Document:

Additional Receivables Intercreditor Agreement, dated as of February 16, 2012

 Exhibit 4.10 
 ADDITIONAL RECEIVABLES INTERCREDITOR AGREEMENT 
 by and between 

BANK OF AMERICA, N.A., 
 as ABL Collateral Agent, 
 and 

BANK OF AMERICA, N.A., 
 as New First Lien Collateral Agent 
 Dated as of February 16, 2012 

 TABLE OF CONTENTS 

 

					
	 	 	 	  	 Page No.

	
	ARTICLE 1
	DEFINITIONS
			
	Section 1.1	 	 Definitions
	  	2
	Section 1.2	 	 Rules of Construction
	  	10
	
	ARTICLE 2
	LIEN PRIORITY
			
	Section 2.1	 	 Priority of Liens
	  	11
	Section 2.2	 	 Waiver of Right to Contest Liens
	  	12
	Section 2.3	 	 Remedies Standstill
	  	12
	Section 2.4	 	 Exercise of Rights
	  	14
	Section 2.5	 	 No New Liens
	  	15
	Section 2.6	 	 Waiver of Marshaling
	  	16
	
	ARTICLE 3
	ACTIONS OF THE PARTIES
			
	Section 3.1	 	 Certain Actions Permitted
	  	16
	Section 3.2	 	 Agent for Perfection
	  	16
	Section 3.3	 	 Inspection and Access Rights
	  	17
	Section 3.4	 	 Insurance
	  	17
	Section 3.5	 	 Exercise of Remedies—Set-off and Tracing of and Priorities in Proceeds
	  	17
	
	ARTICLE 4
	APPLICATION OF PROCEEDS
			
	Section 4.1	 	 Application of Proceeds
	  	18
	Section 4.2	 	 Specific Performance
	  	19
	
	ARTICLE 5
	INTERCREDITOR ACKNOWLEDGMENTS AND WAIVERS
			
	Section 5.1	 	 Notice of Acceptance and Other Waivers
	  	20
	Section 5.2	 	 Modifications to ABL Documents and New First Lien Documents
	  	21
	Section 5.3	 	 Reinstatement and Continuation of Agreement
	  	22
	
	ARTICLE 6
	INSOLVENCY PROCEEDINGS
			
	Section 6.1	 	 DIP Financing
	  	23

  
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	 	 	 	  	 Page No.

			
	Section 6.2	 	 Relief from Stay
	  	24
	Section 6.3	 	 No Contest; Adequate Protection
	  	24
	Section 6.4	 	 Asset Sales
	  	24
	Section 6.5	 	 Separate Grants of Security and Separate Classification
	  	25
	Section 6.6	 	 Enforceability
	  	25
	Section 6.7	 	 ABL Obligations Unconditional
	  	25
	
	ARTICLE 7
	MISCELLANEOUS
			
	Section 7.1	 	 Rights of Subrogation
	  	26
	Section 7.2	 	 Further Assurances
	  	26
	Section 7.3	 	 Representations
	  	26
	Section 7.4	 	 Amendments
	  	27
	Section 7.5	 	 Addresses for Notices
	  	27
	Section 7.6	 	 No Waiver; Remedies
	  	28
	Section 7.7	 	 Continuing Agreement; Transfer of Secured Obligations
	  	28
	Section 7.8	 	 Governing Law; Entire Agreement
	  	28
	Section 7.9	 	 Counterparts
	  	28
	Section 7.10	 	 No Third Party Beneficiaries
	  	28
	Section 7.11	 	 Headings
	  	28
	Section 7.12	 	 Severability
	  	29
	Section 7.13	 	 Attorneys Fees
	  	29
	Section 7.14	 	 VENUE; JURY TRIAL WAIVER
	  	29
	Section 7.15	 	 Intercreditor Agreement
	  	29
	Section 7.16	 	 Effectiveness
	  	30
	Section 7.17	 	 Collateral Agents
	  	30
	Section 7.18	 	 No Warranties or Liability
	  	30
	Section 7.19	 	 Conflicts
	  	30
	Section 7.20	 	 Information Concerning Financial Condition of the Credit Parties
	  	30
	Section 7.21	 	 Acknowledgement
	  	31

  
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 ADDITIONAL RECEIVABLES INTERCREDITOR AGREEMENT 

THIS ADDITIONAL RECEIVABLES INTERCREDITOR AGREEMENT (as amended, supplemented, restated or otherwise modified from time to time pursuant
to the terms hereof, this “Agreement”) is entered into as of February 16, 2012 between BANK OF AMERICA, N.A. (“Bank of America”), in its capacity as collateral agent for the ABL Obligations
(as defined below), and Bank of America, in its capacity as collateral agent for the New First Lien Obligations (as defined below). 
 RECITALS 
 A. HCA INC., a Delaware corporation (the
“Company”), is party to the Credit Agreement dated as of September 30, 2011 (as may be further amended, restated, supplemented, waived, Refinanced or otherwise modified from time to time (including without limitation to
add new loans thereunder or increase the amount of loans thereunder), the “ABL Credit Agreement”), among the Company, the several Subsidiary Borrowers party thereto, the Lenders party thereto from time to time, BANK OF
AMERICA, N.A., as Administrative Agent, Swingline Lender and Letter of Credit Issuer, CITICORP NORTH AMERICA, INC., JPMORGAN CHASE BANK, N.A. and WELLS FARGO CAPITAL FINANCE LLC, as Co-Syndication Agents, MERRILL LYNCH, PIERCE, FENNER &
SMITH INCORPORATED, CITIGROUP GLOBAL MARKETS INC., J.P. MORGAN SECURITIES LLC, WELLS FARGO CAPITAL FINANCE LLC, BARCLAYS CAPITAL, DEUTSCHE BANK SECURITIES INC. and RBC CAPITAL MARKETS , as Joint Lead Arrangers and Joint Bookrunners, and BARCLAYS
CAPITAL, THE INVESTMENT BANKING DIVISION OF BARCLAYS BANK PLC, DEUTSCHE BANK SECURITIES INC. and ROYAL BANK OF CANADA, as Co-Documentation Agents. The ABL Credit Agreement is designated by the Company to be included in the definition of “ABL
Facility” under the New First Lien Agreement (as defined below) and the Obligations thereunder constitute ABL Obligations within the meaning of the New First Lien Agreement. 

B. The Company is party to the Indenture, dated as of August 1, 2011 (the “Base Indenture”) among the
Company, HCA, Holdings, Inc. (the “Parent Guarantor”), Law Debenture Trust Company of New York, as trustee (in such capacity, the “Trustee”) and Deutsche Bank Trust Company Americas, as registrar,
paying agent and transfer agent (in each such capacity, the “Registrar”), as supplemented by the Supplemental Indenture No. 4 for the 5.875% Senior Secured Notes due 2022, dated as of February 16, 2012 (together
with the Base Indenture, the “New First Lien Agreement”), among the Company, the Parent Guarantor, the other Subsidiary Guarantors party thereto, the Trustee (in such capacity, “New First Lien
Trustee”) and the Registrar. 
 C. Bank of America, N.A., as ABL collateral agent, Bank of America, as collateral
agent for the holders of Obligations under the CF Credit Agreement, and The Bank of New York Mellon, as collateral agent for the holders of notes issued under the 2009 Indenture, are party to that certain Receivables Intercreditor Agreement (the
“Original Receivables Intercreditor Agreement”) dated as of November 17, 2006, which sets forth and governs the relative rights, privileges and obligations with respect to the Common Collateral as between the ABL
Collateral Agent, on the one hand, and the Subordinated Lien Collateral Agent and Subordinated Lien Secured Parties (each as defined therein), on the other hand. 

 D. Bank of America, N.A., as collateral agent for the lenders and other secured parties
under the CF Credit Agreement, and The Bank of New York Mellon, as collateral agent for the noteholders and other secured parties pursuant to the 2009 Indenture, are party to that certain General Intercreditor Agreement (the “Original
General Intercreditor Agreement”), dated as of November 17, 2006, which sets forth and governs the relative rights, privileges and obligations with respect to the collateral described therein (including, without limitation, the
Shared Receivables Collateral) as between the First Lien Secured Parties (as defined therein), on the one hand, and the Junior Lien Secured Parties (as defined therein), on the other hand. 

E. Bank of America, N.A., as first lien collateral agent, The Bank of New York Mellon, as junior lien collateral agent, and The Bank of
New York Mellon Trust Company, N.A., as trustee under the 2009 Indenture, are party to that certain Additional General Intercreditor Agreement (the “Additional General Intercreditor Agreement”), dated as of February 16,
2012, which sets forth and governs the relative rights, privileges and obligations with respect to the collateral described therein (including without limitation, the Shared Receivables Collateral) as between the New First Lien Secured Parties (as
defined therein), on the one hand, and the Junior Lien Secured Parties, on the other hand. 
 F. Bank of America, N.A., as
collateral agent for the holders of Obligations under the CF Credit Agreement, the New First Lien Agreement and the Existing First Lien Indentures (as defined below) and as authorized representative for the holders of Obligations under the CF Credit
Agreement, and Law Debenture Trust Company of New York, as authorized representative for the holders of the Obligations under the Existing First Lien Indentures, are party to that certain First Lien Intercreditor Agreement (the “First
Lien Intercreditor Agreement”), dated as of April 22, 2009, which sets forth and governs the relative rights, privileges and obligations with respect to the collateral described therein (including, without limitation, the Shared
Receivables Collateral) as among the holders of Obligations under the CF Credit Agreement, the New First Lien Secured Parties and any series of Additional First Lien Secured Parties (as defined therein) and to which the New First Lien Secured
Parties have joined by virtue of the Additional First Lien Secured Party Consent, dated as of February 16, 2012. 

Accordingly, in consideration of the foregoing, the mutual covenants and obligations herein set forth and for other good and valuable
consideration, the sufficiency and receipt of which are hereby acknowledged, the parties hereto, intending to be legally bound, hereby agree as follows: 
 ARTICLE 1 
 DEFINITIONS 

Section 1.1 Definitions. Unless the context otherwise requires, all capitalized terms used but not defined herein
shall have the meanings set forth in the ABL Credit Agreement and the New First Lien Agreement, in each case as in effect on February 16, 2012. In addition, as used in this Agreement, the following terms shall have the meanings set forth below:

 “ABL Collateral Agent” shall mean Bank of America, in its capacity as collateral agent for the
lenders and other secured parties under the ABL Credit Agreement and the other ABL Documents entered into pursuant to the ABL Credit Agreement, together with its successors and permitted assigns under the ABL Credit Agreement exercising
substantially the same rights and powers; and in each case provided that if such ABL Collateral Agent is not Bank of America, such ABL Collateral Agent shall have become a party to this Agreement and the other applicable ABL Security Documents.

  
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 “ABL Controlled Accounts” shall mean, collectively, with respect to
each Grantor, (i) all Deposit Accounts and all Securities Accounts and all accounts and sub-accounts relating to any of the foregoing accounts and (ii) all cash, funds, checks, notes, “securities entitlements” (as such terms are
defined in the UCC) and instruments from time to time on deposit in any of the accounts or sub-accounts described in clause (i) of this definition, in each case, which are subject to a control agreement in favor of the ABL Collateral Agent.

 “ABL Documents” means the credit, guarantee and security documents governing the ABL Obligations,
including, without limitation, the ABL Credit Agreement and the ABL Security Documents and Secured Cash Management Agreements (as defined in the ABL Credit Agreement as in effect on the date hereof) and Secured Hedge Agreements (as defined in the
ABL Credit Agreement as in effect on the date hereof). 
 “ABL Entity” shall mean a direct Subsidiary of
a 1993 Indenture Restricted Subsidiary, substantially all of the business of which consists of financing of accounts receivable and related assets. 
 “ABL Obligations” shall mean all “Obligations” as defined in the ABL Credit Agreement. For the avoidance of doubt, Obligations with respect to the New First Lien
Agreement and the other New First Lien Documents shall not constitute ABL Obligations. 
 “ABL Recovery”
shall have the meaning set forth in Section 5.3. 
 “ABL Secured Parties” means “Secured
Parties” as defined in the ABL Credit Agreement. 
 “ABL Security Agreement” means the Security
Agreement (as defined in the ABL Credit Agreement). 
 “ABL Security Documents” means the ABL Security
Agreement and the other Security Documents (as defined in the ABL Credit Agreement) and any other agreement, document or instrument pursuant to which a Lien is granted or purported to be granted securing ABL Obligations or under which rights or
remedies with respect to such Liens are governed. 
 “Affiliate” shall mean, with respect to any Person,
any other Person directly or indirectly controlling, controlled by, or under direct or indirect common control with such Person. A Person shall be deemed to control a corporation if such Person possesses, directly or indirectly, the power to direct
or cause the direction of the management and policies of such corporation, whether through the ownership of voting securities, by contract or otherwise. 

  
 -3-

 “Agreement” shall have the meaning assigned to that term in the
introduction to this Agreement. 
 “Bank of America” shall have the meaning assigned to that term in the
introduction to this Agreement. 
 “Bankruptcy Code” shall mean Title 11 of the United States Code.

 “Capital Stock” shall mean, as to any Person that is a corporation, the authorized shares of such
Person’s capital stock, including all classes of common, preferred, voting and nonvoting capital stock, and, as to any Person that is not a corporation or an individual, the membership or other ownership interests in such Person, including the
right to share in profits and losses, the right to receive distributions of cash and other property, and the right to receive allocations of items of income, gain, loss, deduction and credit and similar items from such Person, whether or not such
interests include voting or similar rights entitling the holder thereof to exercise Control over such Person, collectively with, in any such case, all warrants, options and other rights to purchase or otherwise acquire, and all other instruments
convertible into or exchangeable for, any of the foregoing. 
 “CF Credit Agreement” shall mean that
certain credit agreement dated as of November 17, 2006 among the Company, HCA UK Capital Limited, a limited liability company (company no. 04779021) formed under the laws of England and Wales, as the European Subsidiary Borrower
thereunder, the Lenders party thereto from time to time, Bank of America, N.A., as administrative agent, swingline lender and letter of credit issuer, JPMorgan Chase Bank, N.A. and Citicorp North America, Inc., as co-syndication agents, Merrill
Lynch, Pierce, Fenner & Smith Incorporated, J.P. Morgan Securities LLC and Citigroup Global Markets Inc., as joint lead arrangers and bookrunners, Deutsche Bank Securities Inc. and Wachovia Capital Markets LLC, as joint bookrunners, and
Merrill Lynch Capital Corporation, as documentation agent, as amended and restated on May 4, 2011 and as further amended, restated, supplemented, waived, refinanced or otherwise modified from time to time. 

“Collateral Agent(s)” means individually the ABL Collateral Agent or the New First Lien Collateral Agent and
collectively means the ABL Collateral Agent and the New First Lien Collateral Agent. 
 “Common
Collateral” means Receivables Collateral other than Separate Receivables Collateral. 
 “Comparable New
First Lien Security Document” shall mean, in relation to any Common Collateral subject to any Lien created under any ABL Document, those New First Lien Security Documents that create a Lien on the same Common Collateral (but only to the
extent relating to such Common Collateral), granted by the same Grantor. 
 “Control” shall mean the
possession, directly or indirectly, of the power (a) to vote 50% or more of the securities having ordinary voting power for the election of directors (or any similar governing body) of a Person, or (b) to direct or cause the direction of
the management or policies of a Person, whether through the ability to exercise voting power, by contract or otherwise. The terms “Controlling” and “Controlled” have meanings correlative thereto.

  
 -4-

 “Credit Documents” shall mean the ABL Documents and the New First
Lien Documents. 
 “Deposit Account” shall have the meaning set forth in the UCC. 

