Exhibit 10.1

 

AMENDMENT NO. 5

AND WAIVER

 

THIS AMENDMENT NO. 5 AND WAIVER dated as of September 25, 2003 (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, Merrill Lynch &
Co., as Syndication Agent, The Chase Manhattan Bank and Citicorp USA, Inc., as
Co-Documentation Agents, and Bank of America, N.A., as Administrative Agent;

 

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

 

WHEREAS, the Borrower anticipates selling the Overland Park Medical Center in
Overland Park, Kansas and the Independence Regional Health Center in
Independence, Missouri (including without limitation certain surgery centers,
medical office buildings, leases and other property, rights and interests
related thereto) (the “Kansas City Facilities”) for approximately $138 million
in cash;

 

WHEREAS, the Borrower has requested that the Lenders waive the terms of Section
3.3(b)(ii)(A) of the Credit Agreement and agree that the Net Proceeds received
by the Borrower from the sale of the Kansas City Facilities need not be used by
the Borrower to prepay the Loans as required by Section 3.3(b)(ii)(A) of 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. Waiver. Subject to the other terms and conditions of this Amendment, the
Lenders hereby agree that the Net Proceeds received by the Borrower from the
sale of the Kansas City Facilities need not be used by the Borrower to prepay
the Loans, notwithstanding the terms of Section 3.3(b)(ii)(A) of the Credit
Agreement. This waiver is a one-time waiver and shall not be construed to be (i)
a waiver as to compliance with the terms of the Credit Agreement in any other
instance, (ii) a waiver as to compliance with any other terms of the Credit
Agreement, (iii) a waiver of any Default or Event of Default that may otherwise
exist or (iv) a waiver of any other rights or remedies the Lenders may have
under the Credit Agreement, the other Credit Documents or applicable law.

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

 

3.1 Clause (e) in the definition of “Cash Equivalents” set forth in Section 1.1
is hereby amended to read as follows:

 

(e) Investments, classified in accordance with GAAP as current assets, in money
market investment programs (or investment funds of a similar type or nature)
which are administered by reputable financial institutions having capital of at
least $500.0 million and the portfolios of which are limited to Investments of
the character described in the foregoing subdivisions (a) through (d), except
for de minimus amounts of cash pending reinvestment by such program or fund.

 

3.2 The definition of “Change of Control” set forth in Section 1.1 is hereby
amended to read as follows:

 

“Change of Control” means any of the following events: (a) any Person or two or
more Persons acting in concert shall have acquired beneficial ownership,
directly or indirectly, of, or shall have acquired by contract or otherwise, or
shall have entered into a contract or arrangement that, upon consummation, will
result in its or their acquisition of or control over, Voting Stock of the
Borrower (or other securities convertible into such Voting Stock) representing
30% or more of the combined voting power of all Voting Stock of the Borrower,
(b) during any period of up to twenty-four (24) consecutive months, commencing
after the Closing Date, individuals who at the beginning of such 24 month period
were directors of the Borrower (together with any new director whose election by
the Borrower’s Board of Directors or whose nomination for election by the
Borrower’s shareholders was approved by a vote of at least two-thirds of the
directors then still in office who either were directors at the beginning of
such period or whose election or nomination for election was previously so
approved) cease for any reason to constitute a majority of the directors of the
Borrower then in office, (c) the occurrence of a “Change in Control” under and
as defined in the Senior Notes, (d) the occurrence of a “Change in Control”
under and as defined in the Senior Subordinated Notes or (e) the occurrence of a
“Change in Control” under and as defined in the Refinancing Subordinated Debt.
As used herein, “beneficial ownership” shall have the meaning provided in Rule
13d-3 of the Securities and Exchange Commission under the Securities Exchange
Act.

