Document:

EX-10.3

 Exhibit 10.3 

FORM OF QUORUM HEALTH CORPORATION 

SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 

January 1, 2016 

									
	 1.
	  	PURPOSE	  	 	1	  
			
	 2.
	  	DEFINITIONS AND CONSTRUCTION	  	 	1	  
				
		  	2.1	  	Definitions	  	 	1	  
				
		  	2.2	  	Captions; Section References	  	 	5	  
				
		  	2.3	  	Severability	  	 	5	  
			
	 3.
	  	ADMINISTRATION	  	 	5	  
				
		  	3.1	  	The Committee	  	 	5	  
				
		  	3.2	  	Authority of the Committee	  	 	5	  
				
		  	3.3	  	Decisions Binding	  	 	5	  
				
		  	3.4	  	Plan Administrator	  	 	5	  
				
		  	3.5	  	Costs and Expenses	  	 	5	  
				
		  	3.6	  	Indemnification	  	 	6	  
			
	 4.
	  	PARTICIPATION IN THE PLAN	  	 	6	  
				
		  	4.1	  	Notification of Participation	  	 	6	  
				
		  	4.2	  	Termination of Participation	  	 	6	  
			
	 5.
	  	BENEFITS UPON SEPARATION FROM SERVICE OR DEATH	  	 	6	  
				
		  	5.1	  	Normal Retirement Benefit	  	 	6	  
				
		  	5.2	  	Early Retirement Benefit	  	 	6	  
				
		  	5.3	  	Disability Benefit	  	 	7	  
				
		  	5.4	  	Death Benefit	  	 	7	  
			
	 6.
	  	BENEFITS UPON CHANGE IN CONTROL	  	 	7	  
				
		  	6.1	  	Change in Control Benefit	  	 	7	  
				
		  	6.2	  	Certain Terminations of Employment	  	 	7	  
			
	 7.
	  	BENEFICIARIES	  	 	8	  
			
	 8.
	  	RABBI TRUST	  	 	8	  
			
	 9.
	  	WITHHOLDING	  	 	8	  
			
	 10.
	  	MODIFICATION AND TERMINATION	  	 	8	  
				
		  	10.1	  	Amendment and Termination	  	 	8	  
				
		  	10.2	  	Effect on Participants	  	 	8	  
				
		  	10.3	  	No Obligation to Continue Plan	  	 	8	  
			
	 11.
	  	CLAIMS AND REVIEW PROCEDURES	  	 	8	  

  
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 TABLE OF CONTENTS 

(continued) 
  

									
	 	  	 	  	 	  	Page	 
			
	 12.
	  	MISCELLANEOUS PROVISIONS	  	 	9	  
				
		  	12.1	  	Non-Transferability	  	 	9	  
				
		  	12.2	  	Payment of Benefits	  	 	9	  
				
		  	12.3	  	No Rights of Employment	  	 	9	  
				
		  	12.4	  	Applicable Law	  	 	9	  
				
		  	12.5	  	Payment to Minors	  	 	9	  

 EXHIBIT A Participants and SERP Benefits 

  
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 QUORUM HEALTH CORPORATION 

SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 

WHEREAS, as of December 31, 2015, CHS/Community Health Systems, Inc. maintains the CHS/Community Health Systems, Inc. Amended and
Restated Supplemental Executive Retirement Plan (the “CHS Plan”); and 
 WHEREAS, the board of directors of
Community Health Systems, Inc. (“CHS”) has determined that it is appropriate and advisable to separate (i) thirty-eight (38) of CHS’s hospitals and related business operations and (ii) Quorum Health Resources,
LLC, a hospital management and consulting services business, from CHS’s other hospitals and businesses; and 
 WHEREAS,
to effectuate the foregoing, CHS and Quorum Health Corporation (“QHC” or the “Company”) have entered into a Separation and Distribution Agreement dated as of [•], 20[•] which provides for, among other
things, the contribution from CHS to QHC of certain assets, the assumption by QHC of certain liabilities from CHS, and the distribution by CHS of all of the common stock of QHC owned by CHS to CHS’s shareholders (the
“Distribution”); and 
 WHEREAS, CHS and QHC have entered into an Employee Matters Agreement that describes the
principal employment, compensation, equity award and employee benefit plan arrangements between CHS and QHC in connection with the Distribution (the “Employee Matters Agreement”); and 

WHEREAS, pursuant to the Employee Matters Agreement, QHC has agreed to establish this Quorum Health Corporation Supplemental Executive
Retirement Plan (this “Plan”) to be effective on January 1, 2016 (the “Effective Date”). 
 NOW,
THEREFORE, the Plan shall provide as follows: 
 1. Purpose. The purpose of this Plan is to provide retirement benefits for certain
officers and employees of the Company or its Subsidiaries who were eligible to receive benefits under the CHS Plan as of the Transition Date. 
 2.
Definitions and Construction. 
 2.1 Definitions. As used in the Plan, terms defined parenthetically
immediately after their use shall have the respective meanings provided by such definitions, and the following words and phrases shall have the meanings specified below (in either case, such terms shall apply equally to both the singular and plural
forms of the terms defined), unless a different meaning is plainly required by the context: 
 (a)
“Beneficiary” shall mean the person or persons designated by a Participant pursuant to Section 7 to receive the benefits to which a Participant is entitled upon the death of a Participant. 

(b) “Board” shall mean the Board of Directors of the Company. 

  
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 (c) “Change in Control” shall mean the occurrence of any of the following events
following the Distribution, but only to the extent such event would constitute a change in the ownership or effective control of the Company, or in the ownership of a substantial portion of the assets of the Company, as set forth in Code
Section 409A(a)(2)(A)(v) and defined in regulations promulgated by the U.S. Department of Treasury thereunder: 
 (1) An
acquisition (other than directly from the Company) of any voting securities of the Company (“Voting Securities”) by any Person (as the term person is used for purposes of Section 13(d) or 14(d) of the Securities Exchange Act of
1934, as amended (“Exchange Act”)) immediately after which such Person has Beneficial Ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of more than 50% of the then-outstanding shares of common
stock of the Company (“Shares”) or the combined voting power of the Company’s then-outstanding Voting Securities; provided, however, in determining whether a Change in Control has occurred pursuant to this
Section 2.1(e)(1), Shares or Voting Securities which are acquired in a Non-Control Acquisition (as hereinafter defined) shall not constitute an acquisition that would cause a Change in Control. A “Non-Control Acquisition” shall
mean an acquisition by (i) an employee benefit plan (or a trust forming a part thereof) maintained by the Company or any Subsidiary, or (ii) any Person in connection with a Non-Control Transaction (as hereinafter defined); 

(2) The individuals who, as of the date hereof, are members of the Board (“Incumbent Board”), cease for any reason to
constitute at least a majority of the members of the Board or, following a Merger (as hereinafter defined) that results in the Company having a Parent Corporation (as hereinafter defined), the board of directors of the ultimate Parent Corporation;
provided, however, that if the election, or nomination for election, by the Company’s common stockholders, of any new director was approved by a vote of at least two-thirds of the Incumbent Board, such new director shall, for purposes of the
Plan, be considered as a member of the Incumbent Board; provided further, however, that no individual shall be considered a member of the Incumbent Board if such individual initially assumed office as a result of either an actual or threatened
Election Contest (as described in Rule 14a-11 promulgated under the Exchange Act) or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other than the Board (“Proxy Contest”), including
by reason of any agreement intended to avoid or settle any Election Contest or Proxy Contest; or 
 (3) The consummation of:

 (A) A merger, consolidation or reorganization with or into the Company or in which securities of the Company are issued
(“Merger”), unless such Merger is a Non-Control Transaction. A Non-Control Transaction shall mean a Merger where: 
 (i)
the stockholders of the Company immediately before such Merger own, directly or indirectly, immediately following such Merger, at least 50% of the combined voting power of the outstanding voting securities of (x) the corporation resulting
from such Merger (“Surviving Corporation”), if 50% or more of the combined voting power of the then outstanding voting securities of the Surviving Corporation is not Beneficially Owned, directly or indirectly, by another Person
(“Parent Corporation”), or (y) if there are one or more Parent Corporations, the ultimate Parent Corporation; and 

  
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 (ii) the individuals who were members of the Incumbent Board immediately prior to the
execution of the agreement providing for such Merger, constitute at least a majority of the members of the board of directors of (x) the Surviving Corporation, if there is no Parent Corporation, or (y) if there are one or more Parent
Corporations, the ultimate Parent Corporation. 
 (B) A complete liquidation or dissolution of the Company; or 

(C) The sale or other disposition of all, or substantially all, of the assets of the Company to any Person (other than a transfer to a
Subsidiary or under conditions that would constitute a Non-Control Transaction with the disposition of assets being regarded as a Merger for this purpose or the distribution to the Company’s stockholders of the stock of a Subsidiary or any
other assets). 
 Notwithstanding the foregoing, a Change in Control shall not be deemed to occur solely because any Person
(“Subject Person”) acquired Beneficial Ownership of more than the permitted amount of the then-outstanding Shares or Voting Securities as a result of the acquisition of Shares or Voting Securities by the Company which, by reducing
the number of Shares or Voting Securities then-outstanding, increases the proportional number of shares Beneficially Owned by the Subject Person, provided that if a Change in Control would occur (but for the operation of this sentence) as a result
of the acquisition of Shares or Voting Securities by the Company, and after such share acquisition by the Company the Subject Person becomes the Beneficial Owner of any additional Shares or Voting Securities which increases the percentage of the
then-outstanding Shares or Voting Securities Beneficially Owned by the Subject Person, then a Change in Control shall occur. 
 (d)
“Change in Control SERP Benefit” with respect to a Participant, means the amount set forth opposite such Participant’s name under the column “Change in Control SERP Benefit” on the attached Exhibit A. 

(e) “Code” shall mean the Internal Revenue Code of 1986, as amended from time to time, or any successor thereto. 

(f) “Committee” shall mean the Compensation Committee of the Board. 

(g) “Company” shall have the meaning set forth in the Recitals. 

(h) “Disabled Participant” shall mean any Participant who Separates from Service by reason of being Totally and Permanently
Disabled. 
 (i) “Early Retirement Date” shall mean the date a Participant has been credited with at least five years
of Service and is at least 55 years old. 
 (j) “ERISA” shall mean the Employee Retirement Income Security Act
of 1974, as amended. 
 (k) “Key Employee” shall mean an employee (other than an Officer) of the Company or a
Subsidiary who is a Participant. 
 (l) “Normal Retirement Date” shall mean the day of a Participant’s 65th birthday. 

  
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 (m) “Officer” means any Participant who has been duly elected as an officer of
the Company by the Board. 
 (n) “Participant” shall mean any employee of the Company or any Subsidiary who is listed
on the attached Exhibit A. For the avoidance of doubt, any person who is not a Participant in this Plan on the Effective Date shall have no right to accrue any benefit under this Plan. 