“Designated Non-Receivables Accounts” means Deposit Accounts containing exclusively cash consisting of proceeds
from the sale of Non-Receivables Collateral. 
 “DIP Financing” shall have the meaning set forth in
Section 6.1(a). 
 “Discharge of ABL Obligations” shall mean, except to the extent otherwise
provided in Section 5.3, payment in full in cash (except for contingent indemnities and cost and reimbursement obligations to the extent no claim has been made) of all ABL Obligations and, with respect to letters of credit or letter of credit
guaranties outstanding under the ABL Documents, delivery of cash collateral or backstop letters of credit in respect thereof in a manner consistent with the ABL Credit Agreement, in each case after or concurrently with the termination of all
commitments to extend credit thereunder, and the termination of all commitments of ABL Secured Parties under ABL Documents; provided that the Discharge of ABL Obligations shall not be deemed to have occurred if such payments are made with the
proceeds of other ABL Obligations that constitute an exchange or replacement for or a Refinancing of such ABL Obligations (unless in connection with such exchange, replacement or Refinancing all the ABL Obligations are repaid in full in cash (and
the other conditions set forth in this definition prior to the proviso are satisfied) with the proceeds of a Permitted Receivables Financing (as defined in the ABL Credit Agreement), in which case a Discharge of ABL Obligations shall be deemed to
have occurred). In the event the ABL Obligations are modified and the ABL Obligations are paid over time or otherwise modified pursuant to Section 1129 of the Bankruptcy Code, the ABL Obligations shall be deemed to be discharged when the final
payment is made, in cash, in respect of such indebtedness and any obligations pursuant to such new indebtedness shall have been satisfied. 
 “Disposition” has the meaning set forth in Section 2.4(b). 
 “Enforcement Notice” shall mean a written notice delivered by the New First Lien Collateral Agent to the ABL Collateral Agent announcing the commencement of an Exercise of Secured
Creditor Remedies. 
 “Exercise Any Secured Creditor Remedies” or “Exercise of Secured
Creditor Remedies” shall mean, except as otherwise provided in the final sentence of this definition: 
 (a) the taking by any Secured Party of any action to enforce or realize upon any Lien on Common Collateral, including the institution of any foreclosure proceedings or the noticing of any public or
private sale pursuant to Article 9 of the Uniform Commercial Code; 
 (b) the exercise by any Secured Party of
any right or remedy provided to a secured creditor on account of a Lien on Common Collateral under any of the Credit Documents, under applicable law, in an Insolvency Proceeding or otherwise, including the election to retain any of the Common
Collateral in satisfaction of a Lien; 

  
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 (c) the taking of any action by any Secured Party or the exercise of any
right or remedy by any Secured Party in respect of the collection on, set off against, marshaling of, injunction respecting or foreclosure on the Common Collateral or the Proceeds thereof; 

(d) the appointment on the application of a Secured Party, of a receiver, receiver and manager or interim receiver of all
or part of the Common Collateral; 
 (e) the sale, lease, license, or other disposition of all or any portion of
the Common Collateral by private or public sale conducted by a Secured Party or any other means at the direction of a Secured Party permissible under applicable law; or 

(f) the exercise of any other right of a secured creditor under Part 6 of Article 9 of the Uniform Commercial Code in
respect of Common Collateral. 
 For the avoidance of doubt, none of the following shall be deemed to constitute an Exercise of Secured Creditor
Remedies: (i) the filing a proof of claim in bankruptcy court or seeking adequate protection, (ii) the exercise of rights by the ABL Collateral Agent upon the occurrence of a Cash Dominion Event (as defined in the ABL Credit Agreement),
including, without limitation, the notification of account debtors, depository institutions or any other Person to deliver proceeds of Receivables Collateral to the ABL Collateral Agent (unless and until the Lenders under the ABL Credit Agreement
cease to extend credit to the Borrowers thereunder, in which event an Exercise of Secured Creditor Remedies shall be deemed to have occurred), (iii) the consent by a Secured Party to a sale or other disposition by any Grantor of any of its
assets or properties, (iv) the acceleration of all or a portion of the ABL Obligations or any New First Lien Obligations, (v) the reduction of the borrowing base, advance rates or sub-limits by the Administrative Agent under the ABL Credit
Agreement, the ABL Collateral Agent and the Lenders under the ABL Credit Agreement, (vi) the imposition of reserves by the ABL Collateral Agent, (vii) an account ceasing to be an “eligible account” under the ABL Credit Agreement
or (viii) any action taken by any ABL Secured Party in respect of Separate Receivables Collateral. For the avoidance of doubt, the actions permitted by Sections 2.3(b), 2.4(a) and 3.1 shall not be deemed to be an Exercise of Secured Creditor
Remedies. 
 “Existing First Lien Indentures” shall mean collectively, (i) that certain Indenture,
dated as of April 22, 2009, among the Company, the guarantors named on Schedule I thereto, Law Debenture Trust Company of New York, as trustee, and Deutsche Bank Trust Company Americas, as paying agent, registrar and transfer agent,
(ii) that certain Indenture dated as of August 11, 2009 among the Company, the guarantors named on Schedule I thereto, Law Debenture Trust Company of New York, as trustee, and Deutsche Bank Trust Company Americas, as paying agent,
registrar and transfer agent, and (iii) that certain Indenture dated as of March 10, 2010 among the Company, the guarantors named on Schedule I thereto, Law Debenture Trust Company of New York, as trustee, and Deutsche Bank Trust Company
Americas, as paying agent, registrar and transfer agent. 
 “Governmental Authority” shall mean any
nation or government, any state or other political subdivision thereof and any entity exercising executive, legislative, judicial, regulatory or administrative functions of or pertaining to government. 

  
 -6-

 “Grantors” shall mean the Company and each Subsidiary that has
executed and delivered an ABL Security Document or a New First Lien Security Document. 
 “Indebtedness”
shall have the meaning provided in the ABL Credit Agreement and the New First Lien Agreement as in effect on the date hereof. 

“Insolvency Proceeding” shall mean: 

(1) any case commenced by or against the Company or any other Grantor under any Bankruptcy Law, any other proceeding for
the reorganization, recapitalization or adjustment or marshaling of the assets or liabilities of the Company or any other Grantor, any receivership or assignment for the benefit of creditors relating to the Company or any other Grantor or any
similar case or proceeding relative to the Company or any other Grantor or its creditors, as such, in each case whether or not voluntary; 
 (2) any liquidation, dissolution, marshaling of assets or liabilities or other winding up of or relating to the Company or any other Grantor, in each case whether or not voluntary and whether or not
involving bankruptcy or insolvency; or 
 (3) any other proceeding of any type or nature in which substantially
all claims of creditors of the Company or any other Grantor are determined and any payment or distribution is or may be made on account of such claims. 
 “Lien” shall mean any mortgage, pledge, security interest, hypothecation, assignment, lien (statutory or other) or similar encumbrance (including any agreement to give any of the
foregoing, any conditional sale or other title retention agreement or any lease in the nature thereof). 
 “Lien
Priority” shall mean with respect to any Lien of the ABL Collateral Agent, the ABL Secured Parties, the New First Lien Collateral Agent or the New First Lien Secured Parties on the Common Collateral, the order of priority of such Lien
as specified in Section 2.1. 
 “New First Lien Agreement” shall have the meaning set forth in the
recitals. 
 “New First Lien Collateral Agent” shall mean (i) so long as obligations are
outstanding under the New First Lien Agreement, Bank of America, N.A., in its capacity as collateral agent for the noteholders and other secured parties under the New First Lien Agreement and the other security documents thereunder, and (ii) at
any time thereafter, such agent or trustee as is designated “New First Lien Collateral Agent” by the New First Lien Secured Parties holding a majority in principal amount of the New First Lien Obligations then outstanding or pursuant to
such other arrangements as agreed to among the holders of the New First Lien Obligations; it being understood that as of the date of this Agreement, Bank of America, N.A. shall be such New First Lien Collateral Agent. 

“New First Lien Documents” means the indenture, credit documents and security documents governing the New First
Lien Obligations, including, without limitation, the New First Lien Agreement and the New First Lien Security Documents. 

  
 -7-

 “New First Lien Enforcement Date” means the date which is 180 days
after the occurrence of both (i) a continuing Event of Default (under and as defined in the New First Lien Agreement) and (ii) the ABL Collateral Agent’s receipt of an Enforcement Notice from the New First Lien Collateral Agent;
provided that the New First Lien Enforcement Date shall be stayed and shall not occur (or be deemed to have occurred) (A) at any time the ABL Collateral Agent or the ABL Secured Parties have commenced and are diligently pursuing
enforcement action against the Common Collateral, (B) at any time that any Grantor is then a debtor under or with respect to (or otherwise subject to) any Insolvency Proceeding, or (C) if the Event of Default under the New First Lien
Agreement is waived or cured in accordance with the terms of the New First Lien Agreement. 
 “New First Lien
Obligations” shall mean Obligations under the New First Lien Documents and Obligations with respect to other Indebtedness permitted to be incurred under the New First Lien Documents and the ABL Credit Agreement which is by its terms
intended to be secured equally and ratably with the Obligations under the New First Lien Documents or on a basis junior to the Liens securing the New First Lien Obligations (provided such Lien is permitted to be incurred under the New First
Lien Documents and the ABL Credit Agreement); provided that the holders of such Indebtedness or their New First Lien Representative is a party to the New First Lien Security Documents in accordance with the terms thereof and has appointed the
New First Lien Collateral Agent as collateral agent for such holders of New First Lien Obligations with respect to all or a portion of the Common Collateral. 
 “New First Lien Representative” shall mean any duly authorized representative of any holders of New First Lien Obligations, which representative is a party to the New First Lien
Documents. 
 “New First Lien Secured Parties” shall mean (i) so long as the New First Lien
Obligations are outstanding, the New First Lien Trustee and the holders of the New First Lien Obligations (including any New First Lien Obligations subsequently issued under and in compliance with the New First Lien Agreement), (ii) the New
First Lien Collateral Agent, (iii) the holders from time to time of any other New First Lien Obligations and (iv) each New First Lien Representative. 
 “New First Lien Security Documents” shall mean (a) so long as the New First Lien Obligations are outstanding, the Security Documents (as defined in the New First Lien
Agreement) and (b) thereafter, any agreement, document or instrument pursuant to which a Lien is granted or purported to be granted securing New First Lien Obligations or under which rights or remedies with respect to such Liens are governed,
which in each case may include intercreditor and/or subordination agreements or arrangements among various New First Lien Secured Parties. 
 “1993 Indenture” shall mean the Indenture dated as of December 16, 1993 between the Company and First National Bank of Chicago, as trustee, as amended, and as may be further
amended, supplemented or modified from time to time. 
 “1993 Indenture Restricted Subsidiary” shall
mean any Subsidiary that on the date hereof constitutes a Restricted Subsidiary under (and as defined in) the 1993 Indenture, as in effect on the date hereof. 

  
 -8-

 “Non-Receivables Collateral” shall mean all “Collateral”
as defined in any New First Lien Security Document, but excluding all Receivables Collateral. 

“Obligations” means any principal, interest (including any interest accruing subsequent to the filing of a
petition in bankruptcy, reorganization or similar proceeding at the rate provided for in the documentation with respect thereto, whether or not such interest is an allowed claim under applicable state, federal or foreign law), premium, penalties,
fees, indemnifications, reimbursements (including reimbursement obligations with respect to letters of credit and banker’s acceptances), damages and other liabilities, and guarantees of payment of such principal, interest, penalties, fees,
indemnifications, reimbursements, damages and other liabilities, payable under the documentation governing any Indebtedness. 

“Party” shall mean the ABL Collateral Agent or the New First Lien Collateral Agent, and
“Parties” shall mean collectively the ABL Collateral Agent and the New First Lien Collateral Agent. 

“Person” shall mean an individual, partnership, corporation, limited liability company, business trust, joint
stock company, trust, unincorporated association, joint venture, Governmental Authority or other entity of whatever nature. 

“Proceeds” shall mean (a) all “proceeds,” as defined in Article 9 of the Uniform Commercial Code,
with respect to the Common Collateral, and (b) whatever is recoverable or recovered when any Common Collateral is sold, exchanged, collected, or disposed of, whether voluntarily or involuntarily. 

“Receivables Collateral” means Collateral as defined in the ABL Security Agreement as in effect on the date
hereof. Without expanding the foregoing, for the avoidance of doubt, neither European Collateral (as defined in the CF Credit Agreement) (whether in the form of accounts receivable or otherwise), Principal Properties (as defined in the New First
Lien Agreement), any capital stock (or capital stock equivalents) pledged pursuant to any New First Lien Security Documents, Designated Non-Receivables Accounts nor Mortgaged Properties (as defined in the CF Credit Agreement) shall constitute
Receivables Collateral. 
 “Refinance” means, in respect of any indebtedness, to refinance, extend,
renew, defease, amend, increase, modify, supplement, restructure, refund, replace or repay, or to issue other indebtedness or enter alternative financing arrangements, in exchange or replacement for such indebtedness, including by adding or
replacing lenders, creditors, agents, borrowers and/or guarantors, and including in each case, but not limited to, after the original instrument giving rise to such indebtedness has been terminated. “Refinanced” and
“Refinancing” have correlative meanings. 
 “Secured Parties” shall mean the ABL
Secured Parties and the New First Lien Secured Parties. 
 “Securities Account” has the meaning set
forth in the UCC. 
 “Separate Receivables Collateral” means Receivables Collateral owned or held by an
ABL Entity and Proceeds (as defined in the ABL Security Agreement) thereof. 

  
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 “Shared Receivables Collateral” means Common Collateral. 

“Subsidiary” shall mean with respect to any Person (the “parent”) at any date, any
corporation, limited liability company, partnership, association or other entity (a) of which Capital Stock representing more than 50% of the ordinary voting power or, in the case of a partnership, more than 50% of the general partnership
interests are, as of such date, owned, Controlled or held, or (b) that is, as of such date, otherwise Controlled, by the parent or one or more subsidiaries of the parent or by the parent and one or more subsidiaries of the parent. 

“2009 Indenture” means the Indenture, dated as of February 19, 2009, among the Company, the guarantors
identified therein, The Bank of New York Mellon Trust Company, N.A., as trustee, and The Bank of New York Mellon, as collateral agent, as amended, restated, supplemented, waived, Refinanced or otherwise modified from time to time. 

“Uniform Commercial Code” or “UCC” shall mean the Uniform Commercial Code as the same
may, from time to time, be in effect in the State of New York; provided that to the extent that the Uniform Commercial Code is used to define any term in any security document and such term is defined differently in differing Articles of the
Uniform Commercial Code, the definition of such term contained in Article 9 shall govern; provided, further, that in the event that, by reason of mandatory provisions of law, any or all of the attachment, perfection, publication or
priority of, or remedies with respect to, Liens of any Party is governed by the Uniform Commercial Code or foreign personal property security laws as enacted and in effect in a jurisdiction other than the State of New York, the term “Uniform
Commercial Code” will mean the Uniform Commercial Code or such foreign personal property security laws as enacted and in effect in such other jurisdiction solely for purposes of the provisions thereof relating to such attachment, perfection,
priority or remedies and for purposes of definitions related to such provisions. 
 Section 1.2 Rules of
Construction. Unless the context of this Agreement clearly requires otherwise, references to the plural include the singular, references to the singular include the plural, the term “including” is not limiting and shall be deemed
to be followed by the phrase “without limitation,” and the term “or” has, except where otherwise indicated, the inclusive meaning represented by the phrase “and/or.” The words “hereof,” “herein,”
“hereby,” “hereunder,” and similar terms in this Agreement refer to this Agreement as a whole and not to any particular provision of this Agreement. Article, section, subsection, clause, schedule and exhibit references herein are
to this Agreement unless otherwise specified. Any reference in this Agreement to any agreement, instrument, or document shall include all alterations, amendments, changes, restatements, extensions, modifications, renewals, replacements,
substitutions, joinders, and supplements thereto and thereof, as applicable (subject to any restrictions on such alterations, amendments, changes, restatements, extensions, modifications, renewals, replacements, substitutions, joinders, and
supplements set forth herein). Any reference herein to any Person shall be construed to include such Person’s successors and assigns. Any reference herein to the repayment in full of an obligation shall mean the payment in full in cash of such
obligation, or in such other manner as may be approved in writing by the requisite holders or representatives in respect of such obligation, or in such other manner as may be approved by the requisite holders or representatives in respect of such
obligation. 

