EX-4.1



 Exhibit 4.1 

HCA Inc. 
 JOINDER
AGREEMENT AND AMENDMENT NO. 1 to CREDIT 
 AGREEMENT 

JOINDER AGREEMENT AND AMENDMENT NO. 1 to CREDIT AGREEMENT (this “Joinder”), dated as of October 30, 2014
(“Increased Amount Date” or “Amendment No. 1 Effective Date”), to the Credit Agreement, dated as of September 30, 2011, as amended and restated as of March 7, 2014, among HCA Inc., a Delaware
corporation (the “Parent Borrower”), the Subsidiary Borrowers party thereto, the lenders party thereto, Bank of America, N.A., as Administrative Agent, Swingline Lender and Letter of Credit Issuer, and the other agents and
bookrunners party thereto (the “Credit Agreement”). Capitalized terms used herein and not defined herein shall have the meanings assigned to such terms in the Credit Agreement. 

1. The Lenders listed on Exhibit A hereto (each, an “Incremental Revolving Loan Lender” and together, the
“Incremental Revolving Loan Lenders”) have been approached by the Parent Borrower, and have committed to provide an Incremental Revolving Credit Commitment of $750,000,000 in the aggregate. After giving effect to such Incremental
Revolving Credit Commitments, the aggregate Revolving Credit Commitments shall be increased on the Increased Amount Date from $2,500,000,000 to $3,250,000,000 (the “Revolving Commitment Increase”). 

2. The Parent Borrower hereby represents and warrants as of the Increased Amount Date to the Administrative Agent, each Lender and the
Incremental Revolving Loan Lenders that all of the conditions set forth in Section 2.14 of the Credit Agreement with respect to the Revolving Commitment Increase have been satisfied and the Parent Borrower is in compliance with all of
the terms of such Section. The Increased Amount Date shall be the date that all of the conditions in Section 6 of this Joinder shall have been satisfied, which date shall be October 30, 2014. 

3. Pursuant to Section 2.14 of the Credit Agreement, by execution and delivery of this Joinder, each Incremental Revolving Loan
Lender’s Revolving Credit Commitment shall be the amount set forth on Exhibit A hereto and each Incremental Revolving Loan Lender shall for all purposes of the Credit Documents be deemed a “Lender” under the Credit Agreement.

 4. For the avoidance of doubt, the Revolving Credit Commitments of the Incremental Revolving Loan Lenders shall be on identical terms as
the Revolving Credit Commitments as in effect immediately prior to giving effect to the effectiveness of the Revolving Commitment Increase. 







 5. Amendments to Credit Agreement 

(a) The following definition shall be added to Section 1.1 of the Credit Agreement in proper alphabetical order: 

“Amendment No. 1 Effective Date”: October 30, 2014. 

(b) The definition of “Revolving Credit Commitment” in Section 1.1 of the Credit Agreement shall be amended by replacing
“as of the Restatement Effective Date is $2,500,000,000” with “as of the Amendment No. 1 Effective Date is $3,250,000,000, as may be increased from time to time on any Increased Amount Date to the extent of such Incremental
Revolving Credit Commitment.” 
 (c) Schedule 1 to the Credit Agreement shall be amended and restated as provided in Exhibit
A to this Joinder. 
 6. Conditions. The obligation of the Incremental Revolving Loan Lenders to provide the Incremental
Revolving Credit Commitments and the effectiveness of the Revolving Commitment Increase referred to above are subject to the following conditions precedent: 

(a) Accuracy of the Parent Borrower’s representations and warranties made in Section 2 hereto. 

