Document:

Amendment No. 5 to the Credit Agreement

 Exhibit 10.1 
  
 AMENDMENT NO. 5 
 AND WAIVER 
  
 THIS AMENDMENT NO. 5 AND WAIVER dated as of September 25, 2003 (this
“Amendment”) to the Credit Agreement referenced below is by and among Triad Hospitals, Inc., a Delaware corporation (the “Borrower”), and Bank of America, N.A., as Administrative Agent on behalf of itself and the
Lenders. 
  
 W I T N E S S E T H 
  
 WHEREAS, a $1.2 billion credit facility was established in favor of the
Borrower pursuant to the terms of that Amended and Restated Credit Agreement dated as of April 27, 2001 (as amended and modified from time to time, the “Credit Agreement”) among the Borrower, the lenders identified therein, Merrill
Lynch & Co., as Syndication Agent, The Chase Manhattan Bank and Citicorp USA, Inc., as Co-Documentation Agents, and Bank of America, N.A., as Administrative Agent; 
  
 WHEREAS, the Borrower has requested certain modifications to the Credit Agreement; 
  
 WHEREAS, the Borrower anticipates selling the Overland Park Medical Center in
Overland Park, Kansas and the Independence Regional Health Center in Independence, Missouri (including without limitation certain surgery centers, medical office buildings, leases and other property, rights and interests related thereto) (the
“Kansas City Facilities”) for approximately $138 million in cash; 
  
 WHEREAS, the Borrower has requested that the Lenders waive the terms of Section 3.3(b)(ii)(A) of the Credit Agreement and agree that the Net Proceeds received by the Borrower from the sale of the Kansas City
Facilities need not be used by the Borrower to prepay the Loans as required by Section 3.3(b)(ii)(A) of the Credit Agreement; and 
  
 WHEREAS, the requisite Lenders have agreed to the requested modifications and the above-referenced waiver on the terms and conditions set forth herein and
have directed the Administrative Agent to enter into this Amendment for and on their behalf; 
  
 NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 
  
 1. Defined Terms. Capitalized terms used herein but not otherwise
defined herein shall have the meanings provided to such terms in the Credit Agreement. 
  
 2. Waiver. Subject to the other terms and conditions of this Amendment, the Lenders hereby agree that the Net Proceeds received by the Borrower from the sale of the Kansas City Facilities need not be used by
the Borrower to prepay the Loans, notwithstanding the terms of Section 3.3(b)(ii)(A) of the Credit Agreement. This waiver is a one-time waiver and shall not be construed to be (i) a waiver as to compliance with the terms of the Credit Agreement in
any other instance, (ii) a waiver as to compliance with any other terms of the Credit Agreement, (iii) a waiver of any Default or Event of Default that may otherwise exist or (iv) a waiver of any other rights or remedies the Lenders may have under
the Credit Agreement, the other Credit Documents or applicable law. 

 3. Amendments. The Credit Agreement is amended in the following respects: 
  
 3.1 Clause (e) in the definition of “Cash Equivalents” set
forth in Section 1.1 is hereby amended to read as follows: 
  
 (e) Investments, classified in accordance with GAAP as current assets, in money market investment programs (or investment funds of a similar type or nature) which are administered by reputable financial institutions having capital of at
least $500.0 million and the portfolios of which are limited to Investments of the character described in the foregoing subdivisions (a) through (d), except for de minimus amounts of cash pending reinvestment by such program or fund. 
  
 3.2 The definition of “Change of Control” set forth in
Section 1.1 is hereby amended to read as follows: 
  
 “Change of Control” means any of the following events: (a) any Person or two or more Persons acting in concert shall have acquired beneficial ownership, directly or indirectly, of, or shall have acquired by contract or
otherwise, or shall have entered into a contract or arrangement that, upon consummation, will result in its or their acquisition of or control over, Voting Stock of the Borrower (or other securities convertible into such Voting Stock) representing
30% or more of the combined voting power of all Voting Stock of the Borrower, (b) during any period of up to twenty-four (24) consecutive months, commencing after the Closing Date, individuals who at the beginning of such 24 month period were
directors of the Borrower (together with any new director whose election by the Borrower’s Board of Directors or whose nomination for election by the Borrower’s shareholders was approved by a vote of at least two-thirds of the directors
then still in office who either were directors at the beginning of such period or whose election or nomination for election was previously so approved) cease for any reason to constitute a majority of the directors of the Borrower then in office,
(c) the occurrence of a “Change in Control” under and as defined in the Senior Notes, (d) the occurrence of a “Change in Control” under and as defined in the Senior Subordinated Notes or (e) the occurrence of a “Change in
Control” under and as defined in the Refinancing Subordinated Debt. As used herein, “beneficial ownership” shall have the meaning provided in Rule 13d-3 of the Securities and Exchange Commission under the Securities Exchange Act.

  
 3.3 The language preceding the proviso in the definition of
“Consolidated EBITDA” set forth in Section 1.1 is hereby amended to read as follows: 
  
 “Consolidated EBITDA” means, for any period for the Consolidated Group, the sum of (i) Consolidated Net Income plus (ii) to the
extent deducted in determining net income, (A) Consolidated Interest Expense, (B) taxes, (C) depreciation and amortization, (D) ESOP expense, (E) any stock option expense, (F) non-recurring, non-cash charges and adjustments (excluding any non-cash
charges or adjustments related to any inventory or receivables of any member of the Consolidated Group and any non-cash charges that require an accrual of or reserves for cash charges for any future period), (G) minority interests (to the extent
distributions are not required to be made and are not made in respect thereof), (H) any tender or call premium paid in connection with the redemption of senior notes or senior subordinated notes to the extent such redemption is permitted hereunder
and (I) other non-cash extraordinary items, in each case on a consolidated basis determined in accordance with GAAP, subject to adjustment on a Pro Forma Basis; 
  

 2 

 3.4 The definition of “Consolidated Total Leverage Ratio” in Section 1.1 is hereby
amended to read as follows: 
  
 “Consolidated Total
Leverage Ratio” means, for the Consolidated Group as of the last day of each fiscal quarter, the ratio of (A) Consolidated Total Funded Debt (net of cash on the balance sheet of the Consolidated Group in excess of $50,000,000 on such day;
provided, that, there are no Revolving Loans or Swingline Loans outstanding on such day) on such day to (B) Consolidated EBITDA for the period of four (4) consecutive fiscal quarters ending as of such day. 
  
 3.5 A new clause (ix) is hereby added after clause (viii) in the definition
of “Funded Debt” in Section 1.1 and shall read as follows: 
  
 and (ix) in the case of Sale and Leaseback Transactions, the present value (discounted in accordance with GAAP at the debt rate implied in the applicable lease) of the obligations of the lessee for rental payments
during the term of such lease. 
  
 3.6 A new clause (o) is hereby
added after clause (n) in the definition of “Indebtedness” in Section 1.1 and shall read as follows: 
  
 and (o) with respect to any Sale and Leaseback Transaction, the present value (discounted in accordance with GAAP at the debt rate implied in the
applicable lease) of the obligations of the lessee for rental payments during the term of such lease. 
  
 3.7 The parenthetical in clause (b) of the definition of “Investment” in Section 1.1 is hereby amended to read as follows: 
  
 (other than deposits made in connection with (i) the construction, purchase
or lease of services, equipment or other assets in the ordinary course of business and (ii) bids or other performance obligations made in the ordinary course of business) 
  
 3.8 Clause (viii) in the definition of “Permitted Acquisition” in Section 1.1 is renumbered as (ix) and
amended to read as follows, and a new clause (viii) is hereby added to the definition of “Permitted Acquisition” to read as follows: 
  
 (viii) with respect to the first four hospitals swapped with another Person subsequent to the Amendment No. 5 Effective Date, the Borrower shall have
delivered to the Administrative Agent a certificate of an Executive Officer, in detail reasonably satisfactory to the Administrative Agent, demonstrating that, upon giving effect to such asset swap on a Pro Forma Basis, the Borrower shall be in
compliance with all of the covenants set forth in Section 8.11 and (ix) in the case of any other asset swap, the Borrower shall have delivered to the Administrative Agent a certificate of an Executive Officer, in detail reasonably satisfactory to
the Administrative Agent, demonstrating that, upon giving effect to such asset swap on a Pro Forma Basis, Consolidated Funded Debt will not be greater than, and Consolidated EBITDA will not be less than, prior to such asset swap. 
  
 3.9 Clause (xviii) in the definition of “Permitted
Investments” is renumbered as (xxi) and amended to read as follows, and new clauses (xviii), (xix) and (xx) are hereby added to the definition of “Permitted Investments” to read as follows: 
  
 (xviii) guarantees in the ordinary course of business of the income of
physicians providing service to patients in facilities operated by the Borrower or any Subsidiary; 
  

 3 

 (xix) deposits of cash (including sweep accounts) with banks or other depository institutions in the
ordinary course of business; (xx) Investments in connection with proposed like kind exchange transactions (intended to comply with the Code) to the extent permitted hereunder and (xxi) Investments of a nature not contemplated in the foregoing
subsections in an amount not to exceed at any time five percent (5%) of the consolidated assets of the Consolidated Group at such time. 
  
 3.10 Clause (xix) in the definition of “Permitted Liens” is hereby amended to read as follows: 
  
 (xix) deposits made by any member of the Consolidated Group in connection
with proposed like kind exchange transactions (intended to comply with the Code); and 
  
 3.11 The following definitions are hereby added to Section 1.1 in the appropriate alphabetical order and shall read as follows: 
  

“Amendment No. 5 Effective Date” means September 25, 2003. 
  
 “Refinancing Subordinated Debt” has the
meaning given such term in Section 9.1(n). 
  
 3.12 Section 3.4(b)
is hereby amended in its entirety to read as follows: 
  
 (b) Mandatory Reduction of Revolving Commitments. On any date that the Revolving Obligations are required to be prepaid pursuant to the terms of Section 3.3(b), the Revolving Commitments automatically shall be permanently reduced by
the amount of such required prepayment. 
  