  
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 ARTICLE 2 
 LIEN PRIORITY 
 Section 2.1 Priority of Liens.

 (a) Notwithstanding (i) the date, time, method, manner, or order of grant, attachment, or perfection of any Liens
granted to the ABL Collateral Agent or the ABL Secured Parties in respect of all or any portion of the Common Collateral or of any Liens granted to any New First Lien Collateral Agent or any New First Lien Secured Parties in respect of all or any
portion of the Common Collateral, and regardless of how any such Lien was acquired (whether by grant, statute, operation of law, subrogation or otherwise), (ii) the order or time of filing or recordation of any document or instrument for
perfecting the Liens in favor of the ABL Collateral Agent or any New First Lien Collateral Agent (or the ABL Secured Parties or any of the New First Lien Secured Parties) on any Common Collateral, (iii) any provision of the Uniform Commercial
Code, the Bankruptcy Code or any other applicable law, or of any of the ABL Documents or any of the New First Lien Documents, or (iv) whether the ABL Collateral Agent or any New First Lien Collateral Agent, in each case, either directly or
through agents, holds possession of, or has control over, all or any part of the Common Collateral, the ABL Collateral Agent, on behalf of itself and the ABL Secured Parties, and the New First Lien Collateral Agent, on behalf of itself and the New
First Lien Secured Parties, hereby agree that: 
 (1) any Lien in respect of all or any portion of the Common
Collateral now or hereafter held by or on behalf of the New First Lien Collateral Agent or the New First Lien Secured Parties that secures all or any portion of the New First Lien Obligations shall in all respects be junior and subordinate to all
Liens granted to the ABL Collateral Agent and the ABL Secured Parties on the Common Collateral; and 
 (2) any
Lien in respect of all or any portion of the Common Collateral now or hereafter held by or on behalf of the ABL Collateral Agent or any ABL Secured Party that secures all or any portion of the ABL Obligations shall in all respects be senior and
prior to all Liens granted to the New First Lien Collateral Agent or the New First Lien Secured Parties on the Common Collateral. 
 The New
First Lien Collateral Agent, for and on behalf of itself and each New First Lien Secured Party, expressly agrees that any Lien purported to be granted on any Common Collateral as security for the ABL Obligations shall be deemed to be and shall be
deemed to remain senior in all respects and prior to all Liens on the Common Collateral securing any New First Lien Obligations for all purposes regardless of whether the Lien purported to be granted is found to be improperly granted, improperly
perfected, preferential, a fraudulent conveyance or legally or otherwise deficient in any manner. 
 (b) The ABL Collateral
Agent, for and on behalf of itself and the ABL Secured Parties, acknowledges and agrees that, concurrently herewith, the New First Lien Collateral Agent, for the benefit of itself and the New First Lien Secured Parties, has been granted Liens upon
all of the Common Collateral in which the ABL Collateral Agent has been granted Liens and the ABL Collateral Agent hereby consents thereto. The subordination of Liens by the New First Lien Collateral Agent in favor of the ABL Collateral Agent as set
forth herein shall not be 

  
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deemed to subordinate the respective Liens of the New First Lien Collateral Agent or the New First Lien Secured Parties to Liens securing any other Obligations other than the ABL Obligations
(subject to the First Lien Intercreditor Agreement and the Additional General Intercreditor Agreement). 
 Section 2.2
Waiver of Right to Contest Liens. 
 (a) The New First Lien Collateral Agent, for and on behalf of itself and the New
First Lien Secured Parties, agrees that it shall not (and hereby waives any right to) take any action to contest or challenge (or assist or support any other Person in contesting or challenging), directly or indirectly, whether or not in any
proceeding (including in any Insolvency Proceeding), the validity, priority, enforceability, or perfection of the Liens of the ABL Collateral Agent and the ABL Secured Parties in respect of Receivables Collateral or the provisions of this Agreement.
Except to the extent expressly set forth in this Agreement, the New First Lien Collateral Agent, for itself and on behalf of the New First Lien Secured Parties, agrees that it will not take any action that would interfere with any Exercise of
Secured Creditor Remedies undertaken by the ABL Collateral Agent or any ABL Secured Party under the ABL Documents with respect to the Common Collateral. Except to the extent expressly set forth in this Agreement, the New First Lien Collateral Agent,
for itself and on behalf of the New First Lien Secured Parties, hereby waives any and all rights it may have as a junior lien creditor or otherwise to contest, protest, object to, or interfere with the manner in which the ABL Collateral Agent or any
ABL Secured Party seeks to enforce its Liens in any Common Collateral. 
 (b) The ABL Collateral Agent, for and on behalf of
itself and the ABL Secured Parties, agrees that it and they shall not (and hereby waives any right to) take any action to contest or challenge (or assist or support any other Person in contesting or challenging), directly or indirectly, whether or
not in any proceeding (including in any Insolvency Proceeding), the validity, priority, enforceability, or perfection of the respective Liens of the New First Lien Collateral Agent or the New First Lien Secured Parties in respect of the Common
Collateral or the provisions of this Agreement. 
 Section 2.3 Remedies Standstill. 

(a) The New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, agrees that, from the date hereof
until the date upon which the Discharge of ABL Obligations shall have occurred, neither the New First Lien Collateral Agent nor any New First Lien Secured Party will Exercise Any Secured Creditor Remedies with respect to any Common Collateral
without the written consent of the ABL Collateral Agent, and will not take, receive or accept any Proceeds of Common Collateral, it being understood and agreed that the temporary deposit of Proceeds of Common Collateral in a Deposit Account
controlled by the New First Lien Collateral Agent shall not constitute a breach of this Agreement so long as such Proceeds are promptly remitted to the ABL Collateral Agent; provided that, subject to Section 4.1(b) and the provisions of
the First Lien Intercreditor Agreement, upon the occurrence of the New First Lien Enforcement Date, the New First Lien Collateral Agent acting on behalf of itself and the New First Lien Secured Parties may exercise such remedies without such prior
written consent of the other Collateral Agent. Subject to the First Lien Intercreditor Agreement, from and after the date upon which the Discharge of ABL Obligations shall have occurred (or prior

  
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thereto upon the occurrence of the New First Lien Enforcement Date), the New First Lien Collateral Agent or any New First Lien Secured Party may Exercise Any Secured Creditor Remedies under the
New First Lien Documents or applicable law as to any Common Collateral. 
 (b) Notwithstanding the provisions of
Section 2.3(a) or any other provision of this Agreement but subject to the First Lien Intercreditor Agreement, nothing contained herein shall be construed to prevent any Collateral Agent or any Secured Party from (i) filing a claim or
statement of interest with respect to the ABL Obligations or New First Lien Obligations owed to it in any Insolvency Proceeding commenced by or against any Grantor, (ii) taking any action (not adverse to the priority status of the Liens of the
other Collateral Agent or other Secured Parties on the Common Collateral in which such other Collateral Agent or other Secured Parties has a priority Lien or the rights of the other Collateral Agent or any of the other Secured Parties to exercise
remedies in respect thereof) in order to create, perfect, preserve or protect (but not enforce) its Lien on any Common Collateral, (iii) filing any necessary or responsive pleadings in opposition to any motion, adversary proceeding or other
pleading filed by any Person objecting to or otherwise seeking disallowance of the claim or Lien of such Collateral Agent or Secured Party, (iv) filing any pleadings, objections, motions, or agreements which assert rights available to unsecured
creditors of the Grantors arising under any Insolvency Proceeding or applicable non-bankruptcy law, (vi) voting on any plan of reorganization or file any proof of claim in any Insolvency Proceeding of any Grantor, or (vii) objecting to the
proposed retention of collateral by any other Collateral Agent or any other Secured Party in full or partial satisfaction of any ABL Obligations or New First Lien Obligations due to such other Collateral Agent or Secured Party, in each case
(i) through (vii) above to the extent not inconsistent with, or could not result in a resolution inconsistent with, the terms of this Agreement. 
 (c) Subject to Section 2.3(b), (i) the New First Lien Collateral Agent, for itself and on behalf of the New First Lien Secured Parties, agrees that neither it nor any such New First Lien Secured
Party will take any action that would hinder any exercise of remedies undertaken by the ABL Collateral Agent or the ABL Secured Parties with respect to the Receivables Collateral, including any sale, lease, exchange, transfer or other disposition of
Receivables Collateral, whether by foreclosure or otherwise, and (ii) the New First Lien Collateral Agent, for itself and on behalf of the New First Lien Secured Parties, hereby waives any and all rights it or any such New First Lien Secured
Party may have as a junior lien creditor or otherwise to object to the manner in which the ABL Collateral Agent or the ABL Secured Parties seek to enforce or collect the ABL Obligations or the Liens granted in any of the Receivables Collateral,
regardless of whether any action or failure to act by or on behalf of the ABL Collateral Agent or ABL Secured Parties is adverse to the interests of the New First Lien Secured Parties. 

(d) The New First Lien Collateral Agent, for itself and on behalf of the New First Lien Secured Parties, hereby acknowledges and agrees
that no covenant, agreement or restriction contained in any New First Lien Document shall be deemed to restrict in any way the rights and remedies of the ABL Collateral Agent or the ABL Secured Parties with respect to the Receivables Collateral as
set forth in this Agreement and the ABL Documents. 
 (e) Subject to Section 2.3(b), the New First Lien Collateral Agent,
for itself and on behalf of the New First Lien Secured Parties, agrees that, unless and until the Discharge of ABL Obligations has occurred, it will not commence, or join with any Person (other than the

  
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ABL Secured Parties and the ABL Collateral Agent upon the request thereof) in commencing, any enforcement, collection, execution, levy or foreclosure action or proceeding with respect to any Lien
held by it in the Common Collateral. 
 (f) Notwithstanding the foregoing, clauses (c), (d) and (e) of this
Section 2.3 shall not apply from and after the occurrence of the New First Lien Enforcement Date, subject to the First Lien Intercreditor Agreement. 
 Section 2.4 Exercise of Rights. 
 (a) No Other
Restrictions. Except as otherwise expressly set forth in Section 2.1(a), Section 2.2(a), Section 2.3, Section 3.5 and Article 6 of this Agreement and subject to the First Lien Intercreditor Agreement, the New First Lien
Collateral Agent and each New First Lien Secured Party may exercise rights and remedies as an unsecured creditor against the Company or any Subsidiary that has guaranteed the New First Lien Obligations in accordance with the terms of the New First
Lien Documents and applicable law. Nothing in this Agreement shall prohibit the receipt by the New First Lien Collateral Agent or any New First Lien Secured Party of the required payments of interest and principal so long as such receipt is not the
direct or indirect result of the exercise by the New First Lien Collateral Agent or any New First Lien Secured Party of rights or remedies as a secured creditor in respect of Common Collateral or enforcement in contravention of this Agreement of any
Lien in respect of New First Lien Obligations held by any of them or in any Insolvency Proceeding. In the event the New First Lien Collateral Agent or any New First Lien Secured Party becomes a judgment lien creditor or other secured creditor in
respect of Common Collateral as a result of its enforcement of its rights as an unsecured creditor in respect of New First Lien Obligations or otherwise, such judgment or other lien shall be subordinated to the Liens securing ABL Obligations on the
same basis as the other Liens securing the New First Lien Obligations are so subordinated to such Liens securing ABL Obligations under this Agreement. Nothing in this Agreement impairs or otherwise adversely affects any rights or remedies the ABL
Collateral Agent or the ABL Secured Parties may have with respect to the Receivables Collateral. Furthermore, subject to Section 3.3 hereof, for the avoidance of doubt, nothing in this Agreement shall restrict any right any New First Lien
Secured Party may have (secured or otherwise) in any property or asset of any Grantor that does not constitute Common Collateral. 
 (b) Release of Liens. If at any time any Grantor or any ABL Secured Party delivers notice to the New First Lien Collateral Agent with respect to any specified Common Collateral that: 

(A) such specified Common Collateral is sold, transferred or otherwise disposed of (a
“Disposition”) by the owner of such Common Collateral in a transaction permitted under the ABL Credit Agreement and the New First Lien Agreement; or 

(B) the ABL Secured Parties are releasing or have released their Liens on such Common Collateral in connection with a
Disposition in connection with an Exercise of Secured Creditor Remedies with respect to such Common Collateral, 

  
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 then the Liens upon such Common Collateral securing New First Lien Obligations will automatically be
released and discharged as and when, but only to the extent, such Liens on such Common Collateral securing ABL Obligations are released and discharged (provided that in the case of clause (B) of this Section 2.4(b), the Liens on any
Common Collateral disposed of in connection with an Exercise of Secured Creditor Remedies shall be automatically released but any proceeds thereof not applied to repay ABL Obligations shall be subject to the respective Liens securing New First Lien
Obligations and shall be applied pursuant to Section 4.1). Upon delivery to the New First Lien Collateral Agent of a notice from the ABL Collateral Agent stating that any such release of Liens securing or supporting the ABL Obligations has
become effective (or shall become effective upon the New First Lien Collateral Agent’s receipt of such notice), the New First Lien Collateral Agent shall, at the Company’s expense, promptly execute and deliver such instruments, releases,
termination statements or other documents confirming such release on customary terms, which instruments, releases and termination statements shall be substantially identical to the comparable instruments, releases and termination statements executed
by the ABL Collateral Agent in connection with such release. The New First Lien Collateral Agent hereby appoints the ABL Collateral Agent and any officer or duly authorized person of the ABL Collateral Agent, with full power of substitution, as its
true and lawful attorney-in-fact with full irrevocable power of attorney in the place and stead of the New First Lien Collateral Agent and in the name of the New First Lien Collateral Agent or in the ABL Collateral Agent’s own name, from time
to time, in the ABL Collateral Agent’s sole discretion, for the purposes of carrying out the terms of this paragraph, to take any and all appropriate action and to execute and deliver any and all documents and instruments as may be necessary or
desirable to accomplish the purposes of this paragraph, including any financing statements, endorsements, assignments, releases or other documents or instruments of transfer (which appointment, being coupled with an interest, is irrevocable).

 Section 2.5 No New Liens. Until the date upon which the Discharge of ABL Obligations shall have occurred,
the parties hereto agree that no New First Lien Secured Party shall acquire or hold any Lien on any accounts receivable of any Grantor, the proceeds thereof or any deposit or other accounts of any Grantor in which accounts receivable or proceeds
thereof are held or deposited, in each case of the type that would constitute Receivables Collateral as described in the definition thereof (but for the avoidance of doubt, excluding any European Collateral (as defined in the CF Credit Agreement),
whether in the form of accounts receivable or otherwise), securing any New First Lien Obligation, if such accounts and proceeds are not also subject to the Lien of the ABL Collateral Agent under the ABL Documents (and subject to the Lien Priorities
contemplated herein). If any New First Lien Secured Party shall (nonetheless and in breach hereof) acquire or hold any Lien on any such accounts or proceeds securing any New First Lien Obligation, which accounts and proceeds are not also subject to
the Lien of the ABL Collateral Agent under the ABL Documents, subject to the Lien Priority set forth herein, then the New First Lien Collateral Agent (or the applicable New First Lien Secured Party) shall, without the need for any further consent of
any other New First Lien Secured Party and notwithstanding anything to the contrary in any other New First Lien Document, be deemed to also hold and have held such Lien as agent or bailee for the benefit of the ABL Collateral Agent as security for
the ABL Obligations (subject to the Lien Priority and other terms hereof) and shall use its best efforts to promptly notify the ABL Collateral Agent in writing of the existence of such Lien. 