(b) The Administrative Agent shall have received an officer’s certificate of the Parent Borrower in form and substance
reasonably satisfactory to the Administrative Agent certifying that (x) no Default or Event of Default shall have occurred and be continuing and (y) all representations and warranties made by any Credit Party contained herein or in the
other Credit Documents shall be true and correct in all material respects with the same effect as though such representations and warranties had been made on and as of the date of such Credit Event (except where such representations and warranties
expressly relate to an earlier date, in which case such representations and warranties shall have been true and correct in all material respects as of such earlier date), on such Increased Amount Date before and after giving effect to the Revolving
Commitment Increase. 
 (c) The Administrative Agent shall have received the executed legal opinion of Simpson
Thacher & Bartlett LLP, special New York counsel to the Parent Borrower in form and substance satisfactory to the Administrative Agent. The Parent Borrower, the other Credit Parties and the Administrative Agent hereby instruct such counsel
to deliver such legal opinion. 
 (d) For each Credit Party, the Administrative Agent shall have received a short-form (where
applicable) good standing certificate in such Credit Party’s state of formation, each dated a recent date prior to the Increased Amount Date and certified by the applicable secretary of state. 

(e) The reimbursement or payment of all reasonable out-of-pocket expenses (including the reasonable fees and expenses of Cahill
Gordon & Reindel llp, special counsel to the Administrative Agent) required to be reimbursed or paid by the Parent Borrower hereunder or under the Credit Agreement, in each case to the extent invoiced. 

  
 -2- 








 7. On the Increased Amount Date, subject to the satisfaction of the terms and conditions set
forth herein, (x) (i) each of the Lenders with Revolving Credit Commitments shall assign to the Incremental Revolving Loan Lenders and the Incremental Revolving Loan Lenders shall purchase from each of the Lenders with Revolving Credit
Commitments, at the principal amount thereof (together with accrued interest), such interests in the Revolving Credit Loans outstanding on the Increased Amount Date as shall be necessary in order that, after giving effect to all such assignments and
purchases, such Revolving Credit Loans will be held by existing Lenders with Revolving Credit Commitments and the Incremental Revolving Loan Lenders ratably in accordance with their Revolving Credit Commitments after giving effect to the addition of
the Revolving Commitment Increase to the Revolving Credit Commitments. 
 8. The Credit Parties hereby confirm that the Security Documents
and the obligations of such parties under the Credit Documents continue in full force and effect and shall not be affected by this Joinder (it being understood that the “Obligations” are increased as provided herein). Each of Holdings and
Parent Borrower hereby further ratifies and reaffirms the validity and enforceability of all of the Liens and security interests heretofore granted, pursuant to and in connection with the Security Documents, to the Administrative Agent, as
collateral security for the Obligations under the Credit Documents in accordance with their respective terms, and acknowledges that all of such Liens and security interests, and all Collateral heretofore pledged as security for such Obligations,
continue to be and remain Collateral for such obligations from and after the date hereof. 
 9. This Joinder shall be deemed a Credit
Document under the Credit Agreement. 
 10. Severability. Any provision of this Joinder held to be invalid, illegal or unenforceable
in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such invalidity, illegality or unenforceability without affecting the validity, legality and enforceability of the remaining provisions hereof; and the invalidity of
a particular provision in a particular jurisdiction shall not invalidate such provision in any other jurisdiction. 
 11. GOVERNING
LAW. THIS JOINDER AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

12. Submission to Jurisdiction; Waivers. Each party hereto irrevocably and unconditionally: 

(a) submits for itself and its property in any legal action or proceeding relating to this Joinder, or for recognition and
enforcement of any judgment in respect thereof, to the exclusive general jurisdiction of the courts of the State of New York, borough of Manhattan, the courts of the United States of America for the Southern District of New York and
appellate courts from any thereof; 

  
 -3- 








 (b) consents that any such action or proceeding may be brought in such courts and
waives any objection that it may now or hereafter have to the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an inconvenient court and agrees not to plead or claim the same; 

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by registered or
certified mail (or any substantially similar form of mail), postage prepaid, to such Person at its address set forth on Schedule 14.2 to the Credit Agreement or at such other address of which the Administrative Agent shall have been
notified pursuant to Section 14.2 of the Credit Agreement; 
 (d) agrees that nothing herein shall affect the
right to effect service of process in any other manner permitted by law or shall limit the right to sue in any other jurisdiction; and 

(e) waives, to the maximum extent not prohibited by law, any right it may have to claim or recover in any legal action or
proceeding referred to in this Section 12 any special, exemplary, punitive or consequential damages. 
 13. WAIVERS OF JURY
TRIAL. PARENT BORROWER, EACH CREDIT PARTY, THE ADMINISTRATIVE AGENT AND EACH LENDER HEREBY IRREVOCABLY AND UNCONDITIONALLY WAIVE TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS JOINDER AND FOR ANY COUNTERCLAIM THEREIN. 

