Document:

Stock Pledge Agreement

 Exhibit 10.1 
 STOCK PLEDGE AGREEMENT 
 Dated as of March 3, 2009 
 among 
 TENET
HEALTHCARE CORPORATION 
 as a Pledgor 
 and 
 Each Other Pledgor 
 From Time to Time Party Hereto 
 and

 THE BANK OF NEW YORK MELLON
TRUST COMPANY, N.A. 
 as Collateral Trustee 
 WEIL, GOTSHAL & MANGES LLP 
 767 FIFTH AVENUE 
 NEW
YORK, NEW YORK 10153-0119 

 TABLE OF CONTENTS 
  

					
	 	  	 	  	Page
	ARTICLE I	  	DEFINED TERMS	  	1
	 Section 1.1
	  	    Definitions	  	1
	 Section 1.2
	  	    Certain Other Terms	  	5
			
	ARTICLE II	  	GRANT OF SECURITY INTEREST	  	6
			
	 Section 2.1
	  	    Collateral	  	6
	 Section 2.2
	  	    Grant of Security Interest in Collateral	  	6
			
	ARTICLE III	  	REPRESENTATIONS AND WARRANTIES	  	6
			
	 Section 3.1
	  	    Title; No Other Liens	  	6
	 Section 3.2
	  	    Perfection and Priority	  	6
	 Section 3.3
	  	    Jurisdiction of Organization; Chief Executive Office	  	7
	 Section 3.4
	  	    Pledged Collateral	  	7
			
	ARTICLE IV	  	COVENANTS	  	7
			
	 Section 4.1
	  	    Generally	  	7
	 Section 4.2
	  	    Maintenance of Perfected Security Interest; Further Documentation	  	8
	 Section 4.3
	  	    Changes in Locations, Name, Etc	  	8
	 Section 4.4
	  	    Pledged Collateral	  	8
	 Section 4.5
	  	    Payment of Secured Obligations	  	10
			
	ARTICLE V	  	REMEDIAL PROVISIONS	  	10
			
	 Section 5.1
	  	    Code and Other Remedies	  	10
	 Section 5.2
	  	    Pledged Collateral	  	11
	 Section 5.3
	  	    Sales	  	12
	 Section 5.4
	  	    Deficiency	  	13
	 Section 5.5
	  	    Collateral Trust Agreement	  	13
			
	ARTICLE VI	  	THE COLLATERAL TRUSTEE	  	13
			
	 Section 6.1
	  	    Collateral Trustee’s Appointment as Attorney-in-Fact	  	13
	 Section 6.2
	  	    Duty of Collateral Trustee	  	14
	 Section 6.3
	  	    Authorization of Financing Statements	  	14
	 Section 6.4
	  	    Authority of Collateral Trustee	  	15
			
	ARTICLE VII	  	MISCELLANEOUS	  	15
			
	 Section 7.1
	  	    Amendments in Writing	  	15
	 Section 7.2
	  	    Notices	  	15
	 Section 7.3
	  	    No Waiver by Course of Conduct; Cumulative Remedies	  	15
	 Section 7.4
	  	    Successors and Assigns	  	16
	 Section 7.5
	  	    Counterparts	  	16
	 Section 7.6
	  	    Severability	  	16
	 Section 7.7
	  	    Section Headings	  	16
	 Section 7.8
	  	    Entire Agreement	  	16
	 Section 7.9
	  	    Governing Law	  	17
	 Section 7.10
	  	    Additional Pledgors	  	17
	 Section 7.11
	  	    Release of Collateral	  	17
	 Section 7.12
	  	    Reinstatement	  	18
	 Section 7.13
	  	    Collateral Trust Agreement	  	18

  

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 TABLE OF CONTENTS 
 (continued) 
  

					
	 	  	 	  	Page
	 Section 7.14
	  	    Trustee Protections, Immunities and Indemnities	  	18
	 Section 7.15
	  	    Indemnity	  	18
	 Section 7.16
	  	    Special Consent Regarding Partnerships and LLCs	  	19

  

 ii 

 ANNEXES AND SCHEDULES 
  

			
	Annex 1	    	    Form of Pledge Amendment
	Annex 2	    	    Form of Joinder Agreement
		
	Schedule 1	    	    Jurisdiction of Organization; Principal Executive Office
	Schedule 2	    	    Pledged Collateral
	Schedule 3	    	    Filings

  

 iii 

 STOCK PLEDGE
AGREEMENT, dated as of March 3, 2009, by TENET HEALTHCARE CORPORATION (the “Company”) and each of the other entities listed on the
signature pages hereof or that becomes a party hereto pursuant to Section 7.10 (Additional Pledgors) (each a “Pledgor” and, collectively, the “Pledgors”), in favor of The Bank of New York
Mellon Trust Company, N.A. (“BoNY”), as trustee (in such capacity, the “Collateral Trustee”) for the Secured Parties (as defined below). 
 W I T N E S S E T H: 
 WHEREAS, the Company is issuing on the date hereof (a) new 6-year notes (the “6-Year Notes”) pursuant to an
Indenture, dated as of November 6, 2001 (the “Base Indenture”), between the Company and BoNY, as successor trustee to The Bank of New York, (the “Trustee”) as supplemented by a Ninth Supplemental Indenture,
dated as of the date hereof, (the “Ninth Supplemental Indenture”) among the Company, the Guarantors from time to time party thereto and the Trustee (together with the Base Indenture, the “6-year Indenture”) and
(b) new 9-year notes (the “9-Year Notes” and together with the 6-year Notes, the “New Notes”) pursuant to the Base Indenture, as supplemented by a Tenth Supplemental Indenture, dated as of the date hereof (the
“Tenth Supplemental Indenture” and, together with the Ninth Supplemental Indenture, the “Supplemental Indentures”), among the Company, the Guarantors from time to time party thereto and the Trustee (together with
the Base Indenture, the “9-year Indenture” and, collectively with the 6-year Indenture, the “Indentures”, as the same may be amended, restated, supplemented or otherwise modified from time to time). 
 WHEREAS, the Company has offered to exchange outstanding Old Notes (as defined in the Indentures) for the New Notes pursuant to the
Exchange Offer (as defined in the Indentures); 
 WHEREAS, pursuant to the Indentures, the Pledgors have guaranteed the
Obligations (as defined in the Indentures) under the New Notes; 
 WHEREAS, the Collateral Trustee, the Trustee and the
Pledgors have entered into that certain Collateral Trust Agreement dated as of the date hereof (the “Collateral Trust Agreement”); and 
 WHEREAS, pursuant to the Indentures it is a condition precedent to the issuance of the New Notes that the Pledgors shall have executed and delivered this Agreement. 
 NOW, THEREFORE, in consideration of the premises and to induce the Holders of the Old Notes to accept the Exchange Offer,
each Pledgor hereby agrees with the Collateral Trustee as follows: 
 ARTICLE I DEFINED TERMS

 Section 1.1 Definitions 
 (a) Unless otherwise defined herein, terms defined in the Indentures and used herein have the meanings given to them in the Indentures. 
  

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 (b) Terms used herein without definition that are defined in the UCC have the meanings given to them
in the UCC, including the following terms (which are capitalized herein): 
 “Certificated Security” 
 “General Intangibles” 
 “Instruments” 
 “Proceeds” 
 “Security” 
 (c) The
following terms shall have the following meanings: 
 “Additional Pledged Collateral” means any Pledged Collateral acquired
by any Pledgor after the date hereof and in which a security interest is granted pursuant to Section 2.2 (Grant of Security Interest in Collateral), including, to the extent a security interest is granted therein pursuant
to Section 2.2 (Grant of Security Interest in Collateral), (i) all Capital Stock of any Domestic Hospital Subsidiary that is acquired by any Pledgor after the date hereof, together with all certificates, Instruments or
other documents representing any of the foregoing and (ii) all interest, cash, instruments and other property or Proceeds from time to time received, receivable or otherwise distributed in respect of or in exchange for any of the foregoing.
“Additional Pledged Collateral” may be General Intangibles or Instruments. 
 “Agreement” means this Stock
Pledge Agreement. 
 “Business Day” means a day of the year on which banks are not required or authorized to close in New
York City. 
 “CGH Hospital, Ltd. LP Agreement” means the Agreement of Limited Partnership of CGH Hospital, Ltd.
(incorrectly identified therein as CGH, Ltd.), dated July 13, 1995 among Coral Gables Hospital, Inc. as general partner and FMC Center, Inc. (now known as FMC Medical, Inc.), as limited partner. 
 “Collateral” has the meaning specified in Section 2.1 (Collateral). 
 “Constituent Document” means, (a) with respect to any corporation, the certificate or articles of incorporation and the bylaws (or
equivalent or comparable constitutive documents with respect to any non-U.S. jurisdiction); (b) with respect to any limited liability company, the certificate or articles of formation or organization and operating agreement; and (c) with
respect to any partnership, joint venture, trust or other form of business entity, the partnership, joint venture or other applicable agreement of formation or organization and any agreement, instrument, filing or notice with respect thereto filed
in connection with its formation or organization with the applicable Governmental Authority in the jurisdiction of its formation or organization and, if applicable, any certificate or articles of formation or organization of such entity. 

“Contractual Obligations” of any Person means any obligation, agreement, undertaking or similar provision of any Security Instrument
issued by such Person or of any agreement, undertaking, contract, lease, indenture, mortgage, deed of trust or other instrument (excluding a Related Document) to which such Person is a party or by which it or any of its property is bound or to which
any of its property is subject. 
  

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 “Federal Funds Rate” means, for any period, a fluctuating interest rate per annum
equal for each day during such period to the weighted average of the rates on overnight Federal funds transactions with members of the Federal Reserve System arranged by Federal funds brokers, as published for such day (or, if such day is not a
Business Day, for the next preceding Business Day) by the Federal Reserve Bank of New York, or, if such rate is not so published for any day that is a Business Day, the average of the quotations for such day on such transactions received by the
Collateral Trustee from three Federal funds brokers of recognized standing selected by it. 
 “Governmental Authority” means
any nation, sovereign or government, any state or other political subdivision thereof and any entity or authority exercising executive, legislative, judicial, regulatory or administrative functions of or pertaining to government, including any
central bank or stock exchange. 
 “Indemnified Liabilities” means any and all liabilities (including all environmental
liabilities), obligations, losses, damages, penalties, actions, judgments, suits, costs, taxes, expenses or disbursements of any kind or nature whatsoever with respect to the execution, delivery, performance, administration or enforcement of this
Agreement, including any of the foregoing relating to the use of proceeds of any Secured Debt or the violation of, noncompliance with or liability under, any law (including environmental laws) applicable to or enforceable against the Company, any of
its Subsidiaries or any other Pledgor or any of the Collateral and all reasonable costs and expenses (including reasonable fees and expenses of legal counsel selected by the Indemnitee) incurred by any Indemnitee in connection with any claim,
action, investigation or proceeding in any respect relating to any of the foregoing, whether or not suit is brought. 
 “Indemnitee” has the meaning specified in Section 7.15 (Indemnity). 
 “LLC” means
each limited liability company in which a Pledgor has an interest, including those set forth on Schedule 2 (Pledged Collateral). 
 “LLC Agreement” means each operating agreement with respect to an LLC, as each agreement has heretofore been, and may hereafter be, amended, restated, supplemented or otherwise modified from time to time. 
 “Partnership” means each partnership in which a Pledgor has an interest, including those set forth on Schedule 2 (Pledged
Collateral). 
 “Partnership Agreement” means each partnership agreement governing a Partnership, as each such agreement
has heretofore been, and may hereafter be, amended, restated, supplemented or otherwise modified. 
 “Pledged Certificated
Stock” means all Certificated Securities and any other Capital Stock of a Domestic Hospital Subsidiary evidenced by a certificate, Instrument or other equivalent document, in each case owned by any Pledgor. 
 “Pledged Collateral” means, collectively, the Pledged Stock, together with all certificates, Instruments or other documents representing
any of the Pledged Stock and all interest, cash, instruments and other property or Proceeds from time to time received, receivable or otherwise distributed in respect of or in exchange for any of the foregoing. “Pledged Collateral”
may be General Intangibles or Instruments. 
  

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 “Pledged Stock” means all Pledged Certificated Stock and all Pledged Uncertificated
Stock, including all Capital Stock listed on Schedule 2 (Pledged Collateral); provided, however, that in the event that the Company files a registration statement with respect to the New Notes and such registration
statement is declared effective by the SEC, “Pledged Stock” shall not include any Capital Stock of a Domestic Hospital Subsidiary to the extent that the mortgage, pledge or hypothecation of such Capital Stock herein results in the
Company being required to file separate financial statements of such Subsidiary with the SEC, but only to the extent necessary not to be subject to such requirement and only for so long as such requirement is in existence and only with respect to
the relevant New Notes affected and provided that neither the Company nor the Subsidiary shall take any action in the form of a reorganization, merger or other restructuring a principal purpose of which is to provide for the release of the Lien on
Capital Stock pursuant to this paragraph; provided further, that in the event that Rule 3-16 of Regulation S-X is amended, modified or interpreted by the SEC to require (or is replaced with another rule or regulation, or any other law, rule
or regulation is adopted, which would require) the filing with the SEC (or any other governmental agency) of separate financial statements of any Subsidiary of the Company due to the fact that such Subsidiary’s Capital Stock secures New Notes
affected thereby, and such law, rule or regulation is applicable to the Company as a result of the New Notes, the Capital Stock of such Subsidiary will automatically be deemed not to be a part of the Pledged Stock securing the New Notes affected
thereby but only to the extent necessary to not be subject to such requirement and only for so long as required not to be subject to such requirement. 
 “Pledged Uncertificated Stock” means any Capital Stock of any Domestic Hospital Subsidiary that is not Pledged Certificated Stock, including all right, title and interest of any Pledgor as a limited
or general partner in any Partnership or as a member of any LLC and all right, title and interest of any Pledgor in, to and under any Partnership Agreement or LLC Agreement to which it is a party. 
 “Related Document” means the Indentures, the Collateral Trust Agreement, the New Notes and the Note Guarantees. 
 “Requirement of Law” means, with respect to any Person, the common law and all federal, state, local and foreign laws, treaties, rules
and regulations, orders, judgments, decrees and other determinations of, concessions, grants, franchises, licenses and other Contractual Obligations with, any Governmental Authority or arbitrator, applicable to or binding upon such Person or any of
its property or to which such Person or any of its property is subject.. 
 “SEC” means the U.S. Securities &
Exchange Commission. 
 “Secured Obligations” means Obligations in respect of the New Notes and the Note Guarantees.

 “Secured Parties” means the Holders of the New Notes and the Collateral Trustee. 
 “Securities Act” means the Securities Act of 1933, as amended. 
  

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 “Security Instrument” means any Capital Stock, voting trust certificate, bond,
debenture, note or other evidence of indebtedness, whether secured, unsecured, convertible or subordinated, or any certificate of interest, share or participation in, any temporary or interim certificate for the purchase or acquisition of, or any
right to subscribe to, purchase or acquire, any of the foregoing, but shall not include any evidence of the Secured Obligations. 
 “UCC” means the Uniform Commercial Code as from time to time in effect in the State of New York; provided, however, that, in the event that, by reason of mandatory provisions of law, any of the attachment,
perfection or priority of the Collateral Trustee’s security interest in any Collateral is governed by the Uniform Commercial Code as in effect in a jurisdiction other than the State of New York, the term “UCC” shall mean the
Uniform Commercial Code as in effect in such other jurisdiction for purposes of the provisions hereof relating to such attachment, perfection or priority and for purposes of definitions related to such provisions. 
 Section 1.2 Certain Other Terms 
 (a) In this Agreement, in the computation of periods of time from a specified date to a later specified date, the word “from” means “from and including” and the words “to” and
“until” each mean “to but excluding” and the word “through” means “to and including.” 
 (b) The terms “herein,” “hereof,” “hereto” and “hereunder” and similar terms refer to this Agreement as a whole and not to any particular Article, Section, subsection or
clause in this Agreement. 
 (c) References herein to an Annex, Schedule, Article, Section, subsection or clause refer to the appropriate
Annex or Schedule to, or Article, Section, subsection or clause in this Agreement. 
 (d) The meanings given to terms defined herein shall be
equally applicable to both the singular and plural forms of such terms. 
 (e) Where the context requires, provisions relating to any
Collateral, when used in relation to a Pledgor, shall refer to such Pledgor’s Collateral or any relevant part thereof. 
 (f) Any
reference in this Agreement to the Indentures shall include all appendices, exhibits and schedules thereto, and, unless specifically stated otherwise all amendments, restatements, supplements or other modifications thereto, and as the same may be in
effect at any time such reference becomes operative. 
 (g) The term “including” means “including without
limitation” except when used in the computation of time periods. 
 (h) The terms “Holder,” “Company,”
“Pledgor,” “Collateral Trustee” and “Secured Party” include their respective successors. 
 (i) References in this Agreement to any statute shall be to such statute as amended or modified and in effect from time to time. 
  

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 ARTICLE II GRANT OF SECURITY INTEREST

 Section 2.1 Collateral 
 For the purposes of this Agreement, all of the following property now owned or at any time hereafter acquired by a Pledgor or in which a Pledgor now has or at any time in the future may acquire any right, title or
interests is collectively referred to as the “Collateral”: 
 (a) all Pledged Collateral; and 
 (b) to the extent not otherwise included, all Proceeds in respect of the foregoing. 
 Section 2.2 Grant of Security Interest in Collateral 
 Each Pledgor, as collateral security for the full, prompt and complete payment and performance when due (whether at Stated Maturity, by acceleration or otherwise) of the Secured Obligations of such Pledgor, hereby
mortgages, pledges and hypothecates to the Collateral Trustee for the benefit of the Secured Parties, and grants to the Collateral Trustee for the benefit of the Secured Parties a lien on and security interest in, all of its right, title and
interest in, to and under the Collateral of such Pledgor. 
 ARTICLE III REPRESENTATIONS AND
WARRANTIES 
 To induce the Secured Parties to enter into the transactions contemplated by the Indentures, each Pledgor
hereby represents and warrants each of the following to the Secured Parties: 
 Section 3.1 Title; No Other Liens

 Except for the Lien granted to the Collateral Trustee pursuant to this Agreement and the Collateral Trust Agreement and the other Liens
permitted to exist on the Collateral under the Indentures, such Pledgor (a) is the record and beneficial owner of the Pledged Collateral pledged by it hereunder and (b) has rights in or the power to transfer each item of Pledged
Collateral, free and clear of any other Lien. 
 Section 3.2 Perfection and Priority 
 The security interest granted pursuant to this Agreement shall constitute a valid and continuing perfected security interest in favor of the Collateral
Trustee in the Collateral for which perfection is governed by the UCC upon (i) in the case of all Collateral in which a security interest may be perfected by filing a financing statement under the UCC, the completion of the filings and other actions
specified on Schedule 3 (Filings) (which, in the case of all filings and other documents referred to on such schedule, have been delivered to the Collateral Trustee in completed and duly executed form), and (ii) the
delivery to the Collateral Trustee of all Collateral consisting of all Certificated Securities, in each case properly endorsed for transfer to the Collateral Trustee or in blank. Such security interest shall be prior to all other Liens on the
Collateral except for Permitted Prior Liens having priority over the Collateral Trustee’s Lien by operation of law or otherwise as permitted under the Indentures. 
  

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 Section 3.3 Jurisdiction of Organization; Chief Executive Office 
 Such Pledgor’s jurisdiction of organization, legal name, organizational identification number, if any, and the location of such Pledgor’s chief
executive office or sole place of business, in each case as of the date hereof, is specified on Schedule 1 (Jurisdiction of Organization; Principal Executive Office). 
 Section 3.4 Pledged Collateral 
 (a) At the date hereof, the Pledged Stock pledged hereunder by such Pledgor is listed on Schedule 2 (Pledged Collateral) and constitutes that percentage of the issued and outstanding equity
of all classes of each issuer thereof as set forth on Schedule 2 (Pledged Collateral). 
 (b) All of the Pledged
Stock (other than Pledged Stock in limited liability companies and partnerships) has been duly authorized, validly issued and is fully paid and nonassessable. 
 (c) At the date hereof, all Pledged Collateral consisting of Certificated Securities has been delivered to the Collateral Trustee in accordance with Section 4.4(a) (Pledged
Collateral) and Section 8.7 of each Supplemental Indenture. 
 (d) Other than the Pledged Stock constituting General
Intangibles, there is no Pledged Collateral other than that represented by Certificated Securities in the possession of the Collateral Trustee. 
 (e) Other than with respect to the CGH Hospital, Ltd. LP Agreement, the Constituent Documents of any Person governing any Pledged Stock do not prohibit, upon the occurrence and during the continuance of an Event of Default, the Collateral
Trustee exercising all of the rights of the Pledgor granting the security interest therein, and that a transferee or assignee of Capital Stock of such Person shall become a member, partner or, as the case may be, other holder of such Pledged Stock
to the same extent as the Pledgor in such Person entitled to participate in the management of such Person and, upon the transfer of the entire interest of such Pledgor, such Pledgor ceases to be a member, partner or, as the case may be, other holder
of such Pledged Stock or, in the case of any Constituent Documents which do not permit the foregoing, all consents and authorizations of any Persons required pursuant to any Constituent Document to permit the foregoing shall have been obtained by
virtue of Section 7.16 (Special Consent Regarding Partnerships and LLCs). 
 ARTICLE IV COVENANTS

 Each Pledgor agrees with the Collateral Trustee to the following, as long as any Secured Obligation remains outstanding and unless the
Collateral Trustee (as directed in accordance with the Collateral Trust Agreement) otherwise consents: 
 Section 4.1
Generally 
 Such Pledgor shall (a) except for the security interest created by this Agreement, not create or suffer to exist any
Lien upon or with respect to any Collateral, except Liens permitted under Section 4.1 of each Supplemental Indenture, (b) not use or permit any Collateral 

  

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to be used unlawfully or in violation of any provision of this Agreement, any Indenture, any Related Document or any other Stock Lien Security Document, or
any Requirement of Law, (c) not sell, transfer or assign (by operation of law or otherwise) any Collateral except as permitted under the Indentures and the Collateral Trust Agreement, (d) not enter into any agreement or undertaking
restricting the right or ability of such Pledgor or the Collateral Trustee to sell, assign or transfer any Collateral, except as provided in the Collateral Trust Agreement and (e) promptly notify the Collateral Trustee of its entry into any
agreement or assumption of undertaking that restricts the ability to sell, assign or transfer any Collateral. 
 Section 4.2
Maintenance of Perfected Security Interest; Further Documentation 
 (a) Such Pledgor shall maintain the security
interest created by this Agreement as a perfected security interest having at least the priority described in Section 3.2 (Perfection and Priority) and Section 2.2 (Grant of Security Interest in Collateral) and
shall defend such security interest and such priority against the claims and demands of all Persons (other than holders of Permitted Prior Liens). 
 (b) Such Pledgor shall furnish to the Collateral Trustee from time to time statements and schedules further identifying and describing the Collateral and such other reports in connection with the Collateral as the Collateral Trustee may
reasonably request, all in reasonable detail and in form and substance satisfactory to the Collateral Trustee. 
 (c) At any time and from
time to time, upon the written request of the Collateral Trustee, and at the sole expense of such Pledgor, such Pledgor shall promptly and duly execute and deliver, and have recorded, such further Instruments and documents and take such further
action as the Collateral Trustee may reasonably request for the purpose of obtaining or preserving the full benefits of this Agreement and of the rights and powers herein granted, including the filing of any financing or continuation statement under
the UCC (or other similar laws) in effect in any jurisdiction with respect to the security interest created hereby. 
 Section 4.3
Changes in Locations, Name, Etc. 
 Except upon 15 days’ prior written notice to the Collateral Trustee and delivery to the
Collateral Trustee of all additional financing statements and other documents necessary or desirable to maintain the validity, perfection and priority of the security interests provided for herein, such Pledgor shall not do any of the following:

 (a) change its jurisdiction of organization or its location, in each case from that referred to in Section
3.3 (Jurisdiction of Organization; Chief Executive Office); or 
 (b) change its legal name or organizational
identification number, if any, or corporation, limited liability company or other organizational structure to such an extent that any financing statement filed in connection with this Agreement would become misleading. 
 Section 4.4 Pledged Collateral 
 (a) Such Pledgor shall deliver to the Collateral Trustee all certificates and Instruments representing or evidencing any Pledged Collateral (including Additional Pledged Collateral), whether now existing or hereafter acquired, in suitable
form for transfer by delivery 

  

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or, as applicable, accompanied by such Pledgor’s endorsement, where necessary, or duly executed instruments of transfer or
assignment in blank, all in form and substance satisfactory to the Collateral Trustee, together, in respect of any Additional Pledged Collateral, with a Pledge Amendment, duly executed by the Pledgor, in substantially the form of Annex 1
(Form of Pledge Amendment), an acknowledgment and agreement to a Joinder Agreement duly executed by the Pledgor, in substantially the form of Annex 2 (Form of Joinder Agreement), or such other documentation
acceptable to the Collateral Trustee. Such Pledgor authorizes the Collateral Trustee to attach each Pledge Amendment to this Agreement. The Collateral Trustee shall have the right, as directed in accordance with the Collateral Trust Agreement, to
transfer to or to register in its name or in the name of its nominees its Lien on or security interest in any Pledged Collateral. The Collateral Trustee shall have the right at any time to exchange any certificate or instrument representing or
evidencing any Pledged Collateral for certificates or instruments of smaller or larger denominations. Following the issuance of any Additional Pledged Collateral or any changes to the information contained in Schedule 2 (Pledged
Collateral), the Company shall promptly deliver to the Collateral Trustee a copy of Schedule 2 (Pledged Collateral) amended to accurately reflect such changes or the Additional Pledged Collateral, as the case
may be. 
 (b) Except as provided in Article V (Remedial Provisions), such Pledgor shall be entitled to receive
all cash dividends (other than liquidating or distributing dividends) paid in respect of the Pledged Collateral. Any sums paid upon or in respect of any Pledged Collateral upon the liquidation or dissolution of any issuer of any Pledged Collateral,
any distribution of capital made on or in respect of any Pledged Collateral or any property distributed upon or with respect to any Pledged Collateral pursuant to the recapitalization or reclassification of the capital of any issuer of Pledged
Collateral or pursuant to the reorganization thereof shall, unless otherwise subject to a perfected security interest in favor of the Collateral Trustee, be delivered to the Collateral Trustee to be held by it hereunder as additional collateral
security for the Secured Obligations; provided, however, that any such sums paid or distributions or other Proceeds received in respect of Capital Stock upon which the Collateral Trustee’s Lien has been released pursuant to Section
8.3(a)(3) of each Supplemental Indenture shall not be subject to the delivery requirement in this sentence. If any sum of money or property so paid or distributed in respect of any Pledged Collateral shall be received by such Pledgor, such
Pledgor shall, until such money or property is paid or delivered to the Collateral Trustee, hold such money or property in trust for the Collateral Trustee, segregated from other funds of such Pledgor, as additional security for the Obligations.

 (c) Except as provided in Article V (Remedial Provisions), such Pledgor shall be entitled to exercise all
voting, consent and corporate, partnership, limited liability company and similar rights with respect to the Pledged Collateral; provided, however, that no vote shall be cast, consent given or right exercised or other action taken by
such Pledgor that would impair the Collateral, be inconsistent with or result in any violation of any provision of the Indentures, this Agreement or the Collateral Trust Agreement. 
 (d) In the case of each Pledgor that is an issuer of Pledged Collateral, such Pledgor agrees to be bound by the terms of this Agreement relating to the
Pledged Collateral issued by it and shall comply with such terms insofar as such terms are applicable to it. Each Pledgor consents to (i) the exercise of the rights granted to the Collateral Trustee hereunder (including those described in Section
5.2 (Pledged Collateral)), and (ii) the pledge by each other Pledgor, pursuant to the terms hereof, of the Pledged Stock and to the transfer of such Pledged Stock to the Collateral Trustee or its nominee and to the
substitution of the Collateral Trustee or 

  

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 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
its nominee as a holder of such Pledged Stock (in accordance with the terms of this Agreement or the Collateral Trust Agreement) with all the rights, powers
and duties of other holders of Pledged Stock of the same class and, if the Pledgor having pledged such Pledged Stock hereunder had any right, power or duty at the time of such pledge or at the time of such substitution beyond that of such other
holders, with all such additional rights, powers and duties. Such Pledgor agrees to execute and deliver to the Collateral Trustee such certificates, agreements and other documents as may be necessary to evidence, formalize or otherwise give effect
to the consents given in this clause (d). 
 (e) Coral Gables Hospital, Inc. and FMC Medical, Inc. as general partner and limited
partner, respectively, of CGH Hospital, Ltd. shall amend the CGH Hospital, Ltd. LP Agreement within 10 Business Days of the date hereof to remove the limitation on the right of FMC Medical, Inc. to grant to the Collateral Trustee, as assignee of its
partnership interest in the Partnership (as defined therein) pursuant to this Agreement, the right to become a substituted limited partner of the Partnership (as defined therein). 
 (f) Such Pledgor shall not, without the consent of the Collateral Trustee (as directed in accordance with the Collateral Trust Agreement), agree to any
amendment of any Constituent Document that in any way adversely affects the perfection of the security interest of the Collateral Trustee in the Pledged Collateral pledged by such Pledgor hereunder, including any amendment electing to treat any
membership interest or partnership interest that is part of the Pledged Collateral as a “security” under Section 8-103 of the UCC, or any election to turn any previously uncertificated Capital Stock that is part of the Pledged
Collateral into certificated Capital Stock. 
 Section 4.5 Payment of Secured Obligations 
 Such Pledgor shall pay and discharge or otherwise satisfy at or before maturity or before they become delinquent, as the case may be, all taxes,
assessments and governmental charges or levies imposed upon the Collateral or in respect of income or profits therefrom, as well as all claims of any kind (including claims for labor, materials and supplies) against or with respect to the
Collateral, except that no such charge need be paid if the amount or validity thereof is currently being contested in good faith by appropriate proceedings, reserves in conformity with GAAP with respect thereto have been provided on the books of
such Pledgor and such proceedings could not reasonably be expected to result in the sale, forfeiture or loss of any material portion of the Collateral or any interest therein. 
 ARTICLE V REMEDIAL PROVISIONS 
 Section 5.1 Code and Other Remedies 
 During the continuance of an Event of Default, the
Collateral Trustee may exercise, in addition to all other rights and remedies granted to it in this Agreement and in any other instrument or agreement securing, evidencing or relating to the Secured Obligations, all rights and remedies of a secured
party under the UCC or any other applicable law. Without limiting the generality of the foregoing, the Collateral Trustee, without demand of performance or other demand, presentment, protest, advertisement or notice of any kind (except any notice
required by law referred to below) to or upon any Pledgor or any other Person (all and each of which demands, defenses, advertisements and notices are hereby waived), may, as directed in accordance with the Indentures and the Collateral Trust
Agreement, in such circumstances 

  

 10 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
forthwith collect, receive, appropriate and realize upon any Collateral, and may, as directed in accordance with the Indentures and the Collateral Trust
Agreement, forthwith sell, lease, assign, give option or options to purchase, or otherwise dispose of and deliver any Collateral (or contract to do any of the foregoing), in one or more parcels at public or private sale or sales, at any exchange,
broker’s board or office of the Collateral Trustee or any Holder of New Notes or elsewhere upon such terms and conditions as are commercially reasonable, for cash or on credit or for future delivery without assumption of any credit risk. The
Collateral Trustee shall have the right upon any such public sale or sales, and, to the extent permitted by the UCC and other applicable law, upon any such private sale or sales, to purchase the whole or any part of the Collateral so sold, free of
any right or equity of redemption of any Pledgor, which right or equity is hereby waived and released. Each Pledgor further agrees, at the Collateral Trustee’s request, to assemble the Collateral and make it available to the Collateral Trustee
at places that the Collateral Trustee shall reasonably select, whether at such Pledgor’s premises or elsewhere. The Collateral Trustee shall apply the net proceeds of any action taken by it pursuant to this Section 5.1, after deducting
all reasonable costs and expenses of every kind incurred in connection therewith or incidental to the care or safekeeping of any Collateral or in any way relating to the Collateral or the rights of the Collateral Trustee and any other Secured Party
hereunder, including reasonable attorneys’ fees and disbursements, to the payment in whole or in part of the Secured Obligations, in such order as the Collateral Trust Agreement shall prescribe. To the extent permitted by applicable law, each
Pledgor waives all claims, damages and demands it may acquire against the Collateral Trustee or any other Secured Party arising out of the exercise by them of any rights hereunder. If any notice of a proposed sale or other disposition of Collateral
shall be required by law, such notice shall be deemed reasonable and proper if given at least 10 days before such sale or other disposition. 
 Section 5.2 Pledged Collateral 
 (a) During the continuance of an Event of Default, upon notice by the Collateral
Trustee (as directed in accordance with the Indentures and the Collateral Trust Agreement) to the relevant Pledgor or Pledgors, (i) the Collateral Trustee shall have the right to receive any Proceeds of the Pledged Collateral and make
application thereof to the Secured Obligations in the order set forth in the Collateral Trust Agreement and (ii) the Collateral Trustee or its nominee may (as directed in accordance with the Indentures and the Collateral Trust Agreement)
exercise (A) any voting, consent, corporate and other right pertaining to the Pledged Collateral at any meeting of shareholders, partners or members, as the case may be, of the relevant issuer or issuers of Pledged Collateral or otherwise and
(B) any right of conversion, exchange and subscription and any other right, privilege or option pertaining to the Pledged Collateral as if it were the absolute owner thereof (including the right to exchange at its discretion any of the Pledged
Collateral upon the merger, amalgamation, consolidation, reorganization, recapitalization or other fundamental change in the corporate or equivalent structure of any issuer of Pledged Stock and the right to deposit and deliver any Pledged Collateral
with any committee, depositary, transfer agent, registrar or other designated agency upon such terms and conditions as the Collateral Trustee may determine), all without liability except to account for property actually received by it;
provided, however, that the Collateral Trustee shall have no duty to any Pledgor to exercise any such right, privilege or option and shall not be responsible for any failure to do so or delay in so doing. 
 (b) In order to permit the Collateral Trustee to exercise the voting and other consensual rights that it may be entitled to exercise pursuant hereto and
to receive all dividends 

  

 11 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
and other distributions that it may be entitled to receive hereunder, (i) each Pledgor shall promptly execute and deliver (or cause to be executed and
delivered) to the Collateral Trustee all such proxies, dividend payment orders and other instruments as the Collateral Trustee may from time to time reasonably request and (ii) without limiting the effect of clause (i) above, such
Pledgor hereby grants to the Collateral Trustee an irrevocable proxy to vote all or any part of the Pledged Collateral and to exercise all other rights, powers, privileges and remedies to which a holder of the Pledged Collateral would be entitled
(including giving or withholding written consents of shareholders, partners or members, as the case may be, calling special meetings of shareholders, partners or members, as the case may be, and voting at such meetings), which proxy shall be
effective, automatically and without the necessity of any action (including any transfer of any Pledged Collateral on the record books of the issuer thereof) by any other person (including the issuer of such Pledged Collateral or any officer or
agent thereof) during the continuance of an Event of Default and which proxy shall only terminate upon the payment in full of the Secured Obligations. 
 (c) Each Pledgor hereby expressly authorizes and instructs each issuer of any Pledged Collateral pledged hereunder by such Pledgor to (i) comply with any instruction received by it from the Collateral Trustee in
writing that (A) states that an Event of Default has occurred and is continuing and (B) is otherwise in accordance with the terms of this Agreement or the Collateral Trust Agreement, without any other or further instructions from such
Pledgor, and each Pledgor agrees that such issuer shall be fully protected in so complying and (ii) during the continuance of an Event of Default, pay any dividend or other payment with respect to the Pledged Collateral directly to the
Collateral Trustee. 
 Section 5.3 Sales 
 (a) Each Pledgor recognizes that the Collateral Trustee may be unable to effect a public sale of any Pledged Collateral by reason of certain prohibitions contained in the Securities Act and applicable state securities
laws or otherwise or may determine that a public sale is impracticable or not commercially reasonable and, accordingly, may resort to one or more private sales thereof to a restricted group of purchasers that shall be obliged to agree, among other
things, to acquire such securities for their own account for investment and not with a view to the distribution or resale thereof. Each Pledgor acknowledges and agrees that any such private sale may result in prices and other terms less favorable
than if such sale were a public sale and, notwithstanding such circumstances, agrees that any such private sale shall be deemed to have been made in a commercially reasonable manner. The Collateral Trustee shall be under no obligation to delay a
sale of any Pledged Collateral for the period of time necessary to permit the issuer thereof to register such securities for public sale under the Securities Act, or under applicable state securities laws, even if such issuer would agree to do so.

