Exhibit 10.30


AMENDMENT
NO. 6




Amendment
No. 6, dated as of April 6, 2009 (“Amendment No.6”),
by and among LIFEPOINT HOSPITALS, INC. (formerly known as LAKERS HOLDING CORP.),
a Delaware corporation (“Borrower”),the
Lenders party hereto, CITICORP NORTH AMERICA, INC., as administrative agent for
the Lenders (the “Administrative Agent”),and BANK OF AMERICA, N.A., as Issuing Bank, to the Credit Agreement dated
as of April 15, 2005 (as amended, amended and restated, supplemented or
otherwise modified from time to time, the “Credit Agreement”),among Borrower, the financial institutions listed on Schedule 2.01
thereto, as such Schedule may from time to time be supplemented and amended (the
“Lenders”),the
Administrative Agent, CIBC WORLD MARKETS CORP., BANK OF AMERICA, N.A., UBS
SECURITIES LLC and SUNTRUST BANK, as co-syndication agents, and CITIGROUP GLOBAL
MARKETS INC., as sole lead arranger and sole bookrunner. Terms used herein
without definition shall have the meanings assigned to such terms in the Credit
Agreement.




WHEREAS,
Borrower has requested that the Administrative Agent and the Req­uisite
Lenders amend the Credit Agreement as set forth herein; and




WHEREAS,
the Administrative Agent and the Requisite Lenders have considered and agreed to
Borrower’s request, upon the terms and conditions set forth in this Amendment
No. 6.




NOW,
THEREFORE:




SECTION
1. Amendments.




(a)           Amendment to Section 1.01.
Defined Terms.




The
following defined terms shall be added to Section 1.01 of the Credit
Agree­ment in appropriate alphabetical order:




“Doctors’ Hospital of
Opelousas Sale”has the meaning assigned to such term in Section
6.04(xx).




“Opelousas Note”has
the meaning assigned to such term in Section 6.04(xx).




(b)           Amendments to Section 6.04.
Investments, Loans, Advances, Guaranteesand
Acquisitions.




Section
6.04 of the Credit Agreement is hereby amended by:




(i)           deleting
“and” immediately following clause (xviii) therein; and




(ii)           adding
the following immediately preceding the period therein:




“; and
(xx) Investments consisting of a note (the “Opelousas Note”)received as part of the consideration for the sale of the acute care
facility known as the Doctors' Hospital of Opelousas,
located at 3983 I-49 South Service Road, Opelousas, Louisiana (the “Doctors’ Hospi­tal of Opelousas Sale”)in compliance with Section 6.05(xiv)”









(c)           Amendment to Section 6.05.
Asset Sales.




Section
6.05(xiv) of the Credit Agreement is hereby amended by adding the fol­lowing
immediately preceding the period therein:




“(providedthat,
notwithstanding such 80% cash consideration requirement, the Doctors’ Hospital
of Opelousas Sale shall be permitted so long as such sale is for no more than
$15.0 million, for fair value, and for at least 25% cash consideration, and so
long as an amount of cash equal to the aggregate of all cash and non-cash
consideration of such sale are applied on or prior to the fifth Business Day
after receipt thereof (which date of receipt shall be no later than June 15,
2009) toward prepayment of the Term B Loans in accordance with Sections 2.05(c)
and 2.05(e) (without any reinvestment option; for the avoidance of doubt, upon
such application of such amount, no Loan Party shall have any further obligation
to apply payments received on the Opelousas Note toward prepayment of any
Loans)”




SECTION
2. Representations,
Warranties and Covenants.The Loan Parties rep­resent, warrant and
covenant that:




(a)            this
Amendment No. 6 has been duly authorized, executed and delivered by them and
constitutes a legal, valid and binding obligation of each Loan Party party
hereto, enforceable against such Loan Party in accordance with its
terms;




(b)            after
giving effect to this Amendment No. 6, the representations and war­ranties
set forth in Article III of the Credit Agreement and the other Loan Documents
will be true and correct with the same effect as if made on and as of the date
hereof (unless expressly stated to relate to an earlier date, in which case such
representations and war­ranties shall be true and correct as of such earlier
date); and




(c)          
no Default or Event of Default has occurred and is continuing.




