EX-10.9





 Exhibit 10.9 

SECOND AMENDMENT TO MASTER LEASE 

AND GUARANTY OF MASTER LEASE 
 This
SECOND AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE (the “Amendment”) is dated as of March 13, 2017 by and among VTR Hillcrest MC Tulsa, LLC, VTR Hillcrest HS Tulsa, LLC, VTR Bailey MC, LLC, VTR Heart Hospital,
LLC, VTR Lovelace WH, LLC, VTR Lovelace Westside, LLC, VTR Lovelace Roswell, LLC, VTR Lovelace MC & Rehab, LLC, VTR Hillcrest Claremore, LLC and VTR Baptist SA, LLC, each a Delaware limited liability company (individually and collectively,
“Landlord”); the entities listed on Schedule 1 attached hereto (individually and collectively, “Tenant”); and ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company, f/k/a EGI-AM Holdings, L.L.C.,
ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, AHS LEGACY OPERATIONS, LLC, a Delaware limited liability company, AHP HEALTH PARTNERS, INC., a Delaware corporation and ARDENT LEGACY ACQUISITIONS,
INC., a Delaware corporation (individually and collectively, “Guarantor”). 
 R E C I T A L S 

A. Landlord and Tenant are parties to that certain Master Lease, dated as of August 4, 2015, as amended by that certain First
Amendment to Master Lease, dated as of March 6, 2017 (as amended, the “Master Lease”), pursuant to which, among other things, Landlord leases to Tenant the “Premises” described therein. Initially capitalized terms used but
not otherwise defined in this Amendment shall have the meanings ascribed to such terms in the Master Lease. 
 B. Pursuant to that
certain Guaranty of Master Lease, dated as of August 4, 2015 (as amended, the “Guaranty”), Guarantor, among other things, guaranteed to Landlord the performance by Tenant of its obligations under the Master Lease. 

C. Ardent LHP Hospital Group, Inc. (the “Purchaser”), Ardent Sub, Inc. (the “Merger Sub”), LHP
Hospital Group, Inc., a Delaware corporation (the “Company”), Legacy Hospital Partners (Holdings), L.P., a Delaware limited partnership and Ardent Health Partners, LLC, a Delaware limited liability company anticipate entering into
an Agreement and Plan of Merger, whereby the Company, Purchaser and Merger Sub intend to effect a merger of Merger Sub with and into the Company (the “Merger Transaction”). 

D. It is contemplated that, in connection with the consummation of the Merger Transaction, Ventas, Inc. (“Ventas”)
and/or its affiliates intends to provide, subject to the terms and conditions of that certain Commitment Letter, dated as of October 4, 2016, to Purchaser from Ventas (“Commitment Letter”), up to $760 million in senior secured
credit facilities (the “Credit Facilities” together with the Merger Transaction, the “Transaction”), all as more particularly described in the Commitment Letter. 

E. In connection with the Transaction, Tenant and Guarantor have requested that Landlord consent to certain matters with respect to the
Master Lease and Guaranty. 

  
 1 













 F. In accordance with the terms and conditions set forth in this Amendment, Landlord
is willing to consent to such matters. 
 G. In connection therewith, each of the entities comprising Guarantor has agreed to reaffirm
to Landlord its respective obligations under the Guaranty notwithstanding the modification of the Master Lease and Guaranty set forth in this Amendment. 

A G R E E M E N T 

NOW, THEREFORE, taking into account the foregoing Recitals, and in consideration of the mutual covenants and agreements contained
herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, effective as of the date hereof, the parties hereto agree as follows: 