 3.13 Section 7.17 is
hereby amended in its entirety to read as follows: 
  
 7.17 Tax Shelter Regulations. 
  
 The Borrower does not intend to treat the Loans and/or Letters of Credit and related transactions as being a “reportable transaction” (within the meaning of Treasury Regulation Section 1.6011-4). In the event the Borrower
determines to take any action inconsistent with such intention, it will promptly notify the Administrative Agent thereof. If the Borrower so notifies the Administrative Agent, the Borrower acknowledges that one or more of the Lenders may treat its
Loans and/or its interest in Swingline Loans and/or Letters of Credit as part of a transaction that is subject to Treasury Regulation Section 301.6112-1, and such Lender or Lenders, as applicable, will maintain the lists and other records required
by such Treasury Regulation. 
  
 3.14 A new clause (p) is hereby
added to Section 8.1 and shall read as follows: 
  
 (p) Tax Shelter Regulations. Promptly after the Borrower has notified the Administrative Agent of any intention by the Borrower to treat the Loans and/or Letters of Credit and related transactions as being a “reportable
transaction” (within the meaning of Treasury Regulation Section 1.6011-4), a duly completed copy of IRS Form 8886 or any successor form. 
  
 3.15 The reference to “$375 million” in subclause (i) of Section 8.11(f) is hereby amended to read “$450 million”. 
  

 4 

 3.16 Clause (d) in Section 8.12 is hereby amended to read as follows: 
  
 (d) within 120 days after such Person becomes a direct or indirect
Subsidiary of THI, cause such Person to (i) if such Person is a Domestic Subsidiary which has any Eligible Real Property, deliver to the Administrative Agent, with respect to such Eligible Real Property, documents, instruments and other items of the
types required to be delivered pursuant to Section 5.5(g) all in form, content and scope reasonably satisfactory to the Administrative Agent and (ii) deliver such other documentation as the Administrative Agent may reasonably request in connection
with the foregoing, including, without limitation, appropriate UCC-1 financing statements, real estate title insurance policies, environmental reports, landlord’s waivers, certified resolutions and other organizational and authorizing documents
of such Person, favorable opinions of counsel to such Person (which shall cover, among other things, the legality, validity, binding effect and enforceability of the documentation referred to above and the perfection of the Administrative
Agent’s liens thereunder) and other items of the types required to be delivered pursuant to Section 5.1 (e), (f), (g), (h), (i) and (r), all in form, content and scope reasonably satisfactory to the Administrative Agent; 
  
 3.17 Clause (k) of Section 9.1 is amended to read as follows: 
  
 (k) guaranty obligations in respect of patient receivables sold, assigned,
turned over, conveyed or otherwise disposed of to collection agencies or other third parties, provided that the aggregate amount of the obligations guarantied shall not exceed $40 million at any time outstanding; 
  
 3.18 A new clause (n) is hereby added after clause (m) in Section 9.1 and
shall read as follows: 
  
 (n) Subordinated Debt of the Borrower
in an aggregate principal amount not to exceed $700 million that has terms that are not materially less favorable to the Borrower and has a weighted average maturity that is greater than that of the Senior Subordinated Notes (the
“Refinancing Subordinated Debt”); provided that the first $375 million of the proceeds of the Refinancing Subordinated Debt are used to (i) refinance the Senior Subordinated Notes and pay any accrued interest, transaction costs and
tender or call premiums related thereto and (ii) voluntarily prepay the Term Loans in accordance with the terms hereof; 
  
 3.19 Section 9.4(b) is hereby amended to read as follows: 
  
 (b) No member of the Consolidated Group, other than a Subsidiary of the Borrower (and then only if no Material Adverse Effect shall result on account
thereof), may dissolve, liquidate or wind up its affairs. 
  
 3.20
Clause (iii) in Section 9.5 is hereby amended to read as follows: 
  
 (iii) it is the disposition of Overland Park Regional Medical Center or Independence Regional Health Center; or 
  
 3.21 Section 9.7 is hereby amended in its entirety to read as follows: 
  

 5 

 9.7 Restricted Payments. 
  
 No member of the Consolidated Group will make any Restricted
Payment other than (i) the payment in cash of pro rata dividends to the holders of Capital Stock of Existing Controlled Subsidiaries; (ii) the payment in cash of pro rata dividends to the holders of Capital Stock of Designated Controlled
Subsidiaries; provided that, after giving effect to any such payment of cash dividends on a Pro Forma Basis to any holder of Capital Stock which is not a member of the Consolidated Group, (a) no Default or Event of Default shall exist and (b) the
aggregate amount of dividends made to holders of Capital Stock which are not members of the Consolidated Group for the applicable four (4) fiscal quarter period shall not exceed twelve percent (12%) of the Consolidated EBITDA for the Consolidated
Group for such four (4) fiscal quarter period, (iii) so long as no Default or Event of Default exists prior to and after giving effect to such transaction, the Borrower may repurchase shares of its Capital Stock in an aggregate amount not to exceed
$150 million during the term of the Credit Agreement and (iv) other Restricted Payments of $5.0 million in any fiscal year not to exceed $20.0 million in the aggregate; provided, however, that amounts not expended during any fiscal year may be
carried forward to succeeding fiscal years, subject to the $20.0 million aggregate cap. 
  
 3.22 The following proviso is hereby added at the end of Section 9.10 and shall read as follows: 
  
 ; provided, however, a Subsidiary of the Borrower may change its fiscal year end after having provided prior written notice to the Administrative Agent.

  
 3.23 Clause (ii) of Section 9.11 is hereby amended to read as
follows: 
  
 (ii) pursuant to the terms of the Senior
Subordinated Notes or the Refinancing Subordinated Debt, 
  
 3.24
Clause (iii) of Section 9.12 is hereby amended to read as follows: 
  
 (iii) permit, create, incur, assume or suffer to exist any Lien on any Capital Stock owned by the Borrower or one of its Subsidiaries in any Subsidiary of the Borrower, except for Permitted Liens. 
  
 3.25 Section 9.13 is hereby amended to read as follows: 
  
 9.13 Sale Leasebacks. 
  
 No member of the Consolidated Group will enter into any Sale
and Leaseback Transaction unless (a) such Sale and Leaseback Transaction constitutes Indebtedness permitted by Section 9.1(c) or (b) such Sale and Leaseback Transaction is entered into on a temporary basis in connection with a proposed like kind
exchange transaction (intended to comply with the Code). 
  

 6 

 3.26 Clause (i) in Section 10.1(g) is hereby amended to read as follows: 
  
 (i) The occurrence of an Event of Default under and as defined under the
Senior Notes, Interim Loan, Senior Subordinated Notes, the Refinancing Subordinated Debt or the indentures or other governing instruments relating thereto; 
  
 3.27 The following sentence is hereby added at the end of Section 12.14 and shall read as follows: 
  
 Notwithstanding anything to the contrary, any binding confidentiality
obligations of the parties that relate to the transactions contemplated by this and any other related agreements (the “Transaction”) shall not apply to the U.S. federal tax treatment or U.S. federal tax structure of the Transaction and
each party hereto (and any employee, representative, or agent of any party) may disclose to any and all persons, without limitation of any kind, the U.S. federal tax treatment and U.S. federal tax structure of the Transaction and all other materials
of any kind (including opinions or other U.S. federal tax analysis) that are provided to any party hereto relating to such U.S. federal tax treatment and U.S. federal tax structure. However, any such information relating to such U.S. federal tax
treatment and U.S. federal tax structure is required to be kept confidential to the extent necessary to comply with any applicable securities laws. The preceding sentences are intended to cause the Transaction not to be treated as having been
offered under conditions of confidentiality for purposes of Sections 1.6011-4(b)(3) and 301.6111-2(a)(2)(ii) (or any successor provisions) of the Treasury Regulations issued under the Internal Revenue Code of 1986, as amended, and shall be construed
in a manner consistent with such purpose. 
  
 4. The Guarantors
join in the execution of this Amendment for purposes of acknowledging and consenting to the terms of this Amendment and reaffirming their guaranty obligations under the Guaranty Agreement. 
  
 5. The Borrower affirms that the representations and warranties in the Credit
Agreement and the other Credit Documents are true and correct in all material respects as of the date hereof (except those which expressly relate to an earlier period or date and except to the extent that changes in facts and conditions on which
such representations and warranties are based are required or permitted under the Credit Agreement). 
  
 6. This Amendment shall be effective upon receipt by the Administrative Agent of the following: 
  
 (a) executed copies of consents from the Required Lenders,
Tranche A Term Lenders holding more than 50% of the outstanding Tranche A Term Loans, Tranche B Term Lenders holding more than 50% of the outstanding Tranche B Term Loans and all of the Revolving Lenders, and executed signature pages to this
Amendment from each of the parties hereto; and 
  
 (b) the amendment fee equal to five basis points (0.05%) on the aggregate Commitments of those Lenders consenting to this Amendment and any other fees payable in connection with this Amendment. 
  
 7. Except as modified hereby, all of the terms and provisions of the Credit
Agreement (including Schedules and Exhibits) shall remain in full force and effect. 
  

 7 

 8. The Borrower agrees to pay all reasonable costs and expenses of the Administrative Agent in connection
with the preparation, execution and delivery of this Amendment, including without limitation the reasonable fees and expenses of Moore & Van Allen, PLLC. 
  
 9. This Amendment may be executed in any number of counterparts, each of which when so executed and delivered shall be deemed an original, and it shall
not be necessary in making proof of this Amendment to produce or account for more than one such counterpart. 
  
 10. This Amendment shall be deemed to be a contract made under, and for all purposes shall be construed in accordance with, the laws of the State of New
York. 
  
 [Signature Pages Follow] 
  

 8 

 IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this Amendment to be duly
executed and delivered as of the date and year first above written. 
  

	 BORROWER:
	 	TRIAD HOSPITALS, INC.,
	 	 	a Delaware corporation
			
	 	 	By:	 	 /s/ James R. Bedenbaugh

	 	 	Name:	 	James R. Bedenbaugh
	 	 	Title:	 	Senior Vice President & Treasurer
		
	 ADMINISTRATIVE AGENT:
	 	BANK OF AMERICA, N.A.,
	 	 	as Administrative Agent and on behalf of the Lenders
			
	 	 	By:	 	 /s/ Kevin Wagley

	 	 	Name:	 	Kevin Wagley
	 	 	Title:	 	Principal

 Consented to by: 
  

	 GUARANTOR:
	 	 ARIZONA ASC MANAGEMENT, INC.

	 	 	 DAY SURGERY, INC.

	 	 	 MEDICAL HOLDINGS, INC.

	 	 	 MEDICAL MANAGEMENT, INC.

	 	 	 PACIFIC GROUP ASC DIVISION, INC.

