Sierra Health Services Inc Watch

from 10-Q ~20 pages Fifth Amendment to Credit Agreement Dated as of June 26, 2006 With Respect to That Certain Credit Agreement Dated as of March 3, 2003 Among Sierra Health Services, Inc., as Borrower, and Certain Subsidiaries of the Borrower From Time to Time Party Hereto, as Guarantors, Bank of America, N.A., as Administrative Agent and L/C Issuer, and the Other Lenders Party Hereto US Bank, N.A. and Calyon New York Branch (Formerly Known as Credit Lyonnais New York Branch), as Syndication Agents, the Bank of New York, Jpmorgan Chase Bank, Harris N.A. and Wells Fargo Bank, N.A., as Documentation Agents Banc of America Securities LLC, as Sole Lead Arranger and Sole Book Manager Fifth Amendment to Credit Agreement

from 8-K ~10 pages Fourth Amendment to Credit Agreement Dated as of October 19, 2004 With Respect to That Certain Credit Agreement Dated as of March 3, 2003 Among Sierra Health Services, Inc., as Borrower, and Certain Subsidiaries of the Borrower From Time to Time Party Hereto, as Guarantors, Bank of America, N.A., as Administrative Agent and L/C Issuer, and the Other Lenders Party Hereto Calyon New York Branch (Formerly Known as Credit Lyonnais New York Branch), and U.S. Bank National Assocation, as Syndication Agents, Banc of America Securities LLC, Calyon New York Branch and U.S. Bank National Assocation, as Joint Book Managers Banc of America Securities LLC, as Sole Lead Arranger Fourth Amendment to Credit Agreement

from 10-K ~5 pages Second Amendment to Credit Agreement

from 10-K ~5 pages First Amendment to Credit Agreement

from 10-K >50 pages Credit Agreement Dated as of March 3, 2003 Among Sierra Health Services, Inc., as Borrower, and Certain Subsidiaries of the Borrower From Time to Time Party Hereto, as Guarantors, Bank of America, N.A., as Administrative Agent and L/C Issuer, and the Other Lenders Party Hereto Credit Lyonnais New York Branch, as Syndication Agent, U.S. Bank National Assocation, as Documentation Agent and Banc of America Securities LLC, as Sole Lead Arranger and Sole Book Manager

from 10-K 1 page Amendment No. 2 to Loan Agreement Pursuant to Section 2.4 of the Loan Agreement, This Amendment No. 2 to the Loan Agreement Dated as of August 11, 1997 and Amended June 30, 1998, Is Hereby Amended as of April 10, 2000 as Follows: The Definition of "Termination Date" Set Forth in Section 1, Definitions, of the Loan Agreement Is Hereby Deleted in Its Entirety and Replaced With the Following Definition to Read as Follows: "Termination Date" Means June 30, 2002, Unless Extended or Terminated Earlier Pursuant to Section 2.4 of the Agreement. in Witness Whereof, Each of the Parties Hereto Has Duly Executed or Caused This Amendment No. 2 to Be Duly Executed by Its Authorized Officers as of the Date and Year First Written Above. Borrower: /S/ Anthony M. Marlon Anthony M. Marlon, M.D. Lender: Sierra Health Services, Inc. By: /S/ Erin Macdonald Title: President and COO

from 10-K 1 page Amendment No. 1 to Loan Agreement Pursuant to Section 2.4 of the Loan Agreement, This Amendment No. 1 to the Loan Agreement Dated as of August 11, 1997, Is Hereby Amended as of June 30, 1998, as Follows: The Definition of "Termination Date" Set Forth in Section 1, Definitions, of the Loan Agreement Is Hereby Deleted in Its Entirety and Replaced With the Following Definition to Read as Follows: "Termination Date" Means August 15, 1999, Unless Extended or Terminated Earlier Pursuant to Section 2.4 of the Agreement. in Witness Whereof, Each of the Parties Hereto Has Duly Executed or Caused This Amendment No. 1 to Be Duly Executed by Its Authorized Officer as of the Date and Year First Written Above. Borrower: /S/ Anthony M. Marlon Anthony M. Marlon, M.D. Lender: Sierra Health Services, Inc. By: /S/ Erin E. Macdonald Title: President and COO