Document:

<PAGE>

                                                                    EXHIBIT 10.2

                                                                  EXECUTION COPY

          AMENDMENT No. 1, dated as of July 10, 2001 ("Amendment"), to the
Credit Agreement dated as of May 11, 1999 (as amended and restated as of April
27, 2001, the "Credit Agreement"), by and among TRIAD HOSPITALS, INC., a
Delaware corporation (the "Borrower"), the Lenders party thereto, MERRILL LYNCH
& CO., as Syndication Agent (the "Syndication Agent"), BANK OF AMERICA, N.A., as
Administrative Agent (the "Administrative Agent"), MERRILL LYNCH & CO. and BANC
OF AMERICA SECURITIES LLC, as Co-Lead Arrangers and Co-Book-Runners and THE
CHASE MANHATTAN BANK and CITICORP USA, INC. as Co-Documentation Agents
(together, with the Syndication and Administrative Agents, the "Agents").
Capitalized terms used and not otherwise defined herein shall have the meanings
assigned to them in the Credit Agreement.

           WHEREAS, the Borrower owns certain unimproved real properties (the
 "Real Property") encumbered by mortgages (such holder thereof, the "Real
 Property Mortgagee");

           WHEREAS, the Borrower (the "Ground Lessor") from time to time leases
 such Real Property to third parties (the "Development Lessee") that may improve
 such Real Property by constructing buildings, including but not limited to
 medical office buildings (the "Development");

           WHEREAS, such Development Lessees from time to time require financing
 in connection with the Development of the Real Property (the "Development
 Financing");

           WHEREAS, the conditions to such Development Financing may require the
 respective Real Property Mortgagee to deliver subordination and non-disturbance
 agreements to the Ground Lessor, the Development Lessee and/or the Development
 Financing lender(s);

           WHEREAS, the consent of the Required Lenders is necessary to effect
 this Amendment;

           NOW, THEREFORE, in consideration of the foregoing, and for other good
 and valuable consideration, the receipt and sufficiency of which are hereby
 acknowledged, the parties hereto hereby agree as follows:

                  SECTION ONE - AMENDMENT TO CREDIT AGREEMENT.
                  -----------   -----------------------------

          (a)  The definition of "Permitted Liens" is hereby amended by deleting
clause (x) therein in its entirety and substituting the follow clause in lieu
thereof:

          "(x)  leases or subleases granted to others not interfering in any
material respect with the business of any member of the Consolidated Group,
including without limitation, leases of unimproved real property encumbered by a
Mortgage on which real property
<PAGE>

                                      -2-

the lessee may make improvements (and upon the request of the Borrower, the
Administrative Agent shall (or shall direct the mortgagee of the applicable
Mortgage to), on behalf of the Lenders, execute and deliver to the Borrower (and
the applicable lessee and any lender to such lessee in connection with any
leasehold financing) a subordination and non-disturbance agreement (or similar
agreement) in form and substance reasonably satisfactory to the Administrative
Agent);"

                          SECTION TWO - EFFECTIVENESS.
                          -----------   -------------

          This Amendment shall become effective only upon satisfaction of the
following conditions precedent:

          (a)  The Administrative Agent shall have received duly executed
counterparts of this Amendment which, when taken together, bear the authorized
signatures of the Borrower, each of the Guarantors and the Required Lenders.

          (b)  All corporate and other proceedings taken or to be taken in
connection with this Amendment and all documents incidental thereto, whether or
not referred to herein, shall be satisfactory in form and substance to each of
the Required Lenders and their counsel.

          (c)  All attorneys' fees and expenses incurred in connection with this
transaction have been paid in full in cash.

                 SECTION THREE - REPRESENTATIONS AND WARRANTIES
                 -------------   ------------------------------

          In order to induce the Lenders to enter into this Amendment, the
Borrower and each Guarantor represent and warrant to the Administrative Agent
and each of the Lenders that after giving effect to this Amendment, (i) no
Default or Event of Default has occurred and is continuing; and (ii) all of the
representations and warranties in the Credit Agreement, after giving effect to
this Amendment, are true, correct and accurate in all material respects on and
as of the date hereof as if made on the date hereof, except to the extent that
changes in the facts and conditions on which such representations and warranties
are based are required or permitted under the Credit Agreement.  The Borrower
and each Guarantor further represent and warrant (which representations and
warranties shall survive the execution and delivery hereof) to the
Administrative Agent and each Lender that:

          (a)  The Borrower and each Guarantor have the corporate power and
     authority to execute, deliver and perform this Amendment and have taken all
     corporate actions necessary to authorize the execution, delivery and
     performance of this Amendment; and
<PAGE>

                                      -3-

          (b)  This Amendment has been duly executed and delivered on behalf of
     the Borrower and each Guarantor by a duly authorized officer or attorney-
     in-fact of the Borrower and each Guarantor, respectively.

                         SECTION FOUR - MISCELLANEOUS.
                         ------------   -------------

          (a)  Except as herein expressly amended, the Credit Agreement and all
 other agreements, documents, instruments and certificates executed in
 connection therewith, except as otherwise provided herein, are ratified and
 confirmed in all respects and shall remain in full force and effect in
 accordance with their respective terms.

          (b)  This Amendment may be executed by the parties hereto in one or
 more counterparts, each of which shall be an original and all of which shall
 constitute one and the same agreement.

          (c)  THIS AMENDMENT SHALL BE GOVERNED BY, CONSTRUED AND ENFORCED IN
 ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

          (d)  This Amendment shall not constitute a consent or waiver to or
 modification of any other provision, term or condition of the Credit Agreement
 or any other Credit Document.  All terms, provisions, covenants,
 representations, warranties, agreements and conditions contained in the Credit
 Agreement, as amended hereby, and the other Credit Documents shall remain in
 full force and effect.

                            [Signature Pages Follow]
<PAGE>

                                      S-1

           IN WITNESS WHEREOF, the parties hereto have caused this Amendment to
 be duly executed as of the date first above written.

                              TRIAD HOSPITALS, INC.,

                              as Borrower

                              By: /s/ Donald Fay
                                  ----------------------------------------------
                                  Name:   Donald Fay
                                  Title:  Executive Vice President and
                                       General Counsel
<PAGE>

                                      S-2

ACKNOWLEDGED AND ACCEPTED BY:
----------------------------

GUARANTOR:                    ARIZONA ASC MANAGEMENT, INC.
                              CRESTWOOD HOSPITAL & NURSING HOME, INC.
                              CRESTWOOD HOSPITAL HOLDINGS, 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 PHYSICIAN 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 OF ARIZONA (L.P.), INC.
                              TRIAD OF PHOENIX, INC.
                              TRIAD RC, INC.
                              TRIAD-ARIZONA I, INC.
                              TRIAD-SOUTH TULSA HOSPITAL COMPANY, INC.

                              By: /s/ Donald Fay
                                  ----------------------------------------------
                                  Name:   Donald P. Fay
                                  Title:  Executive Vice President and
                                          Secretary
<PAGE>

                                      S-3

GUARANTOR:                    CAROLINAS MEDICAL ALLIANCE, INC.
                              FRANKFORT HEALTH PARTNER, INC.
                              GADSDEN REGIONAL PRIMARY CARE, INC.
                              NC-CSH, INC.
                              NC-DSH, INC.
                              NC-SCHI, INC.
                              QHG GEORGIA HOLDINGS, INC.
                              QHG OF ALABAMA, INC.
                              QHG OF BARBERTON, INC.
                              QHG OF BATON ROUGE, INC.
                              QHG OF BLUFFTON, INC.
                              QHG OF CLINTON COUNTY, INC.
                              QHG OF ENTERPRISE, INC.
                              QHG OF FORREST COUNTY, INC.
                              QHG OF FORT WAYNE, INC.
                              QHG OF GADSDEN, INC.
                              QHG OF HATTIESBURG, INC.
                              QHG OF INDIANA, 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 Fay
                                  ----------------------------------------------
                                  Name:   Donald P. Fay
                                  Title:  Executive Vice President and
                                          Secretary
<PAGE>