	 	 	 SOUTH ALABAMA MANAGED CARE
CONTRACTING, INC.

	 	 	 SOUTH ALABAMA MEDICAL MANAGEMENT
SERVICES, INC.

	 	 	 SOUTH ALABAMA PHYSICAN SERVICES, INC.

	 	 	 SPROCKET MEDICAL MANAGEMENT, INC.

	 	 	 SURGICARE OF INDEPENDENCE, INC.

	 	 	 SURGICARE OF SAN LEANDRO, INC.

	 	 	 SURGICARE OF VICTORIA, INC.

	 	 	 SURGICARE OUTPATIENT CENTER OF LAKE
CHARLES, INC.

	 	 	 SURGICENTER OF JOHNSON COUNTY, INC.

	 	 	 SURGICENTERS OF AMERICA, INC.

	 	 	 TRIAD EL - DORADO, INC.

	 	 	 TRIAD HOLDINGS III, INC.

	 	 	 TRIAD RC, INC.

	 	 	 TRIAD-ARIZONA I, INC.

	 	 	 TRIAD-SOUTH TULSA HOSPITAL
COMPANY, INC.

			
	 	 	By:	 	 /s/ Donald P. Fay

	 	 	Name:	 	Donald P. Fay
	 	 	Title:	 	Executive Vice President and Secretary

  

 10 

	 GUARANTOR:
	 	 	 	 CAROLINAS MEDICAL ALLIANCE, INC.

	 	 	 	 	 FRANKFORT HEALTH PARTNER, INC.

	 	 	 	 	 GADSDEN REGIONAL PRIMARY CARE, INC.

	 	 	 	 	 NC-CSH, INC.

	 	 	 	 	 NC-DSH, INC.

	 	 	 	 	 QHG GEORGIA HOLDINGS, INC.

	 	 	 	 	 QHG OF ALABAMA, INC.

	 	 	 	 	 QHG OF BARBERTON, INC.

	 	 	 	 	 QHG OF BLUFFTON, INC.

	 	 	 	 	 QHG OF ENTERPRISE, INC.

	 	 	 	 	 QHG OF FORREST COUNTY, INC.

	 	 	 	 	 QHG OF FORT WAYNE, INC.

	 	 	 	 	 QHG OF GADSDEN, INC.

	 	 	 	 	 QHG OF HATTISBURG, INC.

	 	 	 	 	 QHG OF JACKSONVILLE, INC.

	 	 	 	 	 QHG OF LAKE CITY, INC.

	 	 	 	 	 QHG OF MASSILLON, INC.

	 	 	 	 	 QHG OF OHIO, INC.

	 	 	 	 	 QHG OF SOUTH CAROLINA, INC.

	 	 	 	 	 QHG OF SPARTANBURG, INC.

	 	 	 	 	 QHG OF SPRINGDALE, INC.

	 	 	 	 	 QHG OF TEXAS, INC.

	 	 	 	 	 QHG OF WARSAW, INC.

	 	 	 	 	 QUORUM HEALTH GROUP OF VICKSBURG, INC.

	 	 	 	 	 SOFTWARE SALES CORP.

	 	 	 	 	 ST. JOSEPH MEDICAL GROUP, INC.

	 	 	 	 	 WESLEY HEALTHTRUST, INC.

				
	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 ALICE HOSPITAL, LLC

	 	 	 	 	 ALICE SURGEONS, LLC

				
	 	 	 	 	 By:
	 	 APS Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 11 

	 GUARANTOR:
	 	 	 	 E.D. CLINICS, LLC

	 	 	 	 	 EL DORADO MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Arizona Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 BRAZOS VALLEY SURGICAL CENTER, LLC

	 	 	 	 	 BVSC, LLC

				
	 	 	 	 	 By:
	 	 Brazos Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 COLLEGE STATION MEDICAL CENTER, LLC

	 	 	 	 	 CSMC, LLC

				
	 	 	 	 	 By:
	 	 College Station Merger, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 CORONADO HOSPITAL, LLC

	 	 	 	 	 PAMPA MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Coronado Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 HOBBS PHYSICIAN PRACTICE, LLC

	 	 	 	 	 LEA REGIONAL HOSPITAL, LLC

				
	 	 	 	 	 By:
	 	 Hobbs Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 12 

	 GUARANTOR:
	 	 	 	 LRH, LLC

	 	 	 	 	 REGIONAL HOSPITAL OF LONGVIEW, LLC

				
	 	 	 	 	 By:
	 	 Longview Merger, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 WILLAMETTE VALLEY CLINICS, LLC

	 	 	 	 	 WILLAMETTE VALLEY MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Oregon Healthcorp., LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 BLUFFTON HEALTH SYSTEM LLC

				
	 	 	 	 	 By:
	 	 QHG of Bluffton, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 ST. JOSEPH HEALTH SYSTEM LLC

				
	 	 	 	 	 By:
	 	 QHG of Fort Wayne, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 13 

	 GUARANTOR:
	 	 	 	 WESLEY HEALTH SYSTEM LLC

				
	 	 	 	 	 By:
	 	 QHG OF Hattiesburg, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 QHG of Forrest County, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 WARSAW HEALTH SYSTEM LLC

				
	 	 	 	 	 By:
	 	 QHG Warsaw, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 SACMC, LLC

	 	 	 	 	 SAN ANGELO COMMUNITY MEDICAL
CENTER, LLC

				
	 	 	 	 	 By:
	 	 San Angelo Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 SAN LEANDRO MEDICAL CENTER, LLC
 SLH, LLC

				
	 	 	 	 	 By:
	 	 San Leandro, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 14 

	 GUARANTOR:
	 	 	 	 BROWNWOOD MEDICAL CENTER, LLC

	 	 	 	 	 MEDICAL CENTER OF BROWNWOOD, LLC

				
	 	 	 	 	 By:
	 	 Southern Texas Medical Center, LLC,
 its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 PACIFIC PHYSICIANS SERVICE, LLC

				
	 	 	 	 	 By:
	 	 Sprocket Medical Management, Inc.,
 its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 CLAREMORE PHYSICIANS, LLC

	 	 	 	 	 CLAREMORE REGIONAL HOSPITAL, LLC

	 	 	 	 	 CLINICO, LLC

	 	 	 	 	 IRHC, LLC (F/K/A INDEPENDENCE REGIONAL
HEALTH CENTER, LLC)

	 	 	 	 	 KENSINGCARE, LLC

	 	 	 	 	 MEDICAL PARK HOSPITAL, LLC

	 	 	 	 	 MEDICAL PARK MSO, LLC

	 	 	 	 	 PHYS-MED, LLC

	 	 	 	 	 PRIMARY MEDICAL, LLC

	 	 	 	 	 SOUTH ARKANSAS CLINIC, LLC

	 	 	 	 	 TRIAD CSGP, LLC

	 	 	 	 	 TROSCO, LLC

	 	 	 	 	 TRUFOR PHARMACY, LLC

	 	 	 	 	 WOMEN & CHILDREN’S HOSPITAL, LLC

				
	 	 	 	 	 By:
	 	 Triad Holdings II, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 15 

	 GUARANTOR:
	 	 	 	 ARIZONA DH, LLC

	 	 	 	 	 CSDS, LLC

	 	 	 	 	 GRB REAL ESTATE, LLC

	 	 	 	 	 GREENBRIER VMC, LLC

	 	 	 	 	 LS PSYCHIATRIC, LLC

	 	 	 	 	 MISSOURI HEALTHSERV, LLC

	 	 	 	 	 TRIAD-DENTON HOSPITAL GP, LLC

	 	 	 	 	 VFARC, LLC

	 	 	 	 	 VHC HOLDINGS, LLC

	 	 	 	 	 VHC MEDICAL, LLC

	 	 	 	 	 VMF MEDICAL, LLC

	 	 	 	 	 WEST VIRGINIA MS, LLC

	 	 	 	 	 WHMC, LLC

	 	 	 	 	 WH MEDICAL, LLC

	 	 	 	 	 WOODLAND HEIGHTS MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Triad Holdings III, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 MEDICAL CENTER AT TERRELL, LLC

	 	 	 	 	 TERRELL MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Triad-Medical Center at Terrell

	 	 	 	 	 	 	 Subsidiary, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 NAVARRO REGIONAL, LLC

	 	 	 	 	 NRH, LLC

				
	 	 	 	 	 By:
	 	 Triad-Navarro Regional Hospital

	 	 	 	 	 	 	 Subsidiary, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 16 

	 GUARANTOR:
	 	 	 	 APS MEDICAL, LLC

	 	 	 	 	 ARIZONA MEDCO, LLC

	 	 	 	 	 BRAZOS MEDCO, LLC

	 	 	 	 	 CARLSBAD MEDICAL CENTER, LLC

	 	 	 	 	 COLLEGE STATION MERGER, LLC

	 	 	 	 	 CORONADO MEDICAL, LLC

	 	 	 	 	 DALLAS PHY SERVICE, LLC

	 	 	 	 	 DFW PHYSERV, LLC

	 	 	 	 	 EYE INSTITUTE OF SOUTHERN ARIZONA, LLC

	 	 	 	 	 GH TEXAS, LLC

	 	 	 	 	 GHC HOSPITAL, LLC

	 	 	 	 	 HDP WOODLAND PROPERTY, LLC

	 	 	 	 	 HDPWH, LLC

	 	 	 	 	 HOBBS MEDCO, LLC

	 	 	 	 	 LAS CRUCES MEDICAL CENTER, LLC

	 	 	 	 	 LONGVIEW MERGER, LLC

	 	 	 	 	 NORTHWEST HOSPITAL, LLC

	 	 	 	 	 NORTHWEST RANCHO VISTOSO IMAGING
SERVICES, LLC

	 	 	 	 	 OPRMC, LLC (F/K/A OVERLAND PARK

	 	 	 	 	 REGIONAL MEDICAL CENTER, LLC)

	 	 	 	 	 OREGON HEALTHCORP, LLC

	 	 	 	 	 PACIFIC WEST DIVISION OFFICE, LLC

	 	 	 	 	 PECOS VALLEY OF NEW MEXICO, LLC

	 	 	 	 	 PHOENIX SURGICAL, LLC

	 	 	 	 	 SAN ANGELO MEDICAL, LLC

	 	 	 	 	 SAN LEANDRO, LLC

	 	 	 	 	 SOUTHERN TEXAS MEDICAL CENTER, LLC

	 	 	 	 	 TRIAD CSLP, LLC

	 	 	 	 	 TRIAD TEXAS, LLC

	 	 	 	 	 TRIAD-MEDICAL CENTER AT TERRELL
SUBSIDIARY, LLC

	 	 	 	 	 TRIAD-NAVARRO REGIONAL HOSPITAL
SUBSIDIARY, LLC

	 	 	 	 	 WHARTON MEDCO, LLC

				
	 	 	 	 	 By:
	 	 Triad Hospitals, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

  

 17 

	 GUARANTOR:
	 	 	 	 DETAR HOSPITAL, LLC

	 	 	 	 	 VICTORIA HOSPITAL, LLC

				
	 	 	 	 	 By:
	 	 VHC Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 WAMC, LLC

				
	 	 	 	 	 By:
	 	 West Anaheim, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 GCMC, LLC

	 	 	 	 	 GULF COAST MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 Wharton Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 LAKE AREA PHYSICIAN SERVICES, L.L.C.

