof,
and (ii) substituting therefor the figure "$16,000,000".

     Subsection   1.2     Section   1.05(c) of the Loan Agreement is hereby amended
by (i) deleting the figure   "0.50%"   appearing on the second line   thereof,   and
(ii)   substituting   therefor   the figure   "0.75%".   Section   1.05(e) of the Loan
Agreement is hereby amended by deleting such clause in its entirety.

     Subsection   1.3     Sections 1.07 through 1.13   of   the   Loan   Agreement are
hereby   amended   by (i)   deleting   such   sections   in their   entirety,   and (ii)
substituting therefor the following:

          ss.   1.07 Term Loan.   (a) The Term   Loan.   On the   Eleventh   Amendment
     Effective Date, HFG hereby agrees to make a term loan (as it may be reduced
     pursuant   to the terms set forth   herein,   the "Term   Loan") in the initial
     principal amount of $2,274,766 (such amount, the "Term Loan Commitment").

          (b) Use of Proceeds.   Effective as of the Eleventh Amendment Effective
     Date,   the Borrowers   hereby   instruct the Lenders,   and the Lenders hereby
     agree, to utilize proceeds of the Term Loan, as follows:

          (i)   such   amount as is   necessary   to repay in full all   Overadvances
               outstanding;

          (ii) $412,500   to the Agent in payment of the   renegotiation   fee with
               respect to this Eleventh Amendment;

          (iii) $100,000 to HF-4 in payment of the Put Price;

          (iv) $104,766 to the Agent for the benefit of the Lenders,   in payment
               of default   interest accrued and unpaid on the Revolving Loan for
               the period from March 1, 2007 until May 31, 2007;  

          (v)   $50,000   to the   Agent in   voluntary   prepayment   of the   Special
               Renewal Fee that is scheduled under Section 6.07(a) to be payable
               on November 7, 2007 (and which the   Borrowers   have agreed to pay


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<PAGE>


               on October 15, 2007 in partial   consideration   of the willingness
               of the Agent to enter into this Eleventh Amendment); and

          (vi) $180,000 to the Agent in payment of the Extension Fee.

          (c)   Acknowledgment.   The Borrowers and the Parent hereby   acknowledge
     and agree that the fees and payments being paid on the date hereof pursuant
     to   Section   1.07(b)   are   fully   earned   and   payable   as of the   Eleventh
     Amendment Effective Date.

          (d) Consent and Agreement to the Put. The Parent   hereby   consents and
     agrees to the put by HF-4 of the   Warrant   and, by payment of the Put Price
     pursuant   Section 1.07(b) above, and the Parent hereby purchases all of the
     Warrant from HF-4 and hereby further   cancels and terminates the Warrant in
     all respects.

          ss. 1.08   Prepayments (a) Issuances and Sales. The Borrowers shall (at
     the   Program   Manager's   discretion   following   notice of receipt   thereof)
     prepay the Term Loan in an amount to be   mutually   agreed upon by the Agent
     and the   Borrowers   prior to the   consummation   of any of the   below-listed
     transactions   (or   such   other   amount    reasonably    satisfactory   to   and
     determined by the Agent, but not in any event to exceed 50% of the cash net
     proceeds received;   the listed actions below may separately require consent
     of the   Lenders   pursuant   to the   provisions   of Exhibits IV and V hereof)
     from: (i) the issuance of any Debt or equity interests of the Parent or any
     of the Borrowers,   and (ii) the sale,   transfer or other disposition of any
     asset, business or property of the Parent or any Borrower,   any tax refund,
     payments on Debt or other notes   outstanding   or any other   payments of any
     nature whatsoever received outside the ordinary course of business.

          (b) Excess Cash Flow.   Concurrently   with each   delivery of   quarterly
     financial   statements pursuant to clause (j)(iii) of Exhibit IV hereto, the
     Borrower   shall make a prepayment   in respect of the Term Loan equal to the
     Excess Cash Flow Payment, if any.

