<PAGE>

                                                                   EXHIBIT 10.3

                                JOINDER AGREEMENT

                  THIS JOINDER AGREEMENT (the "Agreement"), dated as of April
30, 2003, is by and between JORDAN VALLEY HOSPITAL, LP, a Delaware limited
partnership (the "New Subsidiary"), and BANK OF AMERICA, N. A., in its
capacities as Administrative Agent and Collateral Agent under that certain
Amended and Restated Credit Agreement (as it may be amended, modified, restated
or supplemented from time to time, the "Credit Agreement"), dated as of February
7, 2003, by and among IASIS Healthcare Corporation, a Delaware corporation (the
"Borrower"), the Guarantors party thereto, the Lenders party thereto and Bank of
America, N. A., as Administrative Agent. All of the defined terms in the Credit
Agreement are incorporated herein by reference.

                  The Credit Parties are required by Section 9.11 of the Credit
Agreement to cause the New Subsidiary to become a "Guarantor".

                  Accordingly, the New Subsidiary hereby agrees as follows with
the Administrative Agent, for the benefit of the Lenders:

                  1.       The New Subsidiary hereby acknowledges, agrees and
confirms that, by its execution of this Agreement, the New Subsidiary will be
deemed to be a party to the Credit Agreement and a "Guarantor" for all purposes
of the Credit Agreement, and shall have all of the rights and obligations of a
Guarantor thereunder as if it had executed the Credit Agreement. The New
Subsidiary hereby ratifies, as of the date hereof, and agrees to be bound by,
all of the terms, provisions and conditions applicable to the Guarantors
contained in the Credit Agreement. Without limiting the generality of the
foregoing terms of this paragraph 1, the New Subsidiary hereby jointly and
severally, together with the other Guarantors, guarantees to each Lender and the
Administrative Agent, as provided in Section 5 of the Credit Agreement, the
prompt payment of the Obligations in full when due (whether at stated maturity,
as a mandatory prepayment, by acceleration or otherwise, giving effect to any
grace periods) strictly in accordance with the terms thereof.

                  2.       The New Subsidiary hereby acknowledges, agrees and
confirms that, by its execution of this Agreement, the New Subsidiary will be
deemed to be a party to the Security Agreement, and shall have all the rights
and obligations of an "Assignor" (as such term is defined in the Security
Agreement) thereunder as if it had executed the Security Agreement. The New
Subsidiary hereby ratifies, as of the date hereof, and agrees to be bound by,
all of the terms, provisions and conditions applicable to the "Assignor"
contained in the Security Agreement. Without limiting the generality of the
foregoing terms of this paragraph 2, to secure the prompt payment and
performance in full when due, whether by lapse of time, acceleration, mandatory
prepayment or otherwise of the Obligations (as defined in the Security
Agreement) the New Subsidiary hereby confirms and grants to the Administrative
Agent, for the ratable benefit of the Lenders, a continuing security interest in
any and all right, title and interest of the New Subsidiary in and to the
Collateral (as such term is defined in Section 1.1(c) of the Security Agreement)
of the New Subsidiary. The New Subsidiary hereby represents and warrants to the
Administrative Agent as of the date hereof that the information set forth on
each the Schedules attached to this Joinder Agreement is true and complete as of
the date hereof.

                  3.       The New Subsidiary hereby acknowledges, agrees and
confirms that, by its execution of this Agreement, the New Subsidiary will be
deemed to be a party to the Pledge Agreement, and shall have all the rights and
obligations of a "Pledgor" thereunder as if it had executed the Pledge
Agreement. The New Subsidiary hereby ratifies, as of the date hereof, and agrees
to be bound by, all the terms, provisions and conditions applicable to the
"Pledgor" contained in the Pledge Agreement. Without limiting the generality of
the foregoing terms of this paragraph 3, to secure the prompt payment and

<PAGE>

performance in full when due, whether by lapse of time, acceleration, mandatory
prepayment or otherwise, of the Obligations (as defined in the Pledge
Agreement), the New Subsidiary hereby confirms and pledges and assigns to the
Collateral Agent, for the ratable benefit of the Lenders, and confirms and
grants to the Collateral Agent, for the ratable benefit of the Lenders, a
continuing security interest in any and all right, title and interest of the New
Subsidiary in and to the Collateral (as such term is defined in Section 3.1 of
the Pledge Agreement) listed on Schedules 10, 11, 12 and 13 attached hereto.

                  4.       Unless otherwise notified to the Administrative Agent
in accordance with Section 14.03 of the Credit Agreement, the address of the New
Subsidiary for purposes of all notices and other communications is the address
set forth on Schedule 1 hereto.

