##### 



Exhibit 10.6




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AMENDMENT NO. 1  TO THE  STOCK PURCHASE AGREEMENT
 THIS AMENDMENT NO. 1 Amendment HCA Purchaser
 R E C I T A L S:
 WHEREAS Agreement
 WHEREAS
 WHEREAS,
 WHEREAS,
 NOW, THEREFORE
 Defined Terms
 Section 2(a)
  Agreed Engineering Firm




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Amended Transaction
 Amended Transaction Closing
 Amended Transaction Closing Date
 Authority
 B Squared
 CONs
 CON Challenges
 Final Order Date
 Garage
 Garage Conditions Exhibit 1
 Garage Restoration Work Exhibit 1
 Government Patient Receivables
 Opening Date Balance Sheet Section 6.8(d)
 Order
 2




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Original CONs
 Original Transaction
 Putnam Section 3
 Replacement CONs
 Revocation Order
 SJLP
 Stay Order
 Transition Patient Receivables Section 6.14(b)
 Transition Patients
 3




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Transition Services
 Unwind Agreement Section
5(a)
 Walker Parking Consultants
 Amendments to Purchase Agreement
 Definitions
 Acquired Company Exhibit A-1
 Base Purchase Price Base Purchase Price
 Contributed Assets
 Exhibit G-1
     Exhibit G-2
    Excluded Assets Exhibit I
  4




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Section 6.14
 Section
6.14
 Excluded Liabilities Exhibit K
  Facilities Exhibit B
 Net Working Capital
 Section 9.2(d) 9.2(f) 9.5
 Optional Termination Date Optional Termination
Date
 Other Receivables Section 1.1
 Other Receivables
 5




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Section 2.5(c) Section 2.5(c)
 Section 3.8(b)(ii) Section 3.8(b)(ii)
 Section 3.10 Section 3.10
 Other Receivables
 Section 5.5(b). Section 5.5(b)
 Section 5.15 Section 5.15
  this Section 5.14 Section 5.15
 Section 6.8 Section 6.8
  Purchased Assets Tax Allocation
 Section 6.8(d)
  6




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Sections 6.8(a) and (c) Section 2.3(d) 6.8(a) and (c) Section 6.8
 Section 6.11(f) Section 6.11(f)
 Section 6.11(g)
   7




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Section 6.11(g) Section 6.11(g)
 Exempt
Party Section 6.11(f) Section 6.11
 Section 6.14 Section 6.14
 PIP; Transition Patients; Government Patient Receivables; and Misdirected
Payments
 PIP
 8




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Payments on Transition Patient Receivables
 Split Bill Transition Patients. Section 6.14(b) Section 6.14(b)
 Government Patient Receivables Exhibit I
 Misdirected Payments Section 6.14
 9




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Payments to HCA Section 6.14
 Payments to Purchaser Section 6.14
 Resolution of Disputes. Section 6.14  Section 2.3
 Section 7.5 Section 7.5
 Section 7.15(b) Section 7.15(b)
 Section 8.5 Section 8.5
 Section 9.2 Section 9.2
 Section 9.2(d)
 Schedule
9.2(d)
  Schedule 9.2(f)
 Schedule 9.2(f) Schedule 9.2(f) Exhibit 2
 Section 9.4(a)(i) Section 9.4(a)(i)
 10




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Section 12.23 Section 12.23
 Further Assurance Clause
  Exclusion of Putnam General Hospital; Revised Schedules and Exhibits
  11




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Section 9(f)(i) Section 3(b)
 St. Josephs Hospital Parking Garage Section 9.2(f) Section 4(a) , Sections 7.1(c) 7.15
  12




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;
  The Wall Street Journal
  13




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Section 9.2(f)
 Section 9.2(f) Section
4(a) Section 9.4(a)(i) Section
9.2(f)
 Certificates of Need Sections
7.1(c) 7.15
 14




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Sections 7.1(c) 7.15
 Exhibit
3 Unwind Agreement
  provided, however Section
7.7
   15




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Hospital Operations
   Closing Sections 5.6 6.12
 16




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Closing Documentation
 Exhibit 4 Sections 7.9 8.10
 Exhibit 5
 Exhibit 6 Sections 7.9 8.10
 Exhibit 7
 Exhibit 8
 Exhibit 9
 Exhibit 10
 Exhibit 11
 Exhibit 12
 Effect of Amendment
  Section 9(c)
  17




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Section
10.2
 Section 9(b) Section 9(e)(iv) Section 9(b) Section 9(e)(iv) Section
9(b) Section 9(e)(iv)
 Limitation Period Section
9(b) Section 9(e)(iv)
 Amendment Section 12.4
 [The following page is the signature page.]
 18




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HCA INC.By:
    
    /s/ Gregg GerkenName:
    
    Gregg GerkenTitle:
    
    Vice PresidentLIFEPOINT HOSPITALS, INC.By:
    
    /s/ William F. Carpenter IIIName:
    
    William F. Carpenter IIITitle:
    
    Executive Vice President