				
	 	 	 	 	 By:
	 	 Women & Children Hospital, LLC,

	 	 	 	 	 	 	 its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 AMERICAN HEALTH FACILITIES
DEVELOPMENT, LLC

	 	 	 	 	 QHR INTERNATIONAL, LLC

	 	 	 	 	 THE INTENSIVE RESOURCE GROUP, LLC

				
	 	 	 	 	 By:
	 	 Quorum Health Resources, LLC,

	 	 	 	 	 	 	 its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 18 

	 GUARANTOR:
	 	 	 	 HATTIESBURG ASG-GP

				
	 	 	 	 	 By:
	 	 Wesley Health System LLC, its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

				
	 	 	 	 	 By:
	 	 QHG of Forrest County, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 DALLAS PHYSICIAN PRACTICE, L.P.

				
	 	 	 	 	 By:
	 	 DPW Physerv, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 GULF COAST HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Gulf Coast Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 HDP WOODLAND HEIGHTS, L.P.

				
	 	 	 	 	 By:
	 	 HDP Woodland Property, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 19 

	 GUARANTOR:
	 	 	 	 NAVARRO HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Navarro Regional, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 PAMPA HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Pampa Medical Center, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 QHG GEORGIA, LP

				
	 	 	 	 	 By:
	 	 QHG Georgia Holdings, Inc., its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 REHAB HOSPITAL OF FORT WAYNE GENERAL
PARTNERSHIP

				
	 	 	 	 	 By:
	 	 QHG of Fort Wayne, Inc., its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 IOM HEALTH SYSTEM, L.P.

				
	 	 	 	 	 By:
	 	 QHG of Indiana, Inc., its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

  

 20 

	 GUARANTOR:
	 	 	 	 LONGVIEW MEDICAL CENTER, L.P.

				
	 	 	 	 	 By:
	 	 Regional Hospital of Longview, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 SAN ANGELO HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 San Angelo Community Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 SAN LEANDRO HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 San Leandro Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 TERRELL HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Terrell Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 TRIAD CORPORATE SERVICES,
LIMITED PARTNERSHIP

				
	 	 	 	 	 By:
	 	 Triad CSGP, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 21 

	 GUARANTOR:
	 	 	 	 PACIFIC EAST DIVISION OFFICE, L.P.

				
	 	 	 	 	 By:
	 	 Triad Texas, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 TRIAD-DENTON HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Triad-Denton Hospital GP, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 PINEY WOODS HEALTHCARE SYSTEM, L.P.

				
	 	 	 	 	 By:
	 	 Woodland Heights Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 QUORUM ELF, INC.

	 	 	 	 	 QUORUM HEALTH SERVICES, INC.

				
	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 QUORUM HEALTH RESOURCES, LLC

				
	 	 	 	 	 By:
	 	 Quorum Health Group, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

  

 22 

	 GUARANTOR:
	 	 	 	 PHYSICIANS AND SURGEONS HOSPITAL OF
ALICE, L.P.

				
	 	 	 	 	 By:
	 	 Alice Hospital, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 BRAZOS VALLEY OF TEXAS, L.P.

				
	 	 	 	 	 By:
	 	 Brazos Valley Surgical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 BROWNWOOD HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 Brownwood Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 COLLEGE STATION HOSPITAL, L.P.

				
	 	 	 	 	 By:
	 	 College Station Medical Center, LLC,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  

 23 

	 GUARANTOR:
	 	 	 	 CRESTWOOD HEALTHCARE, L.P.

				
	 	 	 	 	 By:
	 	 Crestwood Hospital & Nursing Home, Inc.,

	 	 	 	 	 	 	 its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 VICTORIA OF TEXAS, L.P.

				
	 	 	 	 	 By:
	 	 DeTar Hospital, LLC, its General Partner

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

			
	 	 	 	 	 ABILENE HOSPITAL, LLC

				
	 	 	 	 	 By:
	 	 NC-SCHI, INC., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 ABILENE MERGER, LLC

				
	 	 	 	 	 By:
	 	 Quorum , Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 ARMC, LP

				
	 	 	 	 	 By:
	 	 Triad-ARMC, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

  

 24 

	 	 	 	 	CRESTWOOD HOSPITAL, LLC
				
	 	 	 	 	 By:
	 	 Triad Holdings III, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 CRESTWOOD HOSPITAL LP, LLC

				
	 	 	 	 	 By:
	 	 Crestwood Hospital, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 GASLIGHT ASC-GP, LLC

				
	 	 	 	 	 By:
	 	 Pineywoods Healthcare Systems, L.P., its Sole
 Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 MMC OF NEVADA, LLC

				
	 	 	 	 	 By:
	 	 Triad Hospitals, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 NORTHWEST PHYSICIANS, LLC

				
	 	 	 	 	 By:
	 	 QHG of Springdale, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

  

 25 

	 	 	 	 	PDMC, LLC
				
	 	 	 	 	 By:
	 	 Sebastopol, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 
			
	 	 	 	 	 PROCURE SOLUTIONS, LLC

				
	 	 	 	 	 By:
	 	 Quorum Health Group, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 
			
	 	 	 	 	 SOUTHCREST, L.L.C.

				
	 	 	 	 	 By:
	 	 Triad-South Tulsa Hospital Company, Inc. its

	 	 	 	 	 	 	 Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 
			
	 	 	 	 	 TRIAD HOLDINGS IV, LLC

				
	 	 	 	 	 By:
	 	 Triad Hospitals, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 TRIAD HOLDINGS V, LLC

				
	 	 	 	 	 By:
	 	 Triad Hospitals, Inc. its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

  

 26 

	 	 	 	 	TRIAD HOLDINGS VI, INC.
					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 TRIAD OF INDIANA, LLC

				
	 	 	 	 	 By:
	 	 Triad Holdings V, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

			
	 	 	 	 	 TRIAD-ARMC, LLC

				
	 	 	 	 	 By:
	 	 NC-SCHI, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 TRIAD-WILLOW CREEK, LLC

				
	 	 	 	 	 By:
	 	 QHG of Springdale, Inc., its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President

			
	 	 	 	 	 MADISON’S HOSPITAL, LLC

				
	 	 	 	 	 By:
	 	 Triad Holdings II, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ Donald P. Fay

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 President

  

 27 

	 SURGICENTERS OF AMERICA, INC.

		
	 By:
	 	 /s/ Donald P. Fay

	 Name:
	 	 Donald P. Fay

	 Title:
	 	 Executive President and Secretary

  

 28 

 CONSENT TO AMENDMENT NO. 5 AND WAIVER 
 TRIAD HOSPITALS, INC. 
  
 September 25, 2003 
  
 Bank of America, N.A., as Administrative Agent 
 100 N. Tryon Street, 17th Floor 
 NC1-007-17-11

 Charlotte, North Carolina 28255 
 Attention: Kevin Wagley 
 Facsimile: (704) 388-6002 
  

	 Re:
	  	Amended and Restated Credit Agreement dated as of April 27, 2001 (as amended and modified, the “Credit Agreement”) among Triad Hospitals, Inc., a Delaware
corporation, as Borrower, the lenders identified therein, Merrill Lynch & Co., as Syndication Agent, The Chase Manhattan Bank and Citicorp USA, Inc., as Co-Documentation Agents, and Bank of America, N.A., as Administrative Agent. Terms used but
not otherwise defined shall have the meanings provided in the Credit Agreement.

  
 Amendment No. 5 and
Waiver dated as of September 25, 2003 (the “Subject Amendment”) to the Credit Agreement 
  
 Ladies and Gentlemen: 
  
 This should serve to confirm our receipt of, and consent to, the Subject Amendment. We hereby authorize and direct you, as Administrative Agent for the Lenders, to enter
into the Subject Amendment on our behalf in accordance with the terms of the Credit Agreement upon your receipt of such consent and direction from the Required Lenders, and agree that the Borrower may rely upon such authorization. 
  

	 Very truly yours,

	
	

	[Name of Lender]
		
	 By:
	 	  

	 Name:
	 	 
	 Title:
	 	 

  

 29Employment Agreement between Triad and James D. Shelton

 Exhibit 10.2 
  
 EMPLOYMENT AGREEMENT 
  
 BETWEEN 
  
 TRIAD HOSPITALS, INC. 
  
 AND 
  
 JAMES D. SHELTON

  
 EFFECTIVE: SEPTEMBER 1, 2003 

 EMPLOYMENT AGREEMENT 
  
 THIS EMPLOYMENT AGREEMENT (this “Agreement”), effective as of September 1, 2003, between TRIAD HOSPITALS, INC., a
Delaware corporation (the “Company”), and JAMES D. SHELTON (the “Employee”). 
  
 WITNESSETH: 
  
 WHEREAS, the Company desires to secure the Employee’s services, and the Employee is willing to render such services, all upon and subject to the terms and conditions contained in this Agreement; 
  
 NOW THEREFORE, in consideration of the premises and the mutual covenants set
forth in this Agreement, the Company and the Employee agree as follows: 
  

	1.	Defined Terms. For the purposes hereof and as used herein, the following terms set forth below shall have the meanings set forth below unless the context clearly indicates to
the contrary: 

  

	 	a.	“Aggregate Compensation” shall mean the Employee’s annual Base Salary, Incentive Bonus, and taxable benefits as reported by the Employee as W-2 income.

  

	 	b.	“AIP” shall mean the Triad 2003 Corporate Annual Incentive Plan, as amended. 