                                      S-4

GUARANTOR:                    ALICE HOSPITAL, LLC
                              ALICE SURGEONS, LLC

                              By:  APS Medical, LLC, its Sole Member

                                  By:  /s/ Donald Fay
                                       -----------------------------------------
                                       Name:   Donald P. Fay
                                       Title:  Executive Vice President and
                                               Manager
<PAGE>

                                      S-5

GUARANTOR:                    E.D. CLINICS, LLC
                              EL DORADO MEDICAL CENTER, LLC

                              By:  Arizona Medco, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                      S-6

GUARANTOR:                    BEAUMONT REGIONAL, LLC
                              HOSPITAL OF BEAUMONT, LLC

                              By:  Beauco, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                      S-7

GUARANTOR:                    BRAZOS VALLEY SURGICAL CENTER, LLC
                              BVSC, LLC

                              By:  Brazos Medco, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                      S-8

GUARANTOR:                    COLLEGE STATION MEDICAL CENTER, LLC
                              CSMC, LLC

                              By:  College Station Merger, LLC, its Sole
                                   Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                      S-9

GUARANTOR:                    CORONADO HOSPITAL, LLC
                              PAMPA MEDICAL CENTER, LLC

                              By:  Coronado Medical, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-10

GUARANTOR:                    TRIAD DEQUEEN REGIONAL MEDICAL CENTER, LLC

                              By:  DeQueen Regional I, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-11

GUARANTOR:                    HOBBS PHYSICIAN PRACTICE, LLC
                              LEA REGIONAL HOSPITAL, LLC

                              By:  Hobbs Medco, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-12

GUARANTOR:                    LRH, LLC
                              REGIONAL HOSPITAL OF LONGVIEW, LLC

                              By:  Longview Merger, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-13

GUARANTOR:                    DOCTORS MEDICAL CENTER, LLC
                              DOCTORS OF LAREDO, LLC

                              By:  Mid-Plains, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-14

GUARANTOR:                    WILLIAMETTE VALLEY CLINICS, LLC
                              WILLIAMETTE VALLEY MEDICAL CENTER, LLC

                              By:  Oregon Healthcorp, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-15

GUARANTOR:                    BLUFFTON HEALTH SYSTEM LLC

                              By:  QHG of Bluffton, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary

                              By:  Frankfort Health Partner, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-16

GUARANTOR:                    ST. JOSEPH HEALTH SYSTEM LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary

                              By:  Frankfort Health Partner, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-17

GUARANTOR:                    WESLEY HEALTH SYSTEM LLC

                              By:  QHG of Hattiesburg, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-18

GUARANTOR:                    WARSAW HEALTH SYSTEM LLC

                              By:  QHG Warsaw, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary

                              By:  Frankfort Health Partner, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-19

GUARANTOR:                    SACMC, LLC
                              SAN ANGELO COMMUNITY MEDICAL CENTER, LLC

                              By:  San Angelo Medical, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-20

GUARANTOR:                    SAN LEANDRO MEDICAL CENTER, LLC
                              SLH, LLC

                              By:  San Leandro, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-21

GUARANTOR:                    PALM DRIVE MEDICAL CENTER, LLC
                              PDMC, LLC

                              By:  Sebastopol, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-22

GUARANTOR:                    SDH, LLC

                              By:  Silsbee Texas, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-23

GUARANTOR:                    BROWNWOOD MEDICAL CENTER, LLC
                              MEDICAL CENTER OF BROWNWOOD, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-24

GUARANTOR:                    PACIFIC PHYSICIANS SERVICE, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-25

GUARANTOR:                    CLAREMORE PHYSICIANS, LLC
                              CLAREMORE REGIONAL HOSPITAL, LLC
                              CLINICO, LLC
                              HDP DEQUEEN, 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
                              WAGONER COMMUNITY HOSPITAL, LLC
                              WOMEN & CHILDREN'S HOSPITAL, LLC

                              By:  Triad Holdings II, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-26

GUARANTOR:                    AMARILLO SURGICARE I, LLC
                              ARIZONA DH, LLC
                              CSDS, LLC
                              GRB REAL ESTATE, LLC
                              GREENBRIER VMC, LLC
                              HIH, LLC
                              LS PSYCHIATRIC, LLC
                              MISSOURI HEALTHSERV, LLC
                              SURGICARE OF SOUTHEAST TEXAS I, LLC
                              TRIAD-DENTON HOSPITAL GP, LLC
                              VFARC, LLC
                              VHC HOLDINGS, LLC
                              VHC MEDICAL, LLC
                              VMF MEDICAL, LLC
                              WEST VIRGINIA MS, LLC
                              WHMC, LLC
                              WM MEDICAL, LLC
                              WOODLAND HEIGHTS MEDICAL CENTER, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-27

GUARANTOR:                    APS MEDICAL, LLC
                              ARIZONA MEDCO, LLC
                              BEAUCO, LLC
                              BRAZOS MEDCO, LLC
                              CARLSBAD MEDICAL CENTER, LLC
                              COLLEGE STATION MERGER, LLC
                              CORONADO MEDICAL, LLC
                              DALLAS PHY SERVICE, LLC
                              DFW PHYSERV, LLC
                              DOUGLAS MEDICAL CENTER, LLC
                              EYE INSTITUTE OF SOUTHERN ARIZONA, LLC
                              GH TEXAS, LLC
                              GHC HOSPITAL, LLC
                              GHC HUNTINGTON BEACH, LLC
                              HDP WOODLAND PROPERTY, LLC
                              HDPWH, LLC
                              HEALDSBURG OF CALIFORNIA, LLC
                              HOBBS MEDCO, LLC
                              HUNTINGTON BEACH AMDECO, LLC
                              LAS CRUCES MEDICAL CENTER, LLC
                              LONGVIEW MERGER, LLC
                              MEMORIAL HOSPITAL, LLC
                              MID-PLAINS, LLC
                              MISSION BAY MEMORIAL HOSPITAL, 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

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-28

                              PANHANDLE MEDICAL CENTER, LLC
                              PANHANDLE PROPERTY, LLC
                              PANHANDLE, LLC
                              PECOS VALLEY OF NEW MEXICO, LLC
                              PHOENIX AMDECO, LLC
                              PHOENIX SURGICAL, LLC
                              PSYCHIATRIC SERVICES OF PARADISE VALLEY, LLC
                              SAN ANGELO MEDICAL, LLC
                              SAN LEANDRO, LLC
                              SEBASTOPOL, LLC
                              SILSBEE TEXAS, LLC
                              SOUTHERN TEXAS MEDICAL CENTER, LLC
                              TRIAD CSLP, LLC
                              TRIAD HOLDINGS II, LLC
                              TRIAD TEXAS, LLC
                              TRIAD-MEDICAL CENTER AT TERRELL SUBSIDIARY, LLC
                              TRIAD-NAVARRO REGIONAL HOSPITAL SUBSIDIARY, LLC
                              WEST ANAHEIM, LLC
                              WHARTON MEDCO, LLC

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

                                   By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-29

GUARANTOR:                    MEDICAL CENTER AT TERRELL, LLC
                              TERRELL MEDICAL CENTER, LLC

                              By:  Triad-Medical Center at Terrell Subsidiary,
                                   LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-30

GUARANTOR:                    NAVARRO REGIONAL, LLC
                              NRH, LLC

                              By:  Triad-Navarro Regional Hospital
                                   Subsidiary, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-31

GUARANTOR:                    SOUTHCREST, L.L.C.

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-32

GUARANTOR:                    DETAR HOSPITAL, LLC
                              VICTORIA HOSPITAL, LLC

                              By:  VHC Medical, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-33

GUARANTOR:                    WAMC, LLC
                              WEST ANAHEIM MEDICAL CENTER, LLC

                              By:  West Anaheim, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-34

GUARANTOR:                    GCMC, LLC
                              GULF COAST MEDICAL CENTER, LLC

                              By:  Wharton Medco, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-35

GUARANTOR:                    LAKE AREA PHYSICIAN SERVICES, L.L.C.

