Unassociated Document


    EXHIBIT 10.26

     

    AMENDMENT NO. 8

     

    Amendment
No. 8, dated as of September 17, 2010 (“Amendment No. 8”), 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, extended, 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. 8.

     

    NOW,
THEREFORE:

     

    SECTION
1.   Amendments.

     

    (a)           Amendments to Section
1.01.  Defined
Terms.

     

    (i) The following defined term shall be
added to Section 1.01 of the Credit Agreement in appropriate alphabetical
order:

     

    ‘“Amendment No. 8”
means Amendment No. 8 to this Agreement, dated as of September 17,
2010.”

     

    (ii) The
defined term “Permitted Refinancing” shall be amended by inserting the following
at the end of such definition:

     

    “For
purposes of clause (ii)(a) above and notwithstanding clause (iii) above, any
Guarantee provisions of debt securities issued on or after the Amendment No. 8
Effective Date shall be deemed to satisfy the provisions of such clause (ii)(a)
and (iii) if (in addition to and not in lieu of the obligations under Section
5.16) Borrower causes any Subsidiary that Guarantees such debt securities to
execute and deliver to the Administrative Agent a Guarantee Agreement or
counterpart thereof Guaranteeing the Obligations of Borrower
hereunder.”

     

    (b)           Amendment to Section
6.09.  Restrictive
Agreements.

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    Section 6.09 of the Credit Agreement is
hereby amended by:

     

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

     

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

     

    “; and (xii) customary restrictions
contained in any Permitted Refinancing or any other Indebtedness permitted to be
incurred under Section 6.01 so long as in each case such Indebtedness does not
restrict any Lien securing any of the Obligations hereunder or under the Loan
Documents.”

     

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

     

    (a)           this
Amendment No. 8 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. 8, 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. 8 shall become
effective when:

     

    (a)           the
Administrative Agent shall have received counterparts of this Amendment
No. 8 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. 8 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 pursuant 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. 8 SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE
LAWS OF THE STATE OF NEW YORK.  SECTION 9.11 OF THE CREDIT AGREEMENT
SHALL APPLY TO THIS AMENDMENT NO. 8.

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    SECTION
5.  Credit
Agreement; Loan Document.  Except as expressly set forth
herein, this Amendment No. 8 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. 8 shall be deemed to be a “Loan
Document” within the meaning of the Credit Agreement.

     

    SECTION
6.  Counterparts.  This
Amendment No. 8 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. 8 by facsimile transmission or other
electronic transmission shall be as effective as delivery of a manually executed
counterpart of this Amendment No. 8.

     

     

    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. 8, but in such capacities shall
not have any obligations, duties or responsibilities, nor shall incur any
liabilities, under this Amendment No. 8 or any other Loan Document.

     

    [Signature
Pages Follow]

     

     

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    IN
WITNESS WHEREOF, the parties hereto have caused this Amendment No. 8 to be
duly executed by their authorized officers as of the date set forth
above.

     

     

    
      
        
          
            
              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        	 
      	
                                                LIFEPOINT
      HOSPITALS, INC.

                                              	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                By:

                                              	/s/
      Jeffrey S. Sherman	 
	 
      	
                                                
                                                   

                                                

                                              	
                                                Name:
      Jeffrey S. Sherman

                                              	 
	 
      	
                                                
                                                   

                                                

                                              	
                                                Title:
      Executuve Vice President and Chief Financial Officer

                                              	 


                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

            

          

        

      

    

     

     

     

     

     

    
      
        [Amendment
No. 8]

        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

     

    ON BEHALF OF:

     

    
      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

      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 HOSPITAL
OF ANDALUSIA, INC.

      COMMUNITY
MEDICAL, LLC

      COMMUNITY-BASED
SERVICES, LLC

      CROCKETT HOSPITAL,
LLC

      CROCKETT
PHO, LLC

      DANVILLE DIAGNOSTIC IMAGING CENTER,
LLC

      DANVILLE
PHYSICIAN PRACTICES, LLC

      DANVILLE REGIONAL MEDICAL CENTER SCHOOL
OF HEALTH PROFESSIONS, LLC

      DANVILLE REGIONAL MEDICAL CENTER,
LLC

      DODGE
CITY HEALTHCARE PARTNER, INC.