                  5.       The New Subsidiary hereby waives acceptance by the
Administrative Agent, the Collateral Agent and the Lenders of the guaranty by
the New Subsidiary under Section 5 of the Credit Agreement upon the execution of
this Agreement by the New Subsidiary.

                  6.       This Agreement may be executed in two or more
counterparts, each of which shall constitute an original but all of which when
taken together shall constitute one contract.

                  7.       THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

                  8.       The information set forth in Schedules 1 through 8
hereto shall be deemed to supplement the applicable schedules to the Security
Agreement. The information set forth in Schedules 3 and 9 through 13 hereto
shall be deemed to supplement the applicable schedules to the Pledge Agreement.
The information set forth in Schedule 14 hereto shall be deemed to supplement
Schedule 8.13 to the Credit Agreement.

                                       2

<PAGE>

                  IN WITNESS WHEREOF, the New Subsidiary has caused this Joinder
Agreement to be duly executed by its authorized officers, the Borrower has
caused the same to be consented to by its authorized officer and the
Administrative Agent and Collateral Agent, for the ratable benefit of the
Lenders, has caused the same to be accepted by its authorized officer, as of the
day and year first above written.

                                     JORDAN VALLEY HOSPITAL, LP,
                                     as the New Subsidiary

                                     By: IASIS HEALTHCARE
                                         HOLDINGS, INC., its
                                         General Partner

                                     By: -s- Frank A. Coyle
                                         -------------------
                                     Name: Frank A. Coyle
                                     Title: Secretary

                                     Acknowledged and consented to:

                                     IASIS HEALTHCARE CORPORATION, as Borrower

                                     By: -s- Frank A. Coyle
                                         -------------------
                                     Name: Frank A. Coyle
                                     Title: Secretary

                                     Acknowledged and accepted:

                                     BANK OF AMERICA, N. A., as
                                     Administrative Agent and Collateral Agent

                                     By: -s- Kevin Wagley
                                         ----------------
                                     Name: Kevin Wagley
                                     Title: Principal

                                       3

<PAGE>

                                   Schedule 1
                              TO JOINDER AGREEMENT

               SCHEDULE OF CHIEF EXECUTIVE OFFICES/ADDRESS(ES) OF
                             CHIEF EXECUTIVE OFFICE

JORDAN VALLEY HOSPITAL, LP

A.       Chief Executive Offices

         West Jordan, UT

B.       Address(es) of Chief Executive Office

         3580 West 9000 South Street
         West Jordan, UT 84088

                                       4

<PAGE>

                                   Schedule 2
                              TO JOINDER AGREEMENT

                  SCHEDULE OF INVENTORY AND EQUIPMENT LOCATIONS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
       Location                           Description
       --------                           -----------
<S>                             <C>
3580 West 9000 South Street     Inventory and Equipment Location
West Jordan, UT 84088

113 Seaboard Lane               Inventory and Equipment Location
Suite A-200
Franklin, TN 37067
</TABLE>

                             5

<PAGE>

                                   Schedule 3
                              TO JOINDER AGREEMENT

                  SCHEDULE OF LEGAL NAMES, TYPE OF ORGANIZATION
                  (AND WHETHER A REGISTERED ORGANIZATION AND/OR
             A TRANSMITTING UTILITY), JURISDICTION OF ORGANIZATION,
               LOCATION AND ORGANIZATIONAL IDENTIFICATION NUMBERS

<TABLE>
<CAPTION>
                           Type of                                                                 New Subsidiary's
                      Organization (or,                                                              Organization
                         if the New                                            New Subsidiary's     Identification
                      Subsidiary is an        Registered                         Location (for     Number (or, if it   Transmitting
Exact Legal Name       Individual, so        Organization?    Jurisdiction of   purposes of NY        has none, so       Utility?
of New Subsidiary         indicate)            (Yes/No)        Organization    UCC Section 9-307)      indicate)         (Yes/No)
-----------------     -----------------      -------------    -------------    ------------------      ---------         --------
<S>                   <C>                    <C>              <C>              <C>                 <C>                 <C>
Jordan Valley         Limited Partnership    Yes              Delaware          Delaware               82-0588653      No
Hospital, LP
</TABLE>

                                       6

<PAGE>

                                   Schedule 4
                              TO JOINDER AGREEMENT

                     SCHEDULE OF TRADE AND FICTITIOUS NAMES

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
Name                            Jurisdiction Where Used
----                            -----------------------
<S>                             <C>
Jordan Valley Hospital*         Utah
</TABLE>

*Transferred to Jordan Valley Hospital, LP from Jordan Valley Hospital, Inc.