                              By:  Women & Children Hospital, LLC,
                                   its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-36

GUARANTOR:                    AMERICAN HEALTH FACILITIES
                                DEVELOPMENT, LLC
                              QHR INTERNATIONAL, LLC
                              THE INTENSIVE RESOURCE GROUP, LLC

                              By:  Quorum Health Resources, LLC,
                                   its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-37

GUARANTOR:                    CLINTON COUNTY HEALTH SYSTEM LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary

                              By:  Frankfort Health Partner, Inc., its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-38

GUARANTOR:                    DEQUEEN REGIONAL I, LLC
                              NORTH ANAHEIM SURGICARE, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-39

GUARANTOR:                    HATTIESBURG AMBULATORY SURGERY CENTER, LLC

                              By:  Wesley Health System LLC, its Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-40

GUARANTOR:                    MEDICAL CENTER OF SHERMAN, LLC
                              SHERMAN MEDICAL CENTER, LLC

                              By:  Triad-Medical Center of Sherman, LLC,
                                   its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-41

GUARANTOR:                    PROCURE SOLUTIONS, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-42

GUARANTOR:                    QUORUM HEALTH RESOURCES, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-43

GUARANTOR:                    SILSBEE MEDICAL CENTER, LLC

                              By:  Silsbee Texas, LLC, its Sole Member

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-44

GUARANTOR:                    SURGICAL CENTER OF AMARILLO, LLC
                              TRIAD-NAVARRO REGIONAL HOSPITAL
                                SUBSIDIARY, LLC

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-45

          IN WITNESS WHEREOF, each of the following parties hereto has caused a
counterpart of this Guaranty Agreement to be duly executed and delivered by
their duly authorized officers as of the date first above written.

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

                              By:  Alice Hospital, LLC, its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-46

GUARANTOR:                    BEAUMONT MEDICAL CENTER, L.P.

                              By:  Beaumont Regional, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-47

GUARANTOR:                    BRAZOS VALLEY OF TEXAS, L.P.

                              By:  Brazos Valley Surgical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-48

GUARANTOR:                    BROWNWOOD HOSPITAL, L.P.

                              By:  Brownwood Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-49

GUARANTOR:                    COLLEGE STATION HOSPITAL, L.P.

                              By:  College Station Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-50

GUARANTOR:                    CRESTWOOD HEALTHCARE, L.P.

                              By:  Crestwood Hospital & Nursing Home, Inc.,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-51

GUARANTOR:                    VICTORIA OF TEXAS, L.P.

                              By:  DeTar Hospital, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-52

GUARANTOR:                    LAREDO HOSPITAL, L.P

                              By:  Doctors of Laredo, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-53

GUARANTOR:                    DALLAS PHYSICIAN PRACTICE, L.P

                              By:  DPW Physerv, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-54

GUARANTOR:                    GULF COAST HOSPITAL, L.P.

                              By:  Gulf Coast Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-55

GUARANTOR:                    HDP WOODLAND HEIGHTS, L.P.

                              By:  HDP Woodland Property, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-56

GUARANTOR:                    SAN DIEGO HOSPITAL, L.P.

                              By:  Mission Bay Memorial Hospital, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-57

GUARANTOR:                    NAVARRO HOSPITAL, L.P.

                              By:  Navarro Regional, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-58

GUARANTOR:                    PALM DRIVE HOSPITAL, L.P.

                              By:  Palm Drive Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-59

GUARANTOR:                    PAMPA HOSPITAL, L.P.

                              By:  Pampa Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-60

GUARANTOR:                    PANHANDLE SURGICAL HOSPITAL, L.P.

                              By:  Panhandle Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-61

GUARANTOR:                    MCI PANHANDLE SURGICAL, L.P.

                              By:  Panhandle Property, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-62

GUARANTOR:                    QHG GEORGIA, LP

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-63

GUARANTOR:                    REHAB HOSPITAL OF FORT WAYNE
                                GENERAL PARTNERSHIP

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-64

GUARANTOR:                    IOM HEALTH SYSTEM, L.P.

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

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-65

GUARANTOR:                    LONGVIEW MEDICAL CENTER, L.P.

                              By:  Regional Hospital of Longview, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-66

GUARANTOR:                    SAN ANGELO HOSPITAL, L.P.

                              By:  San Angelo Community Medical Center,
                                    LLC, its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-67

GUARANTOR:                    SAN LEANDRO HOSPITAL, L.P.

                              By:  San Leandro Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-68

GUARANTOR:                    SILSBEE DOCTORS HOSPITAL, L.P.

                              By:  Silsbee Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-69

GUARANTOR:                    TERRELL HOSPITAL, L.P.

                              By:  Terrell Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-70

GUARANTOR:                    TRIAD CORPORATE SERVICES, LIMITED
                                 PARTNERSHIP

                              By:  Triad CSGP, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-71

GUARANTOR:                    TRIAD HEALTHCARE SYSTEM OF
                                 PHOENIX, LIMITED PARTNERSHIP

                              By:  Triad of Phoenix, Inc.,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Secretary
<PAGE>

                                     S-72

GUARANTOR:                    PACIFIC EAST DIVISION OFFICE, L.P.

                              By:  Triad Texas, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-73

GUARANTOR:                    TRIAD-DENTON HOSPITAL, L.P.

                              By:  Triad-Denton Hospital GP, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-74

GUARANTOR:                    WEST ANAHEIM HOSPITAL, L.P.

                              By:  West Anaheim Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-75

GUARANTOR:                    PINEY WOODS HEALTHCARE SYSTEM, L.P.

                              By:  Woodland Heights Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-76

GUARANTOR:                    SHERMAN HOSPITAL, L.P.

                              By:  Sherman Medical Center, LLC,
                                   its General Partner

                                  By: /s/ Donald Fay
                                      ------------------------------------------
                                      Name:   Donald P. Fay
                                      Title:  Executive Vice President and
                                              Manager
<PAGE>

                                     S-77

                              BANK OF AMERICA, N.A.,
                              as Administrative Agent

                              By: /s/ Kevin Wagley
                                  ----------------------------------------------
                                  Name:   Kevin Wagley
                                  Title:  Principal
<PAGE>

                                     S-78

                              AERIES FINANCE-II LTD.

                              By:  INVESCO Senior Secured Management,
                                   Inc., As Sub-Managing Agent

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-79

                              AIM FLOATING RATE FUND

                              By:  INVESCO Senior Secured Management,
                                   Inc., As Attorney in fact

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-80

                              AMARA 2 FINANCE, LTD.

                              By:  INVESCO Senior Secured Management,
                                   Inc., As Sub-Advisor

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-81

                              AMMC CDO I, LIMITED

                              By:  American Money Management Corp.,
                                   as Collateral Manager

                              By: /s/ David P. Meyer
                                  ----------------------------------------------
                                  Name:  David P. Meyer
                                  Title: Vice President
<PAGE>

                                     S-82

                              AMMC CDO II, LIMITED

                              By:  American Money Management Corp.,
                                   as Collateral Manager

                              By: /s/ David P. Meyer
                                  ----------------------------------------------
                                  Name:  David P. Meyer
                                  Title: Vice President
<PAGE>

                                     S-83

                              AVALON CAPITAL LTD. 2

                              By:  INVESCO Senior Secured Management,
                                   Inc., As Portfolio Advisor

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-84

                              BANK OF AMERICA, N.A.,
                              individually in its capacity as a Lender

                              By: /s/ Kevin Wagley
                                  ----------------------------------------------
                                  Name:  Kevin Wagley
                                  Title:   Principal
<PAGE>

                                     S-85

                              SANKATY ADVISORS, INC., as Collateral Manager for
                                 Brant Point CBO 1999-1, LTD., as Term Lender

                              By: /s/ Diane J. Exter
                                  ----------------------------------------------
                                  Name:  Diane J. Exter
                                  Title: Managing Director
                                         Portfolio Manager
<PAGE>

                                     S-86

                              KZH ING-1 LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-87

                              KZH ING-2 LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-88

                              KZH ING-3 LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-89

                              KZH LANGDALE LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-90

                              KZH PONDVIEW LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-91

                              KZH RIVERSIDE LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-92

                              KZH SHOSHONE LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-93

                              KZH SOLEIL LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-94

                              KZH SOLEIL-2 LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-95

                              KZH STERLING LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-96

                              KZH WATERSIDE LLC

                              By: /s/ Susan Lee
                                  ----------------------------------------------
                                  Name:  Susan Lee
                                  Title: Authorized Agent
<PAGE>