      GEORGETOWN COMMUNITY HOSPITAL,
LLC

      GEORGETOWN
REHABILITATION, LLC

      GUYAN VALLEY HOSPITAL,
LLC

      HALSTEAD HOSPITAL,
LLC

       

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

       

      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

      HURRICANE
HEALTHCARE PARTNER, 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
CARDIOLOGY ASSOCIATES, LLC

      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 AMBULATORY SURGERY CENTER,
LLC

      LANDER VALLEY MEDICAL CENTER,
LLC

      LANDER VALLEY
PHYSICIAN PRACTICES, LLC

      LAS
CRUCES PHYSICIAN PRACTICES, LLC

      LCMC MRI,
LLC

      LCMC PET,
LLC

      LHSC,
LLC

      LIFEPOINT
ACQUISITION CORP.

      LIFEPOINT
BILLING SERVICES, LLC

      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 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

       

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

       

      LOS
ALAMOS PHYSICIAN PRACTICES, LLC

      MARTINSVILLE
PHYSICIAN PRACTICES, LLC

      MEADOWVIEW
PHYSICIAN PRACTICE, LLC

      MEADOWVIEW
REGIONAL MEDICAL CENTER, LLC

      MEADOWVIEW
RIGHTS, LLC

      MEMORIAL
HOSPITAL OF MARTINSVILLE & HENRY COUNTY AMBULATORY SURGERY CENTER,
LLC

      MEXIA-PRINCIPAL,
INC.

      MINDEN
PHYSICIAN PRACTICES, LLC

      NORTHEASTERN
NEVADA PHYSICIAN PRACTICES, LLC

      NORTHWEST
MEDICAL CENTER-WINFIELD, LLC

      NWMC-WINFIELD
PHYSICIAN PRACTICES, LLC

      OHIO
HOSPITAL, LLC

      OPELOUSAS
IMAGING CENTER PARTNER, LLC

      OPELOUSAS
PET/CT IMAGING CENTER, LLC

      ORTHOPEDICS
OF SOUTHWEST VIRGINIA, LLC

      PALESTINE-PRINCIPAL
G.P., INC.

      PHC
HOSPITALS, LLC

      PHC-AVIATION,
INC.

      PHC-BELLE
GLADE, INC.

      PHC-CLEVELAND,
INC.

      PHC-DOCTORS'
HOSPITAL, INC.

      PHC-ELKO,
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-MORGAN
LAKE, INC.

      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.

      PRINCIPAL
HOSPITAL COMPANY OF NEVADA, INC.

      PRINCIPAL
KNOX, L.L.C.

      PRINCIPAL-NEEDLES,
INC.

      PROVINCE
HEALTHCARE COMPANY

      PUTNAM
AMBULATORY SURGERY CENTER, LLC

      PUTNAM
COMMUNITY MEDICAL CENTER, LLC

      PUTNAM
PHYSICIAN PRACTICES, LLC

       

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      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
AMBULATORY SURGERY CENTER, LLC

      RIVERTON
MEMORIAL HOSPITAL, LLC

      RIVERTON
ONCOLOGY PRACTICE, LLC

      RIVERTON
PHYSICIAN PRACTICES, LLC

      RIVERVIEW
MEDICAL CENTER, LLC

      ROCKDALE
HOSPITAL, LLC

      ROCKDALE
PHYSICIAN PRACTICES, 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

      SUMNER
PHYSICIAN PRACTICES, LLC

      SUMNER
REAL ESTATE HOLDINGS, LLC

      SUMNER
REGIONAL MEDICAL CENTER, LLC

      TEXAS
SPECIALTY PHYSICIANS

      THE MRI
CENTER OF NORTHWEST ALABAMA, LLC

      THM
PHYSICIAN PRACTICE, LLC

      TROUSDALE
MEDICAL CENTER, 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

       

    

    
      
        [Amendment
No. 8]

        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    
      
         

        
          
            
              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          	 
      	
                                                   
      

                                                	/s/
      Michael S. Coggin  	 
	 
      	
                                                  
                                                     

                                                  

                                                	
                                                  Name:
      Michael S. Coggin 

                                                	 
	 
      	
                                                  
                                                     

                                                  

                                                	
                                                  Title:
      Senior Vice President and Treasurer

                                                	 


                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

            

          

        

         

      

       

    

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    
      
        [Amendment
No. 8]

        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    On Behalf of:

     

     

    LIFEPOINT ASSET MANAGEMENT COMPANY, INC.