14. Counterparts. This Joinder may be executed in counterparts (and by different parties hereto on different counterparts), each of
which shall constitute an original, but all of which when taken together shall constitute a single contract. Delivery by facsimile or email of an executed counterpart of a signature page to this Joinder shall be effective as delivery of an original
executed counterpart of this Joinder. 
 [Signature Pages Follow] 

  
 -4- 








 IN WITNESS WHEREOF, the parties hereto duly executed this Joinder as of the day and year first
above written. 
  

					
	HCA INC.,
		 	as the Parent Borrower
		
	By:	 	 /s/ David G. Anderson

		 	Name:	 	David G. Anderson
		 	Title:	 	Senior Vice President – Finance and Treasurer
	
	Each of the SUBSIDIARY BORROWERS listed on Schedule A hereto
		
	By:	 	 /s/ Donald W. Stinnett

		 	Name:	 	Donald W. Stinnett
		 	Title:	 	Authorized Officer


 [Signature Page to Joinder Agreement and Amendment No. 1] 







 
					
	BANK OF AMERICA, N.A., as Administrative Agent, Swingline Lender, Letter of Credit Issuer and Incremental Revolving Loan Lender
		
	By:	 	 /s/ William J. Wilson

		 	Name:	 	William J. Wilson
		 	Title:	 	Senior Vice President


 [ADDITIONAL LENDER SIGNATURES OMITTED] 

[Signature Page to Joinder Agreement and Amendment No. 1] 







 SCHEDULE A 

TO JOINDER AGREEMENT 
  

							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 American Medicorp Development Co.
	 	 	 	 	 	 
	 AR Holding 1, LLC
	 	 	 	*	 	 
	 AR Holding 2, LLC
	 	 	 	*	 	 
	 AR Holding 3, LLC
	 	 	 	*	 	 
	 AR Holding 4, LLC
	 	 	 	*	 	 
	 AR Holding 5, LLC
	 	 	 	*	 	 
	 AR Holding 6, LLC
	 	 	 	*	 	 
	 AR Holding 7, LLC
	 	 	 	*	 	 
	 AR Holding 8, LLC
	 	 	 	*	 	 
	 AR Holding 9, LLC
	 	 	 	*	 	 
	 AR Holding 10, LLC
	 	 	 	*	 	 
	 AR Holding 11, LLC
	 	 	 	*	 	 
	 AR Holding 12, LLC
	 	 	 	*	 	 
	 AR Holding 13, LLC
	 	 	 	*	 	 
	 AR Holding 14, LLC
	 	 	 	*	 	 
	 AR Holding 15, LLC
	 	 	 	*	 	 
	 AR Holding 16, LLC
	 	 	 	*	 	 
	 AR Holding 17, LLC
	 	 	 	*	 	 
	 AR Holding 18, LLC
	 	 	 	*	 	 
	 AR Holding 19, LLC
	 	 	 	*	 	 
	 AR Holding 20, LLC
	 	 	 	*	 	 
	 AR Holding 21, LLC
	 	 	 	*	 	 
	 AR Holding 22, LLC
	 	 	 	*	 	 
	 AR Holding 23, LLC
	 	 	 	*	 	 
	 AR Holding 24, LLC
	 	 	 	*	 	 
	 AR Holding 25, LLC
	 	 	 	*	 	 
	 AR Holding 26, LLC
	 	 	 	*	 	 
	 AR Holding 27, LLC
	 	 	 	*	 	 
	 AR Holding 28, LLC
	 	 	 	*	 	 
	 AR Holding 29, LLC
	 	 	 	*	 	 
	 AR Holding 30, LLC
	 	 	 	*	 	 
	 AR Holding 31, LLC
	 	 	 	*	 	 
	 Bay Hospital, Inc.
	 	 	 	 	 	 
