Exhibit 10.1

 

AMENDMENT NO. 6 TO CREDIT AGREEMENT

 

Dated as of March 12, 2004

 

among

 

TRIAD HOSPITALS, INC.,

as Borrower

 

AND

 

BANK OF AMERICA, N.A.,

as Administrative Agent on behalf of itself and the Lenders

 

Arranged By:

 

BANC OF AMERICA SECURITIES LLC and THE BANK OF NOVA SCOTIA

as Joint Lead Arrangers

 

AND

 

BANC OF AMERICA SECURITIES LLC, THE BANK OF NOVA SCOTIA AND FLEET NATIONAL

BANK

as Joint Book Runners

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AMENDMENT NO. 6

 

THIS AMENDMENT NO. 6 dated as of March 12, 2004 (this “Amendment”) to the Credit
Agreement referenced below is by and among Triad Hospitals, Inc., a Delaware
corporation (the “Borrower”), and Bank of America, N.A., as Administrative Agent
on behalf of itself and the Lenders.

 

W I T N E S S E T H

 

WHEREAS, a $1.2 billion credit facility was established in favor of the Borrower
pursuant to the terms of that Amended and Restated Credit Agreement dated as of
April 27, 2001 (as amended and modified from time to time, the “Credit
Agreement”) among the Borrower, the lenders identified therein and Bank of
America, N.A., as Administrative Agent;

 

WHEREAS, the Borrower has requested certain modifications to the Credit
Agreement; and

 

WHEREAS, the requisite Lenders have agreed to the requested modifications and
the above-referenced waiver on the terms and conditions set forth herein and
have directed the Administrative Agent to enter into this Amendment for and on
their behalf.

 

NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows:

 

1. Defined Terms. Capitalized terms used herein but not otherwise defined herein
shall have the meanings provided to such terms in the Credit Agreement.

 

2. Amendments. The Credit Agreement is amended in the following respects:

 

2.1 The following paragraph and grid are hereby added after the first paragraph
in the definition of “Applicable Percentage” in Section 1.1 to read as follows:

 

Notwithstanding the foregoing, on and after the Amendment No. 6 Effective Date,
the Applicable Percentage for the Term Loan B Facility shall be subject to the
rates per annum set forth below opposite the applicable Consolidated Total
Leverage Ratio then in effect, it being understood that (i) the Applicable
Percentage for Base Rate Loans shall be the percentage set forth under the
column “Term Loan B Base Rate Loans” and (ii) the Applicable Percentage for
Eurodollar Loans shall be the percentage set forth under the column “Term Loan B
Eurodollar Loans”. Therefore, on the Amendment No. 6 Effective Date, the
Applicable Percentage with respect to Eurodollar Loans under the Term Loan B
Facility shall be reduced from 3.00% to 2.25% per annum and the Applicable
Percentage with respect to Base Rate Loans under the Term Loan B Facility shall
be reduced from 2.00% per annum to 1.25% per annum.

 

Consolidated Total Leverage Ratio

--------------------------------------------------------------------------------

   Term Loan B Base Rate
Loans

--------------------------------------------------------------------------------

    Term Loan B
Eurodollar Loans

--------------------------------------------------------------------------------

 

= 2.50:1.00

   1.25 %   2.25 %

< 2.50:1.00

   1.00 %   2.00 %

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2.2 Subclause (ii) in the definition of “Approved Asset Disposition” in Section
1.1 is hereby amended to read as follows:

 

(ii) up to the first twelve (12) facilities sold or disposed of by any member of
the Consolidated Group after the Closing Date;

 

2.3 A new subsection (K) is hereby added after subsection (J) in the definition
of “Asset Disposition” in Section 1.1 and shall read as follows:

 

and (K) the lease by the Borrower of (I) that certain Cessna Citation Encore,
manufacturer’s Serial Number 560-0561, Registration Number N511TH and (II) that
certain Cessna Citation X, manufacturer’s Serial Number 750-0040, Registration
Number N40KW (collectively, the “Jets”).