1. Modifications to Master Lease and Guaranty. 

(a) Notwithstanding the restrictions in the first sentence of Section 5.12.3 of the Master Lease, Landlord hereby consents to a
one-time direct or indirect distribution by Tenant to Guarantor, the proceeds of which shall be used to pay a portion of the consideration payable in connection with the consummation of the Merger Transaction (“Acquisition
Payment”); provided, that nothing herein shall be deemed to constitute a waiver of the terms of the second and third sentences of Section 5.12.3 of the Master Lease and the Acquisition Payment shall not consist of monies constituting
the Statutory Cash Balance or the Contractual Cash Balance, if any, each as defined in that certain Purchase and Sale Agreement, dated as of July 3, 2015 by and among Ardent Medical Services, Inc., AHS NEWCO 14, LLC, AHS New Mexico Holdings,
Inc., Ardent Legacy Acquisitions, Inc. and Ventas, Inc. Consent to the Acquisition Payment shall not be deemed to be a waiver by Landlord of other consent rights it may have under the Master Lease or any other agreements with respect to other,
future or successive payments. 
 (b) Notwithstanding the restrictions in Section 11.1 of the Master Lease and Section 9.4
of the Guaranty, Landlord hereby consents to the reorganization of Guarantor and certain of its affiliates substantially in accordance with the organizational steps as further described on Exhibit A attached hereto (“Steps Plan”)
and the other guaranties and pledges of assets contemplated in the Commitment Letter. For the avoidance of doubt, in no event shall at any time (i) any Borrower (as defined in the Commitment Letter) own, directly or indirectly, any equity
interest or other investment in Ardent Legacy Holdings, LLC or any of its subsidiaries or (ii) any Borrower be owned, directly or indirectly, by Ardent Legacy Holdings, LLC or any of its subsidiaries. In addition, each of Borrower and Holdings
(as defined in the Commitment Letter) shall at all times be a corporation for federal income tax purposes, and Ardent Legacy Holdings, Inc. may only convert to a limited liability company after its equity interests have been contributed to Holdings
and only for so long as Ardent Legacy Acquisitions, Inc. remains a corporation and continues to be the indirect owner of each Tenant under the Master Lease. 

(c) Section 5.17(c)(i) of the Master Lease is hereby deleted in its entirety and the following is inserted in lieu thereof: 

(i) has a principal amount of less than $10,000,000 individually and the aggregate amount of principal for Funded Indebtedness that are not
subject to a Relative Rights Agreement at the time of such incurrence is less than $25,000,000 

  
 2 













 (d) Section 2.6(c)(i) of the Guaranty is hereby deleted in its entirety and the
following is inserted in lieu thereof: 
 (i) has a principal amount of less than $10,000,000 individually and the aggregate amount of
principal for Funded Indebtedness that are not subject to a Relative Rights Agreement at the time of such incurrence is less than $25,000,000 

(e) The definition of Ardent Party in Exhibit A of the Master Lease is hereby deleted in its entirety and the following is inserted in
lieu thereof: 
 “Ardent Party” (x) solely for purposes of Sections 8.1.3.4, 8.1.5 and 8.1.8 (with respect to the use
of “Ardent Party” in the definition of “Tenant Related Party” as the same appears in Sections 8.1.3.4, 8.1.5 and 8.1.8) means, Guarantor, and each direct or indirect wholly owned subsidiary of Ardent Legacy Holdings, LLC and
(y) for all other purposes, means, Guarantor and each direct or indirect wholly owned subsidiary thereof. 
 (f) The definitions
of Consolidated EBITDAR and Consolidated Fixed Charges in Exhibit A of the Master Lease are each hereby deleted in their entirety and the following is inserted in lieu thereof: 

“Consolidated EBITDAR” shall mean, for any period (without duplication), for any Person and, if applicable, its Consolidated
Subsidiaries, an amount equal to Consolidated Net Income for such Person(s) for such period, plus, to the extent deducted in calculating Consolidated Net Income for such period, (a) (i) Consolidated Interest Expenses of such Person(s) for
such period, (ii) the amount of federal, state, local and foreign income taxes paid or payable by such Person(s) for such period, (iii) the amount of depreciation and amortization expense accounted for by such Person(s) for such period,
(iv) Rent Expense (but, for purposes of calculating the Portfolio Coverage Ratio only, Rent Expense shall include only Minimum Rent) incurred by such Person(s) for such period, (v) any non-recurring or extraordinary fees, charges and cash
expenses made or incurred by such Person(s) in connection with the transactions contemplated by the Master Lease, (vi) any non-recurring fees, charges and cash expenses made or incurred in connection with acquisitions and dispositions
(consummated or not) in an amount that does not exceed $5,000,000 in any rolling 12-month period and, with respect to any amount in excess of such $5,000,000, as is reasonably acceptable to Ventas and in such amount as is reasonably acceptable to
Ventas, (vii) any non-cash impairment charges incurred by such Person(s) for such period (except to the extent that such charges relate to a cash payment in a 