(o) “Rabbi Trust” shall mean the trust to be established by the Company in accordance with the provisions of
Section 8. 
 (p) “Retired Participant” shall mean any Participant who has ceased to be an employee of
the Company or a Subsidiary and who is entitled to receive a benefit under Section 5 of the Plan. 
 (q) “Separation
from Service” or “Separate from Service” means a separation from service with the Company and each Subsidiary as set forth in Code Section 409A(a)(2)(A)(i) and defined in regulations promulgated by the U.S. Department of Treasury
thereunder, provided, however, that a Participant shall not be deemed to have Separated from Service on account of a leave of absence until the first date immediately following the end of a 29-month period of leave (if the employment relationship is
not terminated sooner) where such leave is due to any medically determinable physical or mental impairment that can be expected to result in death or can be expected to last for a continuous period of not less than six months and where such
impairment causes the Participant to be unable to perform the duties of his or her position of employment or any substantially similar position of employment.  

(r) “SERP Benefit” with respect to a Participant, means the amount set forth opposite such Participant’s name under the
column “SERP Benefit” on the attached Exhibit A. 
 (s) “Service” shall mean all years and completed months
of service with CHS or any subsidiary of CHS following the date the person became a participant in the CHS Plan.  
 (t)
“Specified Employee” means “specified employee” as defined in Code Section 409A(a)(2)(B)(i) and the regulations promulgated by the U.S. Department of Treasury thereunder. For purposes of the preceding sentence,
“specified employee” means a “key employee” of the Company as defined in Code Section 416(i) without regard to paragraph (5) thereof. A Participant shall be a “key employee” of the Company if the Participant
meets the requirements of Code Section 416(i)(1)(A)(i), (ii) or (iii) (applied in accordance with the regulations thereunder and disregarding Code Section 416(i)(5)) at any time during any 12-month period ending on
December 31 (the “Identification Date”). If a Participant is a “key employee” of the Company as of the Identification Date, the Participant shall be treated as a Specified Employee for the 12-month period beginning on the
first day of the fourth month following the Identification Date. 
 (u) “Subsidiary” shall mean, with respect to the
Company, any corporation or other entity of which a majority of its voting power, equity securities or equity interests is owned, directly or indirectly, by the Company. 

  
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 (v) “Total and Permanent Disability” shall mean a physical or mental condition
that renders a Participant eligible for disability benefits under the long-term disability insurance program in effect at the Company on the date of this amendment and restatement of the Plan, even if such Participant no longer participates in such
long-term disability program on the date such physical or mental condition occurs.  
 2.2 Captions;
Section References. Section titles or captions contained in the Plan are inserted only as a matter of convenience and reference, and in no way define, limit, extend or describe the scope of the Plan, or the intent of any provision hereof.
All references herein to Sections shall refer to Sections of the Plan unless the context clearly requires otherwise. 

2.3 Severability. If any provision of the Plan, or the application thereof to any person, entity or
circumstances, shall be invalid or unenforceable to any extent, the remainder of the Plan, and the application of such provision to other persons, entities or circumstances, shall not be affected thereby and the Plan shall be enforced to the
greatest extent permitted by law. 
 3. Administration. 

3.1 The Committee. The Plan shall be administered by the Committee. The Committee shall meet at such times
and places as it determines and may meet through a telephone conference call. 
 3.2 Authority of
the Committee. Subject to the provisions of the Plan, the Committee shall have full authority to: 
 (a)
Construe and interpret the Plan. 
 (b) Establish, amend and rescind rules and regulations for the Plan’s
administration. 
 (c) Make all other determinations which may be necessary or advisable for the administration of the Plan.

 To the extent permitted by law, the Committee may delegate its authority as identified hereunder. 

3.3 Decisions Binding. All determinations and decisions made by the Committee pursuant to the provisions of
the Plan, and all related orders or resolutions of the Board, shall be final, conclusive and binding upon all persons, including the Company, its stockholders, employees, Participants and their estates and Beneficiaries. 

3.4 Plan Administrator. For purposes of ERISA, the Committee is the Plan administrator. Any claim for
benefits under the Plan shall be made in writing to the Committee. The Committee and the claimant shall follow the claims procedures set forth in Department of Labor Regulation §2560.503-1. 

3.5 Costs and Expenses. In discharging its duties under the Plan, the Committee may employ such counsel,
accountants and consults as it deems necessary or appropriate. The Company shall pay all costs of such third parties and any other expenses incurred by the Committee with respect to the Plan. 

  
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 3.6 Indemnification. No member of the Committee, nor any
officer or employee acting on behalf of the Committee, the Company, or its Subsidiaries shall be personally liable for any action, determination or interpretation taken or made in good faith with respect to the Plan, and all members of the
Committee, and each and every officer or employee of the Company or its Subsidiaries acting on their behalf, shall, to the extent permitted by law, be fully indemnified and protected by the Company with respect to any such action, determination or
interpretation. 
 4. Participation in the Plan. 

4.1 Notification of Participation. Each Participant shall be notified that they are a Participant under the
Plan. 
 4.2 Termination of Participation. A Participant who ceases to be an Officer or a
Key Employee of the Company (as determined by the Committee), or who terminates employment with the Company and all Subsidiaries for any reason other than death or Total and Permanent Disability, shall not be entitled to any benefits hereunder
unless that change of status occurs after the Participant has reached their Early Retirement Date. 
 5. Benefits Upon Separation from
Service or Death. 
 5.1 Normal Retirement Benefit. A Participant (including, without limitation, a
Specified Employee) who has been credited with at least five years of Service and Separates from Service by reason of retirement on or after the Participant’s Normal Retirement Date shall receive a single lump-sum payment, on the day
immediately following the date that is six (6) months after the date of the Participant’s Separation from Service, in an amount that is equal to such Participant’s SERP Benefit as set forth on Exhibit A.  

If a Participant who has had a Separation from Service and is entitled to a Normal Retirement Benefit under this Section 5.1 dies prior to the date of
such payment, such payment shall be made, instead, to the Participant’s Beneficiary on the date that it otherwise would have been made to the Participant, or as soon as administratively feasible thereafter within the same taxable year (or, if
later, by the 15th day of the third calendar month following the date the payment otherwise would have been made to the Participant, provided that neither the Participant nor Beneficiary shall be permitted, directly or indirectly, to designate the
taxable year of payment). 
 5.2 Early Retirement Benefit. A Participant (including, without limitation, a
Specified Employee) who Separates from Service by reason of retirement after attaining age 55 and who has been credited with at least five years of Service shall receive a single lump-sum payment on the day immediately following the date that
is six (6) months after the date of the Participant’s Separation from Service, in an amount that is equal to such Participant’s SERP Benefit as set forth on Exhibit A. If a Participant who has had a Separation from Service and
is entitled to an Early Retirement Benefit under this Section 5.2 dies prior to the date of such payment, such payment shall be made, instead, to the Participant’s Beneficiary on the date that it otherwise would have been made to the
Participant, or as soon as administratively feasible thereafter within the same taxable year (or, if later, by the 15th day of the third calendar month following the date the payment otherwise would have been made to the Participant, provided that
neither the Participant nor Beneficiary shall be permitted, directly or indirectly, to designate the taxable year of payment). 

  
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 5.3 Disability Benefit. 

(a) A Disabled Participant (including, without limitation, a Specified Employee) shall receive a single lump-sum payment, on the later
of (i) the day immediately following the date that is six (6) months after the date of the Participant’s Separation from Service by reason of becoming Totally and Permanently Disabled, or (ii) the first day of the month following
the Participant’s 55th birthday, in an amount that is equal to such Participant’s SERP Benefit as set forth on Exhibit A. This benefit shall be payable at the time prescribed in
this Section 5.3(a) regardless of whether the Participant recovers from the disability before payment is due. 
 (b) If a
Disabled Participant dies before the payment of the benefit described in Section 5.3(a), a death benefit shall be payable to the Disabled Participant’s Beneficiary. Such death benefit shall be a single lump-sum payment equal to the
Participant’s SERP Benefit as set forth on Exhibit A. Such death benefit shall be paid to the Participant’s Beneficiary no later than ninety (90) days after the date of death (provided that neither the Participant nor
Beneficiary shall be permitted, directly or indirectly, to designate the taxable year of payment). 
 5.4 Death
Benefit. If a Participant who has been credited with five or more years of Service dies prior to incurring a Separation from Service, a single, lump-sum death benefit shall be paid to the deceased Participant’s Beneficiary. Such death
benefit shall be the Participant’s SERP Benefit as set forth on Exhibit A. Such death benefit shall be paid to the deceased Participant’s Beneficiary no later than ninety (90) days after the date of death (provided that neither
the Participant nor Beneficiary shall be permitted, directly or indirectly, to designate the taxable year of payment). 
 6. Benefits Upon
Change in Control. 
 6.1 Change in Control Benefit. In the event of a Change in Control, the benefit
of any Participant shall be paid out as soon as administratively feasible but no later than ninety (90) days after the Change in Control (provided that the Participant shall not be permitted, directly or indirectly, to designate the taxable
year of payment) in a single lump-sum payment in an amount that is equal to such Participant’s Change in Control SERP Benefit as set forth on Exhibit A. 

6.2 Certain Terminations of Employment. If a Participant’s employment is terminated by the Company prior to the date
of a Change in Control, but the Participant reasonably demonstrates to the satisfaction of the Committee that the termination (i) was at the request of a third party who has indicated an intention to, or has taken steps reasonably calculated
to, effect a Change in Control, or (ii) otherwise arose in connection with, or in anticipation of, a Change in Control which has been threatened or proposed, such termination shall be deemed to have occurred after a Change in Control for
purposes of the Plan, provided a Change in Control actually occurs. Such a Participant shall be entitled to receive the same benefits under the Plan as if the Participant had been an employee of the Company or a Subsidiary on the date the Change in
Control actually occurs. Notwithstanding the foregoing, no payment under this Section 6.4 shall be made before the date that is six (6) months after the date of the Participant’s actual Separation from Service. 

  
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 7. Beneficiaries. Each Participant shall have the right, by giving written notice to the Committee on such
form as the Committee shall adopt, to designate a Beneficiary or Beneficiaries to receive payments which become available under the Plan should the Participant die. A Participant may change the designated Beneficiary by filing a new beneficiary
designation form with the Committee. If a Participant dies and has not designated a Beneficiary, or if the Beneficiary predeceases the Participant, the estate of the deceased Participant shall be deemed to be the Beneficiary. 