  

	 	c.	“Base Salary” shall mean as defined in Section 4.a. below. 

  

	 	d.	“Beneficial Ownership” shall mean as defined in Section 6.a. below. 

  

	 	e.	“Board” shall mean as defined in Section 2.a. below. 

  

	 	f.	“Cause” shall mean (A) the Employee is convicted of a felony charge involving a crime of moral turpitude; or (B) the Employee, in carrying out his duties and
responsibilities under this Agreement, is guilty of gross neglect or gross misconduct resulting in material economic harm to the Company, unless such act or failure to act resulted from the Employee’s incapacity due to physical or mental
illness. 

  

	 	g.	“Change in Control” shall mean as defined in Section 6 below. 

  

	 	h.	“Control Subsidiary” shall mean as defined in Section 6.a. below. 

  

	 	i.	 “Date of Termination” shall mean (A) in the case of a termination for which a Notice of Termination is required, the date of actual receipt of such
Notice of Termination, 

  

	 EMPLOYMENT AGREEMENT
	 	-1-	 	JAMES D. SHELTON

	 	 
or if later, the date specified therein, as the case may be, (B) in the case of Disability, the thirtieth (30th) day following the occurrence of such
Disability, and (C) in all other cases, the actual date on which the Employee’s employment terminates during the Term of Employment. 

  

	 	j.	“Death Termination Payment” shall mean as defined in Section 5.b.iii. 

  

	 	k.	“Disability Termination Payment” shall mean as defined in Section 5.a.iii. 

  

	 	l.	“Disability” shall mean the Employee’s inability to render, for a period of six consecutive months, the duties and responsibilities hereunder by reason of
permanent disability. If the Employee and the Company cannot agree as to whether Employee is subject to a Disability, such determination shall be by arbitration in accordance with the provisions of Section 10.d. 

  

	 	m.	“Effective Date” shall mean September 1, 2003. 

  

	 	n.	“Employment Term” shall mean as defined in Section 2.b. below. 

  

	 	o.	“Good Reason” shall mean and shall be deemed to exist if, without the prior express written consent of the Employee, (A) the Employee suffers a material reduction
in duties, responsibilities or effective authority associated with his title and position as set forth and described in this Agreement or is assigned any duties or responsibilities inconsistent in any material respect therewith; (B) the Company
fails to substantially perform any material term or provision of this Agreement; (C) the Employee’s compensation or benefits provided for hereunder is materially decreased; (D) the Company fails to obtain the full assumption of this Agreement
by a successor entity in accordance with Section 10.m.ii. below; or (E) the Company purports to terminate the Employee’s employment for Cause and such purported termination of employment is not effected in accordance with the requirements of
this Agreement. 

  

	 	p.	“Incentive Bonus” shall mean as defined in Section 4.b.ii. below. 

  

	 	q.	“Incumbent Board” shall mean as defined in Section 6.e. below. 

  

	 	r.	“Independent Director” shall mean a member of the Board who would be determined to be “independent” under any applicable law, rule or regulation, or under
the requirement of any securities exchange upon which any of the Company’s securities may be traded. 

  

	 	s.	“LTIP” shall mean the Triad 1999 Long-Term Incentive Plan as amended through May 20, 2003, and as further amended from time to time. 

  

	 EMPLOYMENT AGREEMENT
	 	-2-	 	JAMES D. SHELTON

	 	t.	“Notice of Termination” shall mean as defined in Section 7.a. below. 

  

	 	u.	“Medical Benefits” shall mean all medical, prescription, dental, and other healthcare benefits under the Company’s plans and programs to which the Employee or
the Employee’s family may be entitled under this Agreement. 

  

	 	v.	“Person” shall mean as defined in Section 6.a. below. 

  

	 	w.	“Surviving Corporation” shall mean as defined in Section 6.b.i. below. 

  

	 	x.	“Voting Securities” shall mean as defined in Section 6.a. below. 

  
 All terms defined in this Agreement shall have the meanings set forth in this Section 1, or as set forth in any Section of
this Agreement if defined in such Section, when used herein or in any other document made or delivered pursuant to this Agreement, unless the context therein shall otherwise require or unless re-defined therein. Defined terms used herein in the
singular shall import the plural and vice versa. The words “hereof,” “herein,” “hereunder” and similar terms when used in this Agreement shall refer to this Agreement as a whole and not to any particular provision or
section of this Agreement. 
  

	2.	Employment and Employment Term. 

  

	 	a.	Employment. Subject to the terms and provisions set forth in this Agreement, the Company hereby employs the Employee during the Employment Term as the President and Chief
Executive Officer (“CEO”) of the Company, and agrees (to the extent reasonably permissible under applicable laws, rules and regulations, and the requirements of any securities exchange on which any of the Company’s securities may be
traded) to use its best efforts to cause the Employee to be a director and Chairman of the Board of Directors of the Company (the “Board”) during the Employment Term, and the Employee hereby accepts such employment.

  

	 	b.	Employment Term. The period of employment under this Agreement (the “Employment Term”) shall be deemed to have commenced on the Effective Date and shall continue
for a period of three years thereafter. On each anniversary date following the Effective Date, the Employment Term shall be automatically extended by one year unless at least ninety (90) days prior thereto the Company or the Employee shall give
written notice to the other party that the Employment Term shall not be extended. The Employment Term shall continue until the expiration of all extensions effected as aforesaid unless and until it ceases or is terminated sooner as provided in this
Agreement. 

  

	 EMPLOYMENT AGREEMENT
	 	-3-	 	JAMES D. SHELTON

	3.	Positions, Responsibilities and Duties. 

  

	 	a.	In General. During the Employment Term, the Employee shall be employed as, and the Company shall at all times cause the Employee to be, President and CEO of the Company. In
addition to such positions, the Company shall (to the extent reasonably permissible under applicable laws, rules and regulations, and the requirements of any securities exchange on which any of the Company’s securities may be traded) use its
best efforts to cause the Employee to be at all times during the Employment Term, a director and the Chairman of the Board. In such positions, the Employee shall have the duties, responsibilities and authority normally associated with the office and
position of President and CEO of a publicly traded corporation. No other employee of the Company shall have authority and responsibilities that are equal to or greater than those of the Employee. The Employee shall report solely and directly to the
Board, and all other officers and other employees of the Company shall report directly to the Employee or to Employee’s designees. 

  

	 	b.	Time. During the Employment Term, the Employee shall devote such time as is reasonably necessary to perform the duties associated with his office and position as set forth
herein and shall use his best efforts to perform faithfully and efficiently the duties and responsibilities contemplated by this Agreement; provided, however, that the Employee shall not be required to perform any duties and responsibilities which
would be reasonably likely to result in non-compliance with or violation or breach of any applicable law, rule or regulation. Notwithstanding the foregoing, the Employee may devote reasonable time to activities other than those required under this
Agreement, including the supervision of his personal investments and activities involving professional, charitable, educational, religious and similar types of organizations, to the extent that such other activities do not materially interfere with
or prohibit the performance of the Employee’s duties under this Agreement or conflict in any material way with the business of the Company. 

  

	4.	Compensation and Benefits. 

  

	 	a.	Base Salary. During the Employment Term, the Employee shall receive a Base Salary (herein so called), payable in accordance with the Company’s payroll practices
generally applicable to the Company’s senior executives, of $975,000 per annum. Such Base Salary shall be reviewed for increase (but not decrease) in the sole discretion of the Compensation Committee of the Board not less frequently than
annually during the Employment Term. If so increased, such increased Base Salary shall then constitute “Base Salary” for purposes of this Agreement and shall not be reduced. 

  

	 EMPLOYMENT AGREEMENT
	 	-4-	 	JAMES D. SHELTON

	 	b.	Incentive Compensation. 

  

	 	i.	During the Employment Term, the Employee shall be entitled to participate in all incentive compensation plans and programs maintained by the Company and applicable generally to
senior executives of the Company in accordance with the terms thereof. 

  

	 	ii.	Without limiting the foregoing, for each fiscal year of the Company ending with or within the Employment Term, the Employee shall receive incentive bonus compensation
(“Incentive Bonus”) as determined under the Company’s AIP as in effect from time to time and applicable generally to senior executives of the Company. 

  

	 	c.	Stock Options. During the Employment Term, Employee will be entitled to receive stock options pursuant to the terms of the LTIP or a similar plan with terms comparable to
those now provided in the LTIP, as determined by the Compensation Committee of the Board in its sole discretion. 

  

	 	d.	Retirement Plans. During the Employment Term, the Employee shall be entitled to participate in all savings and retirement plans and programs maintained by the Company and
applicable generally to senior executives of the Company in accordance with the terms thereof (including, without limitation, any supplemental and excess defined benefit and defined contribution savings and retirement plans).

  

	 	e.	Welfare Benefit Plans. During the Employment Term, the Employee and/or the Employee’s family, as the case may be, shall be eligible for participation in and shall
receive all benefits under welfare benefit plans and programs provided or by the Company and applicable generally to senior executives of the Company in accordance with the terms thereof (including, without limitation, medical, prescription, dental,
disability, employee life, group life, accidental death and travel accident insurance plans and programs). 

  

	 	f.	Vacation and Fringe Benefits. 

  

	 	i.	During the Employment Term, the Employee shall be entitled to paid vacation and fringe benefits at least as favorable as the most favorable plans and programs of the Company for the
Employee as in effect at the Effective Date. 

  

	 	ii.	Without limiting the foregoing, during the Employment Term, the Employee will be entitled to the following fringe benefits: 

  

	 EMPLOYMENT AGREEMENT
	 	-5-	 	JAMES D. SHELTON

	 	(1)	reimbursement of regular monthly dues for a full resident club membership at Glen Eagles Country Club or at an equivalent country club as designated by Employee;

  

	 	(2)	supplemental compensation up to a maximum amount of $12,000 per year in connection with financial and tax planning expenses incurred by Employee; and 

  

	 	(3)	reasonable use of Company aircraft for personal trips when such aircraft are not otherwise needed for Company business purposes. 

  

	g.	Office and Support Staff. During the Employment Term, the Employee shall be entitled to an office of a size and with furnishings and other appointments, and to secretarial
and other assistance, comparable to the most favorable of the foregoing provided to the Employee by the Company at the Effective Date or, if more favorable to the Employee, as provided at any time thereafter to the Employee or other senior
executives of the Company. 