 

2.4 A new subclause (f) is added at the end of the first sentence in the
definition of “Change of Control” set forth in Section 1.1 and shall read as
follows:

 

or (f) the occurrence of a “Change in Control” under and as defined in the 2004
Refinancing Debt.

 

2.5 Subclause (iii) in the definition of “Excluded Property” in Section 1.1 is
hereby amended to read as follows:

 

(iii)(a) which consists of real property that existed or was acquired prior to
the Amendment No. 6 Effective Date and has a fair market value of less than $15
million or (b) which consists of real property that did not exist until after,
or was acquired after, the Amendment No. 6 Effective Date or

 

2.6 A new subclause (iv) in the definition of “Excluded Property” in Section 1.1
is hereby added to read as follows:

 

(iv) those properties which consist of real property acquired from Tenet
Healthcare Corporation or any subsidiary thereof in December 2003.

 

2.7 The reference to “$5 million” in subclause (iv) and the reference to “$50
million” in subclause (vii)(B) in the definition of “Permitted Acquisition” in
Section 1.1 are hereby amended to read as “$25 million” and “$100 million”,
respectively.

 

2.8 The reference to “twenty percent (20%)” in subclause (xvi) in the definition
of “Permitted Investments” in Section 1.1 is hereby amended to read as “thirty
percent (30%)”.

 

2.9 The references to “$5 million” in subclauses (ii) and (iii) of the
definition of “Pro Forma Compliance Certificate” in Section 1.1 are each hereby
amended to read as “$25 million”.

 

2.10 The following definitions are hereby added to Section 1.1 in the
appropriate alphabetical order and shall read as follows:

 

“2004 Refinancing Debt” has the meaning given such term in Section 9.1(o).

 

“Amendment No. 6 Effective Date” means March 12, 2004.

 

“Jets” has the meaning given such term in subclause (K) of the definition of
Asset Disposition in Section 1.1.

 

3

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2.11 The last sentence of Section 3.3(b)(ii)(A) is hereby deleted in its
entirety.

 

2.12 The reference to “$50 million” in subclause 3.3(b)(ii)(B) is hereby amended
to read as “$100 million”.

 

2.13 The last two sentences of Section 3.3(b)(ii)(B) are hereby deleted in their
entirety.

 

2.14 The reference to “twenty percent (20%)” in subclause (iii) of the proviso
in the last sentence of Section 8.12 is hereby amended to read as “thirty
percent (30%)”.

 

2.15 Subclause (i) in the first sentence of Section 8.13 is amended to read as
follows:

 

(i) all of its owned personal property located in the United States, other than
the Jets,

 

2.16 The following subclause (o) is added at the end of Section 9.1 and shall
read as follows:

 

(o) Indebtedness of the Borrower in an aggregate principal amount up to $850
million in the form of (A) Subordinated Debt that has terms that are not
materially less favorable to the Borrower than that of the Refinancing
Subordinated Debt and has a weighted average maturity that is greater than that
of the Loans hereunder and/or (B) unsecured senior notes that have terms that
are not materially less favorable to the Borrower than that of the Senior Notes
and have a weighted average maturity that is greater than that of the Loans
hereunder (the “2004 Refinancing Debt”); provided that the first $600 million of
the proceeds of the 2004 Refinancing Debt are used to (i) refinance the Senior
Notes and pay any accrued interest, transaction costs and tender or call
premiums related thereto in accordance with the terms hereof and/or (ii)
voluntarily prepay the Term Loans in accordance with the terms hereof.

 

2.17 Subclause (C) in Section 9.5(iv) is hereby amended to read as follows:

 

(C) the aggregate net book value of all assets sold, leased or otherwise
disposed of shall not exceed $100.0 million in any fiscal year,

 

2.18 The reference to “$5 million” in subclause (E) in Section 9.5(iv) is hereby
amended to read as “$25 million”.

 

2.19 The following sentence is hereby added at the end of clause (iv) of Section
9.5 and shall read as follows:

 

Notwithstanding subclause (A) above, a member of the Consolidated Group may make
an Asset Disposition which otherwise complies with the rest of the requirements
contained in this Section 9.5(iv) for consideration consisting of loans,
advances or extensions of credit to the buyer provided that such consideration
consisting of loans, advances or extensions of credit does not exceed $50
million in the aggregate at any one time outstanding.