  
 3 













 future period), (viii) any other non-cash charges incurred by such Person(s) for such
period (except to the extent that such charges relate to a cash payment in a future period) as are reasonably acceptable to Ventas and in such amounts as are reasonably acceptable to Ventas, (ix) expenses and charges related to prior periods,
(x) non-recurring extraordinary cash expenses in respect of severance payments and other costs associated with any restructuring of Tenant, (xi) only with respect to Consolidated EBITDAR accrued during the fiscal years 2017 and 2018
operating and capital expenditures in respect of the IT conversion, (xii) any non-recurring fees, charges and cash expenses made or incurred in connection with the Transaction (as defined in that certain Amendment to Master Lease and Guaranty
Of Master Lease, dated as of March 13, 2017, herein referred to as the “Master Lease Amendment”), (xiii) any fees and expenses and non-cash mark-to-market losses relating to any Swap Contracts and (xiv) without
duplication, the amount of any factually supportable “run rate” cost savings, operating expense reductions and synergies projected by Tenant reasonably and in good faith to be realized as a result of the Acquisition (which cost savings,
operating expense reductions and synergies shall be added to Consolidated EBITDAR until fully realized and calculated on a Pro Forma Basis as though such cost savings, operating expense reductions and synergies had been realized on the first day of
the relevant period), net of the amount of actual benefits realized from such actions; provided that such cost savings, operating expense reductions, operating enhancements, other operating improvements and synergies are reasonably
identifiable and factually supportable; provided that the amounts increasing Consolidated EBITDAR pursuant to this clause (b) shall not exceed (x) $20 million for any period up to the first anniversary of the Closing Date,
(y) $10 million for any period following the first anniversary of the Closing Date and up to the second anniversary of the Closing Date and (z) $0 for any period following the second anniversary of the Closing Date and minus
(b) (i) non-recurring or extraordinary gains from the disposition of assets recognized by such Person(s) in such period and (ii) non-cash items increasing such Consolidated Net Income for such period (other than accrual of income in
the ordinary course of business) and (iii) interest income for such period. Notwithstanding the foregoing, Consolidated EBITDAR for the fiscal quarters ending June 30, 2016, September 30 2016, December 31, 2016 and
March 31, 2017, respectively, shall be as set forth on Schedule 1.01(e). 

  
 4 













 “Consolidated Fixed Charges” means, with reference to any period, the sum
of (a) the aggregate amount of scheduled and mandatory amortization of Funded Indebtedness (but without duplication) during such period, but excluding amounts paid in connection with any mandatory excess cash flow provisions plus
(b) Consolidated Interest Expense paid for such period, plus (c) the aggregate amount of federal, state, local and foreign income taxes paid for such period, plus (d) Rent Expense for such period, plus (e) any obligations paid in
respect of Earn-Out Obligations, all calculated for such period for the Guarantor and its Consolidated Subsidiaries, plus (f) Restricted Payments paid in cash and any payments in cash on account of Funded Indebtedness that has been
contractually subordinated in right of payment to the obligations under this Lease if such payment is not permitted at such time under the terms of subordination. With respect to any Restricted Payments described in clause (f), if any portion of a
cash payment was not a Restricted Payment (i.e., a portion of the payment could have been made notwithstanding the restriction) and some portion of the cash payment was a Restricted Payment, the amount added shall be only that portion that is in
fact a Restricted Payment. Notwithstanding the foregoing, Consolidated Fixed Charges for the fiscal quarters ending June 30, 2016, September 30 2016, December 31, 2016 and March 31, 2017, respectively, shall be as set
forth on Schedule 1.01(e). 
 (g) Section 17.13.1 of the Master Lease is hereby amended to delete the words “Pursuant to the
terms and conditions set forth in that certain Right of First Offer/Refusal Agreement of even date herewith among the parties (the “Right of First Offer/Refusal Agreement”),”. 