     

    
      
        
           

          
            
              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            	 
      	
                                                    
                                                       

                                                    

                                                  	/s/
      Christopher J. Monte	 
	 
      	
                                                    
                                                       

                                                    

                                                  	
                                                    Name:
      Christopher J. Monte

                                                  	 
	 
      	
                                                    
                                                       

                                                    

                                                  	
                                                    Title: 
      Vice President

                                                  	 


                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

            

          

           

        

      

       

       

       

       

       

       

       

       

       

       

       

       

       

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        On Behalf of:

         

        BARTOW HEALTHCARE SYSTEM, LTD.

         

        
          
            
               

              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            	 	 	
                                                                                    Bartow
      General Partner, LLC, as general 

                                                                                    partner

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                    
                                                                                       

                                                                                    

                                                                                  	/s/
      Michael S. Coggin	 
	 
      	
                                                                                    
                                                                                       

                                                                                    

                                                                                  	
                                                                                    Name: 
      Michael S. Coggin

                                                                                  	 
	 
      	
                                                                                     

                                                                                  	
                                                                                    
                                                                                      Title:
      Senior Vice President and Treasurer

                                                                                    

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                    Bartow
      Memorial Limited Partner, LLC, as 

                                                                                    limited
      partner

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                    Title:
      Senior Vice President and Treasurer

                                                                                  	 


                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

               

            

          

           

        

      

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        On Behalf of:

      

       

      
        LAMAR SURGERY CENTER,
LP

      

       

      
        
           

          
            
              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                
                                                                                  
                                                                                    
                                                                                      
                                                                                        	 	 	
                                                                                                
                                                                                                  Northwest
      Medical Center-Winfield, LLC, as 

                                                                                                

                                                                                                general partner

                                                                                              	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                                Title:
      Senior Vice President and Treasurer

                                                                                              	 


                                                                                      

                                                                                    

                                                                                  

                                                                                

                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

            

          

          
             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

             

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        On Behalf of:

         

        LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP

         

        
          
            
               

              
                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            	 	 	
                                                                                    
                                                                                      LifePoint
      CSLP, LLC, as limited partner

                                                                                    

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                    
                                                                                       

                                                                                    

                                                                                  	/s/
      Michael S. Coggin	 
	 
      	
                                                                                    
                                                                                       

                                                                                    

                                                                                  	
                                                                                    Name: 
      Michael S. Coggin

                                                                                  	 
	 
      	
                                                                                    
                                                                                       

                                                                                    

                                                                                  	
                                                                                    
                                                                                      
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      

                                                                                    

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                    LifePoint
      CSGP, LLC, as general partner

                                                                                  	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                    Title:
      Senior Vice President and Treasurer

                                                                                  	 


                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

              
                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

                 

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          On Behalf of:

           

          
            LIFEPOINT
OF GEORGIA, LIMITED PARTNERSHIP

          

           

          
            
              
                 

                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              	 	 	
                                                                                      
                                                                                        
                                                                                          LifePoint
      Hospitals Holdings, Inc., as limited 

                                                                                          partner

                                                                                        

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	/s/
      Michael S. Coggin	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	
                                                                                      Name: 
      Michael S. Coggin

                                                                                    	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	
                                                                                      
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                      
                                                                                        LifePoint
      of GAGP, LLC, as general partner

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                      Title:
      Senior Vice President and Treasurer

                                                                                    	 


                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

                
                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          On Behalf of:

           

          
            
              MEXIA
PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP

            

          

           

          
            
              
                 

                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              	 	 	
                                                                                      
                                                                                        
                                                                                          
                                                                                            Mexia-Principal,
      Inc., as general partner

                                                                                          

                                                                                        

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	/s/
      Michael S. Coggin	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	
                                                                                      Name: 
      Michael S. Coggin

                                                                                    	 
	 
      	
                                                                                      
                                                                                        
                                                                                            

                                                                                        

                                                                                      

                                                                                    	
                                                                                      
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                      
                                                                                        
                                                                                          Principal
      Hospital Company of Nevada, Inc., 

                                                                                          as limited
      partner

                                                                                        

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                      Title:
      Senior Vice President and Treasurer

                                                                                    	 


                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

                
                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
           

          
            On Behalf of:

             

            
              
                PALESTINE
PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP

              

            

             

            
              
                
                   

                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                Palestine
      Principal G.P., Inc., as general 

                                                                                                partner

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	/s/
      Michael S. Coggin	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	
                                                                                        Name: 
      Michael S. Coggin

                                                                                      	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	
                                                                                        
                                                                                          Title:
      Senior Vice President and Treasurer

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                        
                                                                                          
                                                                                            Principal
      Hospital Company of Nevada, Inc.,

                                                                                            as limited
      partner

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      	 


                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                  
                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                  

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
           

          
            On Behalf of:

             

            
              
                PHC-ASHLAND,
L.P.

