Second Amended and Restated Professional Services Agreement dated August 9, 2018 between Irving Place Capital Management, L.P. and Universal Hospital Services, Inc

1. Term.  This Agreement shall commence on the date hereof and shall terminate (except as provided in the immediately following sentence) on the earliest to occur of (a) the consummation of a Qualified Public Offering (as defined herein), (b) the consummation of a Change of Control (as defined herein), and (c) the tenth (10th) anniversary of the date hereof (the “Term”); provided,  

that if no Qualified Public Offering or Change of Control has been consummated prior to the tenth (10th) anniversary of the date hereof, the Term shall be automatically extended thereafter on a year to year basis unless (i) the Company provides written notice to IPC of its desire to terminate this Agreement or (ii) IPC provides written notice to the Company of its desire to terminate this Agreement, in each case 90 days prior to the expiration of the Term or any extension thereof, or at such time as a Qualified Public Offering or Change of Control is consummated. The provisions of Sections 3(c), 7 through 15, and obligations to pay any outstanding unpaid fees hereunder and accrued interest thereon shall survive the termination of this Agreement.

2. Services. IPC shall perform or cause to be performed (by any designee of IPC) such services for the Company and its subsidiaries as mutually agreed by IPC and the Company, which may include, without limitation, the following:

(a) general advisory and management services;

(b) business development functions, including, without limitation, identification, support, negotiation and analysis of acquisitions and dispositions by the Company or its subsidiaries;

(c) finance functions, including assistance in the preparation of financial projections, and monitoring of compliance with financing agreements;

(d) marketing functions, including, without limitation, monitoring of marketing plans and strategies;

(e) human resource functions, including, without limitation, searching, identifying and hiring of executives and directors; and

(f) other services for the Company and its subsidiaries upon which the Company and IPC agree;

(g) (i) review of the Company’s and its subsidiaries’ existing insurance, health benefits, executive services, purchasing programs and practices; (ii) identification of potential opportunities for the Company and its subsidiaries to achieve cost savings in purchasing goods and services in certain common or shared expenditure categories from third party suppliers or providers (“Suppliers”) introduced by IPC; (iii) negotiation on behalf of the Company and its subsidiaries of certain service or supply agreements with Suppliers (“Supply Agreements”) to provide such goods and services to the Company and its subsidiaries at rates or on terms and conditions that are advantageous to the Company and its subsidiaries; (iv) monitoring of performance by certain Suppliers under the relevant Supply Agreements; (v) assistance to the Company and its subsidiaries in resolving certain disputes that may arise under any Supply Agreements; (vi) calculation and reporting to the Company of estimated annual cost savings achieved by the Company and its subsidiaries under certain Supply Agreements; and (vii) provision to the Company on a periodic basis of (A) updates on current and pending Merchant Banking Strategic Services initiatives of IPC, and (B) information regarding, and access to, IPC’s

network of senior executives, including current and former executives of current and former IPC portfolio companies, IPC and applicable service providers and vendors.

3. Advisory Fee.

(a) In consideration of IPC’s undertaking to provide advisory services hereunder, the Company shall pay IPC an annual advisory fee (the “Advisory Fee”) in an amount for each fiscal year equal to the greater of (x) $500,000 and (y) 0.75% of Adjusted EBITDA of the Company and its subsidiaries for the immediately preceding fiscal year, calculated as provided below and payable in advance in quarterly installments, for the period beginning on the date hereof and ending upon the termination of this Agreement as provided in Section 1 hereof. The Advisory Fees shall be payable by the Company whether or not the Company actually requests that IPC provide the services described in Section 2 above. All Advisory Fees shall be fully earned when paid.

(b) Except as otherwise provided in Section 3(c) or 3(d) hereof, all subsequent payments of the Advisory Fee shall be in quarterly installments, payable on March 31, June 30, September 30 and December 31 of each year, in an amount equal to the greater of (x) $125,000 or (y) the product of (i) 25% and (ii) 0.75% of Adjusted EBITDA of the Company and its subsidiaries for the immediately preceding fiscal year. Each scheduled installment of the Advisory Fee payable pursuant to this Section 3(b) will be reduced by the amount of the corresponding scheduled installment of the MBSS Fee on a dollar for dollar basis, if any. Advisory Fees and MBSS Fees will be invoiced or accounted for separately.

