CORAM HEALTHCARE CORP
8-K, 1997-06-13
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<PAGE>   1





                       SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                   ----------

                                    FORM 8-K


                                 CURRENT REPORT

                     PURSUANT TO SECTION 13 OR 15(d) of the

                        SECURITIES EXCHANGE ACT OF 1934


        Date of Report (Date earliest event reported)   June 2, 1997   


                          CORAM HEALTHCARE CORPORATION
               (Exact name of registrant as specified in charter)


                  Delaware                 1-11343        33-0615337    
          ---------------------------------------------------------------
          (State or other jurisdiction   (Commission      (IRS Employer
               of incorporation)         File Number)  Identification No.)


            1125 Seventh Street, Suite 2100, Denver, Colorado 80202        
          ---------------------------------------------------------------
             (Address of principal executive offices)       (Zip code)


       Registrant's telephone number, including area code (303) 292-4973


          ---------------------------------------------------------------
           (Former name or former address, if changed since last report)
<PAGE>   2





          Item 5.  Other Events

                  On June 2, 1997, Coram Healthcare Corporation ("Coram")
          repaid $150 million owed its lenders under its Senior Credit
          Facility, originally dated April 6, 1995, through a refinancing
          transaction with Goldman Sachs Credit Partners L.P. ("Goldman").
          Goldman acquired the debt through an assignment from the former
          lending group and entered into an amendment of Coram's existing
          credit agreement.  The amendment to the existing credit facility,
          among other things, extends the maturity date of the credit facility
          from May 31, 1997 until the earlier of (i) the date on which
          Coram's Subordinated Bridge Notes or Subordinated Rollover Notes
          first become payable in cash (currently March 31, 1998) or (ii) May 
          31, 1998 and permits certain business acquisitions not permitted 
          previously under the credit facility.

          Item 7.  Financial Statements, Pro Forma Financial
                   Information and Exhibits.

                   (c) Exhibits

                   99.  Tenth Amendment to Credit Agreement dated June 2, 1997,
                        by and among the Registrant, Goldman Sachs Credit
                        Partners L.P., Coram, Inc., each Subsidiary Guarantor
                        (as defined therein) and The Chase Manhattan Bank, as
                        administrative agent and collateral agent for the
                        Lenders named therein, to that certain Credit Agreement
                        dated as of April 6, 1995, by and among the Registrant,
                        Coram, Inc., each Subsidiary Guarantor (as defined
                        therein), the Financial Institutions named therein and
                        The Chase Manhattan Bank, as collateral agent for the
                        Lenders named therein.  Certain exhibits and schedules
                        of this Exhibit have been omitted.  The Registrant
                        agrees to furnish supplementally any omitted schedule or
                        exhibit to the Securities and Exchange Commission.





<PAGE>   3





                                   SIGNATURES



                  Pursuant to the requirements of the Securities Exchange Act
          of 1934, the registrant has duly caused this report to be signed on
          its behalf by the undersigned hereunto duly authorized.



                                           CORAM HEALTHCARE CORPORATION




          Date:  June 11, 1997             By: 
                                              -------------------------------
                                           Name:  Richard M. Smith
                                           Title: Chief Financial Officer
<PAGE>   4
                                EXHIBIT INDEX


  EXHIBIT                 
  NUMBER                         DESCRIPTION
  -------                        -----------

    99.       Tenth Amendment to Credit Agreement dated June 2, 1997, by and 
              among the Registrant, Goldman Sachs Credit Partners L.P., Coram,
              Inc., each Subsidiary Guarantor (as defined therein) and The
              Chase Manhattan Bank, as administrative agent and collateral
              agent for the Lenders named therein, to that certain Credit
              Agreement dated as of April 6, 1995, by and among the Registrant,
              Coram, Inc., each Subsidiary Guarantor (as defined therein), the
              Financial Institutions named therein and The Chase Manhattan
              Bank, as collateral agent for the Lenders named therein.  Certain
              exhibits and schedules of this Exhibit have been omitted.  The
              Registrant agrees to furnish supplementally any omitted   
              schedule or exhibit to the Securities and Exchange Commission.





<PAGE>   1
                                                                      EXHIBIT 99




                      TENTH AMENDMENT TO CREDIT AGREEMENT
                            DATED AS OF JUNE 2, 1997

         This TENTH AMENDMENT TO CREDIT AGREEMENT dated as of June 2, 1997
(this "Amendment") to the Credit Agreement dated as of April 6, 1995, as
amended by that certain First Amendment and Waiver dated as of August 9, 1995,
that certain Second Amendment dated as of September 7, 1995, that certain Third
Amendment and Limited Waiver dated as of September 29, 1995, that certain
Fourth Amendment and Limited Waiver to Credit Agreement and First Amendment to
Security Documents dated as of October 13, 1995, that certain Fifth Amendment
dated as of February 6, 1996, that certain Sixth Amendment to Credit Agreement
dated as of April 19, 1996, that certain Seventh Amendment to Credit Agreement
dated as of July 3, 1996, that certain Eighth Amendment to Credit Agreement
dated as of December 3, 1996 and that certain Ninth Amendment to Credit
Agreement dated as of March 14, 1997 (as so amended, the "Credit Agreement"),
is by and among CORAM HEALTHCARE CORPORATION, a Delaware corporation ("Coram"),
CORAM, INC., a Delaware corporation (the "Borrower") and a wholly-owned
subsidiary of Coram, EACH SUBSIDIARY GUARANTOR (as defined in the Credit
Agreement) listed on Exhibit A hereto, THE FINANCIAL INSTITUTIONS PARTY HERETO
(the "Lenders"), THE CHASE MANHATTAN BANK (formerly known as Chemical Bank) as
agent for the Lenders (in such capacity, the "Administrative Agent"), and THE
CHASE MANHATTAN BANK as collateral agent for the Lenders (in such capacity, the
"Collateral Agent"). Capitalized terms used herein without definitions shall
have the respective meanings assigned in the Credit Agreement.