(h) Section 17.13.2 of the Master Lease is hereby amended to delete the words “Pursuant to the terms and conditions set forth
in that certain Right of First Offer/Refusal Agreement,”. 
 (i) Section 1 of Exhibit G of the Master Lease is hereby
amended to delete the words “without complying with the terms and provisions of the Right of First Offer/Refusal Agreement to the extent applicable”. 

(j) Tenant, Landlord and Guarantor hereby agree that (i) AHS Legacy Operations, LLC (“AHS Legacy”) was
inadvertently omitted as a “guarantor” under the Guaranty and (ii) AHP Health Partners, Inc. will become a “guarantor” under the Guaranty. As such, Tenant, Landlord and Guarantor agree that: (a) the definition of
Guarantor in Exhibit A of the Master Lease is hereby amended to add “AHS Legacy Operations, LLC, a Delaware limited liability company, AHP Health Partners, Inc., a Delaware corporation,” prior to the words “EGI-AM Holdings,
L.L.C.” and (b) AHS Legacy and AHP Health Partners, Inc. are hereby added to the definition of Guarantor in the Guaranty. AHS Legacy and AHP Health Partners, Inc. each hereby (i) from the Effective Date of the Master Lease,
acknowledge and affirm each of their obligations under the Guaranty and all documents executed by Guarantor in connection therewith, and (ii) expressly agree to the terms and conditions of the Master Lease as a Guarantor thereunder. 

  
 5 













 (k) The definition of Consolidated Guarantor Fixed Charge Coverage Ratio in Exhibit A
of the Master Lease is hereby deleted in its entirety and the following is inserted in lieu thereof: 
 “Consolidated Guarantor Fixed
Charge Coverage Ratio” shall mean the ratio of (a) Consolidated EBITDAR of the Guarantor and its Consolidated Subsidiaries for the period of the four fiscal quarters most recently ended to (b) the sum of Consolidated Fixed Charges
for such period. For purposes of computing the Guarantor Coverage Ratio, Consolidated EBITDAR and Consolidated Fixed Charges shall be adjusted on a Pro Forma Basis for any Specified Transactions occurring during each fiscal quarter. Notwithstanding
anything to the contrary, for purposes of calculating the Consolidated Guarantor Fixed Charge Coverage Ratio during the first Lease Year, the aggregate amount of Taxes paid during a quarter in such Lease Year shall not exceed $3,750,000 regardless
of the actual amount of such Taxes paid during such quarter. 
 (l) The definition of Consolidated Guarantor Leverage Ratio in Exhibit
A of the Master Lease is hereby deleted in its entirety and the following is inserted in lieu thereof: 
 “Consolidated Guarantor
Leverage Ratio” shall mean, as of any date of determination, the ratio of (a) the sum of (i) Consolidated Guarantor Funded Indebtedness as of such date plus (ii) an amount equal to the sum of the annual rent payments under
leases other than Capital Leases or Synthetic Leases of the Guarantor and its Consolidated Subsidiaries times 8.0, minus (iii) solely to the extent that on such date the Outstanding Amount (as defined in the Revolving Credit Agreement) is $0.00
and the full amount of the Revolving Credit Facility is undrawn, unrestricted cash and Cash Equivalents held by the Guarantor and its Consolidated Subsidiaries on such date in an aggregate amount not to exceed $25,000,000, to (b) Consolidated
EBITDAR for the Guarantor and its Consolidated Subsidiaries for the period of the four fiscal quarters most recently ended. For purposes of calculating the foregoing ratio, Specified Transactions that have occurred during such period shall be
included on a Pro Forma Basis. 
 (m) The definition of Consolidated Net Income in Exhibit A of the Master Lease is hereby deleted in
its entirety and the following is inserted in lieu thereof: 
 “Consolidated Net Income” shall mean, for any period, for any
Person and its Consolidated Subsidiaries, the net income from continuing operations of such Person and its Consolidated Subsidiaries (excluding extraordinary gains and extraordinary losses) for that period; provided that there shall be excluded from
such determination of net income or loss (a) any income (or loss) of any Person that is accounted for by the equity method or non- 