 

2.20 The following sentence is hereby added as a separate paragraph at the end
of Section 9.5 and shall read as follows:

 

In addition to the foregoing, any member of the Consolidated Group may make
Asset Dispositions by way of donation, transfer or other disposition of assets
(whether real or personal property including cash) to State or local
municipalities (or other Governmental Authorities),

 

4

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nonprofit organizations, foundations, charities or similar entities of its
choice in an aggregate principal amount (for the Consolidated Group) of up to
$10 million in any fiscal year.

 

2.21 The following proviso is hereby added at the end of subsection (d) of
Section 9.8 and shall read as follows:

 

provided, further, however, that the Borrower may refinance the Senior Notes
with the 2004 Refinancing Debt.

 

2.22 Clause (ii) of Section 9.11 is hereby amended to read as follows:

 

(ii) pursuant to the terms of the Senior Subordinated Notes, the Refinancing
Subordinated Debt or the 2004 Refinancing Debt,

 

2.23 The reference to “twenty percent (20%)” in the second proviso in Section
9.12 is hereby amended to read as “thirty percent (30%)”.

 

2.24 Clause (i) in Section 10.1(g) is hereby amended to read as follows:

 

(i) The occurrence of an Event of Default under and as defined under the Senior
Notes, Interim Loan, Senior Subordinated Notes, the Refinancing Subordinated
Debt, the 2004 Refinancing Debt or the indentures or other governing instruments
relating thereto (in each case, if such Indebtedness is then outstanding);

 

3. The Guarantors join in the execution of this Amendment for purposes of
acknowledging and consenting to the terms of this Amendment and reaffirming
their guaranty obligations under the Guaranty Agreement.

 

4. The Borrower affirms that the representations and warranties in the Credit
Agreement and the other Credit Documents are true and correct in all material
respects as of the date hereof (except those which expressly relate to an
earlier period or date and except to the extent that changes in facts and
conditions on which such representations and warranties are based are required
or permitted under the Credit Agreement).

 

5. (i) This Amendment, other than Section 2.1, shall be effective as of the date
hereof upon receipt by the Administrative Agent of executed signature pages to
this Amendment from each of the parties hereto and executed copies of consents
from the Required Lenders and (ii) Section 2.1 shall be effective as of the date
hereof upon receipt by the Administrative Agent of executed signature pages to
this Amendment from each of the parties hereto and executed copies of consents
from the Required Lenders and all of the Tranche B Term Lenders. The
effectiveness of this Amendment is also subject to receipt by the Administrative
Agent of the amendment fee equal to five basis points (0.05%) on (A) the
Revolving Commitments of the Revolving Lenders consenting to this Amendment and
(B) the outstanding Term Loans of the Term Lenders consenting to this Amendment.

 

6. Except as modified hereby, all of the terms and provisions of the Credit
Agreement (including Schedules and Exhibits) shall remain in full force and
effect.

 

7. The Borrower agrees to pay all reasonable costs and expenses of the
Administrative Agent in connection with the preparation, execution and delivery
of this Amendment, including without limitation the reasonable fees and expenses
of Moore & Van Allen, PLLC.

 

5

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8. This Amendment may be executed in any number of counterparts, each of which
when so executed and delivered shall be deemed an original, and it shall not be
necessary in making proof of this Amendment to produce or account for more than
one such counterpart.

 

9. This Amendment shall be deemed to be a contract made under, and for all
purposes shall be construed in accordance with, the laws of the State of New
York.

 

[Signature Pages Follow]

 

6

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IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this
Amendment to be duly executed and delivered as of the date and year first above
written.