 

3.3 The language preceding the proviso in the definition of “Consolidated
EBITDA” set forth in Section 1.1 is hereby amended to read as follows:

 

“Consolidated EBITDA” means, for any period for the Consolidated Group, the sum
of (i) Consolidated Net Income plus (ii) to the extent deducted in determining
net income, (A) Consolidated Interest Expense, (B) taxes, (C) depreciation and
amortization, (D) ESOP expense, (E) any stock option expense, (F) non-recurring,
non-cash charges and adjustments (excluding any non-cash charges or adjustments
related to any inventory or receivables of any member of the Consolidated Group
and any non-cash charges that require an accrual of or reserves for cash charges
for any future period), (G) minority interests (to the extent distributions are
not required to be made and are not made in respect thereof), (H) any tender or
call premium paid in connection with the redemption of senior notes or senior
subordinated notes to the extent such redemption is permitted hereunder and (I)
other non-cash extraordinary items, in each case on a consolidated basis
determined in accordance with GAAP, subject to adjustment on a Pro Forma Basis;

 

2

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3.4 The definition of “Consolidated Total Leverage Ratio” in Section 1.1 is
hereby amended to read as follows:

 

“Consolidated Total Leverage Ratio” means, for the Consolidated Group as of the
last day of each fiscal quarter, the ratio of (A) Consolidated Total Funded Debt
(net of cash on the balance sheet of the Consolidated Group in excess of
$50,000,000 on such day; provided, that, there are no Revolving Loans or
Swingline Loans outstanding on such day) on such day to (B) Consolidated EBITDA
for the period of four (4) consecutive fiscal quarters ending as of such day.

 

3.5 A new clause (ix) is hereby added after clause (viii) in the definition of
“Funded Debt” in Section 1.1 and shall read as follows:

 

and (ix) in the case of Sale and Leaseback Transactions, the present value
(discounted in accordance with GAAP at the debt rate implied in the applicable
lease) of the obligations of the lessee for rental payments during the term of
such lease.

 

3.6 A new clause (o) is hereby added after clause (n) in the definition of
“Indebtedness” in Section 1.1 and shall read as follows:

 

and (o) with respect to any Sale and Leaseback Transaction, the present value
(discounted in accordance with GAAP at the debt rate implied in the applicable
lease) of the obligations of the lessee for rental payments during the term of
such lease.

 

3.7 The parenthetical in clause (b) of the definition of “Investment” in Section
1.1 is hereby amended to read as follows:

 

(other than deposits made in connection with (i) the construction, purchase or
lease of services, equipment or other assets in the ordinary course of business
and (ii) bids or other performance obligations made in the ordinary course of
business)

 

3.8 Clause (viii) in the definition of “Permitted Acquisition” in Section 1.1 is
renumbered as (ix) and amended to read as follows, and a new clause (viii) is
hereby added to the definition of “Permitted Acquisition” to read as follows:

 

(viii) with respect to the first four hospitals swapped with another Person
subsequent to the Amendment No. 5 Effective Date, the Borrower shall have
delivered to the Administrative Agent a certificate of an Executive Officer, in
detail reasonably satisfactory to the Administrative Agent, demonstrating that,
upon giving effect to such asset swap on a Pro Forma Basis, the Borrower shall
be in compliance with all of the covenants set forth in Section 8.11 and (ix) in
the case of any other asset swap, the Borrower shall have delivered to the
Administrative Agent a certificate of an Executive Officer, in detail reasonably
satisfactory to the Administrative Agent, demonstrating that, upon giving effect
to such asset swap on a Pro Forma Basis, Consolidated Funded Debt will not be
greater than, and Consolidated EBITDA will not be less than, prior to such asset
swap.

 

3.9 Clause (xviii) in the definition of “Permitted Investments” is renumbered as
(xxi) and amended to read as follows, and new clauses (xviii), (xix) and (xx)
are hereby added to the definition of “Permitted Investments” to read as
follows:

 

(xviii) guarantees in the ordinary course of business of the income of
physicians providing service to patients in facilities operated by the Borrower
or any Subsidiary;

 

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(xix) deposits of cash (including sweep accounts) with banks or other depository
institutions in the ordinary course of business; (xx) Investments in connection
with proposed like kind exchange transactions (intended to comply with the Code)
to the extent permitted hereunder and (xxi) Investments of a nature not
contemplated in the foregoing subsections in an amount not to exceed at any time
five percent (5%) of the consolidated assets of the Consolidated Group at such
time.