              

            

             

            
              
                
                   

                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  PHC-Tennessee,
      Inc., as general partner

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	/s/
      Michael S. Coggin	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	
                                                                                        Name: 
      Michael S. Coggin

                                                                                      	 
	 
      	
                                                                                        
                                                                                          
                                                                                              

                                                                                          

                                                                                        

                                                                                      	
                                                                                        
                                                                                          Title:
      Senior Vice President and Treasurer

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                        
                                                                                          
                                                                                            Principal
      Hospital Company of Nevada, Inc., 

                                                                                            as limited
      partner

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      	 


                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                  
                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                  

                  
                    
                      [Amendment
No. 8]

                      
                      

                    

                    
                      
                      

                      
                        

                      

                    

                    
                      
                      

                    

                  

                  
                     

                    
                      On Behalf of:

                       

                      
                        
                          PHC-CHARLESTOWN,
L.P.

                           

                        

                      

                      
                        
                          
                             

                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                
                                                                                  
                                                                                    
                                                                                      
                                                                                        
                                                                                          	 	 	
                                                                                                  
                                                                                                    
                                                                                                      
                                                                                                        
                                                                                                          
                                                                                                            
                                                                                                              PHC-Indiana,
      Inc., as general partner

                                                                                                            

                                                                                                          

                                                                                                        

                                                                                                      

                                                                                                    

                                                                                                  

                                                                                                	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                                  
                                                                                                    
                                                                                                        

                                                                                                    

                                                                                                  

                                                                                                	/s/
      Michael S. Coggin	 
	 
      	
                                                                                                  
                                                                                                    
                                                                                                        

                                                                                                    

                                                                                                  

                                                                                                	
                                                                                                  Name: 
      Michael S. Coggin

                                                                                                	 
	 
      	
                                                                                                  
                                                                                                    
                                                                                                        

                                                                                                    

                                                                                                  

                                                                                                	
                                                                                                  
                                                                                                    Title:
      Senior Vice President and Treasurer

                                                                                                  

                                                                                                	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                                  
                                                                                                    
                                                                                                      
                                                                                                        PHC Hospitals,
      LLC, as limited partner

                                                                                                      

                                                                                                    

                                                                                                  

                                                                                                	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                                  Title:
      Senior Vice President and Treasurer

                                                                                                	 


                                                                                        

                                                                                      

                                                                                    

                                                                                  

                                                                                

                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                            
                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                               

                            

                            
                              
                                [Amendment
No. 8]

                                
                                

                              

                              
                                
                                

                                
                                  

                                

                              

                              
                                
                                

                              

                            

                             

                            
                              
                                On Behalf of:

                                 

                                
                                  
                                    PHC-MINDEN,
L. P.

                                     

                                  

                                

                                
                                  
                                    
                                       

                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                
                                                                                  
                                                                                    
                                                                                      
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  
                                                                                                    	 	 	
                                                                                                            
                                                                                                              
                                                                                                                
                                                                                                                  
                                                                                                                    
                                                                                                                      
                                                                                                                        
                                                                                                                          PHC-Minden
      G.P., Inc., as general partner

                                                                                                                        

                                                                                                                      

                                                                                                                    

                                                                                                                  

                                                                                                                

                                                                                                              

                                                                                                            

                                                                                                          	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                                            
                                                                                                              
                                                                                                                  

                                                                                                              

                                                                                                            

                                                                                                          	/s/
      Michael S. Coggin	 
	 
      	
                                                                                                            
                                                                                                              
                                                                                                                  

                                                                                                              

                                                                                                            

                                                                                                          	
                                                                                                            Name: 
      Michael S. Coggin

                                                                                                          	 
	 
      	
                                                                                                            
                                                                                                              
                                                                                                                  

                                                                                                              

                                                                                                            

                                                                                                          	
                                                                                                            
                                                                                                              Title:
      Senior Vice President and Treasurer

                                                                                                            

                                                                                                          	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                                            
                                                                                                              
                                                                                                                
                                                                                                                  
                                                                                                                    PHC-Louisiana,
      Inc., as limited partner

                                                                                                                  

                                                                                                                

                                                                                                              

                                                                                                            

                                                                                                          	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                                            Title:
      Senior Vice President and Treasurer

                                                                                                          	 


                                                                                                  

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      

                                                                                    

                                                                                  

                                                                                

                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                      
                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                         

                                      

                                    

                                  

                                

                              

                            

                            
                              
                                [Amendment
No. 8]

                                
                                

                              

                              
                                
                                

                                
                                  

                                

                              

                              
                                
                                

                              

                            

                             

                            
                              
                                
                                  On Behalf of:

                                   

                                  
                                    
                                      PHC-MORGAN
CITY, L.P.

