EXHIBIT 10.46 AMENDMENT NO. 5 TO AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND REIMBURSEMENT AGREEMENT AND RELATED DOCUMENTS THIS AMENDMENT NO. 5 TO AMENDED AND RESTATED REVOLVING CREDIT, TERM LOAN AND REIMBURSEMENT AGREEMENT AND RELATED DOCUMENTS (the "Amendment") dated as of February 15, 1997, is made by and among VITAS HEALTHCARE CORPORATION, a Delaware Corporation (the "Borrower"), and NATIONSBANK, NATIONAL ASSOCIATION (SOUTH) (successor by merger of NationsBank of Florida, National Association), a national banking association (the "Lender"), and NATIONSBANK, NATIONAL ASSOCIATION (SOUTH), as Agent for the Lender; W I T N E S S E T H: WHEREAS, the Lender, by an Amended and Restated Revolving Credit, Term Loan and Reimbursement Agreement dated as of February, 17, 1995, as amended by Amendment No. 1 dated as of June 30, 1995, by Amendment No. 2 dated March 28, 1996, by a letter agreement dated August 5, 1996, by Amendment No. 3 dated September 30, 1996 and by Amendment No. 4 dated as of November 1, 1996 (the "Agreement"), has agreed to make available and has made available to Borrower a Revolving Credit Facility (as defined in the Agreement) of up to $11,600,000 and a Term Loan (as defined in the Agreement) of $25,000,000; and WHEREAS, in connection with the loan by the Lender to the ESOP (as defined in the Agreement), the Borrower executed and delivered to the Lender the ESOP Guaranty (as defined in the Agreement); and WHEREAS, the Borrower has requested that the Revolving Credit Termination Date and the Term Loan Maturity Date provided for in the Agreement be extended as herein specified; and WHEREAS, the Lender is willing to extend the maturity dates on a short-term basis so long as certain payments to holders of preferred stock are deferred and certain other provisions of the Agreement are further amended; and WHEREAS, the Lender and the Borrower have agreed to amend the Agreement in the manner set forth herein; NOW, THEREFORE, in consideration of the mutual covenants, promises and conditions herein set forth, it is hereby agreed as follows: 1. The term "Agreement" as used herein and in the Agreement, the Guaranties, the Notes and the other Loan Documents (each as defined in the Agreement), and the term "Revolving Credit Agreement" as used in the ESOP Guaranty and the other ESOP Loan Documents (as defined in the Agreement) shall mean the Agreement as heretofore and hereby amended and modified. Unless the context otherwise requires, all capitalized terms used herein and in the other Loan Documents without definition shall have the respective meanings provided therefor in the Agreement. 2. Subject to and upon satisfaction of the conditions set forth in paragraph 6 hereof, the Agreement shall be and hereby is amended as follows: (a) The definitions of each of "Revolving Credit Termination Date" and "Term Loan Maturity Date" are amended by deleting clause (i) and substituting in lieu thereof the following clause (i): "(i) March 24, 1997,"; (b) The definition of "Total Revolving Credit Commitment" is amended by deleting the amount "$11,600,000" and substituting in lieu thereof the amount "$8,850,000; and (c) Section 9.10 is amended by (w) inserting in the text of clause (i) after the phrase "Preferred Stock", the phrase "after March 31, 1997"; (x) inserting in the text of clause (ii) after the phrase "Preferred Stock Redemptions" the phrase "after March 31, 1997"; and (y) inserting in the text of clause (iii) after the phrase "Qualified Equity Securities", the phrase "after March 31, 1997". 3. Subject to and upon satisfaction of the conditions set forth in paragraph 6 hereof, Section 5.10 of the ESOP Guaranty shall be and hereby is amended by (w) inserting in the text of clause (i) after the phrase "Preferred Stock", the phrase "after March 31, 1997"; (x) inserting in the text of clause (ii) after the phrase "Preferred Stock Redemptions" the phrase "after March 31,1997"; and (y) inserting in the text of clause (iii) after the phrase "Qualified Equity Securities", the phrase "after March 31, 1997". 4. Each of the Subsidiaries of the Borrower who has previously delivered a Guaranty to the Agent has joined in the execution of this Amendment for the purposes of consenting to this Amendment and affirming its guaranty and of the Obligations of Borrower arising under the Agreement and the other Loan Documents as amended by this Amendment, and of its other undertakings and obligations under each of the other Loan Documents and ESOP Loan Documents to which it is a signatory. 