  

	h.	Expense Reimbursement. During the Employment Term, the Employee shall be entitled to receive prompt reimbursement for all usual, customary and reasonable business-related
expenses incurred by the Employee in performing his duties and responsibilities hereunder in accordance with the practices and procedures of the Company as in effect at the Effective Date, or, if more favorable to the Employee, as in effect at any
time thereafter with respect to the Employee or other senior executives of the Company. 

  

	i.	Indemnification. The Company shall maintain directors and officers liability insurance in commercially reasonable amounts (as reasonably determined by the Board), and the
Employee shall be covered under such insurance to the same extent as other directors, officers and senior executives of the Company. The Employee shall be indemnified to the fullest extent permitted by applicable law for all acts as director,
Chairman of the Board, President, CEO, and any other official duties performed by Employee during the Employment Term for and on behalf of the Company. 

  

	5.	Termination of Employment. 

  

	 	a.	Termination Due to Disability. The Company may terminate the Employee’s employment hereunder due to Disability. In the event of a termination of the Employee’s
employment by the Company due to Disability, the Employee, his beneficiary as designated pursuant to Section 10.i. or his legal representative, as the case may be, shall be entitled to receive: 

  

	 EMPLOYMENT AGREEMENT
	 	-6-	 	JAMES D. SHELTON

	 	i.	any unpaid Base Salary through the Date of Termination; 

  

	 	ii.	any deferred compensation (including, without limitation, interest or other credits on such deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any Incentive Bonus, any accrued vacation pay and any reimbursement for expenses incurred but not yet paid prior to the Date of Termination; 

  

	 	iii.	a periodic payment (the “Disability Termination Payment”) equal to Employee’s Aggregate Compensation for the calendar year preceding the year in which the
Employee’s Disability Date of Termination occurs divided by 26, which shall be paid to the Employee in bi-weekly installments for a period of 36 months following the Date of Termination; and shall not be reduced by any payments for disability
insurance provided by the Company; 

  

	 	iv.	until Employee attains the age of 65 or, if Employee dies prior to attaining the age of 65, for three (3) years following the date of Employee’s death, the Company shall
continue all Medical Benefits to the Employee and/or to the Employee’s family at least equal to those which would have been provided to them in accordance with the plans and programs described in Section 4.e. of this Agreement if the
Employee’s employment had not been terminated due to Disability or, if more favorable to the Employee and/or the Employee’s family, as in effect generally at any time thereafter during the aforesaid period with respect to other senior
executives of the Company and their families; provided that in any case the Employee and/or the Employee’s family shall make all premium payments that would otherwise be required of the Employee if the Employee’s employment had not been
terminated due to Disability. In the event that the participation of the Employee or the Employee’s family in any such Medical Benefits plan or program is barred, the Company shall arrange to provide the Employee and/or the Employee’s
family with Medical Benefits substantially similar to those which the Employee and/or the Employee’s family would otherwise have been entitled to receive under such plans and programs from which continued participation is barred, provided that
the Employee and/or the Employee’s family shall make payments to the Company in amounts and at times as any premiums would have been paid by the Employee pursuant to the immediately preceding sentence; and 

  

	 	v.	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  

	 EMPLOYMENT AGREEMENT
	 	-7-	 	JAMES D. SHELTON

	b.	Termination Due to Death. The Employee’s employment shall terminate upon the Employee’s death. In such event, the legal representative of Employee’s estate or
Employee’s beneficiary as designated pursuant to Section 10.i. shall be entitled to receive: 

  

	 	i.	any unpaid Base Salary through the Date of Termination; 

  

	 	ii.	any deferred compensation (including, without limitation, interest or other credits on such deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any Incentive Bonus, any accrued vacation pay and any reimbursement for expenses incurred but not yet paid prior to such Date of Termination; 

  

	 	iii.	a periodic payment (the “Death Termination Payment”) equal to the Employee’s Aggregate Compensation for the calendar year prior to the year in which the
Employee’s death occurs divided by 26, which shall be paid to the legal representative of the Employee’s estate or Employee’s designated beneficiary in bi-weekly installments for a period of 24 months following the Employee’s
date of death; 

  

	 	iv.	for three (3) years following the date of Employee’s death, the Company shall continue all Medical Benefits to the Employee’s family at least equal to those which would
have been provided to them in accordance with the plans and programs described in Section 4.e. of this Agreement if the Employee’s employment had not been terminated due to his death or, if more favorable to the Employee’s family, as in
effect generally at any time thereafter during the aforesaid period with respect to other senior executives of the Company and their families; provided that the Employee’s family shall make all premium payments that would otherwise be required
of the Employee if the Employee’s employment had not been terminated due to death. In the event that the participation of the Employee’s family in any such Medical Benefits plan or program is barred, the Company shall arrange to provide
the Employee’s family with family Medical Benefits substantially similar to those which the Employee’s family would otherwise have been entitled to receive under such plans and programs from which continued participation is barred,
provided that the Employee’s family shall make payments to the Company in amounts and at times as any premiums would have been paid by the Employee’s family pursuant to the immediately preceding sentence; and 

  

	 EMPLOYMENT AGREEMENT
	 	-8-	 	JAMES D. SHELTON

	 	v.	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  

	c.	Termination by the Company for Cause. The Company may terminate the Employee’s employment hereunder for Cause, in accordance with the below provisions of this Subsection
5.c. If the Company terminates the Employee’s employment hereunder for Cause, the Employee shall be entitled to receive: 

  

	 	i.	any unpaid Base Salary through the Date of Termination; 

  

	 	ii.	any deferred compensation (including, without limitation, interest or other credits on such deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any accrued vacation pay and any reimbursement for expenses incurred but not yet paid prior to the Date of Termination; 

  

	 	iii.	the Employee and his family shall be entitled to health insurance benefits as provided by law at the Employee’s expense, including without limitation, COBRA health insurance
coverage; and 

  

	 	iv.	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  
 Prior to terminating
the Employee’s employment for Cause, the Employee shall be given written notice authorized by a vote of at least a majority of the Independent Directors that the Company intends to terminate the Employee’s employment for Cause; provided,
however, that following a Change of Control such written notice must be authorized by a vote of at least 75% of the Independent Directors. Such written notice shall specify the particular act or acts, or failure to act, which is/are the basis for
the decision to terminate the Employee’s employment for Cause. If the Employee and the Company cannot agree as to whether Employee is subject to termination for Cause, such determination shall be by arbitration in accordance with the provisions
of Section 10.d. 
  

	d.	Termination for Good Reason. The Employee shall be permitted to terminate his employment hereunder prior to the end of the Employment Term for Good Reason. In such event, the
following shall apply: 

  

	 	i.	Lump Sum Payment. The Employee shall be paid a cash lump sum within thirty (30) days after the Date of Termination equal to the aggregate of: 

  

	 EMPLOYMENT AGREEMENT
	 	-9-	 	JAMES D. SHELTON

	 	(1)	any unpaid Base Salary through the Date of Termination; 

  

	 	(2)	any deferred compensation (including, without limitation, interest or other credits on the deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any accrued vacation pay and reimbursement for expenses incurred but not paid prior to such Date of Termination; 

  

	 	(3)	an amount equal to the product of (x) three (3), multiplied by (y) the Employee’s Aggregate Compensation for the calendar year preceding the year in which termination of
employment occurs; and 

  

	 	(4)	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  

	 	ii.	Benefit Continuation. For three (3) years after the Employee’s Date of Termination the Company shall continue all Medical Benefits to Employee and the Employee’s
family at least equal to those which would have been provided to them in accordance with the plans and programs described in Section 4.e. of this Agreement if the Employee’s employment had not been terminated, or, if more favorable to Employee
and the Employee’s family, as in effect generally at any time thereafter during the aforesaid period with respect to other senior executives of the Company and their families, and provided that the Employee shall continue to make any applicable
payments in respect thereof as the Employee would have made pursuant to Section 4.e. of this Agreement. In the event that the participation of the Employee or the Employee’s family in any such Medical Benefits plan or program is barred, the
Company shall arrange to provide the Employee and/or the Employee’s family with benefits substantially similar to those which the Employee and/or the Employee’s family would otherwise have been entitled to receive under such plans and
programs from which continued participation is barred, and provided that the Employee shall continue to make payments in respect thereof as described in the preceding. 

  

	e.	Termination by Company Upon Expiration of Employment Term. Employee’s employment shall terminate upon expiration of the Employment Term if the Company has given the
ninety (90) days prior written notice required under Section 2.b. above. In such event, the following shall apply: 

  

	 EMPLOYMENT AGREEMENT
	 	-10-	 	JAMES D. SHELTON

	 	i.	Lump Sum Payment. The Employee shall be paid a cash lump sum within thirty (30) days after the Date of Termination equal to the aggregate of: 

  

	 	(1)	any unpaid Base Salary through the Date of Termination; 

  

	 	(2)	an amount equal to the product of (x) three (3), multiplied by (y) the Employee’s Aggregate Compensation for the calendar year preceding the year in which the Date of
Termination occurs; 

  

	 	(3)	any deferred compensation (including, without limitation, interest or other credits on the deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any accrued vacation pay and reimbursement for expenses incurred but not paid prior to such Date of Termination; and 

  

	 	(4)	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  

	 	ii.	Benefit Continuation. For three (3) years following the Employee’s Date of Termination, the Company shall continue Medical Benefits to the Employee and/or the
Employee’s family at least equal to those which would have been provided to them in accordance with the plans and programs described in Section 4.e. of this Agreement if the Employee’s employment had not been terminated, or, if more
favorable to the Employee and the Employee’s family, as in effect generally at any time thereafter during the aforesaid period with respect to other senior executives of the Company and their families, and provided that the Employee shall
continue to make any applicable payments in respect thereof as the Employee would have made pursuant to Section 4.e. of this Agreement. In the event that the participation of the Employee and/or the Employee’s family in any such Medical
Benefits plan or program is barred, the Company shall arrange to provide the Employee and/or the Employee’s family Medical Benefits substantially similar to those which the Employee and/or the Employee’s family would otherwise have been
entitled to receive under such plans and programs from which continued participation is barred, and provided that the Employee shall continue to make payments in respect thereof as described in the preceding sentence. 