                                    RECITALS

                 WHEREAS, pursuant to one or more assignment agreements,
including a Master Assignment and Acceptance Agreement dated as of the date
hereof between Goldman Sachs Credit Partners L.P. ("GSCP") as Assignee and each
of the financial institutions (other than GSCP) as Assignor which were parties
to the Credit Agreement as Lenders (the "Existing Lenders") immediately prior
to the effectiveness of each such assignment agreement, GSCP has acquired all
of the Loans and the Commitments of the Existing Lenders under the Credit
Agreement; and

                 WHEREAS, pursuant to this Tenth Amendment the Lenders have
confirmed the appointment of the Administrative Agent and Collateral Agent to
continue to act as Administrative Agent and Collateral Agent with effect from
the Tenth Amendment Effective Date; and
<PAGE>   2
                 WHEREAS, the Fronting Bank has notified the Administrative
Agent that it does not wish to continue as Fronting Bank, and the
Administrative Agent and the Lenders have accepted such resignation with effect
from the Tenth Amendment Effective Date, notwithstanding that 180 days' prior
written notice as required by Section 2.21(j)(i) of the Credit Agreement has
not been given; and

                 WHEREAS, Coram and Borrower have requested Lenders to amend
the Credit Agreement to (i) reinstate the ability to borrow and repay Revolving
Loans from time to time, (ii) extend the maturity thereof, (iii) modify the
applicable interest rates, (iv) change the application of certain financial
covenants, (v) make certain changes to the negative pledge, mandatory
prepayment and permitted acquisitions covenants and (vi) make certain other
amendments, each upon the terms set forth herein; and

                 WHEREAS, subject to the terms and conditions contained herein,
Lenders have agreed to amend the Credit Agreement as provided herein;

                 NOW, THEREFORE, in consideration of the premises and the
mutual agreements, provisions and covenants herein contained, the Borrower,
Coram, the Subsidiary Guarantors, the Administrative Agent, the Collateral
Agent and the undersigned Lenders hereby agree, on the terms and subject to the
conditions set forth herein, as follows:

SECTION 1. AMENDMENTS TO THE LOAN DOCUMENTS

         1.1 AMENDMENTS TO ARTICLE I:  DEFINITIONS.

         (A)     Section 1.01 of the Credit Agreement is hereby amended as of
the Tenth Amendment Effective Date by deleting the existing definitions of
"Administrative Agent Fees", "Aggregate Overline Exposure", "Applicable
Overline Percentage", "L/C Collateral Account", "L/C Commitment", "L/C
Disbursement", "L/C Exposure", "L/C Participation Fee", "Overline Borrowing",
"Overline Commitment", "Overline Exposure", "Overline L/C Exposure", "Overline
Letters of Credit", "Overline Loans", "Overline Maturity Date" and "Total
Overline Commitment" in their entirety.

         (B)     Section 1.01 of the Credit Agreement is hereby amended as of
the Tenth Amendment Effective Date by amending and restating the definitions of
"Applicable Commitment Fee Percentage", "Applicable Margin", "Excess Cash
Amount", "Fee





                                       2
<PAGE>   3
Letter", "Fees", "LIBO Rate", "Loan Documents", "Loans", "Revolving Credit
Maturity Date", "Specified Cash Amount" and "Term Loan Maturity Date" as
follows:

                 "Applicable Commitment Fee Percentage" shall mean 0.50%.

                 "Applicable Margin" shall mean for any date (i) with respect
to the Loans comprising any Eurodollar Borrowing, 3.25% and (ii) with respect
to the Loans comprising any ABR Borrowing, 2.25%.

                 "Applicable Percentage" of any Lender at any time shall mean
the percentage of the Total Revolving Credit Commitment represented by such
Lender's Revolving Credit Commitment.  In the event the Revolving Credit
Commitments shall have expired or been terminated, the Applicable Percentages
shall be determined on the basis of the Revolving Credit Commitments most
recently in effect.

                 "Excess Cash Amount" shall mean, as of any date of
determination, the amount (if any) by which the sum of (i) the aggregate amount
of cash and Cash Equivalents of Coram and its Subsidiaries plus (ii) the
remainder of (a) the aggregate amount of Total Revolving Credit Commitment
minus (b) the aggregate principal amount of outstanding Revolving Loans, in
each case measured as of such date of determination exceeds the applicable
Specified Cash Amount.

                 "Fee Letter" shall mean the fee letter dated May 23, 1997,
among Coram, the Borrower and GSCP.

                 "Fees"  shall mean the Commitment Fees and the GSCP Fees.