 (b) Each Pledgor agrees to use its best efforts to do or cause to be done all such other acts as may be necessary to make such sale or
sales of all or any portion of the Pledged Collateral pursuant to this Section 5.3 valid and binding and in compliance with all other applicable Requirements of Law. Each Pledgor further agrees that a breach of any covenant contained in
this Section 5.3 will cause irreparable injury to the Collateral Trustee and other Secured Parties, that the Collateral Trustee and the other Secured Parties have no adequate remedy at law in respect of such breach and, as a consequence,
that each and every covenant contained in this Section 5.3 shall be specifically enforceable against such Pledgor, and such Pledgor hereby waives and agrees not to assert any defense against an action for specific performance of such
covenants except for a defense that no Event of Default has occurred under the Indentures. 
  

 12 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 Section 5.4 Deficiency 
 Each Pledgor shall remain liable for any deficiency if the proceeds of any sale or other disposition of the Collateral are insufficient to pay the Secured
Obligations and the fees and disbursements of any attorney employed by the Collateral Trustee or any other Secured Party to collect such deficiency. 
 Section 5.5 Collateral Trust Agreement 
 The Collateral Trustee hereby agrees that any
actions taken by it pursuant to this Article V (Remedial Provisions) shall be consistent with and in accordance with the terms of the Collateral Trust Agreement; provided that the Collateral Trustee may at all
times exercise the rights afforded to it by Sections 5.4, 5.9 and 5.10 of the Collateral Trust Agreement. 
 ARTICLE VI
THE COLLATERAL TRUSTEE 
 Section 6.1 Collateral Trustee’s Appointment as
Attorney-in-Fact 
 (a) Each Pledgor hereby irrevocably constitutes and appoints the Collateral Trustee and any officer or agent
thereof, with full power of substitution, as its true and lawful attorney-in-fact with full irrevocable power and authority in the place and stead of such Pledgor and in the name of such Pledgor or in its own name, for the purpose of carrying out
the terms of this Agreement, to take any appropriate action and to execute any document or instrument that may be necessary or desirable to accomplish the purposes of this Agreement, and, without limiting the generality of the foregoing, each
Pledgor hereby gives the Collateral Trustee the power and right (but not the obligation), on behalf of such Pledgor, without notice to or assent by such Pledgor, to do any of the following: 
 (i) pay or discharge taxes and Liens levied or placed on or threatened against the Collateral; 
 (ii) execute, in connection with any sale provided for in Section 5.1 (Code and Other Remedies) or Section
5.3 (Sales), any endorsement, assignment or other instrument of conveyance or transfer with respect to the Collateral; and 
 (iii) (A) defend any suit, action or proceeding brought against such Pledgor with respect to any Collateral, (B) settle, compromise or adjust any such suit, action or proceeding and, in connection therewith, give such discharges or releases
as the Collateral Trustee may deem appropriate, and (C) generally, sell, transfer, pledge and make any agreement with respect to or otherwise deal with any Collateral as fully and completely as though the Collateral Trustee were the absolute owner
thereof for all purposes, and do, at the Collateral Trustee’s option and such Pledgor’s expense, at any time, or from time to time, all acts and things that the Collateral Trustee deems necessary to protect, preserve or realize upon the
Collateral and the Collateral Trustee’s security interests therein and to effect the intent of this Agreement, all as fully and effectively as such Pledgor might do. 
  

 13 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
Anything in this clause (a) to the contrary notwithstanding, the Collateral Trustee agrees that it shall not exercise any right under the power
of attorney provided for in this clause (a) unless an Event of Default shall be continuing. 
 (b) If any Pledgor fails to
perform or comply with any of its agreements contained herein, the Collateral Trustee, at its option but without any obligation so to do, may perform or comply, or otherwise cause performance or compliance, with such agreement. 
 (c) The expenses of the Collateral Trustee incurred in connection with actions undertaken as provided in this Section 6.1,
together with interest thereon at a rate per annum equal to the Federal Funds Rate plus 3%, from the date of payment by the Collateral Trustee to the date reimbursed by the relevant Pledgor, shall be payable by such Pledgor to the Collateral Trustee
on demand. 
 (d) Each Pledgor hereby ratifies all that said attorneys shall lawfully do or cause to be done by virtue hereof. All powers,
authorizations and agencies contained in this Agreement are coupled with an interest and are irrevocable until this Agreement is terminated and the security interests created hereby are released. 
 Section 6.2 Duty of Collateral Trustee 
 (a) Beyond the exercise of reasonable care in the custody of Collateral in its possession, the Collateral Trustee will have no duty as to any Collateral in its possession or control or in the possession or control of
any agent or bailee or any income thereon or as to preservation of rights against prior parties or any other rights pertaining thereto and the Collateral Trustee will not be responsible for filing any financing or continuation statements or
recording any documents or instruments in any public office at any time or times or otherwise perfecting or maintaining the perfection of any Liens on the Collateral. The Collateral Trustee will be deemed to have exercised reasonable care in the
custody of the Collateral in its possession if the Collateral is accorded treatment substantially equal to that which it accords its own property, and the Collateral Trustee will not be liable or responsible for any loss or diminution in the value
of any of the Collateral by reason of the act or omission of any carrier, forwarding agency or other agent or bailee selected by the Collateral Trustee in good faith. 
 (b) The Collateral Trustee will not be responsible for the existence, genuineness or value of any of the Collateral or for the validity, perfection, priority or enforceability of the Liens in any of the Collateral,
whether impaired by operation of law or by reason of any action or omission to act on its part hereunder, except to the extent such action or omission constitutes negligence, bad faith or willful misconduct on the part of the Collateral Trustee, for
the validity or sufficiency of the Collateral or any agreement or assignment contained therein, for the validity of the title of any Pledgor to the Collateral, for insuring the Collateral or for the payment of taxes, charges, assessments or Liens
upon the Collateral or otherwise as to the maintenance of the Collateral. The Collateral Trustee hereby disclaims any representation or warranty to the present and future holders of the Secured Obligations concerning the perfection of the Liens
granted hereunder or in the value of any of the Collateral. 
 Section 6.3 Authorization of Financing Statements

 Each Pledgor authorizes the Collateral Trustee and its Affiliates, counsel and other representatives (without creating any obligation on
the part of such Persons), at any time 

  

 14 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
and from time to time, to file or record financing statements, amendments to financing statements, and other filing or recording documents or instruments
with respect to the Collateral in such form and in such offices as the Collateral Trustee reasonably determines appropriate to perfect the security interests of the Collateral Trustee under this Agreement. Each Pledgor hereby also authorizes the
Collateral Trustee and its Affiliates, counsel and other representatives (without creating any obligation on the part of such Persons), at any time and from time to time, to file continuation statements with respect to previously filed financing
statements. A photographic or other reproduction of this Agreement shall be sufficient as a financing statement or other filing or recording document or instrument for filing or recording in any jurisdiction. The preparation, filing and recording of
any and all financing statements and continuation statements necessary to perfect any Liens on any of the Collateral shall be the sole responsibility of the Pledgors and the Collateral Trustee shall be under no such obligation whatsoever to effect
any such filings. 
 Section 6.4 Authority of Collateral Trustee 
 Each Pledgor acknowledges that the rights and responsibilities of the Collateral Trustee under this Agreement with respect to any action taken by the
Collateral Trustee or the exercise or non-exercise by the Collateral Trustee of any option, voting right, request, judgment or other right or remedy provided for herein or resulting or arising out of this Agreement shall, as between the Collateral
Trustee and the other Secured Parties, be governed by the Indentures and the Collateral Trust Agreement and by such other agreements with respect thereto as may exist from time to time among them, but, as between the Collateral Trustee and the
Pledgors, the Collateral Trustee shall be conclusively presumed to be acting as agent for the Secured Parties with full and valid authority so to act or refrain from acting, and no Pledgor shall be under any obligation, or entitlement, to make any
inquiry respecting such authority. 
 ARTICLE VII MISCELLANEOUS 
 Section 7.1 Amendments in Writing 
 None of the terms or provisions of this Agreement may be waived, amended, supplemented or otherwise modified except in accordance with Article Nine of the Base Indenture, as supplemented by Article Seven of each Supplemental
Indenture; provided, however, that annexes to this Agreement may be supplemented (but no existing provisions may be modified and no Collateral may be released) through Pledge Amendments and Joinder Agreements, in substantially the form
of Annex 1 (Form of Pledge Amendment) and Annex 2 (Form of Joinder Agreement) respectively, in each case duly executed by the Collateral Trustee and each Pledgor directly affected thereby. 
 Section 7.2 Notices 
 All
notices, requests and demands to or upon the Collateral Trustee or any Pledgor hereunder shall be effected in the manner provided for in Section 10.4 of the Supplemental Indentures; provided, however, that any such notice,
request or demand to or upon any Pledgor shall be addressed to the Company’s notice address set forth in such Section 10.4. 
 Section 7.3 No Waiver by Course of Conduct; Cumulative Remedies 
 Neither the Collateral Trustee nor any other
Secured Party shall by any act (except by a written instrument pursuant to Section 7.1 (Amendments in Writing)), delay, 
  

 15 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
indulgence, omission or otherwise be deemed to have waived any right or remedy hereunder or to have acquiesced in any Event of Default. No failure to
exercise, nor any delay in exercising, on the part of the Collateral Trustee or any other Secured Party, any right, power or privilege hereunder shall operate as a waiver thereof. No single or partial exercise of any right, power or privilege
hereunder shall preclude any other or further exercise thereof or the exercise of any other right, power or privilege. A waiver by the Collateral Trustee or any other Secured Party of any right or remedy hereunder on any one occasion shall not be
construed as a bar to any right or remedy that the Collateral Trustee or such other Secured Party would otherwise have on any future occasion. The rights and remedies herein provided are cumulative, may be exercised singly or concurrently and are
not exclusive of any other rights or remedies provided by law. 
 Section 7.4 Successors and Assigns 
 This Agreement shall be binding upon the successors and assigns of each Pledgor and shall inure to the benefit of the Collateral Trustee and each other
Secured Party and their successors and assigns; provided, however, that no Pledgor may assign, transfer or delegate any of its rights or obligations under this Agreement without the prior written consent of the Collateral Trustee (as
directed in accordance with the Collateral Trust Agreement). 
 Section 7.5 Counterparts 
 This Agreement may be executed by one or more of the parties to this Agreement on any number of separate counterparts (including by telecopy), each of
which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Signature pages may be detached from multiple counterparts and attached to a single counterpart so that all
signature pages are attached to the same document. Delivery of an executed counterpart by telecopy shall be effective as delivery of a manually executed counterpart. 
 Section 7.6 Severability 
 Any provision of this Agreement that is prohibited or
unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any
jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 
 Section 7.7 Section
Headings 
 The Article and Section titles contained in this Agreement are, and shall be, without substantive meaning or content of
any kind whatsoever and are not part of the agreement of the parties hereto. 
 Section 7.8 Entire Agreement 

This Agreement together with the Related Documents represents the entire agreement of the parties and supersedes all prior agreements and
understandings relating to the subject matter hereof. 
  

 16 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 Section 7.9 Governing Law 
 This Agreement and the rights and obligations of the parties hereto shall be governed by, and construed and interpreted in accordance with, the law of the
State of New York. 
 Section 7.10 Additional Pledgors 
 The Company shall cause any Subsidiary that owns any Capital Stock in a Domestic Hospital Subsidiary that is not a Pledgor to become a Pledgor hereunder
by causing such Subsidiary to execute and deliver to the Collateral Trustee a Joinder Agreement substantially in the form of Annex 2 (Form of Joinder Agreement), whereupon such Subsidiary shall thereafter for all purposes be a
party hereto and have the same rights, benefits and obligations as a Pledgor party hereto on the date hereof. The Company shall ensure that every Subsidiary that becomes a Pledgor and that is not a Guarantor becomes a Guarantor in accordance with
the Indentures. 
 Section 7.11 Release of Collateral 
 (a) At the time provided in Section 8.3 of the Supplemental Indentures and Section 4.1 of the Collateral Trust Agreement, the
Collateral shall be released from the Lien created hereby and this Agreement and all obligations (other than those expressly stated to survive such termination) of the Collateral Trustee and each Pledgor hereunder shall terminate, all without
delivery of any instrument or performance of any act by any party, and all rights to the Collateral shall revert to the Pledgors. At the request and sole expense of any Pledgor following any such termination, the Collateral Trustee shall deliver to
such Pledgor any Collateral of such Pledgor held by the Collateral Trustee hereunder and execute and deliver to such Pledgor such documents as such Pledgor shall reasonably request to evidence such termination. 
 (b) If the Collateral Trustee shall be directed or permitted pursuant to Section 8.3 of each Supplemental Indenture and Section 4.1
or Section 4.4 of the Collateral Trust Agreement to release any Lien created hereby upon any Collateral (including any Collateral sold or disposed of by any Pledgor in a transaction permitted by the Indentures), such Collateral shall be
released from the Lien created hereby to the extent provided under, and subject to the terms and conditions set forth in, Section 8.3 of the Supplemental Indentures and Section 4.1 or Section 4.4 of the Collateral Trust
Agreement. In connection therewith, the Collateral Trustee, at the request and sole expense of the Company, shall execute and deliver to the Company all releases or other documents, including, without limitation, UCC termination statements,
reasonably necessary or desirable for the release of the Lien created hereby on such Collateral. At the request and sole expense of the Company, a Pledgor shall be released from its obligations hereunder in the event that all the Capital Stock of
such Pledgor shall be so sold or disposed; provided, however, that the Company shall have delivered to the Collateral Trustee, at least 10 Business Days, or such shorter period to which the Collateral Trustee may agree, prior to the
date of the proposed release, a written request for release identifying the relevant Pledgor and the terms of the sale or other disposition in reasonable detail, including the price thereof and any expenses in connection therewith, together with a
certification by the Company in form and substance satisfactory to the Collateral Trustee stating that such transaction is in compliance with the Indentures and the other Note Documents. 
  

 17 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 Section 7.12 Reinstatement 
 Each Pledgor further agrees that, if any payment made by any Pledgor, Guarantor or other Person and applied to the Secured Obligations is at any time
annulled, avoided, set aside, rescinded, invalidated, declared to be fraudulent or preferential or otherwise required to be refunded or repaid, or the proceeds of Collateral are required to be returned by any Secured Party to such Pledgor, Guarantor
or other Person, its estate, trustee, receiver or any other party, including any Pledgor, under any bankruptcy law, state or federal law, common law or equitable cause, then, to the extent of such payment or repayment, any Lien or other Collateral
securing such liability shall be and remain in full force and effect, as fully as if such payment had never been made or, if prior thereto the Lien granted hereby or other Collateral securing such liability hereunder shall have been released or
terminated by virtue of such cancellation or surrender), such Lien or other Collateral shall be reinstated in full force and effect, and such prior cancellation or surrender shall not diminish, release, discharge, impair or otherwise affect any Lien
or other Collateral securing the obligations of any Pledgor in respect of the amount of such payment. 
 Section 7.13 Collateral
Trust Agreement 
 This Agreement is subject to the terms and conditions set forth in the Collateral Trust Agreement in all respects
and in the event of any conflict between such agreement and this Agreement, the terms of the Collateral Trust Agreement shall govern. 
 Section 7.14 Trustee Protections, Immunities and Indemnities 
 The Collateral Trustee will be entitled to all of
the rights, protections, immunities and indemnities set forth in the Indentures in each case as if specifically set forth herein all of which are hereby incorporated herein by reference. 
 Section 7.15 Indemnity 
 (a) The Pledgors jointly and severally agree to defend, indemnify, pay and hold harmless the Collateral Trustee and each of its Affiliates and each and all of the directors, officers, partners, trustees, employees, attorneys and agents, and
(in each case) their respective heirs, representatives, successors and assigns (each of the foregoing, an “Indemnitee”) from and against any and all Indemnified Liabilities; provided, no Indemnitee will be entitled to indemnification
hereunder with respect to any Indemnified Liability to the extent such Indemnified Liability is found by a final and nonappealable decision of a court of competent jurisdiction to have resulted from the gross negligence or willful misconduct of such
Indemnitee. 
 (b) All amounts due under this Section 7.15 will be payable upon demand. 
 (c) To the extent that the undertakings to defend, indemnify, pay and hold harmless set forth in Section 7.15(a) may be unenforceable in whole or in
part because they violate any law or public policy, each of the Pledgors will contribute the maximum portion that it is permitted to pay and satisfy under applicable law to the payment and satisfaction of all Indemnified Liabilities incurred by
Indemnitees or any of them. 
 (d) No Pledgor will ever assert any claim against any Indemnitee, on any theory of liability, for any lost
profits or special, indirect or consequential damages or (to the 

  

 18 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 
fullest extent a claim for punitive damages may lawfully be waived) any punitive damages arising out of, in connection with, or as a result of, this
Agreement or any agreement or instrument or transaction contemplated hereby or relating in any respect to any Indemnified Liability, and each of the Pledgors hereby forever waives, releases and agrees not to sue upon any claim for any such lost
profits or special, indirect, consequential or (to the fullest extent lawful) punitive damages, whether or not accrued and whether or not known or suspected to exist in its favor. 
 (e) The agreements in this Section 7.15 will survive repayment of all other Secured Obligations and the removal or resignation of the Collateral
Trustee. 
 Section 7.16 Special Consent Regarding Partnerships and LLCs 
 The undersigned Pledgors, in their respective capacities as a limited partner, general partner or managing member of each Person that is a partnership or
limited liability company whose interests constitute Pledged Stock, hereby acknowledge and agree (a) to the grant of the security interest pursuant to the terms hereof in the Pledged Stock of such Pledgor, (b) to the exercise by the
Collateral Trustee (in accordance with the terms of this Agreement or the Collateral Trust Agreement) of all rights of such Pledgor in the applicable Pledged Stock in such Person and (c) that a transferee or assignee of such Pledged Stock
shall, subject to compliance with all Requirements of Law, become a member, partner or, as the case may be, other holder of such Pledged Stock to the same extent as the Pledgor in such Person entitled to participate in the management of such Person
and, upon the transfer of the entire interest of such Pledgor, such Pledgor ceases to be a member, partner or, as the case may be, other holder of such Pledged Stock without any requirement to comply with any right of first refusal or similar
provisions contained in the applicable Constituent Documents. 
 [SIGNATURE PAGES FOLLOW]

  

 19 

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

 IN WITNESS WHEREOF, each of the undersigned has caused
this Stock Pledge Agreement to be duly executed and delivered as of the date first above written. 
  

			
	TENET HEALTHCARE CORPORATION, as a Pledgor
		
	By:	 	 /s/    Biggs C. Porter

	Name:	 	Biggs C. Porter
	Title:	 	Chief Financial Officer

  

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

			
	AMERICAN MEDICAL (CENTRAL), INC.,
	AMI INFORMATION SYSTEMS GROUP, INC.,
	AMISUB (HEIGHTS), INC.,
	AMISUB (HILTON HEAD), INC.,
	AMISUB (TWELVE OAKS), INC.,
	AMISUB OF TEXAS, INC.,
	BROOKWOOD HEALTH SERVICES, INC.,
	CORAL GABLES HOSPITAL, INC.,
	CYPRESS FAIRBANKS MEDICAL CENTER, INC.,
	FMC ACQUISITION, INC.,
	FMC MEDICAL, INC.,
	LIFEMARK HOSPITALS, INC.,
	MCF, INC.,
	ORNDA HOSPITAL CORPORATION,
	TENET CALIFORNIA, INC.,
	TENET FLORIDA, INC.,
	TENET HEALTHSYSTEM CFMC, INC.,
	TENET HEALTHSYSTEM HEALTHCORP,
	TENET HEALTHSYSTEM HOLDINGS,
	TENET HEALTHSYSTEM MEDICAL, INC.,
	TENET HEALTHSYSTEM PHILADELPHIA, INC.,
	TENET HOSPITALS, INC.,
	TENET LOUISIANA, INC.,
	TENET MISSOURI, INC.,
	TENET PHYSICIAN SERVICES — HILTON HEAD, INC.,
	TENET TEXAS, INC.,
	 TENETSUB TEXAS, INC.,
  
 each as a Pledgor

		
	By:	 	 /s/    Jeffrey S. Sherman

	Name:	 	Jeffrey S. Sherman
	Title:	 	Treasurer

 STOCK PLEDGE AGREEMENT 
 TENET HEALTHCARE CORPORATION 
  

			
	ACCEPTED AND AGREED
	as of the date first above written:
	
	 THE BANK OF NEW YORK MELLON
TRUST COMPANY, N.A.,
 as Collateral Trustee

		
	By:	 	 /s/    Melonee Young

	Name:	 	Melonee Young
	Title:	 	Vice President

 ANNEX 1 
 TO 
 STOCK PLEDGE AGREEMENT

 FORM OF PLEDGE AMENDMENT 
 This PLEDGE AMENDMENT, dated as of
                 , 20  , is delivered pursuant to Section 4.4(a) (Pledged Collateral) of the Stock Pledge
Agreement, dated as of March 3 2009, by TENET HEALTHCARE CORPORATION (the “Company”), the [undersigned Pledgor and the other ]Subsidiaries of the Company from time to time party thereto
as Pledgors in favor of THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as trustee for the Secured Parties referred to therein
(the “Stock Pledge Agreement”) and the undersigned hereby agrees that this Pledge Amendment may be attached to the Stock Pledge Agreement and that the Pledged Collateral listed on this Pledge Amendment shall be and become part of
the Collateral referred to in the Stock Pledge Agreement and shall secure all Secured Obligations of the undersigned. Capitalized terms used herein but not defined herein are used herein with the meaning given them in the Stock Pledge Agreement.

  

			
	[PLEDGOR]
		
	By:	 	  

	Name:	 	
	Title:	 	

 PLEDGED STOCK 
  

															
	 Issuer
	 	 Cert
	 	 Pledgor
	 	 Class of
 Equity Interest
	 	 Par
 Value
	 	 Certificate
 No(s)
	 	 Number of
 Membership
 Interests or
 Common
 Stock
	 	 Percentage of
 Outstanding
 Membership
 Interests or
 Common
Stock

		 		 		 		 		 		 		 	

  

 A1-1 

			
	ACKNOWLEDGED AND AGREED
	 as of the date first above written:
  

	 THE BANK OF NEW YORK MELLON
TRUST COMPANY, N.A.,
 as Collateral Trustee

		
	 By:
	 	  

	 Name:
	 	
	 Title:
	 	

  

 A1-2 

 ANNEX 2 
 TO 
 STOCK PLEDGE AGREEMENT

 FORM OF JOINDER AGREEMENT 
 This JOINDER AGREEMENT, dated as of
                 , 20  , is delivered pursuant to Section 7.10 (Additional Pledgors) of the Stock Pledge
Agreement, dated as of March 3 2009, by TENET HEALTHCARE CORPORATION (the “Company”) and the Subsidiaries of the Company from time to time party thereto as Pledgors in favor of
THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as trustee for the Secured Parties referred to therein (the “Stock
Pledge Agreement”). Capitalized terms used herein but not defined herein are used with the meanings given them in the Stock Pledge Agreement. 
 By executing and delivering this Joinder Agreement, the undersigned, as provided in Section 7.10 (Additional Pledgors) of the Stock Pledge Agreement, hereby becomes a party to the
Stock Pledge Agreement as a Pledgor thereunder with the same force and effect as if originally named as a Pledgor therein and, without limiting the generality of the foregoing, hereby grants to the Collateral Trustee, as collateral security for the
full, prompt and complete payment and performance when due (whether at stated maturity, by acceleration or otherwise) of the Secured Obligations of the undersigned, a Lien on and security interest in, all of its right, title and interest in, to and
under the Collateral of the undersigned and expressly assumes all obligations and liabilities of a Pledgor thereunder. 
 The information set
forth in Schedule 1 hereto is hereby added to the information set forth in Schedules 1 through 3 to the Stock Pledge Agreement. By acknowledging and agreeing to this Joinder Agreement, the undersigned hereby agree that this
Joinder Agreement may be attached to the Stock Pledge Agreement and that the Pledged Collateral listed on Schedule 1 to this Joinder Amendment shall be and become part of the Collateral referred to in the Stock Pledge Agreement and shall
secure all Secured Obligations of the undersigned. 
 The undersigned hereby represents and warrants that each of the representations and
warranties contained in Article III (Representations and Warranties) of the Stock Pledge Agreement applicable to it is true and correct in all material respects on and as the date hereof as if made on and as of such date. 

IN WITNESS WHEREOF, the undersigned has caused this Joinder Agreement to be duly executed and delivered
as of the date first above written. 
  

			
	[ADDITIONAL PLEDGOR]
		
	By:	 	  

	Name:	 	
	Title:	 	

  

 A2-1 

 SCHEDULE 1 
 TO 
 STOCK PLEDGE
AGREEMENT 
 JURISDICTION OF ORGANIZATION; PRINCIPAL
EXECUTIVE OFFICE 
  

							
	 ENTITY
	  	 JURISDICTION
OF
ORGANIZATION
	  	 ADDRESS OF CHIEF
EXECUTIVE OFFICE
	  	 ORGANIZATIONAL
 IDENTIFICATION
 NUMBER

	 TENET HEALTHCARE CORPORATION
	  	Nevada	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	C3523-1975
				
	 AMERICAN MEDICAL (CENTRAL), INC.
	  	California	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	C0556036
				
	 AMI INFORMATION SYSTEMS GROUP, INC.
	  	California	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	C0683469
				
	 AMISUB (HEIGHTS), INC.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2281986
				
	 Amisub (Hilton Head), Inc.
	  	South Carolina	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	(state does not issue an ID number)
				
	 AMISUB (TWELVE OAKS), INC.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2281985
				
	 AMISUB OF TEXAS, INC.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2281984
				
	 BROOKWOOD HEALTH SERVICES, INC.
	  	Alabama	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	(state does not issue an ID number)
				
	 CORAL GABLES HOSPITAL, INC.
	  	Florida	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	G11755
				
	 Cypress Fairbanks Medical Center, Inc.
	  	Texas	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	47986200
				
	 FMC Acquisition, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2339157
				
	 FMC MEDICAL, INC.
	  	Florida	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	P95000053796
				
	 LIFEMARK HOSPITALS, INC.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	0829727
				
	 MCF, INC.
	  	Florida	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	L32855
				
	 OrNda Hospital Corporation
	  	California	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	C1080506
				
	 Tenet California, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3565182
				
	 Tenet Florida, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3594022
				
	 Tenet HealthSystem CFMC, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2865558
				
	 Tenet HealthSystem HealthCorp
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	0921444
				
	 Tenet HealthSystem Holdings, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2200624

  

 S1-1 

							
	 ENTITY
	  	 JURISDICTION
OF
ORGANIZATION
	  	 ADDRESS OF CHIEF
EXECUTIVE OFFICE
	  	 ORGANIZATIONAL
 IDENTIFICATION
 NUMBER

	 Tenet HealthSystem Medical, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	0826070
				
	 Tenet HealthSystem Philadelphia, Inc.
	  	Pennsylvania	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2837021
				
	 Tenet Hospitals, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3566140
				
	 Tenet Louisiana, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3582836
				
	 Tenet Missouri, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3601886
				
	 Tenet Physician Services - Hilton Head, Inc.
	  	South Carolina	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	(state does not issue an ID number)
				
	 Tenet Texas, Inc.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	3594043
				
	 TENETSUB TEXAS, INC.
	  	Delaware	  	13737 Noel Road, Ste. 100, Dallas, TX 75240	  	2514721

  

 S1-2 

 SCHEDULE 2 
 TO 
 STOCK PLEDGE
AGREEMENT 
 PLEDGED COLLATERAL 
  

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	American Medical (Central), Inc., a California corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	AMI Information Systems Group, Inc., a California corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	4	  	999	  	100	%
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	1.00	  	6	  	1	  
								
	Amisub (Heights), Inc., a Delaware corporation	  	Y	  	American Medical (Central), Inc.	  	Common
Stock	  	$	1.00	  	1	  	100	  	100	%
								
	Amisub (Hilton Head), Inc., a South Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Amisub (SFH), Inc., a Tennessee corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Amisub (Twelve Oaks), Inc., a Delaware corporation	  	Y	  	American Medical (Central), Inc.	  	Common
Stock	  	$	1.00	  	1	  	100	  	100	%

  

 S2-1 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Amisub of North Carolina, Inc., a North Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Amisub of South Carolina, Inc., a South Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Amisub of Texas, Inc., a Delaware corporation	  	Y	  	  
 Lifemark Hospitals, Inc.
	  	  
 Common
Stock
	  	$	1.00	  	1	  	100	  	67	%
	  	  	  
 Lifemark Hospitals, Inc.
	  	  
 Common
Stock
	  	$	1.00	  	6	  	637	  
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	1.00	  	2	  	198	  	18	%
	  	  	  
 American Medical (Central), Inc.
	  	  