8. Rabbi Trust. The Company may establish a Rabbi Trust with a commercial bank or other financial or trust institution of which the Company would be
considered the owner for Federal income tax purposes. If established, the Rabbi Trust will provide a source of funds to enable the Company to make payments to the Participants and their Beneficiaries pursuant to the terms of the Plan and will be
administered in a manner consistent with the requirements of Code Section 409A. Payments to which Participants are entitled under the terms of the Plan shall be paid out of the Rabbi Trust to the extent of the assets therein. The assets of the
Rabbi Trust will be subject to the claims of general creditors of the Company. 
 9. Withholding. The Company shall have the right to withhold from
the payments to be made to any Participant or Beneficiary hereunder all amounts required to be so withheld under applicable law. 
 10. Modification and
Termination. 
 10.1 Amendment and Termination. The Company reserves the right at any time, by action
of the Board, to modify or amend, in whole or in part, any or all of the provisions of the Plan, or to terminate the Plan. In the event of Plan termination, benefits shall be payable at the time and in the manner provided in Sections 5 and 6;
however, the Company may accelerate the time and form of payment pursuant to a termination and liquidation of the Plan in accordance with Code Section 409A and the regulations thereunder. 

10.2 Effect on Participants. Notwithstanding the provisions of Section 10.1, no amendment, modification
or termination of the Plan shall adversely affect: 
 (a) The SERP Benefit of any Participant, or the Beneficiary of any
Participant, who has Separated from Service or died prior thereto. 
 (b) The right of any Participant then employed by the
Company or a Subsidiary who has been credited with at least five years of Service to receive upon death, Separation from Service (including Separation from Service by reason of Total and Permanent Disability) or Change in Control, the benefit to
which such person would have been entitled under the Plan prior to the amendment, modification or termination, provided, however, that the Company may accelerate the time and form of payment pursuant to a termination and liquidation of the Plan in
accordance with Code Section 409A and the regulations thereunder. 
 10.3 No Obligation to Continue
Plan. Although it is the intention of the Company that the Plan shall be continued indefinitely, the Plan is entirely voluntary on the part of the Company, and the continuance of the Plan is not a contractual obligation of the Company.

 11. Claims and Review Procedures. The Committee shall establish and maintain reasonable procedures governing the filing of claims,
notification of benefit determinations, and appeal of adverse benefit determinations in accordance with applicable law. Such procedures shall provide for adequate notice in writing to any Participant or Beneficiary whose claim for 

  
 - 8 - 

 
benefits under the Plan has been denied, setting forth the specific reasons for such denial and written in a manner calculated to be understood by the Participant or Beneficiary. Such procedures
shall also afford a reasonable opportunity to any Participant or Beneficiary whose claim for benefits has been denied for a full and fair review by the Committee of the decision denying the claim. 

12. Miscellaneous Provisions. 

12.1 Non-Transferability. Neither the interest of a Participant or any other person in the Plan, nor the
benefits payable hereunder, shall be subject to the claim of creditors of a Participant or their Beneficiaries and will not be subject to attachment, garnishment or any other legal process. Neither a Participant nor a Beneficiary may assign, sell,
pledge or otherwise encumber any of their beneficial interest in the Plan, nor shall any such benefits be in any manner liable for, or subject to, the deeds, contracts, liabilities, engagements or torts of any Participant or their Beneficiary. All
such payments and rights thereto are expressly declared to be non-assignable and non-transferable, and in the event of any attempted assignment or transfer (whether voluntary or involuntary) by a Participant or a Beneficiary, the Company shall have
no further liability hereunder to such Participant or Beneficiary. 
 12.2 Payment of Benefits.
Although the Company may establish the Rabbi Trust to fund its obligations under the Plan, the rights of Participants and Beneficiaries to receive payments under the Plan shall constitute only a general claim against the Company and will not
be a lien or claim on any specific assets of the Company. 
 12.3 No Rights of Employment.
The Plan shall not be deemed to constitute a contract of employment between a Participant and the Company or a Subsidiary. Nothing contained in the Plan shall be deemed to give any Participant the right to be retained in the employment of
the Company or a Subsidiary. The Plan shall not interfere in any way with the Company’s or a Subsidiary’s right to discharge a Participant at any time, regardless of the effect which such discharge would have upon such Participant under
the Plan, and such actions by the Company or a Subsidiary in discharging any Participant shall not be deemed a breach of contract, nor give rise to any rights or actions in favor of such Participant. 

12.4 Applicable Law. The Plan shall be governed by, and construed in accordance with, the laws of the State
of Tennessee without regard to its conflict of laws rules. It is intended that the Plan be an unfunded plan maintained primarily for the purpose of providing deferred compensation for a select group of highly compensated employees of the Company. As
such, the Plan is intended to be exempt from certain otherwise applicable provisions of Title I of ERISA, and any ambiguities in construction shall be resolved in favor of an interpretation which will effectuate such intention. The Plan is intended
to comply with Code Section 409A and the Treasury Regulations promulgated thereunder as applicable to nonqualified deferred compensation plans and shall be construed in furtherance of such intent.  

12.5 Payment to Minors. In making any payment to or for the benefit of any minor or incompetent Beneficiary,
the Committee, in its sole, absolute and uncontrolled discretion, may, but need not, make such payment to a legal or natural guardian or other relative of such minor or court appointed committee of such incompetent, or to any adult with whom such
minor or incompetent temporarily or permanently resides, and the receipt by such guardian, committee, relative or other person shall be a complete discharge of the Company, without any responsibility on its part or on the part of the Committee to
see to the application thereof. 

  
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 IN WITNESS WHEREOF, the Company has caused the Plan to be executed by its duly authorized
officer effective the 1st day of January, 2016, the Board having previously approved the Plan. 
  

			
	QUORUM HEALTH CORPORATION
		
	By:	 	  

	Title:	 	  

  
 - 10 -EX-10.6

 Exhibit 10.6 
  

 
 FORM OF PARTICIPATION AGREEMENT 

 

			
	Participant Name:	  	QHCCS, LLC
		
	Effective Date:	  	The date of distribution of Quorum Health Corporation common stock

 TABLE OF CONTENTS 

 

							
	 1.
	 	 Definitions
	  	 	1	  
			
	 2.
	 	 Purchase of Products and Services; Facilities
	  	 	3	  
			
	 3.
	 	 Term and Custom Agreements
	  	 	5	  
			
	 4.
	 	 Covenants and Responsibilities of HealthTrust
	  	 	6	  
			
	 5.
	 	 Covenants and Responsibilities of Participant
	  	 	7	  
			
	 6.
	 	 HealthTrust Disclaimer, Company Release and Indemnification
	  	 	9	  
			
	 7.
	 	 GPO Fees, Rebates, and Global Sourcing Fees
	  	 	9	  
			
	 8.
	 	 Termination
	  	 	11	  
			
	 9.
	 	 Confidentiality
	  	 	13	  
			
	 10.
	 	 Limitation of Liability
	  	 	14	  
			
	 11.
	 	 Access to Books and Records
	  	 	15	  
			
	 12.
	 	 Audit Rights
	  	 	15	  
			
	 13.
	 	 Notices
	  	 	15	  
			
	 14.
	 	 Assignment
	  	 	16	  
			
	 15.
	 	 Entire Agreement
	  	 	16	  
			
	 16.
	 	 Severability
	  	 	16	  
			
	 17.
	 	 Governing Law; Consent to Jurisdiction
	  	 	17	  
			
	 18.
	 	 Waiver of Jury Trial
	  	 	17	  
			
	 19.
	 	 Counterparts; Means of Execution
	  	 	17	  
			
	 20.
	 	 Amendment
	  	 	18	  
			
	 21.
	 	 Data
	  	 	18	  
			
	 22.
	 	 No Third-Party Beneficiaries
	  	 	18	  
			
	 23.
	 	 Drug Enforcement Administration Registration Numbers
	  	 	18	  
			
	 24.
	 	 Name and Logos
	  	 	18	  
			
	 25.
	 	 Force Majeure
	  	 	19	  
		
	 Exhibits
	  			

 

 
 PARTICIPATION AGREEMENT 

This Participation Agreement is between HealthTrust Purchasing Group, L.P. (“HealthTrust”), a Delaware limited partnership and the following
entity (“Participant”) (together with all Exhibits, this “Agreement”). 
  

			
	Participant Legal Name:	  	QHCCS, LLC
	d/b/a:	  	
	Address:	  	1573 Mallory Lane
	City, State, Zip:	  	Brentwood, Tennessee 37027
	State of Organization:	  	Delaware
	Signer’s Name and Title:	  	
	Signer’s Phone Number:	  	
	Signer’s Email:	  	

 WHEREAS, HealthTrust is a “group purchasing organization” that is structured to comply with
the requirements of the “safe harbor” regulations regarding payments to group purchasing organizations set forth in 42 C.F.R. §1001.952(j) and that maintains agreements with vendors for purchasing products, dietary products, equipment
and services used by hospitals and other healthcare facilities as part of a group purchasing program; and 
 WHEREAS, Participant
desires to participate in such group purchasing program, and to purchase products and services under such agreements in accordance with the terms and conditions thereof. 

NOW, THEREFORE, in consideration of the premises as well as the agreements and covenants detailed in this Agreement, and for other good
and valuable consideration, the receipt and adequacy of which is hereby acknowledged, the Parties hereby agree as follows: 
  

	1.	Definitions. 

 The following terms have the following meanings: 

 

	 	1.1	“Affiliate” means, with respect to any specified entity, any entity that directly or indirectly controls, is controlled by or is under common control with such specified entity. An entity shall be
deemed to control another entity if such first entity has the power, directly or indirectly, to direct or cause the direction of the management and policies of such other entity, whether through ownership of voting securities, by contract or
otherwise. 

  

	 	1.2	“Agreement” means this Participation Agreement, including all attachments, addenda, appendices and exhibits as amended from time to time. 

  
 Page 1 of 20 

	 	1.3	“BAA” means a business associate agreement entered into between HealthTrust and a Vendor to address possible disclosure of Protected Health Information under HIPAA by a Facility to a Vendor.

  

	 	1.4	“Compliance Level” has the meaning set forth in Section 5.2 hereof. 

  

	 	1.5	“Effective Date” means the date indicated in the title page of this Agreement. 

  

	 	1.6	“Eligibility Date” means the date Participant and Facilities will be able to start purchasing products and services under the Program. 

 

	 	1.7	“Facility” or “Facilities” means Participant, the Participant hospitals, other Participant healthcare facilities, and other entities that qualify as Affiliates of Participant and which
are listed on Exhibit B for participation in the Program. Entities that are managed by QHR or any QHR Affiliates, or which are participants in any group purchasing organization owned by QHR or any QHR Affiliates, shall not qualify as
Facilities of Participant under this Agreement and shall only be able to participate in the Program under the QPA Access Agreement and its own HealthTrust participation agreement. 

 

	 	1.8	“GPO Affiliation Certificate” means a certificate in the form set forth as Exhibit C hereto. 

  

	 	1.9	“GPO Fee” has the meaning set forth in Section 7. 

  

	 	1.10	“HCA” means HCA Holdings, Inc., a Delaware corporation, and any successor thereto. 

  

	 	1.11	“HealthTrust Website” means the portion of HealthTrust’s website that is restricted to access by participants in HealthTrust (www.healthtrustpg.com). 