  
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 Section 2.6 Waiver of Marshaling. Until the Discharge of the ABL
Obligations, the New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, agrees not to assert and hereby waives, to the fullest extent permitted by law, any right to demand, request, plead or otherwise assert or
otherwise claim the benefit of, any marshaling, appraisal, valuation or other similar right that may otherwise be available under applicable law with respect to the Common Collateral or any other similar rights a junior secured creditor may have
under applicable law. 
 ARTICLE 3 
 ACTIONS OF THE PARTIES 
 Section 3.1 Certain Actions
Permitted. The New First Lien Collateral Agent and the ABL Collateral Agent may make such demands or file such claims in respect of the New First Lien Obligations or the ABL Obligations, as applicable, as are necessary to prevent the waiver
or bar of such claims under applicable statutes of limitations or other statutes, court orders, or rules of procedure at any time. Except as provided in Section 5.2, nothing in this Agreement shall prohibit the receipt by the New First Lien
Collateral Agent or the New First Lien Secured Parties of the required payments of interest, principal and other amounts owed in respect of the New First Lien Obligations so long as such receipt is not the direct or indirect result of the exercise
by the New First Lien Collateral Agent or the New First Lien Secured Parties of rights or remedies as a secured creditor (including set-off with respect to the Receivables Collateral) or enforcement in contravention of this Agreement of any Lien
held by any of them. 
 Section 3.2 Agent for Perfection. The New First Lien Collateral Agent appoints the
ABL Collateral Agent, and the ABL Collateral Agent expressly accepts such appointment, to act as agent of the New First Lien Collateral Agent and the New First Lien Secured Parties under each control agreement with respect to all ABL Controlled
Accounts for the purpose of perfecting the respective security interests granted under the New First Lien Security Documents. None of the ABL Collateral Agent, any ABL Secured Party, the New First Lien Collateral Agent or any New First Lien Secured
Party, as applicable, shall have any obligation whatsoever to the others to assure that the Common Collateral is genuine or owned by the Company, any Grantor or any other Person or to preserve rights or benefits of any Person. The duties or
responsibilities of the ABL Collateral Agent under this Section 3.2 are and shall be limited solely to holding or maintaining control of the Common Collateral as agent for the New First Lien Secured Parties for purposes of perfecting the
respective Liens held by the New First Lien Secured Parties. The ABL Collateral Agent is not and shall not be deemed to be a fiduciary of any kind for the New First Lien Collateral Agent or the New First Lien Secured Parties, or any other Person.
The New First Lien Collateral Agent is not nor shall it be deemed to be a fiduciary of any kind for any other Collateral Agent or Secured Party, or any other Person. Prior to the Discharge of ABL Obligations, in the event that the New First Lien
Collateral Agent or any New First Lien Secured Party receives any Common Collateral or Proceeds of Common Collateral in violation of the terms of this Agreement, then the New First Lien Collateral Agent or such New First Lien Secured Party, as the
case may be, shall promptly pay over such Proceeds or Common Collateral to the ABL Collateral Agent in the same form as received with any necessary endorsements, for application in accordance with the provisions of Section 4.1 of this
Agreement. 

  
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 Section 3.3 Inspection and Access Rights. Without limiting any rights the
ABL Collateral Agent or any other ABL Secured Party may otherwise have under applicable law or by agreement, in the event of any liquidation of any Receivables Collateral (or any other Exercise of Secured Creditor Remedies by the ABL Collateral
Agent) and whether or not the New First Lien Collateral Agent or any New First Lien Secured Party has commenced and is continuing to Exercise Any Secured Creditor Remedies of any New First Lien Secured Party, the ABL Collateral Agent shall have the
right (a) during normal business hours on any business day, to access Receivables Collateral that is stored or located in or on Non-Receivables Collateral, and (b) shall have the right to reasonably use the Non-Receivables Collateral
(including, without limitation, equipment, computers, software, intellectual property, real property and books and records) in order to inspect, copy or download information stored on, take actions to perfect its Lien on, or otherwise deal with the
Receivables Collateral, in each case without notice to, the involvement of or interference by the New First Lien Collateral Agent or any New First Lien Secured Party and without liability to any New First Lien Secured Party; provided,
however, if the New First Lien Collateral Agent takes actual possession of any Non-Receivables Collateral in contemplation of a sale of such Non-Receivables Collateral or is otherwise exercising a remedy with respect to Non-Receivables
Collateral, the New First Lien Collateral Agent shall give the ABL Collateral Agent reasonable opportunity (of reasonable duration and with reasonable advance notice) prior to the New First Lien Collateral Agent’s sale of any such
Non-Receivables Collateral to access Receivables Collateral as contemplated in (a) and (b) above. For the avoidance of doubt, this Section 3.3 governs the rights of access and inspection as between the ABL Secured Parties on the one
hand and the New First Lien Secured Parties on the other (and not as between the Secured Parties and the Grantors, which rights are set forth in and governed by the applicable Credit Documents and are not affected by this Section 3.3).

 Section 3.4 Insurance. Proceeds of Common Collateral include insurance proceeds and, therefore, the Lien
Priority shall govern the ultimate disposition of insurance proceeds to the extent such insurance insures Receivables Collateral. Prior to the Discharge of ABL Obligations, the ABL Collateral Agent shall have the sole and exclusive right, as against
the New First Lien Collateral Agent, to the extent permitted by the ABL Documents and subject to the rights of the Grantors thereunder, to adjust settlement of insurance claims to the extent such insurance insures Receivables Collateral in the event
of any covered loss, theft or destruction of Receivables Collateral. Prior to the Discharge of ABL Obligations, all proceeds of such insurance with respect to Receivables Collateral shall be remitted for application in accordance with
Section 4.1 hereof. 
 Section 3.5 Exercise of Remedies—Set-off and Tracing of and Priorities in
Proceeds. The New First Lien Collateral Agent, for itself and on behalf of the New First Lien Secured Parties, acknowledges and agrees that, to the extent the New First Lien Collateral Agent or the New First Lien Secured Parties
exercise their rights of set-off against any Grantor’s Deposit Accounts or Securities Accounts to the extent constituting or containing Receivables Collateral or proceeds thereof, the amount of such set-off shall be deemed to be Receivables
Collateral to be held and distributed pursuant to Section 4.1. In addition, unless and until the Discharge of ABL Obligations occurs, the New First Lien Collateral Agent and the New First Lien Secured Parties hereby consent to the application
of cash or other proceeds of Receivables Collateral deposited under control agreements to the repayment of ABL Obligations pursuant to the ABL Documents. 

  
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 ARTICLE 4 
 APPLICATION OF PROCEEDS 
 Section 4.1 Application of
Proceeds. 
 (a) Revolving Nature of ABL Obligations. The New First Lien Collateral Agent, for and on behalf of
itself and the New First Lien Secured Parties, expressly acknowledges and agrees that (i) the ABL Credit Agreement includes a revolving commitment, that in the ordinary course of business the ABL Collateral Agent and the ABL Secured Parties
will apply payments and make advances thereunder, and that no application of any Receivables Collateral or the release of any Lien by the ABL Collateral Agent upon any portion of the Receivables Collateral in connection with a permitted disposition
by the Grantors under the ABL Credit Agreement shall constitute an Exercise of Secured Creditor Remedies under this Agreement; (ii) subject to the limitations set forth in Section 4.10(b)(1) of the New First Lien Agreement (as in effect on
the date hereof) or such additional amounts as consented to by the holders of New First Lien Obligations (in accordance with the provisions of the New First Lien Agreement), the amount of the ABL Obligations that may be outstanding at any time or
from time to time may be increased or reduced and subsequently reborrowed, and that the terms of the ABL Obligations may be modified, extended or amended from time to time, and that the aggregate amount of the ABL Obligations may be increased,
replaced or Refinanced, in each event, without notice to or consent by the New First Lien Secured Parties and without affecting the provisions hereof; and (iii) all Receivables Collateral received by the ABL Collateral Agent may be applied,
reversed, reapplied, credited, or reborrowed, in whole or in part, to the ABL Obligations at any time. The Lien Priority shall not be altered or otherwise affected by any such amendment, modification, supplement, extension, repayment, reborrowing,
increase, replacement, renewal, restatement or Refinancing of either the ABL Obligations or any New First Lien Obligations, or any portion thereof. 
 (b) Application of Proceeds of Common Collateral. The ABL Collateral Agent and the New First Lien Collateral Agent hereby agree that all Common Collateral and all Proceeds thereof, received by any
of them in connection with any Exercise of Secured Creditor Remedies with respect to the Common Collateral shall be applied, first, to the payment of costs and expenses of the ABL Collateral Agent in connection with such Exercise of Secured
Creditor Remedies, and second, to the payment of the ABL Obligations in accordance with the ABL Documents until the Discharge of ABL Obligations shall have occurred. 
 (c) Payments Over. Any Common Collateral or Receivables Collateral or proceeds thereof received by the New First Lien Collateral Agent or any New First Lien Secured Party in connection with the
exercise of any right or remedy (including set-off or credit bid) or in any Insolvency Proceeding relating to the Common Collateral not expressly permitted by this Agreement or prior to the Discharge of ABL Obligations shall be segregated and held
in trust for the benefit of and forthwith paid over to the ABL Collateral Agent (and/or its designees) for the benefit of the ABL Secured Parties in the same form as received, with any necessary endorsements or as a court of competent jurisdiction
may otherwise direct. The ABL Collateral Agent is hereby authorized to make any such endorsements as agent for the New First Lien Collateral Agent or the New First Lien Secured Parties. This authorization is coupled with an interest and is
irrevocable. 

  
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 (d) Limited Obligation or Liability. In exercising remedies, whether as a secured
creditor or otherwise, the ABL Collateral Agent shall have no obligation or liability to the New First Lien Collateral Agent or any New First Lien Secured Party regarding the adequacy of any proceeds realized on any collateral or for any action or
omission, save and except solely for an action or omission that breaches the express obligations undertaken by each Party under the terms of this Agreement. Notwithstanding anything to the contrary herein contained, none of the Parties hereto waives
any claim that it may have against a Secured Party on the grounds that and sale, transfer or other disposition by the Secured Party was not commercially reasonable in every respect as required by the UCC. 

(e) Turnover of Collateral After Discharge. Upon the Discharge of ABL Obligations, the ABL Collateral Agent shall (a) notify
the New First Lien Collateral Agent in writing of the occurrence of such Discharge of ABL Obligations and (b) subject to the First Lien Intercreditor Agreement, at the Company’s expense, deliver to the New First Lien Collateral Agent or
execute such documents as the New First Lien Collateral Agent may reasonably request (including assignment of control agreements with respect to ABL Controlled Accounts) in order to effect a transfer of control to the New First Lien Collateral Agent
over any and all ABL Controlled Accounts in the same form as received with any necessary endorsements, or as a court of competent jurisdiction may otherwise direct; provided, however, that the ABL Collateral Agent shall not be required
hereunder to deliver such instruments or documents relating to the control agreements with respect to ABL Collateral Agreements if, as of the time of such Discharge of ABL Obligations, no Event of Default (as defined in the New First Lien Agreement)
has occurred or is then continuing. The ABL Collateral Agent shall presume that an Event of Default has occurred and is continuing under the New First Lien Agreement unless at the time of such Discharge of ABL Obligations the Company shall have
delivered to each of the Collateral Agents an officer’s certificate executed by an Authorized Officer (as defined in the ABL Credit Agreement) certifying that no such Event of Default has occurred and is then continuing (and the New First Lien
Collateral Agent shall have confirmed in writing to the ABL Collateral Agent that it has no actual knowledge of the continuance of an Event of Default under the New First Lien Agreement), upon which the ABL Collateral Agent may conclusively rely (it
being understood that neither such officer’s certificate nor Collateral Agent’s confirmation will effect whether or not such Event of Default has in fact occurred or is then in fact continuing). 

Section 4.2 Specific Performance. Each of the ABL Collateral Agent and the New First Lien Collateral Agent is hereby
authorized to demand specific performance of this Agreement, whether or not the Company or any Grantor shall have complied with any of the provisions of any of the Credit Documents, at any time when the other Party shall have failed to comply with
any of the provisions of this Agreement applicable to it. Each of the ABL Collateral Agent, for and on behalf of itself and the ABL Secured Parties, and the New First Lien Collateral Agent, for and on behalf of itself and the New First Lien Secured
Parties, hereby irrevocably waives any defense based on the adequacy of a remedy at law that might be asserted as a bar to such remedy of specific performance. 

  
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 ARTICLE 5 
 INTERCREDITOR ACKNOWLEDGMENTS AND WAIVERS 
 Section 5.1 Notice
of Acceptance and Other Waivers. 
 (a) All ABL Obligations at any time made or incurred by the Company or any Grantor
shall be deemed to have been made or incurred in reliance upon this Agreement, and the New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, hereby waives notice of acceptance, or proof of reliance by the ABL
Collateral Agent or any ABL Secured Party of this Agreement, and notice of the existence, increase, renewal, extension, accrual, creation, or non-payment of all or any part of the ABL Obligations. All New First Lien Obligations at any time made or
incurred by the Company or any Grantor shall be deemed to have been made or incurred in reliance upon this Agreement, and the New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, hereby waives notice of
acceptance, or proof of reliance, by the New First Lien Collateral Agent or the New First Lien Secured Parties of this Agreement, and notice of the existence, increase, renewal, extension, accrual, creation, or non-payment of all or any part of the
New First Lien Obligations. 
 (b) None of the ABL Collateral Agent, any ABL Secured Party or any of their respective
Affiliates, directors, officers, employees, or agents shall be liable for failure to demand, collect or realize upon any of the Common Collateral or any Proceeds thereof, or for any delay in doing so, or shall be under any obligation to sell or
otherwise dispose of any Common Collateral or Proceeds thereof or to take any other action whatsoever with regard to the Common Collateral or any part or Proceeds thereof, except as specifically provided in this Agreement. If the ABL Collateral
Agent or any ABL Secured Party honors (or fails to honor) a request by any Borrower under the ABL Credit Agreement for an extension of credit pursuant to any ABL Credit Agreement or any of the other ABL Documents, whether the ABL Collateral Agent or
any ABL Secured Party has knowledge that the honoring of (or failure to honor) any such request would constitute a default under the terms of any New First Lien Document (but not a default under this Agreement) or an act, condition, or event that,
with the giving of notice or the passage of time, or both, would constitute such a default, or if the ABL Collateral Agent or any ABL Secured Party otherwise should exercise any of its contractual rights or remedies under any ABL Documents (subject
to the express terms and conditions hereof), neither the ABL Collateral Agent nor any ABL Secured Party shall have any liability whatsoever to the New First Lien Collateral Agent or any New First Lien Secured Party as a result of such action,
omission, or exercise (so long as any such exercise does not breach the express terms and provisions of this Agreement). The ABL Collateral Agent and the ABL Secured Parties shall be entitled to manage and supervise their loans and extensions of
credit under any ABL Credit Agreement and any of the other ABL Documents as they may, in their sole discretion, deem appropriate, and may manage their loans and extensions of credit without regard to any rights or interests that the New First Lien
Collateral Agent or any New First Lien Secured Party have in the Common Collateral, except as otherwise expressly set forth in this Agreement. The New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, agrees
that neither the ABL Collateral Agent nor any ABL Secured Party shall incur any liability as a result of a sale, lease, license, application, or other disposition of all or any portion of the Common Collateral or Proceeds thereof, pursuant to the
ABL Documents, so long as such disposition is conducted in accordance with mandatory provisions of applicable law and does not breach the provisions of this Agreement. 

  
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The New First Lien Collateral Agent and the New First Lien Secured Parties shall be entitled to manage and supervise their loans and extensions of credit under any New First Lien Document as they
may, in their sole discretion, deem appropriate, and may manage their loans and extensions of credit without regard to any rights or interests of the ABL Collateral Agent or any ABL Secured Parties, except as otherwise expressly set forth in this
Agreement. 
 Section 5.2 Modifications to ABL Documents and New First Lien Documents. 

