Exhibit 10.1



AMENDMENT NO. 7 TO CREDIT AGREEMENT



Dated as of June 15, 2004



among



TRIAD HOSPITALS, INC.,

as Borrower



AND



BANK OF AMERICA, N.A.,

as Administrative Agent on behalf of itself and the Lenders,



MERRILL LYNCH & CO.,

as Syndication Agent



AND



JPMORGAN CHASE BANK, CITICORP NORTH AMERICA, INC. and WACHOVIA BANK,

NATIONAL ASSOCIATION,

as Co-Documentation Agents



Arranged By:



BANC OF AMERICA SECURITIES LLC and WACHOVIA CAPITAL MARKETS, LLC

as Joint Lead Arrangers



AND



BANC OF AMERICA SECURITIES
LLC, WACHOVIA CAPITAL MARKETS, LLC and THE BANK

OF NOVA SCOTIA

as Joint Book Runners



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AMENDMENT NO. 7



THIS AMENDMENT NO. 7 dated as of June 15, 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 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 definition of Aggregate Revolving Committed Amount in
Section1.1 is hereby amended to read as follows:



Aggregate Revolving Committed Amount means the aggregate amount of Revolving Commitments in effect from time to time, as referenced in Section 2.1(a), being FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to
reduction pursuant to Section 3.4.



2.2 The reference to
Section 9.7 in the definition of Approved Asset Disposition in Section 1.1 is hereby amended to read Section 9.5.



2.3 The reference to $100 million in subclause (vii)(A) in the definition of Permitted Acquisition in Section 1.1 is hereby
amended to read as $250 million.



2.4 A new
subclause (xxi) is hereby added at the end of the definition of Permitted Liens in Section 1.1 and shall read as follows:



and (xxi) Liens on Property of any Foreign Subsidiary securing Indebtedness permitted under Section 9.1(p).



2.5 The parenthetical in subclause (ii) of the definition of Pro Forma
Compliance Certificate in Section 1.1 is hereby amended to read as follows:



(other than Approved Asset Dispositions)



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2.6 The definition of QHR Disposition in Section 1.1 is hereby deleted in its entirety.



2.7 The following definition is hereby added to Section 1.1 in
the appropriate alphabetical order and shall read as follows:



Amendment No. 7 Effective Date means June 15, 2004.



2.8 Subclause (i) of Section 2.1(a) is hereby amended to read as follows:



(i) with regard to the Revolving Lenders collectively, the aggregate principal amount of Revolving Obligations at any time
shall not exceed FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to reduction pursuant to Section 3.4 (the Aggregate Revolving Committed Amount) and



2.9 The first proviso in subclause (A) of Section 3.3(b)(ii) is hereby amended to read as follows:



provided, that, the first $150 million of Net Proceeds received from
such Approved Asset Dispositions subsequent to the Amendment No. 7 Effective Date shall not be required to be used by the Borrower to prepay the Loans and thereafter, the payment of such Net Proceeds need not be made until such time as the aggregate
amount payable hereunder shall be at least $10 million at any time;



2.10 The second proviso in Section 3.3(b)(ii)(A) is hereby deleted in its entirety.



2.11 The reference to $100 million in subclause (2)(A)(y) of Section 3.3(b)(ii)(B) is hereby amended to read as $250 million.



2.12 The proviso at the end of Section 3.3 (b)(ii)(B) is hereby amended to read as follows:



provided that payment of the Net Proceeds which exceed the foregoing
threshold amount need not be made until such time as the aggregate amount payable in excess of such threshold shall be at least $10 million at any time.



2.13 Section 3.3(b)(iv) is hereby amended to read as follows:



(iv) Equity Transactions. In connection with any Equity Transaction, to the extent the aggregate Net Proceeds from all Equity
Transactions consummated after the Amendment No. 7 Effective Date exceed $100 million, the Loans shall be prepaid as hereafter provided in an amount equal to the percentage shown below of Net Proceeds therefrom based on the Consolidated Total
Leverage Ratio after giving effect to such Equity Transaction and the application of proceeds in connection therewith on a Pro Forma Basis:



|                                 |  |                                                      
|-------------------------------- |  | -----------------------------------------------------
|Consolidated TotalLeverage Ratio |  | Percentage of Net Proceeds to beapplied as Prepayment
|                                 | 
|> 3.0:1.0                        |  | 50%                                                  
|£3.0:1.0                         |  | 25%                                                  



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2.14 The following paragraph is hereby added at the end of Section 8.1 and shall read as follows:



The Borrower and the Administrative Agent
hereby acknowledge and agree that (a) the Administrative Agent will make available to the Lenders materials and/or information provided by or on behalf of the Borrower hereunder (collectively, Borrower Materials) by posting the Borrower
Materials on Intralinks or another similar electronic system (the Platform) and (b) certain of the Lenders may be public-side Lenders (i.e., Lenders that do not wish to receive material non-public information with respect to
the Borrower or its securities) (each, a Public Lender). The Borrower agrees that by marking any Borrower Materials PUBLIC, (a) the Borrower shall be deemed to have authorized the Administrative Agent and the Lenders to treat
such Borrower Materials as either publicly available information or not material information (although it may be sensitive and proprietary) with respect to the Borrower or its securities for purposes of United States federal and state securities
laws and (b) the Administrative Agent shall be entitled to post such Borrower Materials on the portion of the Platform marked PUBLIC. Unless the Borrower and the Administrative Agent expressly agree otherwise, the Administrative Agent
agrees to treat any Borrower Materials that are not marked PUBLIC as being suitable only for posting on a portion of the Platform not marked as PUBLIC and not to post any Borrower Materials on the portion of the Platform
designated as PUBLIC which is not clearly and conspicuously marked PUBLIC.