 Common
Stock
	  	$	1.00	  	3	  	110	  	10	%
	  	  	  
 AMI Information Systems Group, Inc.
	  	  
 Common
Stock
	  	$	1.00	  	4	  	4	  	0.36	%
	  	  	  
 Brookwood Health Services, Inc.
	  	  
 Common
Stock
	  	$	1.00	  	5	  	51	  	4.64	%
								
	Brookwood Health Services, Inc., a Alabama corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	2,934	  	100	%
								
	CGH Hospital, Ltd., a Florida limited partnership	  	N	  	Coral Gables Hospital, Inc.	  	General
Partner	  	 	—  	  	—  	  	—  	  	99	%
	  	  	  
 FMC Medical, Inc. (formerly FMC Center, Inc.)
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	1	%

  

 S2-2 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Coastal Carolina Medical Center, Inc., a South Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	0.01	  	3	  	1,000	  	100	%
								
	Community Hospital of Los Gatos, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	Coral Gables Hospital, Inc., a Florida corporation	  	Y	  	OrNda Hospital Corporation	  	Common
Stock	  	$	0.00	  	2	  	1,000	  	100	%
								
	Cypress Fairbanks Medical Center, Inc., a Texas corporation	  	Y	  	OrNda Hospital Corporation (formerly Summit Hospital Corporation)	  	Common
Stock	  	$	0.00	  	015	  	350,208	  	100	%
								
	Delray Medical Center, Inc., a Florida corporation	  	Y	  	Tenet Florida, Inc.	  	Common
Stock	  	$	1.00	  	3	  	1,000	  	100	%
								
	Doctors Hospital of Manteca, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	Doctors Medical Center of Modesto, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%

  

 S2-3 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	East Cooper Community Hospital, Inc., a South Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	0.00	  	1	  	1,000	  	100	%
								
	FMC Acquisition, Inc., a Delaware corporation	  	Y	  	Tenet HealthSystem HealthCorp (formerly OrNda HealthCorp)	  	Common
Stock	  	$	1.00	  	1	  	55	  	100	%
	  	  	  
 Tenet HealthSystem HealthCorp (formerly OrNda
HealthCorp)
	  	  
 Common
Stock
	  	$	1.00	  	3	  	45	  
								
	FMC Hospital, Ltd., a Florida limited partnership	  	N	  	FMC Acquisition, Inc.	  	General
Partner	  	 	—  	  	—  	  	—  	  	36	%
	  	  	  
 MCF, Inc.
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	64	%
								
	FMC Medical, Inc., a Florida corporation	  	Y	  	OrNda Hospital Corporation	  	Common
Stock	  	$	0.00	  	1	  	1,000	  	100	%
								
	Fountain Valley Regional Hospital and Medical Center, a California corporation	  	Y	  	OrNda Hospital Corporation	  	Common
Stock	  	$	1.00	  	4	  	100	  	100	%
								
	Frye Regional Medical Center, Inc., a North Carolina corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	10.00	  	A13	  	1,000	  	100	%
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	10.00	  	B26	  	4,000	  
								
	Hilton Head Health System, L.P., a South Carolina limited partnership	  	N	  	Tenet Physician Services — Hilton Head, Inc.	  	General
 Partner
	  	 	—  	  	—  	  	—  	  	21	%
	  	  	  
 Amisub (Hilton Head), Inc.
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	79	%

  

 S2-4 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	JFK Memorial Hospital, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	Lakewood Regional Medical Center, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	Lifemark Hospitals of Florida, Inc., a Florida corporation	  	Y	  	Lifemark Hospitals, Inc.	  	Common
Stock	  	$	0.00	  	1	  	1,000	  	100	%
								
	Lifemark Hospitals, Inc., a Delaware corporation	  	Y	  	American Medical (Central), Inc.	  	Common
Stock	  	$	0.00	  	1	  	1,000	  	100	%
								
	Los Alamitos Medical Center, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	MCF, Inc., a Florida corporation	  	Y	  	OrNda Hospital Corporation	  	Common
Stock	  	$	0.001	  	13	  	800	  	100	%
								
	New Medical Horizons II, Ltd., a Texas limited partnership	  	N	  	Cypress Fairbanks Medical Center, Inc.	  	General
Partner	  	 	—  	  	—  	  	—  	  	5	%
	  	  	  
 Tenet HealthSystem CFMC, Inc.
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	95	%
								
	North Fulton Medical Center, Inc., a Georgia corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%

  

 S2-5 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	NorthShore Regional Medical Center, L.L.C., a Louisiana limited liability company	  	N	  	Tenet Louisiana, Inc.	  	Member	  	 	—  	  	—  	  	—  	  	100	%
								
	OrNda Hospital Corporation, a California corporation (formerly Summit Hospital Corporation)	  	Y	  	Tenet HealthSystem HealthCorp (formerly OrNda Healthcorp)	  	Common
Stock	  	$	0.00	  	005	  	2,000	  	100	%
								
	Palm Beach Gardens Community Hospital, Inc., a Florida corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	1.00	  	2	  	2,100	  
								
	Placentia-Linda Hospital, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	San Ramon Regional Medical Center, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%

  

 S2-6 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Sierra Vista Hospital, Inc., a California corporation	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	10.00	  	1	  	500	  	100	%
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	10.00	  	2	  	500	  
	  	  	  
 Tenet HealthSystem Medical, Inc. (formerly American Medical
International, Inc.)
	  	  
 Common
Stock
	  	$	10.00	  	3	  	1,000	  
								
	Tenet California, Inc., a Delaware corporation	  	Y	  	Tenet Hospitals, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet Florida, Inc., a Delaware corporation	  	Y	  	Tenet Hospitals, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet Frisco, Ltd., a Texas limited partnership	  	N	  	Tenet Texas, Inc.	  	General
partner	  	 	—  	  	—  	  	—  	  	1	%
	  	  	  
 Tenetsub Texas, Inc.
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	99	%
								
	Tenet Good Samaritan, Inc., a Florida corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem Bartlett, Inc., a Tennessee corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem CFMC, Inc., a Delaware corporation	  	Y	  	OrNda Hospital Corporation	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem Desert, Inc., a California corporation	  	Y	  	Tenet California, Inc	  	Common
Stock	  	$	1.00	  	3	  	1,000	  	100	%

  

 S2-7 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Tenet HealthSystem DI, Inc., a Missouri corporation	  	Y	  	Tenet Missouri, Inc.	  	Common
Stock	  	$	1.00	  	3	  	1,000	  	100	%
								
	Tenet HealthSystem GB, Inc., a Georgia corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	0.00	  	2	  	10,000	  	100	%
								
	Tenet HealthSystem Hahnemann, LLC, a Pennsylvania limited liability company	  	N	  	Tenet HealthSystem Philadelphia, Inc.	  	Member	  	 	—  	  	—  	  	—  	  	100	%
								
	Tenet HealthSystem HealthCorp, a Delaware corporation	  	Y	  	Tenet Healthcare Corporation	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem Holdings, Inc., a Delaware corporation	  	Y	  	Tenet Healthcare Corporation	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem Medical, Inc., a Delaware corporation	  	Y	  	Tenet HealthSystem Holdings, Inc.	  	Common
Stock	  	$	0.01	  	ZZ-4	  	1,000	  	100	%
								
	Tenet HealthSystem Norris, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%

  

 S2-8 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Tenet HealthSystem North Shore, Inc., a Florida corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	9	  	1,000	  	100	%
								
	Tenet HealthSystem Philadelphia, Inc., a Pennsylvania corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem SGH, Inc., a Georgia corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet HealthSystem SL, Inc., a Missouri corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	2	  	1,000	  	100	%
								
	Tenet HealthSystem Spalding, Inc., a Georgia corporation (formerly Amisub (McIntosh Trail Regional Medical Center), Inc.)	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%

  

 S2-9 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common
Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Tenet HealthSystem St. Christopher’s Hospital for Children, L.L.C., Pennsylvania limited liability company	  	N	  	Tenet HealthSystem Philadelphia, Inc.	  	Member	  	 	—  	  	—  	  	—  	  	100	%
								
	Tenet Hialeah HealthSystem, Inc., a Florida corporation	  	Y	  	Tenet Florida, Inc.	  	Common
Stock	  	$	0.01	  	6	  	1,000	  	100	%
								
	Tenet Hospitals, Inc., a Delaware corporation	  	Y	  	Tenet Healthcare Corporation	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet Hospitals Limited, a Texas limited partnership	  	N	  	Tenet Texas, Inc.	  	General
Partner	  	 	—  	  	—  	  	—  	  	1	%
	  	  	  
 Tenetsub Texas, Inc.
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	99	%
								
	Tenet Louisiana, Inc., a Delaware corporation	  	Y	  	Tenet Hospitals, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet Missouri, Inc., a Delaware corporation	  	Y	  	Tenet Hospitals, Inc	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%

  

 S2-10 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Tenet Physician Services—Hilton Head, Inc., a South Carolina corporation (formerly Amisub Development of South Carolina)	  	Y	  	Tenet HealthSystem Medical, Inc. (formerly American Medical International, Inc.)	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet South Fulton, Inc., a Georgia corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet St. Mary’s, Inc., a Florida corporation	  	Y	  	Tenet HealthSystem Medical, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenet Texas, Inc., a Delaware corporation	  	Y	  	Tenet Hospitals, Inc.	  	Common
Stock	  	$	1.00	  	1	  	1,000	  	100	%
								
	Tenetsub Texas, Inc., a Delaware corporation	  	Y	  	Tenet Texas, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	TH Healthcare, Ltd., a Texas limited partnership	  	N	  	Lifemark Hospitals, Inc.	  	General
Partner	  	 	—  	  	—  	  	—  	  	1	%
	  	  	  
 Amisub (Heights), Inc. (formerly Heights Medical Center, Inc.)

	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	10.3	%
	  	  	  
 Amisub (Twelve Oaks), Inc. (formerly Twelve Oaks Medical
Center, Inc.)
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	18.6	%
	  	  	  
 Amisub of Texas, Inc. (formerly Lifemark Hospitals of Texas,
Inc.)
	  	  
 Limited
Partner
	  	 	—  	  	—  	  	—  	  	70.1	%

  

 S2-11 

																	
	 Issuer
	  	Cert	  	 Grantor
	  	Class of
Equity
Interest	  	Par
Value	  	Certificate
No(s)	  	Number of
Membership
Interests or
Common Stock	  	Percentage
of
Outstanding
Membership
Interests or
Common
Stock	 
	Twin Cities Community Hospital, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	USC University Hospital, Inc., a California corporation	  	Y	  	Tenet California, Inc.	  	Common
Stock	  	$	0.00	  	3	  	1,000	  	100	%
								
	West Boca Medical Center, Inc., a Florida corporation	  	Y	  	Tenet Florida, Inc.	  	Common
Stock	  	$	1.00	  	3	  	1,000	  	100	%

  

 S2-12 

 SCHEDULE 3 
 TO 
 STOCK PLEDGE
AGREEMENT 
 FILINGS 
 A UCC Financing Statement in connection with the Pledged Collateral shall be filed in respect of each Pledgor in the jurisdiction of organization of such Pledgor specified in Schedule 1 (Jurisdiction of Organization;
Principal Executive Office) hereto. 
  

 S3-1Collateral Trust Agreement

 Exhibit 10.2 
  
  
  
 COLLATERAL TRUST AGREEMENT 
 dated as
of March 3, 2009 
 among 
 TENET HEALTHCARE CORPORATION, 
 THE OTHER PLEDGORS 
 FROM TIME TO TIME PARTY HERETO, 
 THE BANK OF NEW YORK MELLON TRUST COMPANY,
N.A., 
 as Trustee under the Indenture, 
 THE OTHER SECURED DEBT REPRESENTATIVES 
 FROM TIME TO TIME PARTY HERETO, 
 and 
 THE BANK OF NEW YORK MELLON TRUST
COMPANY, N.A., 
 as Collateral Trustee 
  
  
  

 TABLE OF CONTENTS 
  

					
	 	 	 	  	Page
	ARTICLE 1.    DEFINITIONS; PRINCIPLES OF CONSTRUCTION	  	2
	 SECTION 1.1
	 	Defined Terms	  	2
	 SECTION 1.2
	 	Rules of Interpretation	  	19
		
	ARTICLE 2.     THE TRUST ESTATES	  	20
	 SECTION 2.1
	 	Declaration of First-Priority Stock Secured Trust	  	20
	 SECTION 2.2
	 	Declaration of Junior Stock Secured Trust	  	21
	 SECTION 2.3
	 	Declaration of First-Priority Asset Secured Trust	  	22
	 SECTION 2.4
	 	Declaration of Junior Asset Secured Trust	  	23
	 SECTION 2.5
	 	Priority of Liens	  	24
	 SECTION 2.6
	 	Restrictions on Enforcement of Junior Stock Liens	  	25
	 SECTION 2.7
	 	Restrictions on Enforcement of Junior Asset Liens	  	27
	 SECTION 2.8
	 	Waiver of Right of Marshalling.	  	30
	 SECTION 2.9
	 	Discretion in Enforcement of First-Priority Liens.	  	30
	 SECTION 2.10
	 	Discretion in Enforcement of First-Priority Obligations.	  	31
	 SECTION 2.11
	 	Insolvency or Liquidation Proceedings	  	32
	 SECTION 2.12
	 	Collateral Shared Equally and Ratably within Class	  	35
		
	ARTICLE 3.    OBLIGATIONS AND POWERS OF COLLATERAL TRUSTEE	  	35
	 SECTION 3.1
	 	Undertaking of the Collateral Trustee	  	35
	 SECTION 3.2
	 	Subordination of Liens	  	36
	 SECTION 3.3
	 	Enforcement of Liens	  	37
	 SECTION 3.4
	 	Application of Proceeds	  	37
	 SECTION 3.5
	 	Powers of the Collateral Trustee	  	40
	 SECTION 3.6
	 	Documents and Communications	  	40
	 SECTION 3.7
	 	For Sole and Exclusive Benefit of Holders of Secured Obligations	  	41
	 SECTION 3.8
	 	Additional Secured Debt	  	41
		
	ARTICLE 4.    OBLIGATIONS ENFORCEABLE BY THE COMPANY AND THE OTHER PLEDGORS	  	42
	 SECTION 4.1
	 	Release of Liens on Collateral	  	42
	 SECTION 4.2
	 	Delivery of Copies to Secured Debt Representatives	  	46
	 SECTION 4.3
	 	Collateral Trustee not Required to Serve, File or Record	  	46
	 SECTION 4.4
	 	Release of Liens in Respect of Notes	  	46
		
	ARTICLE 5.    IMMUNITIES OF THE COLLATERAL TRUSTEE	  	47
	 SECTION 5.1
	 	No Implied Duty	  	47
	 SECTION 5.2
	 	Appointment of Agents and Advisors	  	47
	 SECTION 5.3
	 	Other Agreements	  	47
	 SECTION 5.4
	 	Solicitation of Instructions	  	47
	 SECTION 5.5
	 	Limitation of Liability	  	48
	 SECTION 5.6
	 	Documents in Satisfactory Form	  	48
	 SECTION 5.7
	 	Entitled to Rely	  	48
	 SECTION 5.8
	 	Secured Debt Default	  	48

  

 i 

					
	 SECTION 5.9
	 	Actions by Collateral Trustee	  	48
	 SECTION 5.10
	 	Security or Indemnity in favor of the Collateral Trustee	  	49
	 SECTION 5.11
	 	Rights of the Collateral Trustee	  	49
	 SECTION 5.12
	 	Limitations on Duty of Collateral Trustee in Respect of Collateral	  	50
	 SECTION 5.13
	 	Assumption of Rights, Not Assumption of Duties	  	51
	 SECTION 5.14
	 	No Liability for Clean Up of Hazardous Materials	  	51
		
	ARTICLE 6.    RESIGNATION AND REMOVAL OF THE COLLATERAL TRUSTEE	  	51
	 SECTION 6.1
	 	Resignation or Removal of Collateral Trustee	  	51
	 SECTION 6.2
	 	Appointment of Successor Collateral Trustee	  	51
	 SECTION 6.3
	 	Succession	  	52
	 SECTION 6.4
	 	Merger, Conversion or Consolidation of Collateral Trustee	  	52
		
	ARTICLE 7.    MISCELLANEOUS PROVISIONS	  	53
	 SECTION 7.1
	 	Amendment.	  	53
	 SECTION 7.2
	 	Voting	  	55
	 SECTION 7.3
	 	Further Assurances; Insurance	  	56
	 SECTION 7.4
	 	Perfection of Junior Trust Estates	  	57
	 SECTION 7.5
	 	Successors and Assigns	  	57
	 SECTION 7.6
	 	Delay and Waiver	  	58
	 SECTION 7.7
	 	Notices	  	58
	 SECTION 7.8
	 	Notice Following Discharge of First-Priority Lien Obligations	  	59
	 SECTION 7.9
	 	Entire Agreement	  	59
	 SECTION 7.10
	 	Compensation; Expenses	  	59
	 SECTION 7.11
	 	Indemnity	  	60
	 SECTION 7.12
	 	Severability	  	61
	 SECTION 7.13
	 	Headings	  	61
	 SECTION 7.14
	 	Obligations Secured	  	61
	 SECTION 7.15
	 	Governing Law	  	61
	 SECTION 7.16
	 	Consent to Jurisdiction	  	61
	 SECTION 7.17
	 	Waiver of Jury Trial	  	62
	 SECTION 7.18
	 	Counterparts	  	62
	 SECTION 7.19
	 	Effectiveness	  	62
	 SECTION 7.20
	 	Additional Pledgors	  	62
	 SECTION 7.21
	 	Continuing Nature of this Agreement	  	63
	 SECTION 7.22
	 	Insolvency	  	64
	 SECTION 7.23
	 	Rights and Immunities of Secured Debt Representatives	  	64

 EXHIBIT A — Additional Secured Debt Designation 
 EXHIBIT B — Form of Collateral Trust Joinder—Additional Secured Debt 
 EXHIBIT C — Form of Collateral Trust
Joinder—Additional Pledgors 
  

 ii 

 This Collateral Trust Agreement (this “Agreement”) is dated as of
March 3, 2009 and is by and among Tenet Healthcare Corporation, a Nevada corporation (the “Company”), the other Pledgors from time to time party hereto, The Bank of New York Mellon Trust Company, N.A., as
Trustee (as defined below), the other Secured Debt Representatives from time to time party hereto and The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee (in such capacity and together with its successors in such capacity, the
“Collateral Trustee”). 
 RECITALS 
 Capitalized terms used in this Agreement have the meanings assigned to them above or in Article 1 below. 
 The Company has completed an exchange offer on the date hereof pursuant to which eligible holders of $914,834,000 in the aggregate of the Company’s
outstanding 6.375% Senior Notes due 2011 and $484,453,000 in the aggregate of the Company’s outstanding 6.500% Senior Notes due 2012 have tendered their notes in exchange for $699,543,000 in aggregate principal amount of 9.0% Senior Secured
Notes due 2015 (the “6-Year Notes”) and $699,543,000 in aggregate principal amount of 10.0% Senior Secured Notes due 2018 (the “9-Year Notes” and, together with the 6-Year Notes, the
“Notes”). The Notes will be issued pursuant to an Indenture, dated as of November 6, 2001, between the Company and The Bank of New York Mellon Trust Company, N.A., as successor trustee (in such capacity and together with
its successors in such capacity, the “Trustee”) (the “Base Indenture” and as the same may be amended or supplemented, amended and restated or otherwise modified and in
effect from time to time, including, with respect to the 6-Year Notes, by the Ninth Supplemental Indenture, and, with respect to the 9-Year Notes, by the Tenth Supplemental Indenture, the “Indenture”).

 The Company and the other Pledgors intend to secure the Notes and any future First-Priority Stock Secured Debt on a priority basis and,
subject to such priority, intend to secure any future Junior Stock Secured Debt, with Liens on all present and future Stock Collateral to the extent that such Liens have been provided for in the applicable Stock Lien Security Documents. The Company
and the other Pledgors also intend to secure the Notes (A) Equally and Ratably with any future First-Priority Asset Secured Debt on a priority basis and (B) Equally and Ratably with, or prior to, any future Junior Asset Secured Debt, with
Liens on Asset Collateral to the extent that such Liens have been provided for in the applicable Asset Lien Security Documents. 
 This
Agreement sets forth the terms on which each Secured Party has appointed the Collateral Trustee to act as the collateral trustee for the present and future holders of the Secured Obligations to receive, hold, maintain, administer and distribute the
Collateral at any time delivered to the Collateral Trustee or the subject of the Security Documents, and to enforce the Security Documents and all interests, rights, powers and remedies of the Collateral Trustee with respect thereto or thereunder
and the Proceeds thereof. 
 AGREEMENT 
 In consideration of the premises and the mutual agreements herein set forth, the receipt and sufficiency of which are hereby acknowledged, the parties to this Agreement hereby agree as follows: 

 ARTICLE 1. DEFINITIONS; PRINCIPLES OF CONSTRUCTION 
 SECTION 1.1 Defined Terms. The following terms will have the following meanings: 
 “6-Year Notes” has the meaning set forth in the recitals. 
 “75% Requirement” has the meaning set forth in Section 7.1(c). 
 “9-Year Notes” has the meaning set forth in the recitals. 
 “Act of Required Debtholders” means, as to any matter at any time: 
 (1) prior to the Discharge of First-Priority Asset Secured Obligations and the Discharge of First-Priority Stock Secured Obligations, a
direction in writing delivered to the Collateral Trustee by or with the written consent of the holders of more than 50% of the sum of: 
 (a) the aggregate outstanding principal amount of First-Priority Asset Secured Debt and First-Priority Stock Secured Debt (including, in each case, outstanding letters of credit whether or not then available or
drawn); and 
 (b) other than in connection with the exercise of remedies, the aggregate unfunded commitments to extend credit
which, when funded, would constitute First-Priority Asset Secured Debt or First-Priority Stock Secured Debt; and 
 (2) at any
time after both the Discharge of First-Priority Asset Secured Obligations and the Discharge of First-Priority Stock Secured Obligations, a direction in writing delivered to the Collateral Trustee by or with the written consent of the holders of more
than 50% of the sum of: 
 (a) the aggregate outstanding principal amount of Junior Asset Secured Debt and Junior Stock
Secured Debt (including, in each case, outstanding letters of credit whether or not then available or drawn); and 
 (b) other
than in connection with the exercise of remedies, the aggregate unfunded commitments to extend credit which, when funded, would constitute Junior Asset Secured Debt or Junior Stock Secured Debt. 
 For purposes of this definition, (a) Secured Debt registered in the name of, or beneficially owned by, the Company or any Affiliate of the Company will be deemed
not to be outstanding and (b) votes will be determined in accordance with Section 7.2. Any such Act of Required Debtholders shall be accompanied by a certificate signed by an authorized officer of each First-Priority Lien Representative,
in the case of clause (1) above, or of each Junior Lien Representative, in the case of clause (2) above, certifying that such written direction is being delivered to the Collateral Trustee by the requisite number of holders for such
written direction to constitute an Act of Required Debtholders, and the Collateral Trustee may rely conclusively on, and shall be fully protected in relying upon, such certificate in proceeding with any direction set forth in such Act of Required
Debtholders. 
  

 2 

 “Act of Required Asset Secured Debtholders” means, as to any matter
at any time: 
 (1) prior to the Discharge of First-Priority Asset Secured Obligations, a direction in writing delivered to
the Collateral Trustee by or with the written consent of the holders of more than 50% of the sum of: 
 (a) the aggregate
outstanding principal amount of First-Priority Asset Secured Debt (including outstanding letters of credit whether or not then available or drawn); and 
 (b) other than in connection with the exercise of remedies, the aggregate unfunded commitments to extend credit which, when funded, would constitute First-Priority Asset Secured Debt; and 
 (2) at any time after the Discharge of First-Priority Asset Secured Obligations, a direction in writing delivered to the Collateral
Trustee by or with the written consent of the holders of Junior Asset Secured Debt representing the Required Junior Asset Secured Debtholders. 
 For
purposes of this definition, (a) Asset Secured Debt registered in the name of, or beneficially owned by, the Company or any Affiliate of the Company will be deemed not to be outstanding and (b) votes will be determined in accordance with
Section 7.2. Any such Act of Required Asset Secured Debtholders shall be accompanied by a certificate signed by an authorized officer of each First-Priority Asset Lien Representative, in the case of clause (1) above, or of each Junior
Asset Lien Representative, in the case of clause (2) above, certifying that such written direction is being delivered to the Collateral Trustee by the requisite number of holders for such written direction to constitute an Act of Required Asset
Secured Debtholders, and the Collateral Trustee may rely conclusively on, and shall be fully protected in relying upon, such certificate in proceeding with any direction set forth in such Act of Required Asset Secured Debtholders. 
 “Act of Required Stock Secured Debtholders” means, as to any matter at any time: 
 (1) prior to the Discharge of First-Priority Stock Secured Obligations, a direction in writing delivered to the Collateral Trustee by or
with the written consent of the holders of more than 50% of the sum of: 
 (a) the aggregate outstanding principal amount of
First-Priority Stock Secured Debt (including outstanding letters of credit whether or not then available or drawn); and 
 (b)
other than in connection with the exercise of remedies, the aggregate unfunded commitments to extend credit which, when funded, would constitute First-Priority Stock Security Debt; and 
  

 3 

 (2) at any time after the Discharge of First-Priority Stock Secured Obligations, a
direction in writing delivered to the Collateral Trustee by or with the written consent of the holders of Junior Stock Secured Debt representing the Required Junior Stock Secured Debtholders. 
 For purposes of this definition, (a) Stock Secured Debt registered in the name of, or beneficially owned by, the Company or any Affiliate of the Company will be
deemed not to be outstanding and (b) votes will be determined in accordance with Section 7.2. Any such Act of Required Stock Secured Debtholders shall be accompanied by a certificate signed by an authorized officer of each First-Priority
Stock Lien Representative, in the case of clause (1) above, or of each Junior Stock Lien Representative, in the case of clause (2) above, certifying that such written direction is being delivered to the Collateral Trustee by the requisite
number of holders for such written direction to constitute an Act of Required Stock Secured Debtholders, and the Collateral Trustee may rely conclusively on, and shall be fully protected in relying upon, such certificate in proceeding with any
direction set forth in such Act of Required Stock Secured Debtholders. 
 “Additional Secured Debt” has
the meaning set forth in Section 3.8. 
 “Additional Secured Debt Designation” means a notice in substantially
the form of Exhibit A. 
 “Affiliate” of any specified Person means any other Person directly or
indirectly controlling or controlled by or under direct or indirect common control with such specified Person. For purposes of this definition, “control” (including, with correlative meanings, the terms “controlling,”
“controlled by,” and “under common control with”), when used with respect to any specified Person means the power to direct the management and policies of such Person, directly or indirectly, whether through the ownership of
voting securities, by contract or otherwise. 
 “Agreement” has the meaning set forth in the
preamble. 
 “Asset Collateral” means, in the case of each Series of Asset Secured Debt, all properties
and assets of the Company and the other Pledgors now owned or hereafter acquired, other than Stock Collateral, in which Liens have been granted to the Collateral Trustee to secure the Asset Secured Obligations, and shall exclude any properties and
assets in which the Collateral Trustee is required to release its Liens pursuant to Section 3.2; provided, that, if such Liens are required to be released as a result of the sale, transfer or other disposition of any properties or assets
of the Company or any other Pledgor, such assets or properties will cease to be excluded from the Collateral if the Company or any other Pledgor thereafter acquires or reacquires such assets or properties. 
 “Asset Lien Security Documents” means this Agreement, each Collateral Trust Joinder relating to Asset Secured Debt,
and all security agreements, pledge agreements, collateral assignments, mortgages, collateral agency agreements, control agreements, deeds of trust or other grants or transfers for security executed and delivered by the Company or any other Pledgor
creating (or purporting to create) a Lien upon Asset Collateral in favor of the Collateral Trustee, for the benefit of the Asset Secured Parties, in each case, as amended, modified, renewed, restated or replaced, in whole or in part, from time to
time, in accordance with its terms and Section 7.1. 
  

 4 

 “Asset Secured Debt” means First-Priority Asset Secured Debt and
Junior Asset Secured Debt. 
 “Asset Secured Debt Documents” means First-Priority Asset Lien Documents
and Junior Asset Lien Documents. 
 “Asset Secured Debt Representative” means each First-Priority Asset
Lien Representative and each Junior Asset Lien Representative. 
 “Asset Secured Obligations” means
First-Priority Asset Secured Obligations and Junior Asset Secured Obligations. 
 “Asset Secured
Parties” means the holders of Asset Secured Obligations, the Asset Secured Debt Representatives on behalf of the holders of Asset Secured Obligations, and the Collateral Trustee. 
 “Base Indenture” has the meaning set forth in the recitals. 
 “Board of Directors” means (1) with respect to a corporation, the board of directors of the corporation or any
committee thereof duly authorized to act on behalf of such board, (2) with respect to a partnership, the Board of Directors of the general partner of the partnership, (3) with respect to a limited liability company, the managing member or
members or any controlling committee of managing members thereof and (4) with respect to any other Person, the board or committee of such Person serving a similar function. 
 “Business Day” means any day other than a Saturday, a Sunday or a day on which banking institutions in the City of
New York or at a place of payment are authorized by law, regulations or executive order to remain closed. 
 “Capital
Stock” means: 
 (1) in the case of a corporation, corporate stock; 
 (2) in the case of an association or business entity, any and all shares, interests, participations, rights or other equivalents (however
designated) of corporate stock; 
 (3) in the case of a partnership or limited liability company, partnership interests
(whether general or limited) or membership interests; and 
 (4) any other interest or participation that confers on a Person
the right to receive a share of the profits and losses of, or distributions of assets of, the issuing Person, 
 but excluding from all of the foregoing any
debt securities convertible into Capital Stock, whether or not such debt securities include any right of participation with Capital Stock. 
  