(a) In the event that the ABL Collateral Agent or the ABL Secured Parties enter into any amendment, waiver or consent in respect of or
replace any of the ABL Security Documents for the purpose of adding to, or deleting from, or waiving or consenting to any departures from any provisions of, any ABL Security Document or changing in any manner the rights of the ABL Collateral Agent,
the ABL Secured Parties, the Company or any other Grantor thereunder (including the release of any Liens in Common Collateral in accordance with Section 2.4(b)), then such amendment, waiver or consent, to the extent related to Common
Collateral, shall apply automatically to any comparable provision (but only to the extent as such provision relates to Common Collateral) of each Comparable New First Lien Security Document without the consent of the New First Lien Collateral Agent
or any New First Lien Secured Party and without any action by the New First Lien Collateral Agent, any New First Lien Secured Party, the Company or any other Grantor; provided, however, that such amendment, waiver or consent does not
materially adversely affect the rights of the New First Lien Secured Parties or the interests of the New First Lien Secured Parties in the Common Collateral in a manner materially different from that affecting the rights of the ABL Secured Parties
thereunder or therein. The ABL Collateral Agent shall give written notice of such amendment, waiver or consent (along with a copy thereof) to the New First Lien Collateral Agent; provided, however, that the failure to give such notice
shall not affect the effectiveness of such amendment with respect to the provisions of any New First Lien Security Document as set forth in this Section 5.2(a). For the avoidance of doubt, no such amendment, modification or waiver shall apply
to or otherwise affect (a) any Non-Receivables Collateral or (b) any document, agreement or instrument which neither grants nor purports to grant a Lien on, nor governs nor purports to govern any rights or remedies in respect of, Common
Collateral. 
 (b) So long as the Discharge of ABL Obligations has not occurred, without the prior written consent of the ABL
Collateral Agent, the New First Lien Collateral Agent shall not consent to amend, supplement or otherwise modify any, or enter into any new, New First Lien Security Document relating to Common Collateral to the extent such amendment, supplement or
modification, or the terms of such New First Lien Security Document, would be prohibited by or inconsistent with any of the terms of this Agreement. The New First Lien Collateral Agent agrees that each New First Lien Security Document relating to
Common Collateral shall include the following language (or language to similar effect approved by the ABL Collateral Agent): 

“Notwithstanding anything herein to the contrary, the liens and security interests granted to [the New First Lien Collateral Agent]
pursuant to this Agreement and the exercise of any right or remedy by [the New First Lien Collateral Agent] hereunder are subject to the limitations and provisions of the Additional Receivables Intercreditor Agreement, dated as of February 16,
2012 (as amended, restated, 

  
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supplemented or otherwise modified from time to time, the “Intercreditor Agreement”), among Bank of America, N.A., as ABL Collateral Agent, Bank of America, N.A., as New
First Lien Collateral Agent, and certain other persons party or that may become party thereto from time to time, and consented to by HCA INC. and the Grantors identified therein. In the event of any conflict between the terms of the Intercreditor
Agreement and the terms of this Agreement, the terms of the Intercreditor Agreement shall govern and control.” 
 The ABL
Collateral Agent hereby approves the language set forth in Section 8.15 of the Amended and Restated Security Agreement, dated as of March 2, 2009, among the Company, the grantors party thereto and Bank of America as collateral agent, for
purposes of this Section 5.2(b). For purposes of this 5.2(b), the reference to the Additional Receivables Intercreditor Agreement, dated as of April 22, 2009, set forth on the cover page of the First Lien Intercreditor Agreement shall be
deemed to be a reference to this Agreement. 
 (c) No consent furnished by the ABL Collateral Agent or the New First Lien
Collateral Agent pursuant to Section 5.2(a) or 5.2(b) hereof shall be deemed to constitute the modification or waiver of any provisions of the ABL Documents or any of the New First Lien Documents, each of which remain in full force and effect
as written. 
 (d) The ABL Obligations and the several New First Lien Obligations may be Refinanced, in whole or in part, in
each case, without notice to, or the consent (except to the extent a consent is required to permit the refinancing transaction under any ABL Document or any New First Lien Document) of, the ABL Collateral Agent, the ABL Secured Parties, the New
First Lien Collateral Agent or the New First Lien Secured Parties, as the case may be; provided such Refinancing does not affect the relative Lien Priorities provided for herein or directly alter the other provisions hereof to the extent
relating to the relative rights, obligations and priorities of the ABL Secured Parties on the one hand and the New First Lien Secured Parties on the other. 
 Section 5.3 Reinstatement and Continuation of Agreement. If the ABL Collateral Agent or any ABL Secured Party is required in any Insolvency Proceeding or otherwise to turn over or
otherwise pay to the estate of the Company, any Grantor, or any other Person any payment made in satisfaction of all or any portion of the ABL Obligations (an “ABL Recovery”), then the ABL Obligations shall be reinstated to
the extent of such ABL Recovery. If this Agreement shall have been terminated prior to such ABL Recovery, this Agreement shall be reinstated in full force and effect in the event of such ABL Recovery, and such prior termination shall not diminish,
release, discharge, impair, or otherwise affect the obligations of the Parties from such date of reinstatement. The ABL Collateral Agent shall use commercially reasonable efforts to give written notice to the New First Lien Collateral Agent of the
occurrence of any such ABL Recovery (provided that the failure to give such notice shall not affect the ABL Collateral Agent’s rights hereunder, except it being understood that the New First Lien Collateral Agent shall not be charged
with knowledge of such ABL Recovery or required to take any actions based on such ABL Recovery until it has received such written notice of the occurrence of such ABL Recovery). 

All rights, interests, agreements, and obligations of the ABL Collateral Agent, the New First Lien Collateral Agent, the ABL Secured
Parties and the New First Lien Secured Parties under 

  
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this Agreement shall remain in full force and effect and shall continue irrespective of the commencement of, or any discharge, confirmation, conversion, or dismissal of, any Insolvency Proceeding
by or against the Company or any Grantor or any other circumstance which otherwise might constitute a defense (other than a defense that such obligations have in fact been repaid) available to, or a discharge of the Company or any Grantor in respect
of the ABL Obligations or the New First Lien Obligations. No priority or right of the ABL Collateral Agent or any ABL Secured Party shall at any time be prejudiced or impaired in any way by any act or failure to act on the part of the Company or any
Grantor or by the noncompliance by any Person with the terms, provisions, or covenants of any of the ABL Documents, regardless of any knowledge thereof which the ABL Collateral Agent or any ABL Secured Party may have. 

ARTICLE 6 

INSOLVENCY PROCEEDINGS 
 Section 6.1 DIP Financing. 
 (a) If the Company or any Grantor
shall be subject to any Insolvency Proceeding at any time prior to the Discharge of ABL Obligations, and the ABL Collateral Agent or the ABL Secured Parties shall seek to provide the Company or any Grantor with, or consent to a third party
providing, any financing under Section 364 of the Bankruptcy Code or consent to any order for the use of cash collateral constituting Receivables Collateral under Section 363 of the Bankruptcy Code (each, a “DIP
Financing”), with such DIP Financing to be secured by all or any portion of the Receivables Collateral (including assets that, but for the application of Section 552 of the Bankruptcy Code would be Receivables Collateral) but not
any other asset or any Non-Receivables Collateral, then the New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, agrees that it will raise no objection and will not support any objection to such DIP Financing
or use of cash collateral or to the Liens securing the same on the grounds of a failure to provide “adequate protection” for the Liens of the New First Lien Collateral Agent securing the New First Lien Obligations or on any other grounds
(and will not request any adequate protection solely as a result of such DIP Financing or use of cash collateral that is Receivables Collateral, except as permitted by Section 6.3(b)), so long as (i) the New First Lien Collateral Agent
retains its Lien on the Common Collateral to secure the New First Lien Obligations (in each case, including Proceeds thereof arising after the commencement of the case under the Bankruptcy Code); (ii) the terms of the DIP Financing do not
compel the applicable Grantor to seek confirmation of a specific plan of reorganization for which all or substantially all of the material terms of such plan are set forth in the DIP Financing documentation or related document; and (iii) all
Liens on Common Collateral securing any such DIP Financing shall be senior to or on a parity with the Liens of the ABL Collateral Agent and the ABL Secured Parties securing the ABL Obligations on Common Collateral; provided, however,
that nothing contained in this Agreement shall prohibit or restrict the New First Lien Collateral Agent or any New First Lien Secured Party from raising any objection or supporting any objection to such DIP Financing or use of cash collateral or to
the Liens securing the same on the grounds of a failure to provide “adequate protection” for the Liens of the New First Lien Collateral Agent on Non-Receivables Collateral securing the New First Lien Obligations. 

(b) All Liens granted to the ABL Collateral Agent or the New First Lien Collateral Agent in any Insolvency Proceeding, whether as
adequate protection or otherwise, are intended by the Parties to be and shall be deemed to be subject to the Lien Priority and the other terms and conditions of this Agreement. 

  
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 Section 6.2 Relief from Stay. The New First Lien Collateral Agent, on
behalf of itself and the New First Lien Secured Parties, agrees not to seek relief from the automatic stay or any other stay in any Insolvency Proceeding in respect of any portion of the Common Collateral without the ABL Collateral Agent’s
express written consent. 
 Section 6.3 No Contest; Adequate Protection. 

(a) The New First Lien Collateral Agent, on behalf of itself and the New First Lien Secured Parties, agrees that it shall not contest (or
support any other Person contesting) (x) any request by the ABL Collateral Agent or any ABL Secured Party for adequate protection of its interest in the Common Collateral, (y) any objection by the ABL Collateral Agent or any ABL Secured
Party to any motion, relief, action, or proceeding based on a claim by the ABL Collateral Agent or any ABL Secured Party that its interests in the Common Collateral are not adequately protected (or any other similar request under any law applicable
to an Insolvency Proceeding), so long as any Liens granted to the ABL Collateral Agent as adequate protection of its interests are subject to this Agreement or (z) any lawful exercise by the ABL Collateral Agent or any ABL Secured Party of the
right to credit bid ABL Obligations at any sale of Common Collateral or Receivables Collateral; provided, however, that nothing contained in this Agreement shall prohibit or restrict the New First Lien Collateral Agent or any New First
Lien Secured Party from contesting or challenging (or support any other Person contesting or challenging) any request by the ABL Collateral Agent or any ABL Secured Party for “adequate protection” (or the grant of any such “adequate
protection”) to the extent such “adequate protection” is in the form of a Lien on any Non-Receivables Collateral. 
 (b) Notwithstanding the foregoing provisions in this Section 6.3, in any Insolvency Proceeding, if the ABL Secured Parties (or any subset thereof) are granted adequate protection with respect to
Common Collateral in the form of additional collateral (even if such collateral is not of a type which would otherwise have constituted Common Collateral (unless such additional collateral is an asset of an ABL Entity)), then the ABL Collateral
Agent, on behalf of itself and the ABL Secured Parties, agrees that the New First Lien Collateral Agent, on behalf of itself and/or any of the New First Lien Secured Parties, may, subject to the First Lien Intercreditor Agreement, seek or request
(and the ABL Secured Parties will not oppose such request) adequate protection with respect to its interests in such Common Collateral in the form of a Lien on the same additional collateral, which Lien will be subordinated to the Liens securing the
ABL Obligations on the same basis as the other Liens of the New First Lien Collateral Agent on the Common Collateral (it being understood that to the extent that any such additional collateral constituted Non-Receivables Collateral at the time it
was granted to the ABL Secured Parties, the Lien thereon in favor of the ABL Secured Parties shall be subordinate in all respects to the Liens thereon in favor of the New First Lien Secured Parties). 

Section 6.4 Asset Sales. The New First Lien Collateral Agent agrees, on behalf of itself and the New First Lien
Secured Parties, that it will not oppose any sale consented to by the ABL Collateral Agent of any Common Collateral pursuant to Section 363(f) of the Bankruptcy Code (or any similar provision under the law applicable to any Insolvency
Proceeding) so long as the proceeds of such sale are applied in accordance with this Agreement. 

  
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 Section 6.5 Separate Grants of Security and Separate Classification. The
New First Lien Collateral Agent, each New First Lien Secured Party, each ABL Secured Party and the ABL Collateral Agent each acknowledge and agree that (i) the grants of Liens pursuant to the ABL Security Documents on the one hand and the New
First Lien Security Documents on the other hand constitute separate and distinct grants of Liens and the New First Lien Secured Parties’ claims against the Company and/or any Grantor in respect of Common Collateral constitute junior claims
separate and apart (and of a different class) from the senior claims of the ABL Secured Parties against the Company and the Grantors in respect of Common Collateral and (ii) because of, among other things, their differing rights in the Common
Collateral, the New First Lien Obligations are fundamentally different from the ABL Obligations and must be separately classified in any plan of reorganization proposed or adopted in an Insolvency Proceeding. To further effectuate the intent of the
parties as provided in the immediately preceding sentence, if it is held that the claims of the ABL Secured Parties and any New First Lien Secured Parties in respect of the Common Collateral constitute only one secured claim (rather than separate
classes of senior and junior secured claims), then the ABL Secured Parties and the New First Lien Secured Parties hereby acknowledge and agree that all distributions shall be made as if there were separate classes of ABL Obligation claims and New
First Lien Obligation claims against the Grantors (with the effect being that, to the extent that the aggregate value of the Common Collateral is sufficient (for this purpose ignoring all claims held by the New First Lien Secured Parties), the ABL
Secured Parties shall be entitled to receive, in addition to amounts distributed to them in respect of principal, pre-petition interest and other claims, all amounts owing in respect of post-petition interest at the relevant contract rate, before
any distribution is made in respect of the claims held by the New First Lien Secured Parties from such Common Collateral), with the New First Lien Secured Parties hereby acknowledging and agreeing to turn over to the ABL Secured Parties amounts
otherwise received or receivable by them to the extent necessary to effectuate the intent of this sentence, even if such turnover has the effect of reducing the aggregate recoveries. 