2.15 Section 8.11(f) is hereby amended to read as follows:



(f) Capital Expenditures. Consolidated Capital Expenditures for each fiscal year shall not exceed an amount equal to the sum of (i)
$450 million plus (ii) the unused amount available for Consolidated Capital Expenditures under this Section 8.11 for the immediately preceding fiscal year (excluding any carry forward available from any prior fiscal year), plus (iii) the amount of
any Net Proceeds from Asset Dispositions permitted to be retained by the Borrower pursuant to Section 3.3(b)(ii) to the extent that the Borrower applies such amount to Consolidated Capital Expenditures within twelve (12) months of the date of such
Asset Dispositions, plus (iv) the amount of any Net Proceeds from Equity Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv) (to the extent not used in connection with any Permitted Acquisition or the prepayment,
redemption, defeasance or acquisition of Indebtedness permitted under Section 9.8(d)), plus (v) the amount of any Consolidated Capital Expenditures which constitute Permitted Acquisitions hereunder, plus (vi) the amount of any Net Proceeds from Debt
Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iii) (to the extent not used in connection with any Permitted Acquisition or the prepayment, redemption, defeasance or acquisition of Indebtedness permitted under
Section 9.8(d)).



2.16 A new subclause (p) is hereby added at
the end of Section 9.1 and shall read as follows:



and (p) Indebtedness of Foreign Subsidiaries in an aggregate principal amount up to $75 million.



2.17 The first three lines of Section 9.5 are hereby amended to read as follows:



No member of the Consolidated Group will make any Asset Disposition (including, without limitation, any Sale
and Leaseback Transaction), other than the Approved Asset Dispositions, unless



2.18 Section 9.8(c) is hereby amended to read as follows:



4



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(c) Make any payment in contravention of the terms of any Subordinated Debt (including
the Refinancing Subordinated Debt), the Senior Notes or the 2004 Refinancing Debt; or



2.19 Subclause (A) in Section 9.8(d)(ii) is hereby amended to read as follows:



(A) in an amount equal to 50% of the Net Proceeds received from any Equity Transaction, after compliance with Section 3.3(b)(iv) hereof; provided
that such Net Proceeds shall not include the first $100 million in aggregate Net Proceeds received from Equity Transactions consummated after the Amendment No. 7 Effective Date permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv)
hereof, and



2.20 A new proviso is hereby added at the end of
Section 9.8(d) and shall read as follows:



provided,
further that the Borrower may (1) prepay, redeem, defease or reacquire the Senior Notes outstanding in an aggregate amount not to exceed $85,000 and (2) prepay, redeem, defease or reacquire the Senior Subordinated Notes outstanding in an aggregate
amount not to exceed $4.2 million.



2.21 A new Section
12.17 is hereby added and shall read as follows:



12.17 USA
PATRIOT Act Notice.



Each Lender and the
Administrative Agent (for itself and not on behalf of any Lender) hereby notifies the Borrower that pursuant to the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001)) (the Act), it
is required to obtain, verify and record information that identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender or the Administrative Agent, as applicable, to
identify the Borrower in accordance with the Act.



2.22 The
Revolving Commitment Percentages as of the Amendment No. 7 Effective Date are set forth on Schedule 2.22 attached hereto.



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. 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 Revolving



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Lenders holding more than 50% of the outstanding Revolving Commitments, 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 (prior to the effectiveness of this Amendment) of those existing Lenders consenting to this Amendment and any other fees payable in connection with this
Amendment.



6. From and after the Amendment No. 7 Effective
Date, by execution of the consent to this Amendment attached hereto, each Person identified as a Lender on each consent signature page that is not already a Lender under the Credit Agreement (a New Lender) hereby
acknowledges, agrees and confirms that, by its execution of such consent to this Amendment, such Person will be deemed to be a party to the Credit Agreement and a Lender for all purposes of the Credit Agreement, and shall have all of the
obligations of a Lender thereunder as if it had executed the Credit Agreement. Such Person hereby ratifies, as of the date hereof, and agrees to be bound by, all of the terms, provisions and conditions applicable to the Lenders contained in the
Credit Agreement.



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.