SECTION
3. Conditions to
Effectiveness.This Amendment No. 6 shall become effective
when:




(a)            the
Administrative Agent shall have received counterparts of this Amendment No. 6
that, when taken together, bear the signatures of Lenders constituting the
Requisite Lenders and the Loan Parties;




(b)            all
corporate and other proceedings taken or to be taken in connection with this
Amendment No. 6 and all documents incidental thereto, whether or not referred to
herein, shall be reasonably satisfactory in form and substance to the
Administrative Agent; and




(c)            all
fees and expenses required to be paid or reimbursed by Borrower purs uant to
the Credit Agreement, including all invoiced fees and expenses of counsel to the Administrative
Agent, shall have been paid or reimbursed, on or prior to effectiveness as
applicable.









SECTION
4. Applicable
Law.THIS AMENDMENT NO.
6 SHALL BECONSTRUED IN
ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THESTATE OF NEW YORK. SECTION 9.11 OF
THE CREDIT AGREEMENT SHALLAPPLY TO THIS AMENDMENT NO.
6.




SECTION
5. Credit Agreement;
Loan Document.Except as expressly set forth herein, this Amendment No. 6
shall not by implication or otherwise limit, impair, constitute a waiver of, or
otherwise affect the rights and remedies of any party under, the Credit
Agreement, nor alter, modify, amend or in any way affect any of the terms,
conditions, obligations, covenants or agreements contained in the Credit
Agreement, all of which are ratified and affirmed in all respects and shall
continue in full force and effect. For the avoidance of doubt, this Amendment
No. 6 shall be deemed to be a “Loan Document” within the meaning of the Credit
Agreement.




SECTION
6. Counterparts.This Amendment No. 6 may be executed in two or more counterparts, each of
which shall constitute an original, but all of which when taken to­gether
shall constitute but one agreement. Delivery of an executed counterpart of a
signature page of this Amendment No. 6 by facsimile transmission shall be as
effective as delivery of a manually executed counterpart of this Amendment No.
6.




SECTION
7. Roles.Citigroup Global Markets Inc. shall act in the capacity as Sole Lead
Arranger and Sole Bookrunner with respect to this Amendment No. 6, but in such
ca­pacities shall not have any obligations, duties or responsibilities, nor
shall incur any liabilities, under this Amendment No. 6 or any other Loan
Document.




[Signature
Pages Follow]









IN
WITNESS WHEREOF, the parties hereto have caused this Amendment No. 6 to be duly
executed by their authorized officers as of the date set forth
above.


LIFEPOINT
      HOSPITALS, INC.By:
              /s/
      David M. DillName: David M.
      DillTitle:
      COO and CFOEACH
      OF THE SUBSIDIARIES LISTED ON
      SCHEDULE I HERETO (other than LifePoint Asset Management Company,
      Inc.)By:
              /s/ Mary Kim
      ShippName:
      Mary Kim ShippTitle:
      SecretaryLIFEPOINTASSET MANAGEMENT
      COMPANY, INC.By:
              /s/ Mary Kim
      ShippName: Mary Kim ShippTitle: Asst. Secretary




[Amendment
No. 6]




CONSENTED
      TO:CITICORP
      NORTH AMERICA, INC.,     as Administrative
      AgentBy:
              /s/ Allen
      Fisher
              
              By:
              /s/ Allen
      FisherName:
      Allen Fisher
              
              
              Name:
      Allen FisherTitle:
      Vice President
              
              
              Title:
      Vice President


[Amendment
No. 6]


SCHEDULE
I




GUARANTORS




Acadian
Physician Practices, LLC


America
Management Companies, LLC


AMG-Crockett,
LLC


AMG-Hilcrest,
LLC


AMG-Hillside,
LLC


AMG-Livingston,
LLC


AMG-Logan,
LLC


AMG-Southern
Tennessee, LLC


AMG-Trinity,
LLC


Andalusia
Physician Practices, LLC


Ashland
Physician Services, LLC


Ashley
Valley Medical Center, LLC


Ashley
Valley Physician Practice, LLC


Athens
Physicians Practice, LLC


Athens
Regional Medical Center, LLC


Barrow
Medical Center, LLC


Bartow
General Partner, LLC


Bartow
Healthcare System, Ltd.