  
 6 













 controlling interest method of accounting, but any such income so excluded shall be included
in such period or any later period to the extent any cash or Cash Equivalents paid as dividends or other similar distributions in the relevant period to such Person and its Consolidated Subsidiaries, (b) adjustments for straight-line rent
accounting, (c) income or loss of a Person accrued prior to the date it becomes a Consolidated Subsidiary or is merged or consolidated with or such Person’s assets are acquired by Guarantor or any of its Consolidated Subsidiaries and
(d) any after tax gains or losses attributable to sales of non-current assets out of the ordinary course of business and write-downs of non-current assets in anticipation of losses to the extent they have decreased net income. For the avoidance
of doubt, “Consolidated Net Income” shall not include any net income allocable to minority interests in any subsidiaries held by any Person not directly or indirectly owned by a Guarantor and/or allocable to any Physician Group (except
with respect to Physician Groups to the extent received in cash by a Loan Party (as such term is defined in that certain Credit Agreement, dated as of March 13, 2017, among LHP Hospital Group, Inc., a Delaware corporation, and Ardent LHP
Hospital Group, Inc., a Delaware corporation, collectively as Borrowers, Ardent Health Partners, LLC, a Delaware limited liability company, AHP Health Partners, Inc., a Delaware corporation, the Guarantors defined therein, the Lenders defined
therein, and VTR Lonestar, LLC)). For purposes hereof, continuing operations of a Person shall exclude any divested operations of such Person and include all Specified Transactions on a Pro Forma Basis. 

(n) The following definitions shall be inserted in Exhibit A of the Master Lease: 

“Acquisition” shall mean the indirect acquisition of all of the capital stock of LHP Hospital Group, Inc. by Ardent Health
Partners, LLC pursuant to that certain Agreement and Plan of Merger (as amended, restated, supplemented or otherwise modified from time to time prior to the effectiveness of the Master Lease Amendment), dated as of October 4, 2016, by and
among, Ardent LHP Hospital Group, Inc., Ardent Sub, Inc., LHP Hospital Group, Inc., Legacy Hospital Partners (Holdings), L.P., and, only for certain limited purposes, Ardent Health Partners, LLC. 

“Swap Contract” means (a) any and all rate swap transactions, basis swaps, credit derivative transactions, forward rate
transactions, commodity swaps, commodity options, forward commodity contracts, equity or equity index swaps or options, bond or bond price or bond index swaps or options or forward bond or forward bond price or forward bond index transactions,
interest rate options, forward foreign exchange transactions, cap transactions, 

  
 7 













 floor transactions, collar transactions, currency swap transactions, cross-currency rate
swap transactions, currency options, spot contracts, or any other similar transactions or any combination of any of the foregoing (including any options to enter into any of the foregoing), whether or not any such transaction is governed by or
subject to any master agreement, and (b) any and all transactions of any kind, and the related confirmations, which are subject to the terms and conditions of, or governed by, any form of master agreement published by the International Swaps
and Derivatives Association, Inc., any International Foreign Exchange Master Agreement, or any other master agreement (any such master agreement, together with any related schedules, a “Master Agreement”), including any such
obligations or liabilities under any Master Agreement. 
 “Revolving Credit Facility” means that certain senior secured
revolving credit facility in an aggregate principal amount of up to $60 million made pursuant to that certain credit agreement among Ardent LHP Hospital Group, Inc., as borrower, Ardent Health Partners, LLC and any of its subsidiaries that are party
thereto, and Ventas, Inc. (or an affiliate thereof) as lender entered into substantially concurrently with the Acquisition. 

“Physician Groups” means MPV New Jersey MD Services, P.C., and any other similar professional corporation, limited liability
company, partnership or other entity that provides or arranges medical services in a state that only permits the equity interests of such entity to be held by one or more licensed physicians or licensed professionals or professional entities. 

(o) The definition of Funded Indebtedness in Exhibit A of the Master Lease is hereby amended to replace the word “Tenant” with
the word “Guarantor”, in each instance. 
 (p) Any references to “EGI-AM Holdings, L.L.C” in the Master Lease and
the Guaranty shall be deleted in their entirety and replaced with “Ardent Health Partners, LLC, a Delaware limited liability company, f/k/a EGI-AM Holdings, L.L.C.”. 