 

	 	1.12	“HealthTrust Vendor Lists” has the meaning set for in Section 4.1. 

  

	 	1.13	“HIPAA” means the Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act of 1996, as codified at 42 U.S.C. §1320d et seq. 

 

	 	1.14	“Party or Parties” means HealthTrust and Participant individually as Party or collectively as Parties. 

  

	 	1.15	“PHI” means Protected Health Information or individually identifiable health information. 

  

	 	1.16	“Products and Services” means the products, dietary products, pharmaceuticals, equipment and services, including distribution services, available under the Program pursuant to Vendor Contracts.

  

	 	1.17	“Program” means the group purchasing program conducted by HealthTrust, pursuant to which Participant, its Facilities and other healthcare facilities are provided access to Vendor Contracts to purchase
Products and Services. 

  

	 	1.18	“QHR” means Quorum Health Resources, LLC, a Delaware limited liability company that is an indirectly wholly owned subsidiary of Participant. 

  
 Page 2 of 20 

	 	1.19	“QPA” means Quorum Purchasing Advantage, LLC, a Delaware limited liability company that is a wholly owned subsidiary of QHR. 

 

	 	1.20	“QPA Access Agreement” means the agreement entered into between QPA and HealthTrust by which QPA Facilities are able to participate in the Program. 

 

	 	1.21	“QPA Facility” or “QPA Facilities” means the healthcare providers that are members of and participate in the QPA GPO Program and that are not Facilities under this Agreement.

  

	 	1.22	“QPA GPO Program” means the group purchasing program operated by QPA. 

  

	 	1.23	“Term” has the meaning set forth in Section 3. 

  

	 	1.24	“Vendor(s)” or “HealthTrust Vendor(s)” means the supplier(s) of Products and Services under HealthTrust Vendor Contracts. 

 

	 	1.25	“Vendor Contracts” means the purchasing agreements between Vendors and HealthTrust for the purchase of Products and Services through the Program, as well as any other agreements related thereto, such
as, but not limited to, BAAs, which are listed on the HealthTrust Website, as updated from time to time by HealthTrust. 

  

	2.	Purchase of Products and Services; Facilities; Representations. 

  

	 	2.1	Eligibility Date. On the Eligibility Date, Participant and Facilities shall be eligible to purchase Products and Services under the Program. HealthTrust shall provide notice to Participant of the Eligibility
Date. 

  

	 	2.2	Intent of Parties. It is the intent of the Parties to establish a business relationship that complies with the federal anti-kickback statute set forth in 42 U.S.C. §1320a-7b(b). The Parties agree that, for
the purposes of this Agreement, HealthTrust is acting as a group purchasing organization. The Parties intend to comply with the requirements of the “safe harbor” regulations regarding payments to group purchasing organizations set forth in
42 C.F.R. §1001.952(j) and the Parties believe that this Agreement satisfies those requirements. 

  

	 	2.3	 Exclusivity. Subject to the terms and conditions set forth in this Agreement and except for Participant’s membership in (i) Cardinal
Health 188 LLC, doing business as VitalSource, for the purchase of oncology, rheumatology and other specialty pharmaceutical products, and in (ii) QPA for the purchase of products and services not available under HealthTrust Vendor Contracts,
Participant hereby designates HealthTrust to act as the exclusive independent group purchasing organization for Participant and all Facilities. During the Term, neither Participant nor any of its Facilities shall utilize, participate in or maintain
membership in any other group purchasing organization, or utilize any group purchasing, consulting, analytics or contracting services in any other group purchasing organization. Notwithstanding the foregoing, and with the exception of Cardinal
Health 188 LLC, doing business as VitalSource, the Parties intend that this Agreement shall be the exclusive arrangement that Participant and its Facilities utilize for the purchase through a group purchasing organization or similar entity.
Participant represents and warrants that its entering into 

  
 Page 3 of 20 

	 	
this Agreement does not constitute a default or breach by Participant of any agreement to which Participant is a party; this warranty and representation shall remain in effect throughout the
Term. 

  

	 	2.4	Authorization. Participant, on behalf of itself and its Facilities, hereby authorizes HealthTrust, as agent to: (i) negotiate the terms of and enter into Vendor Contracts, and to cancel or modify any Vendor
Contracts as it deems necessary, advisable or appropriate; (ii) receive rebates from HealthTrust Vendors based on purchases under Vendor Contracts by Participant and Facilities, for payment by HealthTrust to Participant pursuant to
Section 7.4; and (iii) receive from Vendors, distributors, and e-commerce companies, data relating to purchases of Products and Services under Vendor Contracts, as well as for products and services not purchased through Vendor Contracts,
by Participant and Facilities. 

  

	 	2.5	No Separate Agreements. Participant and its Facilities shall not (itself or through third parties) negotiate amendments or modifications to Vendor Contracts or enter into separate agreements with Vendors for
Products and Services without the prior written approval of HealthTrust. 

  

	 	2.6	GPO Affiliation Certificate. GPO Affiliation Certificate for Facilities (a copy of which is attached as Exhibit C) shall be executed for access to the Program. 

 

	 	2.7	Facilities Acquired by Participant. If Participant or any of its Affiliates acquires any new hospital or other healthcare facility, or enters into an agreement to manage the supply chain function of an
independent healthcare provider, Participant shall advise HealthTrust in writing of such event within thirty (30) days following closing of the transaction. Unless otherwise mutually agreed, HealthTrust and Participant shall enter into an
amendment adding such entity as a Facility effective not later than one hundred eighty (180) days following the date of such closing; or in the event such entity is subject to a membership agreement with another GPO signed prior to the closing
date, not later than thirty (30) days following the expiration of the then existing term of the GPO membership agreement for such entity. Each entity must qualify as an Affiliate of Participant to qualify as a Facility and Participant must be
able to meet its obligations under Section 5.6 as to any entity listed as a Facility. 

  

	 	2.8	Facilities Divested by Participant. Any Facilities divested by Participant or its parent Affiliate, or which no longer qualify as an Affiliate of Participant, shall be removed from participation under this
Agreement at the conclusion of the transition period described as follows. In this event, Participant shall provide HealthTrust with written notice thereof at least thirty (30) days prior to the closing date of such divestiture or date of
ceasing to be an Affiliate of Participant (“Divestiture Date”). Such divested Facility shall have the right to continue to participate under this Agreement for a ninety (90) day transition period following the Divestiture Date,
or until the divested Facility commences participation with a competitor GPO, whichever first occurs. During such transition period, the divested Facility shall participate under this Agreement as an independent member of HealthTrust separate from
Participant and the non-divested Facilities. All payments for rebates earned by the divested Facility during such transition period and any reports or other communications shall be provided by HealthTrust directly to the divested Facility.

  
 Page 4 of 20 

	 	2.9	Purchase of Products and Services. The Facilities shall have access to the Program and may purchase Products and Services under Vendor Contracts. Each Facility that makes a purchase shall be subject to all terms
and conditions of this Agreement. 

  

	 	2.10	Compliance with Law. HealthTrust and Participant hereby each represent that it will comply with all applicable laws and regulations with respect to its performance under this Agreement. 

 

	3.	Term and Custom Agreements.  

  

	 	3.1	Term. Subject to termination under Section 8, this Agreement shall be in effect for a period of five (5) years commencing on the Effective Date (“Initial Term”) with automatic renewals
thereafter for periods of five (5) years each (“Renewal Term”) unless either Party provides notice of non-renewal at least one hundred and eighty (180) days prior to the end of the Initial Term or any Renewal Term.
“Term” means collectively the Initial Term and all Renewal Terms. 

  

	 	3.2	Custom Agreements. In the event this Agreement expires or is terminated without being replaced by a new participation agreement, any separate agreement or commitment entered into by Participant or any of its
Facilities under any Vendor Contract (“Custom Agreement”) shall terminate concurrently with this Agreement unless such Custom Agreement (i) expressly provides that it survives termination of this Agreement, or (ii) has a
stated term related to the purchase or lease of capital equipment and does not have any automatic termination provision in the event Participant and/or Facilities no longer participate in the Program. 

 

	 	3.3	Survival. To ensure regulatory compliance and to permit Participant and its Facilities to meet their contractual commitments to HealthTrust Vendors: (i) if a Vendor permits Participant to actually purchase
Products and Services under any Vendor Contracts after the designated termination or expiration date for this Agreement; or (ii) Participant or any Facility has an obligation to purchase Products or Services under its own commitment under a
Vendor Contract or Custom Agreement, then Participant remains a member of the Program and this Agreement remains in effect on a non-exclusive basis for such limited purposes and for so long as such purchases continue, HealthTrust shall have the
right to retain all of the GPO Fees received for purchases of Products and Services made after the designated termination or expiration date of this Agreement, and shall have no obligation to allocate any portion of the GPO Fees under
Section 4.5 for such purchases. 

  

	 	3.4	 Vendor Audits. From time to time, HealthTrust, in its sole discretion, may perform periodic audits of Vendors for purposes including
verifying their compliance with: (i) the pricing and other terms of Vendor Agreements; (ii) the amounts paid and payable by participants to Vendor under Vendor Agreements; and (iii) the GPO Fees and Rebates payable by
Vendor. Participant agrees that, as fair market value compensation for HealthTrust’s performance of the auditing function, HealthTrust may retain up to ten percent (10%) of the aggregate net positive sum (if any) recovered on behalf
of Participant as a result of such audits of purchases during the Term (e.g., overpayments; Rebates), and will pay the balance to Participant. HealthTrust shall disclose to Participant the total amount of any such recovery and the amount
retained by HealthTrust for such audits and pay the net amount to Participant in accordance with 

  
 Page 5 of 20 

	 	
Section 7.4. Notwithstanding the foregoing, and subject to Section 3.3, HealthTrust shall have the right to retain the full amount of any recoveries from audits performed more than one
(1) year following the termination or expiration of this Agreement, excluding any period for survival as stated in Section 3.3. 

  

	4.	Covenants and Responsibilities of HealthTrust.  

  

	 	4.1	Access to the Program. HealthTrust shall provide Participant with access to the HealthTrust Website. HealthTrust maintains a current list of Vendor Contracts on the HealthTrust Website which are hereby
incorporated as part of this Agreement (“HealthTrust Vendor Lists”). The HealthTrust Website also provides access to Products and Services, pricing, delivery, ordering requirements and other terms thereof, available for purchase
under Vendor Contracts, which can be accessed in the secure section of HealthTrust’s Website under the tab titled “Contracts”. HealthTrust shall notify Participant of new Vendor Contracts and shall periodically update the HealthTrust
Website to provide a current list of Vendor Contracts. The Parties hereby agree that, upon posting an updated list of Vendor Contracts on the HealthTrust Website, this Agreement shall be deemed amended to incorporate such updated list of Vendor
Contracts. Participant and its Facilities agree: (i) to periodically (at least annually) check such website to obtain a copy of this updated list of Vendor Contracts; and (ii) to comply with all terms and conditions of access and use of
the HealthTrust Website, as provided on such HealthTrust Website. 

