Item 1.01 Entry into a Material Definitive Agreement.
On June 15, 2009 (the "Effective Date"), LHC Group, Inc., a Delaware Corporation (the "Company"), entered into a First Amendment to Amended and Restated Credit Agreement (the "First Amendment") with Capital One, National Association, as a lender and administrative agent (the "Agent"), Capital One Corporation, as sole book runner and sole lead arranger, and the lenders party thereto (the "Lenders"). The First Amendment amends that certain Amended and Restated Credit Agreement (the "Credit Agreement"), dated June 12, 2008, by and among the Company, the Agent and the Lenders.
The First Amendment amends the Credit Agreement to, among other things,
(i) extend the term of the Credit Agreement to June 15, 2011 (subject to certain limited exceptions), (ii) increase the monetary threshold upon which the Company is obligated to provide notice to, and procure the consent of the Agent, on behalf of the Required Lenders (as defined in the First Amendment) for certain acquisitions (from expenditures of consideration previously in excess of $5.0 million to expenditures of consideration in excess of $10.0 million), and
(iii) amend the interest rate for borrowings under the Credit Agreement to, at the election of the Company, either the Base Rate (as defined in the First Amendment, and subject to a 3.75% per annum floor), or the Eurodollar Rate (as defined in the First Amendment, and subject to a 1.75% per annum floor). Borrowings accruing interest under the Credit Agreement at either the Base Rate or the Eurodollar Rate are subject to the applicable margins set forth below:

EURODOLLAR BASE RATE LEVERAGE RATIO MARGIN MARGIN < 1.00:1.00 2.25 % 0.50 % > 1.00:1.00 < 1.50:100 2.50 % 0.75 % > 1.50:1.00 < 2.00:1.00 2.75 % 1.00 % > 2.00:1.00 3.00 % 1.25 %

The First Amendment also deletes affirmative covenants requiring that the Company maintain certain tangible net worth and working capital ratios at the end of each fiscal quarter and includes new affirmative covenants requiring that the Company, at the end of each fiscal quarter:
• Maintain a Consolidated Net Worth (as defined in the First Amendment) of at least $170.0 million, which will increase by 50% of net income (if positive) for each subsequent quarter after the Effective Date, plus 85% of the net proceeds received by the Company from the issuance or sale of equity capital (subject to stated exceptions) in any subsequent quarter after the Effective Date.

• Maintain a Minimum Asset Coverage (as defined in the First Amendment) ratio of at least 1.20 to 1.00.

Each of the Consolidated Net Worth and Minimum Asset Coverage covenants will be tested by the Agent on a quarterly basis, commencing June 30, 2009.
The foregoing description of the First Amendment does not purport to be complete and is qualified in its entirety by reference to the complete terms and conditions of the First Amendment, which is attached as Exhibit 10.1 to this Current Report on Form 8-K and is incorporated herein by reference. Item 9.01 Financial Statements and Exhibits.
(d) Exhibits

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10.1 First Amendment to Amended and Restated Credit Agreement dates as of June 15, 2009, by and among LHC Group, Inc., Capital One, National Association, as a lender and administrative agent for the lenders, Capital One Corporation, as sole book runner and sole lead arranger, and the lenders party thereto.

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