(q) The Master Lease is hereby amended to include Schedule 1.01(e) as a schedule thereto, to read as set forth on the Schedule set forth
in Annex I hereto. 
 2. Reaffirmation of Obligations. 

(a) Notwithstanding the amendments to the Master Lease and Guaranty contained herein, Tenant and Landlord each hereby acknowledges and
reaffirms its respective obligations under the Master Lease and all other documents executed by such party in connection therewith. 

  
 8 













 (b) Notwithstanding the amendments to the Master Lease contained herein, each of the
parties comprising Guarantor hereby acknowledges and reaffirms its respective obligations under the Guaranty and all documents executed by such Guarantor in connection therewith, and further agrees that any reference made in the Guaranty to the
Master Lease or any terms or conditions contained therein shall mean such Master Lease or such terms or conditions as modified by this Amendment. 

3. Interpretation. This Amendment shall be construed as a whole and in accordance with its fair meaning. Headings are for
convenience only and shall not be used in construing meaning. 
 4. Further Instruments. Each party will, whenever and as
often as it shall be reasonably requested so to do by another party, cause to be executed, acknowledged or delivered any and all such further instruments and documents as may be necessary or proper, in the reasonable opinion of the requesting party,
in order to carry out the intent and purpose of this Amendment. 
 5. Incorporation of Recitals. The Recitals to this
Amendment are incorporated hereby by reference. 
 6. Counterparts. This Amendment may be executed and delivered (including by
facsimile or Portable Document Format (pdf) transmission) in counterparts, all of which executed counterparts shall together constitute a single document. Signature pages may be detached from the counterparts and attached to a single copy of this
document to physically form one document. Any such facsimile documents and signatures shall have the same force and effect as manually-signed originals and shall be binding on the parties hereto. 

7. Attorneys’ Fees. Sections 4.2.4.3 and 17.1 of the Master Lease are hereby incorporated by reference. 

8. Effect of Amendment. Except as specifically amended pursuant to the terms of this Amendment, the terms and conditions of the
Master Lease and the Guaranty shall remain unmodified and in full force and effect. In the event of any inconsistencies between the terms of this Amendment and any terms of the Master Lease and the Guaranty, the terms of this Amendment shall govern
and prevail. 
 9. Entire Agreement. This Amendment contains the entire agreement between the parties relating to the subject
matters contained herein. Any oral representations or statements concerning the subject matters herein shall be of no force or effect. 

10. Governing Law. Section 17.10 of the Master Lease is hereby incorporated by reference. 

[SIGNATURE PAGES TO FOLLOW] 

  
 9 













 IN WITNESS WHEREOF, the parties have executed this Amendment as of the date first
above written. 
  

			
	 TENANT:
  

	AHS HILLCREST MEDICAL CENTER, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President & Genera1 Counsel
  

	AHS SOUTHCREST HOSPITAL, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President & Genera1 Counsel
  

	AHS TULSA HOLDINGS, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President & Genera1 Counsel
  

	RV PROPERTIES, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President & General Counsel
  

	AHS OKLAHOMA PHYSICIAN GROUP, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	Executive Vice President & General Counsel














			
	BAILEY MEDICAL CENTER, LLC,
	 a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 AHS CLAREMORE REGIONAL HOSPITAL, LLC,

a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 LOVELACE HEALTH SYSTEM, INC.,

a New Mexico corporation
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 SOUTHWEST MEDICAL ASSOCIATES, LLC,

a New Mexico limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 BSA HOSPITAL, LLC,
 a Texas
limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	Executive Vice President and General Counsel














			
	GUARANTOR:
	 ARDENT HEALTH PARTNERS, LLC,

a Delaware limited liability company, f/k/a
 EGI-AM Holdings,
L.L.C.
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 ARDENT LEGACY HOLDINGS, LLC,

a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 ARDENT LEGACY ACQUISITIONS, INC.,

a Delaware corporation
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	 Executive Vice President and General Counsel
  

	 AHS LEGACY OPERATIONS, LLC,

a Delaware limited liability company
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	Executive Vice President and General Counsel