  

	 	4.2	Notification to Vendors. HealthTrust shall notify HealthTrust Vendors that Participant and its Facilities are eligible to purchase under Vendor Contracts. 

 

	 	4.3	HealthTrust Conferences. HealthTrust may host conferences in which educational presentations are provided for members and HealthTrust Vendors participate in a vendor event in which their products and services are
featured to member attendees. In such event, a limited number of Participant representatives may be permitted to attend such conferences with HealthTrust underwriting a portion of the costs thereof. The number of Participant representatives invited
and the costs covered shall be at the discretion of HealthTrust, but will generally be comparable to that provided other members of HealthTrust of similar size as Participant. 

 

	 	4.4	Services by HealthTrust Affiliates. Participant acknowledges that HealthTrust and partners in HealthTrust have Affiliates that provide healthcare services and other kinds of services related to the provision of
healthcare. Certain of these Affiliates may, from time to time, make proposals to, or do business with, Participant or its Affiliates. Participant and its Affiliates shall not be required to accept any such proposal, or to do any such business, as a
result of this Agreement or any other business relationship between HealthTrust and Participant and their respective Affiliates. It is understood by the Parties that execution of this Agreement does not give rise to any obligation whatsoever, either
express or implied, on the part of Participant or any of its Affiliates to provide any business or referrals to HealthTrust, any partner in HealthTrust, or any Affiliates of HealthTrust or any Affiliates of such partner 

 

	 	4.5	 Commencing on the Effective Date and for the balance of the Term, HealthTrust agrees to pay to Participant
             percent (    %) of the GPO Fees received by HealthTrust from HealthTrust Vendors in connection with purchases under HealthTrust Vendor

  
 Page 6 of 20 

	 	
Contracts by Participant and Facilities made during the Term. HealthTrust shall make payments of such GPO Fees, together with supporting documentation, directly to Participant for Participant and
all Facilities, not less frequently than monthly. Participant acknowledges that such amounts received shall be considered a discount and that it intends to comply with the requirements stated in Section 7.5 of this Agreement. Notwithstanding
the foregoing, no GPO Fees will be shared with Participant under any pharmacy benefit management agreement or any other agreement where the products and/or services are governed by ERISA, as well as any insurance programs offered by HealthTrust.

  

	 	4.6	Warranty of Non-Exclusion. HealthTrust hereby represents and warrants that it is not currently excluded, debarred, or otherwise ineligible to participate in Federal healthcare programs as defined in 42 USC §
1320a-7b(f) or any state healthcare program (the “Healthcare Programs”) and to HealthTrust’s knowledge, is not under investigation or otherwise aware of any circumstances which may result in HealthTrust being excluded from
participation in Healthcare Programs. These representations and warranties shall be ongoing during the Term, and HealthTrust shall immediately notify Participant of any change in the status of the representations and warranties set forth in this
Section 4.6. 

  

	5.	Covenants and Responsibilities of Participant. 

 Participant, for itself and for
each of the Facilities that purchase under Vendor Contracts, whether or not set forth on Exhibit B, represents and warrants to, and covenants with, HealthTrust as follows: 

 

	 	5.1	Compliance with Contract Terms. Participant will cause each of the Facilities to: (i) comply with all terms of this Agreement as if a party hereto; (ii) comply with all terms of Vendor Contracts,
including without limitation, payment terms and compliance levels; and (iii) execute separate agreements or acknowledgements as reasonably requested by HealthTrust or any particular HealthTrust Vendor evidencing such Facility’s
participation in the Program and agreement to comply with the terms of this Agreement and the relevant Vendor Contracts. 

  

	 	5.2	Meeting the Compliance Level. Subject to any exceptions expressly stated in this Agreement, for: (i) the twelve-month period commencing on the Eligibility Date; and (ii) each twelve-month period
commencing on the first day of each calendar quarter during the Term, Participant and its Facilities in the aggregate shall meet or exceed the Compliance Level. “Compliance Level” means of all products and services purchased by
Participant and Facilities which are the same or comparable to Products and Services available under Vendor Contracts with a sole, dual or multi-source award status, at least eighty percent (80%) of such purchases (as measured in dollars spent
by Participant and Facilities) were made under Vendor Contracts. Notwithstanding the foregoing, purchases of products or services other than under Vendor Contracts, when necessary for patient care considerations that are not able to be met by
Products and Services, shall not be included in the calculation for meeting the Compliance Level. 

  

	 	5.3	 Compliance Certificate. At the request of HealthTrust, within sixty (60) days after the last day of any calendar quarter, Participant
shall deliver to HealthTrust a certificate to the effect that Participant and its Facilities are in compliance with Section 5.2 in respect 

  
 Page 7 of 20 

	 	
of the twelve-month period ending on the last day of such calendar quarter. Such certificate shall set forth the information described on Exhibit D and such additional information as
HealthTrust shall reasonably request. 

  

	 	5.4	Existing Vendor Contracts. In the event that Participant’s existing Vendor Contracts set forth on Exhibit A do not permit Participant to comply with Section 5.2 with respect to one or more
Facilities and any one or more particular Vendor Contracts, Participant shall transition such Facility or Facilities to the particular Vendor Contracts in the Program at the first appropriate opportunity. Nothing in this Section 5.4 shall be
construed to require or encourage Participant or any of its Facilities to improperly terminate or breach in any way any existing Vendor Contract to which Participant or any of its Facilities is a party. 

 

	 	5.5	Purchases Are For Own Use. Participant agrees that all products purchased by it or its Facilities under Vendor Contracts will be for use in the provision of healthcare services in its Facilities, and not for
resale or distribution to third parties other than in the course of the provision of healthcare services by such Facilities. Participant acknowledges that such prohibition on resale and distribution extends to resale or distribution to physician
practices other than those owned, controlled, or managed by Participant and listed on Exhibit B. The Parties acknowledge that to the extent any Vendor Contracts contain prohibition of purchases by physician practices, physician practice
Facilities shall not be able to purchase under those contracts until so advised by HealthTrust. 

  

	 	5.6	Affiliates of Participant. Participant warrants that all Facilities as of the Effective Date and as later added to Exhibit B by amendment, qualify as Affiliates of Participant and furnish services to third
parties for which payment may be made in whole or in part under Medicare or a state healthcare program. 

  

	 	5.7	Warranty of Non-Exclusion. Participant hereby represents and warrants that it and its Facilities are not currently excluded, debarred, or otherwise ineligible to participate in the Healthcare Programs and to
Participant’s knowledge, are not under investigation or otherwise aware of any circumstances which may result in Participant or any Facility being excluded from participation in the Healthcare Programs. These representations and warranties
shall be ongoing during the Term, and Participant shall immediately notify HealthTrust of any change in the status of the representations and warranties set forth in this Section 5.7. 

 

	 	5.8	Business Associate Agreements. Participant acknowledges and agrees that HealthTrust may provide on the HealthTrust Website, copies of BAAs as a convenience for all HealthTrust participants. HealthTrust does not
accept any legal, financial or other obligation or responsibility relating to the BAAs or the posting of BAAs. Participant further acknowledges and agrees that it is solely responsible for determining if the BAAs meet its own legal and other
obligations under HIPAA and any other laws and regulations. Participant further acknowledges that there may be certain Vendors which have not entered into a BAA with HealthTrust. HealthTrust does not accept any legal, financial, or other obligation
relating to Participant’s reliance on the absence of a BAA between a Vendor and HealthTrust as suggesting that a BAA is not required, and Participant is solely responsible for determining: (i) whether a BAA with a Vendor is required; and
(ii) the content of any such BAA. 

  

	 	5.9	HealthTrust is Not a Business Associate. It is not the intent of this relationship to have PHI disclosed by Participant or any Facility to HealthTrust or to, in any way, make HealthTrust a business associate (as
defined in HIPAA) to Participant or any Facility. 

  
 Page 8 of 20 

	6.	HealthTrust Disclaimer, Company Release and Indemnification 

  

	 	6.1	Disclaimer. All purchases under Vendor Contracts by Participant and its Facilities for Products and Services shall be between Participant or such Facility as applicable and the Vendor. HealthTrust shall not be a
party to any such purchases and shall have no liability under any such agreement or with respect to any such purchases or any Products and Services furnished under any such agreement. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING:
(i) HEALTHTRUST DOES NOT MAKE, AND EXPRESSLY DISCLAIMS, ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED, AS TO ANY PRODUCTS AND SERVICES SOLD BY ANY HEALTHTRUST VENDOR; AND
(ii) PARTICIPANT HEREBY EXPRESSLY RELEASES HEALTHTRUST FROM ANY AND ALL LIABILITY AND CLAIMS RELATING TO THE PRODUCTS AND SERVICES, AND ANY BREACH OR ALLEGED BREACH OF WARRANTY IN CONNECTION WITH THE PRODUCTS AND SERVICES. 

 

	 	6.2	Participant/Facility Indemnity. Participant and its Facilities shall defend, indemnify and hold harmless HealthTrust, the partners in HealthTrust, and their respective Affiliates, agents, officers, directors and
employees (the “Indemnitees”) from and against any and all losses, liabilities, damages, costs and expenses (including reasonable attorneys’ fees, witness fees, investigation expenses, any and all other out-of-pocket expenses,
any punitive or consequential damages, and any other expenses incident thereto), in connection with third party claims or actions relating to acts or omissions of Participant and Facilities which relate in any way to this Agreement or purchases from
Vendors, including without limitation, any claims resulting from a failure to pay for any Products and Services purchased by Participant or any of its Facilities, any product liability claims associated with the Products and Services purchased by
Participant or any of its Facilities, or any failure to comply with Participant’s obligations to allocate Rebates under Section 7.4. 

  

	7.	GPO Fees, Rebates, and Global Sourcing Fees. 

  

	 	7.1	GPO Fees. Participant acknowledges that: (i) HealthTrust will receive payment of fees for administrative and other services provided by HealthTrust from Vendors based on Products and Services purchased,
licensed or leased by Participant and its Facilities (“GPO Fees”) during the Term; (ii) the percentage of the GPO Fees will generally be three percent (3%) or less from each Vendor if a GPO Fee is paid, but may in some
cases be higher; and (iii) HealthTrust will receive GPO Fees from some Vendors that are distributors of Products in amounts that are one percent (1%) or less but resulting in an aggregate GPO Fee from both HealthTrust Vendor manufacturer
and HealthTrust Vendor distributor that may exceed three percent (3%) of the purchase price paid by a Facility, but which shall not exceed four percent (4%) of the purchase price paid by a Facility. With respect to Vendor Contract between
AT&T and HealthTrust for long distance telephone services, HealthTrust receives a GPO Fee of four and one half percent (4.5%). 