                 "LIBO Rate" shall mean with respect to any Eurodollar
Borrowing, a rate of interest determined by the Administrative Agent equal to
the offered rate for deposits in United States Dollars for the applicable
Interest Period which appears on Telerate Page 3750 as of 11:00 a.m., London
time, on the second full Business Day next preceding the first day of each
Interest Period (unless such date is not a Business Day, in which event the
next succeeding Business Day will be used).  If such interest rates shall cease
to be available from Telerate News Service, the LIBO Rate shall be determined
from such financial reporting service or other information as shall be mutually
acceptable to the Administrative Agent and the Borrower.

                 "Loan Documents" shall mean this Agreement, each amendment to
this Agreement, any notes issued by the Borrower in favor of a Lender to
evidence all or





                                       3
<PAGE>   4
any part of the Obligations, the Fee Letter, the Guarantee Agreements, the
Security Documents and the Indemnity, Subrogation and Contribution Agreement.

                 "Loans" shall mean the Revolving Loans and the Term Loans.

                 "Revolving Credit Maturity Date" shall mean the earlier of (i)
the Subordinated Rollover Notes Conversion Date and (ii) May 31, 1998.

                 "Specified Cash Amount" shall mean, as of any date of
determination, $20,000,000.

                 "Term Loan Maturity Date" shall mean the earlier of (i) the
Subordinated Rollover Notes Conversion Date and (ii) May 31, 1998.

         (C)     The definition of "Net Proceeds" contained in Section 1.01 of
the Credit Agreement is hereby amended by (i) deleting the word "and" from the
end of clause (c) thereof, (ii) deleting the punctuation "." from the end of
the clause (d) thereof and substituting "; and" therefor and (iii) adding the
following at the end of such definition:

                 "(e)  the cash proceeds from a non-operating source not
described in clauses (a) - (d) above, including without limitation all proceeds
of any recovery (by judgment, settlement or otherwise) in any litigation,
including the pending action against Caremark, Caremark International Inc. and
others except for (i) the aggregate amount of reserves for subrogation claims
required, in accordance with GAAP, to be established in connection with any
such litigation; provided that cash in amount equal to the aggregate amount of
such reserves is delivered to the Administrative Agent to be held in a blocked
account pursuant to an escrow agreement satisfactory in form and substance to
the Administrative Agent, (ii) at the Borrower's option in the case of the
Caremark litigation, an aggregate amount (not to exceed $1,000,000) to be used
by the Borrower for general corporate purposes (including, without limitation,
the payment of any accrued and unpaid legal fees as of the date of receipt of
such proceeds) and (iii) the aggregate amount of taxes reasonably estimated by
the Borrower (as certified in an officer's certificate delivered to the
Administrative Agent) to be payable as result of the receipt of such proceeds."

         (D)     The definition of "Permitted Business Acquisition" is hereby
amended by deleting paragraph (d)(iii) thereof and renumbering paragraph
(d)(iv) as (d)(iii).





                                       4
<PAGE>   5
         (E)     Section 1.01 is hereby amended by adding the following new
definitions in appropriate alphabetical order:

                 "GSCP" shall mean Goldman Sachs Credit Partners L.P.

                 "GSCP Fees" shall have the meaning assigned to such term in
Section 2.05(b).

                 "Subordinated Rollover Notes Conversion Date" shall mean the
date on which any obligation (including, without limitation, any interest or
fees (whether accrued or past due)) with respect to the Subordinated Bridge
Notes or any Subordinated Rollover Notes (other than the reimbursement by the
Borrower of reasonable expenses related to the Subordinated Bridge Notes or any
Subordinated Rollover Notes) becomes payable in cash in accordance the Borrower
Securities Purchase Agreement, as amended and supplemented by the letters dated
October 13, 1995 and March 28, 1997 among Coram, the Borrower and DLJ.

                 "Tenth Amendment" means that certain Tenth Amendment to Credit
Agreement dated as of June 2, 1997 by and among the Borrower, Coram, the
Subsidiary Guarantors party thereto, the Lenders party thereto and the
Administrative Agent.

                 "Tenth Amendment Effective Date" means the date the Tenth
Amendment became effective in accordance with its terms.





                                       5
<PAGE>   6
         1.2 AMENDMENTS TO ARTICLE II:  THE CREDITS.

         (A)     Section 2.01 of the Credit Agreement is hereby amended and
restated in its entirety as follows:

                          "SECTION 2.01.  Commitments.  Subject to the terms
         and conditions hereof, and relying upon the representations and
         warranties herein set forth, each Lender agrees, severally and not
         jointly, (a) to maintain as Term Loans hereunder Loans outstanding on
         the Tenth Amendment Effective Date in an aggregate principal amount
         equal to the amount set forth opposite such Lender's name on Schedule
         2.01, as the same may be reduced from time to time in accordance with
         the terms of this Agreement and (b) to lend from time to time during
         the period from the Tenth Amendment Effective Date to the Revolving
         Credit Maturity Date, Revolving Loans (including any Loans outstanding
         on the Tenth Amendment Effective Date that are not maintained as Term
         Loans pursuant to clause (a) above) in an aggregate principal amount
         not to exceed the Revolving Credit Commitment of such Lender as
         initially set forth on Schedule 2.01, as such Revolving Credit
         Commitment shall be reduced from time to time in accordance with the
         terms of this Agreement.  As of the Tenth Amendment Effective Date,
         the amount of the aggregate Term Loan Commitments is $115,000,000 and
         the amount of the Total Revolving Credit Commitment is $35,000,000.