 

BORROWER:

 

TRIAD HOSPITALS, INC.,

a Delaware corporation

       

By:

 

/s/ James R. Bedenbaugh

           

--------------------------------------------------------------------------------

       

Name:

 

James R. Bedenbaugh

       

Title:

 

Senior Vice President & Treasurer

 

ADMINISTRATIVE AGENT:

 

BANK OF AMERICA, N.A.,

as Administrative Agent and on behalf of the Lenders

       

By:

 

/s/ Kevin Wagley

           

--------------------------------------------------------------------------------

       

Name:

 

Kevin Wagley

       

Title:

 

Principal

--------------------------------------------------------------------------------

Consented to by:

 

GUARANTOR:

         

ARIZONA ASC MANAGEMENT, INC.

               

DAY SURGERY, INC.

               

MEDICAL HOLDINGS, INC.

               

MEDICAL MANAGEMENT, INC.

               

PACIFIC GROUP ASC DIVISION, INC.

               

SOUTH ALABAMA MANAGED CARE

               

CONTRACTING, INC.

               

SOUTH ALABAMA MEDICAL MANAGEMENT SERVICES, INC.

               

SOUTH ALABAMA PHYSICAN SERVICES, INC.

               

SPROCKET MEDICAL MANAGEMENT, INC.

               

SURGICARE OF INDEPENDENCE, INC.

               

SURGICARE OF SAN LEANDRO, INC.

               

SURGICARE OF VICTORIA, INC.

               

SURGICARE OUTPATIENT CENTER OF LAKE CHARLES, INC.

               

SURGICENTER OF JOHNSON COUNTY, INC.

               

SURGICENTERS OF AMERICA, INC.

               

TRIAD EL—DORADO, INC.

               

TRIAD HOLDINGS III, INC.

               

TRIAD RC, INC.

               

TRIAD-ARIZONA I, INC.

               

TRIAD-SOUTH TULSA HOSPITAL COMPANY, INC.

               

CAROLINAS MEDICAL ALLIANCE, INC.

               

FRANKFORT HEALTH PARTNER, INC.

               

GADSDEN REGIONAL PRIMARY CARE, INC.

               

NC-CSH, INC.

               

NC-DSH, INC.

               

QHG GEORGIA HOLDINGS, INC.

               

QHG OF ALABAMA, INC.

               

QHG OF BARBERTON, INC.

               

QHG OF BLUFFTON, INC.

               

QHG OF ENTERPRISE, INC.

               

QHG OF FORREST COUNTY, INC

               

QHG OF FORT WAYNE, INC.

               

QHG OF GADSDEN, INC.

               

QHG OF HATTISBURG, INC.

               

QHG OF JACKSONVILLE, INC.

               

QHG OF LAKE CITY, INC.

               

QHG OF MASSILLON, INC.

               

QHG OF OHIO, INC.

               

QHG OF SOUTH CAROLINA, INC.

               

QHG OF SPARTANBURG, INC.

               

QHG OF SPRINGDALE, INC.

               

QHG OF TEXAS, INC.

                    By:   /s/ Donald P. Fay                        

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                    

Title:

  Executive Vice President and Secretary    

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

         

QHG OF WARSAW, INC.

           

QUORUM HEALTH GROUP OF VICKSBURG, INC.

           

SOFTWARE SALES CORP.

           

ST. JOSEPH MEDICAL GROUP, INC.

           

WESLEY HEALTHTRUST, INC.

            By:      

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

           

Name:

      Donald P. Fay            

Title:

      Executive Vice President and Secretary            

ALICE HOSPITAL, LLC

           

ALICE SURGEONS, LLC

            By:  

APS Medical, LLC, its Sole Member

                By:  

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

E.D. CLINICS, LLC

           

EL DORADO MEDICAL CENTER, LLC

           

By:

 

Arizona Medco, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

BRAZOS VALLEY SURGICAL CENTER, LLC

           

BVSC, LLC

           

By:

 

Brazos Medco, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

COLLEGE STATION MEDICAL CENTER, LLC

           

CSMC, LLC

           

By:

 

College Station Merger, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

     

CORONADO HOSPITAL, LLC

       

PAMPA MEDICAL CENTER, LLC

            By:  

Coronado Medical, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

HOBBS PHYSICIAN PRACTICE, LLC

           

LEA REGIONAL HOSPITAL, LLC

           

By:

 