                                       7

<PAGE>

                                   Schedule 5
                              TO JOINDER AGREEMENT

                      DESCRIPTION OF COMMERCIAL TORT CLAIMS

<TABLE>
<CAPTION>
Name of New Subsidiary                   Description of Commercial Tort Claims
----------------------                   -------------------------------------
<S>                                      <C>
Jordan Valley Hospital, LP               None
</TABLE>

                                       8

<PAGE>

                                   Schedule 6
                              TO JOINDER AGREEMENT

                       SCHEDULE OF MARKS AND APPLICATIONS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
Mark         Reg. No.       Reg. Date      Expiration Date
----         --------       ---------      ---------------
<S>          <C>            <C>            <C>
None
</TABLE>

                                       9

<PAGE>

                                   Schedule 7
                              TO JOINDER AGREEMENT

                      SCHEDULE OF PATENTS AND APPLICATIONS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
Patent       Patent No.     Issue Date
------       ----------     ----------
<S>          <C>            <C>
None
</TABLE>

                                       10

<PAGE>

                                   Schedule 8
                              TO JOINDER AGREEMENT

                     SCHEDULE OF COPYRIGHTS AND APPLICATIONS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
Copyright Title    Copyright Reg. No.    Publication Date
---------------    ------------------    ----------------
<S>                <C>                   <C>
None
</TABLE>

                                       11

<PAGE>

                                   Schedule 9
                              TO JOINDER AGREEMENT

                     LIST OF SUBSIDIARIES OF NEW SUBSIDIARY

None

                                       12

<PAGE>

                                   Schedule 10
                              TO JOINDER AGREEMENT

                                  LIST OF STOCK

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
                                                                                     Sub-clause of
  Name of                                                                            Section 3.2(a)
  Issuing              Type of     Number of    Certificate         Percentage         of Pledge
Corporation            Shares       Shares          No.               Owned            Agreement
-----------            ------       ------          ---               -----          --------------
<S>                    <C>         <C>          <C>                 <C>              <C>
Not applicable
</TABLE>

                                       13

<PAGE>

                                   Schedule 11
                              TO JOINDER AGREEMENT

                                  LIST OF NOTES

JORDAN VALLEY HOSPITAL, LP

Intercompany Notes

<TABLE>
<CAPTION>
                                                                                    Sub-clause of Section
                                                                                       3.2(a) of Pledge
   Amount                     Maturity Date                   Obligor                     Agreement
   ------                     -------------                   -------                     ---------
<S>                           <C>                   <C>                             <C>
$45,080,363                     10/01/04            Jordan Valley Hospital, LP*               (v)
$32,301,279                     03/31/23            Jordan Valley Hospital, LP**              (v)
</TABLE>

*Assumed Obligation from Jordan Valley Hospital, Inc., as Maker. Payee is IASIS
Healthcare Corporation, indorsed to IASIS Finance, Inc.

**Payee is IASIS Healthcare Corporation, indorsed to IASIS Finance, Inc.

                                       14

<PAGE>

                                   Schedule 12
                              TO JOINDER AGREEMENT

                   LIST OF LIMITED LIABILITY COMPANY INTERESTS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
                                                                                                Sub-clause of
Name of Issuing                                                                               Section 3.2(a) of
  Corporation           Type of Interest        Certificate No.        Percentage Owned       Pledge Agreement
  -----------           ----------------        ---------------        ----------------       ----------------
<S>                     <C>                     <C>                    <C>                    <C>
None
</TABLE>

                                       15

<PAGE>

                                   Schedule 13
                              TO JOINDER AGREEMENT

                          LIST OF PARTNERSHIP INTERESTS

JORDAN VALLEY HOSPITAL, LP

<TABLE>
<CAPTION>
                                                                                   Sub-clause of Section
                                                                                      3.2(a) of Pledge
 Name of Partnership             Type of Interest             Percentage Owned            Agreement
 -------------------             ----------------             ----------------            ---------
<S>                              <C>                          <C>                  <C>
None*
</TABLE>

*IASIS Healthcare Holdings, Inc. owns a 1% general partnership interest in
Jordan Valley Hospital, LP. Jordan Valley Hospital, Inc. (whose name will be
changed to Jordan Valley Hospital Holdings, Inc.) owns a 97.4% limited
partnership interest in Jordan Valley Hospital, LP.

                                       16

<PAGE>

                                   Schedule 14
                              TO JOINDER AGREEMENT

                              LIST OF REAL PROPERTY

JORDAN VALLEY HOSPITAL, LP

Jordan Valley Hospital
3580 West 9000 South Street
West Jordan, UT 84088
(includes 3570 and 3590 West 9000 South Street)

                                       17