                                     S-97

                              LIBERTY-STEIN ROE ADVISOR FLOATING RATE ADVANTAGE
                              FUND

                              By:  Stein Roe & Farnham Incorporated,
                                   as Advisor

                              By: /s/ James R. Fellows
                                  ----------------------------------------------
                                  Name:  James R. Fellows
                                  Title: Sr. Vice President & Portfolio
                                         Manager
<PAGE>

                                     S-98

                              MERRILL LYNCH CAPITAL CORPORATION, individually in
                                 its capacity as a Lender

                              By: /s/ Carol J. E. Feeley
                                  ----------------------------------------------
                                  Name:  Carol J.E. Feeley
                                  Title: Vice President
                                         Merrill Lynch Capital Corp.
<PAGE>

                                     S-99

                              MUIRFIELD TRADING LLC

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Assistant Vice President
<PAGE>

                                     S-100

                              NEW ALLIANCE GLOBAL CDO, LIMITED

                              By:  Alliance Capital Management L.P.,
                                   as Sub-advisor

                              By:  Alliance Capital Management Corporation,
                                   as General Partner

                              By: /s/ Theresa McCarthy
                                  ----------------------------------------------
                                  Name:  Teresa McCarthy
                                  Title: Vice President

                              MONUMENT CAPITAL LTD., as Assignee

                              By:  Alliance Capital Management L.P.,
                                   as Investment Manager

                              By:  Alliance Capital Management Corporation,
                                   as General Partner

                              By: /s/ Theresa McCarthy
                                  ----------------------------------------------
                                  Name:  Teresa McCarthy
                                  Title: Vice President
<PAGE>

                                     S-101

                              NORTHWOODS CAPITAL, LIMITED

                              By:  Angelo, Gordon & Co., L.P.,
                                   as Collateral Manager

                              By: /s/ John W. Fraser
                                  ----------------------------------------------
                                  Name:  John W. Fraser
                                  Title: Managing Director
<PAGE>

                                     S-102

                              NORTHWOODS CAPITAL III, LIMITED

                              By:  Angelo, Gordon & Co., L.P.,
                                   as Collateral Manager

                              By: /s/ John W. Fraser
                                  ----------------------------------------------
                                  Name:  John W. Fraser
                                  Title: Managing Director
<PAGE>

                                     S-103

                              OASIS COLLATERALIZED HIGH INCOME PORTFOLIO-1, LTD.

                              By:  INVESCO Senior Secured Management,
                                     Inc., As Subadvisor

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-104

                              BANK OF OKLAHOMA, as Lender

                              By: /s/ Heather E. Williams
                                  ----------------------------------------------
                                  Name:  Heather E. Williams
                                  Title: Commercial Lending Officer
<PAGE>

                                     S-105

                              OLYMPIC FUNDING TRUST SERIES 1999-1,
                                as Lender

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Authorized Agent
<PAGE>

                                     S-106

                              OPPENHEIMER SENIOR FLOATING RATE FUND, as Lender

                              By: /s/ David Foxhoven
                                  ----------------------------------------------
                                  Name:  David Foxhoven
                                  Title: A.V.P.
<PAGE>

                                     S-107

                              PINEHURST TRADING, INC., as Lender

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Assistant Vice President
<PAGE>

                                     S-108

                              RIVIERA FUNDING LLC, as Lender

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Assistant Vice President
<PAGE>

                                     S-109

                              SANKATY HIGH YIELD PARTNERS II, L.P.

                              By: /s/ Diane J. Exter
                                  ----------------------------------------------
                                  Name:  Diane J. Exter
                                  Title: Managing Director
                                         Portfolio Manager
<PAGE>

                                     S-110

                              SANKATY HIGH YIELD PARTNERS III, L.P.

                              By: /s/ Diane J. Exter
                                  ----------------------------------------------
                                  Name:  Diane J. Exter
                                  Title: Managing Director
                                         Portfolio Manager
<PAGE>

                                     S-111

                              SCOTIABANC INC., as Lender

                              By: /s/ D.C. Maloney
                                  ----------------------------------------------
                                  Name:  D.C. Maloney
                                  Title: Director
<PAGE>

                                     S-112

                              SENECA CBO II, LP

                              By: /s/ Charles B. Dicke
                                  ----------------------------------------------
                                  Name:  Charles B. Dicke
                                  Title: Partner
<PAGE>

                                     S-113

                              SEQUILS IV, LTD

                              By:  TCW Advisors, Inc., as its Collateral
                                   Manager

                              By: /s/ Mark L. Gold
                                  ----------------------------------------------
                                  Name:  Mark L. Gold
                                  Title: Managing Director

                              By: /s/ Jonathan I. Berg
                                  ----------------------------------------------
                                  Name:  Jonathan I. Berg
                                  Title: Assistant Vice President
<PAGE>

                                     S-114

                              SEQUILS - CUMBERLAND V, LTD.
                              AMERICAN EXPRESS ASSET MANAGEMENT GROUP INC.,
                                as Collateral Manager

                              By: /s/ Michael M. Leyland
                                  ----------------------------------------------
                                  Name:  Michael M. Leyland
                                  Title: Managing Director
<PAGE>

                                     S-115

                              SEQUILS-CUMBERLAND I, LTD., as a Lender

                              By:  Deerfield Capital Management LLC,
                                   as its Collateral Manager

                              By: /s/ Dale R. Burrow
                                  ----------------------------------------------
                                  Name:  Dale R. Burrow
                                  Title: Senior Vice President
<PAGE>

                                     S-116

                              SRF TRADING, INC., as Lender

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Assistant Vice President
<PAGE>

                                     S-117

                              STANFIELD ARBITRAGE CDO, LTD.

                              By:  Stanfield Capital Partners LLC,
                                   as its Collateral Manager

                              By: /s/ Christopher A. Bondy
                                  ----------------------------------------------
                                  Name:  Christopher A. Bondy
                                  Title: Partner
<PAGE>

                                     S-118

                              STANFIELD CLO, LTD.

                              By:  Stanfield Capital Partners LLC,
                                   as its Collateral Manager

                              By: /s/ Christopher A. Bondy
                                  ----------------------------------------------
                                  Name:  Christopher A. Bondy
                                  Title: Partner
<PAGE>

                                     S-119

                              STANFIELD/RMF TRANSATLANTIC CDO LTD.

                              By:  Stanfield Capital Partners LLC,
                                   as its Collateral Manager

                              By: /s/ Christopher A. Bondy
                                  ----------------------------------------------
                                  Name:  Christopher A. Bondy
                                  Title: Partner
<PAGE>

                                     S-120

                              STEIN ROE & FARNHAM CLO, LTD.

                              By:  Stein Roe & Farnham Incorporated,
                                   As Portfolio Manager

                              By: /s/ James R. Fellows
                                  ----------------------------------------------
                                  Name:  James R. Fellows
                                  Title: Sr. Vice President & Portfolio
                                         Manager
<PAGE>

                                     S-121

                              STEIN ROE FLOATING RATE LIMITED LIABILITY CO., as
                                 Lender

                              By: /s/ James R. Fellows
                                  ----------------------------------------------
                                  Name:  James R. Fellows
                                  Title: Senior Vice President
                                         Stein Roe & Farnham Incorporated,
                                         as Advisor to the Stein Roe Floating
                                         Rate Limited Liability Company
<PAGE>

                                     S-122

                              THE SUMITOMO TRUST AND BANKING CO., LTD., New York
                                 Branch, as Lender

                              By: /s/ Stephen A. Stratico
                                  ----------------------------------------------
                                  Name:  Stephen A. Stratico
                                  Title: Vice President
<PAGE>

                                     S-123

                              SUNTRUST BANK

                              By: /s/ Mark D. Mattson
                                  ----------------------------------------------
                                  Name:  Mark D. Mattson
                                  Title: Director
<PAGE>