          (c)   Application of Payments.   All   prepayments of the Term Loan under
     this   Section   1.08 shall be applied to the unpaid   principal   installments
     with respect to the Term Loan in inverse   order of   maturity,   and shall be
     accompanied   by all accrued and unpaid   interest on the portion of the Term
     Loan   being   prepaid   to the   date of   prepayment   and all   costs   and fees
     associated   with   such   prepayment.   So   long as no   Event   of   Default   is
     continuing,   no Early   Termination   Fee shall be   payable   with   respect to
     prepayments   made   pursuant   to Sections 1   .08(a)(i)   and 1.08(b)   hereof.
     Amounts prepaid pursuant to this Section 1.08 may not be reborrowed.

          ss. 1.09 Intentionally Omitted.



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<PAGE>


          ss. 1.10 Amortization of Term Loan. The Borrowers shall, until payment
     in full of the Term Loan and   subject to early   prepayment   and   payment as
     provided herein, pay to the Agent on behalf of the Lenders, an amount equal
     to (i)   $10,476.60,   on each of the   initial   ten   Interest   Payment   Dates
     following the Eleventh Amendment   Effective Date, plus (ii) $55,555.56,   on
     the Interest   Payment Date   occurring on April 1, 2008 and on each Interest
     Payment Date   thereafter,   plus (iii) $60,000 on the Interest Payment Dates
     occurring on October 1, 2008 and October 1, 2009 (items (i), (ii) and (iii)
     collectively,   the   "Monthly   Amortization   Amount"),   plus (iv) $50,000 on
     November 7, 2007,   which amounts shall be applied   towards the reduction of
     the outstanding principal amount of the Term Loan. Amounts paid pursuant to
     this   Section   1.10   may   not be   reborrowed.   On the   Maturity   Date,   the
     remaining   principal amount of the Term Loan shall become,   without further
     action by any Person, immediately due and payable together with all accrued
     interest   thereon and any fees,   premiums,   charges or costs   provided   for
     hereunder with respect thereto.

          ss. 1.11 Intentionally Omitted.

          ss. 1.12 Interest and Default   Interest.   (a) Interest.   The Borrowers
     shall pay interest on the average daily outstanding principal amount of the
     Term Loan during the prior Month on (i) each Interest Payment Date and (ii)
     the Maturity Date (whether by acceleration or otherwise),   in each case, at
     an interest rate per annum equal to LIBOR plus the   Applicable   Margin,   in
     each case, as in effect for the applicable Interest Period.

          (b)   Default   Interest.    Notwithstanding   anything   to   the   contrary
     contained herein, while any Event of Default is continuing, interest on the
     Term Loan shall be payable on demand at a rate per annum   equal to 2.50% in
     excess of the rate then otherwise applicable to the Term Loan.

          ss. 1.13 Intentionally Omitted.

     Subsection 1.4      Section 3.02 of the Loan Agreement is hereby amended   by
(i) adding the following   new proviso at the end of the first   paragraph of such
Section, and (ii) deleting the second paragraph of such Section:

     ; provided,   however that distributions under this Section 3.02 are subject
     to the provisions of 3.03A. In furtherance of the foregoing,   while amounts
     received   by the Agent for the   benefit   of the   Lenders   pursuant   to this
     Section   3.02 shall be paid to HF-4 and HFG as their   respective   interests
     may appear   provided,   that if the amount of any   distributions   to be made
     pursuant to this Section 3.02 will be   insufficient   to satisfy in full (i)
     all amounts   then due and owing to HF-4,   then the Agent first shall pay to
     HF-4 all Collections   with respect to the Revolving Loan Senior   Collateral
     until the   amounts   then due and owing to HF-4 have been paid in full,   and
     only then pay any   excess   amounts   (together   with   collections   and other
     amounts with respect to the Term Loan Senior   Collateral)   to HFG until the


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<PAGE>


     amounts   then due and   owing to HFG have   been   paid in full,   and (ii) all
     amounts   then due and owing to HFG,   then the Agent   first shall pay to HFG
     all collections   with respect to the Term Loan Senior   Collateral until the
     amounts then due and owing to HFG have been paid in full, and only then pay
     any excess amounts (together with Collections with respect to the Revolving
     Loan Senior   Collateral)   to HF-4 until the   amounts   then due and owing to
     HF-4 have been paid in full
 
