NINTH SUPPLEMENTAL INDENTURE

Contract Categories: Business Finance - Indenture Agreements
EX-4.4 4 a13-18904_1ex4d4.htm EX-4.4

Exhibit 4.4

 

NINTH SUPPLEMENTAL INDENTURE

 

This Ninth Supplemental Indenture, dated as of October 30, 2013 (this “Ninth Supplemental Indenture”), is by and among OnCure Holdings, Inc., a Delaware corporation (“OnCure”), the subsidiaries of OnCure listed on the signature pages hereto (the “OnCure Guarantors”), Southern New England Regional Cancer Center, LLC, a Rhode Island limited liability company (the “Rhode Island Guarantor”) and Palms West Radiation Therapy, L.L.C., a Florida limited liability company  (the “Florida Guarantor” and, tougher with the Rhode Island Guarantor, the OnCure Guarantors and OnCure, the “New Guarantors”), Radiation Therapy Services, Inc., a Florida corporation (the “Company,” which term includes its successors and assigns), each other then existing Guarantor under the Indenture referred to below (the “Guarantors”), and Wells Fargo Bank, National Association, as trustee (“Trustee”) under the Indenture referred to below.  Capitalized terms used and not defined herein shall have the same meanings given in the Indenture unless otherwise indicated.

 

W I T N E S S E T H:

 

WHEREAS, the Company, the Guarantors and the Trustee have heretofore executed and delivered an Indenture, dated as of April 20, 2010 (as supplemented by the First Supplemental Indenture, dated as of June 24, 2010, as further supplemented by the Second Supplemental Indenture, dated as of September 29, 2010, as further supplemented by the Third Supplemental Indenture, dated as of March 1, 2011, as further supplemented by the Fourth Supplemental Indenture, dated as of March 30, 2011, as further supplemented by the Fifth Supplemental Indenture, dated as of September 30, 2011, as further supplemented by the Sixth Supplemental Indenture, dated as of January 26, 2012, as further supplemented by the Seventh Supplemental Indenture, dated as of May 10, 2012, as further supplemented by the Eight Supplemental Indenture, dated as of August 22, 2013 and as otherwise amended, supplemented, waived or modified, the “Indenture”), providing for the issuance of 9 7/8% Senior Subordinated Notes due 2017 of the Company (the “Notes”);

 

WHEREAS, pursuant to Section 10.03 of the Indenture, each Person that becomes obligated to provide a Guarantee pursuant to Section 4.16 of the Indenture must execute and deliver to the Trustee a supplemental indenture making such Person a party to the Indenture, along with a notation of such Guarantee in the form included as Exhibit E to the Indenture;

 

WHEREAS, pursuant to Section 4.16 of the Indenture, the Company will not permit any of its Restricted Subsidiaries (other than Foreign Subsidiaries) to guarantee Indebtedness under the Credit Agreement, unless such Restricted Subsidiary executes and delivers to the Trustee a supplemental indenture, providing a guarantee of payment of the Notes by such Restricted Subsidiary;

 

WHEREAS, the New Guarantors are Restricted Subsidiaries of the Company and have guaranteed or will guarantee Indebtedness under the Credit Agreement;

 



 

WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee, the Company and the Guarantors are authorized to execute and deliver this Ninth Supplemental Indenture to amend the Indenture, without the consent of any Holder; and

 

WHEREAS, by entering into this Ninth Supplemental Indenture, the Company, the Guarantors and the Trustee have consented to amend the Indenture in accordance with the terms and conditions herein.

 

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the New Guarantors, the Guarantors, the Company and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

 

Section 1.                                           Agreement to be Bound.  Each of the New Guarantors hereby becomes a party to the Indenture as a Guarantor and as such will have all of the rights and be subject to all of the obligations and agreements of a Guarantor under the Indenture.  Each of the New Guarantors agrees to be bound by all of the provisions of the Indenture applicable to a Guarantor and to perform all of the obligations and agreements of a Guarantor under the Indenture.

 

Section 2.                                           Compliance with and Fulfillment of Condition of Sections 4.16 and 10.03.  The execution and delivery of this Ninth Supplemental Indenture and the Guarantee by each New Guarantor (along with such documentation relating thereto as the Trustee shall require) fulfills the obligations of the Company under Sections 4.16 and 10.03 of the Indenture.