                                     S-124

                              TCW SELECT LOAN FUND, LIMITED

                              By:  TCW Advisors, Inc., as its Collateral
                                   Manager

                              By: /s/ Mark L. Gold
                                  ----------------------------------------------
                                  Name:  Mark L. Gold
                                  Title: Managing Director

                              By: /s/ Jonathan I. Berg
                                  ----------------------------------------------
                                  Name:  Jonathan I. Berg
                                  Title: Assistant Vice President
<PAGE>

                                     S-125

                              TEXTRON FINANCIAL CORPORATION,
                              as Lender

                              By: /s/ Stuart Schulman
                                  ----------------------------------------------
                                  Name:  Stuart Schulman
                                  Title: Managing Director
<PAGE>

                                     S-126

                              TORONTO DOMINION (NEW YORK), INC., as Lender

                              By: /s/ Susan K. Strong
                                  ----------------------------------------------
                                  Name:  Susan K. Strong
                                  Title: Vice President
<PAGE>

                                     S-127

                              TRITON CBO III, LIMITED

                              By:  INVESCO Senior Secured Management,
                                   Inc., As Investment Advisor

                              By: /s/ Thomas H.B. Ewald
                                  ----------------------------------------------
                                  Name:  Thomas H.B. Ewald
                                  Title: Authorized Signatory
<PAGE>

                                     S-128

                              UBS AG, STAMFORD BRANCH, as Lender

                              By: /s/ Wilfred V. Saint
                                  ----------------------------------------------
                                  Name:  Wilfred V. Saint
                                  Title: Associate Director
                                         Banking Products Services, US

                              By: /s/ Lynne B. Alfarone
                                  ----------------------------------------------
                                  Name:  Lynne B. Alfarone
                                  Title: Associate Director
                                         Banking Products Services, US
<PAGE>

                                     S-129

                              VAN KAMPEN CLO I, LIMITED

                              By:  Van Kampen Management Inc.,
                                   as Collateral Manager

                              By: /s/ Darvin D. Pierce
                                  ----------------------------------------------
                                  Name:  Darvin D. Pierce
                                  Title: Principal
<PAGE>

                                     S-130

                              VAN KAMPEN CLO II, LIMITED

                              By:  Van Kampen Management Inc.,
                                   as Collateral Manager

                              By: /s/ Darvin D. Pierce
                                  ----------------------------------------------
                                  Name:  Darvin D. Pierce
                                  Title: Principal
<PAGE>

                                     S-131

                              VAN KAMPEN PRIME RATE INCOME TRUST

                              By:  Van Kampen Investment Advisory Corp.,
                                   as Lender

                              By: /s/ Darvin D. Pierce
                                  ----------------------------------------------
                                  Name:  Darvin D. Pierce
                                  Title: Principal
<PAGE>

                                     S-132

                              VAN KAMPEN SENIOR FLOATING RATE FUND

                              By:  Van Kampen Investment Advisory Corp.,
                                   as Lender

                              By: /s/ Darvin D. Pierce
                                  ----------------------------------------------
                                  Name:  Darvin D. Pierce
                                  Title: Principal
<PAGE>

                                     S-133

                              VAN KAMPEN SENIOR INCOME TRUST

                              By:  Van Kampen Investment Advisory Corp.,
                                   as Lender

                              By: /s/ Darvin D. Pierce
                                  ----------------------------------------------
                                  Name:  Darvin D. Pierce
                                  Title: Principal
<PAGE>

                                     S-134

                              WINDSOR LOAN FUNDING, LIMITED

                              By:  Stanfield Capital Partners LLC,
                                   as its Investment Manager

                              By:   /s/ Christopher A. Bondy
                                  ----------------------------------------------
                                  Name:  Christopher A. Bondy
                                  Title: Partner
<PAGE>

                                     S-135

                              WINGED FOOT FUNDING TRUST

                              By: /s/ Ann E. Morris
                                  ----------------------------------------------
                                  Name:  Ann E. Morris
                                  Title: Authorized Agent<PAGE>

                                                                    EXHIBIT 10.3

                                AMENDMENT NO. 2

           AMENDMENT No. 2, dated as of August 8, 2001 ("Amendment"), to the
 Credit Agreement dated as of May 11, 1999 (as amended and restated as of April
 27, 2001, the "Credit Agreement"), by and among TRIAD HOSPITALS, INC., a
 Delaware corporation (the "Borrower"), the Lenders party thereto, MERRILL LYNCH
 & CO., as Syndication Agent (the "Syndication Agent"), BANK OF AMERICA, N.A.,
 as Administrative Agent (the "Administrative Agent"), MERRILL LYNCH & CO. and
 BANC OF AMERICA SECURITIES LLC, as Co-Lead Arrangers and Co-Book-Runners, and
 THE CHASE MANHATTAN BANK and CITICORP USA, INC., as Co-Documentation Agents
 (together with the Syndication and Administrative Agents, the "Agents").
 Capitalized terms used and not otherwise defined herein shall have the meanings
 assigned to them in the Credit Agreement.

           WHEREAS, the Borrower acquired Quorum Health Group ("Quorum") on
 April 27, 2001 (the "Acquisition");

           WHEREAS, Quorum was subject to a government settlement related to
 various allegations relating to Medicare cost reports (the "Government
 Settlement");

           WHEREAS, the total amount incurred by Quorum in connection with the
 Government Settlement for the four quarters ended June 30, 2001 was
 approximately $115.3 million;

           WHEREAS, the Borrower made certain one-time Acquisition-related
 accounting adjustments in an aggregate amount of $31.3 million in order to
 agree Quorum's accounting policies with its own;

           WHEREAS, the Borrower requests additional time to complete certain
 post-closing obligations pursuant to Section 8.15 of the Credit Agreement (the
 "Post-Closing Obligations");

           WHEREAS, the consent of the Required Lenders is necessary to effect
 this Amendment;

           NOW, THEREFORE, in consideration of the foregoing, and for other good
 and valuable consideration, the receipt and sufficiency of which are hereby
 acknowledged, the parties hereto hereby agree as follows:

                  SECTION ONE - AMENDMENT TO CREDIT AGREEMENT.
                  -----------   -----------------------------

          (a)  Section 8.15 of the Credit Agreement is hereby amended to provide
the Borrower with an additional 90 days from the date hereof to execute and
deliver the items required
<PAGE>

                                      -2-

to be delivered to the Administrative Agent pursuant to subsections 8.15(c),
(d), (f), (g), (h), (i), (j), (o) and (p) of the Credit Agreement.

          (b)  The definition of "Consolidated EBITDA" is hereby amended by
deleting the period at the end of the definition and adding the following
clause:

          "; provided, however, that the Company shall be permitted to include
             --------  -------
in its calculation hereof, with respect to the applicable periods in which such
charges were made or incurred, an aggregate amount not to exceed $146.6 million
(comprised of $115.3 million related to Quorum's government settlement in
connection with allegations relating to Medicare cost reports and $31.3 million
related to one-time Acquisition-related accounting adjustments made to agree
Quorum's accounting policies with those of the Company)."

                          SECTION TWO - EFFECTIVENESS.
                          -----------   -------------

          The effective date of this Amendment shall be April 27, 2001.  This
Amendment shall become effective only upon satisfaction of the following
conditions precedent:

          (a)  The Administrative Agent shall have received duly executed
counterparts of this Amendment which, when taken together, bear the authorized
signatures of the Borrower, each of the Guarantors and the Required Lenders.

          (b)  All corporate and other proceedings taken or to be taken in
connection with this Amendment and all documents incidental thereto, whether or
not referred to herein, shall be satisfactory in form and substance to each of
the Required Lenders and their counsel.

          (c)  All attorneys' fees and expenses incurred in connection with this
transaction have been paid in full in cash.

