EX-10.1




 Exhibit 10.1 
  


					
	 




	 	 Alvarez & Marsal North America, LLC

540 West Madison Street – Suite 1800

Chicago, IL 60661
 Phone: +1 312 601
4220
 Fax: +1 312 332 4599
	 	 

 April 6, 2020 
 Alfred
Lumsdaine 
 Chief Financial Officer 
 Quorum Health Corporation

 1573 Mallory Lane 
 Suite #100 

Brentwood, TN 37027 
 Dear Mr. Lumsdaine: 

This letter confirms and sets forth the terms and conditions of the engagement between Alvarez & Marsal North America, LLC (“A&M”)
and Quorum Health Corporation, its subsidiaries and its assigns and successors (jointly and severally, the “Company”), including the scope of the services to be performed and the basis of compensation for those services. Upon
execution of this letter by each of the parties below and receipt of the retainer described below, this letter will constitute an agreement between the Company and A&M (the “Agreement”). The parties hereby acknowledge and agree
that this Agreement supersedes in its entirety that certain letter agreement by and between Alvarez & Marsal North America, LLC and Quorum Health Corporation, dated as of December 9, 2019, which letter agreement as of the date hereof,
shall no longer be of any force or effect. 
  

	l.	 Description of Services 



 

	 	(a)	 Officers. In connection with this engagement, A&M shall make available to the Company:



  

	 	(i)	 Paul Rundell to serve as Chief Restructuring Officer (the “CRO”); and 



 

	 	(ii)	 Upon the mutual agreement of A&M and the Company, A&M will provide additional employees of A&M
and/or its affiliates and wholly-owned subsidiaries (“Additional Personnel”) as required (collectively, with the CRO, the “Engagement Personnel”), to assist the CRO in the execution of the duties set forth more
fully herein. 


  

	 	(b)	 Duties. 


  

	 	(i)	 The Engagement Personnel in cooperation with the Chief Executive Officer (the “CEO”) or other
applicable officers of the Company, shall perform a financial review of the Company, including but not limited to a review and assessment of financial information that has been. and that will be, provided by the Company to its creditors, including
without limitation its short and long-term projected cash flows and operating performance; 


  

			
	www.alvarezandmarsal.com	 	 













 Quorum Health Corporation 

April 6, 2020 
  


	 	(ii)	 assistance in reviewing and assessing thirteen week cash flow; 



 

	 	(iii)	 assistance in reviewing the Company with liquidity management; 



 

	 	(iv)	 assist the Company with bankruptcy and first day preparations (as needed and/or requested);



  

	 	(v)	 assistance in financing issues including assistance in preparation of reports and liaison with creditors;



  

	 	(vi)	 assistance in reviewing the Company with review of revenue cycle process, including identifying improvements
for the front and back end processes; and 


  

	 	(vii)	 assist in performing other customary services typical for an engagement of this type relating to the review of
the Company as may be agreed to by Company and A&M from time to time. 


  

	 	(c)	 The Engagement Personnel shall report to the Responsible Officers, as directed by the Board and, at the request
of the Board, will make recommendations to and consult with the Board. 


  

	 	(d)	 The Engagement Personnel will continue to be employed, by A&M and, while rendering services to the Company,
will continue to work with other personnel at A&M in connection with unrelated matters that will not unduly interfere with the services rendered by the Engagement Personnel pursuant to this Agreement. With respect to the Company, however, the
Engagement Personnel shall operate under the direction of the Board and A&M shall have no liability to the Company for any acts or omissions of the Engagement Personnel related to the performance or
non-performance of services at the direction of the Board and consistent with the requirements of the Engagement and this Agreement. 