  
 Page 9 of 20 

	 	7.2	The HealthTrust Website. The HealthTrust Website includes: (a) a list of Vendor Contracts; (b) a list of Vendor Contracts where HealthTrust Vendors have agreed to pay GPO Fees of three percent
(3%) or less; (c) a list of Vendor Contracts with distributors listing the GPO Fee to be paid to HealthTrust by each distributor; and (d) a list of Vendor Contracts where HealthTrust Vendors have agreed to pay GPO Fees to HealthTrust
greater than three percent (3%), including the specific percentage of the GPO Fee or the maximum GPO Fee. 

  

	 	7.3	Disclosure of GPO Fees. HealthTrust shall disclose to Participant on an annual basis, in writing, with respect to purchases of Products and Services by each Participant and by each of the Facilities, the names of
HealthTrust Vendors and the specific amount of GPO Fees received from each such Vendor for Products and Services purchased by Participant and its Facilities. HealthTrust shall disclose to the Secretary of the United States Department of Health and
Human Services, upon request, the amount of GPO Fees received by HealthTrust from each Vendor with respect to Products and Services which are purchased, licensed or leased by Participant and its Facilities. Participant will disclose the applicable
GPO Fee information provided by HealthTrust regarding such GPO Fees to each of its Facilities. 

  

	 	7.4	Rebates. HealthTrust will pay to Participant any funds received from Vendors designated as Vendor rebates based on purchases of Products and Services by Participant and its Facilities during the Term. Participant
acknowledges that any such rebates received from HealthTrust in respect to purchases made under HealthTrust Vendor Contracts will be allocated among all Facilities participating in the Program in amounts proportionate to the dollar amount of
Products and Services giving rise to such rebate purchased by each Facility participating in the Program and as otherwise required by law and/or regulation. The amount of any rebate distributed to Participant shall be treated as a discount to
Participant’s and Facilities’ cost for the applicable Products and Services. Participant is responsible for allocating any such rebate so received, as well as any rebate received directly from any Vendor, among its Facilities and for
providing all required information regarding such rebate amounts and allocations to its Facilities as required by law and/or regulation. It is the intent of the Parties to establish a business relationship that complies with the Medicare, and
Medicaid anti-kickback statutes set forth at 42 U.S.C. §1320a-7b(b). In certain instances, invoices from Vendors may not accurately reflect the net cost of Products and Services to Participant and/or Facility. Where a discount or other
reduction in price is applicable, the Parties also intend to comply with the requirements of 42 U.S.C. §1320a-7b(b)(3)(A) and the “safe harbor” regulations regarding discounts or other reductions in price set forth in 42 C.F.R.
§1001.952(h). In this regard, the Parties acknowledge that Participant will satisfy, and ensure that its Facilities satisfy any and all legal and regulatory requirements imposed on buyers. Thus, Participant will accurately report, under any
state or federal program that provides cost or charge based reimbursement for the Products and Services covered by this Agreement, the net cost actually paid by the Participant and/or Facility, pursuant to such Vendor Contracts. 

 

	 	7.5	 Participant acknowledges that any portion of GPO Fees or other payments made by HealthTrust to Participant pursuant to this Agreement shall be
considered a discount. Participant agrees to allocate the GPO Fees received between each of its Facilities based on their respective purchases under HealthTrust Vendor Contracts. Participant further represents that it intends to comply with the
requirements of 42 U.S.C. section 1320a-7b(b)(3)(A) 

  
 Page 10 of 20 

	 	
and the “safe harbor” regulations regarding discounts or other reductions in price set forth at 42 C.F.R. section 1001.952(h). In this regard, Participant will satisfy, and ensure that
its Facilities satisfy, any and all legal and regulatory requirements imposed on buyers. Thus, Participant and its Facilities will accurately report, under any state or federal program that provides cost or charge based reimbursement for the
Products and Services covered by this Agreement, the net cost actually paid by the Participant and/or Facility, pursuant to HealthTrust Vendor Contracts. 

  

	 	7.6	Global Products and Global Sourcing Fee. Participant acknowledges that HealthTrust is engaged in a program to achieve savings on products (“Global Products”) by sourcing them internationally
through a coordinated arrangement with a third party (or third parties). Due to the investment of HealthTrust in this program, as well as the services and clinical expertise that HealthTrust will dedicate to sourcing products globally, pricing for
Global Products made available to Participant and Facilities for purchase may also include a fee payable to HealthTrust (a “Global Sourcing Fee”). While the Global Sourcing Fee is not calculated based on a specific formula related
to sourcing costs, the amount of the Global Sourcing Fee will range from zero percent (0%) up to a maximum of five percent (5%) of the sourcing costs. As used in this Section, “sourcing costs” includes costs for purchasing Global
Products from the manufacturer and transportation and logistics costs for delivery to the distribution warehouse. 

  

	8.	Termination. 

  

	 	8.1	HealthTrust’s Right to Terminate for Non-Compliance or Breach. 

  

	 	8.1.1	Termination for Non-Compliance or Breach. HealthTrust shall have the right to terminate this Agreement on ninety (90) days’ prior written notice to Participant if: (i) Participant and its
Facilities, taken as a whole, fail to maintain the Compliance Level for any two consecutive calendar quarters; (ii) Participant or any of its Facilities fails to comply with the terms and conditions of any of Vendor Contracts; or
(iii) Participant or any of its Facilities otherwise breaches any material provision of this Agreement, provided, however, that HealthTrust may so terminate this Agreement in the event of a breach described above only if HealthTrust
shall have given Participant written notice of the specifics of the breach and Participant shall not have cured such breach or caused such breach to be cured within ninety (90) days after receipt of such written notice. Notwithstanding the
foregoing, in the event Participant is in breach of the exclusive group purchasing provisions in Sections 2.3 of this Agreement, HealthTrust may terminate this Agreement immediately if such breach has not been cured within fifteen (15) days
following Participant’s receipt of written notice of such breach. The foregoing termination rights shall be in addition to the rights and remedies provided in Section 9.5 or elsewhere in this Agreement, or at law or equity.
HealthTrust’s termination rights under this Agreement shall not be construed to alter, modify or limit in any way HealthTrust’s or any Indemnitee’s rights and remedies as an Indemnitee under this Agreement. 

 

	 	8.1.2	 Termination for Transfer of Ownership or Bankruptcy of Participant. HealthTrust shall also have the right to terminate this Agreement in its
entirety upon ninety (90) days’ prior notice: (i) upon the transfer, directly or indirectly, by sale, merger or otherwise, of substantially all of the assets of Participant or its

  
 Page 11 of 20 

	 	
ultimate parent or any permitted assignee to an independent third party (upon assignment to such assignee); (ii) in the event that more than forty-nine percent (49%) of
Participant’s capital stock or equity ownership, or the capital stock or equity ownership of its ultimate parent, or any such permitted assignee is transferred to an independent third party entity; (iii) upon Participant filing for
protection under any bankruptcy laws or being the subject of any involuntary bankruptcy proceeding; or (iv) upon Participant and all Facilities failing to make any purchases under any Vendor Contracts over any sixty (60) day period. If
Participant ceases to do business as a going concern at the address(es) listed on Exhibit B or any subsequent new address for which notice has been provided to HealthTrust, HealthTrust shall have the right to terminate this Agreement
effective fifteen (15) days after sending notice of termination to Participant. 

  

	 	8.1.3	Termination for Transfer of Ownership or Bankruptcy of a Facility. HealthTrust shall also have the right to terminate this Agreement with respect to any particular Facility, upon ninety (90) days’ prior
notice to Participant and the Facility: (i) upon the transfer, directly or indirectly, by sale, merger or otherwise, of substantially all of the assets of the Facility to an independent third party; (ii) in the event that more than
forty-nine percent (49%) of the Facility’s capital stock or equity ownership is transferred to an independent third party entity; (iii) upon Facility filing for protection under any bankruptcy laws or being the subject of any
involuntary bankruptcy proceeding; (iv) upon Facility failing to make any purchases under any Vendor Contracts over any sixty (60) day period; or (v) if Facility is managed by Participant, upon termination of Participant’s
agreement with Facility to manage its material management function. HealthTrust shall also have the right to terminate this Agreement with respect to any Facility with fifteen (15) days’ prior notice upon the Facility becoming a member of
another group purchasing organization. If a Facility ceases to do business as a going concern at the address(es) listed on Exhibit B, HealthTrust shall have the right to terminate this Agreement with respect to such Facility effective fifteen
(15) days after sending notice of termination to Participant and the Facility. 

  

	 	8.2	Participant’s Right to Terminate; Sole Remedy. Except as provided in Section 9.6, as its sole remedy Participant may terminate this Agreement if HealthTrust (including HealthTrust employees, agents,
officers, partners or subcontractors) breaches any material provision in this Agreement and fails to cure such breach within ninety (90) days from receipt of written notice thereof. 

 

	 	8.3	 No Continuing Obligations. Upon termination of this Agreement, HealthTrust shall have no further obligations hereunder, including, without
limitation, no obligation to maintain, update or advise Participant or its Facilities concerning any Products or Services, except (i) as necessary to support any continuing contracts under Section 3.3, (ii) to receive, process and pay
to Participant its allocable portion of any rebates earned prior to termination, and (iii) to provide the applicable reporting for rebates and GPO Fees with respect to Participant purchases from Vendors made prior to termination or for any
Custom Agreements that remain in effect after the date of intended termination. HealthTrust shall have no obligation to pay Participant any amounts received by HealthTrust from Vendors more than one (1) year after termination of this Agreement

  
 Page 12 of 20 

	 	
based on purchases by Participant or Facilities under Vendor Contracts. Participant shall remain obligated to pay for all purchases by it and the Facilities made under such Vendor Contracts.

  

	9.	Confidentiality. 

  

	 	9.1	Confidential Information. “Confidential Information” is defined to include the terms and exhibits of this Agreement, all information, documents and instruments (including, without limitation, all
information regarding the pricing, rebates, discounts, shipping terms and other terms and conditions of Vendor Contracts) delivered or otherwise provided to Participant or its Facilities, or any of their agents, directors, officers or employees as
well as information relating to quantities of Products and Services purchased by Participant and/or its Facilities, except as otherwise expressly provided in this Agreement. 