                 SECTION THREE - REPRESENTATIONS AND WARRANTIES
                 -------------   ------------------------------

          In order to induce the Lenders to enter into this Amendment, the
Borrower and each Guarantor represent and warrant to the Administrative Agent
and each of the Lenders that after giving effect to this Amendment, (i) no
Default or Event of Default has occurred and is continuing; and (ii) all of the
representations and warranties in the Credit Agreement, after giving effect to
this Amendment, are true, correct and accurate in all material respects on and
as of the date hereof as if made on the date hereof, except to the extent that
changes in the facts and conditions on which such representations and warranties
are based are required or permitted under the Credit Agreement.  The Borrower
and each Guarantor further represent and warrant (which representations and
warranties shall survive the execution and delivery hereof) to the
Administrative Agent and each Lender that:
<PAGE>

                                      -3-

          (a)  The Borrower and each Guarantor have the corporate power and
     authority to execute, deliver and perform this Amendment and have taken all
     corporate actions necessary to authorize the execution, delivery and
     performance of this Amendment; and

          (b)  This Amendment has been duly executed and delivered on behalf of
     the Borrower and each Guarantor by a duly authorized officer or attorney-
     in-fact of the Borrower and each Guarantor, respectively.

                         SECTION FOUR - MISCELLANEOUS.
                         ------------   -------------

          (a)  Except as herein expressly amended, the Credit Agreement and all
 other agreements, documents, instruments and certificates executed in
 connection therewith, except as otherwise provided herein, are ratified and
 confirmed in all respects and shall remain in full force and effect in
 accordance with their respective terms.

          (b)  This Amendment may be executed by the parties hereto in one or
 more counterparts, each of which shall be an original and all of which shall
 constitute one and the same agreement.

          (c)  THIS AMENDMENT SHALL BE GOVERNED BY, CONSTRUED AND ENFORCED IN
 ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

          (d)  This Amendment shall not constitute a consent or waiver to or
 modification of any other provision, term or condition of the Credit Agreement
 or any other Credit Document.  All terms, provisions, covenants,
 representations, warranties, agreements and conditions contained in the Credit
 Agreement, as amended hereby, and the other Credit Documents shall remain in
 full force and effect.

                            [Signature Pages Follow]
<PAGE>

           IN WITNESS WHEREOF, the parties hereto have caused this Amendment to
 be duly executed as of the date first above written.

                              TRIAD HOSPITALS, INC.,
                              as Borrower

                              By:   /s/ Donald P. Fay
                                  ------------------------------------------
                                  Name:   Donald P. Fay
                                  Title:  Executive Vice President,
                                          Secretary and General Counsel

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

ACKNOWLEDGED AND ACCEPTED BY:
----------------------------

GUARANTOR:                      ARIZONA ASC MANAGEMENT, INC.
                                CRESTWOOD HOSPITAL & NURSING HOME, INC.
                                CRESTWOOD HOSPITAL HOLDINGS, 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 PHYSICIAN 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 OF ARIZONA (L.P.), INC.
                                TRIAD OF PHOENIX, 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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

ACKNOWLEDGED AND ACCEPTED BY:
----------------------------

GUARANTOR:                      CAROLINAS MEDICAL ALLIANCE, INC.
                                FRANKFORT HEALTH PARTNER, INC.
                                GADSDEN REGIONAL PRIMARY CARE, INC.
                                NC-CSH, INC.
                                NC-DSH, INC.
                                NC-SCHI, INC.
                                QHG GEORGIA HOLDINGS, INC.
                                QHG OF ALABAMA, INC.
                                QHG OF BARBERTON, INC.
                                QHG OF BATON ROUGE, INC.
                                QHG OF BLUFFTON, INC.
                                QHG OF CLINTON COUNTY, INC.
                                QHG OF ENTERPRISE, INC.
                                QHG OF FORREST COUNTY, INC.
                                QHG OF FORT WAYNE, INC.
                                QHG OF GADSDEN, INC.
                                QHG OF HATTIESBURG, INC.
                                QHG OF INDIANA, 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 SRINGDALE, 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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:                      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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            E.D. CLINICS, LLC
                      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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            BEAUMONT REGIONAL, LLC
                      HOSPITAL OF BEAUMONT, LLC

                      By:  Beauco, LLC, its Sole Member

                      By:   /s/ Donald P. Fay
                            -------------------------------------
                      Name:  Donald P. Fay
                      Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            TRIAD DEQUEEN REGIONAL MEDICAL CENTER, LLC

                      By:  Dequeen Regional I, LLC, its Sole Member

                      By:   /s/ Donald P. Fay
                            -------------------------------------
                      Name:  Donald P. Fay
                      Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:            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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:           DOCTORS MEDICAL CENTER, LLC
                     DOCTORS OF LAREDO, LLC

                     By:  Mid-Plains, LLC, its Sole Member

                     By:   /s/ Donald P. Fay
                           -------------------------------------
                     Name:  Donald P. Fay
                     Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:           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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:           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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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 Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:              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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:              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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:              SAN LEANDRO MEDICAL CENTER, LLC
                        SLH, LLC

                        By:   San Leandro Medical, LLC, its Sole Member

                        By:   /s/ Donald P. Fay
                           --------------------------------------------
                        Name:  Donald P. Fay
                        Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          PALM DRIVE MEDICAL CENTER, LLC
                    PDMC, LLC

                    By:   Sebastopol, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                       ----------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SDH, LLC

                    By:   Silsbee Texas, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                        ---------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          BROWNWOOD MEDICAL CENTER, LLC
                    MEDICAL CENTER OF BROWNWOOD, LLC

                    By:   Southern Texas Medical Center, its Sole Member

                    By:   /s/ Donald P. Fay
                          --------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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 Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          CLAREMORE PHYSICIANS, LLC
                    CLAREMORE REGIONAL HOSPITAL, LLC
                    CLINICO, LLC
                    HDP DEQUEEN, 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
                    WAGONER COMMUNITY HOSPITAL, 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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          AMARILLO SURGICARE I, LLC
                    ARIZONA DH, LLC
                    CSDS, LLC
                    GRB REAL ESTATE, LLC
                    GREENBRIER VMC, LLC
                    HIH, LLC
                    LS PSYCHIATRIC, LLC
                    MISSOURI HEALTHSERV, LLC
                    SURGICARE OF SOUTHEAST TEXAS I, LLC
                    TRIAD-DENTON HOSPITAL GP, LLC
                    VFARC, LLC
                    VHC HOLDINGS, LLC
                    VHC MEDICAL, LLC
                    VMF MEDICAL, LLC
                    WEST VIRGINIA MS, LLC
                    WHMC, LLC
                    WM 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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          APS MEDICAL, LLC
                    ARIZONA MEDCO,LLC
                    BEAUCO, LLC
                    BRAZOS MEDCO, LLC
                    CARLSBAD MEDICAL CENTER,LLC
                    COLLEGE STATION MERGER, LLC
                    CORONADO MEDICAL, LLC
                    DALLAS PHY SERVICE, LLC
                    DFW PHYSERV, LLC
                    DOUGLAS MEDICAL CENTER, LLC
                    EYE INSTITUTE OF SOUTHERN ARIZONA, LLC
                    GH TEXAS, LLC
                    GHC HOSPITAL, LLC
                    GHC HUNTINGTON BEACH, LLC
                    HDP WOODLAND PROPERTY, LLC
                    HDPWH, LLC
                    HEALDSBURG OF CALIFORNIA, LLC
                    HOBBS MEDCO, LLC
                    HUNTINGTON BEACH AMDECO, LLC
                    LAS CRUCES MEDICAL CENTER, LLC
                    LONGVIEW MERGER, LLC
                    MEMORIAL HOSPITAL, LLC
                    MID-PLAINS, LLC
                    MISSION BAY MEMORIAL HOSPITAL, 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
                    PANHANDLE MEDICAL CENTER, LLC
                    PANHANDLE PROPERTY, LLC
                    PANHANDLE, LLC
                    PECOS VALLEY OF NEW MEXICO, LLC
                    PHOENIX AMDECO, LLC

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    PHOENIX SURGICAL, LLC
                    PSYCHIATRIC SERVICES OF PARADISE VALLEY, LLC
                    By:   Triad Hospitals Holdings, Inc., its Sole Member

                    By:   /s/ Donald P. Fay
                          ---------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SAN ANGELO MEDICAL, LLC
                    SAN LEANDRO, LLC
                    SEBASTOPOL, LLC
                    SILSBEE, TEXAS, LLC
                    SOUTHERN TEXAS MEDICAL CENTER, LLC
                    TRIAD CSLP, LLC
                    TRIAD HOLDINGS II, LLC
                    TRIAD TEXAS, LLC
                    TRIAD-MEDICAL CENTER AT TERRELL
                     SUBSIDIARY, LLC
                    TRIAD-NAVARRO REGIONAL HOSPITAL
                     SUBSIDIARY, LLC
                    WEST ANAHEIM, LLC
                    WHARTON MEDCO, LLC

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

                    By:   /s/ Donald P. Fay
                          -----------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SOUTHCREST, L.L.C.