 

	 	(e)	 In connection with the services to be provided hereunder, from time to time A&M may utilize the services of
employees of its affiliates and subsidiaries as Engagement Personnel. Such affiliates and subsidiaries are wholly owned by A&M’s parent company and employees 



 

	2.	 Information Provided by Company and Forward Looking Statements. The Company shall use all reasonable
efforts to: (i) provide the Engagement Personnel with access to management and other representatives of the Company; and (ii) to furnish all data, material, and other information concerning the business, assets, liabilities, operations,
cash flows, properties, financial condition and prospects of the Company that Engagement Personnel reasonably request in connection with the services to be provided to the Company. The Engagement Personnel shall rely, without further independent
verification, on the accuracy and completeness of all publicly available 



  
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Quorum Health Corporation 
 April 6, 2020 

 


	 	
information and information that is furnished by or on behalf of the Company and otherwise reviewed by Engagement Personnel in connection with the services performed for the Company. The Company
acknowledges and agrees that the Engagement Personnel are not responsible for the accuracy or completeness of such information and shall not be responsible for any inaccuracies or omissions therein. A&M and Engagement Personnel are under no
obligation to update data submitted to them or to review any other areas unless specifically requested by the Board to do so. 


You understand that the services to be rendered by the Engagement Personnel may include the preparation of projections and other
forward-looking statements, and numerous factors can affect the actual results of the Company’s operations, which may materially and adversely differ from those projections. In addition, Engagement Personnel will be relying on information
provided by the Company in the preparation of those projections and other forward-looking statements. 
  

	3.	 Limitation of Duties. Neither A&M, nor the Engagement Personnel make any representations or
guarantees that, inter alia, (i) an appropriate restructuring proposal or strategic alternative can be formulated for the Company, (ii) any restructuring proposal or strategic alternative presented to the Company’s
management or the Board will be more successful than all other possible restructuring proposals or strategic alternatives, (iii) restructuring is the best course of action for the Company, or (iv) if formulated, that any proposed restructuring
plan or strategic alternative will be accepted by any of the Company’s creditors, shareholders and other constituents. Further, neither A&M, nor the Engagement Personnel, assume any responsibility for the Company’s decision to pursue,
or not pursue any business strategy, or to effect, or not to effect any transaction. The Engagement Personnel shall be responsible for implementation only of the restructuring proposal or alternative approved by the Board and only to the extent and
in the manner authorized and directed by the Board. 


 Depending on future developments the spread of the Coronavirus has
the potential to affect the services provided under this Agreement. Travel, work place and mobility restrictions (to include measures reasonably mandated by A&M with respect to its employees and personnel) may restrict travel to the Company and
other work sites as well as limit access to facilities, infrastructure, information and personnel of A&M, the Company or others. Such circumstances may adversely affect the timetable or content of A&M’s deliverables and completion of
the scope of services included in this Agreement. A&M will discuss with the Company if A&M believes that the services may be impacted in this way. The Company accepts and acknowledges that A&M employees and personnel may attend at the
Company’s locations or physically interact with the Company’s employees and personnel in connection with the services, unless A&M or the Company decide that this should not be the case. 

 

	4.	 Compensation. 



 

	 	(a)	 A&M will be paid by the Company for the services of the CRO and any Additional Personnel at the following
billing rates. The billing rate for the 



  
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 Quorum Health Corporation 

April 6, 2020 
  


	 	
CRO is $180,000 per month. A&M will receive fees for the services of the Engagement Personnel based on the following hourly rates: 


 

					
	 Managing Directors
	  	$	900-1,150	 
	 Directors
	  	$	700-875	 
	 Analysts/Associates
	  	$	400-675	 

 Such rates shall be subject to adjustment annually at such time as A&M adjusts its rates generally. 

 

	 	(b)	 In addition, A&M will be reimbursed for its reasonable out-of-pocket expenses incurred in connection with this assignment, such as travel, lodging, duplicating, messenger and telephone charges. All fees and expenses will be billed on a monthly basis or, at
A&M’s discretion, more frequently. Invoices are payable upon receipt 


  

	 	(c)	 The Company shall promptly remit to A&M a retainer in the amount of $200,000, which shall be credited’
against any amounts due at the termination of this engagement and returned upon the satisfaction of all obligations hereunder. 