                                       

                                    

                                  

                                  
                                    
                                      
                                         

                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                
                                                                                  
                                                                                    
                                                                                      
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  
                                                                                                    
                                                                                                      	 	 	
                                                                                                              
                                                                                                                
                                                                                                                  
                                                                                                                    
                                                                                                                      
                                                                                                                        
                                                                                                                          
                                                                                                                            
                                                                                                                              PHC-Lakewood,
      Inc., as general partner

                                                                                                                            

                                                                                                                          

                                                                                                                        

                                                                                                                      

                                                                                                                    

                                                                                                                  

                                                                                                                

                                                                                                              

                                                                                                            	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                                              
                                                                                                                    

                                                                                                              

                                                                                                            	/s/
      Michael S. Coggin	 
	 
      	
                                                                                                              
                                                                                                                
                                                                                                                      

                                                                                                                

                                                                                                              

                                                                                                            	
                                                                                                              Name: 
      Michael S. Coggin

                                                                                                            	 
	 
      	
                                                                                                              
                                                                                                                
                                                                                                                      

                                                                                                                

                                                                                                              

                                                                                                            	
                                                                                                              
                                                                                                                Title:
      Senior Vice President and Treasurer

                                                                                                              

                                                                                                            	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                                              
                                                                                                                
                                                                                                                  
                                                                                                                    
                                                                                                                      
                                                                                                                        PHC-Morgan
      Lake, Inc., as limited partner

                                                                                                                      

                                                                                                                    

                                                                                                                  

                                                                                                                

                                                                                                              

                                                                                                            	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                                              Title:
      Senior Vice President

                                                                                                            	 


                                                                                                    

                                                                                                  

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      

                                                                                    

                                                                                  

                                                                                

                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                        
                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                           

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          
            On Behalf of:

             

            
              
                PHC-OPELOUSAS,
L.P.

                 

              

            

            
              
                
                   

                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  
                                                                                                    
                                                                                                      
                                                                                                        PHC-Doctors'
      Hospital, Inc., as general

                                                                                                        partner

                                                                                                      

                                                                                                    

                                                                                                  

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	/s/
      Michael S. Coggin	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	
                                                                                        Name: 
      Michael S. Coggin

                                                                                      	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	
                                                                                        
                                                                                          Title:
      Senior Vice President and Treasurer

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                PHC-Louisiana,
      Inc., as limited partner

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      	 


                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                  
                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                  

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          On Behalf of:

           

          
            
              PRHC-ENNIS,
L.P.

            

          

           

          
            
              
                 

                
                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              	 	 	
                                                                                      
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  PRHC-Ennis
      G.P., Inc., as general partner

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                      
                                                                                        
                                                                                              

                                                                                        

                                                                                      

                                                                                    	/s/
      Michael S. Coggin	 
	 
      	
                                                                                      
                                                                                        
                                                                                              

                                                                                        

                                                                                      

                                                                                    	
                                                                                      Name: 
      Michael S. Coggin

                                                                                    	 
	 
      	
                                                                                      
                                                                                        
                                                                                              

                                                                                        

                                                                                      

                                                                                    	
                                                                                      
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                      
                                                                                        
                                                                                          Principal
      Hospital Company of Nevada, Inc., 

                                                                                          as limited
      partner

                                                                                        

                                                                                      

                                                                                    	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                      Title:
      Senior Vice President and Treasurer

                                                                                    	 


                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                

                
                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                   

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          
            On Behalf of:

             

            
              
                PRINCIPAL
KNOX, L.P.