                 The Borrower, Coram, the Lenders and the Administrative Agent
         each hereby agree that, from and after the Tenth Amendment Effective
         Date, no Overline Loans shall be made and no Letters of Credit shall
         be issued under this Agreement and all outstanding Overline Loans
         shall be maintained as Term Loans or Revolving Loans, as the case may
         be."

         (B)     Section 2.05(b) shall be deleted and replaced with the
following:

                 "(b) The Borrower agrees the pay to GSCP, for its own account,
                 the fees set forth in the Fee Letter at the time specified
                 therein (the "GSCP Fees")."

         (C)     Section 2.11(a) shall be deleted and replaced with the
following:





                                       6
<PAGE>   7
                 "(a) the Term Borrowings shall be payable in full on the Term
                 Loan Maturity Date."

         (D)     Section 2.12(j) shall be deleted and replaced with the
                 following:

                 "(j) Not later than 5 Business Days after the end of each
                 fiscal year of the Borrower, the Borrower shall (i) calculate
                 the Excess Cash Amount for such fiscal year and shall apply
                 100% of the Excess Cash Amount to prepay Term Borrowings (and,
                 after the Term Loans have been paid in full, Revolving Credit
                 Borrowings) and (ii) deliver to the Administrative Agent and
                 GSCP (provided GSCP is a Lender) a certificate signed by any
                 Financial Officer of the Borrower setting forth the amount, if
                 any, of Excess Cash Amount for such fiscal year and the
                 calculation thereof in reasonable detail."

         (E)     A new Section 2.12(k) shall be added as follows:

                 "(k)  If at any time the balance in the Chemical Cash
                 Concentration Account shall exceed $5,000,000, the Borrower
                 shall apply 100% of such excess to prepay Revolving Credit
                 Borrowings.  Any such prepayment shall be made in accordance
                 with the provisions set forth in this Section 2.12 and the
                 Security Agreement (to the extent such provisions relate to
                 the prepayment of Revolving Loans and Revolving Credit
                 Borrowings hereunder)."

         (F)     A new Section 2.24 shall be added as follows:

                          "SECTION 2.24.   Additional Financing.  Upon the
                 written request of the Borrower made to GSCP (which shall
                 promptly furnish a copy of such notice to the Lenders), the
                 Lenders will consider providing, but shall be under no
                 obligation to provide, additional financing of up to
                 $10,000,000 in additional loans to be used by the Borrower
                 towards Permitted Business Acquisitions.  If the Lenders agree
                 to make any such additional loans available, such loans will
                 be made pursuant to this Agreement on substantially similar
                 terms as the Term Loans and Revolving Loans hereunder."

         1.3 AMENDMENTS TO ARTICLE III:  REPRESENTATIONS AND
         WARRANTIES.





                                       7
<PAGE>   8
         Subsection 3.06 of the Credit Agreement is hereby amended by deleting
the phrase "the Fourth Amendment Effective Date" therefrom and substituting the
phrase "the Tenth Amendment Effective Date" therefor.

         1.4     AMENDMENTS TO ARTICLE VI:  NEGATIVE COVENANTS

         (A)     Section 6.02 is hereby amended and restated in its entirety as
follows:

                 "SECTION 6.02.  Liens.  Create, incur, assume or permit to
exist any Lien on any property or assets (including stock or other securities
of any person, including any Subsidiary) now owned or hereafter acquired by it,
including any property or assets of the Lithotripsy Partnerships, and on any
income or revenues or rights in respect of any thereof, except:

                 (a)      Liens on property or assets of the Borrower, its
         Subsidiaries and the Lithotripsy Partnerships existing on the date
         hereof and set forth in Schedule 6.02, provided that (subject to the
         provisions of subsection (l) below) such Liens shall secure only those
         obligations that they secure on the date hereof;

                 (b)      any Lien created under the Loan Documents;

                 (c)      any Lien existing on any property or asset prior to
         the acquisition thereof by the Borrower, any Subsidiary or the
         Lithotripsy Partnerships, provided that (i) such Lien is not created
         in contemplation of or in connection with such acquisition and (ii)
         such Lien does not apply to any other property or assets of the
         Borrower or any Subsidiary or such Lithotripsy Partnership;

                 (d)      Liens for taxes not yet due or that are being
         contested in compliance with Section 5.03;

                 (e)      carriers', warehousemen's, mechanic's, materialmen's,
         repairmen's or other like Liens arising in the ordinary course of
         business and securing obligations that are not due and payable or that
         are being contested in compliance with Section 5.03;

                 (f)      pledges and deposits made in the ordinary course of
         business in compliance with workmen's compensation, unemployment
         insurance and other social security laws or regulations;





                                       8
<PAGE>   9
                 (g)      deposits to secure the performance of bids, trade
         contracts (other than for Indebtedness), leases (other than Capital
         Lease Obligations), statutory obligations, surety and appeal bonds,
         performance bonds and other obligations of a like nature incurred in
         the ordinary course of business;