  

	5.	 Termination. 


  


	 	(a)	 This Agreement will apply from the commencement of the services referred to in Section 1 and may be
terminated with immediate effect by either party without cause by written notice to the other party. 


  

	 	(b)	 A&M normally does not withdraw from an engagement unless the Company misrepresents or fails to disclose
material facts, fails to pay fees or expenses, or makes it unethical or unreasonably difficult for A&M to continue performance of the engagement, or other just cause exists. 



 

	 	(c)	 On termination of the Agreement, any fees and expenses due to A&M shall be remitted promptly (including
fees and expenses that accrued prior to but are invoiced subsequent to such termination). 


  

	 	(d)	 The provisions of this Agreement that give the parties rights or obligations beyond its termination shall
survive and continue to bind the parties. 


  

	6.	 No Audit. Company acknowledges and agrees that A&M and Engagement Personnel are not being requested
to perform an audit, review or compilation, or any other type of financial statement reporting engagement that is subject to the rules of the AICPA, SEC or other state or national professional or regulatory body. 



 

	7.	 No Third party Beneficiary. The Company acknowledges that all advice (written or oral) provided by
A&M and the Engagement Personnel to the Company in connection 



  
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Quorum Health Corporation 
 April 6, 2020 

 


	 	
with this engagement is intended solely for the benefit and use of the Company (limited to its Board and management) in considering the matters to which this engagement relates. The Company
agrees that no such advice shall be used for any other purpose or reproduced, disseminated, quoted or referred to at any time in any manner or for any purpose other than accomplishing the tasks referred to herein without A&M’s prior
approval (which shall not be unreasonably withheld), except as required by law. 

  

	8.	 Conflicts. A&M is not currently aware of any relationship that would create a conflict of interest
with the Company or those parties-in-interest of which you have made us aware. Because A&M and its affiliates and subsidiaries comprise a consulting firm (the
“Firm”) that serves clients on an international basis in numerous cases, both in and out of court, it is possible that the Finn may have rendered or will render services to, or have business associations with, other entities or
people which had or have or may have relationships with the Company, including creditors of the Company. The Firm will not be prevented or restricted by virtue of providing the services under this Agreement from providing services to other entities
or individuals, including entities or individuals whose interests may be in competition or conflict with the Company’s, provided the Firm makes appropriate arrangements to ensure that the confidentiality of information is maintained.



  

	9.	 Confidentiality/Non-Solicitation. 



A&M and Engagement Personnel shall keep as confidential all non-public information received from
the Company in conjunction with this engagement, except: (i) as requested by the Company or its legal counsel; (ii) as required by legal proceedings; or (iii) as reasonably required in the performance of this engagement. All obligations as
to non-disclosure shall cease as to any part of such information to the extent that such information is, or becomes, public other than as a result of a breach of this provision. The Company, on behalf of
itself and its subsidiaries and affiliates and any person which may acquire all or substantially all of its assets agrees that, until two (2) years subsequent to the termination of this engagement, it will not solicit, recruit, hire or
otherwise engage any employee of A&M or any of its affiliates who worked on this engagement while employed by A&M or its affiliates (“Solicited Person”). Should the Company or any of its subsidiaries or affiliates or any
person who acquires all or substantially all of its assets extend an offer of employment to or otherwise engage any Solicited Person and should such offer be accepted, A&M shall be entitled to a fee from the Company equal to the Solicited
Person’s hourly client billing rate at the time of the offer multiplied by 4,000 hours for a Managing Director, 3,000 hours for a Senior Director and 2,000 hours for any other A&M employee. The Company acknowledges and agrees that this fee
fairly represents the loss that A&M will suffer if the Company breaches this provision. The fee shall be payable at the time of the Solicited Person’s acceptance of employment or engagement. 