              

            

             

            
              
                
                   

                  
                    
                      
                        
                          
                            
                              
                                
                                  
                                    
                                      
                                        
                                          
                                            
                                              
                                                
                                                  
                                                    
                                                      
                                                        
                                                          
                                                            
                                                              
                                                                
                                                                  
                                                                    
                                                                      
                                                                        
                                                                          
                                                                            
                                                                              
                                                                                	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              
                                                                                                
                                                                                                  
                                                                                                    
                                                                                                      PHC-Knox,
      Inc., Inc., as general partner

                                                                                                    

                                                                                                  

                                                                                                

                                                                                              

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	/s/
      Michael S. Coggin	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	
                                                                                        Name: 
      Michael S. Coggin

                                                                                      	 
	 
      	
                                                                                        
                                                                                          
                                                                                                

                                                                                          

                                                                                        

                                                                                      	
                                                                                        
                                                                                          Title:
      Senior Vice President and Treasurer

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	
                                                                                        
                                                                                          
                                                                                            
                                                                                              Province
      Healthcare Company, as limited 

                                                                                              partner

                                                                                            

                                                                                          

                                                                                        

                                                                                      	 
	 	 	 	 
	 	 	 	 
	 	 	/s/
      Michael S. Coggin	 
	 	 	Name: 
      Michael S. Coggin	 
	 	 	
                                                                                        Title:
      Senior Vice President and Treasurer

                                                                                      	 


                                                                              

                                                                            

                                                                          

                                                                        

                                                                      

                                                                    

                                                                  

                                                                

                                                              

                                                            

                                                          

                                                        

                                                      

                                                    

                                                  

                                                

                                              

                                            

                                          

                                        

                                      

                                    

                                  

                                

                              

                            

                          

                        

                      

                    

                  

                  
                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

                  

                

              

            

          

        

      

      
        
          [Amendment
No. 8]

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      
        
          
            
              
                
                  
                    
                       

                    

                  

                

              

            

          

        

      

    

    CONSENTED
TO:

     

    CITICORP
NORTH AMERICA, INC.,

    as Administrative Agent

     

    
      
        
          	
                  By:

                	
                  /s/
      Stuart Dickson

                	 
	 
      	
                  Name: 
      Stuart Dickson

                	 
	 
      	
                  Title:  
      Vice President

                	 


        

      

    

    
       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

    

    
      
        [Amendment
No. 8]

        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    
      
        
          
            
              
                	 
      	 
      	 
      	 
	 
      	
                        
                          Citicorp North America, Inc.,
      as
      a Lender

                        

                      	 
	 
      	
                         

                      	 
	 	 	 
	 
      	
                        By:

                      	/s/
      Mark Floyd	 
	 
      	
                        
                              

                        

                      	
                        Name:
      Mark Floyd

                      	 
	 
      	
                        
                            

                        

                      	
                        Title:
      Vice President

                      	 


              

            

          

        

      

    

    
       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

       

    

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    


    


    SCHEDULE
I

    GUARANTORS

    


    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
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

    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 Hospital
of Andalusia, Inc.

    Community
Medical, LLC

    Community-Based
Services, LLC

    Crockett Hospital,
LLC

    Crockett
PHO, LLC

    Danville Diagnostic Imaging Center,
LLC

    Danville
Physician Practices, LLC

    Danville Regional Medical Center School
of Health Professions, LLC

    Danville Regional Medical Center,
LLC

    Dodge
City Healthcare Partner, Inc.

    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

    Hurricane
Healthcare Partner, 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
Cardiology Associates, LLC

    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

    Lamar Surgery Center,
LP

    Lander Valley Ambulatory Surgery Center,
LLC

    Lander Valley Medical Center,
LLC

    Lander Valley
Physician Practices, LLC

    Las
Cruces Physician Practices, LLC

    LCMC MRI,
LLC

    LCMC PET,
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

    Memorial Hospital
of Martinsville & Henry County Ambulatory, LLC

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

     

    Mexia
Principal Healthcare Limited Partnership

    Mexia-Principal,
Inc.

    Minden
Physician Practices, LLC

    Northeastern
Nevada Physician Practices, LLC

    Northwest
Medical Center-Winfield, LLC

    NWMC-Winfield
Physician Practices, LLC

    Ohio Hospital,
LLC

    Opelousas Imaging Center
Partner, LLC

    Opelousas
PET/CT Imaging Center, LLC

    Orthopedics
of Southwest Virginia, LLC

    Palestine
Principal Healthcare Limited Partnership

    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-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 Ambulatory Surgery Center,
LLC

    Riverton Memorial Hospital,
LLC

    Riverton
Oncology Practice, LLC

    Riverton
Physician Practices, LLC

    Riverview Medical Center,
LLC

    Rockdale Hospital,
LLC

    Rockdale
Physician Practices, 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

    Sumner
Physician Practices, LLC

    Sumner
Real Estate Holdings, LLC

    Sumner Regional Medical Center,
LLC

    Texas
Specialty Physicians

    The MRI
Center of Northwest Alabama, LLC

    THM
Physician Practice, LLC

    Trousdale Medical Center,
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