                 (h)      zoning restrictions, easements, rights-of-way,
         restrictions on use of real property and other similar encumbrances
         incurred in the ordinary course of business that, in the aggregate,
         are not substantial in amount and do not materially detract from the
         value of the property subject thereto or interfere with the ordinary
         conduct of the business of the Borrower, any of its Subsidiaries or
         the Lithotripsy Partnerships;

                 (i)      any Lien existing or arising by operation of law in
         the ordinary course of business of Coram, the Borrower, the
         Subsidiaries and the Lithotripsy Partnerships, such as banker's Liens
         or similar rights of offset

                 (j) (i) Liens placed upon real or personal property acquired
         or held in the ordinary course of business at the time of acquisition
         or improvement of such property to secure the purchase price thereof
         or incurred solely to finance the acquisition or improvement of such
         property, provided that (A) such Liens do not cover property other
         than the property acquired or improved and (B) the Indebtedness
         secured by such Liens does not in any case exceed the lesser of the
         cost or fair market value of such property at the time of such
         acquisition, and (ii) liens incurred in connection with Capital Lease
         Obligations, so long as the aggregate principal amount of Indebtedness
         secured by the Liens permitted pursuant to this paragraph (j) is
         permitted pursuant to Section 6.01(p);

                 (k)      attachment or judgment Liens not in excess of
         $2,500,000 in the aggregate and any other immaterial attachment or
         judgment Lien discharged within 30 days of the entry of judgment or
         the expiry of stay (provided that no foreclosure action has been
         commenced with respect to such Liens that has not been stayed or
         discharged within thirty (30) days);

                 (l)      Liens incurred in connection with the extension,
         renewal or refinancing of the Indebtedness secured by the Liens
         described in paragraphs (a), (c) and (j) above, provided that (i) any
         extension, renewal or replacement Lien is limited to the property
         encumbered by the existing Lien and the principal amount of the
         Indebtedness being extended, renewed or refinanced is





                                       9
<PAGE>   10
         not increased and (ii) the extension, renewal or refinancing of such
         Indebtedness is permitted pursuant to Section 6.01; and

                 (m)      other consensual Liens that do not encumber any
         accounts or notes receivable securing Indebtedness and other
         liabilities not exceeding $5,000,000 in the aggregate at any time
         outstanding.

         (B)     Section 6.04 of the Credit Agreement is hereby amended by:

         (i)     deleting clause (d) in its entirety and replacing it with the
following:

                 "(d)     Investments constituting Permitted Business
         Acquisitions made as Capital Expenditures pursuant to Section 6.11,
         provided that the aggregate amount of consideration (whether cash or
         property, as valued at the time such investment is made), including
         the amount of all liabilities assumed or, in the case of an
         acquisition of a corporation or partnership, plus the amount of
         liabilities shown on a balance sheet of such corporation or
         partnership at the time of acquisition, for all such Permitted
         Business Acquisitions shall not exceed $5,000,000 in the aggregate
         following the Tenth Amendment Effective Date (excluding the
         consideration paid for the acquisition of the business of Metropolitan
         Lithotripsy Associates, P.C. and certain affiliated entities)."

         (ii)    Deleting the last paragraph of Section 6.04 and replacing it
with the following:

         "Notwithstanding the foregoing, at any time that the Subordinated
         Bridge Notes or any Subordinated Rollover Notes shall remain
         outstanding or any amounts shall remain outstanding or unpaid thereon,
         neither Coram, the Borrower nor any Subsidiary shall make any of the
         foregoing investments except those permitted pursuant to Section
         6.04(d) or except as may be permitted in accordance with Sections 6.8
         and 6.10 of the Borrower Securities Purchase Agreement."

         (C)     Section 6.13 of the Credit Agreement is hereby amended by
adding the following at the end of the table set forth therein:





                                       10
<PAGE>   11
<TABLE>
<CAPTION>
                 "Period                                            Amount
                  ------                                            ------
         <S>                                                        <C>
         April 1, 1997 - June 30, 1997                              $11,000,000
         July 1, 1997 - September 30, 1997
                 and quarterly thereafter                           $15,000,000"
</TABLE>

         (D)     Section 6.14 of the Credit Agreement is hereby amended and
restated in its entirety as follows:

                 "SECTION 6.14.  Operating Cash Flow.  Permit the aggregate
         operating cash flow on a consolidated basis for Coram and its
         Subsidiaries, as reported in the statements of consolidated receipts
         and disbursements delivered pursuant to Section 5.04(l) and calculated
         on the same basis as in the most recent cash flow forecast delivered
         on or prior to the Tenth Amendment Effective Date in accordance with
         the provisions of Section 5.04(k), to be less than zero for any
         calendar month."

         (E)     A new Section 6.17 shall be added as follows:

         "SECTION 6.17.  Cash Disbursement Accounts.  Permit any disbursement
or funding account (including any funding accounts maintained with the
Collateral Agent) at any time to contain a balance in excess of that required
to meet disbursements actually incurred and to pay benefits, payroll or other
recurring expenses of the Borrower on the due date therefor."