 

	10.	 Indemnification/Limitations on Liability. The Company shall indemnify the Engagement Personnel acting as
officers (the “Indemnified Professionals”) to the same extent as the most favorable indemnification it extends to its officers or directors, whether under the Company’s bylaws, its certificate of incorporation, by contract or




  
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 Quorum Health Corporation 

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otherwise, and no reduction or termination in any of the benefits provided under any such indemnities shall affect the benefits provided to the Indemnified Professionals. The Indemnified
Professionals shall be covered as officers under the Company’s existing director and officer liability insurance policy. As a condition of A&M accepting this engagement, a Certificate of Insurance evidencing such coverage shall be furnished
to A&M prior to the effective date of this Agreement. The Company shall give thirty (30) days’ prior written notice to A&M of cancellation, non-renewal, or material change in coverage, scope,
or amount of such director and officer liability policy. The Company shall also maintain such insurance coverage for the Indemnified Professionals for a period of not less than six years following the date of the termination of the Indemnified
Professionals’ services hereunder. The provisions of this section are in the nature of contractual obligations and no change in applicable law or the Company’s charter, bylaws or other organizational documents or policies shall affect the
Indemnified Professionals’ rights hereunder. The attached indemnity and limitation on liability provisions are incorporated herein and the termination of this agreement or the engagement shall not affect those provisions, which shall remain in
full force and effect. 

  

	11.	 Miscellaneous. This Agreement (together with the attached indemnity provisions), including, without
limitation, the construction and interpretation thereof and all claims, controversies and disputes arising under or relating thereto, shall be governed and construed in accordance with the laws of the State of New York, without regard to principles
of conflict of law that would defer to the laws of another jurisdiction. The Company and A&M agree to waive trial by jury in any action, proceeding or counterclaim brought by or on behalf of the parties hereto with respect to any matter relating
to or arising out of the engagement or the performance or non-performance of A&M hereunder. The Company and A&M agree, to the extent permitted by applicable law, that any Federal Court sitting within
the Southern District of New York shall have exclusive jurisdiction over any litigation arising out of this Agreement; to submit to the personal jurisdiction of the Courts of the United States District Court for the Southern District of New York;
and to waive any and all personal rights under the law of any jurisdiction to object on any basis (including, without limitation, inconvenience of forum) to jurisdiction or venue within the State of New York for any litigation arising in connection
with this Agreement. 


 This Agreement shall be binding upon A&M and the Company, their respective heirs, successors,
and assignees, and any heir, successor, or assignee of a substantial portion of A&M’s or the Company’s respective businesses and/or assets, including any Chapter 11 Trustee. This Agreement incorporates the entire understanding of the
parties with respect to the subject matter hereof and may not be amended or modified except in writing executed by the Company and A&M. The Company agrees that A&M may aggregate information provided by or on behalf of the Company during this
engagement with information provided by or on behalf of others and use and disclose that information in de-identified form as part of research and advice, including, without limitation, benchmarking services.
Notwithstanding anything herein to the contrary, A&M may reference or list the Company’s name and/or logo and/or a general description of the services in A&M’s marketing materials, including, without limitation, on A&M’s
website. 

  
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 Quorum Health Corporation 

April 6, 2020 
  

 If the foregoing is acceptable to you, kindly sign the enclosed copy to acknowledge your
agreement with its terms. 
  

			
	Very truly yours,
	
	Alvarez & Marsal North America, LLC
		
	By:	 	 /s/ Paul Rundell

		 	Paul Rundell
		 	Managing Director


  

					
		 	Accepted and agreed:
		