Hobbs Medco, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

LRH, LLC

           

REGIONAL HOSPITAL OF LONGVIEW, LLC

           

By:

 

Longview Merger, LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

WILLAMETTE VALLEY CLINICS, LLC

           

WILLAMETTE VALLEY MEDICAL CENTER, LLC

           

By:

 

Oregon Healthcorp., LLC, its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Title:Fay                

Title:

  Executive Vice President and Manager            

BLUFFTON HEALTH SYSTEM LLC

           

By:

 

QHG of Bluffton, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

By:

 

Frankfort Health Partner, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

     

ST. JOSEPH HEALTH SYSTEM LLC

            By:  

QHG of Fort Wayne, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

By:

 

Frankfort Health Partner, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

WESLEY HEALTH SYSTEM LLC

           

By:

 

QHG OF Hattiesburg, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

By:

 

QHG of Forrest County, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

WARSAW HEALTH SYSTEM LLC

           

By:

 

QHG Warsaw, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

By:

 

Frankfort Health Partner, Inc., its Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

 

SACMC, LLC

   

SAN ANGELO COMMUNITY MEDICAL CENTER, LLC

   

By:

 

San Angelo Medical, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

SAN LEANDRO MEDICAL CENTER, LLC

   

SLH, LLC

   

By:

 

San Leandro, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

BROWNWOOD MEDICAL CENTER, LLC

   

MEDICAL CENTER OF BROWNWOOD, LLC

   

By:

 

Southern Texas Medical Center, LLC,

       

its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

PACIFIC PHYSICIANS SERVICE, LLC

   

By:

 

Sprocket Medical Management, Inc.,

       

its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

 

CLAREMORE PHYSICIANS, LLC

   

CLAREMORE REGIONAL HOSPITAL, LLC

   

CLINICO, LLC

   

IRHC, LLC (F/K/A INDEPENDENCE REGIONAL HEALTH CENTER, LLC)

   

KENSINGCARE, LLC

   

MEDICAL PARK HOSPITAL, LLC

   

MEDICAL PARK MSO, LLC

   

PHYS-MED, LLC

   

PRIMARY MEDICAL, LLC

   

SOUTH ARKANSAS CLINIC, LLC

   

TRIAD CSGP, LLC

   

TROSCO, LLC

   

TRUFOR PHARMACY, LLC

   

WOMEN & CHILDREN’S HOSPITAL, LLC

   

By:

 

Triad Holdings II, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager

 

--------------------------------------------------------------------------------

GUARANTOR:

 

ARIZONA DH, LLC

   

CSDS, LLC

   

GRB REAL ESTATE, LLC

   

GREENBRIER VMC, LLC

   

LS PSYCHIATRIC, LLC

   

MISSOURI HEALTHSERV, LLC

   

TRIAD-DENTON HOSPITAL GP, LLC

   

VFARC, LLC

   

VHC HOLDINGS, LLC

   

VHC MEDICAL, LLC

   

VMF MEDICAL, LLC

   

WEST VIRGINIA MS, LLC

   

WHMC, LLC

   

WH MEDICAL, LLC

   

WOODLAND HEIGHTS MEDICAL CENTER, LLC

   

By:

 

Triad Holdings III, Inc., its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Secretary    

MEDICAL CENTER AT TERRELL, LLC

   

TERRELL MEDICAL CENTER, LLC

   

By:

 

Triad-Medical Center at Terrell Subsidiary, LLC,

       

its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

NAVARRO REGIONAL, LLC

   

NRH, LLC

   

By:

 

Triad-Navarro Regional Hospital Subsidiary, LLC,

       

its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager

 

[SIGNATURE PAGES CONTINUE]

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GUARANTOR:

 

APS MEDICAL, LLC

   

ARIZONA MEDCO, LLC

   

BRAZOS MEDCO, LLC

   

CARLSBAD MEDICAL CENTER, LLC

   

COLLEGE STATION MERGER, LLC

   

CORONADO MEDICAL, LLC

   

DALLAS PHY SERVICE, LLC

   

DFW PHYSERV, LLC

   