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]



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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                                    





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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.            
| |  |                  |  |  |  | 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]



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|           |  |                                        |  |                                        |  |                                              |  |                                     
|---------- |  | -------------------------------------- |  | -------------------------------------- |  | -------------------------------------------- |  | ------------------------------------
|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]            





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|           |  |                                       |  |                            |  |                                            |  |                                       
|---------- |  | ------------------------------------- |  | -------------------------- |  | ------------------------------------------ |  | --------------------------------------
|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. 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]



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|           |  |                              |  |                            |  |                                            |  |                                       
|---------- |  | ---------------------------- |  | -------------------------- |  | ------------------------------------------ |  | --------------------------------------
|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]





---

|           |  |                                                                  |  |                                        |  |                                       
|---------- |  | ---------------------------------------------------------------- |  | -------------------------------------- |  | --------------------------------------
|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
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---

|           |  |                                 |  |                                                 |  |                                     
|---------- |  | ------------------------------- |  | ----------------------------------------------- |  | ------------------------------------
|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
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---

|           |  |                                                  |  |                                                         |  |                                       
|---------- |  | ------------------------------------------------ |  | ------------------------------------------------------- |  | --------------------------------------
|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
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---

|           |  |                                               |  |                                                           |  |                                     
|---------- |  | --------------------------------------------- |  | --------------------------------------------------------- |  | ------------------------------------
|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
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---

|           |  |                                                 |  |                                                              |  |                                       
|---------- |  | ----------------------------------------------- |  | ------------------------------------------------------------ |  | --------------------------------------
|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



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---

|           |  |                            |  |                                          |  |                                       
|---------- |  | -------------------------- |  | ---------------------------------------- |  | --------------------------------------
|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



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---

|           |  |                           |  |                                                          |  |                         
|---------- |  | ------------------------- |  | -------------------------------------------------------- |  | ------------------------
|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
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---

|           |  |                         |  |                                          |  |                                       
|---------- |  | ----------------------- |  | ---------------------------------------- |  | --------------------------------------
|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 Vice President and Secretary 



24



---

CONSENT TO AMENDMENT NO. 7

TRIAD HOSPITALS, INC.



June
    , 2004



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

100 N. Tryon Street, 17thFloor

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 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. 7 dated as of June
            , 2004 (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 requisite Lenders, and agree that the Borrower may rely upon such authorization.



Very truly yours,



|                 |  | 
|---------------- |  | 
|                
|[Name of Lender]
|                 | 
|By:              |  | 
|Name: Title:     |  | 





---

Schedule 2.22



Revolving Commitment Percentages



|                                          |  |                                |   |  |                          |            
|----------------------------------------- |  | ------------------------------ | - |  | ------------------------ | -----------
|Lender                                    |  | RevolvingCommitment Percentage |   |  | RevolvingCommittedAmount
|Bank of America, N.A.                     |  | 13.875000000                   | % |  | $                        | 55,500,000 
|Wachovia Bank, National Association       |  | 9.000000000                    | % |  | $                        | 36,000,000 
|General Electric Capital Corporation      |  | 7.250000000                    | % |  | $                        | 29,000,000 
|Citicorp USA, Inc.                        |  | 7.125000000                    | % |  | $                        | 28,500,000 
|JPMorgan Chase Bank                       |  | 7.125000000                    | % |  | $                        | 28,500,000 
|Credit Lyonnais (Calyon New York Branch)  |  | 6.625000000                    | % |  | $                        | 26,500,000 
|Scotiabanc Inc.                           |  | 6.625000000                    | % |  | $                        | 26,500,000 
|Merrill Lynch Capital Corp.               |  | 5.875000000                    | % |  | $                        | 23,500,000 
|Credit Suisse First Boston                |  | 5.000000000                    | % |  | $                        | 20,000,000 
|Goldman Sachs Credit Partners L.P.        |  | 5.000000000                    | % |  | $                        | 20,000,000 
|Morgan Stanley Bank                       |  | 5.000000000                    | % |  | $                        | 20,000,000 
|SunTrust Bank                             |  | 5.000000000                    | % |  | $                        | 20,000,000 
|First Tennessee Bank National Association |  | 3.750000000                    | % |  | $                        | 15,000,000 
|Bank of Oklahoma, N.A.                    |  | 2.500000000                    | % |  | $                        | 10,000,000 
|Bear Stearns Corporate Lending Inc.       |  | 2.500000000                    | % |  | $                        | 10,000,000 
|National City Bank of Kentucky            |  | 2.500000000                    | % |  | $                        | 10,000,000 
|Hibernia National Bank                    |  | 1.875000000                    | % |  | $                        | 7,500,000  
|UBS AG, Stamford Branch                   |  | 1.362500000                    | % |  | $                        | 5,450,000  
|Loan Funding I LLC                        |  | 1.250000000                    | % |  | $                        | 5,000,000  
|C-Squared CDO LTD                         |  | 0.381250000                    | % |  | $                        | 1,525,000  
|Winged Foot Funding Trust                 |  | 0.381250000                    | % |  | $                        | 1,525,000  
|                                          |  |                               
|Total                                     |  | 100.00000                      | % |  | $                        | 400,000,000