 5 

 “Class” means (1) in the case of First-Priority Stock Secured
Debt, every Series of First-Priority Stock Secured Debt, taken together, (2) in the case of Junior Stock Secured Debt, every Series of Junior Stock Secured Debt, taken together, (3) in the case of First-Priority Asset Secured Debt, every
Series of First-Priority Asset Secured Debt, taken together, and (4) in the case of Junior Asset Secured Debt, every Series of Junior Asset Secured Debt, taken together. 
 “Collateral” means Asset Collateral and Stock Collateral. 
 “Collateral Trustee” has the meaning set forth in the preamble. 
 “Collateral Trust Joinder” means (1) with respect to the provisions of this Agreement relating to any
Additional Secured Debt, an agreement substantially in the form of Exhibit B and (2) with respect to the provisions of this Agreement relating to the addition of additional Pledgors, an agreement substantially in the form of
Exhibit C. 
 “Company” has the meaning set forth in the preamble. 
 “Consolidated Subsidiaries” means those Subsidiaries that are consolidated with the Company for financial reporting
purposes. 
 “Contractual Obligations” of any Person means any obligation, agreement, undertaking or
similar provision of any Security Instrument issued by such Person or of any agreement, undertaking, contract, lease, indenture, mortgage, deed of trust or other instrument (excluding a Secured Debt Document) to which such Person is a party or by
which it or any of its property is bound or to which any of its property is subject. 
 “Credit
Agreement” means the Credit Agreement, dated as of November 16, 2006, as amended by Amendment No. 1 dated as of June 27, 2008, among the Company, the lenders and issuers party thereto, Citicorp USA, Inc., as
administrative agent, Bank of America, N.A., as syndication agent, Citigroup Global Markets Inc. and Banc of America Securities LLC, as joint lead arrangers and joint lead book runners, and General Electric Capital Corporation and The Bank of Nova
Scotia, as co-documentation agents, including any related notes, guarantees, collateral documents, instruments and agreements executed in connection therewith, and, in each case, as amended, restated, modified, renewed, refunded, replaced (whether
upon or after termination or otherwise) or refinanced by any other Debt (including by means of sales of debt securities and including any amendment, restatement, modification, renewal, refunding, replacement or refinancing) in whole or in part from
time to time. 
 “Debt” means, with respect to any specified Person, any debt of such Person in respect
of borrowed money, including Guarantees related thereto. 
 “Discharge of First-Priority Asset Secured
Obligations” means the occurrence of all of the following: 
 (1) termination or expiration of all
commitments to extend credit that would constitute First-Priority Asset Secured Debt; 
 (2) payment in full in cash of the
principal of and interest and premium (if any) on all First-Priority Asset Secured Debt (other than any undrawn letters of credit); 
  

 6 

 (3) discharge or cash collateralization (at the lower of (A) 105% of the aggregate
undrawn amount and (B) the percentage of the aggregate undrawn amount required for release of liens under the terms of the applicable First-Priority Asset Lien Document) of all outstanding letters of credit constituting First-Priority Asset
Secured Debt; and 
 (4) payment in full in cash of all other First-Priority Asset Secured Obligations that are outstanding
and unpaid at the time the First-Priority Asset Secured Debt is paid in full in cash (other than any obligations for taxes, costs, indemnifications, reimbursements, damages and other liabilities in respect of which no claim or demand for payment has
been made at such time). 
 “Discharge of First-Priority Stock Secured Obligations” means the
occurrence of all of the following: 
 (1) termination or expiration of all commitments to extend credit that would constitute
First-Priority Stock Secured Debt; 
 (2) payment in full in cash of the principal of and interest and premium (if any) on all
First-Priority Stock Secured Debt (other than any undrawn letters of credit); 
 (3) discharge or cash collateralization (at
the lower of (A) 105% of the aggregate undrawn amount and (B) the percentage of the aggregate undrawn amount required for release of liens under the terms of the applicable First-Priority Stock Lien Document) of all outstanding letters of
credit constituting First-Priority Stock Secured Debt; and 
 (4) payment in full in cash of all other First-Priority Stock
Secured Obligations that are outstanding and unpaid at the time the First-Priority Stock Secured Debt is paid in full in cash (other than any obligations for taxes, costs, indemnifications, reimbursements, damages and other liabilities in respect of
which no claim or demand for payment has been made at such time). 
 “Discharge of Junior Asset Secured
Obligations” means the occurrence of all of the following: 
 (1) termination or expiration of all
commitments to extend credit that would constitute Junior Asset Secured Debt; 
 (2) payment in full in cash of the principal
of and interest and premium (if any) on all Junior Asset Secured Debt (other than any undrawn letters of credit); 
 (3)
discharge or cash collateralization (at the lower of (A) 105% of the aggregate undrawn amount and (B) the percentage of the aggregate undrawn amount required for release of liens under the terms of the applicable Junior Asset Lien
Document) of all outstanding letters of credit constituting Junior Asset Secured Debt; and 
  

 7 

 (4) payment in full in cash of all other Junior Asset Secured Obligations that are
outstanding and unpaid at the time the Junior Asset Secured Debt is paid in full in cash (other than any obligations for taxes, costs, indemnifications, reimbursements, damages and other liabilities in respect of which no claim or demand for payment
has been made at such time). 
 “Discharge of Junior Stock Secured Obligations” means the occurrence of
all of the following: 
 (1) termination or expiration of all commitments to extend credit that would constitute Junior Stock
Secured Debt; 
 (2) payment in full in cash of the principal of and interest and premium (if any) on all Junior Stock Secured
Debt (other than any undrawn letters of credit); 
 (3) discharge or cash collateralization (at the lower of (A) 105% of
the aggregate undrawn amount and (B) the percentage of the aggregate undrawn amount required for release of liens under the terms of the applicable Junior Stock Lien Document) of all outstanding letters of credit constituting Junior Stock
Secured Debt; and 
 (4) payment in full in cash of all other Junior Stock Secured Obligations that are outstanding and unpaid
at the time the Junior Stock Secured Debt is paid in full in cash (other than any obligations for taxes, costs, indemnifications, reimbursements, damages and other liabilities in respect of which no claim or demand for payment has been made at such
time). 
 “Domestic Hospital Subsidiaries” means each of the Company’s current and future direct
and indirect Subsidiaries organized in a jurisdiction in the United States that (1) owns or operates a hospital or (2) has a direct or indirect equity ownership interest in a Subsidiary that owns or operates a hospital, other than, in each
of the cases (1) and (2), any such Subsidiary that is a non-wholly-owned Subsidiary if the organizational documents thereof or related joint venture or similar agreements, or applicable law, would (i) prohibit the pledge of the Capital
Stock of such Subsidiary without the consent of the equity holders thereof (other than the Company or its wholly owned Subsidiaries) or (ii) upon the making of such pledge, trigger in favor of the equity holders thereof (other than the Company
or its wholly owned Subsidiaries) rights in respect of the Capital Stock of such Subsidiary. 
 “Equally and
Ratably” means, in reference to sharing of Liens or Proceeds thereof as between holders of Secured Obligations within the same Class, that such Liens or Proceeds: 
 (1) will be allocated and distributed in accordance with Section 3.4 first to the Secured Debt Representative for each outstanding
Series of Secured Debt within that Class, for the account of the holders of such Series of Secured Debt, ratably in proportion to the principal of, and interest and premium (if any) and reimbursement obligations (contingent or otherwise) with
respect to letters of credit (if any) (whether or not drawings have been made under such letters of credit) outstanding on each outstanding Series of Secured Debt within that Class when the allocation or distribution is made, and thereafter

  

 8 

 (2) will be allocated and distributed in accordance with Section 3.4 (if any remain
after payment in full of all of the amounts referred to in paragraph (1) above) to the Secured Debt Representative for each outstanding Series of Secured Obligations within that Class, for the account of the holders of any remaining Secured
Obligations within that Class, ratably in proportion to the aggregate unpaid amount of such remaining Secured Obligations within that Class (with written notice to the applicable Secured Debt Representative and the Collateral Trustee) prior to the
date such distribution is made. 
 “First-Priority Asset Lien” means a Lien granted by an Asset Lien
Security Document to the Collateral Trustee, at any time, upon any property of the Company or any other Pledgor to secure First-Priority Asset Secured Obligations. 
 “First-Priority Asset Lien Documents” means the indenture, credit agreement or other agreement pursuant to which any First-Priority Asset Secured Obligations are incurred and the
Asset Lien Security Documents (other than any Asset Lien Security Documents that do not secure First-Priority Asset Secured Obligations). 
 “First-Priority Asset Lien Representative” means in the case of any Series of First-Priority Asset Secured Debt, the trustee, agent or representative of the holders of such Series of First-Priority
Asset Secured Debt who maintains the transfer register for such Series of First-Priority Asset Secured Debt and (A) is appointed as a representative of the First-Priority Asset Secured Debt (for purposes related to the administration of the
Asset Lien Security Documents) pursuant to the credit agreement, indenture or other agreement governing such Series of First-Priority Asset Secured Debt and (B) has executed a Collateral Trust Joinder. 
 “First-Priority Asset Secured Debt” means any Debt (including the Notes and any additional Notes) that is secured
by a First-Priority Asset Lien on the Asset Collateral that was permitted to be incurred and so secured under each applicable Asset Secured Debt Document; provided, that in the case of any such Debt: 
 (a) on or before the date on which such Debt is incurred by the Company or any Subsidiary, such Debt is designated by the Company as
“First-Priority Asset Secured Debt” for the purposes of the Asset Secured Debt Documents in an Additional Secured Debt Designation executed and delivered in accordance with Section 3.8(a); provided, that no Obligation or Debt
may be designated as both Junior Asset Secured Debt and First-Priority Asset Secured Debt; 
 (b) the First-Priority Asset
Lien Representative for such Debt executes and delivers a Collateral Trust Joinder in accordance with Section 3.8(b); and 
 (c) all other requirements set forth in Section 3.8 have been complied with. 
 “First-Priority Asset Secured
Obligations” means the First-Priority Asset Secured Debt and all other Obligations in respect thereof. 
 “First-Priority Asset Secured Trust Estate” has the meaning set forth in Section 2.3. 
  

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 “First-Priority Lien Obligations” means the First-Priority Asset
Secured Obligations and the First-Priority Stock Secured Obligations. 
 “First-Priority Lien
Representative” means each First-Priority Asset Lien Representative and each First-Priority Stock Lien Representative. 
 “First-Priority Stock Lien” means a Lien granted by a Stock Lien Security Document to the Collateral Trustee, at any time, upon any property of the Company or any other Pledgor to secure First-Priority
Stock Secured Obligations. 
 “First-Priority Stock Lien Documents” means the Note Documents and the
indenture, credit agreement or other agreement pursuant to which any First-Priority Stock Secured Obligations are incurred and the Stock Lien Security Documents (other than any Stock Lien Security Documents that do not secure First-Priority Stock
Secured Obligations). 
 “First-Priority Stock Lien Representative” means: 
 (1) in the case of the Notes, the Trustee; or 
 (2) in the case of any other Series of First-Priority Stock Secured Debt, the trustee, agent or representative of the holders of such
Series of First-Priority Stock Secured Debt who maintains the transfer register for such Series of First-Priority Stock Secured Debt and (A) is appointed as a representative of the First-Priority Stock Secured Debt (for purposes related to the
administration of the Stock Lien Security Documents) pursuant to the credit agreement, indenture or other agreement governing such Series of First-Priority Stock Secured Debt and (B) has executed a Collateral Trust Joinder. 
 “First-Priority Stock Secured Debt” means: 
 (1) the Notes issued on the date hereof (including any related exchange notes); 
 (2) any other Debt (including additional Notes) that is secured Equally and Ratably with the Notes by a First-Priority Stock Lien that was
permitted to be incurred and so secured under each applicable Stock Secured Debt Document; provided, that in the case of any such Debt: 
 (a) on or before the date on which such Debt is incurred by the Company or any Subsidiary, such Debt is designated by the Company as “First-Priority Stock Secured Debt” for the purposes of the Stock Secured
Debt Documents in an Additional Secured Debt Designation executed and delivered in accordance with Section 3.8(a); provided, that no Obligation or Debt may be designated as both Junior Stock Secured Debt and First-Priority Stock Secured
Debt; 
 (b) the First-Priority Stock Lien Representative for such Debt executes and delivers a Collateral Trust Joinder in
accordance with Section 3.8(b); and 
  

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 (c) all other requirements set forth in Section 3.8 have been complied with.

 “First-Priority Stock Secured Obligations” means the First-Priority Stock Secured Debt and all other
Obligations in respect thereof. 
 “First-Priority Stock Secured Trust Estate” has the meaning set
forth in Section 2.1. 
 “GAAP” means generally accepted accounting principles in the United
States of America as in effect from time to time set forth in the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and the statements and pronouncements of the Financial
Accounting Standards Board, or in such other statements by such other entity (such as International Financial Reporting Standards) as may be in general use by significant segments of the accounting profession, that are applicable to the
circumstances as of the date of determination. 
 “Governmental Authority” means any nation, sovereign
or government, any state or other political subdivision thereof and any entity or authority exercising executive, legislative, judicial, regulatory or administrative functions of or pertaining to government, including any central bank or stock
exchange. 
 “Guarantee” means a guarantee other than by endorsement of negotiable instruments for
collection in the ordinary course of business, direct or indirect, in any manner including, by way of a pledge of assets or through letters of credit or reimbursement agreements in respect thereof, of all or any part of any Debt. 
 “Guarantors” means, collectively, each Person from time to time party to the Supplemental Indentures as a
Guarantor. 
 “Indemnified Liabilities” means any and all liabilities (including all environmental
liabilities), obligations, losses, damages, penalties, actions, judgments, suits, costs, taxes, expenses or disbursements of any kind or nature whatsoever with respect to the execution, delivery, performance, administration or enforcement of this
Agreement or any of the other Security Documents, including any of the foregoing relating to the use of proceeds of any Secured Debt or the violation of, noncompliance with or liability under, any law (including environmental laws) applicable to or
enforceable against the Company, any of its Subsidiaries or any other Pledgor or any of the Collateral and all reasonable costs and expenses (including reasonable fees and expenses of legal counsel selected by the Indemnitee) incurred by any
Indemnitee in connection with any claim, action, investigation or proceeding in any respect relating to any of the foregoing, whether or not suit is brought. 
 “Indemnitee” has the meaning set forth in Section 7.11(a). 
 “Indenture” has the meaning set forth in the recitals. 
  

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 “Insolvency or Liquidation Proceeding” means: 
 (1) any case commenced by or against the Company or any other Pledgor under Title 11, U.S. Code or any similar federal or state law for
the relief of debtors, any other proceeding for the reorganization, recapitalization or adjustment, protection, relief, composition or marshalling of the assets or liabilities of the Company or any other Pledgor, any receivership or assignment for
the benefit of creditors relating to the Company or any other Pledgor or any similar case or proceeding relative to the Company or any other Pledgor or its creditors, as such, in each case whether or not voluntary; 
 (2) any liquidation, dissolution, marshalling of assets or liabilities or other winding up of or relating to the Company or any other
Pledgor, in each case whether or not voluntary and whether or not involving bankruptcy or insolvency; 
 (3) any case or
proceeding seeking the appointment of a custodian, receiver, trustee or other similar official for the Company or any other Pledgor; or 
 (4) any other proceeding of any type or nature in which substantially all claims of creditors of the Company or any other Pledgor are determined and any payment or distribution is or may be made on account of such
claims. 
 “Junior Asset Lien” means a Lien granted by an Asset Lien Security Document to the
Collateral Trustee, at any time, upon any property of the Company or any other Pledgor to secure Junior Asset Secured Obligations. 
 “Junior Asset Lien Documents” means, collectively, any indenture, credit agreement or other agreement governing each Series of Junior Asset Secured Debt and the Asset Lien Security Documents (other than
any Asset Lien Security Documents that do not secure Junior Asset Secured Obligations). 
 “Junior Asset Lien
Representative” means, in the case of any Series of Junior Asset Secured Debt, the trustee, agent or representative of the holders of such Series of Junior Asset Secured Debt who maintains the transfer register for such Series of
Junior Asset Secured Debt and (A) is appointed as a Junior Asset Lien Representative (for purposes related to the administration of the Asset Lien Security Documents) pursuant to the indenture, credit agreement or other agreement governing such
Series of Junior Asset Secured Debt, together with its successors in such capacity and (B) has executed a Collateral Trust Joinder. 
 “Junior Asset Secured Debt” means any Debt that is secured by a Junior Asset Lien on the Asset Collateral that was permitted to be incurred and so secured under each applicable Asset Secured Debt
Document; provided, that in the case of any such Debt: 
 (1) on or before the date on which such Debt is incurred by
the Company or any Subsidiary, such Debt is designated by the Company as “Junior Asset Secured Debt” for the purposes of the Asset Secured Debt Documents in an Additional Secured Debt Designation executed and delivered in accordance with
Section 3.8(a); provided, that no Obligation or Debt may be designated as both Junior Asset Secured Debt and First-Priority Asset Secured Debt; 
  

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 (2) the Junior Asset Lien Representative for such Debt executes and delivers a Collateral
Trust Joinder in accordance with Section 3.8(b); and 
 (3) all other requirements set forth in Section 3.8 have
been complied with. 
 “Junior Asset Secured Obligations” means Junior Asset Secured Debt and all other
Obligations in respect thereof. 
 “Junior Asset Secured Trust Estate” has the meaning set forth in
Section 2.4. 
 “Junior Lien Obligations” means the Junior Asset Secured Obligations and the
Junior Stock Secured Obligations. 
 “Junior Lien Representative” means each Junior Asset Lien
Representative and each Junior Stock Lien Representative. 
 “Junior Stock Lien” means a Lien granted
by a Stock Lien Security Document to the Collateral Trustee, at any time, upon any property of the Company or any other Pledgor to secure Junior Stock Secured Obligations. 
 “Junior Stock Lien Documents” means, collectively, any indenture, credit agreement or other agreement governing
each Series of Junior Stock Secured Debt and the Stock Lien Security Documents (other than any Stock Lien Security Documents that do not secure Junior Stock Secured Obligations). 
 “Junior Stock Lien Representative” means, in the case of any Series of Junior Stock Secured Debt, the trustee,
agent or representative of the holders of such Series of Junior Stock Secured Debt who maintains the transfer register for such Series of Junior Stock Secured Debt and (A) is appointed as a Junior Stock Lien Representative (for purposes related
to the administration of the Stock Lien Security Documents) pursuant to the indenture, credit agreement or other agreement governing such Series of Junior Stock Secured Debt, together with its successors in such capacity and (B) has executed a
Collateral Trust Joinder. 
 “Junior Stock Secured Debt” means any Debt that is secured by a Junior
Stock Lien on the Stock Collateral that was permitted to be incurred and so secured under each applicable Stock Secured Debt Document; provided, that in the case of any such Debt: 
 (1) on or before the date on which such Debt is incurred by the Company or any Subsidiary, such Debt is designated by the Company as
“Junior Stock Secured Debt” for the purposes of the Stock Secured Debt Documents in an Additional Secured Debt Designation executed and delivered in accordance with Section 3.8(a); provided, that no Obligation or Debt may be
designated as both Junior Stock Secured Debt and First-Priority Stock Secured Debt; 
 (2) the Junior Stock Lien
Representative for such Debt executes and delivers a Collateral Trust Joinder in accordance with Section 3.8(b); and 
  

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 (3) all other requirements set forth in Section 3.8 have been complied with.

 “Junior Stock Secured Obligations” means Junior Stock Secured Debt and all other Obligations in
respect thereof. 
 “Junior Stock Secured Trust Estate” has the meaning set forth in Section 2.2.

 “Liens” means liens, mortgages, pledges, charges, security interests or other encumbrances.

 “Ninth Supplemental Indenture” means the Ninth Supplemental Indenture, dated as of the date hereof,
among the Company, the Guarantors from time to time party thereto and the Trustee. 
 “Notes” has the
meaning set forth in the recitals. 
 “Note Documents” means the Indenture, the Notes, the Note
Guarantees and the Security Documents. 
 “Note Guarantees” means the Guarantee by each Guarantor of
the Company’s obligations under the Indenture and the Notes, executed pursuant to the provisions of the Indenture. 
 “Obligations” means any principal (including reimbursement and collateralization obligations with respect to letters of credit whether or not drawn), interest (including all interest accrued thereon
after the commencement of any Insolvency or Liquidation Proceeding at the rate, including any applicable post-default rate, specified in the First-Priority Stock Lien Documents and the First-Priority Asset Lien Documents, even if such interest is
not enforceable, allowable or allowed as a claim in such proceeding), premium (if any), fees, indemnifications, reimbursements, expenses and other liabilities payable under the documentation governing any Debt. 
 “Officers’ Certificate” means a certificate with respect to compliance with a definition, covenant, condition
or any other provision provided for in this Agreement, signed on behalf of the Company by two officers of the Company, one of whom must be the principal executive officer, the principal financial officer, the treasurer or the principal accounting
officer of the Company, including: 
 (1) a statement that the Person making such certificate has read such definition,
covenant, condition or other provision; 
 (2) a brief statement as to the nature and scope of the examination or
investigation upon which the statements or opinions contained in such certificate are based; 
 (3) a statement that, in the
opinion of such Person, he or she has made such examination or investigation as is necessary to enable him or her to express an informed opinion as to whether or not such definition, covenant, condition or other provision has been satisfied; and

  

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 (4) a statement as to whether or not, in the opinion of such Person, such definition,
covenant, condition or other provision has been satisfied and/or that the action directed is authorized and permitted. 
 “Permitted Asset Secured Debt” means Asset Secured Debt permitted to be incurred by the Indenture in aggregate principal amount not to exceed $75.0 million. 
 “Permitted Credit Agreement Debt” means Debt outstanding under the Credit Agreement in aggregate principal amount
not to exceed $800.0 million. 
 “Permitted Prior Asset Liens” means: 
 (1) Liens existing on the date hereof securing the Permitted Credit Agreement Debt or any replacement Liens thereof; 
 (2) Liens securing the Permitted Asset Secured Debt; 
 (3) Liens existing on the date of entry into any Asset Secured Debt Document, provided that such Liens have not been subordinated to the
Liens securing the Asset Secured Debt governed by such Asset Secured Debt Document; 
 (4) Liens in respect of capital lease
obligations, mortgage financings or purchase money obligations, in each case, incurred for the purpose of financing all or any part of the purchase price or cost of design, construction, installation or improvement of property, plant or equipment
used in the business of the Company or any Pledgor; or 
 (5) Liens that arise by operation of law and are not voluntarily
granted, to the extent entitled by law to priority over the Liens created by the Asset Lien Security Documents 
 in each case, as designated by the Company
as a “Permitted Prior Asset Lien” pursuant to an Officers’ Certificate delivered to the Collateral Trustee. The Company will deliver to each Asset Secured Debt Representative a copy of each Officers’ Certificate delivered to the
Collateral Trustee pursuant to the foregoing sentence. 
 “Permitted Prior Stock Liens” means Liens
that arise by operation of law and are not voluntarily granted, to the extent entitled by law to priority over the Liens created by the Stock Lien Security Documents, as designated by the Company as a “Permitted Prior Stock Lien” pursuant
to an Officers’ Certificate delivered to the Collateral Trustee. The Company will deliver to each Stock Secured Debt Representative a copy of each Officers’ Certificate delivered to the Collateral Trustee pursuant to the foregoing
sentence. 
 “Person” means any individual, corporation, partnership, limited liability company, joint
venture, trust, unincorporated organization or government or any agency or political subdivision thereof. 
  

 15 

 “Pledgors” means the Company and any other Person (if any) that at
any time provides collateral security for any Secured Obligations. 
 “Proceeds” means any and all
cash, securities and other property realized from collection, sale, foreclosure or enforcement of the Liens upon (i) any Asset Collateral (including distributions of Asset Collateral in satisfaction of any Asset Secured Obligations) after
payment of any applicable Permitted Prior Asset Liens or (ii) any Stock Collateral (including distributions of Stock Collateral in satisfaction of any Stock Secured Obligations) after payment of any applicable Permitted Prior Stock Liens.

 “Required Junior Asset Secured Debtholders” means, at any time, the holders of more than 50% of
the sum of: 
 (1) the aggregate outstanding principal amount of Junior Asset Secured Debt (including outstanding letters of
credit whether or not then available or drawn); and 
 (2) other than in connection with the exercise of remedies, the
aggregate unfunded commitments to extend credit which, when funded, would constitute Junior Asset Secured Debt. 
 For purposes of this
definition, (a) Junior Asset Secured Debt registered in the name of, or beneficially owned by, the Company or any Affiliate of the Company will be deemed not to be outstanding, and (b) votes will be determined in accordance with the
provisions of Section 7.2. Any written direction or consent from the Required Junior Asset Secured Debtholders shall be accompanied by a certificate signed by an authorized officer of each Junior Asset Lien Representative certifying that such
written direction or consent is being delivered to the Collateral Trustee by the requisite number of holders to constitute the Required Junior Asset Secured Debtholders, and the Collateral Trustee may rely conclusively on, and shall be fully
protected in relying upon, such certificate in proceeding with any such written direction or consent. 
 “Required Junior
Stock Secured Debtholders” means, at any time, the holders of more than 50% of the sum of: 
 (1) the
aggregate outstanding principal amount of Junior Stock Secured Debt (including outstanding letters of credit whether or not then available or drawn); and 
 (2) other than in connection with the exercise of remedies, the aggregate unfunded commitments to extend credit which, when funded, would constitute Junior Stock Secured Debt. 
 For purposes of this definition, (a) Junior Stock Secured Debt registered in the name of, or beneficially owned by, the Company or any Affiliate of
the Company will be deemed not to be outstanding, and (b) votes will be determined in accordance with the provisions of Section 7.2. Any written direction or consent from the Required Junior Stock Secured Debtholders shall be accompanied
by a certificate signed by an authorized officer of each Junior Stock Lien Representative certifying that such written direction or consent is being delivered to the Collateral Trustee by the requisite number of holders to constitute the Required
Junior Stock Secured Debtholders, and the Collateral Trustee may rely conclusively on, and shall be fully protected in relying upon, such certificate in proceeding with any such written direction or consent. 
  

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 “Requirement of Law” means, with respect to any Person, the common
law and all federal, state, local and foreign laws, treaties, rules and regulations, orders, judgments, decrees and other determinations of, concessions, grants, franchises, licenses and other Contractual Obligations with, any Governmental Authority
or arbitrator, applicable to or binding upon such Person or any of its property or to which such Person or any of its property is subject. 
 “Secured Debt” means Asset Secured Debt and Stock Secured Debt. 
 “Secured
Debt Default” means any event or condition which, under the terms of any credit agreement, indenture or other agreement governing any Series of Secured Debt causes, or permits holders of Secured Debt outstanding thereunder (with
or without the giving of notice or lapse of time, or both, and whether or not notice has been given or time has lapsed) to cause, the Secured Debt outstanding thereunder to become immediately due and payable. 
 “Secured Debt Documents” means Asset Secured Debt Documents and Stock Secured Debt Documents. 
 “Secured Debt Representative” means each Asset Secured Debt Representative and each Stock Secured Debt
Representative. 
 “Secured Obligations” means Asset Secured Obligations and Stock Secured Obligations.

 “Secured Parties” means Asset Secured Parties and Stock Secured Parties. 
 “Security Documents” means the Asset Lien Security Documents and the Stock Lien Security Documents. 
 “Security Instrument” means any Capital Stock, voting trust certificate, bond, debenture, note or other evidence of
indebtedness, whether secured, unsecured, convertible or subordinated, or any certificate of interest, share or participation in, any temporary or interim certificate for the purchase or acquisition of, or any right to subscribe to, purchase or
acquire, any of the foregoing, but shall not include any evidence of the Secured Obligations. 
 “Series of Asset
Secured Debt” means, severally, each Series of First-Priority Asset Secured Debt and each Series of Junior Asset Secured Debt. 
 “Series of First-Priority Asset Secured Debt” means, severally, each issue or series of First-Priority Asset Secured Debt for which a single transfer register is maintained. 
 “Series of First-Priority Stock Secured Debt” means, severally, the 6-Year Notes, the 9-Year Notes and each other
issue or series of First-Priority Stock Secured Debt for which a single transfer register is maintained. 
  

 17 

 “Series of Junior Asset Secured Debt” means, severally, each issue
or series of Junior Asset Secured Debt for which a single transfer register is maintained. 
 “Series of Junior Stock
Secured Debt” means, severally, each issue or series of Junior Stock Secured Debt for which a single transfer register is maintained. 
 “Series of Notes” means, severally, the 6-Year Notes, the 9-Year Notes and each other issue or series of notes issued pursuant to the Indenture for which a single transfer
register is maintained. 
 “Series of Secured Debt” means, severally, each Series of Stock Secured Debt
and each Series of Asset Secured Debt. 
 “Series of Stock Secured Debt” means, severally, each Series
of First-Priority Stock Secured Debt and each Series of Junior Stock Secured Debt. 
 “Stock Collateral”
means, in the case of each Series of Stock Secured Debt, the Capital Stock of the Company’s Domestic Hospital Subsidiaries, and shall exclude any such Capital Stock in which the Collateral Trustee is required to release its Liens pursuant
to Section 3.2; provided, that, if such Liens are required to be released as a result of the sale, transfer or other disposition of any such Capital Stock, such Capital Stock will cease to be excluded from the Collateral if the Company
or any other Pledgor thereafter acquires or reacquires that Capital Stock. 
 “Stock Lien Security
Documents” means this Agreement, each Collateral Trust Joinder relating to Stock Secured Debt, and all security agreements, pledge agreements, collateral assignments, collateral agency agreements, control agreements or other
grants or transfers for security executed and delivered by the Company or any other Pledgor creating (or purporting to create) a Lien upon Stock Collateral in favor of the Collateral Trustee, for the benefit of the Stock Secured Parties, in each
case, as amended, modified, renewed, restated or replaced, in whole or in part, from time to time, in accordance with its terms and Section 7.1. 
 “Stock Secured Debt” means First-Priority Stock Secured Debt and Junior Stock Secured Debt. 
 “Stock Secured Debt Documents” means the First-Priority Stock Lien Documents and the Junior Stock Lien Documents. 
 “Stock Secured Debt Representative” means each First-Priority Stock Lien Representative and each Junior Stock Lien
Representative. 
 “Stock Secured Obligations” means First-Priority Stock Secured Obligations and
Junior Stock Secured Obligations. 
 “Stock Secured Parties” means the holders of Stock Secured
Obligations, the Stock Secured Debt Representatives on behalf of the holders of Stock Secured Obligations, and the Collateral Trustee. 
  

 18 

 “Subsidiary” means, with respect to any Person, 
 (1) any corporation, limited liability company, association or other business entity of which more than 50% of the outstanding voting
power of shares of Capital Stock entitled (without regard to the occurrence of any contingency) to vote in the election of directors, managers, managing members or trustees thereof is at the time owned or controlled, directly or indirectly, by such
Person or one or more other Subsidiaries of that Person (or a combination thereof); and 
 (2) any partnership
(a) the sole general partner or the managing general partner of which is such Person or a Subsidiary of such Person or (b) the only general partners of which are such Person or one or more Subsidiaries of such Person (or any combination
thereof). 
 “Supplemental Indentures” means the Ninth Supplemental Indenture and the Tenth Supplemental Indenture.

 “Tenth Supplemental Indenture” means the Tenth Supplemental Indenture, dated as of the date hereof,
among the Company, the Guarantors from time to time party thereto and the Trustee. 
 “Trustee” has the
meaning set forth in the recitals. 
 “Trust Estates” has the meaning set forth in Section 2.4.

 “UCC” means the Uniform Commercial Code as in effect in the State of New York or any other
applicable jurisdiction. 
 “Voting Stock” of any specified Person as of any date means the Capital
Stock of such Person that is at the time entitled to vote in the election of the Board of Directors of such Person. 
 SECTION 1.2 Rules
of Interpretation. 
 (a) All terms used in this Agreement that are defined in Article 9 of the UCC and not otherwise defined herein
have the meanings assigned to them in Article 9 of the UCC. 
 (b) Unless otherwise indicated, any reference to any agreement or instrument
will be deemed to include a reference to that agreement or instrument as assigned, amended, supplemented, amended and restated, or otherwise modified and in effect from time to time or replaced in accordance with the terms of this Agreement.

 (c) The use in this Agreement or any of the other Security Documents of the word “include” or “including,” when
following any general statement, term or matter, will not be construed to limit such statement, term or matter to the specific items or matters set forth immediately following such word or to similar items or matters, whether or not nonlimiting
language (such as “without limitation” or “but not limited to” or words of similar import) is used with reference thereto, but will be deemed to refer to all other items or matters that fall within the broadest possible scope of
such general statement, term or matter. The word “will” shall be construed to have the same meaning and effect as the word “shall.” 
  

 19 

 (d) References to “Sections,” “clauses,” “recitals” and the
“preamble” will be to Sections, clauses, recitals and the preamble, respectively, of this Agreement unless otherwise specifically provided. References to “Articles” will be to Articles of this Agreement unless otherwise
specifically provided. References to “Exhibits” and “Schedules” will be to Exhibits and Schedules, respectively, to this Agreement unless otherwise specifically provided. 
 (e) Notwithstanding anything to the contrary in this Agreement, any references contained herein to any section, clause, paragraph, definition or other
provision of the Indenture (including any definition contained therein) shall be deemed to be a reference to such section, clause, paragraph, definition or other provision as in effect on the date of this Agreement; provided, that any
reference to any such section, clause, paragraph or other provision shall refer to such section, clause, paragraph or other provision of the Indenture (including any definition contained therein) as amended or modified from time to time if such
amendment or modification has been made in accordance with the Indenture. 
 (f) Each of this Agreement and the other Security Documents will
be construed without regard to the identity of the party who drafted it and as though the parties participated equally in drafting it. Consequently, each of the parties acknowledges and agrees that any rule of construction that a document is to be
construed against the drafting party will not be applicable either to this Agreement or the other Security Documents. 
 ARTICLE 2. THE TRUST
ESTATES 
 SECTION 2.1 Declaration of First-Priority Stock Secured Trust. 
 To secure the payment of the First-Priority Stock Secured Obligations and in consideration of the mutual agreements set forth in this Agreement, each of
the Pledgors hereby grants to the Collateral Trustee, and the Collateral Trustee hereby accepts and agrees to hold, in trust under this Agreement for the benefit of all present and future holders of First-Priority Stock Secured Obligations, all of
such Pledgor’s right, title and interest in, to and under all Stock Collateral granted to the Collateral Trustee under any Stock Lien Security Document for the benefit of the holders of First-Priority Stock Secured Obligations, together with
all of the Collateral Trustee’s right, title and interest in, to and under the Stock Lien Security Documents, and all interests, rights, powers and remedies of the Collateral Trustee thereunder or in respect thereof and all cash and non-cash
Proceeds thereof (collectively, the “First-Priority Stock Secured Trust Estate”). 
 The Collateral
Trustee and its successors and assigns under this Agreement will hold the First-Priority Stock Secured Trust Estate in trust for the benefit solely and exclusively of all present and future holders of First-Priority Stock Secured Obligations as
security for the payment of all present and future First-Priority Stock Secured Obligations. 
  

