EXTENSION AMENDMENT , dated as of June 30, 2003 (" Extension Amendment "), to the LOAN AND
SECURITY AGREEMENT , dated as of November 1, 2000 (as amended prior to the date hereof, the " Original
LSA ", and as it may be amended, modified or supplemented on and after the date hereof, including by this
Extension Amendment, the " LSA "), between MIM FUNDING LLC, a Delaware limited liability company
(together with its successors and assigns, the " Purchaser ") and HFG HEALTHCO-4 LLC (the " Lender ").
Unless otherwise defined herein, terms in the LSA are used herein as therein defined.
The Provider and the Purchaser wish to extend the Original LSA, subject to the amendments contained
herein, and the Lender has agreed to consent to such extension and amendments.
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 the fulfillment of the conditions set forth
below, the parties hereto agree as follows:
SECTION 1. AMENDMENTS TO LSA
Effective as of the Effective Date, the Original LSA is hereby amended as follows:
1.1 Section 1.02(a) of the Original LSA is hereby amended by (i) deleting such subsection in its
entirety, and (ii) substituting therefor the following new subsection:
"(a) The Revolving Loan at any time shall not exceed an amount equal to the lesser of (i)
$45,000,000 (such amount, or such other amount after giving effect to any increase pursuant to the
provisions of Section 1.02(d) hereof or any decrease pursuant to the provisions of Section 1.02(e)
hereof, the ' Revolving Commitment '), and (ii) the Borrowing Base as of such time minus the portion
of the Borrowing Base supporting the Term Loans (the lesser of (i) and (ii) being the ' Borrowing
1.2 Section 1.02 of the Original LSA is hereby adding the following new subsections (d) and (e) at
the end of suc