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

                    By:   /s/ Donald P. Fay
                          ----------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          WAMC, LLC
                    WEST ANAHEIM MEDICAL CENTER, LLC

                    By:   West Anaheim, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                          --------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          LAKE AREA PHYSICIAN SERVICES, LLC

                    By:   Women & Children Hospital, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                          --------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          CLINTON COUNTY HEALTH SYSTEM, LLC

                    By:   QHG of Clinton County, 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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          DEQUEEN REGIONAL I, LLC
                    NORTH ANAHEIM SURGICARE, LLC

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

                    By:   /s/ Donald P. Fay
                          -----------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          HATTIESBURG AMBULATORY SURGERY CENTER, LLC

                    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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          MEDICAL CENTER OF SHERMAN, LLC
                    SHERMAN MEDICAL CENTER, LLC

                    By:   Triad Medical Center of Sherman, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                          -------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          PROCURE SOLUTIONS, LLC

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

                    By:   /s/ Donald P. Fay
                          ------------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SILSBEE MEDICAL CENTER, LLC

                    By:   Silsbee Texas, LLC, its Sole Member

                    By:   /s/ Donald P. Fay
                          ------------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Manager
<PAGE>

GUARANTOR:          SURGICAL CENTER OF AMARILLO, LLC
                    TRIAD-NAVARRO REGIONAL HOSPITAL

                    SUBSIDIARY, LLC

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

                    By:   /s/ Donald P. Fay
                          ---------------------------------------
                    Name:  Donald P. Fay
                    Title: Executive Vice President and Secretary

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SILSBEE DOCTORS HOSPITAL, L.P.

                    By:   Silsbee Medical Center, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:         TRIAD HEALTHCARE SYSTEM OF PHOENIX, LIMITED
                    PARTNERSHIP

                    By:   Triad of Phoenix, Inc., its General Partner

                    By:   /s/ Donald P. Fay
                          ---------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Secretary

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          PACIFIC EAST DIVISION OFFICE, L.P.

                    By:   Triad Texas, LLC, its General Partner

                    By:   /s/ Donald P. Foy
                          -------------------------------------
                          Name:   Donald P. Foy
                          Title:  Executive Vice President and Secretary

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

          IN WITNESS WHEREOF, each of the following parties hereto has caused a
counterpart of this Guaranty Agreement to be duly executed and delivered by
their duly authorized officers as of the date first above written.

GUARANTOR:          PHYSICIANS AND SURGEONS HOSPITAL OF ALICE, LP

                    By:   Alice Hospital, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          BEAUMONT MEDICAL CENTER, L.P.

                    By:   Beaumont Regional, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          LAREDO HOSPITAL, L.P.

                    By:   Doctors of Laredo, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SAN DIEGO HOSPITAL, L.P.

                    By:   Mission Bay Memorial Hospital, LLC, its General
                           Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          PALM DRIVE HOSPITAL, L.P.

                    By:   Palm Drive Medical Center, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          PANHANDLE SURGICAL HOSPITAL, L.P.

                    By:   Panhandle Medical Center, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          MCI PANHANDLE SURGICAL, L.P.

                    By:   Panhandle Property, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          QHG GEORGIA, L.P.

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

                    By:   /s/ Donald P. Fay
                          ---------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Secretary

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          WEST ANAHEIM HOSPITAL, L.P.

                    By:   West Anaheim Medical Center, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -------------------------------------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          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

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

GUARANTOR:          SHERMAN HOSPITAL, L.P.

                    By:   Sherman Medical Center, LLC, its General Partner

                    By:   /s/ Donald P. Fay
                          -----------------
                          Name:  Donald P. Fay
                          Title: Executive Vice President and Manager

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    BANK OF AMERICA, N.A.,
                     as Administrative Agent

                    By:   /s/ Kevin Wagley
                          -------------------
                          Name:  Kevin Wagley
                          Title: Principal

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    ARCHIMEDES FUNDING III, LTD.

                    By:   ING Capital Advisors LLC,
                           as Collateral Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                    ARCHIMEDES FUNDING IV (CAYMAN), LTD.

                    By:   ING Capital Advisors LLC,
                           as Collateral Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                    NEMEAN CLO, LTD.

                    By:   ING Capital Advisors LLC,
                           as Investment Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    SEQUILS-ING I (HBDGM), LTD.

                    By:   ING Capital Advisors LLC,
                           as Collateral Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                    SWISS LIFE US RAINBOW LIMITED

                    By:   ING Capital Advisors LLC,
                           as Investment Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    BALANCED HIGH-YIELD FUND II, LTD.

                    By:   ING Capital Advisors LLC,
                           as Asset Manager

                    By:   /s/ Jonathan David
                          ---------------------
                          Name:  Jonathan David
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    BANK OF AMERICA, N.A.,
                    individually in its capacity as a Lender

                    By:   /s/ Kevin Wagley
                          -------------------
                          Name:  Kevin Wagley
                          Title: Principal

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    THE CHASE MANHATTAN BANK,
                    as Lender

                    By:   /s/ Dawn Lee Lum
                          ---------------------
                          Name:  Dawn Lee Lum
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    BANK OF OKLAHOMA,
                     as Lender

                    By:   /s/ Heather Williams
                          ---------------------------------
                          Name:  Heather Williams
                          Title: Commercial Lending Officer

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    CITICORP USA, INC., as Lender and Documentation Agent

                    By:   /s/ James J. McCarthy
                          ------------------------
                          Name:  James J. McCarthy
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    CONTINENTAL CASUALTY COMPANY,
                     as Lender

                    By:   /s/ Richard W. Dubberke
                          --------------------------
                          Name:  Richard W. Dubberke
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    FIRST UNION NATIONAL BANK, as Lender

                    By:   /s/ Jeanette A. Griffin
                          --------------------------
                          Name:  Jeanette A. Griffin
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    FLEET NATIONAL BANK, as Lender

                    By:   /s/ Maryann S. Smith
                          -----------------------
                          Name:  Maryann S. Smith
                          Title: Director

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    HARCH CLO I, LTD., as Lender

                    By:   /s/ Michael E. Lewitt
                          ---------------------------
                          Name:  Michael E. Lewitt
                          Title: Authorized Signatory

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    INDOSUEZ CAPITAL FUNDING IIA, LIMITED

                    By:   Indosuez Capital as Portfolio Advisor

                    By:   /s/ Melissa Marano
                          ------------------
                    Name:  Melissa Marano
                    Title:    Vice President

                    INDOSUEZ CAPITAL FUNDING IV, L.P.