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 Notwithstanding the foregoing, if at any time: 
 (1) all Liens securing the First-Priority Stock Secured Obligations have been released as provided in Section 4.1; 
 (2) the Collateral Trustee holds no other property in trust as part of the First-Priority Stock Secured Trust Estate; 
 (3) no monetary obligation (other than indemnification and other contingent obligations not then due and payable and letters of credit
that have been cash collateralized as provided in clause (3) of the definition of “Discharge of First-Priority Stock Secured Obligations”) is outstanding and payable under this Agreement to the Collateral Trustee or any of its
co-trustees or agents (whether in an individual or representative capacity); and 
 (4) the Company delivers to the Collateral
Trustee an Officers’ Certificate stating that all First-Priority Stock Liens of the Collateral Trustee have been released in compliance with all applicable provisions of the First-Priority Stock Lien Documents and that the Pledgors are not
required by any First-Priority Stock Lien Document to grant any First-Priority Stock Lien upon any property, 
 then the First-Priority Stock Secured Trust
Estate will terminate, except that all provisions set forth in Sections 7.10, 7.11 and 7.21 that are enforceable by the Collateral Trustee or any of its co-trustees or agents (whether in an individual or representative capacity) will remain
enforceable in accordance with their terms. 
 The parties further declare and covenant that the First-Priority Stock Secured Trust Estate
will be held and distributed by the Collateral Trustee subject to the further agreements herein. 
 SECTION 2.2 Declaration of Junior
Stock Secured Trust. 
 To secure the payment of the Junior Stock Secured Obligations, if any, and in consideration of the premises and
the mutual agreements set forth herein, each of the Pledgors hereby grants to the Collateral Trustee, and the Collateral Trustee hereby accepts and agrees to hold, in trust under this Agreement for the benefit of any future holders of Junior Stock
Secured Obligations, all of such Pledgor’s right, title and interest in, to and under all Stock Collateral granted to the Collateral Trustee under any Stock Lien Security Document for the benefit of the holders of Junior Stock Secured
Obligations, together with all of the Collateral Trustee’s right, title and interest in, to and under the Stock Lien Security Documents, and all interests, rights, powers and remedies of the Collateral Trustee thereunder or in respect thereof
and all cash and non-cash Proceeds thereof (collectively, the “Junior Stock Secured Trust Estate”). 
 The Collateral Trustee and its successors and assigns under this Agreement will hold the Junior Stock Secured Trust Estate in trust for the benefit solely and exclusively of any future holders of Junior Stock Secured Obligations as security
for the payment of any future Junior Stock Secured Obligations. 
  

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 Notwithstanding the foregoing, if at any time: 
 (1) all Liens securing the Junior Stock Secured Obligations have been released as provided in Section 4.1; 
 (2) the Collateral Trustee holds no other property in trust as part of the Junior Stock Secured Trust Estate; 
 (3) no monetary obligation (other than indemnification and other contingent obligations not then due and payable and letters of credit
that have been cash collateralized as provided in clause (3) of the definition of “Discharge of Junior Stock Secured Obligations”) is outstanding and payable under this Agreement to the Collateral Trustee or any of its
co-trustees or agents (whether in an individual or representative capacity); and 
 (4) the Company delivers to the Collateral
Trustee an Officers’ Certificate stating that all Junior Stock Liens of the Collateral Trustee have been released in compliance with all applicable provisions of the Junior Stock Lien Documents and that the Pledgors are not required by any
Junior Stock Lien Document to grant any Junior Stock Lien upon any property, 
 then the Junior Stock Secured Trust Estate will terminate, except that all
provisions set forth in Sections 7.10, 7.11 and 7.21 that are enforceable by the Collateral Trustee or any of its co-trustees or agents (whether in an individual or representative capacity) will remain enforceable in accordance with their
terms. 
 The parties further declare and covenant that the Junior Stock Secured Trust Estate will be held and distributed by the Collateral
Trustee subject to the further agreements herein. 
 SECTION 2.3 Declaration of First-Priority Asset Secured Trust. 
 To secure the payment of the First-Priority Asset Secured Obligations, if any, and in consideration of the mutual agreements set forth in this Agreement,
each of the Pledgors hereby grants to the Collateral Trustee, and the Collateral Trustee hereby accepts and agrees to hold, in trust under this Agreement for the benefit of any future holders of First-Priority Asset Secured Obligations, all of such
Pledgor’s right, title and interest in, to and under all Asset Collateral granted to the Collateral Trustee under any Asset Lien Security Document for the benefit of the holders of First-Priority Asset Secured Obligations, together with all of
the Collateral Trustee’s right, title and interest in, to and under the Asset Lien Security Documents, and all interests, rights, powers and remedies of the Collateral Trustee thereunder or in respect thereof and all cash and non-cash Proceeds
thereof (collectively, the “First-Priority Asset Secured Trust Estate”). 
 The Collateral Trustee and
its successors and assigns under this Agreement will hold the First-Priority Asset Secured Trust Estate in trust for the benefit solely and exclusively of any future holders of First-Priority Asset Secured Obligations as security for the payment of
any future First-Priority Asset Secured Obligations. 
  

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 Notwithstanding the foregoing, if at any time: 
 (1) all Liens securing the First-Priority Asset Secured Obligations have been released as provided in Section 4.1; 
 (2) the Collateral Trustee holds no other property in trust as part of the First-Priority Asset Secured Trust Estate; 
 (3) no monetary obligation (other than indemnification and other contingent obligations not then due and payable and letters of credit
that have been cash collateralized as provided in clause (3) of the definition of “Discharge of First-Priority Asset Secured Obligations”) is outstanding and payable under this Agreement to the Collateral Trustee or any of its
co-trustees or agents (whether in an individual or representative capacity); and 
 (4) the Company delivers to the Collateral
Trustee an Officers’ Certificate stating that all First-Priority Asset Liens of the Collateral Trustee have been released in compliance with all applicable provisions of the First-Priority Asset Lien Documents and that the Pledgors are not
required by any First-Priority Asset Lien Document to grant any First-Priority Asset Lien upon any property, 
 then the First-Priority Asset Secured Trust
Estate will terminate, except that all provisions set forth in Sections 7.10, 7.11 and 7.21 that are enforceable by the Collateral Trustee or any of its co-trustees or agents (whether in an individual or representative capacity) will remain
enforceable in accordance with their terms. 
 The parties further declare and covenant that the First-Priority Asset Secured Trust Estate
will be held and distributed by the Collateral Trustee subject to the further agreements herein. 
 SECTION 2.4 Declaration of Junior
Asset Secured Trust. 
 To secure the payment of the Junior Asset Secured Obligations, if any, and in consideration of the premises and
the mutual agreements set forth herein, each of the Pledgors hereby grants to the Collateral Trustee, and the Collateral Trustee hereby accepts and agrees to hold, in trust under this Agreement for the benefit of any future holders of Junior Asset
Secured Obligations, all of such Pledgor’s right, title and interest in, to and under all Asset Collateral granted to the Collateral Trustee under any Asset Lien Security Document for the benefit of the holders of Junior Asset Secured
Obligations, together with all of the Collateral Trustee’s right, title and interest in, to and under the Asset Lien Security Documents, and all interests, rights, powers and remedies of the Collateral Trustee thereunder or in respect thereof
and all cash and non-cash Proceeds thereof (collectively, the “Junior Asset Secured Trust Estate,” and together with the First-Priority Stock Secured Trust Estate, the Junior Stock Secured Trust Estate and the
First-Priority Asset Secured Trust Estate, the “Trust Estates”). 
 The Collateral Trustee and its
successors and assigns under this Agreement will hold the Junior Asset Secured Trust Estate in trust for the benefit solely and exclusively of any future holders of Junior Asset Secured Obligations as security for the payment of any future Junior
Asset Secured Obligations. 
  

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 Notwithstanding the foregoing, if at any time: 
 (1) all Liens securing the Junior Asset Secured Obligations have been released as provided in Section 4.1; 
 (2) the Collateral Trustee holds no other property in trust as part of the Junior Asset Secured Trust Estate; 
 (3) no monetary obligation (other than indemnification and other contingent obligations not then due and payable and letters of credit
that have been cash collateralized as provided in clause (3) of the definition of “Discharge of Junior Asset Secured Obligations”) is outstanding and payable under this Agreement to the Collateral Trustee or any of its
co-trustees or agents (whether in an individual or representative capacity); and 
 (4) the Company delivers to the Collateral
Trustee an Officers’ Certificate stating that all Junior Asset Liens of the Collateral Trustee have been released in compliance with all applicable provisions of the Junior Asset Lien Documents and that the Pledgors are not required by any
Junior Asset Lien Document to grant any Junior Asset Lien upon any property, 
 then the Junior Asset Secured Trust Estate will terminate, except that all
provisions set forth in Sections 7.10, 7.11 and 7.21 that are enforceable by the Collateral Trustee or any of its co-trustees or agents (whether in an individual or representative capacity) will remain enforceable in accordance with their
terms. 
 The parties further declare and covenant that the Junior Asset Secured Trust Estate will be held and distributed by the Collateral
Trustee subject to the further agreements herein. 
 SECTION 2.5 Priority of Liens. Notwithstanding (i) the date, manner or order
of grant, attachment or perfection of any First-Priority Asset Lien, First-Priority Stock Lien, Junior Asset Lien or Junior Stock Lien, (ii) any provision of the UCC or any other applicable Requirement of Law, or (iii) anything else
contained herein or in any other Security Document or any other circumstance whatsoever, it is the intent of the parties that: 
 (1) this Agreement and the other Security Documents create four separate and distinct Trust Estates and Liens: (1) the First-Priority Stock Secured Trust Estate and First-Priority Stock Lien securing the payment and performance of the
First-Priority Stock Secured Obligations, (2) the Junior Stock Secured Trust Estate and Junior Stock Lien securing the payment and performance of the Junior Stock Secured Obligations, if any, (3) the First-Priority Asset Secured Trust
Estate and First-Priority Asset Lien securing the payment and performance of the First-Priority Asset Secured Obligations, if any, and (4) the Junior Asset Secured Trust Estate and Junior Asset Lien securing the payment and performance of the
Junior Asset Secured Obligations, if any; 
 (2) any Liens securing any First-Priority Stock Secured Obligations, whether now
or hereafter existing and regardless of how acquired or created, shall be senior and prior to any Liens securing Junior Stock Secured Obligations on such Stock Collateral and shall remain so, whether or not such Lien securing First-Priority Stock
Secured Obligations is junior or subordinate to any other Obligation or any other Lien securing any other Obligation; 
  

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 (3) any Liens securing any First-Priority Asset Secured Obligations, whether now or
hereafter existing and regardless of how acquired or created, shall be senior and prior to any Liens securing Junior Asset Secured Obligations on such Asset Collateral and shall remain so, whether or not such Lien securing First-Priority Asset
Secured Obligations is junior or subordinate to any other Obligation or any other Lien securing any other Obligation; 
 (4)
any Liens securing any Junior Stock Secured Obligations, whether now or hereafter existing and regardless of how acquired or created, whether by grant, statute, operation of law, subrogation or otherwise, are subject and subordinate to the Liens
securing the First-Priority Stock Secured Obligations; and 
 (5) any Liens securing any Junior Asset Secured Obligations,
whether now or hereafter existing and regardless of how acquired or created, whether by grant, statute, operation of law, subrogation or otherwise, are subject and subordinate to any Liens securing any First-Priority Asset Secured Obligations.

 SECTION 2.6 Restrictions on Enforcement of Junior Stock Liens. 
 (a) Until the Discharge of First-Priority Stock Secured Obligations, the holders of First-Priority Stock Secured Obligations will have, subject to the
exceptions set forth below in clauses (1) through (4), the exclusive right to authorize and direct the Collateral Trustee with respect to the Stock Lien Security Documents and the Stock Collateral including, without limitation, the exclusive
right to authorize or direct the Collateral Trustee to enforce, collect or realize on any Stock Collateral or exercise any other right or remedy with respect to the Stock Collateral and no Junior Stock Lien Representative or holder of Junior Stock
Secured Obligations may authorize or direct the Collateral Trustee with respect to such matters. Notwithstanding the foregoing, the holders of Junior Stock Secured Obligations may direct the Collateral Trustee: 
 (1) without any condition or restriction whatsoever, at any time after the Discharge of First-Priority Stock Secured Obligations;

 (2) as necessary to redeem any Stock Collateral in a creditor’s redemption permitted by law or to deliver any notice
or demand necessary to enforce (subject to the prior Discharge of First-Priority Stock Secured Obligations) any right to claim, take or receive Proceeds of Stock Collateral remaining after the Discharge of First-Priority Stock Secured Obligations in
the event of foreclosure or other enforcement of any Permitted Prior Stock Lien; 
 (3) as necessary to perfect or establish
the priority (subject to First-Priority Stock Liens) of the Junior Stock Liens upon any Stock Collateral, except that the holders of Junior Stock Secured Obligations may not require the Collateral Trustee to take any action to perfect any Stock
Collateral through possession or control other than the Collateral Trustee taking any action for possession or control required by the holders 

  

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of Junior Stock Liens and the Collateral Trustee agreeing pursuant to Section 7.4 that the Collateral Trustee as agent for the benefit of the holders of
First-Priority Stock Secured Obligations agrees to act as agent for the benefit of the holders of Junior Stock Secured Obligations; or 
 (4) as necessary to create, prove, preserve or protect (but not enforce) the Junior Stock Liens upon any Stock Collateral. 
 (b) Until the Discharge of First-Priority Stock Secured Obligations, none of the holders of Junior Stock Secured Obligations, the Collateral Trustee on behalf of the holders of the Junior Stock Secured Obligations or
any Junior Stock Lien Representative will: 
 (1) request judicial relief, in an Insolvency or Liquidation Proceeding or in
any other court, that would hinder, delay, limit or prohibit the lawful exercise or enforcement of any right or remedy otherwise available to the holders of First-Priority Stock Secured Obligations in respect of the First-Priority Stock Liens or
that would limit, invalidate, avoid or set aside any First-Priority Stock Lien or subordinate the First-Priority Stock Liens to the Junior Stock Liens or grant the Junior Stock Liens equal ranking to the First-Priority Stock Liens; 
 (2) oppose or otherwise contest any motion for relief from the automatic stay or for any injunction against foreclosure or enforcement of
First-Priority Stock Liens made by any holder of First-Priority Stock Secured Obligations or any First-Priority Stock Lien Representative in any Insolvency or Liquidation Proceeding; 
 (3) oppose or otherwise contest any lawful exercise by any holder of First-Priority Stock Secured Obligations or any First-Priority Stock
Lien Representative of the right to credit bid First-Priority Stock Secured Debt at any sale in foreclosure of First-Priority Stock Liens; 
 (4) oppose or otherwise contest any other request for judicial relief made in any court by any holder of First-Priority Stock Secured Obligations or any First-Priority Stock Lien Representative relating to the lawful
enforcement of any First-Priority Stock Lien; or 
 (5) challenge the validity, enforceability, perfection or priority of the
First-Priority Stock Liens or this Agreement. 
 Notwithstanding the foregoing, both before and during an Insolvency or Liquidation Proceeding, the holders
of Junior Stock Secured Obligations and the Junior Stock Lien Representatives may take any actions and exercise any and all rights that would be available to a holder of unsecured claims, including, without limitation, the commencement of an
Insolvency or Liquidation Proceeding against the Company or any other Pledgor in accordance with applicable law; provided, that the holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives may not take any of the
actions prohibited by clauses (1) through (5) of this Section 2.6(b) or oppose or contest any order that they have agreed not to oppose or contest under Section 2.11. 
  

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 (c) Without in any way limiting the generality of Section 2.5, at any time prior to the Discharge of
First-Priority Stock Secured Obligations and after (1) the commencement of any Insolvency or Liquidation Proceeding in respect of the Company or any other Pledgor or (2) the Collateral Trustee and each Junior Stock Lien Representative have
received written notice from any First-Priority Stock Lien Representative at the direction of an Act of Required Stock Secured Debtholders stating that (A) any Series of First-Priority Stock Secured Debt has become due and payable in full
(whether at maturity, upon acceleration or otherwise) or (B) the holders of First-Priority Stock Liens securing one or more Series of First-Priority Stock Secured Debt have become entitled under any First-Priority Stock Lien Documents to and
desire to enforce any or all of the First-Priority Stock Liens by reason of a default under such First-Priority Stock Lien Documents, no payment of money (or the equivalent of money) shall be made from the Proceeds of Stock Collateral by the Company
or any other Pledgor to any Junior Stock Lien Representative or any holder (or to the Collateral Trustee or any Junior Stock Lien Representative, in each case for the benefit of any holder) of Junior Stock Secured Obligations (including, without
limitation, payments and prepayments made for application to Junior Stock Secured Obligations and all other payments and deposits made pursuant to any provision of any Junior Stock Lien Document). 
 (d) All Proceeds of Stock Collateral received by any Junior Stock Lien Representative or any holder (or by the Collateral Trustee or any Junior Stock
Lien Representative, in each case for the benefit of any holder) of Junior Stock Secured Obligations in violation of Section 2.6(c) will be held by the Collateral Trustee, the applicable Junior Stock Lien Representative or the applicable holder
of Junior Stock Secured Obligations for the account of the holders of First-Priority Stock Liens and remitted to any First-Priority Stock Lien Representative within three (3) days of receipt of such Proceeds. The Junior Stock Liens will remain
attached to and enforceable against all Proceeds so held or remitted. All Proceeds of Stock Collateral received by the Collateral Trustee, holders of Junior Stock Secured Obligations and Junior Stock Lien Representatives not in violation of
Section 2.6(c) will be received by the Collateral Trustee, holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives free from the First-Priority Stock Liens and all other Liens except the Junior Stock Liens.

 SECTION 2.7 Restrictions on Enforcement of Junior Asset Liens. 
 (a) Until the Discharge of First-Priority Asset Secured Obligations, the holders of First-Priority Asset Secured Obligations will have, subject to the
exceptions set forth below in clauses (1) through (4), the exclusive right to authorize and direct the Collateral Trustee with respect to the Asset Lien Security Documents and the Asset Collateral including, without limitation, the exclusive
right to authorize or direct the Collateral Trustee to enforce, collect or realize on any Asset Collateral or exercise any other right or remedy with respect to the Asset Collateral and no Junior Asset Lien Representative or holder of Junior Asset
Secured Obligations may authorize or direct the Collateral Trustee with respect to such matters. Notwithstanding the foregoing, the holders of Junior Asset Secured Obligations may direct the Collateral Trustee: 
 (1) without any condition or restriction whatsoever, at any time after the Discharge of First-Priority Asset Secured Obligations;

  

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 (2) as necessary to redeem any Asset Collateral in a creditor’s redemption permitted
by law or to deliver any notice or demand necessary to enforce (subject to the prior Discharge of First-Priority Asset Secured Obligations) any right to claim, take or receive Proceeds of Asset Collateral remaining after the Discharge of
First-Priority Asset Secured Obligations in the event of foreclosure or other enforcement of any Permitted Prior Asset Lien; 
 (3) as necessary to perfect or establish the priority (subject to First-Priority Asset Liens) of the Junior Asset Liens upon any Asset Collateral, except that the holders of Junior Asset Secured Obligations may not require the Collateral
Trustee to take any action to perfect any Asset Collateral through possession or control other than the Collateral Trustee taking any action for possession or control required by the holders of Junior Asset Liens and the Collateral Trustee agreeing
pursuant to Section 7.4 that the Collateral Trustee as agent for the benefit of the holders of First-Priority Asset Secured Obligations agrees to act as agent for the benefit of the holders of Junior Asset Secured Obligations; or 
 (4) as necessary to create, prove, preserve or protect (but not enforce) the Junior Asset Liens upon any Asset Collateral. 
 (b) Until the Discharge of First-Priority Asset Secured Obligations, none of the holders of Junior Asset Secured Obligations, the Collateral Trustee on
behalf of the holders of the Junior Asset Secured Obligations or any Junior Asset Lien Representative will: 
 (1) request
judicial relief, in an Insolvency or Liquidation Proceeding or in any other court, that would hinder, delay, limit or prohibit the lawful exercise or enforcement of any right or remedy otherwise available to the holders of First-Priority Asset
Secured Obligations in respect of the First-Priority Asset Liens or that would limit, invalidate, avoid or set aside any First-Priority Asset Lien or subordinate the First-Priority Asset Liens to the Junior Asset Liens or grant the Junior Asset
Liens equal ranking to the First-Priority Asset Liens; 
 (2) oppose or otherwise contest any motion for relief from the
automatic stay or for any injunction against foreclosure or enforcement of First-Priority Asset Liens made by any holder of First-Priority Asset Secured Obligations or any First-Priority Asset Lien Representative in any Insolvency or Liquidation
Proceeding; 
 (3) oppose or otherwise contest any lawful exercise by any holder of First-Priority Asset Secured Obligations
or any First-Priority Asset Lien Representative of the right to credit bid First-Priority Asset Secured Debt at any sale in foreclosure of First-Priority Asset Liens; 
 (4) oppose or otherwise contest any other request for judicial relief made in any court by any holder of First-Priority Asset Secured
Obligations or any First-Priority Asset Lien Representative relating to the lawful enforcement of any First-Priority Asset Lien; or 
  

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 (5) challenge the validity, enforceability, perfection or priority of the First-Priority
Asset Liens. 
 Notwithstanding the foregoing, both before and during an Insolvency or Liquidation Proceeding, the holders of Junior Asset Secured
Obligations and the Junior Asset Lien Representatives may take any actions and exercise any and all rights that would be available to a holder of unsecured claims, including, without limitation, the commencement of an Insolvency or Liquidation
Proceeding against the Company or any other Pledgor in accordance with applicable law; provided, that the holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives may not take any of the actions prohibited by
clauses (1) through (5) of this Section 2.7(b) or oppose or contest any order that they have agreed not to oppose or contest under Section 2.11. 
 (c) Without in any way limiting the generality of Section 2.5, at any time prior to the Discharge of First-Priority Asset Secured Obligations and after (1) the commencement of any Insolvency or Liquidation
Proceeding in respect of the Company or any other Pledgor or (2) the Collateral Trustee and each Junior Asset Lien Representative have received written notice from any First-Priority Asset Lien Representative at the direction of an Act of
Required Asset Secured Debtholders stating that (A) any Series of First-Priority Asset Secured Debt has become due and payable in full (whether at maturity, upon acceleration or otherwise) or (B) the holders of First-Priority Asset Liens
securing one or more Series of First-Priority Asset Secured Debt have become entitled under any First-Priority Asset Lien Documents to and desire to enforce any or all of the First-Priority Asset Liens by reason of a default under such
First-Priority Asset Lien Documents, no payment of money (or the equivalent of money) shall be made from the Proceeds of Asset Collateral by the Company or any other Pledgor to any Junior Asset Lien Representative or any holder (or to the Collateral
Trustee or any Junior Asset Lien Representative, in each case for the benefit of any holder) of Junior Asset Secured Obligations (including, without limitation, payments and prepayments made for application to Junior Asset Secured Obligations and
all other payments and deposits made pursuant to any provision of any Junior Asset Lien Document). 
 (d) All Proceeds of Asset Collateral
received by any Junior Asset Lien Representative or any holder (or by the Collateral Trustee or any Junior Asset Lien Representative, in each case for the benefit of any holder) of Junior Asset Secured Obligations in violation of Section 2.7(c)
will be held by the Collateral Trustee, the applicable Junior Asset Lien Representative or the applicable holder of Junior Asset Secured Obligations for the account of the holders of First-Priority Asset Liens and remitted to any First-Priority
Asset Lien Representative within three (3) days of receipt of such Proceeds. The Junior Asset Liens will remain attached to and enforceable against all Proceeds so held or remitted. All Proceeds of Asset Collateral received by the Collateral
Trustee, holders of Junior Asset Secured Obligations and Junior Asset Lien Representatives not in violation of Section 2.7(c) will be received by the Collateral Trustee, holders of Junior Asset Secured Obligations and the Junior Asset Lien
Representatives free from the First-Priority Asset Liens and all other Liens except the Junior Asset Liens. 
  

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 SECTION 2.8 Waiver of Right of Marshalling. 
 (a) Prior to the Discharge of First-Priority Stock Secured Obligations, holders of Junior Stock Secured Obligations, each Junior Stock Lien Representative
and the Collateral Trustee may not assert or enforce any right of marshalling accorded to a junior lienholder, as against the holders of First-Priority Stock Secured Obligations and the First-Priority Stock Lien Representatives (in their capacity as
priority lienholders). 
 (b) Following the Discharge of First-Priority Stock Secured Obligations, the holders of Junior Stock Secured
Obligations and any Junior Stock Lien Representative may assert their right under the UCC or otherwise to any Proceeds remaining following a sale or other disposition of Stock Collateral by, or on behalf of, the holders of First-Priority Stock
Secured Obligations. 
 (c) Prior to the Discharge of First-Priority Asset Secured Obligations, holders of Junior Asset Secured Obligations,
each Junior Asset Lien Representative and the Collateral Trustee may not assert or enforce any right of marshalling accorded to a junior lienholder, as against the holders of First-Priority Asset Secured Obligations and the First-Priority Asset Lien
Representatives (in their capacity as priority lienholders). 
 (d) Following the Discharge of First-Priority Asset Secured Obligations, the
holders of Junior Asset Secured Obligations and any Junior Asset Lien Representative may assert their right under the UCC or otherwise to any Proceeds remaining following a sale or other disposition of Asset Collateral by, or on behalf of, the
holders of First-Priority Asset Secured Obligations. 
 SECTION 2.9 Discretion in Enforcement of First-Priority Liens. 
 (a) In exercising rights and remedies with respect to the Stock Collateral, the holders of First-Priority Stock Secured Obligations may deliver to the
Collateral Trustee an Act of Required Stock Secured Debtholders so as to cause the Collateral Trustee to enforce (or refrain from enforcing) the provisions of this Agreement and exercise (or refrain from exercising) remedies hereunder or any such
rights and remedies, all in such order and in such manner as may be permitted under this Agreement, including: 
 (1) the
exercise or forbearance from exercise of all rights and remedies in respect of the Stock Collateral and/or the First-Priority Stock Secured Obligations; 
 (2) the enforcement or forbearance from enforcement of any First-Priority Stock Lien in respect of the Stock Collateral; 
 (3) the exercise or forbearance from exercise of rights and powers of a holder of shares of stock included in the First-Priority Stock Secured Trust Estate to the extent provided in the Stock Lien Security Documents;

 (4) the acceptance of the Stock Collateral in full or partial satisfaction of the First-Priority Stock Secured Obligations;
and 
  

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 (5) the exercise or forbearance from exercise of all rights and remedies of a secured
lender under the UCC or any similar law of any applicable jurisdiction or in equity. 
 (b) In exercising rights and remedies with respect to
the Asset Collateral, the holders of First-Priority Asset Secured Obligations may deliver to the Collateral Trustee an Act of Required Asset Secured Debtholders so as to cause the Collateral Trustee to enforce (or refrain from enforcing) the
provisions of this Agreement and exercise (or refrain from exercising) remedies hereunder or any such rights and remedies, all in such order and in such manner as may be permitted under this Agreement, including: 
 (1) the exercise or forbearance from exercise of all rights and remedies in respect of the Asset Collateral and/or the First-Priority
Asset Secured Obligations; 
 (2) the enforcement or forbearance from enforcement of any First-Priority Asset Lien in respect
of the Asset Collateral; 
 (3) the exercise or forbearance from exercise of rights and powers of a holder of shares of stock
included in the First-Priority Asset Secured Trust Estate to the extent provided in the Asset Lien Security Documents; 
 (4)
the acceptance of the Asset Collateral in full or partial satisfaction of the First-Priority Asset Secured Obligations; and 
 (5) the exercise or forbearance from exercise of all rights and remedies of a secured lender under the UCC or any similar law of any applicable jurisdiction or in equity. 
 SECTION 2.10 Discretion in Enforcement of First-Priority Obligations. 
 (a) The requisite percentage or number of holders of any Series of First-Priority Stock Secured Debt at the time outstanding as provided for in the
applicable First-Priority Stock Lien Documents and the First-Priority Stock Lien Representatives on behalf of the holders of any Series of First-Priority Stock Secured Debt may, at any time and from time to time, without the consent of or notice to
holders of Junior Stock Secured Obligations or the Junior Stock Lien Representatives, without incurring responsibility to holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives and without impairing or releasing the
subordination provided in this Agreement or the obligations hereunder of holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives, do any one or more of the following: 
 (1) change the manner, place or terms of payment or extend the time of payment of, or renew or alter, the First-Priority Stock Secured
Obligations in respect of such Series of First-Priority Stock Secured Debt, or otherwise amend or supplement in any manner such First-Priority Stock Secured Obligations, or any instrument evidencing such First-Priority Stock Secured Obligations or
any agreement under which such First-Priority Stock Secured Obligations are outstanding; 
  

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 (2) release any Person or entity liable in any manner for the collection of such
First-Priority Stock Secured Obligations; 
 (3) release the First-Priority Stock Lien granted by the First-Priority Stock
Lien Documents governing any such First-Priority Stock Secured Obligations on all Stock Collateral; and 
 (4) exercise or
refrain from exercising any rights against any Pledgor. 
 (b) The requisite percentage or number of holders of any Series of First-Priority
Asset Secured Debt at the time outstanding as provided for in the applicable First-Priority Asset Lien Documents and the First-Priority Asset Lien Representatives on behalf of the holders of any Series of First-Priority Asset Secured Debt may may,
at any time and from time to time, without the consent of or notice to holders of Junior Asset Secured Obligations or the Junior Asset Lien Representatives, without incurring responsibility to holders of Junior Asset Secured Obligations and the
Junior Asset Lien Representatives and without impairing or releasing the subordination provided in this Agreement or the obligations hereunder of holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives, do any one or
more of the following: 
 (1) change the manner, place or terms of payment or extend the time of payment of, or renew or
alter, the First-Priority Asset Secured Obligations in respect of such Series of First-Priority Asset Secured Debt, or otherwise amend or supplement in any manner such First-Priority Asset Secured Obligations, or any instrument evidencing such
First-Priority Asset Secured Obligations or any agreement under which such First-Priority Asset Secured Obligations are outstanding; 
 (2) release any Person or entity liable in any manner for the collection of such First-Priority Asset Secured Obligations; 
 (3) release the First-Priority Asset Lien granted by the First-Priority Asset Lien Documents governing any such First-Priority Asset Secured Obligations on all Asset Collateral; and 
 (4) exercise or refrain from exercising any rights against any Pledgor. 
 SECTION 2.11 Insolvency or Liquidation Proceedings. 
 (a) If in any Insolvency or Liquidation Proceeding and prior to the Discharge of First-Priority Stock Secured Obligations, the holders of First-Priority Stock Secured Obligations by an Act of Required Stock Secured
Debtholders consent to any order: 
 (1) for use of cash collateral; 
 (2) approving a debtor-in-possession financing secured by a Lien that is senior to or on a parity with all First-Priority Stock Liens upon
any property of the estate in such Insolvency or Liquidation Proceeding; 
  

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 (3) granting any relief on account of First-Priority Stock Secured Obligations as
adequate protection (or its equivalent) for the benefit of the holders of First-Priority Stock Secured Obligations in the Stock Collateral subject to First-Priority Stock Liens; or 
 (4) relating to a sale of assets of the Company or any other Pledgor that provides, to the extent the Stock Collateral sold is to be free
and clear of Liens, that all First-Priority Stock Liens and Junior Stock Liens will attach to the proceeds of the sale; 
 then, the holders of Junior Stock
Secured Obligations and the Junior Stock Lien Representatives, in their capacity as holders or representatives of secured claims, will not oppose or otherwise contest the entry of such order, so long as none of the holders of First-Priority Stock
Secured Obligations or First-Priority Stock Lien Representatives in any respect opposes or otherwise contests any request made by any holder of Junior Stock Secured Obligations or Junior Stock Lien Representative for the grant to the Collateral
Trustee, for the benefit of the holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives, of a junior Lien upon any property on which a Lien is (or is to be) granted under such order to secure the First-Priority Stock
Secured Obligations, co-extensive in all respects with, but subordinated (as set forth in Section 2.5) to, such Lien and all First-Priority Stock Liens on such property. 
 Notwithstanding the foregoing, both before and during an Insolvency or Liquidation Proceeding, the holders of Junior Stock Secured Obligations and the
Junior Stock Lien Representatives may take any actions and exercise any and all rights that would otherwise be available to a holder of unsecured claims, including, without limitation, the commencement of Insolvency or Liquidation Proceedings
against any Pledgors in accordance with applicable law; provided, however, that, both before and during an Insolvency or Liquidation Proceeding, the holders of Junior Stock Secured Obligations and the Junior Stock Lien Representatives may not
take any of the actions prohibited under Section 2.6(b) or oppose or contest any order that they have agreed not to oppose or contest under clauses (1) through (4) of the preceding paragraph. 
 (b) The holders of Junior Stock Secured Obligations or any Junior Stock Lien Representative will not file or prosecute in any Insolvency or Liquidation
Proceeding any motion for adequate protection (or any comparable request for relief) based upon their interest in the Stock Collateral under the Junior Stock Liens, except that: 
 (1) they may freely seek and obtain relief: (A) granting a junior Lien co-extensive in all respects with, but subordinated (as set
forth in Section 2.5) to, all Liens granted in such Insolvency or Liquidation Proceeding to, or for the benefit of, the holders of First-Priority Stock Secured Obligations; or (B) in connection with the confirmation of any plan of
reorganization or similar dispositive restructuring plan; and 
 (2) they may freely seek and obtain any relief upon a motion
for adequate protection (or any comparable relief), without any condition or restriction whatsoever, at any time after the Discharge of First-Priority Stock Secured Obligations. 
  