	 Brigham City Community Hospital, Inc.
	 	 	 	 	 	 
	 Brookwood Medical Center of Gulfport,
Inc.
	 	 	 	 	 	 
	 Capital Division, Inc.
	 	 	 	 	 	 
	 Centerpoint
Medical Center of Independence, LLC
	 	 	 	 	 	 


  
 Schedule A-1 









							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 Central Florida Regional Hospital, Inc.
	 	 	 	 	 	 
	 Central Shared Services, LLC
	 	 	 	 	 	 
	 Central Tennessee Hospital Corporation
	 	 	 	 	 	 
	 CHCA Bayshore, L.P.
	 	*	 	 	 	 
	 CHCA Conroe, L.P.
	 	*	 	 	 	 
	 CHCA Mainland, L.P.
	 	*	 	 	 	 
	 CHCA West Houston, L.P.
	 	*	 	 	 	 
	 CHCA Woman’s Hospital, L.P.
	 	*	 	 	 	 
	 Chippenham & Johnston-Willis Hospitals,
Inc.
	 	 	 	 	 	 
	 Colorado Health Systems, Inc.
	 	 	 	 	 	 
	 Columbia ASC Management, L.P.
	 	*	 	 	 	 
	 Columbia Jacksonville Healthcare System,
Inc.
	 	 	 	 	 	 
	 Columbia LaGrange Hospital, Inc.
	 	 	 	 	 	 
	 Columbia Medical Center of Arlington Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia Medical Center of Denton Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia Medical Center of Las Colinas,
Inc.
	 	 	 	 	 	 
	 Columbia Medical Center of Lewisville Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia Medical Center of McKinney Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia Medical Center of Plano Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia North Hills Hospital Subsidiary,
L.P.
	 	*	 	 	 	 
	 Columbia Ogden Medical Center, Inc.
	 	 	 	 	 	 
	 Columbia Parkersburg Healthcare System,
LLC
	 	 	 	 	 	 
	 Columbia Plaza Medical Center of Fort Worth
Subsidiary, L.P.
	 	*	 	 	 	 
	 Columbia Polk General Hospital, Inc.
	 	 	 	 	 	 
	 Columbia Rio Grande Healthcare, L.P.
	 	*	 	 	 	 
	 Columbia Riverside, Inc.
	 	 	 	 	 	 
	 Columbia Valley Healthcare System, L.P.
	 	*	 	 	 	 
	 Columbia/Alleghany Regional Hospital
Incorporated
	 	 	 	 	 	 
	 Columbia/HCA John Randolph, Inc.
	 	 	 	 	 	 
	 Columbine Psychiatric Center, Inc.
	 	 	 	 	 	 
	 Columbus Cardiology, Inc.
	 	 	 	 	 	 
	 Conroe Hospital Corporation
	 	 	 	 	 	 
	 Dallas/Ft. Worth Physician, LLC
	 	 	 	 	 	 
	 Dublin Community Hospital, LLC
	 	 	 	 	 	 
	 Eastern Idaho Health Services, Inc.
	 	 	 	 	 	 
	 Edward White Hospital, Inc.
	 	 	 	 	 	 
	 El Paso Surgicenter, Inc.
	 	 	 	 	 	 
	 Encino Hospital Corporation, Inc.
	 	 	 	 	 	 
	 EP Health, LLC
	 	 	 	 	 	 
	 Fairview Park
GP, LLC
	 	 	 	 	 	 


  
 Schedule A-2 









							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 Fairview Park, Limited Partnership
	 	*	 	 	 	 
	 Frankfort Hospital, Inc.
	 	 	 	 	 	 