 

	 	9.2	Confidentiality Requirements; Authorization to use Confidential Information. Participant agrees that throughout the Term and for a period of five (5) years thereafter it and Facilities shall maintain all
Confidential Information in strict confidence, shall use such Confidential Information only as is required in connection with its provision of healthcare services, and may disclose such Confidential Information only on a “need to know”
basis to its duly authorized officers, directors, representatives, consultants, accountants, attorneys and agents and to the duly authorized officers, directors, representatives and agents of its Affiliates, subject to the confidentiality provisions
contained in this Agreement and any Vendor Contract. Participant shall communicate to each recipient the confidentiality obligations of this Agreement, and shall cause those persons to hold Confidential Information in strict confidence as if a party
hereto. Prior to receipt of any Confidential Information, Participant shall submit the above described non-employees of Participant or any Facility (e.g., consultants) (“Other Persons”) to HealthTrust for approval, not to be
unreasonably withheld, and for signing, a written confidentiality agreement prepared by HealthTrust. Notwithstanding anything herein to the contrary, the definition of “Other Persons” shall not include any entity that functions as a group
purchasing organization or is an Affiliate of such an entity, such disclosures being expressly prohibited unless approved in advance in writing by HealthTrust, except as to QPA, for which consent is expressly provided by HealthTrust. HealthTrust
will maintain in confidence the quantities of Products and Services purchased by Participant and its Facilities and any other information on written documents disclosed to HealthTrust by Participant and labeled as “Confidential”
(“Participant Confidential Information”) and to not disclose such Participant Confidential Information to any third parties, except that HealthTrust may use and disclose Participant Confidential Information as permitted in
Section 21, Data. 

  

	 	9.3	Exceptions. Notwithstanding the foregoing, no Party shall be prohibited from using or permitting the use of and no Party shall be required to hold in confidence any information to the extent that: (i) such
information is or becomes available in the public domain, or publically known, through no fault of such Party; or (ii) such information is lawfully acquired by such Party from sources other than a Party, any Facility or Affiliate of such Party,
or any of their respective agents, directors, officers or employees, and the acquisition of such information is without restriction of further disclosure and, to the knowledge of the acquiring Party, is not in breach of any confidentiality
obligation to which the Party providing such information is subject. 

  
 Page 13 of 20 

	 	9.4	Government Facilities. Notwithstanding Section 9.2, in the event that any Facility is a governmental unit and is required by law to disclose certain confidential information to the public, Participant shall
not be liable pursuant to Section 9.2 above, provided, that such Facility: (i) furnishes only that portion of the information which such Facility is required by law to disclose; (ii) furnishes such information only in a manner
to the extent that is required to comply with applicable laws and regulations; (iii) informs HealthTrust of the required disclosure and the legal basis on which such disclosure is required to be made prior to making such disclosure; and
(iv) affords HealthTrust the opportunity to intervene for the purpose of seeking an appropriate protective order or otherwise protecting HealthTrust’s interest in the information to be disclosed. 

 

	 	9.5	Compelled Disclosures. To the extent that a Party, any Affiliate of a Party, any Facility or, to the knowledge of such Party, any current or former employee of any such Party or entity is requested (by oral
questions, interrogatories, requests for information or documents, subpoena, civil investigative demand or similar process) to disclose any information required to be kept confidential pursuant to Section 9.2 above, such Party will take all
necessary action to maintain, or cause to be maintained (and to cause any such Affiliate or Facility, or in respect of a current or former employee, to use its reasonable efforts to cause such employee to maintain) the confidentiality of such
information and to provide prompt notice to the other Party, so that such other Party may seek an appropriate protective order or waive compliance with Section 9.2 above. If, in the absence of a protective order or the receipt of a waiver
hereunder, the person who has received such a request is, nonetheless, in the reasonable written opinion of counsel, legally required to disclose such information, such person may disclose such information, and no Party shall be liable pursuant to
Section 9.2 above, provided, that such person: (i) furnishes only that portion of the information which it is legally compelled to disclose; and (ii) exercises its reasonable efforts to obtain assurance that confidential
treatment will be accorded to the disclosed portion of the information. Notwithstanding the foregoing, each Party shall be permitted to disclose confidential information in any proceeding in which it is in an adversarial position to the other Party.
HealthTrust consents to Participant disclosing to the United States Securities and Exchange Commission (“SEC”) for its review and for public publication a copy of this Agreement in connection with Participant’s Registration
Statement, with the understanding that Participant will endeavor to the extent reasonably possible to obtain consent from the SEC for redaction of Section 4.5 of this Agreement. 

 

	 	9.6	Remedies for Breach of Confidentiality. In the event HealthTrust, Participant or any of its Facilities breaches any confidentiality obligation provided herein, the non-breaching entity shall be entitled to
specific performance and injunctive relief, without any showing of irreparable harm or damage. Any requirement for the securing or posting of any bond, or submitting proof of the economic value of any trade secret in connection with such remedy is
hereby waived. Such remedies shall not be deemed to be the exclusive remedies for any breach by HealthTrust, Participant or any of its Facilities of any confidentiality obligation herein, and will be in addition to all other remedies available at
law or in equity. 

  

	10.	Limitation of Liability.  

 Except for indemnification and confidentiality
obligations provided herein, in no event will Participant, Facilities, HealthTrust or any of their respective Affiliates, agents, officers, 

  
 Page 14 of 20 

 
directors and employees be liable to each other for any indirect, punitive, special, incidental or consequential damage each may suffer in connection with or arising out of this Agreement
(including loss of profits, use, data or other economic advantage), however it arises, whether for breach of this Agreement, or in tort, even if they have been previously advised of the possibility of such damage. 

 

	11.	Access to Books and Records.  

 Until the expiration of four (4) years
after the Term (including any renewal term), HealthTrust shall make available to the Secretary of the United States Department of Health and Human Services, the United States Comptroller General, and their duly authorized representatives, in
accordance with 42 C.F.R. § 420.300 et seq., this Agreement and all books, documents, and records necessary to certify the nature and extent of the costs of the services provided by HealthTrust hereunder. If HealthTrust carries out any of its
duties hereunder through a subcontract worth $10,000 or more over a twelve-month period with a related organization, the subcontract also shall contain an access clause to permit such access by the Secretary, the Comptroller General, and their duly
authorized representatives to the related organization’s books, documents and records. The Parties agree that any attorney-client, accountant-client or any other legal privilege shall not be deemed waived by virtue of the provisions of this
Section 10. 
  

	12.	Audit Rights. 

 HealthTrust shall have the right, at its expense, to review and
audit the books, records, and documents (whether in hardcopy, electronic or other form) of Participant and the Facilities to verify compliance with their obligations under this Agreement, the volumes of purchases of Products and Services under
Vendor Contracts, and to obtain any data and information required for HealthTrust to fulfill its responsibilities as a group purchasing organization for healthcare providers. The audit shall be conducted only after reasonable notice and during
normal business hours, and may be conducted by HealthTrust’s employees or agents, or by a third party auditor. This right of audit may be exercised no more than one (1) time per year for Participant and each Facility. Participant will
cooperate with HealthTrust to provide the above-stated materials, and to provide any reasonable assistance to HealthTrust and its auditors necessary for HealthTrust to carry out any audit as permitted herein, at no cost to HealthTrust. If access to
PHI by HealthTrust will be required for an audit, the Parties will enter into a Business Associate Agreement containing mutually agreed to terms. 
  

	13.	Notices.  

 All notices or other communications required or permitted under
this Agreement shall be in writing and sent by express delivery service, with proof of delivery; electronic mail with receipt acknowledgement; or delivered personally. Notices shall be deemed to have been given upon receipt. Notices shall be
addressed to each Party as set forth below: 
 Address for Notice: 

Vice-President, Sales and Marketing 

HealthTrust Purchasing Group, L.P. 

155 Franklin Road, Suite 400 

Brentwood, Tennessee 37027 

Email: CorpDLSalesNotice@Healthtrustpg.com 

  
 Page 15 of 20 

 With a copy to: 

Chief Legal Officer 
 HealthTrust
Purchasing Group, L.P. 
 155 Franklin Road, Suite 400 

Brentwood, Tennessee 37027 

Email: CorpDLLegalNotice@Healthtrustpg.com 

Participant: to the address provided in the text box. 
  

	14.	Assignment. 

 Neither Participant nor any Facility may assign this Agreement, or
any of its rights or obligations set forth herein, without the prior written consent of HealthTrust. No assignment in violation of the provisions of this Agreement shall vest any rights in any purported assignee. Participant hereby consents to
assignment by HealthTrust of its rights and obligations under this Agreement to any Affiliate of HCA Holdings, Inc., or to a successor entity of HealthTrust as part of an internal reorganization of HealthTrust which results in HealthTrust being
organized in one or more different legal entities or any other corporate form(s), whether through conversion, merger, or otherwise. Subject to the foregoing, all terms, conditions, covenants and agreements contained herein shall inure to the benefit
of and be binding upon any successor and any permitted assignees of the respective Parties. It is further understood and agreed that consent by HealthTrust to the assignment of this Agreement by Participant or any Facility in one instance shall not
constitute consent by HealthTrust to any other assignment. 
  

	15.	Entire Agreement. 

  

	 	15.1	This Agreement, together with the exhibits thereto, as such exhibits may be modified or supplemented from time to time pursuant to the terms of this Agreement, sets forth the entire agreement and understanding of the
Parties in respect of the transactions contemplated hereby, and supersedes all prior agreements, arrangements and understandings relating to the subject matter hereof. No Party has relied upon any oral or written statement, representation, warranty,
covenant, condition, understanding or agreement made by any other Party or any representative, agent or employee thereof, except for those expressly set forth in this Agreement or in the exhibits hereto. 

 

	 	15.2	All rights and remedies conferred under this Agreement or by any other instrument or law shall be cumulative and may be exercised singularly or concurrently. The failure by either Party to enforce any term shall not be
deemed to be a waiver of future enforcement of that or any other term of this Agreement. 

  

	16.	Severability. 

 This Agreement shall be construed to be in accordance with any and
all applicable federal and state laws and regulations. In the event there is a change in any applicable laws and regulation that has any material effect on the legality of any provision of this Agreement (“Affected

  
 Page 16 of 20 

 
Provision”), then the Affected Provision shall be deemed ineffective to the extent of such change in law or regulation without invalidating the remaining provisions hereof or
affecting the validity or enforceability of such Affected Provision in any other jurisdiction. The Affected Provision shall be renegotiated in good faith by the Parties at the written request of either Party (the Party making such request is
hereinafter referred to as the “Requesting Party”). If the parties are unable to renegotiate the Affected Provision to bring it into compliance with the applicable law or regulation within forty-five (45) days of the date on
which the Requesting Party provides notice of the change, the Affected Provision will be terminated and be of no further force and effect. In such event, the remainder of the Agreement shall remain in full force and effect. 

 

	17.	Governing Law; Consent to Jurisdiction. 

 This Agreement shall be governed by and
construed in accordance with the laws of the State of Tennessee without regard to the conflict of laws and principles. Participant and HealthTrust each expressly submits and consents to the jurisdiction of any Tennessee State Court sitting in
Nashville, Tennessee or the United States District Court for the Middle District of Tennessee with respect to any legal proceedings arising out of or relating to this Agreement and waives any objection that it may have based upon lack of personal
jurisdiction, improper venue or forum non conveniens. 
  