  

	f.	 Termination Following a Change of Control. Following a Change of Control, the Company shall be permitted to terminate the Employee’s employment
hereunder without Cause, and the Employee shall be permitted to terminate his employment 

  

	 EMPLOYMENT AGREEMENT
	 	-11-	 	JAMES D. SHELTON

	 	 
without Good Reason. If, within 18 months following a Change of Control, the Company terminates the Employee’s employment hereunder without Cause, other
than due to death or Disability, or if the Employee terminates his employment, with or without Good Reason, the following shall apply: 

  

	 	i.	Lump Sum Payment. The Employee shall be paid a cash lump sum within thirty (30) days of the Date of Termination equal to the aggregate of: 

  

	 	(1)	any unpaid Base Salary through the Date of Termination; 

  

	 	(2)	An amount equal to the product of (x) three (3), multiplied by (y) the Employee’s Aggregate Compensation for the calendar year preceding the year in which the termination
occurs; 

  

	 	(3)	any deferred compensation (including, without limitation, interest or other credits on the deferred amounts) to the extent permitted under any plan or agreement pursuant to which
such deferred compensation was provided, any accrued vacation pay and reimbursement for expenses incurred but not paid prior to such Date of Termination; and 

  

	 	(4)	any other compensation or benefits which may be owed or provided to or in respect of the Employee in accordance with the terms and provisions of this Agreement or any plans and
programs of the Company. 

  

	 	ii.	Benefit Continuation. For three (3) years following the Employee’s Date of Termination, the Company shall continue Medical Benefits to the Employee and/or the
Employee’s family at least equal to those which would have been provided to them in accordance with the plans and programs described in Section 4.e. of this Agreement if the Employee’s employment had not been terminated or, if more
favorable to the Employee’s family, as in effect generally at any time thereafter during the aforesaid period with respect to other senior executives of the Company and their families, and provided that the Employee shall continue to make any
applicable payments in respect thereof as the Employee would have made pursuant to Section 4.e. of this Agreement. In the event that the participation of the Employee and/or the Employee’s family in any such Medical Benefits plan or program is
barred, the Company shall arrange to provide Employee and/or Employee’s family Medical Benefits substantially similar to those which the Employee and/or the Employee’s family would otherwise have been entitled to receive under such plans
and programs from which continued participation is barred, and provided that the Employee shall continue to make payments in respect thereof as described in the preceding sentence. 

  

	 EMPLOYMENT AGREEMENT
	 	-12-	 	JAMES D. SHELTON

	 	g.	Termination by Employee Upon Expiration of Employment Term. The Employee may terminate his employment upon expiration of the Employment Term hereunder if the Employee has
given the ninety (90) days written notice required under Section 2.b. above. In such event, the Employee shall be entitled to all of the rights and benefits which the Employee would be entitled in the event of a termination of his employment by the
Company for Cause. 

  

	 	h.	No Mitigation or Offset. The Company agrees that, if the Employee’s employment with the Company terminates, the Employee is not required to seek other employment or to
attempt in any way to reduce any amounts payable to or in respect of the Employee by the Company pursuant to this Agreement. Further, the amount of any payment or benefit provided for in this Agreement shall not be reduced by any compensation earned
by the Employee as the result of employment by another employer, by retirement benefits, by offset against any amount claimed to be owed by the Employee to the Company or otherwise, except as specifically provided in this Agreement.

  

	6.	Certain Change of Control Provisions. For purposes of this Agreement, “Change of Control” means the occurrence of any one of a., b., c., or d. below (the
“First Trigger”), together with the change in the Incumbent Board described in Subsection e. below (the “Second Trigger”): 

  

	 	a.	Acquisition of Voting Securities. An acquisition (other than directly from the Company) of any voting securities of the Company (the “Voting Securities”) by any
“Person” (as the term Person is used for purposes of Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as amended (the “1934 Act”)) immediately after which such Person has “Beneficial Ownership” (within the
meaning of Rule 13d-3 promulgated under the 1934 Act) of twenty percent (20%) or more of the combined voting power of the then outstanding Voting Securities; provided, however, that in determining whether a Change in Control has occurred, Voting
Securities which are acquired in a “Non-Control Acquisition” (as hereinafter defined) shall not constitute an acquisition which would cause a Change in Control. A “Non-Control Acquisition” shall mean an acquisition by (A) an
employee benefit plan (or a trust forming a part thereof) maintained by (i) the Company or (ii) any corporation or other Person of which a majority of the voting power or the equity securities or equity interests is owned directly or indirectly by
the Company (a “Control Subsidiary”), or (B) the Company or any Control Subsidiary. 

  

	 EMPLOYMENT AGREEMENT
	 	-13-	 	JAMES D. SHELTON

	 	b.	Reorganization. Consummation, after approval by stockholders of the Company, of a merger, consolidation or reorganization involving the Company, unless:

  

	 	i.	The stockholders of the Company, immediately before such merger, consolidation or reorganization, own, directly or indirectly immediately following such merger, consolidation or
reorganization, at least seventy-five (75%) of the combined voting power of the outstanding Voting Securities of the company resulting from such merger or consolidation or reorganization or its parent corporation (the “Surviving Company”)
in substantially the same proportion as their ownership of the Voting Securities immediately before such merger, consolidation or reorganization; and 

  

	 	ii.	No Person [other than the Company, any Control Subsidiary, any employee benefit plan (or any trust forming a part thereof) maintained by the Company, the Surviving Company or any
Control Subsidiary, or any Person who, immediately prior to such merger, consolidation or reorganization, had Beneficial Ownership of twenty percent (20%) or more of the then outstanding Voting Securities] has Beneficial Ownership of twenty percent
(20%) or more of the combined voting power of the Surviving Company’s then outstanding Voting Securities. 

  
 Notwithstanding the foregoing, the First Trigger shall not be deemed to be satisfied solely because any Person (the “Subject Person”) acquired
Beneficial Ownership of more than the permitted amount of the outstanding Voting Securities as a result of the acquisition of Voting Securities by the Company which, by reducing the number of Voting Securities outstanding, increased the proportional
number of shares Beneficially Owned by the Subject Person, provided that if a Change in Control would occur (but for the operation of this sentence) as a result of the acquisition of Voting Securities by the Company, and after such share acquisition
by the Company, the Subject Person becomes the Beneficial Owner of any additional Voting Securities which increases the percentage of the then outstanding Voting Securities Beneficially Owned by the Subject Person, then a Change in Control shall
occur. 
  

	 	c.	Liquidation. A complete liquidation or dissolution of the Company. 

  

	 	d.	Sale of Assets. The sale or other disposition of all or substantially all of the assets of the Company to any Person (other than a transfer to a Control Subsidiary).

  

	 	e.	 Change in Board. The individuals who, as of the date of this Agreement are members of the Board (the “Incumbent Board”), cease for any reason to
constitute a majority of the Board; provided, however, that if the election or nomination for election by the Company’s stockholders of any new director was approved by a vote 

  

	 EMPLOYMENT AGREEMENT
	 	-14-	 	JAMES D. SHELTON

	 	 
of at least two-thirds of the Incumbent Board, such new director shall, for purposes of this Agreement, be considered as a member of the Incumbent Board;
provided, further, however, that no individual shall be considered a member of the Incumbent Board if (1) such individual initially assumed office as a result of either an actual or threatened “Election Contest” (as described in Rule
14a-11 promulgated under the 1934 Act) or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other than the Board (a “Proxy Contest”) including by reason of any agreement intended to avoid or settle
any Election Contest or Proxy Contest or (2) such individual was designated by a Person who has entered into an agreement with the Company to effect a transaction described in Subsection a, b, c, or d of this Section 6. 

 

	 	f.	Deemed Date of Termination. Anything in this Agreement to the contrary not withstanding, if a Change in Control occurs, and if the Employee’s employment with the Company
is terminated by the Company prior to the date on which the Change of Control occurs, and it is reasonably demonstrated by the Employee that such termination of employment (I) was at the request of a third party who has taken steps reasonably
calculated to effect a Change of Control or (II) otherwise arose in connection with or anticipation of a Change of Control, then for all purposes of this Agreement, the Employee’s Date of Termination shall be deemed to have occurred following
such Change of Control. 

  
 7. Notice of Termination.

  

	 	a.	In General. Any termination of the Employee’s employment by the Company (other than due to death) shall be communicated by a notice of termination to the other party
hereto given in accordance with this Agreement (the “Notice of Termination”). The Notice of Termination shall be given (A) in the case of a termination for Cause, within ninety (90) business days after an Independent Director of the
Company has actual knowledge of the events giving rise to such purported termination, (B) in the case of a termination for Good Reason, within 180 days of the Employee’s having actual knowledge of the event or events constituting Good Reason;
and (C) in the case of termination for Disability, not later than the date that disability benefits commence under the Company’s long-term disability plan, or in the absence of such plan, the expiration of the six consecutive month period
referred to in Section 1.l.; and (D) in the case of Change of Control, upon either party giving 30 days written notice to the other. Such notice shall (A) indicate the specific termination provision in this Agreement relied upon, (B) set forth in
reasonable detail the facts and circumstances claimed to provide a basis for termination of the Employee’s employment unless the provision so indicated, as applicable, and (C) if the Date of Termination is other than the date of actual receipt
of such notice, specify the date on which the Employee’s employment is to be terminated (which date shall not be earlier than the date on which such notice is actually received). 

  

	 EMPLOYMENT AGREEMENT
	 	-15-	 	JAMES D. SHELTON

	 	b.	Dispute/Extension. If within fifteen (15) days after any Notice of Termination is given, or, if later, prior to the Date of Termination (as determined without regard to this
Section) the party receiving such Notice of Termination notifies the other party that a dispute exists concerning the termination, the Date of Termination shall be extended until the earlier of (A) the date on which the Employment Term ends or (B)
the date on which the dispute is finally resolved, either by mutual written agreement of the parties or by a final judgment, order or decree of an arbitrator or a court of competent jurisdiction (which is not appealable or with respect to which the
time for appeal thereon has expired and no appeal has been perfected). If the Date of Termination is extended in accordance with this Section, the Company shall continue to pay the Employee his Aggregate Compensation and benefits in effect when the
notice giving rise to the dispute was given and continue the Employee’s participation in all employee benefit plans in which the Employee was participating, and on the same terms and conditions as, when the notice giving rise to the dispute was
given, until the Date of Termination, as determined in accordance with this Section. Amounts paid under this Section are in addition to all other amounts due under this Agreement and shall not be offset against or reduce any other amounts due under
this Agreement; provided, however, that in the event the dispute is finally resolved in favor of the Company, the Employee shall repay to the Company all amounts paid to the Employee pursuant to this sentence within thirty (30) days after the date
of such final judgment, order or decree. 