		 	Quorum Health Corporation
			
		 	By:	 	 /s/ Alfred Lumsdaine

		 		 	Alfred Lumsdaine
		 		 	CFO


  
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 INDEMNIFICATION AND LIMITATION ON LIABILITY AGREEMENT 

This indemnification and limitation on liability agreement is made part of an agreement, dated April 6th, 2020 (which together with any renewals,
modifications or extensions thereof, is herein referred to as the “Agreement”), by and between Alvarez & Marsal North America, LLC (“A&M”) and Quorum Health Corporation, its subsidiaries and its assigns and
successors (the “Company”), for services to be rendered to the Company by A&M. 
 A. The Company agrees to indemnify and hold harmless
each of A&M, its affiliates and their respective shareholders, members, managers, employees, agents, representatives and subcontractors (each, an “Indemnified Party” and collectively, the “Indemnified Parties”) against any
and all losses, claims, damages, liabilities, penalties, obligations and expenses, including the costs for counsel or others (including employees of A&M, based on their then current hourly billing rates) in investigating, preparing or defending
any action or claim, whether or not in connection with litigation in which any Indemnified Party is a party, or enforcing the Agreement (including these indemnity provisions), as and when incurred, caused by, relating to, based upon or arising out
of (directly or indirectly) the Indemnified Parties’ acceptance of or the performance or nonperformance of their obligations under the Agreement; provided, however, such indemnity shall not apply to any such loss, claim, damage, liability or
expense to the extent it is found in a final judgment by a court of competent jurisdiction (not subject to further appeal) to have resulted primarily and directly from such Indemnified Party’s gross negligence or willful misconduct. The Company
also agrees that (a) no Indemnified Party shall have any liability (whether direct or indirect, in contract or tort or otherwise) to the Company for or in connection with the engagement of A&M, except to the extent that any such liability
for losses, claims, damages, liabilities or expenses are found in a final judgment by a court of competent jurisdiction (not subject to further appeal) to have resulted primarily and directly from such Indemnified Party’s gross negligence or
willful misconduct and (b) in no event will any Indemnified Party have any liability to the Company for special, consequential, incidental or exemplary damages or loss (nor any lost profits, savings or business opportunity). The Company further
agrees that it will not, without the prior consent of an Indemnified Party, settle or compromise or consent to the entry of any judgment in any pending or threatened claim, action, suit or proceeding in respect of which such Indemnified Party seeks
indemnification hereunder (whether or not such Indemnified Party is an actual party to such claim, action, suit or proceedings) unless such settlement, compromise or consent includes an unconditional release of such Indemnified Party from all
liabilities arising out of such claim, action, suit or proceeding. 
 B. These indemnification provisions shall be in addition to any liability which the
Company may otherwise have to the Indemnified Parties. In the event that, at any time whether before or after termination of the engagement or the Agreement, as a result of or in connection with the Agreement or A&M’s and its
personnel’s role under the Agreement, A&M or any Indemnified Party is required to produce any of its personnel (including former employees) for examination, deposition or other written, recorded or oral presentation, or A&M or any of
its personnel (including former employees) or any other Indemnified Party is required to produce or otherwise review, compile, submit, duplicate, search for, organize or report on any material within such Indemnified Party’s possession













 Quorum Health Corporation 

April 6, 2020 
  

 
or control pursuant to a subpoena or other legal (including administrative) process, the Company will reimburse the Indemnified Party for its out of pocket expenses, including the reasonable fees
and expenses of its counsel, and will compensate the Indemnified Party for the time expended by its personnel based on such personnel’s then current hourly rate. 