         1.6     AMENDMENTS TO ARTICLE VIII:  THE ADMINISTRATIVE AGENT AND THE
                 COLLATERAL AGENT

                 Article VIII is hereby amended by deleting clauses (b) and (c)
of the first paragraph thereof and replacing both clauses with "[INTENTIONALLY
OMITTED]".

         1.7     AMENDMENTS TO ARTICLE IX:  MISCELLANEOUS

         (A)     Section 9.04(b) shall be amended by deleting clause (i)
thereof in its entirety and replacing it with the following:





                                       11
<PAGE>   12
         "(i)  except in the case of an assignment to a Lender or an Affiliate
of a Lender, GSCP (provided GSCP is a Lender) must give its prior written
consent to such assignment (which consent shall not be unreasonably
withheld),.."

         (B)     Section 9.04 shall be amended by adding a new Section 9.04(k)
as follows:

                 "(k)     The Lenders reserve the right to sell, by assignment
         or participation, portions of their interests, rights and obligations
         under this Agreement and the Loan Documents to banks or other entities
         (each a "Participant") in order to establish primary and secondary
         positions among such Participants with respect to the Loans and the
         Collateral for such Loans. The Borrower agrees to execute such
         additional documentation as GSCP may reasonably require in connection
         with any such assignments and participations."

         (C)     Section 9.08 shall be amended by adding a new Section 9.08(c)
as follows:

                 "(c)     At the request of GSCP at any time following the
         Tenth Amendment Effective Date, the Borrower will amend the Credit
         Agreement to provide for the Loans to be divided into senior and
         junior tranches, with the benefit of senior and junior Liens in the
         Collateral."

         1.8     AMENDMENTS TO THE SCHEDULES

         The Credit Agreement is hereby amended by deleting Schedule 2.01
therefrom and replacing it with the Schedule 2.01 attached hereto.

         1.9     AMENDMENTS TO THE PLEDGE AGREEMENT

         The Pledge Agreement is hereby amended as of the Tenth Amendment
Effective Date by deleting Section 2.01(b) therefrom and replacing it with the
following:

                 "(b)     all of any other equity or other ownership interest
         of any Pledgor in the Borrower or any Subsidiary or any subsidiary of
         such Pledgor, including, if such entity is a corporation, all shares,
         certificates or the like evidencing the Pledgor's ownership therein
         (the securities referred to in clause (a) and this clause (b),
         collectively, the "Pledged Stock"), and, including, without
         limitation, any and all interests of any Pledgor in and to the
         Lithotripsy





                                       12
<PAGE>   13
         Partnerships, provided that, except where Coram, the Borrower of any
         of their subsidiaries directly or indirectly owns 100% of the
         partnership interests in such Lithotripsy Partnership, such pledge
         shall be only to the extent such pledge would not be a violation of
         the applicable partnership agreement or related documents."

SECTION 2. CONDITIONS TO EFFECTIVENESS

         Sections 1, 6 and 7 of this Amendment shall become effective only upon
the satisfaction of all of the following conditions (the date of satisfaction
of such conditions being referred to herein as the "Tenth Amendment Effective
Date"):

                      A.   Amendment Documents.  The Administrative Agent and
GSCP shall have received a counterpart of this Amendment, duly executed and
delivered by an authorized officer of each Loan Party and each Lender.

                      B.   Corporate Proceeding of the Loan Parties.  The
Administrative Agent and GSCP shall have received a copy of the resolutions, in
form and substance satisfactory to the Administrative Agent and GSCP, of the
Board of Directors of each Loan Party authorizing (i) the execution, delivery
and performance of each of this Amendment and (ii) with respect to the
Borrower, the borrowings contemplated hereunder, certified by the Secretary or
an Assistant Secretary of the applicable Loan Party as of the Tenth Amendment
Effective Date, which certificate shall be in form and substance satisfactory
to the Administrative Agent and GSCP, and shall state that the resolutions
thereby certified have not been amended, modified, revoked or rescinded.

                      C.   Incumbency Certificate.  The Administrative Agent and
GSCP shall have received a Certificate of each Loan Party, dated as of the
Amendment Effective Date, as to the incumbency and signature of the officers of
the applicable Loan Party executing any Amendment Document satisfactory in form
and substance to the Administrative Agent and GSCP.

                      D.   Corporate Documents.  The Administrative Agent and
GSCP shall have received true and complete copies of the certificate of
incorporation and by-laws of the Borrower and Coram, certified as of the Tenth
Amendment Effective Date as complete and correct copies thereof by the
Secretary or an Assistant Secretary of the Borrower and Coram, respectively.





                                       13
<PAGE>   14
                      E.   Good Standing Certificates.  The Administrative Agent
and GSCP shall have received copies of good standing certificates with respect
to the Borrower, Coram, T2, Medisys, HealthInfusion and Curaflex (together with
verification of tax status) dated as of a recent date prior to the Tenth
Amendment Effective Date, and certified by the Secretary of State of the
respective jurisdiction of incorporation of such Loan Party.

                      F.   Consents, Licenses, Approvals, Etc.  The
Administrative Agent and GSCP shall have received, a certificate of an officer
of the Borrower either (i) attaching copies of all consents, licenses and
approvals required in connection with the execution, delivery and performance
by the Loan Parties, and the validity and enforceability against the Borrower
of, this Amendment and such consents, licenses and approvals shall be in full
force and effect, or (ii) stating that no such consents, licenses, or approvals
are so required.