 

3.10 Clause (xix) in the definition of “Permitted Liens” is hereby amended to
read as follows:

 

(xix) deposits made by any member of the Consolidated Group in connection with
proposed like kind exchange transactions (intended to comply with the Code); and

 

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

 

“Amendment No. 5 Effective Date” means September 25, 2003.

 

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

 

3.12 Section 3.4(b) is hereby amended in its entirety to read as follows:

 

(b) Mandatory Reduction of Revolving Commitments. On any date that the Revolving
Obligations are required to be prepaid pursuant to the terms of Section 3.3(b),
the Revolving Commitments automatically shall be permanently reduced by the
amount of such required prepayment.

 

3.13 Section 7.17 is hereby amended in its entirety to read as follows:

 

7.17 Tax Shelter Regulations.

 

The Borrower does not intend to treat the Loans and/or Letters of Credit and
related transactions as being a “reportable transaction” (within the meaning of
Treasury Regulation Section 1.6011-4). In the event the Borrower determines to
take any action inconsistent with such intention, it will promptly notify the
Administrative Agent thereof. If the Borrower so notifies the Administrative
Agent, the Borrower acknowledges that one or more of the Lenders may treat its
Loans and/or its interest in Swingline Loans and/or Letters of Credit as part of
a transaction that is subject to Treasury Regulation Section 301.6112-1, and
such Lender or Lenders, as applicable, will maintain the lists and other records
required by such Treasury Regulation.

 

3.14 A new clause (p) is hereby added to Section 8.1 and shall read as follows:

 

(p) Tax Shelter Regulations. Promptly after the Borrower has notified the
Administrative Agent of any intention by the Borrower to treat the Loans and/or
Letters of Credit and related transactions as being a “reportable transaction”
(within the meaning of Treasury Regulation Section 1.6011-4), a duly completed
copy of IRS Form 8886 or any successor form.

 

3.15 The reference to “$375 million” in subclause (i) of Section 8.11(f) is
hereby amended to read “$450 million”.

 

4

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3.16 Clause (d) in Section 8.12 is hereby amended to read as follows:

 

(d) within 120 days after such Person becomes a direct or indirect Subsidiary of
THI, cause such Person to (i) if such Person is a Domestic Subsidiary which has
any Eligible Real Property, deliver to the Administrative Agent, with respect to
such Eligible Real Property, documents, instruments and other items of the types
required to be delivered pursuant to Section 5.5(g) all in form, content and
scope reasonably satisfactory to the Administrative Agent and (ii) deliver such
other documentation as the Administrative Agent may reasonably request in
connection with the foregoing, including, without limitation, appropriate UCC-1
financing statements, real estate title insurance policies, environmental
reports, landlord’s waivers, certified resolutions and other organizational and
authorizing documents of such Person, favorable opinions of counsel to such
Person (which shall cover, among other things, the legality, validity, binding
effect and enforceability of the documentation referred to above and the
perfection of the Administrative Agent’s liens thereunder) and other items of
the types required to be delivered pursuant to Section 5.1 (e), (f), (g), (h),
(i) and (r), all in form, content and scope reasonably satisfactory to the
Administrative Agent;

 

3.17 Clause (k) of Section 9.1 is amended to read as follows:

 

(k) guaranty obligations in respect of patient receivables sold, assigned,
turned over, conveyed or otherwise disposed of to collection agencies or other
third parties, provided that the aggregate amount of the obligations guarantied
shall not exceed $40 million at any time outstanding;

 

3.18 A new clause (n) is hereby added after clause (m) in Section 9.1 and shall
read as follows:

 

(n) Subordinated Debt of the Borrower in an aggregate principal amount not to
exceed $700 million that has terms that are not materially less favorable to the
Borrower and has a weighted average maturity that is greater than that of the
Senior Subordinated Notes (the “Refinancing Subordinated Debt”); provided that
the first $375 million of the proceeds of the Refinancing Subordinated Debt are
used to (i) refinance the Senior Subordinated Notes and pay any accrued
interest, transaction costs and tender or call premiums related thereto and (ii)
voluntarily prepay the Term Loans in accordance with the terms hereof;

 

3.19 Section 9.4(b) is hereby amended to read as follows:

 

(b) No member of the Consolidated Group, other than a Subsidiary of the Borrower
(and then only if no Material Adverse Effect shall result on account thereof),
may dissolve, liquidate or wind up its affairs.