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 (c) If in any Insolvency or Liquidation Proceeding and prior to the Discharge of First-Priority Asset
Secured Obligations, the holders of First-Priority Asset Secured Obligations by an Act of Required Asset Secured Debtholders consent to any order: 
 (1) for use of cash collateral; 
 (2) approving a debtor-in-possession financing secured by a
Lien that is senior to or on a parity with all First-Priority Asset Liens upon any property of the estate in such Insolvency or Liquidation Proceeding; 
 (3) granting any relief on account of First-Priority Asset Secured Obligations as adequate protection (or its equivalent) for the benefit of the holders of First-Priority Asset Secured Obligations in the Asset
Collateral subject to First-Priority Asset Liens; or 
 (4) relating to a sale of assets of the Company or any other Pledgor
that provides, to the extent the Asset Collateral sold is to be free and clear of Liens, that all First-Priority Asset Liens and Junior Asset Liens will attach to the proceeds of the sale; 
 then, the holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives, in their capacity as holders or representatives of secured claims, will
not oppose or otherwise contest the entry of such order, so long as none of the holders of First-Priority Asset Secured Obligations or First-Priority Asset Lien Representatives in any respect opposes or otherwise contests any request made by any
holder of Junior Asset Secured Obligations or Junior Asset Lien Representative for the grant to the Collateral Trustee, for the benefit of the holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives, of a junior Lien
upon any property on which a Lien is (or is to be) granted under such order to secure the First-Priority Asset Secured Obligations, co-extensive in all respects with, but subordinated (as set forth in Section 2.5) to, such Lien and all
First-Priority Asset Liens on such property. 
 Notwithstanding the foregoing, both before and during an Insolvency or Liquidation
Proceeding, the holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives may take any actions and exercise any and all rights that would otherwise be available to a holder of unsecured claims, including, without
limitation, the commencement of Insolvency or Liquidation Proceedings against any Pledgors in accordance with applicable law; provided, however, that, both before and during an Insolvency or Liquidation Proceeding, the holders of Junior Asset
Secured Obligations and the Junior Asset Lien Representatives may not take any of the actions prohibited under Section 2.7(b) or oppose or contest any order that they have agreed not to oppose or contest under clauses (1) through
(4) of the preceding paragraph. 
 (d) The holders of Junior Asset Secured Obligations or any Junior Asset Lien Representative will not
file or prosecute in any Insolvency or Liquidation Proceeding any motion for adequate protection (or any comparable request for relief) based upon their interest in the Asset Collateral under the Junior Asset Liens, except that: 
 (1) they may freely seek and obtain relief: (A) granting a junior Lien co-extensive in all respects with, but subordinated (as set
forth in Section 2.5) to, all 

  

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Liens granted in such Insolvency or Liquidation Proceeding to, or for the benefit of, the holders of First-Priority Asset Secured Obligations; or (B) in
connection with the confirmation of any plan of reorganization or similar dispositive restructuring plan; and 
 (2) they may
freely seek and obtain any relief upon a motion for adequate protection (or any comparable relief), without any condition or restriction whatsoever, at any time after the Discharge of First-Priority Asset Secured Obligations. 
 SECTION 2.12 Collateral Shared Equally and Ratably within Class. The parties to this Agreement agree that the payment and satisfaction of all of
the Secured Obligations within each Class will be secured Equally and Ratably by the Liens established in favor of the Collateral Trustee for the benefit of the Secured Parties belonging to such Class. It is understood and agreed that nothing in
this Section 2.12 is intended to alter the priorities among Secured Parties belonging to different Classes as provided in Section 2.5. 
 ARTICLE 3. OBLIGATIONS AND POWERS OF COLLATERAL TRUSTEE 
 SECTION 3.1 Undertaking of the Collateral Trustee. 
 (a) Subject to, and in accordance with, this Agreement, including without limitation Section 5.3, the Collateral Trustee will, as trustee, for the
benefit solely and exclusively of the present and future Secured Parties: 
 (1) accept, enter into, hold, maintain,
administer and enforce all Security Documents, including all Collateral subject thereto, and all Liens created thereunder, perform its obligations under the Security Documents and protect, exercise and enforce the interests, rights, powers and
remedies granted or available to it under, pursuant to or in connection with the Security Documents; 
 (2) take all lawful
and commercially reasonable actions permitted under the Security Documents that it may deem necessary or advisable to protect or preserve its interest in the Collateral subject thereto and such interests, rights, powers and remedies; 
 (3) deliver and receive notices pursuant to the Security Documents, as directed in writing by the relevant Secured Debt Representatives;

 (4) sell, assign, collect, assemble, foreclose on, institute legal proceedings with respect to, or otherwise exercise or
enforce the rights and remedies of a secured party (including a mortgagee, trust deed beneficiary and insurance beneficiary or loss payee) with respect to the Collateral under the Security Documents and its other interests, rights, powers and
remedies; 
 (5) remit as provided in Section 3.4 all cash Proceeds received by the Collateral Trustee from the
collection, foreclosure or enforcement of its interest in the Collateral under the Security Documents or any of its other interests, rights, powers or remedies; 
  

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 (6) execute and deliver amendments to the Security Documents as from time to time
authorized pursuant to Section 7.1 accompanied by an Officers’ Certificate to the effect that the amendment was permitted under Section 7.1; and 
 (7) release any Lien granted to it by any Security Document upon any Collateral if and as required by Section 4.1(c). 
 (b) Each party to this Agreement acknowledges and consents to the undertaking of the Collateral Trustee set forth in Section 3.1(a) and agrees to
each of the other provisions of this Agreement applicable to the Collateral Trustee. 
 (c) Notwithstanding anything to the contrary
contained in this Agreement, the Collateral Trustee will not commence any exercise of remedies or any foreclosure actions or otherwise take any action or proceeding against (i) any of the Stock Collateral (other than actions as necessary to
prove, protect or preserve the Liens securing the Stock Secured Obligations) unless and until it shall have been directed by written notice of an Act of Required Stock Secured Debtholders and then only in accordance with the provisions of this
Agreement or (ii) any of the Asset Collateral (other than actions as necessary to prove, protect or preserve the Liens securing the Asset Secured Obligations) unless and until it shall have been directed by written notice of an Act of Required
Asset Secured Debtholders and then only in accordance with the provisions of this Agreement. 
 (d) Notwithstanding anything to the contrary
contained in this Agreement, no Secured Debt Representative may serve as Collateral Trustee, provided that the Trustee may serve as Collateral Trustee if the Trustee is the Secured Debt Representative for each Series of Secured Debt that is then
outstanding. 
 SECTION 3.2 Subordination of Liens. The Collateral Trustee will not subordinate any Lien of the Collateral Trustee on
any Collateral or consent to the subordination of any Lien of the Collateral Trustee on any Collateral, except: 
 (a) as directed by
(i) in the case of Liens on Stock Collateral, an Act of Required Stock Secured Debtholders or (ii) in the case of Liens on Asset Collateral, an Act of Required Asset Secured Debtholders, accompanied, in each case, by an Officers’
Certificate to the effect that the release or subordination was permitted by each applicable Secured Debt Document; 
 (b) as ordered
pursuant to applicable law under a final and nonappealable order or judgment of a court of competent jurisdiction; or 
 (c) for the
subordination of (i) the Junior Stock Secured Trust Estate and the Junior Stock Liens to the First-Priority Stock Secured Trust Estate and the First-Priority Stock Liens or (ii) the Junior Asset Secured Trust Estate and the Junior Asset
Liens to the First-Priority Asset Secured Trust Estate and the First-Priority Asset Liens. 
  

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 SECTION 3.3 Enforcement of Liens. 
 (a) If the Collateral Trustee at any time receives written notice that any event has occurred that constitutes a default under any Stock Secured Debt
Document entitling the Collateral Trustee to foreclose upon, collect or otherwise enforce its Liens on the Stock Collateral hereunder, the Collateral Trustee will promptly deliver written notice thereof to each Stock Secured Debt Representative.
Thereafter, the Collateral Trustee may await direction by an Act of Required Stock Secured Debtholders and will act, or decline to act, as directed by an Act of Required Stock Secured Debtholders, in the exercise and enforcement of the Collateral
Trustee’s interests, rights, powers and remedies in respect of the Stock Collateral or under the Stock Lien Security Documents or applicable law and, following the initiation of such exercise of remedies, the Collateral Trustee will act, or
decline to act, with respect to the manner of such exercise of remedies as directed by an Act of Required Stock Secured Debtholders. Unless it has been directed to the contrary by an Act of Required Stock Secured Debtholders, the Collateral Trustee
in any event may (but will not be obligated to) take or refrain from taking such action with respect to any default under any Stock Secured Debt Document as it may deem advisable and in the best interest of the holders of Stock Secured Obligations.

 (b) If the Collateral Trustee at any time receives written notice that any event has occurred that constitutes a default under any Asset
Secured Debt Document entitling the Collateral Trustee to foreclose upon, collect or otherwise enforce its Liens on the Asset Collateral hereunder, the Collateral Trustee will promptly deliver written notice thereof to each Asset Secured Debt
Representative. Thereafter, the Collateral Trustee may await direction by an Act of Required Asset Secured Debtholders and will act, or decline to act, as directed by an Act of Required Asset Secured Debtholders, in the exercise and enforcement of
the Collateral Trustee’s interests, rights, powers and remedies in respect of the Asset Collateral or under the Asset Lien Security Documents or applicable law and, following the initiation of such exercise of remedies, the Collateral Trustee
will act, or decline to act, with respect to the manner of such exercise of remedies as directed by an Act of Required Asset Secured Debtholders. Unless it has been directed to the contrary by an Act of Required Asset Secured Debtholders, the
Collateral Trustee in any event may (but will not be obligated to) take or refrain from taking such action with respect to any default under any Asset Secured Debt Document as it may deem advisable and in the best interest of the holders of Asset
Secured Obligations. 
 SECTION 3.4 Application of Proceeds. 
 (a) The Collateral Trustee will apply the Proceeds of any collection, sale, foreclosure or other realization upon any Stock Collateral in the following
order of application: 
 FIRST, to the payment of all amounts payable under this Agreement on account of the Collateral
Trustee’s reasonable and documented fees, legal fees, costs and expenses or other liabilities of any kind reasonably incurred by the Collateral Trustee or any co-trustee or agent of the Collateral Trustee in connection with any Stock Lien
Security Document; 
 SECOND, to the respective First-Priority Stock Lien Representatives for application to the payment of
all outstanding First-Priority Stock Secured Debt and any other First-Priority Stock Secured Obligations that are then due and payable in such order as may be provided in the First-Priority Stock Lien Documents in an amount sufficient to 

  

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pay in full in cash all outstanding First-Priority Stock Secured Debt and all other First-Priority Stock Secured Obligations that are then due and payable
(including all interest accrued thereon after the commencement of any Insolvency or Liquidation Proceeding at the rate, including any applicable post-default rate, specified in the First-Priority Stock Lien Documents, even if such interest is not
enforceable, allowable or allowed as a claim in such proceeding, and including the discharge or cash collateralization (at the lower of (1) 105% of the aggregate undrawn amount and (2) the percentage of the aggregate undrawn amount
required for release of Liens under the terms of the applicable First-Priority Stock Lien Document) of all outstanding letters of credit, if any, constituting First-Priority Stock Secured Debt); 
 THIRD, to the respective Junior Stock Lien Representatives for application to the payment of all outstanding Junior Stock Secured Debt and
any other Junior Stock Secured Obligations that are then due and payable in such order as may be provided in the Junior Stock Lien Documents in an amount sufficient to pay in full in cash all outstanding Junior Stock Secured Debt and all other
Junior Stock Secured Obligations that are then due and payable (including, to the extent legally permitted, all interest accrued thereon after the commencement of any Insolvency or Liquidation Proceeding at the rate, including any applicable
post-default rate, specified in the Junior Stock Lien Documents, even if such interest is not enforceable, allowable or allowed as a claim in such proceeding, and including the discharge or cash collateralization (at the lower of (1) 105% of
the aggregate undrawn amount and (2) the percentage of the aggregate undrawn amount required for release of Liens under the terms of the applicable Junior Stock Lien Document) of all outstanding letters of credit, if any, constituting Junior
Stock Secured Debt); and 
 FOURTH, any surplus remaining after the payment in full in cash of amounts described in the
preceding clauses will be paid to the Company or the applicable Pledgor, as the case may be, its successors or assigns, or as a court of competent jurisdiction may direct. 
 (b) If any Junior Stock Lien Representative or any holder of a Junior Stock Secured Obligation collects or receives any Proceeds of such foreclosure,
collection or other enforcement prior to written notice that all First-Priority Stock Secured Obligations have been paid in full in accordance with Section 3.4(a) above, whether after the commencement of an Insolvency or Liquidation Proceeding
or otherwise, such Junior Stock Lien Representative or such holder of a Junior Stock Secured Obligation, as the case may be, will forthwith deliver the same to the Collateral Trustee, for the account of the holders of such First-Priority Stock
Secured Obligations, to be applied in accordance with Section 3.4(a). Until so delivered, such Proceeds will be segregated and held by that Junior Stock Lien Representative or that holder of a Junior Stock Secured Obligation, as the case may
be, in trust for the benefit of the holders of the First-Priority Stock Secured Obligations. 
 (c) The Collateral Trustee will apply the
Proceeds of any collection, sale, foreclosure or other realization upon any Asset Collateral and the Proceeds of any title insurance policy required under any First-Priority Asset Lien Document or Junior Asset Lien Document in the following order of
application: 
  

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 FIRST, to the payment of all amounts payable under this Agreement on account of the
Collateral Trustee’s reasonable and documented fees, legal fees, costs and expenses or other liabilities of any kind reasonably incurred by the Collateral Trustee or any co-trustee or agent of the Collateral Trustee in connection with any Asset
Lien Security Document; 
 SECOND, to the respective First-Priority Asset Lien Representatives for application to the payment
of all outstanding First-Priority Asset Secured Debt and any other First-Priority Asset Secured Obligations that are then due and payable in such order as may be provided in the First-Priority Asset Lien Documents in an amount sufficient to pay in
full in cash all outstanding First-Priority Asset Secured Debt and all other First-Priority Asset Secured Obligations that are then due and payable (including all interest accrued thereon after the commencement of any Insolvency or Liquidation
Proceeding at the rate, including any applicable post-default rate, specified in the First-Priority Asset Lien Documents, even if such interest is not enforceable, allowable or allowed as a claim in such proceeding, and including the discharge or
cash collateralization (at the lower of (1) 105% of the aggregate undrawn amount and (2) the percentage of the aggregate undrawn amount required for release of Liens under the terms of the applicable First-Priority Asset Lien Document) of
all outstanding letters of credit, if any, constituting First-Priority Asset Secured Debt); 
 THIRD, to the respective Junior
Asset Lien Representatives for application to the payment of all outstanding Junior Asset Secured Debt and any other Junior Asset Secured Obligations that are then due and payable in such order as may be provided in the Junior Asset Lien Documents
in an amount sufficient to pay in full in cash all outstanding Junior Asset Secured Debt and all other Junior Asset Secured Obligations that are then due and payable (including, to the extent legally permitted, all interest accrued thereon after the
commencement of any Insolvency or Liquidation Proceeding at the rate, including any applicable post-default rate, specified in the Junior Asset Lien Documents, even if such interest is not enforceable, allowable or allowed as a claim in such
proceeding, and including the discharge or cash collateralization (at the lower of (1) 105% of the aggregate undrawn amount and (2) the percentage of the aggregate undrawn amount required for release of Liens under the terms of the
applicable Junior Asset Lien Document) of all outstanding letters of credit, if any, constituting Junior Asset Secured Debt); and 
 FOURTH, any surplus remaining after the payment in full in cash of amounts described in the preceding clauses will be paid to the Company or the applicable Pledgor, as the case may be, its successors or assigns, or as a court of competent
jurisdiction may direct. 
 (d) If any Junior Asset Lien Representative or any holder of a Junior Asset Secured Obligation collects or
receives any Proceeds of such foreclosure, collection or other enforcement prior to written notice that all First-Priority Asset Secured Obligations have been paid in full in accordance with Section 3.4(c) above, whether after the commencement
of an Insolvency or Liquidation Proceeding or otherwise, such Junior Asset Lien Representative or such holder of a Junior Asset Secured Obligation, as the case may be, will forthwith deliver the 

  

 39 

 
same to the Collateral Trustee, for the account of the holders of such First-Priority Asset Secured Obligations, to be applied in accordance with
Section 3.4(c). Until so delivered, such Proceeds will be segregated and held by that Junior Asset Lien Representative or that holder of a Junior Asset Secured Obligation, as the case may be, in trust for the benefit of the holders of the
First-Priority Asset Secured Obligations. 
 (e) This section 3.4 is intended for the benefit of, and will be enforceable as a third party
beneficiary by, each present and future holder of Secured Obligations, each present and future Secured Debt Representative and the Collateral Trustee as holder of Liens on the Collateral. The Secured Debt Representative of each future Series of
Secured Debt will be required to deliver a Collateral Trust Joinder including a lien sharing and priority confirmation as provided in Section 3.8 at the time of incurrence of such Series of Secured Debt. 
 (f) In connection with the application of Proceeds pursuant to Sections 3.4(a) and (c), except as otherwise directed by an Act of Required Stock Secured
Debtholders or an Act of Required Asset Secured Debtholders, as the case may be, the Collateral Trustee may sell any non-cash Proceeds for cash prior to the application of the Proceeds thereof. 
 SECTION 3.5 Powers of the Collateral Trustee. 
 (a) The Collateral Trustee is irrevocably authorized and empowered to enter into and perform its obligations and protect, perfect, exercise and enforce its interests, rights, powers and remedies under the Security Documents and applicable
law and in equity and to act as set forth in this Article 3 or as requested in any lawful directions given to it from time to time in respect of any matter by (i) an Act of Required Stock Secured Debtholders, if such matter relates to
Stock Collateral or (ii) an Act of Required Asset Secured Debtholders, if such matter relates to Asset Collateral. 
 (b) No Secured
Debt Representative or holder of Secured Obligations will have any liability whatsoever for any act or omission of the Collateral Trustee. 
 SECTION 3.6 Documents and Communications. 
 (a) The Collateral Trustee will permit each Stock Secured Debt Representative and
each holder of Stock Secured Obligations through its Stock Secured Debt Representative upon reasonable written notice from time to time to inspect and copy, at the cost and expense of the party requesting such copies, at such reasonable times during
normal business hours and only as often as may be reasonably desired, any and all Stock Lien Security Documents and other documents, notices, certificates, instructions or communications received by the Collateral Trustee in its capacity as such.

 (b) The Collateral Trustee will permit each Asset Secured Debt Representative and each holder of Asset Secured Obligations through its
Asset Secured Debt Representative upon reasonable written notice from time to time to inspect and copy, at the cost and expense of the party requesting such copies, at such reasonable times during normal business hours and only as often as may be
reasonably desired, any and all Asset Lien Security Documents and other documents, notices, certificates, instructions or communications received by the Collateral Trustee in its capacity as such. 
  

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 SECTION 3.7 For Sole and Exclusive Benefit of Holders of Secured Obligations. The Collateral
Trustee will accept, hold, administer and enforce all Liens on the Collateral at any time transferred or delivered to it and all other interests, rights, powers and remedies at any time granted to or enforceable by the Collateral Trustee and all
other property of the Trust Estates solely and exclusively for the benefit of the present and future holders of present and future Secured Obligations, and will distribute all Proceeds received by it in realization thereon or from enforcement
thereof solely and exclusively pursuant to the provisions of Section 3.4. 
 SECTION 3.8 Additional Secured Debt. 
 (a) The Collateral Trustee will, as trustee hereunder, perform its undertakings set forth in Section 3.1(a) with respect to each holder of Secured
Obligations of a Series of Secured Debt that is issued or incurred after the date hereof that: 
 (1) holds Secured
Obligations that are identified as First-Priority Stock Secured Debt, Junior Stock Secured Debt, First-Priority Asset Secured Debt or Junior Asset Secured Debt in accordance with the procedures set forth in Section 3.8(b); and 
 (2) signs, through its designated Secured Debt Representative identified pursuant to Section 3.8(b), a Collateral Trust Joinder and
delivers the same to the Collateral Trustee. 
 (b) The Company will be permitted to designate as an additional holder of Secured Obligations
hereunder each Person who is, or who becomes, the registered holder of First-Priority Stock Secured Debt, Junior Stock Secured Debt, First-Priority Asset Secured Debt or Junior Asset Secured Debt incurred by the Company or any other Pledgor after
the date of this Agreement in accordance with the terms of all applicable Secured Debt Documents. The Company may only effect such designation by delivering to the Collateral Trustee an Additional Secured Debt Designation: 
 (1) stating that the Company or such other Pledgor intends to incur additional Secured Debt (“Additional Secured
Debt”) which will either be (i) First-Priority Stock Secured Debt permitted by each applicable Stock Secured Debt Document to be secured by a First-Priority Stock Lien Equally and Ratably with all previously existing and
future First-Priority Stock Secured Debt, (ii) Junior Stock Secured Debt permitted by each applicable Stock Secured Debt Document to be secured with a Junior Stock Lien Equally and Ratably with all previously existing and future Junior Stock
Secured Debt, (iii) First-Priority Asset Secured Debt permitted by each applicable Asset Secured Debt Document to be secured by a First-Priority Asset Lien Equally and Ratably with all previously existing and future First-Priority Asset Secured
Debt or (iv) Junior Asset Secured Debt permitted by each applicable Asset Secured Debt Document to be secured with a Junior Asset Lien Equally and Ratably with all previously existing and future Junior Asset Secured Debt; 
 (2) specifying the name and address of the Secured Debt Representative for such series of Additional Secured Debt for purposes of
Section 7.7; and 
  

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 (3) stating the Company has caused a copy of the Additional Secured Debt Designation to
be delivered to (i) each then existing Stock Secured Debt Representative, if the Additional Secured Debt is Stock Secured Debt or (ii) each then existing Asset Secured Debt Representative, if the Additional Secured Debt is Asset Secured
Debt. 
 Although the Company shall be required to deliver a copy of each Additional Secured Debt Designation and each Collateral Trust Joinder to each then
existing Stock Secured Debt Representative, if the Additional Secured Debt is Stock Secured Debt, or each then existing Asset Secured Debt Representative, if the Additional Secured Debt is Asset Secured Debt, the failure to so deliver a copy of the
Additional Secured Debt Designation and/or Collateral Trust Joinder to any then existing Stock Secured Debt Representative or to any then existing Asset Secured Debt Representative, as the case may be, shall not affect the status of such debt as
Additional Secured Debt if the other requirements of this Section 3.8 are complied with. Each of the Collateral Trustee and the other then existing Stock Secured Debt Representatives or the other then existing Asset Secured Debt
Representatives, as the case may be, shall have the right to request that the Company use commercially reasonable efforts to provide a copy of any legal opinion of counsel provided to the holders of Additional Secured Debt or their Secured Debt
Representative as to the Additional Secured Debt being secured by a valid and perfected security interest; provided, however, that such legal opinion or opinions need not address any collateral of a type or located in a jurisdiction not
previously covered by any legal opinion delivered by or on behalf of the Company. Notwithstanding the foregoing, nothing in this Agreement will be construed to allow the Company or any other Pledgor to incur additional Debt unless otherwise
permitted by the terms of all applicable Secured Debt Documents. 
 ARTICLE 4. OBLIGATIONS ENFORCEABLE BY THE COMPANY AND THE OTHER PLEDGORS

 SECTION 4.1 Release of Liens on Collateral. 
 (a) The Collateral Trustee’s Liens upon the Stock Collateral will be released: 
 (1) in
whole, upon (A) payment in full and discharge of all outstanding Stock Secured Debt and all other Stock Secured Obligations that are outstanding, due and payable at the time all of the Stock Secured Debt is paid in full and discharged and
(B) termination or expiration of all commitments to extend credit under all Stock Secured Debt Documents and the cancellation or termination or cash collateralization (at the lower of (1) 105% of the aggregate undrawn amount and
(2) the percentage of the aggregate undrawn amount required for release of Liens under the terms of the applicable Stock Secured Debt Documents) of all outstanding letters of credit, if any, issued pursuant to any Stock Secured Debt Documents;

 (2) as to any Stock Collateral that is sold, transferred or otherwise disposed of by the Company or any other Pledgor
(including by way of merger or consolidation) to a Person that is not (either before or after such sale, transfer or disposition) the Company or a Guarantor in a transaction or other circumstance that does not violate Section 4.6 of each of the
Supplemental Indentures and is not prohibited by 

  

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any of the other Stock Secured Debt Documents, at the time of such sale, transfer or other disposition or to the extent of the interest sold, transferred or
otherwise disposed of; provided, that the Collateral Trustee’s Liens upon the Stock Collateral will not be released if the sale or disposition is subject to Section 801 of the Base Indenture or Section 9.4 of each of the
Supplemental Indentures; 
 (3) as to any Stock Collateral constituting pledged Capital Stock of a Subsidiary of the Company,
upon liquidation and dissolution of that Subsidiary in a transaction that is not prohibited by any of the Stock Secured Debt Documents; 
 (4) as to any Stock Collateral owned by a Guarantor, upon the release of that Guarantor from its Guarantee in accordance with the terms of the Stock Secured Debt Documents; 
 (5) as to a release of any or all of the Stock Collateral, if (A) consent to release of that Stock Collateral has been given by the
requisite percentage or number of holders of each Series of Stock Secured Debt at the time outstanding as provided for in the applicable Stock Secured Debt Documents and (B) the Company has delivered an Officers’ Certificate to the
Collateral Trustee certifying that any such necessary consents have been obtained; and 
 (6) as otherwise permitted by the
Indenture and each other Stock Secured Debt Document. 
 (b) The Collateral Trustee’s Liens upon the Asset Collateral will be released:

 (1) in whole, upon (A) payment in full and discharge of all outstanding Asset Secured Debt and all other Asset Secured
Obligations that are outstanding, due and payable at the time all of the Asset Secured Debt is paid in full and discharged and (B) termination or expiration of all commitments to extend credit under all Asset Secured Debt Documents and the
cancellation or termination or cash collateralization (at the lower of (1) 105% of the aggregate undrawn amount and (2) the percentage of the aggregate undrawn amount required for release of Liens under the terms of the applicable Asset
Secured Debt Documents) of all outstanding letters of credit issued pursuant to any Asset Secured Debt Documents; 
 (2) as to
any Asset Collateral that is sold, transferred or otherwise disposed of by the Company or any other Pledgor (including by way of merger or consolidation) to a Person that is not (either before or after such sale, transfer or disposition) the Company
or a Guarantor in a transaction or other circumstance that does not violate Section 4.6 of each of the Supplemental Indentures and is not prohibited by any of the other Asset Secured Debt Documents, at the time of such sale, transfer or other
disposition or to the extent of the interest sold, transferred or otherwise disposed of; provided, that the Collateral Trustee’s Liens upon the Asset Collateral will not be released if the sale or disposition is subject to
Section 801 of the Base Indenture or Section 9.4 of each of the Supplemental Indentures; 
  

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 (3) as to any Asset Collateral constituting pledged Capital Stock of a Subsidiary of the
Company, upon liquidation and dissolution of that Subsidiary in a transaction that is not prohibited by any of the Asset Secured Debt Documents; 
 (4) as to any Asset Collateral owned by a Guarantor, upon the release of that Guarantor from its Guarantee in accordance with the terms of the Asset Secured Debt Documents; 
 (5) as to a release of less than all or substantially all of the Asset Collateral, if consent to the release of all First-Priority Asset
Liens on such Asset Collateral has been given by an Act of Required Asset Secured Debtholders, in which case both the Collateral Trustee’s First-Priority Asset Lien and its Junior Asset Lien on such Asset Collateral will be released;

 (6) as to a release of all or substantially all of the Asset Collateral, if (A) consent to release of that Asset
Collateral has been given by the requisite percentage or number of holders of each Series of Asset Secured Debt at the time outstanding as provided for in the applicable Asset Secured Debt Documents and (B) the Company has delivered an
Officers’ Certificate to the Collateral Trustee certifying that any such necessary consents have been obtained; and 
 (7) as otherwise permitted by the Indenture and each other Asset Secured Debt Document. 
 (c) The Collateral Trustee agrees for the
benefit of the Company and the other Pledgors that if the Collateral Trustee at any time receives: 
 (1) an Officers’
Certificate stating that (A) each signing officer has read Article 4 of this Agreement and understands the provisions and the definitions relating hereto, (B) such officer has made such examination or investigation as is necessary to
enable him or her to express an informed opinion as to whether or not the conditions precedent in this Agreement and all other Secured Debt Documents, if any, relating to the release of the applicable Collateral have been complied with, (C) in
the opinion of such officer, such conditions precedent, if any, have been complied with and, if applicable, (D) in the opinion of such officer, each proposed instrument releasing such Lien as to such property is in recordable form; 

(2) the proposed instrument or instruments releasing such Lien as to such property in recordable form, if applicable (as certified in
the Officers’ Certificate contemplated in clause (1) above); and 
 (3) (i) in the case of any release pursuant
to Section 4.1(a), prior to the Discharge of First-Priority Stock Secured Obligations, the written confirmation of each First-Priority Stock Lien Representative (or, at any time after the Discharge of First-Priority Stock Secured Obligations,
each Junior Stock Lien Representative) (such confirmation to be given following receipt of, and based solely on, the Officers’ Certificate described in clause (1) above) that, in its view, such release is permitted by Section 4.1(a)
and the respective Stock Secured Debt Documents governing the Stock 

  

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Secured Obligations the holders of which such Stock Secured Debt Representative represents, or (ii) in the case of any release pursuant to
Section 4.1(b), prior to the Discharge of First-Priority Asset Secured Obligations, the written confirmation of each First-Priority Asset Lien Representative (or, at any time after the Discharge of First-Priority Asset Secured Obligations, each
Junior Asset Lien Representative) (such confirmation to be given following receipt of, and based solely on, the Officers’ Certificate described in clause (1) above) that, in its view, such release is permitted by Section 4.1(b) and
the respective Asset Secured Debt Documents governing the Asset Secured Obligations the holders of which such Asset Secured Debt Representative represents; 
 then the Collateral Trustee will execute (with such acknowledgements and/or notarizations as are required) and deliver such release to the Company or other applicable Pledgor on or before the later of (x) the date specified in such
request for such release and (y) the fifth Business Day after the date of receipt of the items required by this Section 4.1(c) by the Collateral Trustee. 
 (d) The Collateral Trustee hereby agrees that: 
 (1) in the case of any release pursuant to
clause (2) of Section 4.1(a) or Section 4.1(b), if the terms of any such sale, transfer or other disposition require the payment of the purchase price to be contemporaneous with the delivery of the applicable release, then, at the
written request of and at the expense of the Company or other applicable Pledgor, the Collateral Trustee will either (A) be present at and deliver the release at the closing of such transaction or (B) deliver the release under customary
escrow arrangements that permit such contemporaneous payment and delivery of the release; and 
 (2) at any time when a
Secured Debt Default under a Series of Secured Debt that constitutes Junior Asset Secured Debt has occurred and is continuing and the Collateral Trustee has received notice of such Secured Debt Default, promptly upon but in any event not more than
three (3) Business Days after the receipt by it of any Act of Required Asset Secured Debtholders pursuant to Section 4.1(b)(5), the Collateral Trustee will deliver a copy of any such Act of Required Asset Secured Debtholders to each Asset
Secured Debt Representative. 
 (e) Each Secured Debt Representative hereby agrees that: 
 (1) as soon as reasonably practicable after receipt of an Officers’ Certificate from the Company pursuant to Section 4.1(c)(1)
it will, to the extent required by such Section, either provide (A) the written confirmation required by Section 4.1(c)(3), (B) a written statement that such release is not permitted by Section 4.1(a) or Section 4.1(b), as
applicable, or (C) a request for further information from the Company reasonably necessary to determine whether the proposed release is permitted by Section 4.1(a) or Section 4.1(b), as applicable, and after receipt of such
information such Secured Debt Representative will as soon as reasonably practicable either provide the written confirmation or statement required pursuant to clause (A) or (B), as applicable; and 
  