	 Galen Property, LLC
	 	 	 	 	 	 
	 Good Samaritan Hospital, L.P.
	 	*	 	 	 	 
	 Goppert-Trinity Family Care, LLC
	 	 	 	 	 	 
	 GPCH-GP, Inc.
	 	 	 	 	 	 
	 Grand Strand Regional Medical Center,
LLC
	 	 	 	 	 	 
	 Green Oaks Hospital Subsidiary, L.P.
	 	*	 	 	 	 
	 Greenview Hospital, Inc.
	 	 	 	 	 	 
	 HCA American Finance LLC
	 	 	 	 	 	 
	 HCA - IT&S Field Operations, Inc.
	 	 	 	 	 	 
	 HCA - IT&S Inventory Management,
Inc.
	 	 	 	 	 	 
	 HCA Central Group, Inc.
	 	 	 	 	 	 
	 HCA Health Services of Florida, Inc.
	 	 	 	 	 	 
	 HCA Health Services of Louisiana, Inc.
	 	 	 	 	 	 
	 HCA Health Services of Oklahoma, Inc.
	 	 	 	 	 	 
	 HCA Health Services of Tennessee, Inc.
	 	 	 	 	 	 
	 HCA Health Services of Virginia, Inc.
	 	 	 	 	 	 
	 HCA-HealthONE LLC
	 	 	 	 	 	 
	 HCA Management Services, L.P.
	 	*	 	 	 	 
	 HCA Realty, Inc.
	 	 	 	 	 	 
	 HCA SFB 1 LLC
	 	 	 	 	 	 
	 HD&S Corp. Successor, Inc.
	 	 	 	 	 	 
	 Health Midwest Office Facilities
Corporation
	 	 	 	 	 	 
	 Health Midwest Ventures Group, Inc.
	 	 	 	 	 	 
	 Hendersonville Hospital Corporation
	 	 	 	 	 	 
	 Hospital Corporation of Tennessee
	 	 	 	 	 	 
	 Hospital Corporation of Utah
	 	 	 	 	 	 
	 Hospital Development Properties, Inc.
	 	 	 	 	 	 
	 HPG Enterprises, LLC
	 	 	 	 	 	 
	 HSS Holdco, LLC
	 	 	 	 	 	 
	 HSS Systems, LLC
	 	 	 	 	 	 
	 HSS Virginia, L.P.
	 	*	 	 	 	 
	 HTI MOB, LLC
	 	 	 	*	 	 
	 HTI Memorial Hospital Corporation
	 	 	 	 	 	 
	 Integrated Regional Lab, LLC
	 	 	 	 	 	 
	 Integrated Regional Laboratories, LLP
	 	*	 	 	 	 
	 JFK Medical Center Limited Partnership
	 	*	 	 	 	 
	 KPH-Consolidation, Inc.
	 	 	 	 	 	 
	 Lakeland Medical Center, LLC
	 	 	 	 	 	 
	 Lakeview Medical
Center, LLC
	 	 	 	 	 	 


  
 Schedule A-3 









							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 Largo Medical Center, Inc.
	 	 	 	 	 	 
	 Las Vegas Surgicare, Inc.
	 	 	 	 	 	 
	 Lawnwood Medical Center, Inc.
	 	 	 	 	 	 
	 Lewis-Gale Hospital, Incorporated
	 	 	 	 	 	 
	 Lewis-Gale Medical Center, LLC
	 	 	 	 	 	 
	 Lewis-Gale Physicians, LLC
	 	 	 	 	 	 
	 Lone Peak Hospital, Inc.
	 	 	 	 	 	 
	 Los Robles Regional Medical Center
	 	 	 	 	 	 
	 Management Services Holdings, Inc.
	 	 	 	 	 	 
	 Marietta Surgical Center, Inc.
	 	 	 	 	 	 
	 Marion Community Hospital, Inc.
	 	 	 	 	 	 