5. The Borrower hereby represents and warrants to the Agent and the Lender that as of the date hereof the Agreement has been re-examined by the Borrower and: (i) The representations and warranties made by the Borrower therein and in the other Loan Documents (including the Schedules to the Agreement and the other Loan Documents) as modified to give effect to the information contained in the disclosure schedules delivered by the Borrower (the "Vitas Disclosure Schedules") in connection with its execution and delivery of the Apria Acquisition Agreement and the financial and other information 2 previously provided to the Agent and the Lender by the Borrower in writing (the "Vitas Information"), are true, complete and correct in all material respects on and as of the date hereof, and shall survive the execution and delivery of this Amendment; (ii) The execution, delivery and performance of this Amendment will not conflict with or result in the breach of any of the provisions of, or cause a default under, the Articles of Incorporation or Bylaws of the Borrower, or any applicable law, rule or regulation, or any judgment, order, writ, injunction or decree of any court, administrative agency or other government instrumentality, to which the Borrower or any Subsidiary is subject or any agreement or instrument to which the Borrower or any Subsidiary is a party, the effect of which would have any material adverse effect on the ability of the Borrower or any Guarantor to observe the covenants and agreements contained in the Agreement or in any other Loan Document or any of the CHC Transaction Documents or to pay the Obligations, and will not result in the creation or imposition of any security interest, lien, charge or encumbrance on any of the assets of the Borrower or any Subsidiary. 6. As conditions to the effectiveness of this Amendment Agreement: A. the Borrower shall have delivered to the Agent: (a) counterparts of this Amendment duly executed by the Borrower and each of the Guarantors, (b) a copy of a Certificate of Amendment to the Amended and Restated Certificate of Incorporation of Vitas Healthcare Corporation providing for a new redemption schedule for the 9% Cumulative Non-Convertible Preferred Stock of Borrower; (c) such other documents and certifications as the Agent or the Lender may reasonably request; and (d) all accrued and unpaid interest previously billed by the Agent and not heretofore paid. B. there shall not have occurred either (i) any Default or Event of Default which shall not have been waived or (ii) any material adverse change in the business, financial condition or operations of the Borrower or any Subsidiary since September 30, 1996, except as disclosed in the Vitas Disclosure Schedules, the Vitas Information and other than the termination of the Apria Transaction. 7. This Amendment sets forth the entire understanding and agreement of the parties hereto in relation to the subject matter hereof and supersedes any prior negotiations and agreements among the parties relative to such subject matter. No promise, condition, representation or warranty, express or implied, not herein set forth shall bind any party hereto, and none of them has relied on any such promise, condition, representation or warranty. Each of the parties hereto acknowledges that, 3 except as in this Amendment otherwise expressly stated, no representations, warranties or commitments, express or implied, have been made by any party to the other. 8. Except as specifically amended, modified or supplemented by this Amendment, all of the other documents delivered in connection with the Loans, as heretofore amended, shall remain in full force and effect according to their respective terms. 9. Should any stamp or excise tax become payable under the laws of the United States or of any state or any subdivision thereof or municipality therein in respect of this Amendment, the Borrower shall pay the same (including interest penalties, if any) and shall hold the Lender and the Agent harmless with respect thereto. 10. This Amendment may be executed in any number of counterparts, each of which shall be deemed to be an original as against any party whose signature appears thereon, and all of which shall together constitute one and the same instrument. [remainder of page intentionally left blank] 4 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by their duly authorized officers, all as of the day and year first above written. VITAS HEALTHCARE CORPORATION WITNESS: /s/ [Signature Illegible] By: /s/ Mark W. Ohlendorf - ------------------------ --------------------------------- Name: Mark W. Ohlendorf /s/ Melissa Smith Title: Vice President, Chief Financial - ------------------------ Officer and Treasurer 5 NATIONSBANK NATIONAL ASSOCIATION (SOUTH), as Agent By: /s/ S. Manchanda ------------------------------- Name: S. Manchanda ----------------------------- Title: Vice President NATIONSBANK NATIONAL ASSOCIATION (SOUTH), as Lender By: /s/ S. Manchanda ------------------------------- Name: S. Manchanda ----------------------------- Title: Vice President 6 GUARANTORS: VITAS HEALTHCARE CORPORATION OF FLORIDA By: /s/ Mark W. Ohlendorf ---------------------------- Name: Mark W. Ohlendorf Title: Vice President VITAS HEALTHCARE CORPORATION OF OHIO By: /s/ Mark W. Ohlendorf ---------------------------- Name: Mark W. Ohlendorf Title: Vice President VITAS HEALTHCARE CORPORATION OF PENNSYLVANIA By: /s/ Mark W. Ohlendorf ---------------------------- Name: Mark W. Ohlendorf Title: Vice President VITAS HEALTHCARE CORPORATION OF CALIFORNIA By: /s/ Mark W. Ohlendorf ---------------------------- Name: Mark W. Ohlendorf Title: Vice President VITAS HEALTHCARE CORPORATION OF CENTRAL FLORIDA By: /s/ Mark W. Ohlendorf ---------------------------- Name: Mark W. Ohlendorf Title: Vice President 7