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 (2) promptly upon but in any event not more than three (3) Business Days after the
receipt by it of any notice from the Collateral Trustee pursuant to Section 4.1(d)(2), such Secured Debt Representative will deliver a copy of such notice to each registered holder of the Series of Secured Debt for which it acts as Secured Debt
Representative. 
 SECTION 4.2 Delivery of Copies to Secured Debt Representatives. The Company will deliver to (i) each Stock
Secured Debt Representative, in the case of any release pursuant to Section 4.1(a) or (ii) each Asset Secured Debt Representative, in the case of a release pursuant to Section 4.1(b), a copy of each Officers’ Certificate
delivered to the Collateral Trustee pursuant to Section 4.1(c), together with copies of all documents delivered to the Collateral Trustee with such Officers’ Certificate. The Secured Debt Representatives receiving such copies will not be
obligated to take notice thereof or to act thereon, subject to Section 4.1(e). 
 SECTION 4.3 Collateral Trustee not Required to
Serve, File or Record. The Collateral Trustee is not required to serve, file, register or record any instrument releasing or subordinating its Liens on any Collateral; provided, however, that if the Company or any other Pledgor shall make
a written demand for a termination statement under Section 9-513(c) of the UCC, the Collateral Trustee shall comply with the written request of such Company or Pledgor to comply with the requirements of such UCC provision; provided,
further, that the Collateral Trustee must first confirm with the applicable Secured Debt Representatives that the requirements of such UCC provisions have been satisfied. 
 SECTION 4.4 Release of Liens in Respect of Notes. The Collateral Trustee’s First-Priority Stock Lien and, if applicable, First-Priority Asset
Lien will no longer secure any Series of Notes outstanding under the Indenture or any other Obligations in respect of such Series of Notes under the Indenture, and the right of the holders of such Series of Notes and such Obligations to the benefits
and Proceeds of the Collateral Trustee’s First-Priority Stock Lien on the Stock Collateral and First-Priority Asset Lien, if any, on the Asset Collateral will terminate and be discharged: 
 (1) upon satisfaction and discharge of the Indenture as set forth under Article Four of the Base Indenture; 
 (2) upon a Defeasance or Covenant Defeasance (each as defined under the Supplemental Indentures) of such Series of Notes as set forth
under Article Six of the applicable Supplemental Indenture; 
 (3) upon payment in full and discharge of all of such Series of
Notes outstanding under the Indenture and all Obligations in respect of such Series of Notes that are outstanding, due and payable under the Indenture at the time such Series of Notes are paid in full and discharged; or 
  

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 (4) in whole or in part, with the consent of the holders of the requisite percentage of
the Notes then outstanding in respect of such Series of Notes in accordance with Article Nine of the Base Indenture, as supplemented by Article Seven of the applicable Supplemental Indenture. 
 ARTICLE 5. IMMUNITIES OF THE COLLATERAL TRUSTEE 
 SECTION 5.1 No Implied Duty.
The Collateral Trustee will not have any fiduciary duties nor will it have responsibilities or obligations other than those expressly assumed by it in this Agreement and the other Security Documents. The Collateral Trustee will not be required to
take any action that is contrary to applicable law or any provision of this Agreement or the other Security Documents. 
 SECTION 5.2
Appointment of Agents and Advisors. The Collateral Trustee may execute any of the trusts or powers hereunder or perform any duties hereunder either directly or by or through agents, attorneys, accountants, appraisers or other experts or
advisors selected by it in good faith as it may reasonably require and will not be responsible for any misconduct or negligence on the part of any of them. 
 SECTION 5.3 Other Agreements. The Collateral Trustee has accepted and is bound by the Security Documents executed by the Collateral Trustee as of the date of this Agreement and, as directed by an
Act of Required Stock Secured Debtholders or an Act of Required Asset Secured Debtholders, as the case may be, the Collateral Trustee shall execute additional Stock Lien Security Documents or Asset Lien Security Documents, respectively,
delivered to it after the date of this Agreement; provided, however, that such additional Security Documents do not adversely affect the rights, privileges, benefits and immunities of the Collateral Trustee; provided, further, that the
Collateral Trustee may execute additional Security Documents without the direction of an Act of Required Stock Secured Debtholders or an Act of Required Asset Secured Debtholders if it is executing such additional Security Documents in its capacity
other than as Collateral Trustee. The Collateral Trustee will not otherwise be bound by, or be held obligated by, the provisions of any credit agreement, indenture or other agreement governing Secured Debt (other than this Agreement and the
other Security Documents). Each Security Document must contain an express statement that it is subject to this Agreement. 
 SECTION 5.4
Solicitation of Instructions. 
 (a) The Collateral Trustee may at any time solicit written confirmatory instructions, in the form of
an Act of Required Stock Secured Debtholders or an Act of Required Asset Secured Debtholders, as the case may be, an Officers’ Certificate or an order of a court of competent jurisdiction, as to any action that it may be requested or required
to take, or that it may propose to take, in the performance of any of its obligations under this Agreement or the other Security Documents. 
 (b) No written direction given to the Collateral Trustee by an Act of Required Stock Secured Debtholders or an Act of Required Asset Secured Debtholders that in the sole judgment of the Collateral Trustee imposes, purports to impose or
might reasonably be expected to impose upon the Collateral Trustee any obligation or liability not set forth in or arising under this Agreement and the other Security Documents will be binding upon the Collateral Trustee unless the Collateral
Trustee elects, at its sole option, to accept such direction. 
  

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 SECTION 5.5 Limitation of Liability. The Collateral Trustee will not be responsible or liable for
any action taken or omitted to be taken by it hereunder or under any other Security Document, except for its own negligence, bad faith or willful misconduct as determined by a court of competent jurisdiction. 
 SECTION 5.6 Documents in Satisfactory Form. The Collateral Trustee will be entitled to require that all agreements, certificates, opinions,
instruments and other documents at any time submitted to it, including those expressly provided for in this Agreement, be delivered to it in a form and with substantive provisions reasonably satisfactory to it. 
 SECTION 5.7 Entitled to Rely. The Collateral Trustee may seek and rely upon, and shall be fully protected in relying upon, any judicial order or
judgment, upon any advice, opinion or statement of legal counsel, independent consultants and other experts selected by it in good faith and upon any certification, instruction, notice or other writing delivered to it by the Company or any other
Pledgor in compliance with the provisions of this Agreement or delivered to it by any Secured Debt Representative as to the holders of Secured Obligations for whom it acts, without being required to determine the authenticity thereof or the
correctness of any fact stated therein or the propriety or validity of service thereof. The Collateral Trustee may act in reliance upon any instrument comporting with the provisions of this Agreement or any signature reasonably believed by it to be
genuine and may assume that any Person purporting to give notice or receipt or advice or make any statement or execute any document in connection with the provisions hereof or the other Security Documents has been duly authorized to do so. To the
extent an Officers’ Certificate or opinion of counsel is required or permitted under this Agreement to be delivered to the Collateral Trustee in respect of any matter, the Collateral Trustee may rely conclusively on an Officers’
Certificate or opinion of counsel as to such matter and such Officers’ Certificate or opinion of counsel shall be full warranty and protection to the Collateral Trustee for any action taken, suffered or omitted by it under the provisions of
this Agreement and the other Security Documents. 
 SECTION 5.8 Secured Debt Default. The Collateral Trustee will not be required to
inquire as to the occurrence or absence of any Secured Debt Default and will not be affected by or required to act upon any notice or knowledge as to the occurrence of any Secured Debt Default unless and until it is directed by an Act of Required
Stock Secured Debtholders or an Act of Required Asset Secured Debtholders, as the case may be. 
 SECTION 5.9 Actions by Collateral
Trustee. 
 (a) As to any matter not expressly provided for by this Agreement or the other Security Documents, the Collateral Trustee will
act or refrain from acting as directed by an Act of Required Stock Secured Debtholders or an Act of Required Asset Secured Debtholders, as the case may be, and will be fully protected if it does so, and any action taken, suffered or omitted pursuant
hereto or thereto shall be binding on the holders of the applicable Secured Obligations. 
  

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 (b) The Collateral Trustee shall not be obligated to execute any document whatsoever if in the sole
judgment of the Collateral Trustee such document imposes, purports to impose or might reasonably be expected to impose upon the Collateral Trustee any obligation or liability not set forth in or arising under this Agreement or any other Security
Document unless the Collateral Trustee elects, at its sole option, to execute such document. Notwithstanding anything to the contrary contained herein, in no event shall the Collateral Trustee be subject to any document that it has not executed.

 SECTION 5.10 Security or Indemnity in favor of the Collateral Trustee. The Collateral Trustee will not be required to advance or
expend any funds or otherwise incur any financial liability in the performance of its duties or the exercise of its powers or rights hereunder unless it has been provided with security or indemnity reasonably satisfactory to it against any and all
liability or expense which may be incurred by it by reason of taking or continuing to take such action. 
 SECTION 5.11 Rights of the
Collateral Trustee. In the event of any conflict between any terms and provisions set forth in this Agreement and those set forth in any other Security Document, the terms and provisions of this Agreement shall supersede and control the terms
and provisions of such other Security Document. In the event there is any bona fide, good faith disagreement between the other parties to this Agreement or any of the other Security Documents resulting in adverse claims being made in connection with
Collateral held by the Collateral Trustee and the terms of this Agreement or any of the other Security Documents do not unambiguously mandate the action the Collateral Trustee is to take or not to take in connection therewith under the circumstances
then existing, or the Collateral Trustee is in doubt as to what action it is required to take or not to take hereunder or under the other Security Documents, it will be entitled to refrain from taking any action (and will incur no liability for
doing so) until directed otherwise in writing by a request signed jointly by the parties hereto entitled to give such direction or by order of a court of competent jurisdiction. 
 In no event shall the Collateral Trustee be responsible or liable for any failure or delay in the performance of its obligations hereunder arising out of
or caused by, directly or indirectly, forces beyond its control, including, without limitation, strikes, work stoppages, accidents, acts of war or terrorism, civil or military disturbances, nuclear or natural catastrophes or acts of God, and
interruptions, loss or malfunctions of utilities, communications or computer (software and hardware) services; it being understood that the Collateral Trustee shall use reasonable efforts which are consistent with accepted practices in the banking
industry to resume performance as soon as practicable under the circumstances. 
 In no event shall the Collateral Trustee be responsible or
liable for special, indirect, or consequential loss or damage of any kind whatsoever (including, but not limited to, loss of profit) irrespective of whether the Collateral Trustee has been advised of the likelihood of such loss or damage and
regardless of the form of action. 
 The Collateral Trustee agrees to accept and act upon instructions or directions pursuant to this
Agreement sent by unsecured e-mail (in .pdf format), facsimile transmission or other similar unsecured electronic methods; provided, however, that (a) the party providing such written instructions, subsequent to such transmission of written
instructions, shall provide the originally 

  

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executed instructions or directions to the Collateral Trustee in a timely manner, and (b) such originally executed instructions or directions shall be
signed by an authorized representative of the party providing such instructions or directions. If the party elects to give the Collateral Trustee e-mail or facsimile instructions (or instructions by a similar electronic method) and the Collateral
Trustee in its discretion elects to act upon such instructions, the Collateral Trustee’s understanding of such instructions shall be deemed controlling. The Collateral Trustee shall not be liable for any losses, costs or expenses arising
directly or indirectly from the Collateral Trustee’s reliance upon and compliance with such instructions notwithstanding such instructions conflict or are inconsistent with a subsequent written instruction. The party providing electronic
instructions agrees to assume all risks arising out of the use of such electronic methods to submit instructions and directions to the Collateral Trustee, including without limitation the risk of the Collateral Trustee acting on unauthorized
instructions, and the risk or interception and misuse by third parties. 
 In acting under and by virtue of this Agreement and any Security
Document to which the Trustee is subject, the Trustee shall have all of the rights granted to it under the Indenture, all of which are incorporated by reference herein and therein, mutatis mutandis. Furthermore, in acting under this Agreement
or any Security Document, all of the rights, protections and immunities granted to the Trustee under the Indenture shall inure to the benefit of the Collateral Trustee hereunder and thereunder. 
 SECTION 5.12 Limitations on Duty of Collateral Trustee in Respect of Collateral. 
 (a) Beyond the exercise of reasonable care in the custody of Collateral in its possession, the Collateral Trustee will have no duty as to any Collateral
in its possession or control or in the possession or control of any agent or bailee or any income thereon or as to preservation of rights against prior parties or any other rights pertaining thereto and the Collateral Trustee will not be responsible
for filing any financing or continuation statements or recording any documents or instruments in any public office at any time or times or otherwise perfecting or maintaining the perfection of any Liens on the Collateral. The Collateral Trustee will
be deemed to have exercised reasonable care in the custody of the Collateral in its possession if the Collateral is accorded treatment substantially equal to that which it accords its own property, and the Collateral Trustee will not be liable or
responsible for any loss or diminution in the value of any of the Collateral by reason of the act or omission of any carrier, forwarding agency or other agent or bailee selected by the Collateral Trustee in good faith. 
 (b) The Collateral Trustee will not be responsible for the existence, genuineness or value of any of the Collateral or for the validity, perfection,
priority or enforceability of the Liens in any of the Collateral, whether impaired by operation of law or by reason of any action or omission to act on its part hereunder, except to the extent such action or omission constitutes negligence, bad
faith or willful misconduct on the part of the Collateral Trustee, for the validity or sufficiency of the Collateral or any agreement or assignment contained therein, for the validity of the title of any Pledgor to the Collateral, for insuring the
Collateral or for the payment of taxes, charges, assessments or Liens upon the Collateral or otherwise as to the maintenance of the Collateral. The preparation, filing and recordation of any and all financing statements and continuation statements
necessary to perfect any Liens on any 

  

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Collateral shall be the sole responsibility of the Pledgors, and the Collateral Trustee shall be under no obligation whatsoever to effect such filings. The
Collateral Trustee hereby disclaims any representation or warranty to the present and future holders of the Secured Obligations concerning the perfection of the Liens granted hereunder or in the value of any of the Collateral. 
 SECTION 5.13 Assumption of Rights, Not Assumption of Duties. Notwithstanding anything to the contrary contained herein: 
 (1) each of the parties thereto will remain liable under each of the Security Documents (other than this Agreement) to the extent set
forth therein to perform all of their respective duties and obligations thereunder to the same extent as if this Agreement had not been executed; 
 (2) the exercise by the Collateral Trustee of any of its rights, remedies or powers hereunder will not release such parties from any of their respective duties or obligations under the other Security Documents; and

 (3) the Collateral Trustee will not be obligated to perform any of the obligations or duties of any of the parties
thereunder other than the obligations and duties of the Collateral Trustee. 
 SECTION 5.14 No Liability for Clean Up of Hazardous
Materials. In the event that the Collateral Trustee is required or elects to acquire title to an asset for any reason, or take any managerial action of any kind in regard thereto, in order to carry out any fiduciary or trust obligation for the
benefit of another, which in the Collateral Trustee’s sole discretion may cause the Collateral Trustee to be considered an “owner or operator” under any environmental laws or otherwise cause the Collateral Trustee to incur, or be
exposed to, any environmental liability or any liability under any other federal, state or local law, the Collateral Trustee reserves the right, at any time, instead of taking such action, either to resign as Collateral Trustee or to arrange for the
transfer of the title or control of the asset to a court appointed receiver. The Collateral Trustee will not be liable to any Person for any environmental liability or any environmental claims or contribution actions under any federal, state or
local law, rule or regulation by reason of the Collateral Trustee’s actions and conduct as authorized, empowered and directed hereunder or relating to any kind of discharge or release or threatened discharge or release of any hazardous
materials into the environment. 
 ARTICLE 6. RESIGNATION AND REMOVAL OF THE COLLATERAL TRUSTEE 
 SECTION 6.1 Resignation or Removal of Collateral Trustee. The Collateral Trustee may (1) resign at any time by giving not less than 30
days’ notice of resignation to each Secured Debt Representative and the Company (except as otherwise permitted under Section 5.14) and (2) be removed at any time, with or without cause, by an Act of Required Debtholders. 

SECTION 6.2 Appointment of Successor Collateral Trustee. Upon any such resignation or removal, a successor Collateral Trustee may be appointed
by an Act of Required Debtholders subject to the consent of the Company. If no successor Collateral Trustee has been so appointed and accepted such appointment within 30 days after the predecessor Collateral Trustee gave notice of resignation or was
removed, the retiring Collateral Trustee may (at the 

  

 51 

 
expense of the Company), at its option, appoint a successor Collateral Trustee, or petition a court of competent jurisdiction for appointment of a successor
Collateral Trustee, which must be a bank or trust company: 
 (1) authorized to exercise corporate trust powers; 

(2) having a combined capital and surplus of at least $250,000,000; and 
 (3) maintaining an office in New York, New York. 
 If the Collateral Trustee notifies the Company and each Secured Debt Representative that no qualifying successor Collateral Trustee has accepted such appointment, then such resignation shall nonetheless become
effective in accordance with such notice and (1) the Collateral Trustee shall be discharged from its duties and obligations hereunder and under any other Secured Debt Document (except that in the case of any physical Collateral held by the
Collateral Trustee, the retiring Collateral Trustee shall continue to hold such Collateral as nominee on behalf of the holders of the Secured Obligations until such time as a successor Collateral Trustee is appointed) and (2) all payments,
communications and determinations provided to be made by, to or through the Collateral Trustee shall instead be made by or to each applicable Secured Debt Representative directly, until such time as an Act of Required Debtholders (subject to the
consent of the Company) appoints a successor Collateral Trustee. 
 SECTION 6.3 Succession. When the Person so appointed as successor
Collateral Trustee accepts such appointment: 
 (1) such Person will succeed to and become vested with all the rights, powers,
privileges and duties of the predecessor Collateral Trustee, and the predecessor Collateral Trustee will be discharged from its duties and obligations hereunder; and 
 (2) the predecessor Collateral Trustee will (at the expense of the Company) promptly transfer all Liens and collateral security and other
property of the Trust Estates within its possession or control to the possession or control of the successor Collateral Trustee and will execute instruments and assignments as may be necessary or desirable or reasonably requested by the successor
Collateral Trustee to transfer to the successor Collateral Trustee all Liens, interests, rights, powers and remedies of the predecessor Collateral Trustee in respect of the Security Documents or the Trust Estates. 
 Thereafter the predecessor Collateral Trustee will remain entitled to enforce the immunities granted to it in Article 5 and the provisions of Sections 7.10 and
7.11. 
 SECTION 6.4 Merger, Conversion or Consolidation of Collateral Trustee. Any Person into which the Collateral Trustee may be
merged or converted or with which it may be consolidated, or any Person resulting from any merger, conversion or consolidation to which the Collateral Trustee shall be a party, or any Person succeeding to the business of the Collateral Trustee shall
be the successor of the Collateral Trustee pursuant to Section 6.3, provided that (i) without the execution or filing of any paper with any party hereto or any further act on the part of any of the parties hereto, except where an
instrument of transfer or assignment is required by law to effect such succession, anything herein to the contrary notwithstanding, such Person 

  

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satisfies the eligibility requirements specified in clauses (1) through (3) of Section 6.2 and (ii) prior to any such merger, conversion
or consolidation, the Collateral Trustee shall have notified the Company and each Secured Debt Representative thereof in writing, it being understood that failure to so notify the Company and each Secured Debt Representative shall not disrupt the
succession of such Person as the successor Collateral Trustee if the other requirements in this Section 6.4 are complied with. 
 ARTICLE
7. MISCELLANEOUS PROVISIONS 
 SECTION 7.1 Amendment. 
 (a) Subject to Section 7.1(c), no amendment or supplement to the provisions of (1) any Stock Lien Security Document will be effective without the approval of the Collateral Trustee acting as directed by an
Act of Required Stock Secured Debtholders or (2) any Asset Lien Security Document will be effective without the approval of the Collateral Trustee acting as directed by an Act of Required Asset Secured Debtholders, except that: 
 (1) any amendment or supplement that has the effect solely of (i) adding or maintaining Collateral, securing additional Secured Debt
that was otherwise permitted by the terms of the Secured Debt Documents to be secured by the Collateral or preserving, perfecting or establishing the priority of the Liens thereon or the rights of the Collateral Trustee therein; (ii) curing any
ambiguity, defect or inconsistency; (iii) providing for the assumption of the Company’s or another Pledgor’s obligations under any Security Document in the case of a merger or consolidation or sale of all or substantially all of such
Pledgor’s assets, as applicable; (iv) releasing a Pledgor from a Security Document and the termination of such Security Document, all in accordance with the provisions of the credit agreement, indenture or other agreement governing such
release and termination; or (v) making any change that would provide any additional rights or benefits to the Secured Parties or the Collateral Trustee or that does not adversely affect the legal rights under the Indenture or any other Secured
Debt Document of any holder of Notes, any other Secured Party or the Collateral Trustee, will, in each case, become effective when executed and delivered by the Company or any other applicable Pledgor party thereto and the Collateral Trustee;

 (2) no amendment or supplement that reduces, impairs or adversely affects the right of any holder of Secured Obligations:

 (A) to vote its outstanding Secured Debt as to any matter described as subject to an Act of Required Stock Secured
Debtholders or an Act of Required Asset Secured Debtholders (or amends the provisions of this clause (2), the definition of “Act of Required Stock Secured Debtholders” or the definition of “Act of Required Asset Secured
Debtholders”), 
 (B) to share in the order of application described in Section 3.4 in the Proceeds of
enforcement of or realization on any Stock Collateral or any Asset Collateral, as the case may be, that has not been released in accordance with the provisions described in Section 4.1 or 
  

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 (C) to require that Liens securing Secured Obligations be released only as set forth in
the provisions described in Section 4.1, 
 will become effective without the consent of the requisite percentage or number of holders of each Series of
Secured Debt so affected under the applicable Secured Debt Documents; and 
 (3) no amendment or supplement that imposes any
obligation upon the Collateral Trustee or any Secured Debt Representative or adversely affects the rights of the Collateral Trustee or any Secured Debt Representative, respectively, in its capacity as such will become effective without the consent
of the Collateral Trustee or such Secured Debt Representative, respectively. 
 (b) Notwithstanding Section 7.1(a) but subject to
Sections 7.1(a)(2) and 7.1(a)(3): 
 (1) any Stock Lien Security Document that secures Junior Stock Secured Obligations (but
not First-Priority Stock Secured Obligations) may be amended or supplemented with the approval of the Collateral Trustee acting as directed in writing by the Required Junior Stock Secured Debtholders, unless such amendment or supplement would not be
permitted under the terms of this Agreement or the other First-Priority Stock Lien Documents; 
 (2) any amendment or waiver
of, or any consent under, any provision of this Agreement or any other Stock Lien Security Document that secures First-Priority Stock Secured Obligations will apply automatically to any comparable provision of any comparable Junior Stock Lien
Document without the consent of or notice to any holder of Junior Stock Secured Obligations and without any action by the Company or any other Pledgor or any holder of Junior Stock Secured Obligations; 
 (3) any mortgage or other Asset Lien Security Document that secures Junior Asset Secured Obligations (but not First-Priority Asset Secured
Obligations) may be amended or supplemented with the approval of the Collateral Trustee acting as directed in writing by the Required Junior Asset Secured Debtholders, unless such amendment or supplement would not be permitted under the terms of
this Agreement or the other First-Priority Asset Lien Documents; and 
 (4) any amendment or waiver of, or any consent under,
any provision of this Agreement or any other Asset Lien Security Document that secures First-Priority Asset Secured Obligations will apply automatically to any comparable provision of any comparable Junior Asset Lien Document without the consent of
or notice to any holder of Junior Asset Secured Obligations and without any action by the Company or any other Pledgor or any holder of Junior Asset Secured Obligations. 
 (c) Notwithstanding anything contained in this Agreement, without the consent of the holders of at least 75% in aggregate principal amount of any Series of Notes then outstanding (the “75%
Requirement”), an amendment, supplement, or waiver may not modify the Stock Lien Security Documents relating to such Series of Notes or any of the provisions of 

  

 54 

 
the Indenture dealing with the pledge of Stock Collateral or the application of trust moneys, or otherwise release any Stock Collateral securing such Series
of Notes, in any manner materially adverse to the holders of such Series of Notes other than in accordance with the Indenture, this Agreement and any other applicable Stock Lien Security Document; provided, however, that any such amendment,
supplement or waiver in furtherance of the terms of the Indenture shall not be subject to the 75% Requirement. 
 (d) The Collateral Trustee
will not enter into any amendment or supplement unless it has received an Officers’ Certificate and a certificate from an authorized officer of each Secured Debt Representative to the effect that such amendment or supplement will not result in
a breach of any provision or covenant contained in any of the Secured Debt Documents. Prior to executing any amendment or supplement pursuant to this Section 7.1, the Collateral Trustee will be entitled to receive an opinion of counsel of the
Company (which may be provided by internal counsel to the Company) to the effect that the execution of such document is authorized or permitted hereunder, and with respect to amendments adding Collateral, an opinion of counsel of the Company (which
may be provided by internal counsel to the Company) addressing customary perfection matters with respect to such additional Collateral (subject to customary qualifications and assumptions). 
 (e) The holders of Junior Lien Obligations and the Junior Lien Representatives agree that each Security Document that secures Junior Lien Obligations
will include the following language: 
 “Notwithstanding anything herein to the contrary, the lien and security interest granted to the
Collateral Trustee pursuant to this Agreement and the exercise of any right or remedy by such Collateral Trustee hereunder are subject to the provisions of the Collateral Trust Agreement, dated as of March 3, 2009, among Tenet Healthcare
Corporation, a Nevada corporation, the other Pledgors from time to time party thereto, The Bank of New York Mellon Trust Company, N.A., as Trustee under the Indenture (as defined therein), the other Secured Debt Representatives from time to time
party thereto and The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee (as amended, supplemented, amended and restated or otherwise modified and in effect from time to time, the “Collateral Trust Agreement”). In
the event of any conflict between the terms of the Collateral Trust Agreement and this Agreement, the terms of the Collateral Trust Agreement will govern.” 
 ; provided, however, that if the jurisdiction in which any such Junior Asset Lien Document or any Junior Stock Lien Document will be filed prohibits the inclusion of the language above or would prevent a document containing such
language from being recorded, the Junior Lien Representatives and the First-Priority Lien Representatives agree, prior to such Junior Asset Lien Document or Junior Stock Lien Document being entered into, to negotiate in good faith replacement
language stating that the lien and security interest granted under such Junior Asset Lien Document or Junior Stock Lien Document is subject to the provisions of this Agreement. 
 SECTION 7.2 Voting. In connection with any matter under this Agreement requiring a vote of holders of Secured Debt, each Series of Secured Debt
will cast its votes in accordance with the Secured Debt Documents governing such Series of Secured Debt. The amount of Secured Debt to be voted by a Series of Secured Debt will equal (1) the aggregate principal 

  

 55 

 
amount of Secured Debt held by such Series of Secured Debt (including outstanding letters of credit whether or not then available or drawn), plus
(2) other than in connection with an exercise of remedies, the aggregate unfunded commitments to extend credit which, when funded, would constitute Debt of such Series of Secured Debt. Following and in accordance with the outcome of the
applicable vote under its Secured Debt Documents, the Secured Debt Representative of each Series of Secured Debt will cast all of its votes as a block in respect of any vote under this Agreement. 
 SECTION 7.3 Further Assurances; Insurance. 
 (a) The Company and each of the other Pledgors will do or cause to be done all acts and things that may be required, or that the Collateral Trustee from time to time may reasonably request, to assure and confirm that the Collateral Trustee
holds, for the benefit of the holders of Secured Obligations, duly created and enforceable and perfected Liens upon the Collateral (including any property or assets that are acquired or otherwise become Collateral after the date hereof), in each
case as contemplated by, and with the Lien priority required under, the Secured Debt Documents. 
 (b) Upon the reasonable request of the
Collateral Trustee or any Secured Debt Representative at any time and from time to time, the Company and each of the other Pledgors will promptly execute, acknowledge and deliver such security documents, instruments, certificates, notices and other
documents, and take such other actions as may be reasonably required, or that the Collateral Trustee may reasonably request, to create, perfect, protect, assure or enforce the Liens and benefits intended to be conferred, in each case as contemplated
by the Secured Debt Documents for the benefit of holders of Secured Obligations. 
 (c) Upon the incurrence by the Company or the other
Pledgors of Asset Secured Debt, and in the event the Asset Collateral in respect of such Asset Secured Debt consists of real property or tangible personal property other than Capital Stock, the Company and the other Pledgors will maintain such
insurance as may be required by the Asset Lien Security Documents. 
 (d) All insurance policies required by Section 7.3(c) above will:

 (1) provide that, with respect to third party liability insurance, the holders of Asset Secured Obligations, as a class,
shall be named as additional insureds, with a waiver of subrogation; 
 (2) name the Collateral Trustee as a loss payee and
additional insured; 
 (3) provide that (x) no cancellation or termination of such insurance and (y) no reduction in
the limits of liability of such insurance or other material change shall be effective until 30 days (10 days in the case of failure to pay premium) after written notice is given by the insurers to the Collateral Trustee of such cancellation,
termination, reduction or change; 
 (4) waive all claims for insurance premiums or commissions or additional premiums or
assessments against the Asset Secured Parties; and 
  

 56 

 (5) waive any right of the insurers to setoff or counterclaim or to make any other
deductions, whether by way of attachment or otherwise, as against the Asset Secured Parties. 
 (f) Upon the request of the Collateral
Trustee, the Company and the other Pledgors will permit the Collateral Trustee or any of its agents or representatives, at reasonable times and intervals upon reasonable prior notice, to visit their offices and sites and inspect any of the Asset
Collateral and to discuss matters relating to the Asset Collateral with their respective officers and independent public accountants. The Company and the other Pledgors shall, at any reasonable time and from time to time upon reasonable prior
notice, permit the Collateral Trustee or any of its agents or representatives to examine and make copies of and abstracts from the records and books of account of the Company and the other Pledgors and their Subsidiaries in respect of the Asset
Collateral, all at the Company’s expense. 
 SECTION 7.4 Perfection of Junior Trust Estates. 
 (a) Solely for purposes of perfecting the Liens of the Collateral Trustee in its capacity as agent of the holders of Junior Stock Secured Obligations and
the Junior Stock Lien Representatives in any portion of the Junior Stock Secured Trust Estate in the possession or control of the Collateral Trustee (or its agents or bailees) as part of the First-Priority Stock Secured Trust Estate, the Collateral
Trustee, the holders of First-Priority Stock Secured Obligations and the First-Priority Stock Lien Representatives hereby acknowledge that the Collateral Trustee also holds such property as (1) agent for the benefit of the holders of any Series
of Junior Stock Secured Debt in respect of which the Collateral Trustee serves as Junior Stock Lien Representative or (2) bailee for the benefit of the holders of any Series of Junior Stock Secured Debt in respect of which the Collateral
Trustee does not serve as Junior Stock Lien Representative. 
 (b) Solely for purposes of perfecting the Liens of the Collateral Trustee in
its capacity as agent of the holders of Junior Asset Secured Obligations and the Junior Asset Lien Representatives in any portion of the Junior Asset Secured Trust Estate in the possession or control of the Collateral Trustee (or its agents or
bailees) as part of the First-Priority Asset Secured Trust Estate including, without limitation, any instruments, goods, negotiable documents, tangible chattel paper, electronic chattel paper, certificated securities, money, deposit accounts and
securities accounts, the Collateral Trustee, the holders of First-Priority Asset Secured Obligations and the First-Priority Asset Lien Representatives hereby acknowledge that the Collateral Trustee also holds such property as (1) agent for the
benefit of the holders of any Series of Junior Asset Secured Debt in respect of which the Collateral Trustee serves as Junior Asset Lien Representative or (2) bailee for the benefit of the holders of any Series of Junior Asset Secured Debt in
respect of which the Collateral Trustee does not serve as Junior Asset Lien Representative. 
 SECTION 7.5 Successors and Assigns.