	 MCA Investment Company
	 	 	 	 	 	 
	 Medical Centers of Oklahoma, LLC
	 	 	 	 	 	 
	 Medical Office Buildings of Kansas, LLC
	 	 	 	 	 	 
	 Memorial Healthcare Group, Inc.
	 	 	 	 	 	 
	 Midwest Division - ACH, LLC
	 	 	 	 	 	 
	 Midwest Division - LRHC, LLC
	 	 	 	 	 	 
	 Midwest Division - LSH, LLC
	 	 	 	 	 	 
	 Midwest Division - MCI, LLC
	 	 	 	 	 	 
	 Midwest Division - MMC, LLC
	 	 	 	 	 	 
	 Midwest Division - OPRMC, LLC
	 	 	 	 	 	 
	 Midwest Division - PFC, LLC
	 	 	 	 	 	 
	 Midwest Division - RBH, LLC
	 	 	 	 	 	 
	 Midwest Division - RMC, LLC
	 	 	 	 	 	 
	 Midwest Holdings, Inc.
	 	 	 	 	 	 
	 Montgomery Regional Hospital, Inc.
	 	 	 	 	 	 
	 Mountain View Hospital, Inc.
	 	 	 	 	 	 
	 Nashville Shared Services General
Partnership
	 	*	 	 	 	 
	 National Patient Account Services, Inc.
	 	 	 	 	 	 
	 New Iberia Healthcare Corporation
	 	 	 	 	 	 
	 New Port Richey Hospital, Inc.
	 	 	 	 	 	 
	 New Rose Holding Company, Inc.
	 	 	 	 	 	 
	 North Florida Immediate Care Center,
Inc.
	 	 	 	 	 	 
	 North Florida Regional Medical Center,
Inc.
	 	 	 	 	 	 
	 North Texas – MCA, LLC
	 	 	 	 	 	 
	 Northern Utah Healthcare Corporation
	 	 	 	 	 	 
	 Northern Virginia Community Hospital,
LLC
	 	 	 	 	 	 
	 Northlake Medical Center, LLC
	 	 	 	 	 	 
	 Notami Hospitals of Louisiana, Inc.
	 	 	 	 	 	 
	 Notami Hospitals, LLC
	 	 	 	 	 	 
	 Okaloosa
Hospital, Inc.
	 	 	 	 	 	 


  
 Schedule A-4 









							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 Okeechobee Hospital, Inc.
	 	 	 	 	 	 
	 Outpatient Cardiovascular Center of Central
Florida, LLC
	 	 	 	 	 	 
	 Palms West Hospital Limited Partnership
	 	*	 	 	 	 
	 Palmyra Park Hospital, LLC
	 	 	 	 	 	 
	 Parallon Business Solutions, LLC
	 	 	 	 	 	 
	 Parallon Technology Solutions, LLC
	 	 	 	 	 	 
	 Parallon Enterprises, LLC
	 	 	 	 	 	 
	 Parallon Health Information Solutions,
LLC
	 	 	 	 	 	 
	 Parallon Holdings, LLC
	 	 	 	 	 	 
	 Parallon Payroll Solutions, LLC
	 	 	 	 	 	 
	 Parallon Physician Services, LLC
	 	 	 	 	 	 
	 Parallon Workforce Management Solutions,
LLC
	 	 	 	 	 	 
	 Pasadena Bayshore Hospital, Inc.
	 	 	 	 	 	 
	 Plantation General Hospital, L.P.
	 	*	 	 	 	 
	 Poinciana Medical Center, Inc.
	 	 	 	 	 	 
	 Pulaski Community Hospital, Inc.
	 	 	 	 	 	 
	 Redmond Park Hospital, LLC
	 	 	 	 	 	 
	 Redmond Physician Practice Company
	 	 	 	 	 	 
	 Regional Health System of Acadiana, LLC,
The
	 	 	 	 	 	 
	 Reston Hospital Center, LLC
	 	 	 	 	 	 
	 Retreat Hospital, LLC
	 	 	 	 	 	 
	 Rio Grande Regional Hospital, Inc.
	 	 	 	 	 	 