Bartow
Memorial Limited Partner, LLC


Bolivar
Physician Practices, LLC


Bourbon
Community Hospital, LLC


Bourbon
Physician Practice, LLC


Brim
Hospitals, Inc.


Buffalo
Trace Radiation Oncology Associates, LLC


Bullitt
County Hospital, LLC


Care
Health Company, Inc.


Castleview
Hospital, LLC


Castleview
Medical, LLC


Castleview
Physician Practice, LLC


Clinch
Professional Physician Services, LLC


Clinch
Valley Endocrinology, LLC


Clinch
Valley Medical Center, Inc.


Clinch
Valley Pulmonology, LLC


Clinch
Valley Urology, LLC


Colorado
Plains Physician Practices, LLC


Community-Based
Services, LLC


Community
Hospital of Andalusia, Inc.


Community
Medical, LLC


Crockett
Hospital, LLC


Crockett
PHO, LLC









Danville
Diagnostic Imaging Center, LLC


Danville
Physician Practices, LLC


Danville
Regional Medical Center, LLC [Amendment
No. 6]


Danville
Regional Medical Center School of Health Professions, LLC


Dodge
City ASC, LLC


Dodge
City Healthcare Group, LLC


Dodge
City Healthcare Partner, Inc.


Eunice
Community Medical Center, LLC


Georgetown
Community Hospital, LLC


Georgetown
Rehabilitation, LLC


Guyan
Valley Hospital, LLC


Halstead
Hospital, LLC


HCK Logan
Memorial, LLC


HDP
Andalusia, LLC


HDP
Georgetown, LLC


Hillside
Hospital, LLC


Historic
LifePoint Hospitals, Inc.


HRMC,
LLC


HST
Physician Practice, LLC


HTI
Georgetown, LLC


HTI
PineLake, LLC


Integrated
Physician Services, LLC


Kansas
Healthcare Management Company, Inc.


Kansas
Healthcare Management Services, LLC


Kentucky
Hospital, LLC


Kentucky
Medserv, LLC


Kentucky
MSO, LLC


Kentucky
Physician Services, Inc.


Lake
Cumberland Physician Practices, LLC


Lake
Cumberland Regional Hospital, LLC


Lake
Cumberland Regional Physician Hospital Organization, LLC


Lakeland
Community Hospital, LLC


Lakeland
Physician Practices, LLC


Lander
Valley Medical Center, LLC


Lander
Valley Physician Practices, LLC


Las
Cruces Physician Practices, LLC


LHSC,
LLC


LifePoint
Acquisition Corp.


LifePoint
Asset Management Company, Inc.


LifePoint
Billing Services, LLC


LifePoint
Corporate Services, General Partnership


LifePoint
CSGP, LLC


LifePoint
CSLP, LLC


LifePoint
Holdings 2, LLC


Lifepoint
Holdings 3, Inc.


LifePoint
Hospitals Holdings, Inc.


LifePoint
Medical Group - Hillside, Inc


LifePoint
of GAGP, LLC


LifePoint
of Georgia, Limited Partnership





LifePoint
of Kentucky, LLC


LifePoint
of Lake Cumberland, LLC


LifePoint
RC, Inc.


LifePoint
VA Holdings, Inc.


LifePoint
WV Holdings, Inc.