                      G.   Legal Opinions.  The Administrative Agent and GSCP
shall have received, with a counterpart for each Lender, such executed legal
opinions of the counsel to the Loan Parties as the Administrative Agent and
GSCP may reasonably require, in form and substance satisfactory to the
Administrative Agent and GSCP.

                      H.   Payment of Fees and Expenses.  The Borrower shall
have paid (i) to GSCP a facility fee in the amount set forth in the Fee Letter,
(ii) for distribution to the applicable parties (without double-counting), all
other fees and expenses required to be paid by it on or prior to the Tenth
Amendment Effective Date and (iii) all fees and disbursements (including
reasonable attorneys fees), in an amount not to exceed $150,000 with respect to
such fees and expenses incurred on or prior to the Tenth Amendment Effective
Date, of GSCP incurred in connection with this Amendment and the transactions
contemplated hereby or, to the extent not paid on the Tenth Amendment Effective
Date, promptly following receipt of an invoice therefor.

                      I.   Representations and Warranties.  The representations
and warranties contained in Section 3 of this Amendment shall be true, correct
and complete in all material respects on and as of the Tenth Amendment
Effective Date.

                      J.   UCC Financing Statements.   Any documents
(including without limitation, financing statements) required to be filed (if
any) in order to create, in favor of the Collateral Agent for the benefit of
the Lenders, a first priority security interest in the Collateral with respect
to which a security interest may be perfected by a filing under the Uniform
Commercial Code or with the Patent and Trademark Office or





                                       14
<PAGE>   15
Copyright Office shall have been properly filed in each office in each
jurisdiction required in order to create in favor of the Collateral Agent a
perfected Lien on the Collateral; and the Collateral Agent shall have received
evidence that all necessary filing fees and all taxes or other expenses related
to such filings have been paid in full.

SECTION 3. REPRESENTATIONS AND WARRANTIES

                 A.       Each of Coram, the Borrower and each of the
Subsidiary Guarantors represents and warrants to each of the Lenders that:

                          1.      The execution, delivery and performance of
this Amendment by each of the Loan Parties (a) have been duly authorized by all
requisite corporate and, if required, stockholder action and (b) will not (i)
violate (A) any provision of law, statute, rule or regulation, or of the
certificate or articles of incorporation or other constitutive documents or
by-laws of Coram, the Borrower or any other Loan Party, (B) any order of any
Governmental Authority or (C) any provisions of any indenture, agreement or
other instrument to which any Loan Party is a party or by which any of them or
any of their property is or may be bound, (ii) be in conflict with, result in a
breach of or constitute (alone or with note or lapse of time or both) a default
under any such indenture, agreement or other instrument or (iii) result in the
creation or imposition of any Lien upon or with respect to any property or
assets of any Loan Party.

                          2.      Each Loan Party has all requisite corporate
power and authority to enter into this Amendment and to carry out the
transactions contemplated by, and perform its obligations under, this Amendment
and, with respect to Coram and the Borrower, the Credit Agreement.  This
Amendment has been duly executed and delivered by each Loan Party and this
Amendment and the Credit Agreement as amended hereby constitutes a legal, valid
and binding obligation of each Loan Party thereto enforceable against each such
Loan Party in accordance with its terms.

                          3.      The representations and warranties contained
in the Credit Agreement are true, correct and complete in all material respects
on and as of the date hereof to the same extent as though made on and as of
such date, except to the extent such representations and warranties
specifically relate to an earlier date, in which case such representations and
warranties shall have been true, correct and complete in all material respects
on and as of such earlier date, and except for those representations and
warranties in Sections 3.05 and 3.15 of the Credit Agreement to the extent such
representations and warranties relate to the Acquired Business, and except for
those





                                       15
<PAGE>   16
representations and warranties in Section 3.09 of the Credit Agreement with
respect to each of the matters referred to in the section entitled "Legal
Proceedings" of Coram's Quarterly Report on Form 10-Q for the period ended
March 31, 1997.

                          4.      The Subsidiary Guarantors listed on Annex I
constitute all of the subsidiaries of Coram and the Borrower.

                          5.      Schedule I to the Master Assignment and
Acceptance referred to in the first recital to this Amendment accurately sets
forth the principal amount of all Loans outstanding and the Lenders with
respect to such Loans, in each case immediately prior to the Tenth Amendment
Effective Date (except for the Loans by GSCP which are not reflected on such
Schedule).

                 B.       GSCP represents and warrants to each of Coram, the
Borrower and each of the Subsidiary Guarantors that:

                          1.      GSCP has all requisite partnership authority
to enter into this Amendment and to carry out the transactions contemplated by,
and perform its obligations under, this Amendment.

SECTION 4. APPLICABLE LAW

         THE AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH,
THE LAWS OF THE STATE OF NEW YORK.

SECTION 5. NO NOVATION

                 Except as expressly set forth herein, this Amendment shall not
by implication or otherwise limit, impair, constitute a waiver of or otherwise
affect the rights and remedies of any party under the Credit Agreement, or any
amendment thereto, nor alter, modify, amend or in any way affect any of the
terms, conditions, obligations, covenants or agreements contained in the Credit
Agreement, or any amendment thereto, all of which are ratified and affirmed in
all respects and shall continue in full force and effect.  This Amendment shall
apply and be effective only with respect to the provisions of the Credit
Agreement specifically referred to herein.