 

3.20 Clause (iii) in Section 9.5 is hereby amended to read as follows:

 

(iii) it is the disposition of Overland Park Regional Medical Center or
Independence Regional Health Center; or

 

3.21 Section 9.7 is hereby amended in its entirety to read as follows:

 

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9.7 Restricted Payments.

 

No member of the Consolidated Group will make any Restricted Payment other than
(i) the payment in cash of pro rata dividends to the holders of Capital Stock of
Existing Controlled Subsidiaries; (ii) the payment in cash of pro rata dividends
to the holders of Capital Stock of Designated Controlled Subsidiaries; provided
that, after giving effect to any such payment of cash dividends on a Pro Forma
Basis to any holder of Capital Stock which is not a member of the Consolidated
Group, (a) no Default or Event of Default shall exist and (b) the aggregate
amount of dividends made to holders of Capital Stock which are not members of
the Consolidated Group for the applicable four (4) fiscal quarter period shall
not exceed twelve percent (12%) of the Consolidated EBITDA for the Consolidated
Group for such four (4) fiscal quarter period, (iii) so long as no Default or
Event of Default exists prior to and after giving effect to such transaction,
the Borrower may repurchase shares of its Capital Stock in an aggregate amount
not to exceed $150 million during the term of the Credit Agreement and (iv)
other Restricted Payments of $5.0 million in any fiscal year not to exceed $20.0
million in the aggregate; provided, however, that amounts not expended during
any fiscal year may be carried forward to succeeding fiscal years, subject to
the $20.0 million aggregate cap.

 

3.22 The following proviso is hereby added at the end of Section 9.10 and shall
read as follows:

 

; provided, however, a Subsidiary of the Borrower may change its fiscal year end
after having provided prior written notice to the Administrative Agent.

 

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

 

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

 

3.24 Clause (iii) of Section 9.12 is hereby amended to read as follows:

 

(iii) permit, create, incur, assume or suffer to exist any Lien on any Capital
Stock owned by the Borrower or one of its Subsidiaries in any Subsidiary of the
Borrower, except for Permitted Liens.

 

3.25 Section 9.13 is hereby amended to read as follows:

 

9.13 Sale Leasebacks.

 

No member of the Consolidated Group will enter into any Sale and Leaseback
Transaction unless (a) such Sale and Leaseback Transaction constitutes
Indebtedness permitted by Section 9.1(c) or (b) such Sale and Leaseback
Transaction is entered into on a temporary basis in connection with a proposed
like kind exchange transaction (intended to comply with the Code).

 

6

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3.26 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 or the indentures or other governing instruments relating thereto;

 

3.27 The following sentence is hereby added at the end of Section 12.14 and
shall read as follows:

 

Notwithstanding anything to the contrary, any binding confidentiality
obligations of the parties that relate to the transactions contemplated by this
and any other related agreements (the “Transaction”) shall not apply to the U.S.
federal tax treatment or U.S. federal tax structure of the Transaction and each
party hereto (and any employee, representative, or agent of any party) may
disclose to any and all persons, without limitation of any kind, the U.S.
federal tax treatment and U.S. federal tax structure of the Transaction and all
other materials of any kind (including opinions or other U.S. federal tax
analysis) that are provided to any party hereto relating to such U.S. federal
tax treatment and U.S. federal tax structure. However, any such information
relating to such U.S. federal tax treatment and U.S. federal tax structure is
required to be kept confidential to the extent necessary to comply with any
applicable securities laws. The preceding sentences are intended to cause the
Transaction not to be treated as having been offered under conditions of
confidentiality for purposes of Sections 1.6011-4(b)(3) and 301.6111-2(a)(2)(ii)
(or any successor provisions) of the Treasury Regulations issued under the
Internal Revenue Code of 1986, as amended, and shall be construed in a manner
consistent with such purpose.