     Subsection 1.5       Section 3.03 of the Loan Agreement is hereby amended   by
(i) deleting such section in its entirety,   and (ii)   substituting   therefor the
following:

          ss. 3.03A. Distribution of Funds at the Maturity Date or Upon an Event
     of Default.   At the   Maturity   Date or upon the   occurrence   and during the
     continuance   of an Event of Default,   subject to the rights and remedies of
     the Agent and the Lenders   pursuant to Sections 3.03A and 4.02 hereof,   the
     Agent shall distribute any and all Collections and other distributions from
     the Collateral as follows:   FIRST, to the Agent and the Lenders,   an amount
     in cash equal to any and all accrued fees and collection costs as set forth
     in Sections 1.05,   1.12 and 6.05,   until such amount has been paid in full;
     SECOND,   from the Revolving   Loan Senior   Collateral,   to the Agent for the
     benefit of HF-4, an amount in cash equal to all accrued and unpaid interest
     on the Revolving Loan (at the rates   established   under Section 1.05) until
     such amount has been paid in full;   THIRD,   from the Revolving   Loan Senior
     Collateral,   to the Agent for the benefit of HF-4,   an amount in cash equal
     to the principal amount of the Revolving Loan, until such amount is paid in
     full; FOURTH,   from the Revolving Loan Senior Collateral,   to the Agent for
     the   benefit   of the   Revolving   Lenders,   an amount   in cash   equal to the
     payment of any other Lender Debt due and payable to the   Revolving   Lenders
     on such date, until such amount has been paid in full; FIFTH, from the Term
     Loan Senior   Collateral,   to the Agent for the benefit of HFG, an amount in
     cash   equal to all   accrued   and unpaid   interest   on the Term Loan (at the
     rates   established   under   Section 1.12) until such amount has been paid in
     full;   SIXTH,   from the Term Loan Senior   Collateral,   to the Agent for the
     benefit of HFG, an amount in cash equal to the principal amount of the Term
     Loan, until such amount is paid in full; SEVENTH, from the Term Loan Senior
     Collateral,   to the Agent for the benefit of the Term Lenders, an amount in
     cash equal to the   payment of any other   Lender Debt due and payable to the
     Term Lenders on such date, until such amount has been paid in full; EIGHTH,
     from the Revolving Loan Senior Collateral,   to the Agent for the benefit of
     the Term   Lenders,   an amount   in cash   equal to the   payment   of any other
     Lender   Debt due and payable to the Term   Lenders on such date,   until such
     amount has been paid in full; NINTH, from the Term Loan Senior   Collateral,
     to the Agent for the benefit of the   Revolving   Lenders,   an amount in cash
     equal to the   payment   of any   other   Lender   Debt due and   payable   to the
     Revolving   Lenders on such date,   until such   amount has been paid in full;
     and TENTH, to the Borrower   Representative on behalf of the Borrowers,   all
     remaining amounts of Collections.

          ss. 3 .03B.   Distribution Protocols Between the Agent and the Lenders.
     The Borrowers, the Agent and the Lenders intend the distribution provisions


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<PAGE>


     set forth in this Article III to be   consistent   in all   respects   with the
     priorities and other terms set forth in the Intercreditor Agreement. If any
     term of this Article III is inconsistent with any term of any such separate
     agreement,    the   terms   of   such   separate   agreement   shall   control.   In
     furtherance thereof, the parties hereto agree that:

               (i)   funds   that   the   Term   Lender   receives   that   are   clearly
          identified as   Collections   or proceeds with respect to Revolving Loan
          Senior   Collateral   shall   promptly   be   turned   over to the Agent for
          distribution   to the   Revolving   Lenders   until such amounts have been
          paid in full; and

               (ii) funds that the Agent or the Revolving   Lender   receives that
          are clearly   identified   as proceeds   with respect to Term Loan Senior
          Collateral   shall   promptly   be turned   over to  


 
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