EYE INSTITUTE OF SOUTHERN ARIZONA, LLC

   

GH TEXAS, LLC

   

GHC HOSPITAL, LLC

   

HDP WOODLAND PROPERTY, LLC

   

HDPWH, LLC

   

HOBBS MEDCO, LLC

   

LAS CRUCES MEDICAL CENTER, LLC

   

LONGVIEW MERGER, LLC

   

NORTHWEST HOSPITAL, LLC

   

NORTHWEST RANCHO VISTOSO IMAGING SERVICES, LLC

   

OPRMC, LLC (F/K/A OVERLAND PARK REGIONAL MEDICAL CENTER, LLC)

   

OREGON HEALTHCORP, LLC

   

PACIFIC WEST DIVISION OFFICE, LLC

   

PECOS VALLEY OF NEW MEXICO, LLC

   

PHOENIX SURGICAL, LLC

   

SAN ANGELO MEDICAL, LLC

   

SAN LEANDRO, LLC

   

SOUTHERN TEXAS MEDICAL CENTER, LLC

   

TRIAD CSLP, LLC

   

TRIAD TEXAS, LLC

   

TRIAD-MEDICAL CENTER AT TERRELL SUBSIDIARY, LLC

   

TRIAD-NAVARRO REGIONAL HOSPITAL SUBSIDIARY, LLC

   

WHARTON MEDCO, LLC

   

By:

 

Triad Hospitals, Inc., its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Secretary    

DETAR HOSPITAL, LLC

   

VICTORIA HOSPITAL, LLC

   

By:

 

VHC Medical, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager

 

[SIGNATURE PAGES CONTINUE]

 

--------------------------------------------------------------------------------

GUARANTOR:

 

WAMC, LLC

   

By:

 

West Anaheim, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

GCMC, LLC

   

GULF COAST MEDICAL CENTER, LLC

   

By:

 

Wharton Medco, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

LAKE AREA PHYSICIAN SERVICES, L.L.C.

   

By:

 

Women & Children Hospital, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

AMERICAN HEALTH FACILITIES DEVELOPMENT, LLC

   

QHR INTERNATIONAL, LLC

   

THE INTENSIVE RESOURCE GROUP, LLC

   

By:

 

Quorum Health Resources, LLC, its Sole Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

HATTIESBURG ASG-GP

   

By:

 

Wesley Health System LLC, its Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Manager    

By:

 

QHG of Forrest County, Inc., its Member

       

By:

 

/s/ Donald P. Fay

           

--------------------------------------------------------------------------------

       

Name:

  Donald P. Fay        

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

     

DALLAS PHYSICIAN PRACTICE, L.P.

           

By:

 

DPW Physerv, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

GULF COAST HOSPITAL, L.P.

           

By:

 

Gulf Coast Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

HDP WOODLAND HEIGHTS, L.P.

           

By:

 

HDP Woodland Property, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

NAVARRO HOSPITAL, L.P.

           

By:

 

Navarro Regional, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

PAMPA HOSPITAL, L.P.

           

By:

 

Pampa Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:

     

QHG GEORGIA, LP

           

By:

 

QHG Georgia Holdings, Inc., its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

REHAB HOSPITAL OF FORT WAYNE GENERAL PARTNERSHIP

           

By:

 

QHG of Fort Wayne, Inc., its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

IOM HEALTH SYSTEM, L.P.

           

By:

 

QHG of Indiana, Inc., its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

LONGVIEW MEDICAL CENTER, L.P.

           

By:

 

Regional Hospital of Longview, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

SAN ANGELO HOSPITAL, L.P.

           

By:

 

San Angelo Community Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

SAN LEANDRO HOSPITAL, L.P.

           

By:

 

San Leandro Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager

 

[SIGNATURE PAGES CONTINUE]

 

--------------------------------------------------------------------------------

GUARANTOR:

     

TERRELL HOSPITAL, L.P.

           

By:

 

Terrell Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

TRIAD CORPORATE SERVICES, LIMITED PARTNERSHIP

           

By:

 

Triad CSGP, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

PACIFIC EAST DIVISION OFFICE, L.P.