 (a) Except as provided in Section 5.2, the Collateral Trustee may not, in its capacity as such, delegate any of its duties or assign
any of its rights hereunder, and any attempted delegation or assignment of any such duties or rights will be null and void. All 

  

 57 

 
obligations of the Collateral Trustee hereunder in respect of Stock Collateral will inure to the sole and exclusive benefit of, and be enforceable by, each
Stock Secured Debt Representative and each present and future holder of Stock Secured Obligations, each of whom will be entitled to enforce this Agreement as a third-party beneficiary hereof, and all of their respective successors and assigns. All
obligations of the Collateral Trustee hereunder in respect of Asset Collateral will inure to the sole and exclusive benefit of, and be enforceable by, each Asset Secured Debt Representative and each present and future holder of Asset Secured
Obligations, each of whom will be entitled to enforce this Agreement as a third-party beneficiary hereof, and all of their respective successors and assigns. 
 (b) Neither the Company nor any other Pledgor may delegate any of its duties or assign any of its rights hereunder, and any attempted delegation or assignment of any such duties or rights will be null and void. All
obligations of the Company and the other Pledgors hereunder will inure to the sole and exclusive benefit of, and be enforceable by, the Collateral Trustee and each Secured Debt Representative, on behalf of itself and on behalf of each present and
future holder of Secured Obligations, each of whom will be entitled to enforce this Agreement as a third-party beneficiary hereof, and all of their respective successors and assigns. 
 SECTION 7.6 Delay and Waiver. No failure to exercise, no course of dealing with respect to the exercise of, and no delay in exercising, any right,
power or remedy arising under this Agreement or any of the other Security Documents will impair any such right, power or remedy or operate as a waiver thereof. No single or partial exercise of any such right, power or remedy will preclude any other
or future exercise thereof or the exercise of any other right, power or remedy. The remedies herein are cumulative and are not exclusive of any remedies provided by law. 
 SECTION 7.7 Notices. Any communications, including notices and instructions, between the parties hereto or notices provided herein to be given may be given to the following addresses: 
  

			
	If to the Collateral Trustee:	  	The Bank of New York Mellon Trust Company, N.A.
		  	700 South Flower Street, Suite 500
		  	Los Angeles, CA 90017
		  	Attn: Corporate Unit
		  	Fax: (213) 630-6298
		
	If to the Company or any other Pledgor:	  	Tenet Healthcare Corporation
		  	13737 Noel Road
		  	Dallas, TX 75240
		  	Attn: General Counsel
		  	Fax: (469) 893-3582
		
	If to the Trustee:	  	The Bank of New York Mellon Trust Company, N.A.
		  	700 South Flower Street, Suite 500
		  	Los Angeles, CA 90017
		  	Attn: Corporate Unit
		  	Fax: (213) 630-6298

 and if to any other Secured Debt Representative, to such address as it may specify by written notice to the
parties named above. 
  

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 All notices and communications will be mailed by first class mail, certified or registered, return
receipt requested, or by overnight air courier guaranteeing next day delivery, to the relevant address set forth above or, as to any holder of Secured Debt, to its Secured Debt Representative. To the extent applicable, any notice or communication
will also be so mailed to any Person described in § 313(c) of the Trust Indenture Act of 1939, as amended, to the extent required thereunder. Failure to mail a notice or communication to a holder of Secured Debt or any defect in it will
not affect its sufficiency with respect to other holders of Secured Debt. 
 If a notice or communication is mailed in the manner provided
above within the time prescribed, it is duly given, whether or not the addressee receives it. 
 SECTION 7.8 Notice Following Discharge of
First-Priority Lien Obligations. 
 (a) Promptly following the Discharge of First-Priority Stock Secured Obligations with respect to one
or more Series of First-Priority Stock Secured Debt, each First-Priority Stock Lien Representative with respect to each applicable Series of First-Priority Stock Secured Debt that is so discharged will provide written notice of such discharge to the
Collateral Trustee and to each other Stock Secured Debt Representative. 
 (b) Promptly following the Discharge of First-Priority Asset
Secured Obligations with respect to one or more Series of First-Priority Asset Secured Debt, each First-Priority Asset Lien Representative with respect to each applicable Series of First-Priority Asset Secured Debt that is so discharged will provide
written notice of such discharge to the Collateral Trustee and to each other Asset Secured Debt Representative. 
 SECTION 7.9 Entire
Agreement. This Agreement states the complete agreement of the parties relating to the undertaking of the Collateral Trustee set forth herein and supersedes all oral negotiations and prior writings in respect of such undertaking. 
 SECTION 7.10 Compensation; Expenses. The Pledgors jointly and severally agree to pay, promptly upon demand: 
 (1) such compensation to the Collateral Trustee and its agents as the Company and the Collateral Trustee may agree in writing from time to
time; 
 (2) all reasonable costs and expenses incurred by the Collateral Trustee and its agents in the preparation,
execution, delivery, filing, recordation, administration or enforcement of this Agreement or any other Security Document or any consent, amendment, waiver or other modification relating hereto or thereto; 
  

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 (3) all reasonable fees, expenses and disbursements of legal counsel and any auditors,
accountants, consultants or appraisers or other professional advisors and agents engaged by the Collateral Trustee or any Secured Debt Representative incurred in connection with the negotiation, preparation, closing, administration, performance or
enforcement of this Agreement and the other Security Documents or any consent, amendment, waiver or other modification relating hereto or thereto and any other document or matter requested by the Company or any other Pledgor; 
 (4) all reasonable costs and expenses incurred by the Collateral Trustee and its agents in creating, perfecting, preserving, releasing or
enforcing the Collateral Trustee’s Liens on the Collateral, including filing and recording fees, expenses and taxes, stamp or documentary taxes, search fees, and title insurance premiums; 
 (5) all other reasonable costs and expenses incurred by the Collateral Trustee and its agents in connection with the negotiation,
preparation and execution of the Security Documents and any consents, amendments, waivers or other modifications thereto and the transactions contemplated thereby or the exercise of rights or performance of obligations by the Collateral Trustee
thereunder; and 
 (6) after the occurrence of any Secured Debt Default, all costs and expenses incurred by the Collateral
Trustee or its agents in connection with the preservation, collection, foreclosure or enforcement of Stock Collateral or Asset Collateral, as applicable, subject to the Stock Lien Security Documents or the Asset Lien Security Documents,
respectively, or any interest, right, power or remedy of the Collateral Trustee or in connection with the proof, protection, administration or resolution of any claim based upon the Stock Secured Obligations or the Asset Secured Obligations, as
applicable, in any Insolvency or Liquidation Proceeding, including all fees and disbursements of attorneys, accountants, auditors, consultants, appraisers and other professionals engaged by the Collateral Trustee or its agents. 
 The agreements in this Section 7.10 will survive repayment of all other Secured Obligations and the removal or resignation of the Collateral Trustee. 
 SECTION 7.11 Indemnity. 
 (a) The
Pledgors jointly and severally agree to defend, indemnify, pay and hold harmless the Collateral Trustee and each of its Affiliates and each and all of the directors, officers, partners, trustees, employees, attorneys and agents, and (in each case)
their respective heirs, representatives, successors and assigns (each of the foregoing, an “Indemnitee”) from and against any and all Indemnified Liabilities; provided, no Indemnitee will be entitled to
indemnification hereunder with respect to any Indemnified Liability to the extent such Indemnified Liability is found by a final and nonappealable decision of a court of competent jurisdiction to have resulted from the gross negligence or willful
misconduct of such Indemnitee. 
 (b) All amounts due under this Section 7.11 will be payable upon demand. 
  

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 (c) To the extent that the undertakings to defend, indemnify, pay and hold harmless set forth in
Section 7.11(a) may be unenforceable in whole or in part because they violate any law or public policy, each of the Pledgors will contribute the maximum portion that it is permitted to pay and satisfy under applicable law to the payment and
satisfaction of all Indemnified Liabilities incurred by Indemnitees or any of them. 
 (d) No Pledgor will ever assert any claim against any
Indemnitee, on any theory of liability, for any lost profits or special, indirect or consequential damages or (to the fullest extent a claim for punitive damages may lawfully be waived) any punitive damages arising out of, in connection with, or as
a result of, this Agreement, any other Stock Secured Debt Document, any other Asset Secured Debt Document or any agreement or instrument or transaction contemplated hereby or relating in any respect to any Indemnified Liability, and each of the
Pledgors hereby forever waives, releases and agrees not to sue upon any claim for any such lost profits or special, indirect, consequential or (to the fullest extent lawful) punitive damages, whether or not accrued and whether or not known or
suspected to exist in its favor. 
 (e) The agreements in this Section 7.11 will survive repayment of all other Secured Obligations and
the removal or resignation of the Collateral Trustee. 
 SECTION 7.12 Severability. If any provision of this Agreement is invalid,
illegal or unenforceable in any respect or in any jurisdiction, the validity, legality and enforceability of such provision in all other respects and of all remaining provisions, and of such provision in all other jurisdictions, will not in any way
be affected or impaired thereby. 
 SECTION 7.13 Headings. Section headings herein have been inserted for convenience of reference
only, are not to be considered a part of this Agreement and will in no way modify or restrict any of the terms or provisions hereof. 
 SECTION 7.14 Obligations Secured. All obligations of the Pledgors set forth in or arising under this Agreement will be Secured Obligations and are secured by all Liens granted by the Security Documents. 
 SECTION 7.15 Governing Law. THE INTERNAL LAW OF THE STATE OF NEW YORK WILL GOVERN AND BE USED TO CONSTRUE THIS AGREEMENT WITHOUT GIVING EFFECT TO
APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 
 SECTION 7.16 Consent to Jurisdiction. All judicial proceedings brought against any party hereto arising out of or relating to this Agreement or any of the other Security Documents may be brought in any state or federal court of
competent jurisdiction in the State, County and City of New York. By executing and delivering this Agreement, each Pledgor, for itself and in connection with its properties, irrevocably: 
 (1) accepts generally and unconditionally the nonexclusive jurisdiction and venue of such courts; 
  

 61 

 (2) waives any defense of forum non conveniens; 
 (3) agrees that service of all process in any such proceeding in any such court may be made by registered or certified mail, return
receipt requested, to such party at its address provided in accordance with Section 7.7; 
 (4) agrees that service as
provided in clause (3) above is sufficient to confer personal jurisdiction over such party in any such proceeding in any such court and otherwise constitutes effective and binding service in every respect; and 
 (5) agrees that each party hereto retains the right to serve process in any other manner permitted by law or to bring proceedings against
any party in the courts of any other jurisdiction. 
 SECTION 7.17 Waiver of Jury Trial. Each party to this Agreement waives its
rights to a jury trial of any claim or cause of action based upon or arising under this Agreement or any of the other Security Documents or any dealings between them relating to the subject matter of this Agreement or the intents and purposes of the
other Security Documents. The scope of this waiver is intended to be all-encompassing of any and all disputes that may be filed in any court and that relate to the subject matter of this Agreement and the other Security Documents, including contract
claims, tort claims, breach of duty claims and all other common law and statutory claims. Each party to this Agreement acknowledges that this waiver is a material inducement to enter into a business relationship, that each party hereto has already
relied on this waiver in entering into this Agreement, and that each party hereto will continue to rely on this waiver in its related future dealings. Each party hereto further warrants and represents that it has reviewed this waiver with its legal
counsel and that it knowingly and voluntarily waives its jury trial rights following consultation with legal counsel. This waiver is irrevocable, meaning that it may not be modified either orally or in writing (other than by a mutual written waiver
specifically referring to this Section 7.17 and executed by each of the parties hereto), and this waiver will apply to any subsequent amendments, renewals, supplements or modifications of or to this Agreement or any of the other Security
Documents or to any other documents or agreements relating thereto. In the event of litigation, this Agreement may be filed as a written consent to a trial by the court. 
 SECTION 7.18 Counterparts. This Agreement may be executed in any number of counterparts (including by facsimile or electronic transmission in .pdf format), each of which when so executed and delivered will be
deemed an original, but all such counterparts together will constitute but one and the same instrument. 
 SECTION 7.19 Effectiveness.
This Agreement will become effective upon the execution of a counterpart hereof by each of the parties hereto and receipt by each party of written notification of such execution and written or telephonic authorization of delivery thereof.

 SECTION 7.20 Additional Pledgors. The Company will cause each Person that becomes a Pledgor or is required by any Secured Debt
Document to become a party to this 

  

 62 

 
Agreement to become a party to this Agreement, for all purposes of this Agreement, by causing such Person to execute and deliver to the Collateral Trustee a
Collateral Trust Joinder stating either that (1) the Collateral Trust Joinder is being executed and delivered pursuant to such Person’s obligations under a Stock Secured Debt Document, (2) the Collateral Trust Joinder is being
executed and delivered pursuant to such Person’s obligations under an Asset Secured Debt Document or (3) the Collateral Trust Joinder is being executed and delivered pursuant to such Person’s obligations under a Stock Secured Debt
Document and an Asset Secured Debt Document, whereupon such Person will be bound by the terms hereof to the same extent as if it had executed and delivered this Agreement as of the date hereof. The Company shall promptly provide each Stock Secured
Debt Representative with a copy of each Collateral Trust Joinder executed and delivered pursuant to a Stock Secured Debt Document and this Section 7.20, and the Company shall promptly provide each Asset Secured Debt Representative with a copy
of each Collateral Trust Joinder executed and delivered pursuant to an Asset Secured Debt Document and this Section 7.20; provided, however, that the failure to so deliver a copy of the Collateral Trust Joinder to any then existing Stock
Secured Debt Representative or any then existing Asset Secured Debt Representative, as the case may be, shall not affect the inclusion of such Person as a Pledgor if the other requirements of this Section 7.20 are complied with. 
 SECTION 7.21 Continuing Nature of this Agreement. 
 (a) This Agreement, including the subordination provisions hereof, will be reinstated if at any time any payment or distribution in respect of any of the First-Priority Lien Obligations is rescinded or must otherwise
be returned in an Insolvency or Liquidation Proceeding or otherwise by any holder of First-Priority Lien Obligations or First-Priority Lien Representative or any representative of any such party (whether by demand, settlement, litigation or
otherwise). 
 (b) In the event that all or any part of a payment or distribution made with respect to the First-Priority Stock Secured
Obligations is recovered from any holder of First-Priority Stock Secured Obligations or any First-Priority Stock Lien Representative in an Insolvency or Liquidation Proceeding or otherwise, and any holder of Junior Stock Secured Obligations or
Junior Stock Lien Representative with respect to the Junior Stock Secured Obligations receives a payment or distribution from the Proceeds of any Stock Collateral at any time after the date of the payment or distribution that is so recovered,
whether pursuant to a right of subrogation or otherwise, that Junior Stock Lien Representative or that holder of a Junior Stock Secured Obligation, as the case may be, will forthwith deliver the same to the Collateral Trustee, for the account of the
holders of the First-Priority Stock Secured Obligations, to be applied in accordance with Section 3.4. Until so delivered, such Proceeds will be segregated and held by that Junior Stock Lien Representative or that holder of a Junior Stock
Secured Obligation, as the case may be, in trust for the benefit of the holders of the First-Priority Stock Secured Obligations. 
 (c) In
the event that all or any part of a payment or distribution made with respect to the First-Priority Asset Secured Obligations is recovered from any holder of First-Priority Asset Secured Obligations or any First-Priority Asset Lien Representative in
an Insolvency or Liquidation Proceeding or otherwise, and any holder of Junior Asset Secured Obligations or Junior Asset Lien Representative with respect to the Junior Asset Secured 

  

 63 

 
Obligations receives a payment or distribution from the Proceeds of any Asset Collateral or any title insurance policy required by any real property mortgage
at any time after the date of the payment or distribution that is so recovered, whether pursuant to a right of subrogation or otherwise, that Junior Asset Lien Representative or that holder of a Junior Asset Secured Obligation, as the case may be,
will forthwith deliver the same to the Collateral Trustee, for the account of the holders of the First-Priority Asset Secured Obligations, to be applied in accordance with Section 3.4. Until so delivered, such Proceeds will be segregated and
held by that Junior Asset Lien Representative or that holder of a Junior Asset Secured Obligation, as the case may be, in trust for the benefit of the holders of the First-Priority Asset Secured Obligations. 
 (d) The provisions of this Section 7.21 will survive repayment of the Secured Obligations and termination of this Agreement. 
 SECTION 7.22 Insolvency. This Agreement will be applicable both before and after the commencement of any Insolvency or Liquidation Proceeding by
or against any Pledgor. The relative rights, as provided for in this Agreement, will continue after the commencement of any such Insolvency or Liquidation Proceeding on the same basis as prior to the date of the commencement of any such case, as
provided in this Agreement. 
 SECTION 7.23 Rights and Immunities of Secured Debt Representatives. The Trustee will be entitled to all
of the rights, protections, immunities and indemnities set forth in the Indenture and any future Secured Debt Representative will be entitled to all of the rights, protections, immunities and indemnities set forth in the credit agreement, indenture
or other agreement governing the applicable Secured Debt with respect to which such Person will act as representative, in each case as if specifically set forth herein. In no event will any Secured Debt Representative be liable for any act or
omission on the part of the Pledgors or the Collateral Trustee hereunder. 
 [Signature pages follow] 
  

 64 

 IN WITNESS WHEREOF, the parties hereto have caused this Collateral Trust Agreement to be executed by
their respective officers or representatives as of the day and year first above written. 
  

			
	TENET HEALTHCARE CORPORATION
		
	By:	 	 /s/    Biggs C. Porter

	Name:	 	Biggs C. Porter
	Title:	 	Chief Financial Officer
	
	AMERICAN MEDICAL (CENTRAL), INC.
	AMI INFORMATION SYSTEMS GROUP, INC.
	AMISUB (HEIGHTS), INC.
	AMISUB (HILTON HEAD), INC.
	AMISUB (SFH), INC.
	AMISUB (TWELVE OAKS), INC.
	AMISUB OF TEXAS, INC.
	BROOKWOOD HEALTH SERVICES, INC.
	CORAL GABLES HOSPITAL, INC.
	CYPRESS FAIRBANKS MEDICAL CENTER, INC.
	FMC ACQUISITION, INC.
	FMC MEDICAL, INC.
	LIFEMARK HOSPITALS, INC.
	MCF, INC.
	ORNDA HOSPITAL CORPORATION
	TENET CALIFORNIA, INC.
	TENET FLORIDA, INC.
	TENET HEALTHSYSTEM CFMC, INC.
	TENET HEALTHSYSTEM HEALTHCORP
	TENET HEALTHSYSTEM HOLDINGS, INC.
	TENET HEALTHSYSTEM MEDICAL, INC.
	TENET HEALTHSYSTEM PHILADELPHIA, INC.
	TENET HOSPITALS, INC.
	TENET LOUISIANA, INC.
	TENET MISSOURI, INC.
	TENET PHYSICIAN SERVICES—HILTON HEAD, INC.
	TENET TEXAS, INC.
	TENETSUB TEXAS, INC.
		
	By:	 	 /s/    Jeffrey S. Sherman

	Name:	 	Jeffrey S. Sherman
	Title:	 	Treasurer

  

 S-1 

			
	THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as Trustee under the Indenture
		
	By:	 	 /s/    Melonee Young

	Name:	 	Melonee Young
	Title:	 	Vice President
	
	THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as Collateral Trustee
		
	By:	 	 /s/    Melonee Young

	Name:	 	Melonee Young
	Title:	 	Vice President

  

 S-2 

 EXHIBIT A 
 to Collateral Trust Agreement 
 [FORM OF] 
 ADDITIONAL SECURED DEBT DESIGNATION 
 Reference is made to the Collateral Trust
Agreement dated as of March 3, 2009 (as amended, supplemented, amended and restated or otherwise modified and in effect from time to time, the “Collateral Trust Agreement”) among Tenet Healthcare
Corporation, a Nevada corporation (the “Company”), the other Pledgors from time to time party thereto, The Bank of New York Mellon Trust Company, N.A., as Trustee under the Indenture (as defined therein), the
other Secured Debt Representatives from time to time party thereto and The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee. Capitalized terms used but not otherwise defined herein shall have the meaning set forth in the Collateral
Trust Agreement. This Additional Secured Debt Designation is being executed and delivered in order to designate additional secured debt as either First-Priority Stock Secured Debt, Junior Stock Secured Debt, First-Priority Asset Secured Debt or
Junior Asset Secured Debt entitled to the benefit of the Collateral Trust Agreement. 
 The undersigned, the duly appointed [specify
title] of the Company hereby certifies on behalf of the Company that: 
 (A) [insert name of the Company or other
Pledgor] intends to incur additional Secured Debt (“Additional Secured Debt”) which will be [select appropriate alternative] [First-Priority Stock Secured Debt permitted by each applicable Stock
Secured Debt Document to be secured by a First-Priority Stock Lien Equally and Ratably with all previously existing and future First-Priority Stock Secured Debt] [Junior Stock Secured Debt permitted by each applicable Stock Secured Debt Document to
be secured with a Junior Stock Lien Equally and Ratably with all previously existing and future Junior Stock Secured Debt] [First-Priority Asset Secured Debt permitted by each applicable Asset Secured Debt Document to be secured by a First-Priority
Asset Lien Equally and Ratably with all previously existing and future First-Priority Asset Secured Debt] [Junior Asset Secured Debt permitted by each applicable Asset Secured Debt Document to be secured with a Junior Asset Lien Equally and Ratably
with all previously existing and future Junior Asset Secured Debt]; 
 (B) the name and address of the Secured Debt
Representative for the Additional Secured Debt for purposes of Section 7.7 of the Collateral Trust Agreement is: 
  

			
	  

	
	  

		
	Telephone:	 	  

			
		
	Fax:	 	  

 EXHIBIT A 

 (C) the Company has caused a copy of this Additional Secured Debt Designation to be
delivered to each existing [Stock Secured Debt Representative] [Asset Secured Debt Representative]. 
 [Signature page follows]

 EXHIBIT A 

 IN WITNESS WHEREOF, the Company has caused this Additional Secured Debt Designation to be duly executed
by the undersigned officer as of                                 ,
20    . 
  

			
	Tenet Healthcare Corporation
		
	By:	 	  

	Name:	 	  

	Title:	 	  

 ACKNOWLEDGEMENT OF RECEIPT 
 The undersigned, the duly appointed Collateral Trustee under the Collateral Trust Agreement, hereby acknowledges receipt of an executed copy of this Additional Secured
Debt Designation. 
  

			
	 The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee

		
	By:	 	  

	Name:	 	  

	Title:	 	  

  

 S-1 

 EXHIBIT B 
 to Collateral Trust Agreement 
 [FORM OF] 
 COLLATERAL TRUST JOINDER – ADDITIONAL SECURED DEBT 
 Reference is made to
the Collateral Trust Agreement dated as of March 3, 2009 (as amended, supplemented, amended and restated or otherwise modified and in effect from time to time, the “Collateral Trust Agreement”) among Tenet
Healthcare Corporation, a Nevada corporation (the “Company”), the other Pledgors from time to time party thereto, The Bank of New York Mellon Trust Company, N.A., as Trustee under the Indenture (as defined
therein), the other Secured Debt Representatives from time to time party thereto and The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee. Capitalized terms used but not otherwise defined herein shall have the meaning set forth in
the Collateral Trust Agreement. This Collateral Trust Joinder is being executed and delivered pursuant to Section 3.8 of the Collateral Trust Agreement as a condition precedent to the debt for which the undersigned is acting as agent being
entitled to the benefits of being Additional Secured Debt under the Collateral Trust Agreement. 
 1. Joinder. The undersigned,
                                        ,
a                                         
(the “New Representative”) as [trustee, administrative agent] under that certain [describe applicable indenture, credit agreement or other document governing the Additional Secured Debt] hereby agrees to become party as [a
First-Priority Stock Lien Representative] [a Junior Stock Lien Representative] [a First-Priority Asset Lien Representative] [a Junior Asset Lien Representative] under the Collateral Trust Agreement for all purposes thereof on the terms set forth
therein, and to be bound by the terms of the Collateral Trust Agreement as fully as if the undersigned had executed and delivered the Collateral Trust Agreement as of the date thereof. 
 2. Lien Sharing and Priority Confirmation. 
 [Option A: to be used if Additional Secured Debt is First-Priority Stock Secured Debt] The undersigned New Representative, on behalf of itself and each holder of Obligations in respect of the Series of First-Priority Stock
Secured Debt for which the undersigned is acting as First-Priority Stock Lien Representative hereby agrees, for the enforceable benefit of all holders of each existing and future Series of First-Priority Stock Secured Debt and Junior Stock Secured
Debt, each existing and future Junior Stock Lien Representative, each other existing and future First-Priority Stock Lien Representative and each existing and future holder of Permitted Prior Stock Liens and as a condition to being treated as Stock
Secured Debt under the Collateral Trust Agreement that: 
 (a) all First-Priority Stock Secured Obligations will be and are
secured Equally and Ratably by all First-Priority Stock Liens at any time granted by the Company or any other Pledgor to secure any Obligations in respect of any Series of First-Priority Stock Secured Debt, whether or not upon property otherwise
constituting collateral for such Series of First-Priority Stock Secured Debt, and 
 EXHIBIT B 

 
that all such First-Priority Stock Liens will be enforceable by the Collateral Trustee for the benefit of all holders of First-Priority Stock Secured
Obligations Equally and Ratably; 
 (b) the New Representative and each holder of Obligations in respect of the Series of
First-Priority Stock Secured Debt for which the undersigned is acting as First-Priority Stock Lien Representative are bound by the provisions of this Agreement, including the provisions relating to the ranking of First-Priority Stock Liens and the
order of application of Proceeds from the enforcement of First-Priority Stock Liens; and 
 (c) the Collateral Trustee shall
perform its obligations under the Collateral Trust Agreement and the other Security Documents. [or] 
 [Option B: to be used if Additional Secured
Debt is Junior Stock Secured Debt] The undersigned New Representative, on behalf of itself and each holder of Obligations in respect of the Series of Junior Stock Secured Debt for which the undersigned is acting as Junior Stock Lien
Representative hereby agrees, for the enforceable benefit of all holders of each existing and future Series of First-Priority Stock Secured Debt and Junior Stock Secured Debt, each existing and future First-Priority Stock Lien Representative, each
other existing and future Junior Stock Lien Representative and each existing and future holder of Permitted Prior Stock Liens and as a condition to being treated as Stock Secured Debt under the Collateral Trust Agreement that: 
 (a) all Junior Stock Secured Obligations will be and are secured Equally and Ratably by all Junior Stock Liens at any time granted by the
Company or any other Pledgor to secure any Obligations in respect of any Series of Junior Stock Secured Debt, whether or not upon property otherwise constituting collateral for such Series of Junior Stock Secured Debt, and that all such Junior Stock
Liens will be enforceable by the Collateral Trustee for the benefit of all holders of Junior Stock Secured Obligations Equally and Ratably; 
 (b) the New Representative and each holder of Obligations in respect of the Series of Junior Stock Secured Debt for which the undersigned is acting as Junior Stock Lien Representative are bound by the provisions of
this Agreement, including the provisions relating to the ranking of Junior Stock Liens and the order of application of Proceeds from the enforcement of Junior Stock Liens; and 
 (c) the Collateral Trustee shall perform its obligations under the Collateral Trust Agreement and the other Security Documents. [or]

 [Option C: to be used if Additional Secured Debt is First-Priority Asset Secured Debt] The undersigned New Representative,
on behalf of itself and each holder of Obligations in respect of the Series of First-Priority Asset Secured Debt for which the undersigned is acting as First-Priority Asset Lien Representative hereby agrees, for the enforceable benefit of all
holders of each existing and future Series of First-Priority Asset Secured Debt and Junior Asset Secured Debt, each existing and future Junior Asset Lien Representative, each other existing and future First-Priority Asset Lien Representative and
each existing and future holder of Permitted Prior 
 EXHIBIT B 

 
Asset Liens and as a condition to being treated as Asset Secured Debt under the Collateral Trust Agreement that: 
 (a) all First-Priority Asset Secured Obligations will be and are secured Equally and Ratably by all First-Priority Asset Liens at any time
granted by the Company or any other Pledgor to secure any Obligations in respect of any Series of First-Priority Asset Secured Debt, whether or not upon property otherwise constituting collateral for such Series of First-Priority Asset Secured Debt,
and that all such First-Priority Asset Liens will be enforceable by the Collateral Trustee for the benefit of all holders of First-Priority Asset Secured Obligations Equally and Ratably; 
 (b) the New Representative and each holder of Obligations in respect of the Series of First-Priority Asset Secured Debt for which the
undersigned is acting as First-Priority Asset Lien Representative are bound by the provisions of this Agreement, including the provisions relating to the ranking of First-Priority Asset Liens and the order of application of Proceeds from the
enforcement of First-Priority Asset Liens; and 
 (c) the Collateral Trustee shall perform its obligations under the
Collateral Trust Agreement and the other Security Documents. [or] 
 [Option D: to be used if Additional Secured Debt is Junior Asset Secured
Debt] The undersigned New Representative, on behalf of itself and each holder of Obligations in respect of the Series of Junior Asset Secured Debt for which the undersigned is acting as Junior Asset Lien Representative hereby agrees, for the
enforceable benefit of all holders of each existing and future Series of First-Priority Asset Secured Debt and Junior Asset Secured Debt, each existing and future First-Priority Asset Lien Representative, each other existing and future Junior Asset
Lien Representative and each existing and future holder of Permitted Prior Asset Liens and as a condition to being treated as Asset Secured Debt under the Collateral Trust Agreement that: 
 (a) all Junior Asset Secured Obligations will be and are secured Equally and Ratably by all Junior Asset Liens at any time granted by the
Company or any other Pledgor to secure any Obligations in respect of any Series of Junior Asset Secured Debt, whether or not upon property otherwise constituting collateral for such Series of Junior Asset Secured Debt, and that all such Junior Asset
Liens will be enforceable by the Collateral Trustee for the benefit of all holders of Junior Asset Secured Obligations Equally and Ratably; 
 (b) the New Representative and each holder of Obligations in respect of the Series of Junior Asset Secured Debt for which the undersigned is acting as Junior Asset Lien Representative are bound by the provisions of
this Agreement, including the provisions relating to the ranking of Junior Asset Liens and the order of application of Proceeds from the enforcement of Junior Asset Liens; and 
 (c) the Collateral Trustee shall perform its obligations under the Collateral Trust Agreement and the other Security Documents.

 EXHIBIT B 

 3. Governing Law and Miscellaneous Provisions. The provisions of Article 7 of the Collateral
Trust Agreement will apply with like effect to this Collateral Trust Joinder. 
 [Signature page follows] 
 EXHIBIT B 

 IN WITNESS WHEREOF, the undersigned has caused this Collateral Trust Joinder to be executed by its
officer or representative as of                     , 20    . 
  

			
	[INSERT NAME OF THE NEW REPRESENTATIVE]
		
	By:	 	  

	Name:	 	  

	Title:	 	  

 The Collateral Trustee hereby acknowledges receipt of this Collateral Trust Joinder and agrees to act as
Collateral Trustee for the New Representative and the holders of the Obligations represented thereby: 
  

			
	The Bank of New York Mellon Trust Company,     N.A., as Collateral Trustee
		
	By:	 	  

	Name:	 	  

	Title:	 	  

  

 S-1 

 EXHIBIT C 
 to Collateral Trust Agreement 
 [FORM OF] 
 COLLATERAL TRUST JOINDER – ADDITIONAL PLEDGOR 
 Reference is made to the
Collateral Trust Agreement dated as of March 3, 2009 (as amended, supplemented, amended and restated or otherwise modified and in effect from time to time, the “Collateral Trust Agreement”) among Tenet
Healthcare Corporation, a Nevada corporation (the “Company”), the other Pledgors from time to time party thereto, The Bank of New York Mellon Trust Company, N.A., as Trustee under the Indenture (as defined
therein), the other Secured Debt Representatives from time to time party thereto and The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee. Capitalized terms used but not otherwise defined herein shall have the meaning set forth in
the Collateral Trust Agreement. This Collateral Trust Joinder is being executed and delivered pursuant to Section 7.20 of the Collateral Trust Agreement. 
 1. Joinder. The undersigned,
                                        ,
a                     , hereby agrees to become party as a Pledgor under the Collateral Trust Agreement for all purposes thereof on the terms
set forth therein, and to be bound by the terms of the Collateral Trust Agreement as fully as if the undersigned had executed and delivered the Collateral Trust Agreement as of the date thereof. This Collateral Trust Joinder is being executed and
delivered pursuant to the undersigned’s obligations under [a Stock Secured Debt Document] [and] [an Asset Secured Debt Document]. 
 2.
Governing Law and Miscellaneous Provisions. The provisions of Article 7 of the Collateral Trust Agreement will apply with like effect to this Collateral Trust Joinder. 
 [Signature page follows] 
 EXHIBIT C 

 IN WITNESS WHEREOF, [each of] the undersigned has caused this Collateral Trust Joinder to be executed by
its officer or representative as of                     , 20    . 
  

			
	[                                       
                                         
]
		
	By:	 	  

	Name:	 	  

	Title:	 	  

 The Collateral Trustee hereby acknowledges receipt of this Collateral Trust Joinder and agrees to act as
Collateral Trustee with respect to the Collateral pledged by the new Pledgor: 
  

			
	 The Bank of New York Mellon Trust Company, N.A., as Collateral Trustee

		
	By:	 	  

	Name:	 	  

	Title:	 	  

  

 S-1

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