			
	 AHP HEALTH PARTNERS, INC.,
 a
Delaware corporation
  

	By:	 	 /s/ Stephen C. Petrovich

	Name:	 	Stephen C. Petrovich
	Title:	 	Executive Vice President, General Counsel and Secretary














	
	 LANDLORD:
  

	 VTR HILLCREST MC TULSA, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR HILLCREST HS TULSA, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR BAILEY MC, LLC,
 a Delaware limited
liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR HEART HOSPITAL, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR LOVELACE WH, LLC,
 a Delaware limited
liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	Title: Vice President and Treasurer














	
	 VTR LOVELACE WESTSIDE, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR HILLCREST CLAREMORE, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR BAPTIST SA, LLC,
 a Delaware limited
liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR LOVELACE ROSWELL, LLC,
 a Delaware
limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	 Title: Vice President and Treasurer
  

	 VTR LOVELACE MC & REHAB, LLC,
 a
Delaware limited liability company
  

	By: /s/ Brian K.
Wood                                    
	Name: Brian K. Wood
	Title: Vice President and Treasurer













 SCHEDULE 1 

LIST OF TENANTS 
 AHS HILLCREST MEDICAL CENTER,
LLC, a Delaware limited liability company 
 AHS SOUTHCREST HOSPITAL, LLC, a Delaware limited liability company  

AHS TULSA HOLDINGS, LLC, a Delaware limited liability company  

RV PROPERTIES, LLC, a Delaware limited liability company 

AHS OKLAHOMA PHYSICIAN GROUP, LLC, a Delaware limited liability company  

BAILEY MEDICAL CENTER, LLC, a Delaware limited liability company 

AHS CLAREMORE REGIONAL HOSPITAL, LLC, a Delaware limited liability company  

LOVELACE HEALTH SYSTEM, INC., a New Mexico corporation 

SOUTHWEST MEDICAL ASSOCIATES, LLC, a New Mexico limited liability company  

BSA HOSPITAL, LLC, a Texas limited liability company 












 EXHIBIT A 

STEPS CHART 












 Current Structure 
  





 

  

			
	SIDLEY AUSTIN LLP – DRAFT – FEBRUARY 2, 2017	  	1














 Formation of Entities 
  

	1.	 Ardent Health Partners, LLC forms 



	 	 Borrower (Ardent LHP Hospital Group, 



	 	 Inc., a Delaware corporation) 



	2.	 Borrower forms Merger Sub (Ardent Sub, 



	 	 Inc., a Delaware corporation) 



 
 



 

  

			
	SIDLEY AUSTIN LLP	  	2














 Immediately Prior to Signing/Restructuring 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	3














 The Restructuring 
  





 

  

			
	SIDLEY AUSTIN LLP	  	4














 Immediately After the Restructuring and Prior to the Closing 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	5














 Acquisition Structure - Steps One and Two 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	6














 Acquisition Structure - Steps Three and Four 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	7














 Immediately After the Closing 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	8














 LHP Structure Immediately Following Closing 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	9














 Post-Closing Contribution 
  





 

  

			
	SIDLEY AUSTIN LLP	  	10














 Immediately After Post-Closing Contribution 

 
 



 

  

			
	SIDLEY AUSTIN LLP	  	11














 ANNEX I 

(attached) 












 Schedule 1.01(e) 

Consolidated EBITDAR and Consolidated Fixed Charges 

Consolidated EBITDAR for the fiscal quarters ending: 
  

			
	 June 30, 2016
	  	$107,964,000
	 September 30, 2016
	  	$101,255,000
	 December 31, 2016
	  	$110,888,000
	 March 31, 2017
	  	Consolidated EBITDAR to be calculated in a manner consistent with the calculation of Consolidated EBITDAR for the preceding periods (including addbacks with respect to “run rate” cost savings, operating expense
reductions and synergies)

 Consolidated Fixed Charges for the fiscal quarters ending: 

 

			
	 June 30, 2016
	  	$71,037,000
	 September 30, 2016
	  	$66,150,000
	 December 31, 2016
	  	$72,091,000
	 March 31, 2017
	  	Consolidated Fixed Charges to be calculated in a manner consistent with the calculation of Consolidated Fixed Charges for the preceding periods