Section 6.6 Enforceability. The provisions of this Agreement are intended to be and shall be enforceable under
Section 510(a) of the Bankruptcy Code. 
 Section 6.7 ABL Obligations Unconditional. All rights, interests,
agreements and obligations of the ABL Collateral Agent and the ABL Secured Parties, and the New First Lien Collateral Agent and the New First Lien Secured Parties, respectively, hereunder shall remain in full force and effect irrespective of:

 (a) any lack of validity or enforceability of any ABL Documents or any New First Lien Documents; 

(b) any change in the time, manner or place of payment of, or in any other terms of, all or any of the ABL Obligations or
New First Lien Obligations, or any amendment or waiver or other modification, including any increase in the amount thereof, whether by course of conduct or otherwise, of the terms of the ABL Credit Agreement or any other ABL Document or of the terms
of the New First Lien Agreement or any other New First Lien Document; 

  
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 (c) any exchange of any security interest in any Receivables Collateral or
any other collateral, or any amendment, waiver or other modification, whether in writing or by course of conduct or otherwise, of all or any of the ABL Obligations or New First Lien Obligations or any guarantee thereof; 

(d) the commencement of any Insolvency Proceeding in respect of the Company or any other Grantor; or 

(e) any other circumstances that otherwise might constitute a defense (other than a defense that such obligations have in
fact been repaid) available to, or a discharge of, the Company or any other Grantor in respect of ABL Obligations or New First Lien Obligations in respect of this Agreement. 
 ARTICLE 7 
 MISCELLANEOUS 

Section 7.1 Rights of Subrogation. The New First Lien Collateral Agent, for and on behalf of itself and the New First
Lien Secured Parties, agrees that no payment to the ABL Collateral Agent or any ABL Secured Party pursuant to the provisions of this Agreement shall entitle the New First Lien Collateral Agent or such New First Lien Secured Party to exercise any
rights of subrogation in respect thereof until the Discharge of ABL Obligations shall have occurred. Following the Discharge of ABL Obligations, the ABL Collateral Agent agrees to execute such documents, agreements, and instruments as the New First
Lien Collateral Agent or any New First Lien Secured Party may reasonably request, at the Company’s expense, to evidence the transfer by subrogation to any such Person of an interest in the ABL Obligations resulting from payments to the ABL
Collateral Agent by such Person. 
 Section 7.2 Further Assurances. The Parties will, at their own expense
and at any time and from time to time, promptly execute and deliver all further instruments and documents, and take all further action, that may be necessary or desirable, or that any Party may reasonably request, in order to protect any right or
interest granted or purported to be granted hereby or to enable the ABL Collateral Agent or the New First Lien Collateral Agent to exercise and enforce its rights and remedies hereunder; provided, however, that no Party shall be
required to pay over any payment or distribution, execute any instruments or documents, or take any other action referred to in this Section 7.2, to the extent that such action would contravene any law, order or other legal requirement or any
of the terms or provisions of this Agreement, and in the event of a controversy or dispute, such Party may interplead any payment or distribution in any court of competent jurisdiction, without further responsibility in respect of such payment or
distribution under this Section 7.2. 
 Section 7.3 Representations. The New First Lien Collateral Agent
represents and warrants for itself to the ABL Collateral Agent that it has the requisite power and authority under the New First Lien Documents to enter into, execute, deliver, and carry out the terms of this Agreement on behalf of itself and the
New First Lien Secured Parties and that this Agreement 

  
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shall be binding obligations of the New First Lien Collateral Agent and the New First Lien Secured Parties, enforceable against the New First Lien Collateral Agent and the New First Lien Secured
Parties in accordance with its terms. The ABL Collateral Agent represents and warrants to the New First Lien Collateral Agent that it has the requisite power and authority under the ABL Documents to enter into, execute, deliver, and carry out the
terms of this Agreement on behalf of itself and the ABL Secured Parties and that this Agreement shall be binding obligations of the ABL Collateral Agent and the ABL Secured Parties, enforceable against the ABL Collateral Agent and the ABL Secured
Parties in accordance with its terms. 
 Section 7.4 Amendments. No amendment or waiver of any provision of
this Agreement nor consent to any departure by any Party hereto shall be effective unless it is in a written agreement executed by the New First Lien Collateral Agent and the ABL Collateral Agent, and consented to in writing by the Company, and then
such waiver or consent shall be effective only in the specific instance and for the specific purpose for which given. Notwithstanding anything in this Section 7.4 to the contrary, this Agreement may be amended from time to time at the request
of the Company, at the Company’s expense, and without the consent of the ABL Collateral Agent, any ABL Secured Party, the New First Lien Collateral Agent or any New First Lien Secured Party to (i) provide for a replacement ABL Collateral
Agent in accordance with the ABL Documents (including for the avoidance of doubt to provide for a replacement ABL Collateral Agent assuming such role in connection with any Refinancing of the ABL Credit Agreement not prohibited by the New First Lien
Agreement), provide for a replacement New First Lien Collateral Agent in accordance with the New First Lien Documents (including for the avoidance of doubt to provide for a replacement New First Lien Collateral Agent assuming such role in connection
with any Refinancing of the New First Lien Documents permitted hereunder) and/or secure additional extensions of credit or add other parties holding ABL Obligations or New First Lien Obligations to the extent such Indebtedness does not expressly
violate the ABL Credit Agreement or the New First Lien Agreement and (ii) in the case of such additional New First Lien Obligations, (a) establish that the Lien on the Common Collateral securing such New First Lien Obligations shall be
junior and subordinate in all respects to all Liens on the Common Collateral securing any ABL Obligations (at least to the same extent as (taken together as a whole) the Liens on Common Collateral in favor of the New First Lien Obligations are
junior and subordinate to the Liens on Common Collateral in favor of the ABL Obligations pursuant to this Agreement immediately prior to the incurrence of such additional New First Lien Obligations) and (b) provide to the holders of such New
First Lien Obligations (or any agent or trustee thereof) the comparable rights and benefits (including any improved rights and benefits that have been consented to by the ABL Collateral Agent) as are provided to the New First Lien Secured Parties
under this Agreement. 
 Section 7.5 Addresses for Notices. All notices to the ABL Secured Parties and the New
First Lien Secured Parties permitted or required under this Agreement may be sent to the applicable Collateral Agent for such Secured Party, respectively, as provided in the applicable Credit Document. Unless otherwise specifically provided herein,
any notice or other communication herein required or permitted to be given shall be in writing and may be personally served, telecopied, electronically mailed or sent by courier service or U.S. mail and shall be deemed to have been given when
delivered in person or by courier service, upon receipt of a telecopy or electronic mail or upon receipt via U.S. mail (registered or certified, with postage prepaid and properly addressed). 

  
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 Section 7.6 No Waiver; Remedies. No failure on the part of any Party to
exercise, and no delay in exercising, any right hereunder shall operate as a waiver thereof; nor shall any single or partial exercise of any right hereunder preclude any other or further exercise thereof or the exercise of any other right. The
remedies herein provided are cumulative and not exclusive of any remedies provided by law. 
 Section 7.7 Continuing
Agreement; Transfer of Secured Obligations. This Agreement is a continuing agreement and shall (a) subject to Section 5.3, remain in full force and effect until the Discharge of ABL Obligations shall have occurred, (b) be
binding upon the Parties and their successors and assigns, and (c) inure to the benefit of and be enforceable by the Parties and their respective successors, transferees and assigns. Nothing herein is intended, or shall be construed to give,
any other Person any right, remedy or claim under, to or in respect of this Agreement or any Common Collateral. All references to any Grantor shall include any Grantor as debtor-in-possession and any receiver or trustee for such Grantor in any
Insolvency Proceeding. Without limiting the generality of the foregoing clause (c), the ABL Collateral Agent, any ABL Secured Party, the New First Lien Collateral Agent and any New First Lien Secured Party may assign or otherwise transfer all or any
portion of the ABL Obligations or the New First Lien Obligations, as applicable, to any other Person (other than the Company, any Grantor or any Affiliate of the Company or any Grantor and any Subsidiary of the Company or any Grantor), and such
other Person shall thereupon become vested with all the rights and obligations in respect thereof granted to the ABL Collateral Agent, the New First Lien Collateral Agent, any ABL Secured Party or any New First Lien Secured Party, as the case may
be, herein or otherwise. The ABL Secured Parties and the New First Lien Secured Parties may continue, at any time and without notice to the other parties hereto, to extend credit and other financial accommodations, lend monies and provide
Indebtedness to, or for the benefit of, any Grantor on the faith hereof. 
 Section 7.8 Governing Law; Entire
Agreement. The validity, performance, and enforcement of this Agreement shall be governed by, and construed in accordance with, the laws of the State of New York. This Agreement constitutes the entire agreement and understanding among the
Parties with respect to the subject matter hereof and supersedes any prior agreements, written or oral, with respect thereto. 

Section 7.9 Counterparts. This Agreement may be executed in any number of counterparts, including by means of
facsimile or “pdf” file thereof, and it is not necessary that the signatures of all Parties be contained on any one counterpart hereof, each counterpart will be deemed to be an original, and all together shall constitute one and the same
document. 
 Section 7.10 No Third Party Beneficiaries. This Agreement is solely for the benefit of the ABL
Collateral Agent, the ABL Secured Parties, the New First Lien Collateral Agent and the New First Lien Secured Parties. No other Person (including the Company, any Grantor or any Affiliate or Subsidiary of the Company or any Grantor) shall be deemed
to be a third party beneficiary of this Agreement. 
 Section 7.11 Headings. The headings of the articles and
sections of this Agreement are inserted for purposes of convenience only and shall not be construed to affect the meaning or construction of any of the provisions hereof. 

  
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 Section 7.12 Severability. If any of the provisions in this Agreement
shall, for any reason, be held invalid, illegal or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision of this Agreement and shall not invalidate the Lien Priority or the application of
Proceeds and other priorities set forth in this Agreement. 
 Section 7.13 Attorneys’ Fees. The Parties agree
that if any dispute, arbitration, litigation, or other proceeding is brought with respect to the enforcement of this Agreement or any provision hereof, the prevailing party in such dispute, arbitration, litigation, or other proceeding shall be
entitled to recover its reasonable attorneys’ fees and all other costs and expenses incurred in the enforcement of this Agreement, irrespective of whether suit is brought. 

Section 7.14 VENUE; JURY TRIAL WAIVER. 
 (a) The parties hereto consent to the jurisdiction of any state or federal court located in New York, New York, and consent that all service of process may be made by registered mail directed to such
party as provided in Section 7.5 for such party. Service so made shall be deemed to be completed three days after the same shall be posted as aforesaid. The parties hereto waive any objection to any action instituted hereunder in any such court
based on forum non conveniens, and any objection to the venue of any action instituted hereunder in any such court. EACH OF THE PARTIES HERETO WAIVES ANY RIGHT IT MAY HAVE TO TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED ON, OR ARISING OUT OF,
UNDER OR IN CONNECTION WITH THIS AGREEMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, VERBAL OR WRITTEN STATEMENT OR ACTION OF ANY PARTY HERETO IN CONNECTION WITH THE SUBJECT MATTER HEREOF. 

(b) EACH PARTY TO THIS AGREEMENT IRREVOCABLY CONSENTS TO SERVICE OF PROCESS IN THE MANNER PROVIDED FOR NOTICES IN SECTION 7.5. NOTHING IN
THIS AGREEMENT WILL AFFECT THE RIGHT OF ANY PARTY TO THIS AGREEMENT TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY LAW. 

Section 7.15 Intercreditor Agreement. This Agreement is the Additional Receivables Intercreditor Agreement referred to
in the New First Lien Documents. Nothing in this Agreement shall be deemed to subordinate the obligations due to (i) any ABL Secured Party to the obligations due to any New First Lien Secured Party or (ii) any New First Lien Secured Party
to the obligations due to any ABL Secured Party (in each case, whether before or after the occurrence of an Insolvency Proceeding), it being the intent of the Parties that this Agreement shall effectuate a subordination of Liens but not a
subordination of Indebtedness. 
 Notwithstanding anything to the contrary contained in this Agreement, each party hereto agrees
that the New First Lien Secured Parties may enter into intercreditor agreements (or similar arrangements (including without limitation the First Lien Intercreditor Agreement and the Additional General Intercreditor Agreement)) governing the rights,
benefits and privileges as among the New First Lien Secured Parties and holders of certain other indebtedness of the Company in respect of the Common Collateral, this Agreement and the other New First Lien Documents, including as to application of
proceeds of the Common Collateral, voting rights, control of the Common Collateral and waivers with respect to the Common Collateral, in each case so long as 

  
 -29-

 
the terms thereof do not violate or conflict with the provisions of this Agreement or the New First Lien Documents. In any event, if a respective intercreditor agreement (or similar arrangement)
exists, the provisions thereof shall not be (or be construed to be) an amendment, modification or other change to this Agreement and the provisions of this Agreement and the other ABL Security Documents and New First Lien Security Documents shall
remain in full force and effect in accordance with the terms hereof and thereof (as such provisions may be amended, modified or otherwise supplemented from time to time in accordance with the terms hereof and thereof, including to give effect to any
intercreditor agreement (or similar arrangement)). 
 Section 7.16 Effectiveness. This Agreement shall become
effective when executed and delivered by the parties hereto. This Agreement shall be effective both before and after the commencement of any Insolvency Proceeding. 
 Section 7.17 Collateral Agents. It is understood and agreed that (a) Bank of America is entering into this Agreement in its capacity as collateral agent under the ABL Credit
Agreement, and the provisions of Section 13 of the ABL Credit Agreement applicable to the administrative agent and collateral agent thereunder shall also apply to the ABL Collateral Agent hereunder and (b) Bank of America is entering into
this Agreement in its capacity as collateral agent under the New First Lien Agreement, and the provisions of Section 11.02 of the New First Lien Agreement applicable to the collateral agent thereunder shall also apply to the New First Lien
Collateral Agent hereunder. 
 Section 7.18 No Warranties or Liability. Each of the ABL Collateral Agent and
the New First Lien Collateral Agent acknowledges and agrees that neither of them has made any representation or warranty with respect to the execution, validity, legality, completeness, collectability or enforceability of any other ABL Document or
New First Lien Document, as the case may be. 
 Section 7.19 Conflicts. In the event of any conflict between
the provisions of this Agreement and the provisions of any Credit Document, the provisions of this Agreement shall govern. 

Section 7.20 Information Concerning Financial Condition of the Credit Parties. Each of the New First Lien Collateral
Agent and the ABL Collateral Agent hereby assumes responsibility for keeping itself informed of the financial condition of the Grantors and all other circumstances bearing upon the risk of nonpayment of the ABL Obligations or the New First Lien
Obligations. The ABL Collateral Agent and the New First Lien Collateral Agent each hereby agrees that no party shall have any duty to advise any other party of information known to it regarding such condition or any such circumstances. In the event
either the ABL Collateral Agent or the New First Lien Collateral Agent, in its sole discretion, undertakes at any time or from time to time to provide any information to any other party to this Agreement, (a) it shall be under no obligation
(i) to provide any such information to any other party or any other party on any subsequent occasion, (ii) to undertake any investigation not a part of its regular business routine, or (iii) to disclose any other information, or
(b) it makes no representation as to the accuracy or completeness of any such information and shall not be liable for any information contained therein, and (c) the Party receiving such information hereby to hold the other Party harmless
from any action the receiving Party may take or conclusion the receiving Party may reach or 

  
 -30-

 
draw from any such information, as well as from and against any and all losses, claims, damages, liabilities, and expenses to which such receiving Party may become subject arising out of or in
connection with the use of such information. 
 Section 7.21 Acknowledgement. The New First Lien Collateral
Agent hereby acknowledges for itself and on behalf of each New First Lien Secured Party that there are assets of the Company and its Subsidiaries (including Grantors) which are subject to Liens in favor of the ABL Collateral Agent or other creditors
but which do not constitute Common Collateral and nothing in this Agreement shall grant or imply the grant of any Lien or other security interest in such assets in favor of any New First Lien Secured Party to secure any New First Lien Obligations.
The ABL Collateral Agent hereby acknowledges for itself and on behalf of each ABL Secured Party that there are assets of the Company and its Subsidiaries (including Grantors) which are subject to Liens in favor of the New First Lien Collateral Agent
or other creditors but which do not constitute Common Collateral and nothing in this Agreement shall grant or imply the grant of any Lien or other security interest in such assets in favor of the ABL Collateral Agent to secure any ABL Obligations
and nothing in this Agreement shall affect or limit the rights of the New First Lien Collateral Agent or any New First Lien Secured Party in any Non-Receivables Collateral or any other assets of the Company or any of its Subsidiaries (other than
Receivables Collateral) securing any New First Lien Obligations. The New First Lien Collateral Agent acknowledges and agrees that the relative priorities, as among the New First Lien Secured Parties, the holders of Obligations under the CF Credit
Agreement and any Additional First Lien Secured Parties (as defined in the First Lien Intercreditor Agreement), of the Liens granted on Common Collateral are governed by the First Lien Intercreditor Agreement. 

[Signature pages follow] 

  
 -31-

 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first
written above. 
  

			
	BANK OF AMERICA, N.A.,
	as ABL Collateral Agent
		
	By:	 	 /s/ William J. Wilson

		 	Name: William J. Wilson
		 	Title: Senior Vice President

 [Additional Receivables Intercreditor Agreement] 

			
	BANK OF AMERICA, N.A.,
	as New First Lien Collateral Agent
		
	By:	 	 /s/ David H. Strickert

		 	Name: David H. Strickert
		 	Title: Managing Director

 [Additional Receivables Intercreditor Agreement] 

 CONSENT OF COMPANY AND GRANTORS  

Dated: February 16, 2012 
 Reference is made to the Additional Receivables Intercreditor Agreement dated as of the date hereof between Bank of America, N.A., as ABL Collateral Agent, and Bank of America, N.A., as New First Lien
Collateral Agent, as the same may be amended, restated, supplemented, waived, or otherwise modified from time to time (the “Intercreditor Agreement”). Capitalized terms used but not defined herein shall have the meanings
assigned to such terms in the Intercreditor Agreement. 
 Each of the undersigned Grantors has read the foregoing Intercreditor
Agreement and consents thereto. Each of the undersigned Grantors agrees not to take any action that would be contrary to the express provisions of the foregoing Intercreditor Agreement applicable to it, agrees to abide by the requirements expressly
applicable to it under the foregoing Intercreditor Agreement and agrees that, except as otherwise provided therein, no ABL Secured Party or New First Lien Secured Party shall have any liability to any Grantor for acting in accordance with the
provisions of the foregoing Intercreditor Agreement. Each Grantor understands that the foregoing Intercreditor Agreement is for the sole benefit of the ABL Secured Parties and the New First Lien Secured Parties and their respective successors and
assigns, and that such Grantor is not an intended beneficiary or third party beneficiary thereof except to the extent otherwise expressly provided therein. 
 Without limitation to the foregoing, each Grantor agrees to take such further action and shall execute and deliver such additional documents and instruments (in recordable form, if requested) as the ABL
Collateral Agent or the New First Lien Collateral Agent (or any of their respective agents or representatives) may reasonably request to effectuate the terms of and the lien priorities contemplated by the Intercreditor Agreement. 