                    By:   Indosuez Capital as Portfolio Advisor

                    By:   /s/ Melissa Marano
                          ---------------------
                          Name:  Melissa Marano
                          Title: Vice President

                    INDOSUEZ CAPITAL FUNDING IV, LIMITED

                    By:   Indosuez Capital as Collateral Manager

                    By:   /s/ Melissa Marano
                          ---------------------
                          Name:  Melissa Marano
                          Title: Vice President

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    KZH CNC LLC, as Lender

                    By:   /s/ Susan Lee
                          -----------------------
                          Name:  Susan Lee
                          Title: Authorized Agent

                              Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH CRESCENT LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------
                                    Name:   Susan Lee
                                    Title:  Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH CRESCENT-3 LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH CYPRESS TREE-1 LLC, as Lender

                              By:   /s/ Susan Lee
                                    ----------------------------------
                                    Name:  Susan Lee
                                   Title:    Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH ING-1 LLC, as Lender

                              By:   /s/ Susan Lee
                                    ----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH ING-2 LLC, as Lender

                                    By:   /s/ Susan Lee
                                           ------------------------------
                                           Name:  Susan Lee
                                           Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH ING-3 LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH LANGDALE LLC, as Lender

                              By:   /s/ Susan Lee
                                    ------------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH PONDVIEW LLC, as Lender

                              By:   /s/ Susan Lee
                                    ---------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH RIVERSIDE LLC, as Lender

                              By:   /s/ Susan Lee
                                    --------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH SHOSHONE LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH SOLEIL LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH SOLEIL-2 LLC, as Lender

                              By:   /s/ Susan Lee
                                    ----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              KZH STERLING LLC, as Lender

                              By:   /s/ Susan Lee
                                    -------------------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    KZH WATERSIDE LLC, as Lender

                              By:   /s/ Susan Lee
                                    -----------------------------------
                                    Name:  Susan Lee
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              LIBERTY - STEIN ROE ADVISOR FLOATING RATE
                                 ADVANTAGE FUND

                              By:   Stein Roe & Farnham Incorporated, as Advisor

                              By:  /s/ James R. Fellows
                                   -------------------------------------------
                                   Name:  James R. Fellows
                                   Title: Sr. Vice President & Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              MERRILL LYNCH CAPITAL CORPORATION,
                                individually in its capacity as a Lender

                              By:   /s/ Carol J.E. Feeley
                                    --------------------------------------
                                    Name:  Carol J.E. Feeley
                                    Title: Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              MUIRFIELD TRADING LLC, as Lender

                              By:   /s/ Ann E. Morris
                                    -------------------------------------
                                    Name:  Ann E. Morris
                                    Title: Assist. Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OCTAGON INVESTMENT PARTNERS III, LTD.

                              By:   Octagon Credit Investors, LLC,
                                    as Portfolio Manager, as Lender

                              By:   /s/ Andrew D. Gordon
                                    -------------------------------------
                                    Name:  Andrew D. Gordon
                                    Title: Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OCTAGON INVESTMENT PARTNERS IV, LTD.

                              By:   Octagon Credit Investors, LLC,
                                     as Collateral Manager, as Lender

                              By:   /s/ Andrew D. Gordon
                                    -------------------------------------
                                    Name:  Andrew D. Gordon
                                    Title: Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OCTAGON INVESTMENT PARTNERS II, LTD.

                              By:   Octagon Credit Investors, LLC,
                                     as Sub-investment Manager, as Lender

                              By:   /s/ Andrew D. Gordon
                                    -------------------------------------
                                    Name:  Andrew D. Gordon
                                    Title: Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OAK HILL SECURITIES FUND, L.P.

                              By:   Oak Hill Securities GenPar, L.P.,
                                     its General Partner

                              By:   Oak Hill Securities MGP, Inc.,
                                     its General Partner

                              By:   /s/ Scott D. Krase
                                    ----------------------------------
                                    Name:  Scott D. Krase
                                    Title: Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OAK HILL SECURITIES FUND II, L.P.

                              By:   Oak Hill Securities GenPar II, L.P.,
                                     its General Partner

                              By:   Oak Hill Securities MGP II, Inc.,
                                     its General Partner

                              By:   /s/ Scott D. Krase
                                    ----------------------------------
                              Name:  Scott D. Krase
                              Title: Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OAK HILL CREDIT PARTNERS I, LIMITED

                              By:   Oak Hill CLO Management, LLC, its
                                     Investment Manager

                              By:   /s/ Scott D. Krase
                                    -----------------------------------
                                    Name:  Scott D. Krase
                                    Title: Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              OLYMPIC FUNDING TRUST, SERIES 1999-1, as Lender

                              By:   /s/ Ann E. Morris
                                    -----------------------------------------
                                    Name:  Ann E. Morris
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              PINEHURST TRADING, INC., as Lender

                              By:   /s/ Ann E. Morris
                                    -------------------------------------
                                    Name:  Ann E. Morris
                                    Title: Assistant Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              RIVIERA FUNDING, LLC, as Lender

                              By:   /s/ Ann E. Morris
                                    -------------------------------------
                                    Name:  Ann E. Morris
                                    Title: Assistant Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SANKATY ADVISORS, INC., as Collateral Manager for
                                Brant Point CBO 1999-1, LTD., as Term Lender

                              By:   /s/ Diane J. Exter
                                    ------------------------------------------
                                    Name:  Diane J. Exter
                                    Title: Managing Director
                                           Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SANKATY ADVISORS, LLC, as Collateral Manager for
                                Great Point CLO 1999-1 LTD., as Term Lender

                              By:   /s/ Diane J. Exter
                                    -------------------------------------------
                                    Name:  Diane J. Exter
                                    Title: Managing Director
                                           Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SANKATY HIGH YIELD PARTNERS II, L.P.

                              By:   /s/ Diane J. Exter
                                    -----------------------------------
                                    Name:  Diane J. Exter
                                    Title: Managing Director
                                           Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SANKATY HIGH YIELD PARTNERS III, L.P.

                              By:   /s/ Diane J. Exter
                                    -------------------------------------
                                    Name:  Diane J. Exter
                                    Title: Managing Director
                                           Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SCOTIA BANC INC., as Lender

                              By:   /s/ W.J. Brown
                                    -----------------------------
                                    Name:  W.J. Brown
                                    Title: Managing Director

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              LENDER
                              ------

                              SEQUILS IV, LTD.

                              By:  TCW Advisors, Inc., as its Collateral Manager

                              By:  /s/ Mark L. Gold
                                   -----------------------------------------
                                   Name:  Mark L. Gold
                                   Title: Managing Director

                              By:  /s/ Jonathan I. Berg
                                   -----------------------------------------
                                   Name:  Jonathan I. Berg
                                   Title:   Assistant Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SCUDDER FLOATING RATE FUND, as Lender

                              By:   /s/ Kenneth Weber
                                    -----------------------------------
                                    Name:  Kenneth Weber
                                    Title: Senior Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                    STEIN ROE & FARNHAM CLO I Ltd.

                    By:   Stein Roe & Farnham Incorporated, as Portfolio Manager

                    By:   /s/ James R. Fellows
                          --------------------
                          Name:  James R. Fellows
                          Title: Sr. Vice President and Portfolio Manager

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              STEIN ROE FLOATING RATE LIMITED LIABILITY
                               COMPANY

                              By:   /s/ James R. Fellows
                                    -------------------------------------
                                    Name:  James R. Fellows
                                    Title: Senior Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              SUNTRUST BANK, as Lender

                              By:   /s/ Mark D. Mattson
                                    ----------------------------------
                                    Name:  Mark D. Mattson
                                    Title: Director

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              TEXTRON FINANCIAL CORPORATION, as Lender

                              By:   /s/ Stuart M. Schulman
                                    ------------------------------------
                                    Name:  Stuart M. Schulman
                                    Title: Managing Director

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              LENDER
                              ------

                              TCW SELECT LOAN FUND, LIMITED

                              By:  TCW Advisors, Inc., as its Collateral Manager

                              By:   /s/ Mark L. Gold
                                    -------------------------------------------
                                    Name:  Mark L. Gold
                                    Title: Managing Director

                              By:   /s/ Jonathan I. Berg
                                    ------------------------------------------
                                    Name:  Jonathan I. Berg
                                    Title: Assistant Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              TORONTO DOMINION (NEW YORK) INC.

                              By:   /s/ Dana Schwalie
                                    -------------------------------------
                                    Name:  Dana Schwalie
                                    Title: Vice President

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              WINGED FOOT FUNDING TRUST, as Lender

                              By:   /s/ Anne E. Morris
                                    ---------------------------------
                                    Name:  Anne E. Morris
                                    Title: Authorized Agent

                               Signature Page to
                      Amendment No. 2 to Credit Agreement
<PAGE>

                              UBS AG, STAMFORD BRANCH, as Lender

                              By:   /s/ Renata Jacobson
                                    -------------------------------------
                                    Name:  Renata Jacobson
                                    Title: Director

                              By:   /s/ Deborah L. White
                                    -------------------------------------
                                    Name:  Deborah L. White
                                    Title: Director

                               Signature Page to
                      Amendment No. 2 to Credit Agreement

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