 

Section 3.                                           Ratification of Indenture; Supplemental Indenture Part of Indenture; Trustee’s Disclaimer.  Except as expressly amended hereby, the Indenture is in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect.  This Ninth Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby.  The Trustee makes no representation or warranty as to the validity or sufficiency of this Ninth Supplemental Indenture.

 

Section 4.                                           Governing LawThis Ninth Supplemental Indenture and the Notes shall be governed by and construed in accordance with the laws of the State of New York, as applied to contracts made and performed within the State of New York.

 

Section 5.                                           No Adverse Interpretation of Other Agreements.  This Ninth Supplemental Indenture may not be used to interpret any other indenture, loan or debt agreement of the Company or its Subsidiaries (other than the Indenture).  No such indenture, loan or debt agreement may be used to interpret this Ninth Supplemental Indenture or the Indenture.

 

Section 6.                                           Successors.  This Ninth Supplemental Indenture shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns.

 

Section 7.                                           Separability.  Each provision of this Ninth Supplemental Indenture shall be considered separable and if for any reason any provision which is not essential to the effectuation of the basic purpose of this Ninth Supplemental Indenture or the Notes shall be

 



 

invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.

 

Section 8.                                           Counterpart Originals.  The parties may sign multiple counterparts of this Ninth Supplemental Indenture.  Each signed counterpart shall be deemed an original, but all of them together represent one and the same agreement.

 

Section 9.                                           Headings, etc.  The headings of the Sections of this Ninth Supplemental Indenture have been inserted for convenience of reference only, are not to be considered a part of this Ninth Supplemental Indenture and shall in no way modify or restrict any of the terms or provisions hereof.

 

* * * * *

 



 

IN WITNESS WHEREOF, the parties hereto have caused this Ninth Supplemental Indenture to be duly executed as of the date first above written.

 

 

 

RADIATION THERAPY SERVICES, INC.

 

 

 

 

 

By:

/s/ Bryan J. Carey

 

Name:

Bryan J. Carey

 

Title:

Chief Financial Officer

 

 

 

 

 

RADIATION THERAPY SERVICES HOLDINGS, INC.

 

 

 

 

 

By:

/s/ Bryan J. Carey

 

Name:

Bryan J. Carey

 

Title:

Chief Financial Officer

 



 

 

GUARANTORS

 

 

 

21ST CENTURY ONCOLOGY MANAGEMENT SERVICES, INC.

 

21ST CENTURY ONCOLOGY OF ALABAMA, LLC

 

21ST CENTURY ONCOLOGY OF HARFORD COUNTY MARYLAND, LLC

 

21ST CENTURY ONCOLOGY OF JACKSONVILLE, LLC

 

21ST CENTURY ONCOLOGY OF KENTUCKY, LLC

 

21ST CENTURY ONCOLOGY OF NEW JERSEY, INC.

 

21ST CENTURY ONCOLOGY OF PENNSYLVANIA, INC.

 

21ST CENTURY ONCOLOGY OF PRINCE GEORGES COUNTY, MARYLAND, LLC

 

21ST CENTURY ONCOLOGY OF SOUTH CAROLINA, LLC

 

21ST CENTURY ONCOLOGY SERVICES, INC

 

21ST CENTURY ONCOLOGY, LLC

 

AHLC, LLC

 

AMERICAN CONSOLIDATED TECHNOLOGIES, LLC

 

ARIZONA RADIATION THERAPY MANAGEMENT SERVICES, INC.

 

ASHEVILLE CC, LLC

 

ATLANTIC UROLOGY CLINICS, LLC

 

AURORA TECHNOLOGY DEVELOPMENT, LLC

 

BERLIN RADIATION THERAPY TREATMENT CENTER, LLC

 

CALIFORNIA RADIATION THERAPY MANAGEMENT SERVICES, INC.