This Consent shall be governed and construed in accordance with the laws of the State of New York. Notices delivered to any Grantor
pursuant to this Consent shall be delivered in accordance with the notice provisions set forth in the ABL Credit Agreement. 

 IN WITNESS HEREOF, this Consent is hereby executed by each of the Grantors as of the date
first written above. 
  

			
	HCA INC.
		
	By:	 	 /s/ David G. Anderson

		 	Name:  David G. Anderson
		 	Title:    Senior Vice President – Finance and Treasurer

 [Consent to Additional Receivables Intercreditor Agreement] 

			
	Each of the GUARANTORS listed on Schedule I hereto
		
	By:	 	 /s/ Donald W. Stinnett

		 	Name:  Donald W. Stinnett
		 	Title:    Authorized Signatory

 [Consent to Additional Receivables Intercreditor Agreement] 

 SCHEDULE I 
 Subsidiary Guarantors 
 Columbia ASC Management, L.P. 

American Medicorp Development Co. 
 Bay Hospital,
Inc. 
 Brigham City Community Hospital, Inc. 
 Brookwood Medical Center of Gulfport, Inc. 
 Capital Division, Inc. 

Centerpoint Medical Center of Independence, LLC 

Central Florida Regional Hospital, Inc. 
 Central
Shared Services, LLC 
 Central Tennessee Hospital Corporation 
 CHCA Bayshore, L.P. 
 CHCA Conroe, L.P. 
 CHCA Mainland, L.P. 
 CHCA West Houston, L.P. 

CHCA Woman’s Hospital, L.P. 

Chippenham & Johnston-Willis Hospitals, Inc. 
 Colorado Health Systems, Inc. 
 Columbia Jacksonville Healthcare System, Inc. 

Columbia LaGrange Hospital, Inc. 
 Columbia
Medical Center of Arlington Subsidiary, L.P. 
 Columbia Medical Center of Denton Subsidiary, L.P. 

Columbia Medical Center of Las Colinas, Inc. 

Columbia Medical Center of Lewisville Subsidiary, L.P. 
 Columbia Medical Center of McKinney Subsidiary, L.P. 
 Columbia Medical Center of Plano Subsidiary,
L.P. 
 Columbia North Hills Hospital Subsidiary, L.P. 
 Columbia Ogden Medical Center, Inc. 
 Columbia Parkersburg Healthcare System, LLC 

Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. 
 Columbia Polk General Hospital, Inc. 
 Columbia Rio Grande Healthcare, L.P. 

Columbia Riverside, Inc. 
 Columbia Valley
Healthcare System, L.P. 
 Columbia/Alleghany Regional Hospital, Incorporated 
 Columbia/HCA John Randolph, Inc. 
 Columbine Psychiatric Center, Inc. 

Columbus Cardiology, Inc. 
 Conroe Hospital
Corporation 

  
 Schedule I-1

 Dallas/Ft. Worth Physician, LLC 
 Dauterive Hospital Corporation 
 Dublin Community Hospital, LLC 

Eastern Idaho Health Services, Inc. 
 Edward
White Hospital, Inc. 
 El Paso Surgicenter, Inc. 
 Encino Hospital Corporation, Inc. 
 EP Health, LLC 

Fairview Park GP, LLC 
 Fairview Park, Limited
Partnership 
 Frankfort Hospital, Inc. 

Galen Property, LLC 
 Good Samaritan Hospital,
L.P. 
 Goppert-Trinity Family Care, LLC 

GPCH-GP, Inc. 
 Grand Strand Regional Medical
Center, LLC 
 Green Oaks Hospital Subsidiary, L.P. 
 Greenview Hospital, Inc. 
 HCA - IT&S Field Operations, Inc. 

HCA - IT&S Inventory Management, Inc. 

HCA-HealthONE LLC 
 HCA Central Group, Inc.

 HCA Health Services of Florida, Inc. 

HCA Health Services of Louisiana, Inc. 
 HCA
Health Services of Oklahoma, Inc. 
 HCA Health Services of Tennessee, Inc. 
 HCA Health Services of Virginia, Inc. 
 HCA Management Services, L.P. 

HCA Realty, Inc. 
 HD&S Corp. Successor, Inc.

 Health Midwest Office Facilities Corporation 
 Health Midwest Ventures Group, Inc. 
 Hendersonville Hospital Corporation 

Hospital Corporation of Tennessee 
 Hospital
Corporation of Utah 
 Hospital Development Properties, Inc. 
 HPG Enterprises, LLC 
 HSS Holdco, LLC 
 HSS Systems, LLC 
 HSS Virginia, L.P. 
 HTI Memorial Hospital Corporation 
 HTI MOB, LLC 

Integrated Regional Lab, LLC 

  
 Schedule I-2

 Integrated Regional Laboratories, LLP 
 JFK Medical Center Limited Partnership 
 KPH-Consolidation, Inc. 

Lakeland Medical Center, LLC 
 Lakeview Medical
Center, LLC 
 Largo Medical Center, Inc. 
 Las Vegas Surgicare, Inc. 
 Lawnwood Medical Center, Inc. 

Lewis-Gale Hospital, Incorporated 
 Lewis-Gale
Medical Center, LLC 
 Lewis-Gale Physicians, LLC 
 Lone Peak Hospital, Inc. 
 Los Robles Regional Medical Center 

Management Services Holdings, Inc. 
 Marietta
Surgical Center, Inc. 
 Marion Community Hospital, Inc. 
 MCA Investment Company 
 Medical Centers of Oklahoma, LLC 

Medical Office Buildings of Kansas, LLC 

Memorial Healthcare Group, Inc. 
 Midwest
Division - ACH, LLC 
 Midwest Division - LRHC, LLC 
 Midwest Division - LSH, LLC 
 Midwest Division - MCI, LLC 

Midwest Division - MMC, LLC 
 Midwest Division -
OPRMC, LLC 
 Midwest Division - PFC, LLC 
 Midwest Division - RBH, LLC 
 Midwest Division - RMC, LLC 

Midwest Division - RPC, LLC 
 Midwest Holdings,
Inc. 
 Montgomery Regional Hospital, Inc. 
 Mountain View Hospital, Inc. 
 Nashville Shared Services General Partnership 

National Patient Account Services, Inc. 
 New
Port Richey Hospital, Inc. 
 New Rose Holding Company, Inc. 
 North Florida Immediate Care Center, Inc. 
 North Florida Regional Medical Center, Inc. 

Northern Utah Healthcare Corporation 
 Northern
Virginia Community Hospital, LLC 
 Northlake Medical Center, LLC 
 Notami Hospitals of Louisiana, Inc. 

  
 Schedule I-3

 Notami Hospitals, LLC 
 Okaloosa Hospital, Inc. 
 Okeechobee Hospital, Inc. 

Outpatient Cardiovascular Center of Central Florida, LLC 
 Palms West Hospital Limited Partnership 
 Palmyra Park Hospital, LLC. 

Parallon Business Solutions, LLC 
 Parallon
Credentialing Solutions, LLC 
 Parallon Employer, LLC 
 Parallon Health Information Solutions, LLC 
 Parallon Holdings, LLC 

Parallon Payroll Solutions, LLC 
 Parallon
Physician Services, LLC 
 Parallon Workforce Management Solutions, LLC 
 Pasadena Bayshore Hospital, Inc 
 Plantation General Hospital, L.P. 

Pulaski Community Hospital, Inc. 
 Redmond Park
Hospital, LLC 
 Redmond Physician Practice Company 
 Reston Hospital Center, LLC 
 Retreat Hospital, LLC 

Rio Grande Regional Hospital, Inc. 
 Riverside
Healthcare System, L.P. 
 Riverside Hospital, Inc. 
 Samaritan, LLC 
 San Jose Healthcare System, LP 

San Jose Hospital, L.P. 
 San Jose Medical
Center, LLC 
 San Jose, LLC 
 Sarasota
Doctors Hospital, Inc. 
 SJMC, LLC 

Southern Hills Medical Center, LLC 
 Spalding
Rehabilitation L.L.C. 
 Spotsylvania Medical Center, Inc. 
 Spring Branch Medical Center, Inc. 
 Spring Hill Hospital, Inc. 

Sun City Hospital, Inc. 
 Sunrise Mountainview
Hospital, Inc. 
 Surgicare of Brandon, Inc. 
 Surgicare of Florida, Inc. 
 Surgicare of Houston Women’s, Inc. 

Surgicare of Manatee, Inc. 
 Surgicare of Newport
Richey, Inc. 

  
 Schedule I-4

 Surgicare of Palms West, LLC 
 Surgicare of Riverside, LLC 
 Tallahassee Medical Center, Inc. 

TCMC Madison-Portland, Inc. 
 Terre Haute
Hospital GP, Inc. 
 Terre Haute Hospital Holdings, Inc. 
 Terre Haute MOB, L.P. 
 Terre Haute Regional Hospital, L.P. 

The Regional Health System of Acadiana, LLC 

Timpanogos Regional Medical Services, Inc. 

Trident Medical Center, LLC 
 Utah Medco, LLC

 VH Holdco, Inc. 
 VH Holdings, Inc.

 Virginia Psychiatric Company, Inc. 

W & C Hospital, Inc. 
 Walterboro Community
Hospital, Inc. 
 Wesley Medical Center, LLC 
 West Florida Regional Medical Center, Inc. 
 West Valley Medical Center, Inc. 

Western Plains Capital, Inc. 
 WHMC, Inc.

 Woman’s Hospital of Texas, Incorporated 

  
 Schedule I-5Fourth Supplemental Indenture

 Exhibit 4.92 
 EXECUTION VERSION 
 THE GOLDMAN SACHS GROUP, INC., 

as Issuer 

TO 
 THE BANK OF
NEW YORK MELLON, 
 as Trustee 
  

 
 Fourth
Supplemental Indenture 
 Dated as of February 6, 2012 

 
  

$1,750,010,000 

Remarketable 5.593% Junior Subordinated Notes due 2043 
  

 
  

 FOURTH SUPPLEMENTAL INDENTURE, dated as of February 6, 2012, between The Goldman Sachs
Group, Inc., a corporation duly organized and existing under the laws of the State of Delaware (the “Company”), having its principal office at 200 West Street, New York, New York 10282, and The Bank of New York Mellon, a New York
banking corporation, as Trustee, to the Subordinated Debt Indenture, dated as of February 20, 2004, between the Company and the Trustee (the “Original Indenture”). 

W I T N E S S E T H : 
 WHEREAS, the Original Indenture provides for the issuance from time to time thereunder, in one or more series, of unsecured debentures, notes or other evidence of indebtedness of the Company, and
Section 301 of the Original Indenture provides for the establishment of the form or terms of Securities of any series issued thereunder, and any additions to, changes in or eliminations of any provisions of the Original Indenture in respect of
such series as provided therein, through one or more supplemental indentures; 
 WHEREAS, the Company, by a Second Supplemental
Indenture, dated as of May 15, 2007 (the “Second Supplemental Indenture”), created and issued a series of Securities known as the Company’s Remarketable 5.593% Junior Subordinated Notes due 2043 (the
“Notes”), the terms and provisions of which were as specified in the Second Supplemental Indenture, and to the extent not added to, changed or eliminated by the Second Supplemental Indenture, the Original Indenture; 

WHEREAS, the Company wishes to make certain changes as specified herein to the terms of and provisions for the Notes; 

WHEREAS, Section 902 of the Original Indenture, as supplemented by Section 2.9 of the Second Supplemental Indenture and
Section 6.1(b) of the Trust Agreement (as defined in this Fourth Supplemental Indenture), taken together permit the Company, when authorized by a Board Resolution, to enter into a supplemental indenture for the purpose of adding any provisions
to or changing in any manner or eliminating any of the provisions of the Original Indenture, as amended and supplemented by the Second Supplemental Indenture, or of modifying in any manner the rights of the Holders of the Notes, and the Trustee with
the consent of the Holders of at least a majority in principal amount of the Outstanding Notes and a majority of the aggregate liquidation amount of the outstanding APEX, subject to certain limitations set forth therein; 

WHEREAS, the Company has obtained the consent to the amendments to the Indenture set forth herein from the Holders of a majority in
principal amount of the Notes currently Outstanding and the holders of a majority of the aggregate liquidation amount of the outstanding APEX and has delivered to the Trustee evidence satisfactory to the Trustee that such consents have been given
and, as of the date hereof, have not been withdrawn or revoked; 
 WHEREAS, the Company has duly authorized the execution and
delivery of this Fourth Supplemental Indenture; and 
 WHEREAS, all things necessary to make this Fourth Supplemental Indenture
a valid agreement according to its terms have been done. 

 NOW, THEREFORE, for and in consideration of the premises, the Company covenants and agrees
with the Trustee as follows: 
 ARTICLE I 
 DEFINITIONS 
 Section 1.1 Provisions of the Indenture 

Except insofar as herein otherwise expressly provided, all the definitions, provisions, terms and conditions of the Original Indenture, as
supplemented and amended by the Second Supplemental Indenture, shall remain in full force and effect and, for all purposes of this Fourth Supplemental Indenture (including the recitals hereto), shall have the meanings assigned to then in the Second
Supplemental Indenture or the Original Indenture, as applicable. The Indenture, as amended and supplemented by this Fourth Supplemental Indenture, is in all respects ratified and confirmed. The Original Indenture, as supplemented and amended by the
Second Supplemental Indenture and this Fourth Supplemental Indenture, shall be read, taken and considered as one and the same instrument for all purposes and every Holder of Notes authenticated and delivered under the Indenture (and every holder of
Senior Debt with respect to the Notes) shall be bound hereby. 
 Section 1.2 Rules of Interpretation 

For all purposes of this Fourth Supplemental Indenture, the Second Supplemental Indenture and the Notes, except as herein otherwise
expressly provided or unless the subject matter or context hereof otherwise requires: 
 (i) “Fourth
Supplemental Indenture” means this instrument as originally executed or as it may from time to time be supplemented or amended by one or more agreements supplemental hereto entered into pursuant to the applicable provisions hereof;

 (ii) all terms used in this Fourth Supplemental Indenture that are defined in the Indenture or the Trust
Agreement have the meanings assigned to them therein, except as otherwise provided in this Fourth Supplemental Indenture; 
 (iii) references to any agreement or other instrument are to such agreement or other instrument as it has been or may be amended or supplemented from time to time; and 

(iv) references to the Second Supplemental Indenture in such Second Supplemental Indenture or in this Fourth Supplemental
Indenture shall be references to the Second Supplemental Indenture as amended and supplemented by this Fourth Supplemental Indenture. 
 ARTICLE II 
 AMENDMENTS AND DELETIONS 

The provisions of the Second Supplemental Indenture are hereby modified as follows: 

(a) Section 1.2(f) is hereby amended by adding the following terms (and where appropriate, by deleting the definition
of any such term currently set forth therein): 

  
 2 

 “Final Remarketing” means (i) a Remarketing for a
settlement date on May 1, 2013 (or if such day is not a Business Day, the immediately succeeding Business Day), (ii) in the case of an Early Remarketing, the fifth scheduled Remarketing or (iii) in the case of an Early Remarketing in
connection with clause (ii) of the definition of Early Settlement Event, the first Remarketing. 