(c) Notwithstanding anything to the contrary contained herein, the Company shall accrue but not pay the Advisory Fee or MBSS Fee if and for so long as (i) any such payment would constitute a default (or any event which might, with the lapse of time or the giving of notice or both, constitute a default) under the Company’s financing agreements (a “Default”); provided, that the Company shall be obligated to pay any accrued Advisory Fees or MBSS Fees deferred under this clause (i) to the extent that such payment would not constitute a Default or (ii) IPC instructs the Company not to pay all or any portion of the Advisory Fee or MBSS Fee during any fiscal year. Interest will accrue on all due and unpaid Advisory Fees or MBSS Fees not paid pursuant to clause (i) of the preceding sentence at the Default Rate until such Advisory Fees or MBSS Fees are paid, and such interest shall compound annually.

(d) In addition to the Advisory Fee and MBSS Fee, the Company shall reimburse IPC, promptly upon request, for all reasonable out-of-pocket expenses incurred in the ordinary course of business by IPC in connection with IPC’s obligations hereunder and the services rendered prior to or subsequent to the date hereof, including fees and expenses paid to consultants, subcontractors (including members of the board of directors or similar governing bodies of the Company) and other third parties, and all reasonable expenses for meals and car travel incurred outside of normal business hours, each in connection with such obligations.

(e) In consideration for the Merchant Banking Strategic Services being provided by IPC, the Company will pay IPC an annual fee (the “MBSS Fee”), equal to an amount determined by IPC at or prior to the commencement of the fiscal year to represent the fair market value of Merchant Banking Strategic Services to be provided by IPC during the coming fiscal year. In no event shall the MBSS Fee exceed the amount that would have been payable by Company to IPC as Advisory Fees under the Original Agreement for the same period. The MBSS Fee shall be payable in advance on each day on which as Advisory Fee is payable pursuant to Section 3(b) above for the period beginning on the date hereof and ending on the termination of this Agreement. All MBSS Fees shall be fully earned when paid, and shall not be refundable, in whole or in part, regardless of whether or to what extent actual savings are realized under any Supply Agreement or all Supply Agreements in the aggregate. As and to the extent provided in Section 3(b), Advisory Fees payable under this Agreement will be reduced by MBSS Fees payable under this Agreement on a dollar for dollar basis.

4. Subsequent Fee.  During the Term, IPC will advise and provide services, guidance and support to the Company in connection with securing, structuring and negotiating a possible transaction resulting in a Qualified Public Offering or Change of Control involving the Company or any of its direct or indirect subsidiaries (however structured). In the event of a Change of Control or a Qualified Public Offering, the Company will pay to IPC an aggregate fee of $10,000,000 (“Subsequent Fee”). The Subsequent Fee shall be due and payable, as a condition to closing, at the closing of such transaction, provided,  that the Company shall not pay the Subsequent Fee if and for so long as any such payment would constitute a Default; provided, that the Company shall be obligated to pay any Subsequent Fee deferred under this Section 4: (i) to the extent that such payment would not constitute a Default or (ii) IPC instructs the Company not to pay all or any portion of the Subsequent Fee during any fiscal year. Interest will accrue on all of the due and unpaid Subsequent Fee not paid pursuant to this Section 4 at the Default Rate until such Subsequent Fee is paid, and such interest shall compound annually. For the avoidance of doubt, the Subsequent Fee is in addition to any other fees payable by the Company hereunder.

5. Personnel. IPC shall provide and devote to the performance of this Agreement such partners, employees and agents of IPC as IPC shall deem appropriate to the furnishing of the services required.

6. Liability.  None of IPC, any of its affiliates nor their respective partners, members, employees or agents (collectively, the “IPC Group”) shall be liable to the Company or its subsidiaries or affiliates for any loss, liability, damage or expense (collectively, a “Loss”) arising out of or in connection with the performance of services contemplated by this Agreement, unless and then only to the extent that such Loss is determined by a court in a final order from which no appeal can be taken, to have resulted solely from the gross negligence or willful misconduct on the part of such member of the IPC Group. IPC makes no representations or warranties, express or implied, in respect of the services to be provided by the IPC Group. Except as IPC may otherwise agree in writing on or after the date hereof: (a) each member of the IPC Group shall have the right to, and shall have no duty (contractual or otherwise) not to, directly or indirectly: (i) engage in the same or similar business activities or lines of business as the Company or its subsidiaries and (ii) do business with any client, customer, supplier, lender or investor of, to or in the Company or its subsidiaries; (b) no member of the IPC Group shall be liable to the Company or its subsidiaries or affiliates for breach of any duty (contractual or otherwise) by reason of any