 

CAROLINA RADIATION AND CANCER TREATMENT CENTER, LLC

 

CAROLINA REGIONAL CANCER CENTER, LLC

 

DERM-RAD INVESTMENT COMPANY, LLC

 

DEVOTO CONSTRUCTION OF SOUTHWEST FLORIDA, INC.

 

FINANCIAL SERVICES OF SOUTHWEST FLORIDA, LLC

 

GETTYSBURG RADIATION, LLC

 



 

 

GOLDSBORO RADIATION THERAPY SERVICES, INC.

 

JACKSONVILLE RADIATION THERAPY SERVICES, LLC

 

MARYLAND RADIATION THERAPY MANAGEMENT SERVICES, LLC

 

MICHIGAN RADIATION THERAPY MANAGEMENT SERVICES, INC.

 

NEVADA RADIATION THERAPY MANAGEMENT SERVICES, INCORPORATED

 

NEW ENGLAND RADIATION THERAPY MANAGEMENT SERVICES, INC.

 

NEW YORK RADIATION THERAPY MANAGEMENT SERVICES, LLC

 

NORTH CAROLINA RADIATION THERAPY MANAGEMENT SERVICES, LLC

 

PHOENIX MANAGEMENT COMPANY, LLC

 

RADIATION THERAPY SCHOOL FOR RADIATION THERAPY TECHNOLOGY, INC.

 

RADIATION THERAPY SERVICES INTERNATIONAL, INC.

 

SAMPSON ACCELERATOR, LLC

 

SAMPSON SIMULATOR, LLC

 

WEST VIRGINIA RADIATION THERAPY SERVICES, INC.

 

 

 

By:

/s/ Bryan J. Carey

 

Name:

Bryan J. Carey

 

Title:

Vice President

 



 

 

SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER, LLC

 

 

 

 

 

By:

/s/ Bryan J. Carey

 

 

Name:

Bryan J. Carey

 

 

Title:

Treasurer

 

 

 

 

 

PALMS WEST RADIATION THERAPY, L.L.C.

 

 

 

 

 

By:

21ST CENTURY ONCOLOGY MANAGEMENT SERVICES, INC.

 

 

Its Sole Member

 

 

 

 

 

 

 

By:

/s/ Bryan J. Carey

 

 

Name:

Bryan J. Carey

 

 

Title:

Vice President

 



 

 

ONCURE HOLDINGS, INC.

 

 

 

 

 

By:

/s/ Bryan J. Carey

 

Name:

Bryan J. Carey

 

Title:

Chief Financial Officer

 



 

 

ONCURE GUARANTORS

 

 

 

ONCURE MEDICAL CORP.

 

MANATEE RADIATION ONCOLOGY, INC.

 

MISSION VIEJO RADIATION ONCOLOGY MEDICAL GROUP, INC.

 

RADIATION ONCOLOGY CENTER, LLC

 

U.S. CANCER CARE, INC.

 

USCC FLORIDA ACQUISITION CORP.

 

USCC ACQUISITION CORP.

 

USCC HEALTHCARE MANAGEMENT CORP.

 

COASTAL ONCOLOGY, INC.

 

FOUNTAIN VALLEY & ANAHEIM RADIATION ONCOLOGY CENTERS, INC.

 

SANTA CRUZ RADIATION ONCOLOGY MANAGEMENT CORP.

 

MICA FLO II, INC.

 

POINTE WEST ONCOLOGY, LLC

 

JAXPET, LLC

 

JAXPET/POSITECH, L.L.C.

 

SARASOTA COUNTY ONCOLOGY, INC.

 

VENICE ONCOLOGY CENTER, INC.

 

ENGLEWOOD ONCOLOGY, INC.

 

CHARLOTTE COMMUNITY RADIATION ONCOLOGY, INC.

 

SARASOTA RADIATION & MEDICAL ONCOLOGY CENTER, INC.

 

INTERHEALTH FACILITY TRANSPORT, INC.

 

 

 

By:

/s/ Bryan J. Carey

 

Name:

Bryan J. Carey

 

Title:

Vice President

 



 

 

WELLS FARGO BANK, NATIONAL ASSOCIATION, as Trustee

 

 

 

 

 

By:

/s/ Stefan Victory

 

Name:

Stefan Victory

 

Title:

Vice President