 

4. 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.

 

5. 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).

 

6. This Amendment shall be effective upon receipt by the Administrative Agent of
the following:

 

(a) executed copies of consents from the Required Lenders, Tranche A Term
Lenders holding more than 50% of the outstanding Tranche A Term Loans, Tranche B
Term Lenders holding more than 50% of the outstanding Tranche B Term Loans and
all of the Revolving Lenders, and executed signature pages to this Amendment
from each of the parties hereto; and

 

(b) the amendment fee equal to five basis points (0.05%) on the aggregate
Commitments of those Lenders consenting to this Amendment and any other fees
payable in connection with this Amendment.

 

7. 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

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8. 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.

 

9. 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.

 

10. 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]

 

8

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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

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    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

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    Name:   Kevin Wagley     Title:   Principal

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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.

    By:  

/s/ Donald P. Fay

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

 

10

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GUARANTOR:

     

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.

       

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

 

11

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GUARANTOR:

     

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

       

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

 

12

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GUARANTOR:

     

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. 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

       

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

 

13

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

GUARANTOR:

     

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

       

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

 

14

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

GUARANTOR:

     

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

       

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

 

15

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

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

 

16

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

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

 

17

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

GUARANTOR:

     

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

       

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

 

18

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

GUARANTOR:

     

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

       

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

 

19

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

GUARANTOR:

     

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

       

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

 

20

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

GUARANTOR:

     

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

       

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

 

21

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

GUARANTOR:

     

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

       

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

 

22

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

GUARANTOR:

     

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

 

23

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

GUARANTOR:

     

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

       

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

 

24

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

        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

       

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

 

25

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

        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:

           

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

 

26

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

        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

       

MADISON’S HOSPITAL, LLC

       

By:

 

Triad Holdings II, LLC, its Sole Member

           

By:

 

/s/ Donald P. Fay

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

           

Name:

 

Donald P. Fay

           

Title:

 

President

 

27

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

SURGICENTERS OF AMERICA, INC.

By:

 

/s/ Donald P. Fay

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Name:

 

Donald P. Fay

Title:

 

Executive President and Secretary

 

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CONSENT TO AMENDMENT NO. 5 AND WAIVER

TRIAD HOSPITALS, INC.

 

September 25, 2003

 

Bank of America, N.A., as Administrative Agent

100 N. Tryon Street, 17th Floor

NC1-007-17-11

Charlotte, North Carolina 28255

Attention: Kevin Wagley

Facsimile: (704) 388-6002

 

Re:

   Amended and Restated Credit Agreement dated as of April 27, 2001 (as amended
and modified, the “Credit Agreement”) among Triad Hospitals, Inc., a Delaware
corporation, as Borrower, the lenders identified therein, Merrill Lynch & Co.,
as Syndication Agent, The Chase Manhattan Bank and Citicorp USA, Inc., as
Co-Documentation Agents, and Bank of America, N.A., as Administrative Agent.
Terms used but not otherwise defined shall have the meanings provided in the
Credit Agreement.

 

Amendment No. 5 and Waiver dated as of September 25, 2003 (the “Subject
Amendment”) to the Credit Agreement

 

Ladies and Gentlemen:

 

This should serve to confirm our receipt of, and consent to, the Subject
Amendment. We hereby authorize and direct you, as Administrative Agent for the
Lenders, to enter into the Subject Amendment on our behalf in accordance with
the terms of the Credit Agreement upon your receipt of such consent and
direction from the Required Lenders, and agree that the Borrower may rely upon
such authorization.

 

Very truly yours,

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[Name of Lender]

By:

 

 

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Name:

   

Title:

   

 

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