                 Each Loan Party acknowledges and agrees that (i) each of the
Guarantee Agreements and Security Documents to which it is a party or otherwise
bound shall continue in full force and effect and that all of its obligations
thereunder shall be valid





                                       16
<PAGE>   17
and enforceable and shall not be impaired or limited by the execution and
effectiveness of this Amendment and (ii) all obligations outstanding under the
Credit Agreement on the date hereof are owing without defense, offset or
counterclaim of any kind.

SECTION 6. CONFIRMATION OF APPOINTMENT OF ADMINISTRATIVE AGENT AND COLLATERAL
           AGENT; REMOVAL OF AGENTS

                 The Lenders hereby confirm the appointment of The Chase
Manhattan Bank ("Chase") to continue as Administrative Agent and Collateral
Agent under the Credit Agreement and the Loan Documents.  The Required Lenders
may remove Chase as Administrative Agent and/or Collateral Agent at any time by
giving not less than 30 days' notice to Chase.  Any such removal shall take
effect upon expiry of such notice, provided, however, that the Required Lenders
shall have appointed a successor agent to act as Administrative and/or
Collateral Agent, as the case may be, under the Credit Agreement with effect
from such removal.  Any successor Agent shall be subject to the Borrower's
approval, which shall not be unreasonably withheld.

SECTION 7. CONSENT TO METROPOLITAN LITHOTRIPSY ACQUISITION

                 At the request of Coram and the Borrower, the Lenders hereby
consent to the acquisition of the business of Metropolitan Lithotripsy
Associates, P.C. ("MLA") and certain of its affiliates (the "Acquisition");
provided that the aggregate purchase price paid by Coram and its Subsidiaries
does not exceed $10,500,000.

                 Without limiting the generality of the provisions of
subsection 9.08 of the Credit Agreement, the consent set forth herein shall be
limited precisely as written and is provided solely for the purpose of
permitting the Borrower to make the Acquisition without violating the
provisions of Section 6 of the Credit Agreement, and this Consent does not
constitute, nor should it be construed as, a waiver of compliance by Coram or
the Borrower with respect to (i) Section 6 of the Credit Agreement in any other
instance or (ii) any other term, provision or condition of the Credit Agreement
or any other instrument or agreement referred to therein (whether in connection
with the Acquisition or otherwise).





                                       17
<PAGE>   18
SECTION 8. COUNTERPARTS; EFFECTIVENESS

                 This Amendment may be executed in two or more counterparts,
each of which shall constitute an original but all of which when taken together
shall constitute but one contract.  Delivery of an executed counterpart of a
signature page of this Amendment by facsimile transmission shall be as
effective as delivery of a manually executed counterpart of this Amendment.
This Amendment (other than the provisions of Sections 1, 6 and 7 which shall
become effective as provided in Section 2 hereof) shall become effective upon
execution of a counterpart hereof by the Borrower, Coram, each Subsidiary
Guarantor, each Lender and authorization of delivery of such counterparts.

SECTION 9. MISCELLANEOUS

                 A.       The Borrower acknowledges that all costs, fees and
expenses as described in subsection 9.05 of the Credit Agreement, or otherwise
provided for under the Loan Documents, incurred with respect to this Amendment
and the documents and transactions contemplated hereby shall be for the account
of the Borrower, subject to the limitation contained in Section 2(H)(iii) of
this Amendment.

                 B.       Section and subsection headings in this Amendment are
included herein for convenience of reference only and shall not constitute a
part of this Amendment for any other purpose or be given any substantive
effect.

                 IN WITNESS WHEREOF, the parties hereto have caused this
Amendment to be duly executed and delivered by their respective officers
thereunto duly authorized as of the date first written above.

                                            CORAM HEALTHCARE CORPORATION


                                            By: 
                                               -----------------------------
                                            Name:
                                            Title:






                                       18
<PAGE>   19
                                               CORAM, INC.


                                               By:
                                                  ----------------------
                                               Name:
                                               Title:

                                               EACH SUBSIDIARY
                                               GUARANTOR LISTED ON
                                               ANNEX I


                                               By: 
                                                  ----------------------
                                               Name:
                                               Title:


                                               THE CHASE MANHATTAN
                                               BANK, as Administrative Agent
                                               and as Collateral Agent


                                               By:
                                                  ----------------------
                                               Name:
                                               Title:

                                               Lenders
                                               -------

                                               GOLDMAN SACHS CREDIT
                                               PARTNERS L.P.


                                               By:
                                                  ----------------------
                                               Name:
                                               Title:






                                       19
<PAGE>   20
                                 SCHEDULE 2.01
                                  Commitments

<TABLE>
<CAPTION>
                                                Term Loan        Revolving
                                                ---------        ---------
Lender                                          Commitment       Commitment
- ------                                          ----------       ----------
<S>                                             <C>               <C>
Goldman Sachs Credit Partners L.P.              $115,000,000      $35,000,000
c/o Goldman, Sachs & Co.
85 Broad Street
New York, NY 10010
Telephone: (212) 902-2004
Telecopy: (212) 902-2417
</TABLE>





                                       20


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