	18.	Waiver of Jury Trial. 

 PARTICIPANT AND HEALTHTRUST EACH HEREBY ACKNOWLEDGES AND
AGREES THAT ANY CONTROVERSY WHICH MAY ARISE UNDER THIS AGREEMENT IS LIKELY TO INVOLVE COMPLICATED AND DIFFICULT ISSUES; THEREFORE, EACH PARTY IRREVOCABLY AND UNCONDITIONALLY WAIVES ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY WITH RESPECT OF ANY LEGAL
PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF, OR RELATING TO, THIS AGREEMENT, OR THE TRANSACTIONS CONTEMPLATED BY THIS AGREEMENT. EACH PARTY REPRESENTS AND CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED
THAT SUCH OTHER PARTY WOULD NOT SEEK TO ENFORCE THE FOREGOING WAIVER IN THE EVENT OF LITIGATION. EACH PARTY UNDERSTANDS AND HAS CONSIDERED THE IMPLICATIONS OF THIS WAIVER. EACH PARTY MAKES THIS WAIVER VOLUNTARILY. EACH PARTY REPRESENTS THAT IT HAS
BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION 18. 
  

	19.	Counterparts; Means of Execution. 

 This Agreement and any amendments may be
executed by the Parties individually or in any combination, in one or more counterparts, each of which shall be an original and all of which shall together constitute one and the same agreement. Execution and delivery of this Agreement and any
amendments by the Parties shall be legally valid and effective through: (i) executing and delivering the paper copy of the document; (ii) transmitting the executed paper copy of the document by facsimile transmission, or electronic mail in
“portable document format” (“.pdf”) or other electronically scanned format; or (iii) creating, generating, sending, receiving or storing by electronic means this Agreement and any amendments, the execution of

  
 Page 17 of 20 

 
which is accomplished through use of an electronic process associated with this Agreement, and executed or adopted by a Party with the intent to execute this Agreement (i.e., “electronic
signature” through a process such as DocuSign®). 
  

	20.	Amendment. 

 Except as provided in Section 3.1, this Agreement may be
amended, modified, superseded or supplemented only by a written instrument expressly stating an intent to amend, modify, supersede, or supplement this Agreement, executed and delivered by each of the Parties. 

 

	21.	Data. 

 HealthTrust shall be the exclusive owner of the compilation of pricing
data related to Products and Services. All purchasing transaction data (other than pricing data related to Products and Services) resulting from purchase of Products and Services by Participant and Facilities shall be owned by Participant.
Participant will transmit its procurement data to HealthTrust through a data feed in a format and frequency specified by HealthTrust. Participant hereby authorizes HealthTrust to have access to Participant’s (and Facilities’) purchasing
transaction data, whether through Vendors, distributors, or any business-to-business e-commerce companies through which orders for Products and Services, as well as for products and services not purchased through Vendor Contracts, are placed by
Participant and its Facilities. Participant further authorizes HealthTrust to use purchasing transaction data from Participant and Facilities for statistical analysis, GPO functions and other similar purposes, to provide such data to other members
and third parties provided such data is de-identified and no portion of the data contains any PHI or other patient identification information or information that can be specifically traced to Participant or any of its Facilities, in which case such
purchasing transaction data shall not be Confidential Information. 
  

	22.	No Third-Party Beneficiaries. 

 This Agreement is solely for the benefit of the
Parties, and should not be construed to confer upon any other person any remedy, claim, liability, right of reimbursement, claim of action or other right. 
  

	23.	Drug Enforcement Administration Registration Numbers. 

 Participant hereby
consents to HealthTrust providing Drug Enforcement Administration registration numbers (“DEA” numbers) for itself and all Facilities, to HealthTrust Vendors, including authorized HealthTrust distributors; and to HealthTrust
receiving such DEA numbers from HealthTrust Vendors, authorized HealthTrust distributors, and any other appropriate sources. 
  

	24.	Name and Logos.

 Participant authorizes HealthTrust to use Participant’s
names and logos, as provided by Participant to HealthTrust, on HealthTrust’s proprietary website and other HealthTrust publications listing Participant among other entities that are members of HealthTrust. 

  
 Page 18 of 20 

	25.	Force Majeure.  

 Neither Party shall be liable to the other Party for any
delay or failure to perform its obligations hereunder if such delay or failure results from causes beyond its reasonable control. Such causes may include, without limitation, acts of God, fires or other catastrophes, telecommunications failures,
equipment failures, power failures, labor disputes, strikes, delays in transportation, riots, war, governmental regulations, non-performance by suppliers and Vendors, or problems experienced by HealthTrust as a result of its own, HCA Holdings, Inc.
or any other third party’s computer software or hardware failures (an “Event of Force Majeure”). Each party shall give the other party prompt notice of any Event of Force Majeure that may cause delay or non-performance of its
obligations hereunder. 
 [Signature page follows] 

  
 Page 19 of 20 

 IN WITNESS WHEREOF, each Party has duly executed, or has caused this Agreement to be duly
executed, as of the date first above written. 
  

					
	HealthTrust Purchasing Group, L.P.	 		 	Participant: QHCCS, LLC
	By its general partner, HPG Enterprises, LLC	 		 	
			
	HealthTrust Signee:	 		 	Participant Signee:
			
	HealthTrust Signee Name:	 		 	Participant Signee Name:
			
	HealthTrust Signee Title:	 		 	Participant Signee Title:
			
	HealthTrust Signature Date:	 		 	Participant Signature Date:

  
 Page 20 of 20 

 Exhibits List 

The following Exhibits are part of the Agreement and are hereby incorporated by reference. 

 

	 	A.	Compliance Exceptions Required by Limitations Imposed Under Participant’s Existing Vendor Contracts 

  

	 	B.	List of Facilities 

  

	 	C.	GPO Affiliation Certificate 

  

	 	D.	Compliance Certificate 

 EXHIBIT A 

Compliance Exceptions Required by Limitations 

Imposed by Participant’s Existing Vendor Contracts 

[Describe contract parties, products and services covered by long term contracts, and provide termination date.] 

NONE 

  
 Page A-1 

 Exhibit B 

LIST OF HOSPITALS AND OTHER 

HEALTHCARE FACILITIES AND SERVICES 
  

			
	Facility Name	  	
	Address:	  	
	City, ST, Zip:	  	
	Relationship to Participant:	  	 ̈ Owned     ̈ Managed     ̈ Joint
Venture     ̈ Partnership     ̈ Other
	Class of Trade:	  	
	Description (Facility Type):	  	

  
 Page B-1 

 EXHIBIT C 

GPO Affiliation Certificate 

The Participant listed at the end of this GPO Affiliation Certificate (“GPOAC”) and those Facilities on the attached list (if any is
attached) hereby confirm that they have designated HealthTrust Purchasing Group, L.P. (“HealthTrust”) as their sole GPO affiliation pursuant to a written Participation Agreement with QHCCS, LLC dated as of February 1, 2016.
Participant and those Facilities listed on the attached shall be eligible to participate in the Program upon HealthTrust providing notice to Vendor and Participant of Participant’s “Eligibility Date”. Eligibility Date shall mean the
date Participant and Facilities will be able to start purchasing products and services under the Program. Vendors having contracts with HealthTrust are hereby instructed and authorized to remove the Participant and Facilities from any other GPO
affiliations for purchasing products from such Vendors. HealthTrust is hereby authorized to provide copies of this GPOAC to its Vendors and HealthTrust Vendors shall be entitled to rely on the contents of this GPOAC. The parties agree that changes
to Participant’s and any Facility’s DEA number, contact information, address correction and other such information that do not change the terms and conditions of the Participation Agreement may be completed in the HealthTrust databases
without requiring any amendment to the Participation Agreement. 
 Participant confirms that it is authorized to enter into and to execute this GPOAC on
behalf of each Facility; and in addition, on behalf of itself and each Facility agrees: (i) in consideration of having access to the Program, Participant and each Facility will comply with, and be bound by, the terms and conditions of this
Participation Agreement as if a party thereto; (ii) to purchase products from Vendors only for its “own use” in connection with the provision of healthcare services; and (iii) to comply with all terms and conditions of Vendor
Contracts, including without limitation payment terms, compliance levels, and arbitration or other dispute resolution provisions with respect to their respective purchases. Participant recognizes that failure to comply with these obligations by
Participant or any Facility could result in termination of the Participation Agreement as to Participant and/or a Facility. 
 This GPOAC,
the Participation Agreement and any amendments to such documents (each, a “Document”), may be executed by the Parties hereto individually or in any combination, in one or more counterparts, each of which shall be an original and all of
which shall together constitute one and the same agreement. Execution and delivery of this Agreement and any amendments by the Parties shall be effective through (i) executing and delivering the paper copy of the document,
(ii) transmitting the executed paper copy of the document by facsimile transmission, or electronic mail in “portable document format” (“.pdf”) or other electronically scanned format, or (iii) creating, generating,
sending, receiving or storing by electronic means this Agreement and any amendments, the execution of which is accomplished through use of an electronic process associated with this Agreement, and executed or adopted by a Party with the intent to
execute this Agreement (i.e., “electronic signature” through a process such as DocuSign®). 

Participant, on behalf of itself and each Facility, acknowledges that with respect to its purchases from Vendors, (a) HealthTrust is
acting as a group purchasing organization for which it will receive fees from Vendors and (b) Participant and Facilities may receive rebates from Vendors either directly or through HealthTrust. With respect to such rebates, Participant and
Facilities intend to comply with the requirements of the applicable law and safe harbor regulations. 
  

			
	QHCCS, LLC	  	*GPOID:

 A list containing the name of the Facilities with specific identification information is attached hereto and incorporated
herein. 
 Participant Signee: 
 Participant Signee Name: 

Participant Signee Title: 
 Participant Signature Date: 

 

	*	GPOID will be entered by HealthTrust for all locations. 

  
 Page C-1 

 GPO Affiliation Certificate Facility List 

 

			
	Non-Pharmacy Eligibility Date:	  	
	Pharmacy Eligibility Date:	  	
	Facility Name	  	
	Address:	  	
	City, ST, Zip:	  	
	Relationship to Participant:	  	 ̈ Owned     ̈ Managed     ̈ Joint
Venture     ̈ Partnership     ̈ Other
	Class of Trade:	  	
	Description (Facility Type):	  	
	*GPOID:	  	

  

	*	GPOID will be entered by HealthTrust for all locations. 

  
 Page C-2 

 EXHIBIT D 

Compliance Certificate 
 At
HealthTrust’s request, the compliance certificate described in Section 5.3 of the Agreement shall include, at least, the following information for each Facility: 
  

	 	1.	Participant at a minimum must provide to HealthTrust, on a quarterly (calendar) basis, the total non-distributed supply expense and total non-distributed enterprise-wide expense. 

 

	 	2.	Where possible, Participant must additionally supply on a quarterly basis to HealthTrust total non-distributed contract spend by contract number. 

 

	 	3.	Participant agrees to cause its distributor to provide to HealthTrust, on a quarterly basis, total distributed and contracted supply expense (net of distributor mark-up) by contract number and to additionally provide
total distributed (contract and non-contract) supply expense by Facility. 

  
 Page D-1

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