           

By:

 

Triad Texas, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

TRIAD-DENTON HOSPITAL, L.P.

           

By:

 

Triad-Denton Hospital GP, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

PINEY WOODS HEALTHCARE SYSTEM, L.P.

           

By:

 

Woodland Heights Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

QUORUM ELF, INC.

           

QUORUM HEALTH SERVICES, INC.

           

By:

 

/s/ Donald P. Fay

               

--------------------------------------------------------------------------------

           

Name:

  Donald P. Fay            

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

 

--------------------------------------------------------------------------------

GUARANTOR:

     

QUORUM HEALTH RESOURCES, LLC

           

By:

 

Quorum Health Group, Inc., its Sole Member

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary            

PHYSICIANS AND SURGEONS HOSPITAL OF ALICE, L.P.

           

By:

 

Alice Hospital, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

BRAZOS VALLEY OF TEXAS, L.P.

           

By:

 

Brazos Valley Surgical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

BROWNWOOD HOSPITAL, L.P.

           

By:

 

Brownwood Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

COLLEGE STATION HOSPITAL, L.P.

           

By:

 

College Station Medical Center, LLC, its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Manager            

CRESTWOOD HEALTHCARE, L.P.

           

By:

 

Crestwood Hospital & Nursing Home, Inc., its General Partner

               

By:

 

/s/ Donald P. Fay

                   

--------------------------------------------------------------------------------

               

Name:

  Donald P. Fay                

Title:

  Executive Vice President and Secretary

 

[SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:   VICTORIA OF TEXAS, L.P.             By:   DeTar Hospital, LLC, its
General Partner                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Manager         ABILENE HOSPITAL, LLC             By:   NC-SCHI,
INC., its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President         ABILENE MERGER, LLC             By:   Quorum, Inc., its Sole
Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President         ARMC, LP             By:   Triad-ARMC, LLC, its Sole Member  
              By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President         CRESTWOOD HOSPITAL, LLC             By:   Triad Holdings III,
its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Secretary         CRESTWOOD HOSPITAL LP, LLC             By:  
Crestwood Hospital, LLC, its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Secretary [SIGNATURE PAGES CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:   GASLIGHT ASC-GP, LLC             By:   Pineywoods Healthcare
Systems, L.P., its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President     MMC OF NEVADA, LLC             By:   Triad Hospitals, Inc., its
Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President     NORTHWEST PHYSICIANS, LLC             By:   QHG of Springdale,
Inc., its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President     PDMC, LLC             By:   Sebastopol, LLC, its Sole Member      
          By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:         PROCURE
SOLUTIONS, LLC             By:   Quorum Health Group, Inc., its Sole Member    
            By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:         SOUTHCREST,
L.L.C.             By:   Triad-South Tulsa Hospital Company, Inc. its Sole
Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:     [SIGNATURE PAGES
CONTINUE]

--------------------------------------------------------------------------------

GUARANTOR:   TRIAD HOLDINGS IV, LLC             By:   Triad Hospitals, Inc., its
Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Secretary     TRIAD HOLDINGS V, LLC             By:   Triad
Hospitals, Inc. its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Secretary         TRIAD HOLDINGS VI, INC.             By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

            Name:   Donald P. Fay         Title:   Executive Vice President and
Secretary     TRIAD OF INDIANA, LLC             By:   Triad Holdings V, LLC, its
Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President and Secretary     TRIAD-ARMC, LLC             By:   NC-SCHI, Inc., its
Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President     TRIAD-WILLOW CREEK, LLC             By:   QHG of Springdale, Inc.,
its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   Executive Vice
President [SIGNATURE PAGES CONTINUE]

 

23

--------------------------------------------------------------------------------

GUARANTOR:   MADISON’S HOSPITAL, LLC             By:   Triad Holdings II, LLC,
its Sole Member                 By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

                Name:   Donald P. Fay             Title:   President        
SURGICENTERS OF AMERICA, INC.             By:  

/s/ Donald P. Fay

--------------------------------------------------------------------------------

            Name:   Donald P. Fay         Title:   Executive President and
Secretary

 

24