Livingston
Regional Hospital, LLC


Logan
General Hospital, LLC


Logan
Healthcare Partner, LLC


Logan
Medical, LLC


Logan
Memorial Hospital, LLC


Logan
Physician Practice, LLC


Los
Alamos Physician Practices, LLC


Martinsville
Physician Practices, LLC


Meadowview
Physician Practice, LLC


Meadowview
Regional Medical Center, LLC


Meadowview
Rights, LLC


Mexia
Principal Healthcare Limited Partnership


Mexia-Principal,
Inc.


Northeastern
Nevada Physician Practices, LLC


Northwest
Medical Center-Winfield, LLC


NWMC-Winfield
Physician Practices, LLC


Opelousas
Imaging Center Partners, LLC


Outpatient
Services, Inc.


Orthopedics
of Southwest Virginia, LLC


Palestine-Principal
G.P., Inc.


PHC
Hospitals, LLC


PHC-Ashland.
L.P.


PHC-Aviation,
Inc.


PHC-Belle
Glade, Inc.


PHC-Charlestown,
L.P.


PHC-Cleveland,
Inc.


PHC-Doctors’
Hospital, Inc.


PHC-Elko,
Inc.


PHC-Eunice,
Inc.


PHC-Fort
Mohave, Inc.


PHC-Fort
Morgan, Inc.


PHC-Indiana,
Inc.


PHC-Knox,
Inc.


PHC-Lake
Havasu, Inc.


PHC-Lakewood,
Inc.


PHC-Las
Cruces, Inc.


PHC-Los
Alamos, Inc.


PHC-Louisiana,
Inc.


PHC-Martinsville,
Inc.


PHC-Minden
G.P., Inc.


PHC-Minden,
L.P.





PHC-Morgan
City, L.P.


PHC-Morgan
Lake, Inc.


PHC-Opelousas,
L.P.


PHC-Palestine,
Inc.


PHC-Selma,
LLC


PHC-Tennessee,
Inc.


PineLake
Physician Practice, LLC


PineLake
Regional Hospital, LLC


Poitras
Practice, LLC


PRHC-Alabama,
LLC


PRHC-Ennis
G.P., Inc.


PRHC-Ennis,
L.P.


Principal
Hospital Company of Nevada, Inc.


Principal
Knox, L.L.C.


Principal
Knox, L.P.


Principal-Needles,
Inc.


Province
Healthcare Company


Putnam
Ambulatory Surgery Center, LLC


Putnam
Community Medical Center, LLC


Putnam
Physician Practices, LLC


R.
Kendall Brown Practice, LLC


Raleigh
General Hospital, LLC


River
Parishes Holdings, LLC


River
Parishes Hospital, LLC


River
Parishes Partner, LLC


River
Parishes Physician Practices, LLC


Riverton
Memorial Hospital, LLC


Riverton
Oncology Practice, LLC


Riverton
Physician Practices, LLC


Riverview
Medical Center, LLC


Rockdale
Hospital, LLC


Russellville
Hospital, LLC


Russellville
Physician Practices, LLC


Select
Healthcare, LLC


Selma
Diagnostic Imaging, LLC


Siletchnik
Practice, LLC


Smith
County Memorial Hospital, LLC


Somerset
Surgery Partner, LLC


Southern
Tennessee EMS, LLC


Southern
Tennessee Medical Center, LLC


Southern
Tennessee PHO, LLC


Spring
View Hospital, LLC


Spring
View Physician Practices, LLC


Springhill
Medical Center, LLC


Starke
Physician Practices, LLC


Texas
Specialty Physicians





The MRI
Center of Northwest Alabama, LLC


THM
Physician Practice, LLC


Valley
View Physician Practices, LLC


Vaughan
Physician Practices, LLC


Ville
Platte Medical Center, LLC


Ville
Platte Physician Practices, LLC


West
Virginia Management Services Organization, Inc.


Western
Plains Physician Practices, LLC


Western
Plains Regional Hospital, LLC


Woodford
Hospital, LLC


Wyoming
Holdings, LLC


Wythe
County Community Hospital, LLC


Wythe
County Physician Practices, LLC


Zone,
Incorporated