	 Riverside Healthcare System, L.P.
	 	*	 	 	 	 
	 Riverside Hospital, Inc.
	 	 	 	 	 	 
	 Samaritan, LLC
	 	 	 	 	 	 
	 San Jose Healthcare System, LP
	 	*	 	 	 	 
	 San Jose Hospital, L.P.
	 	*	 	 	 	 
	 San Jose Medical Center, LLC
	 	 	 	 	 	 
	 San Jose, LLC
	 	 	 	 	 	 
	 Sarasota Doctors Hospital, Inc.
	 	 	 	 	 	 
	 SJMC, LLC
	 	 	 	 	 	 
	 Southern Hills Medical Center, LLC
	 	 	 	 	 	 
	 Spalding Rehabilitation L.L.C.
	 	 	 	*	 	 
	 Spotsylvania Medical Center, Inc.
	 	 	 	 	 	 
	 Spring Branch Medical Center, Inc.
	 	 	 	 	 	 
	 Spring Hill Hospital, Inc.
	 	 	 	 	 	 
	 Sun City Hospital, Inc.
	 	 	 	 	 	 
	 Sunrise Mountainview Hospital, Inc.
	 	 	 	 	 	 
	 Surgicare of Brandon, Inc.
	 	 	 	 	 	 
	 Surgicare of Florida, Inc.
	 	 	 	 	 	 
	 Surgicare of
Houston Women’s, Inc.
	 	 	 	 	 	 


  
 Schedule A-5 









							
	Subsidiary Borrowers	 	By its General
Partner	 	By its Sole
Member	 	By the General
Partner of its
Sole Member
	 Surgicare of Manatee, Inc.
	 	 	 	 	 	 
	 Surgicare of New Port Richey, Inc.
	 	 	 	 	 	 
	 Surgicare of Palms West, LLC
	 	 	 	 	 	 
	 Surgicare of Riverside, LLC
	 	 	 	 	 	*
	 Tallahassee Medical Center, Inc.
	 	 	 	 	 	 
	 TCMC Madison - Portland, Inc.
	 	 	 	 	 	 
	 Terre Haute Hospital GP, Inc.
	 	 	 	 	 	 
	 Terre Haute Hospital Holdings, Inc.
	 	 	 	 	 	 
	 Terre Haute MOB, L.P.
	 	*	 	 	 	 
	 Terre Haute Regional Hospital, L.P.
	 	*	 	 	 	 
	 Timpanogos Regional Medical Services,
Inc.
	 	 	 	 	 	 
	 Trident Medical Center, LLC
	 	 	 	 	 	 
	 U.S. Collections, Inc.
	 	 	 	 	 	 
	 Utah Medco, LLC
	 	 	 	 	 	 
	 VH Holdco, Inc.
	 	 	 	 	 	 
	 VH Holdings, Inc.
	 	 	 	 	 	 
	 Virginia Psychiatric Company, Inc.
	 	 	 	 	 	 
	 W & C Hospital, Inc.
	 	 	 	 	 	 
	 Walterboro Community Hospital, Inc.
	 	 	 	 	 	 
	 Wesley Medical Center, LLC
	 	 	 	 	 	 
	 West Florida - MHT, LLC
	 	 	 	 	 	 
	 West Florida - PPH, LLC
	 	 	 	 	 	 
	 West Florida - TCH, LLC
	 	 	 	 	 	 
	 West Florida Regional Medical Center,
Inc.
	 	 	 	 	 	 
	 West Valley Medical Center, Inc.
	 	 	 	 	 	 
	 Western Plains Capital, Inc.
	 	 	 	 	 	 
	 WHMC, Inc.
	 	 	 	 	 	 
	 Woman’s
Hospital of Texas, Incorporated
	 	 	 	 	 	 


  
 Schedule A-6