  

	8.	Effect of Termination Upon Stock Options. If Employee’s employment is terminated by the Company for Cause, or due to Employee giving a Notice of Termination to terminate
his employment upon expiration of the Employment Term, Employee’s stock options will be exercisable as provided in the Company’s LTIP. If Employee’s employment with the Company terminates for any other reason, Employee’s vested
stock options may be exercised by Employee, his legal representative, or the legal representative of his estate at any time prior to two years following the Date of Termination, but only if and to the extent permitted by applicable law, rule,
regulation or requirement of any exchange upon which any of the Company’s securities may be traded; provided approval of the shareholders of the Company is not required. If shareholder approval is required, the Employee’s stock options
will be exercisable as provided in the Company’s LTIP unless the Company in its sole discretion obtains approval of the shareholders. 

  

	9.	Protective Covenants. 

  

	 	a.	Non-Competition. During the Employment Term and for a period of three (3) years following the Date of Termination for any reason, Employee shall not, directly or

  

	 EMPLOYMENT AGREEMENT
	 	-16-	 	JAMES D. SHELTON

	 	 
indirectly, engage or act as an executive, employee, consultant, agent or representative for any company or other entity that is engaged (either directly or
indirectly through subsidiaries or affiliates) in any business being conducted by the Company or its subsidiaries or affiliates as of the Date of Termination in any geographic area in which the Company is then conducting such business; provided,
however, nothing in this Agreement shall prohibit Employee from being a stockholder in a mutual fund or a diversified investment company or a passive owner of not more than one percent (1%) of the outstanding stock of any class of a corporation that
has a publicly traded class of equity securities. As consideration for the covenants contained in this Section 9.a, which are considered material to the Company, the Company agrees to pay Employee all amounts owed during his employment pursuant to
this Agreement. 

  

	 	b.	Injunctions to Prevent Breaches of Protective Covenants. The parties hereto agree that the Company would be damaged irreparably in the event of any provision of Subsection a
of this Section 9 were not performed by the Employee in accordance with its terms or were otherwise breached and that money damages would be an inadequate remedy for any such nonperformance or breach. Therefore, the Company or its successors or
assigns shall be entitled, in addition to any other rights and remedies existing in their favor, to an injunction or injunctions to prevent any breach or threatened breach of any such provisions and to specifically enforce such provisions.

  

	10.	Miscellaneous. 

  

	 	a.	Applicable Law. Except to the extent specified in Section 10.d, this Agreement shall be governed by and construed in accordance with the laws of the State of Delaware,
applied without reference to principles of conflict of laws. 

  

	 	b.	Amendments. This Agreement may not be amended or modified otherwise than by a written agreement executed by the parties hereto or their respective successors and legal
representatives. 

  

	 	c.	Notices. All notices and other communications hereunder shall be in writing and shall be given by hand delivery to the other party or by registered or certified mail, return
receipt requested, postage prepaid, addressed as follows: 

  

	 EMPLOYMENT AGREEMENT
	 	-17-	 	JAMES D. SHELTON

 If to the Company: 
  
 TRIAD HOSPITALS, INC. 
 5800 Tennyson Parkway 
 Plano, Texas 75024 
 Attn: General Counsel 
  
 If to
the Employee: 
  
 JAMES D. SHELTON 
 1708 Cliffview 
 Plano, Texas 75093

  
 or to such other address as either party shall have furnished
to the other in writing in accordance herewith. Notices and communications shall be effective when actually received by the addressee. 
  

	 	d.	Arbitration; Legal Fees. In the absence of a Company long-term disability plan, any controversy relating to the determination of Employee’s Disability shall at the
request of either party be determined by arbitration, under the auspices and rules of the American Arbitration Association, in accordance with the Texas General Arbitration Act if applicable, otherwise in accordance with the United States
Arbitration Act. Judgment upon the award rendered by the arbitrator shall be entered in any court having jurisdiction. The institution and maintenance of an action for judicial relief or pursuant to any provisional or ancillary remedy shall not
constitute a waiver of the right of any party to submit the Disability controversy to arbitration. The arbitration shall be commenced by filing a demand for arbitration upon the other party who is qualified to make decisions in legal matters. The
arbitration proceeding shall be held in Dallas County, Texas. The arbitrator shall maintain the privacy of the hearings, and shall have the power to exclude witnesses, other than a party. The prevailing party in the arbitration proceedings shall be
entitled to reasonable attorneys’ fees, costs, and necessary expenses in connection with such proceeding, as determined by the arbitrator. 

  

	 	e.	Legal Fees and Expenses in Event of Dispute. If either party to this Agreement institutes any proceeding in court to enforce any provision of the Agreement, or for damages by
reason of any alleged breach of this Agreement, then the prevailing party will be entitled to recover from the other party all costs of the suit, including, without limitation, court costs and such amounts as the court may award as reasonable
attorneys’ fees for services rendered to the prevailing party during the proceedings. 

  

	 EMPLOYMENT AGREEMENT
	 	-18-	 	JAMES D. SHELTON

	 	f.	Withholding. The Company may withhold from any amounts payable under this Agreement such federal, state, local or other taxes as shall be required to be withheld pursuant to
any applicable law or regulation. 

  

	 	g.	Severability. The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement.

  

	 	h.	Captions. The captions of this Agreement are not part of the provisions hereof and shall have no force or effect. 

  

	 	i.	Beneficiaries/References. The Employee may select a beneficiary or beneficiaries to receive any compensation or benefit payable hereunder following the Employee’s death
as designated by written instrument in the form appended hereto as Exhibit A, executed by the Employee. The Employee may change the designation of the beneficiary or beneficiaries at any time by filing a new written designation with the Company.

  

	 	j.	Entire Agreement. This Agreement will contain the entire agreement between the parties concerning the subject matter hereof and will supercede all prior agreements,
understandings, discussions, negotiations and undertakings, whether written or oral, between the parties with respect to the subject matter hereof. However, nothing in this Agreement shall adversely affect the Employee’s rights to benefits
accrued prior to the Effective Date, and, except as contemplated hereby (including the provisions of Section 8 above), the Employee’s rights with respect to stock options and restricted stock granted prior to the Effective Date shall be
governed by the respective stock options and restricted stock agreements relating thereto. 

  

	 	k.	Representation. The Company represents and warrants that it is fully authorized and empowered to enter into this Agreement and that the performance of its obligations under
this Agreement will not violate any agreement between the Company and any other person, firm or organization or any applicable laws or regulations. 

  

	 	l.	Survivorship. The respective rights and obligations of the parties hereunder shall survive any termination of this Agreement or the Employee’s employment hereunder to
the extent necessary to the intended preservation of such rights and obligations. 

  

	 	m.	Successors. 

  

	 	i.	 The Employee. This Agreement is personal to the Employee and, shall not be assignable by the Employee, except that the Employee’s rights to receive any
compensation or benefits under this Agreement may be transferred or disposed of pursuant to a beneficiary designation, testamentary disposition, 

  

	 EMPLOYMENT AGREEMENT
	 	-19-	 	JAMES D. SHELTON

	 	 
intestate succession or pursuant to a domestic relations order of a court of competent jurisdiction. This Agreement shall inure to the benefit of and be
enforceable by the Employee’s heirs, beneficiaries and/or legal representatives. 

  

	 	ii.	The Company. This Agreement shall inure to the benefit of and be binding upon the Company and its successors and assigns. The Company shall require any successor to all or
substantially all of the business and/or assets of the Company, whether direct or indirect, by purchase, merger, consolidation, acquisition of stock, or otherwise, by an agreement in form and substance satisfactory to the Employee, expressly to
assume and agree to perform this Agreement in the same manner and to the same extent as the Company would be required to perform if no such succession had taken place. 

  
 IN WITNESS WHEREOF, the parties have executed this Agreement on the date set forth opposite their signatures herein below.

  

	 COMPANY:

	
	 TRIAD HOSPITALS, INC.

		
	 By:
	 	 /s/ Donald P. Fay

	 	 	 Donald P. Fay

	 	 	 Executive Vice President

	
	 EMPLOYEE:

	
	 /s/ James D. Shelton

	 JAMES D. SHELTON

  
  

	 EMPLOYMENT AGREEMENT
	 	-20-	 	JAMES D. SHELTON

 EXHIBIT A 
  

DESIGNATION OF BENEFICIARY 
  
 Pursuant to the terms of my Employment Agreement, I hereby designate the following beneficiary(ies) to receive any payments which may be due thereunder
after my death: 
  
 Primary Beneficiary:
__________________________________________________________________________________________ 
  
 Secondary Beneficiary(ies): ____________________________________________________________________________________ 
  
 __________________________________________________________________________________________________________ 
  
 The Primary Beneficiary named above shall be the designated beneficiary if he or she is living at the time a benefit payment thereunder becomes due and
payable, and the Secondary Beneficiary named above shall be the designated beneficiary only if he or she is living at the time a benefit payment becomes payable and the Primary Beneficiary is not then living. 
  
 If any beneficiary is a minor, the Company may pay and shall be fully
protected in paying that minor’s share of the proceeds to any executor or administrator of my estate as custodian for that minor under the Uniform Gifts to Minors Act or Uniform Transfers to Minors Act of any state or any successor custodian
that shall be appointed by such executor or administrator. The signature, receipt, or release of a custodian shall be a full discharge to the Company of any liability in connection with any amount paid to that custodian without any responsibility on
the part of the Company to see to the distribution or application of any amount paid to that custodian. 
  
 The receipt by me, or the Primary or Secondary Beneficiary, shall be a full discharge of the Company of all liability in connection with any amount so
paid on behalf of me pursuant to the Employment Agreement. The Company will be fully discharged from all liability after payment of the benefit as provided herein. 
  
 This designation hereby revokes any prior designation which may have been in effect. 
  
 Acknowledged by the Company: 
  

	 	 	 	 	 _________________________________

	 	 	 	 	 James D. Shelton

			
	 Date: _____________________________
	 	 	 	 Date: _____________________________

			
	 END OF EXHIBIT A
	 	 	 	Shelton - AgreementD.wpd

  
  

	 EMPLOYMENT AGREEMENT
	 	-21-	 	JAMES D. SHELTON

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