such activities or of such person’s participation therein; and (c) in the event that any member of the IPC Group acquires knowledge of a potential transaction or matter that may be a corporate opportunity for both (A) the Company or any of its subsidiaries, on the one hand, and (B) IPC, on the other hand, or any other person, no member of the IPC Group shall have any duty (contractual or otherwise) to communicate or present such corporate opportunity to the Company or its subsidiaries and, notwithstanding any provision of this Agreement to the contrary, shall not be liable to the Company, its subsidiaries or any of their affiliates for breach of any duty (contractual or otherwise) by reasons of the fact that any member of the IPC Group directly or indirectly pursues or acquires such opportunity for itself, directs such opportunity to another person, or does not present such opportunity to the Company, its subsidiaries or any of their affiliates. In no event will any of the parties hereto be liable to any other party hereto for any punitive, exemplary, indirect, special, incidental or consequential damages, including lost profits or savings, whether or not such damages are foreseeable, or in respect of any liabilities relating to any third party claims (whether based in contract, tort or otherwise), other than for the Claims (as defined in Section 7) relating to the services which may be provided by IPC hereunder.

7. Indemnity. The Company and its subsidiaries shall defend, indemnify and hold harmless each member of the IPC Group from and against any and all Losses arising from any claim by any person with respect to, or in any way related to, this Agreement (including attorneys’ fees) (collectively, “Claims”) resulting from any act or omission of any member of the IPC Group except to the extent that such Loss is determined by a court in a final order from which no appeal can be taken to have resulted solely from the gross negligence or willful misconduct of such member of the IPC Group. The Company and its subsidiaries shall defend at its own cost and expense any and all suits or actions (just or unjust) which may be brought against the Company and its subsidiaries or any member of the IPC Group, or in which any member of the IPC Group may be impleaded with others upon any Claims, or upon any matter, directly or indirectly, related to or arising out of this Agreement or the performance of the obligations hereunder by the IPC Group, except that if such damage shall be proven to result solely from gross negligence or willful misconduct by a member of the IPC Group, then such member of the IPC Group shall reimburse the Company and its subsidiaries for the costs of defense and other costs incurred by the Company and its subsidiaries.

8. Notices. All notices hereunder shall be in writing and shall be delivered personally or mailed by United States mail, postage prepaid, addressed to the parties as follows:

9. Certain Definitions. For purposes of this Agreement,

10.  Assignment.  No party hereto may assign any obligations hereunder to any other party without the prior written consent of the other parties (which consent shall not be unreasonably withheld); provided, that IPC may, without the consent of the Company, assign its rights under this Agreement to any of its affiliates.

11. No Waiver. The failure of a party to this Agreement to insist upon strict adherence to any term of this Agreement on any occasion shall not be considered a waiver or deprive that party of the right thereafter to insist upon strict adherence to that term or any other term of this Agreement. Any waiver must be in writing.

12. Successors. This Agreement and all the obligations and benefits hereunder shall inure to the successors and permitted assigns of the parties.

13. Counterparts. This Agreement may be executed and delivered by each party hereto in separate counterparts, each of which when so executed and delivered shall be deemed an original and all of which taken together shall constitute but one and the same agreement.

14. Entire Agreement; Modification; Governing Law. The terms and conditions hereof constitute the entire agreement between the parties hereto with respect to the subject matter of this Agreement and supersede all previous communications, either oral or written, representations or warranties of any kind whatsoever, except as expressly set forth herein. No modifications of this Agreement nor waiver of the terms or conditions thereof shall be binding upon either party unless approved in writing by an authorized representative of such party. All issues concerning this agreement shall be governed by and construed in accordance with the laws of the State of New York without giving effect to any choice of law or conflict of law provision or rule (whether of the State of New York or any other jurisdiction) that would cause the application of the law of any jurisdiction other than the State of New York.

15. WAIVER OF JURY TRIAL. EACH PARTY TO THIS AGREEMENT HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY RIGHT TO TRIAL BY JURY OF ANY CLAIM, DEMAND, ACTION, OR CAUSE OF ACTION (A) ARISING UNDER

THIS AGREEMENT OR (B) IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE DEALINGS OF THE PARTIES HERETO IN RESPECT OF THIS AGREEMENT OR ANY OF THE TRANSACTIONS RELATED HERETO, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING, AND WHETHER IN CONTRACT, TORT, EQUITY, OR OTHERWISE. EACH PARTY TO THIS AGREEMENT HEREBY AGREES AND CONSENTS THAT ANY SUCH CLAIM, DEMAND, ACTION, OR CAUSE OF ACTION SHALL BE DECIDED BY COURT TRIAL WITHOUT A JURY AND THAT THE PARTIES TO THIS AGREEMENT MAY FILE AN ORIGINAL COUNTERPART OR A COPY OF THIS AGREEMENT WITH ANY COURT AS WRITTEN EVIDENCE OF THE CONSENT OF THE PARTIES HERETO TO THE WAIVER OF THEIR RIGHT TO TRIAL BY JURY.