C. If any action, proceeding or investigation is commenced to which any Indemnified Party proposes to demand indemnification hereunder, such Indemnified Party
will notify the Company with reasonable promptness; provided, however, that any failure by such Indemnified Party to notify the Company will not relieve the Company from its obligations hereunder, except to the extent that such failure shall have
actually prejudiced the defense of such action. The Company shall promptly pay expenses reasonably incurred by any Indemnified Party in defending, participating in, or settling any action, proceeding or investigation in which such Indemnified Party
is a party or is threatened to be made a party or otherwise is participating in by reason of the engagement under the Agreement, upon submission of invoices therefor, whether in advance of the final disposition of such action, proceeding, or
investigation or otherwise. Each Indemnified Party hereby undertakes, and the Company hereby accepts its undertaking, to repay any and all such amounts so advanced if it shall ultimately be determined that such Indemnified Party is not entitled to
be indemnified therefor. If any such action, proceeding or investigation in which an Indemnified Party is a party is also against the Company, the Company may, in lieu of advancing the expenses of separate counsel for such Indemnified Party, provide
such Indemnified Party with legal representation by the same counsel who represents the Company, provided such counsel is reasonably satisfactory to such Indemnified Party, at no cost to such Indemnified Party; provided, however, that if such
counsel or counsel to the Indemnified Party shall determine that due to the existence of actual or potential conflicts of interest between such Indemnified Party and the Company such counsel is unable to represent both the Indemnified Party and the
Company, then the Indemnified Party shall be entitled to use separate counsel of its own choice, and the Company shall promptly advance its reasonable expenses of such separate counsel upon submission of invoices therefor. Nothing herein shall
prevent an Indemnified Party from using separate counsel of its own choice at its own expense. The Company will be liable for any settlement of any claim against an Indemnified Party made with the Company’s written consent, which consent shall
not be unreasonably withheld. 
 D. In order to provide for just and equitable contribution if a claim for indemnification pursuant to these indemnification
provisions is made but it is found in a final judgment by a court of competent jurisdiction (not subject to further appeal) that such indemnification may not be enforced in such case, even though the express provisions hereof provide for
indemnification, then the relative fault of the Company, on the one hand, and the Indemnified Parties, on the other hand, in connection with the statements, acts or omissions which resulted in the losses, claims, damages, liabilities and costs
giving rise to the indemnification claim and other relevant equitable considerations shall be considered; and further provided that in no event will the Indemnified Parties’ aggregate contribution for all losses, claims, damages, liabilities
and expenses with respect to which contribution is available hereunder exceed the amount of fees actually received by the Indemnified Parties pursuant to the Agreement. No person found liable for a fraudulent misrepresentation shall be entitled to
contribution hereunder from any person who is not also found liable for such fraudulent misrepresentation. 

  
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 E. In the event the Company and A&M seek judicial approval for the assumption of the Agreement or
authorization to enter into a new engagement agreement pursuant to either of which A&M would continue to be engaged by the Company, the Company shall promptly pay expenses reasonably incurred by the Indemnified Parties, including attorneys’
fees and expenses, in connection with any motion, action or claim made either in support of or in opposition to any such retention or authorization, whether in advance of or following any judicial disposition of such motion, action or claim,
promptly upon submission of invoices therefor and regardless of whether such retention or authorization is approved by any court. The Company will also promptly pay the Indemnified Parties for any expenses reasonably incurred by them, including
attorneys’ fees and expenses, in seeking payment of all amounts owed it under the Agreement (or any new engagement agreement) whether through submission of a fee application or in any other manner, without offset, recoupment or counterclaim,
whether as a secured claim, an administrative expense claim, an unsecured claim, a prepetition claim or a post-petition claim. 
 F. Neither termination of
the Agreement nor termination of A&M’s engagement nor the filing of a petition under Chapter 7 or 11 of the United States Bankruptcy Code (nor the conversion of an existing case to one under a different chapter) shall affect these
indemnification provisions, which shall hereafter remain operative and in full force and effect. 
 G. The rights provided herein shall not be deemed
exclusive of any other rights to which the Indemnified Parties may be entitled under the certificate of incorporation or bylaws of the Company, any other agreements, any vote of stockholders or disinterested directors of the Company, any applicable
law or otherwise. 
  

							
	QUORUM HEALTH CORPORATION	  	ALVAREZ & MARSAL NORTH AMERICA LLC
				
	By:	 	 /s/ Alfred Lumsdaine
	  	By:	 	 /s/ Paul Rundell

		 	Alfred Lumsdaine	  		 	Paul Rundell
		 	Chief Financial Officer	  		 	Managing Director


  
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