“Indenture” means the Original Indenture as originally executed, as it is supplemented and amended by the
Supplemental Indenture, dated as of February 20, 2004, between the Company and the Trustee, this Second Supplemental Indenture and the Fourth Supplemental Indenture and as it may from time to time be further supplemented or amended by one or
more other indentures supplemental thereto entered into pursuant to the applicable provisions thereof, including, for all purposes of such instrument, this Second Supplemental Indenture, as amended and supplemented by the Fourth Supplemental
Indenture, and any such other supplemental indenture, the provisions of the Trust Indenture Act that are deemed to be a part of and govern such instrument, this Second Supplemental Indenture, the Fourth Supplemental Indenture and any such other
supplemental indenture, respectively. The term “Indenture” shall also include the terms of the Notes. 
 “Remarketing Period” means the period commencing on the date 14 days after the date of the Fourth Supplemental Indenture (or such later date as shall be determined by the Company in its
absolute discretion) and ending on the third Business Day preceding June 1, 2012, and the 75-day period (or such shorter period as shall be determined by the Company in its absolute discretion) ending on the third Business Day preceding each of
September 1, 2012, December 1, 2012, March 1, 2013 and June 1, 2013 until the settlement of a Successful Remarketing, or if an Early Settlement Event shall have occurred, each of the periods determined in accordance
with Section 3.4. 
 “Remarketing Settlement Date” means the third Business Day following
the date of a Successful Remarketing or, if the Remarketing is Successful on a date that is within seven Business Days of the Stock Purchase Date, the Stock Purchase Date. 

“Remarketing Value” means, in respect of a Note, the amount equal to the value on the Remarketing
Settlement Date of U.S. Treasury securities that will pay, on or prior to the Stock Purchase Date, an amount of cash equal to the principal amount of, plus the interest payable on, such Note on the next Regular Distribution Date, including any
deferred interest, assuming for this purpose, even if not true, that the interest rate on the Notes remains at the rate in effect immediately prior to the Remarketing and all accrued and unpaid interest on the Notes is paid in cash on such date;
provided that the Remarketing Value shall be calculated on the assumptions that (x) the U.S. Treasury securities are highly liquid and mature on or within five Business Days prior to the Stock Purchase Date, as determined in good faith
by the Remarketing Agent in a manner intended to minimize the cash value of the U.S. Treasury securities, and (y) the U.S. Treasury securities are valued based on the ask-side price of such U.S. Treasury securities at a time between 9:00 A.M.
and 11:00 A.M., New York City time, selected by the Remarketing Agent, on the date of Remarketing, as determined on a third-day settlement basis by a reasonable and customary means selected in good faith by the Remarketing Agent, plus accrued
interest to that date; provided that if the Remarketing Settlement Date is the Stock Purchase Date, the Remarketing Value shall equal the principal amount of the Note. 

“Reset Rate” means, if any tranche of Notes is remarketed as fixed rate notes, the rate of interest on
such tranche of Notes set in a Remarketing, as specified in Section 3.3(a). 

  
 3 

 “Reset Spread” means, if any tranche of Notes is remarketed
as floating rate notes, the spread, if any, set in a Remarketing with respect to such tranche of Notes, as specified in Section 3.3(a). 
 “Stated Maturity Date” means June 1, 2043 or, with respect to any tranche of Notes, such earlier date as may be specified by the Company with respect to such tranche of Notes
following a Remarketing in accordance with Article III. 
 (b) The definitions of Fixed Rate Reset Cap and
Floating Rate Reset Cap appearing in Section 1.2 are hereby deleted. 
 (c) Section 2.4 is hereby
amended by inserting a new Section 2.4(f) at the end thereof as follows: 
 (f) Any Notes held by the
Custodial Agent in the Custody Account shall be exchanged on the Remarketing Settlement Date for new Notes of one or several tranches, as the case may be, into which the Remarketed Notes are exchanged pursuant to Article III having the same
aggregate principal amount as the Notes so exchanged. The principal amount of the Notes of each tranche so issued shall be in the same proportions as the Remarketed Notes of such tranche are issued pursuant to Article III. 

(d) Section 2.9(b) is hereby amended by deleting the word “or” at the end of subparagraph
(13) thereof, deleting the ending quotation marks at the end of subparagraph (14) thereof, inserting the word “or” following the semicolon at the end of subparagraph (14) thereof, and inserting at the end of paragraph
(b) thereof a new subparagraph (15) as follows: 
 (15) in the event any Notes are sold in the
Remarketing to one or more statutory trusts sponsored by the Company, to modify the provisions of Sections 2.7, 2.9(c), 2.10 through 2.15, 4.1 and 7.3 to make comparable provision with respect to each such trust and the holders of its trust
securities, and to modify the definitions of “Investment Company Event” and “Tax Event” to refer to each such statutory trust in lieu of the Issuer Trust and to replace references to the date of issuance of the APEX with
references to the Remarketing Settlement Date. 
 (e) Section 3.1(d) is hereby amended and restated in its
entirety as follows: 
 (d) If a Remarketing Disruption Event has occurred and is continuing as of the last day
of a Remarketing Period other than the fifth Remarketing Period and no Early Settlement Event has occurred, the Company may elect not to attempt a Remarketing on that day. If the Company makes such election, the Remarketing for the related
Remarketing Period will be deemed Unsuccessful and the Company shall be obligated to use commercially reasonable efforts to effect the Remarketing in the next succeeding Remarketing Period. 

(f) Section 3.2 is hereby amended and restated in its entirety as follows: 

In connection with Remarketings, the Company shall have the right hereunder, subject to Section 3.3(a), without the
consent of any Holder of the Notes or any APEX Holders, at any time prior to the sale of the Notes in the Remarketing, to: 
 (a) divide the Notes into multiple tranches, and if so, determine the principal amount of each tranche of Notes into which each Note shall be exchanged, it being understood

  
 4 

 
that the aggregate principal amount of such Notes shall equal the principal amount of Notes so exchanged and that each Note shall be exchanged in the same proportion as each other Note, and that
the authorized denominations of each tranche of Notes shall be changed to the extent necessary to avoid the issuance of Notes in denominations that are not authorized denominations as a result of such exchange; 

(b) keep the Stated Maturity Date of any tranche of Notes at June 1, 2043 or change it to an earlier date (specifying
such date if applicable); provided that the Stated Maturity Date of any tranche of Notes may not be changed to a date earlier than the later of (i) June 1, 2016 and (ii) if the Remarketing Settlement Date occurs during an Extension
Period, the seventh anniversary of the first day of such Extension Period; 
 (c) change the date after which any
tranche of Notes will be redeemable at the Company’s option and the redemption price or prices; provided that no redemption date for any tranche of Notes may be earlier than the later of (i) June 1, 2016 and (ii) if the
Remarketing Settlement Date occurs during an Extension Period, the seventh anniversary of the first day of such Extension Period; and provided, further, that no Redemption Price may be less than the 100% of the principal amount of such
tranche of Notes plus accrued and unpaid interest, including deferred interest, if any, to the Redemption Date, in accordance with Article XI of the Original Indenture; 

(d) in connection with a Final Remarketing that is not an Early Remarketing or an Early Remarketing that is not the first
scheduled Remarketing, exercise its right under Section 6.2 to cause the subordination provisions in the Original Indenture to cease to apply to the Notes, if the Remarketing is Successful, from and after the Remarketing Settlement Date and if
so, also elect that the Notes shall no longer be subject to the interest deferral provisions of Sections 2.5(b) through (e); 
 (e) remarket each tranche of Notes as fixed rate notes or floating rate notes; 
 (f) if the Notes of any tranche will be remarketed as floating rate notes, determine the applicable index (which must be a qualified floating rate) and the interest payment dates and manner of calculation
of interest on such tranche of Notes, which the Company may change to correspond with the market conventions applicable to notes bearing interest at rates based on the applicable index; and 

(g) following a Failed Remarketing: 

(i) keep the Stated Maturity Date at June 1, 2043 or change it to an earlier date, which date shall not be earlier
than June 1, 2016 (specifying such date if applicable); and 
 (ii) change the date after which the Notes
will be redeemable at the Company’s option (which date shall not be earlier than June 1, 2016) and the redemption price or prices; 
 provided that if the Failed Remarketing occurs during an Extension Period any changed Stated Maturity Date determined pursuant to clause (i) or early redemption date determined pursuant to
clause (ii) may not be earlier than the seventh anniversary of the first day of such Extension Period. 

  
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 Any such changes to the terms of the Notes made by the Company pursuant to
clauses (a) through (f) shall, upon successful completion of a Remarketing, automatically apply and come into effect in respect of the Notes as of the Remarketing Settlement Date and any such elections made by the Company pursuant to
clause (g) in connection with a Failed Remarketing shall come into effect in respect of the Notes upon the announcement by the Company that the Final Remarketing is a Failed Remarketing. 

(g) Sections 3.3(a) through (c) are hereby amended and restated in their entirety as follows: 

(a) As part of and in connection with each Remarketing, the Remarketing Agent shall determine the Reset Rate or Reset
Spread with respect to each tranche of Notes, subject to Sections 3.3(b) through (e), pursuant to the Remarketing Agreement and in accordance with the other provisions of this Article III, that will apply to all Notes of such tranche (whether or not
sold in the Remarketing) if such Remarketing is Successful for each Interest Period or portion thereof commencing on or after such Remarketing Settlement Date, subject to the following provisions and limitations: 

(i) the interest rate on any tranche of Notes may not at any time be less than 0% per annum; and 

(ii) if (A) the interest rate on any tranche of Notes is not a fixed rate or a “qualified floating
rate” (as defined in U.S. Treasury regulations section 1.1275-5(b)), (B) interest on such tranche of Notes is not unconditionally payable at intervals of no more than one year through the remaining term of the Notes, or (C) the
redemption price of such tranche of Notes is not their principal amount (disregarding a customary call premium that is fixed or objectively determinable based on a qualified floating rate), then the Company shall have received a written opinion of
Sullivan & Cromwell LLP or other nationally recognized tax counsel experienced in such matters to the effect that the discussion contained in the Prospectus under the heading “Certain U.S. Federal Income Tax Consequences” is
materially correct, taking into account all of the terms of such tranche of Notes following the Remarketing. 

(b) If the Remarketing has been determined to be Successful in accordance with Section 3.5(a) by approximately 4:30
P.M., New York City time, on the date of such Successful Remarketing, (i) the Remarketing Agent shall notify the Company, the Collateral Agent, the Custodial Agent, the Property Trustee (on behalf of the Issuer Trust) and the Trustee that the
Remarketing was Successful and the Reset Rate or Reset Spread determined with respect to each tranche of Notes as part of such Remarketing in accordance with this Article III and (ii) the Company shall notify the Collateral Agent, the Custodial
Agent, the Property Trustee (on behalf of the Issuer Trust) and the Trustee of the changes to the terms of the Notes made pursuant to Section 3.2. 
 (c) If a Remarketing is Successful, then commencing with the related Remarketing Settlement Date the interest rate on each tranche of Notes shall be reset to the rate, determined in accordance with this
Article III pursuant to such Remarketing and the other changes, if any, in the terms of such tranche of Notes as notified by the Company pursuant to Section 3.2(b), shall become effective in accordance with this Article III. 

  
 6 

 (h) Section 3.4 is hereby amended and restated in its entirety as
follows: 
 If an Early Settlement Event occurs prior to the Stock Purchase Date, the Remarketing Periods, for
the purposes of this Section 3.4, shall be the five Business Day periods commencing on the seventh Business Day prior to a February 8, May 1, August 1 or November 1 (or if any such day is not a Business Day, the next
Business Day) (which will also be a “Remarketing Settlement Date” for the purposes of this Section 3.4), and concluding with the earlier to occur of the fifth such date and a Successful Remarketing; provided that in the
case of an Early Settlement Event of the type described in clause (ii) of the definition of such term, there shall be only one Remarketing Period, and if the Remarketing conducted on such date is not Successful, it shall be a Failed Remarketing
and the Stock Purchase Date shall be the next succeeding March 1, June 1, September 1 or December 1 (or if such day is not a Business Day, the next Business Day). 

(i) Section 3.5(c) is hereby deleted in its entirety. 

(j) Section 3.6 is hereby amended and restated in its entirety as follows: 

Notwithstanding any provision of the Indenture to the contrary, the Company and the Trustee may enter into a supplemental
indenture without the consent of any Holder of the Notes or of any APEX Holder (i) to reflect any modifications to the terms of the Notes pursuant to the terms of this Article III and to provide for the exchange of the Notes for Notes in the
form reflecting such modifications and adopted pursuant to such supplemental indenture or (ii) to correct or supplement any provision in the Indenture that may be inconsistent with the Fourth Supplemental Indenture or which may be necessary in
order to give effect to the amendments to the Indenture as applicable to the Notes provided for in the Fourth Supplemental Indenture. 
 (k) The Regular Record Date for each payment of interest on the Notes due after the date hereof shall be the calendar day immediately preceding the applicable Interest Payment Date. 

ARTICLE III 
 MISCELLANEOUS PROVISIONS 
 Section 3.1 Separability of Invalid Provisions

 In case any one or more of the provisions of this Fourth Supplemental Indenture should be invalid, illegal or
unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provisions contained in this Fourth Supplemental Indenture, and to the extent and only to the extent that any such provision is invalid, illegal
or unenforceable, this Fourth Supplemental Indenture shall be construed as if such provision had never been contained herein. 
 Section 3.2
Execution in Counterparts 
 This Fourth Supplemental Indenture may be simultaneously executed and delivered in any number of
counterparts, each of which when so executed and delivered shall be deemed to be an original, and such counterparts shall together constitute but one and the same instrument. 
 Section 3.3 Effectiveness 
 This Fourth Supplemental Indenture will become
effective upon its execution and delivery. 

  
 7 

 Section 3.4 Successors and Assigns 

All covenants and agreements in the Indenture, as supplemented and amended by this Fourth Supplemental Indenture, by the Company shall
bind its successors and assigns, whether so expressed or not. 
 Section 3.5 Further Assurances 

The Company will, at its own cost and expense, execute and deliver any documents or agreements, and take any other actions that the
Trustee or its counsel may from time to time request in order to assure the Trustee of the benefits of the rights granted to the Trustee under the Indenture, as supplemented and amended by this Fourth Supplemental Indenture. 

Section 3.6 Effect of Recitals 
 The recitals contained herein and in the Notes, except the Trustee’s certificates of authentication, shall be taken as the statements of the Company, and neither the Trustee nor any Authenticating
Agent assumes any responsibility for their correctness. The Trustee makes no representations as to the validity or sufficiency of this Fourth Supplemental Indenture or of the Notes. Neither the Trustee nor any Authenticating Agent shall be
accountable for the use or application by the Company of the Notes or the proceeds thereof. 
 Section 3.7 Ratification of Indenture

 The Indenture as supplemented by this Fourth Supplemental Indenture, is in all respects ratified and confirmed, and this
Fourth Supplemental Indenture shall be deemed part of the Indenture in the manner and to the extent herein and therein provided. 
 Section
3.8 Governing Law 
 This Fourth Supplemental Indenture shall be governed by and construed in accordance with the laws of the
State of New York. 

  
 8 

 IN WITNESS WHEREOF, the parties hereto have caused this Fourth Supplemental Indenture to be
duly executed all as of the day and year first above written. 
  

			
	 THE GOLDMAN SACHS GROUP, INC.

		
	By:	 	 /s/ Ellis Whipple

	Name:	 	Ellis Whipple
	Title:	 	Assistant Treasurer
	
	THE BANK OF NEW YORK MELLON, as Trustee
		
	By:	 	 /s/ Teisha Wright

	Name:	 	Teisha Wright
	Title:	 	Senior Associate

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