Document:

Amendment No. 7 dated as of June 15, 2004 to Credit Agreemen

 Exhibit 10.1 
  
 AMENDMENT NO. 7 TO CREDIT AGREEMENT 
  

Dated as of June 15, 2004 
  
 among 
  
 TRIAD HOSPITALS, INC., 
 as Borrower 
  
 AND 
  
 BANK OF AMERICA, N.A., 
 as Administrative Agent on behalf of itself and the Lenders, 
  
 MERRILL LYNCH & CO., 
 as Syndication Agent 
  
 AND 
  
 JPMORGAN CHASE BANK, CITICORP NORTH AMERICA, INC. and WACHOVIA BANK, 
 NATIONAL ASSOCIATION, 
 as Co-Documentation Agents 
  
 Arranged By: 
  
 BANC OF AMERICA SECURITIES LLC and WACHOVIA CAPITAL MARKETS, LLC 
 as Joint Lead Arrangers 
  
 AND 
  
 BANC OF AMERICA SECURITIES
LLC, WACHOVIA CAPITAL MARKETS, LLC and THE BANK 
 OF NOVA SCOTIA 
 as Joint Book Runners 

 AMENDMENT NO. 7 
  

THIS AMENDMENT NO. 7 dated as of June 15, 2004 (this “Amendment”) to the Credit Agreement referenced below is by and among Triad
Hospitals, Inc., a Delaware corporation (the “Borrower”), and Bank of America, N.A., as Administrative Agent on behalf of itself and the Lenders. 
  
 W I T N E S S E T H 
  
 WHEREAS, a $1.2 billion credit facility was established in favor of the Borrower pursuant to the terms of that Amended and Restated Credit Agreement dated
as of April 27, 2001 (as amended and modified from time to time, the “Credit Agreement”) among the Borrower, the lenders identified therein and Bank of America, N.A., as Administrative Agent; 
  
 WHEREAS, the Borrower has requested certain modifications to the Credit
Agreement; and 
  
 WHEREAS, the requisite Lenders have agreed to
the requested modifications on the terms and conditions set forth herein and have directed the Administrative Agent to enter into this Amendment for and on their behalf. 
  
 NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the parties hereto agree as follows: 
  
 1. Defined Terms. Capitalized terms used herein but not otherwise defined herein shall have the meanings provided to such terms in the Credit Agreement. 
  
 2. Amendments. The Credit Agreement is amended in the following respects: 
  
 2.1 The definition of “Aggregate Revolving Committed Amount” in
Section1.1 is hereby amended to read as follows: 
  
 “Aggregate Revolving Committed Amount” means the aggregate amount of Revolving Commitments in effect from time to time, as referenced in Section 2.1(a), being FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to
reduction pursuant to Section 3.4. 
  
 2.2 The reference to
“Section 9.7” in the definition of “Approved Asset Disposition” in Section 1.1 is hereby amended to read “Section 9.5”. 
  
 2.3 The reference to “$100 million” in subclause (vii)(A) in the definition of “Permitted Acquisition” in Section 1.1 is hereby
amended to read as “$250 million”. 
  
 2.4 A new
subclause (xxi) is hereby added at the end of the definition of “Permitted Liens” in Section 1.1 and shall read as follows: 
  
 and (xxi) Liens on Property of any Foreign Subsidiary securing Indebtedness permitted under Section 9.1(p). 
  
 2.5 The parenthetical in subclause (ii) of the definition of “Pro Forma
Compliance Certificate” in Section 1.1 is hereby amended to read as follows: 
  
 (other than Approved Asset Dispositions) 
  

 2 

 2.6 The definition of “QHR Disposition” in Section 1.1 is hereby deleted in its entirety.

  
 2.7 The following definition is hereby added to Section 1.1 in
the appropriate alphabetical order and shall read as follows: 
  
 “Amendment No. 7 Effective Date” means June 15, 2004. 
  
 2.8 Subclause (i) of Section 2.1(a) is hereby amended to read as follows: 
  
 (i) with regard to the Revolving Lenders collectively, the aggregate principal amount of Revolving Obligations at any time
shall not exceed FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to reduction pursuant to Section 3.4 (the “Aggregate Revolving Committed Amount”) and 
  
 2.9 The first proviso in subclause (A) of Section 3.3(b)(ii) is hereby amended to read as follows: 
  
 provided, that, the first $150 million of Net Proceeds received from
such Approved Asset Dispositions subsequent to the Amendment No. 7 Effective Date shall not be required to be used by the Borrower to prepay the Loans and thereafter, the payment of such Net Proceeds need not be made until such time as the aggregate
amount payable hereunder shall be at least $10 million at any time; 
  
 2.10 The second proviso in Section 3.3(b)(ii)(A) is hereby deleted in its entirety. 
  
 2.11 The reference to “$100 million” in subclause (2)(A)(y) of Section 3.3(b)(ii)(B) is hereby amended to read as “$250 million”. 
  
 2.12 The proviso at the end of Section 3.3 (b)(ii)(B) is hereby amended to read as follows: 
  
 provided that payment of the Net Proceeds which exceed the foregoing
threshold amount need not be made until such time as the aggregate amount payable in excess of such threshold shall be at least $10 million at any time. 
  
 2.13 Section 3.3(b)(iv) is hereby amended to read as follows: 
  
 (iv) Equity Transactions. In connection with any Equity Transaction, to the extent the aggregate Net Proceeds from all Equity
Transactions consummated after the Amendment No. 7 Effective Date exceed $100 million, the Loans shall be prepaid as hereafter provided in an amount equal to the percentage shown below of Net Proceeds therefrom based on the Consolidated Total
Leverage Ratio after giving effect to such Equity Transaction and the application of proceeds in connection therewith on a Pro Forma Basis: 
  

			
	 Consolidated Total
Leverage Ratio
	  	Percentage of Net Proceeds to be
applied as Prepayment
		
	 > 3.0:1.0
	  	50%
	 £
3.0:1.0
	  	25%

  

 3 

 2.14 The following paragraph is hereby added at the end of Section 8.1 and shall read as follows:

  
 The Borrower and the Administrative Agent
hereby acknowledge and agree that (a) the Administrative Agent will make available to the Lenders materials and/or information provided by or on behalf of the Borrower hereunder (collectively, “Borrower Materials”) by posting the Borrower
Materials on Intralinks or another similar electronic system (the “Platform”) and (b) certain of the Lenders may be “public-side” Lenders (i.e., Lenders that do not wish to receive material non-public information with respect to
the Borrower or its securities) (each, a “Public Lender”). The Borrower agrees that by marking any Borrower Materials “PUBLIC”, (a) the Borrower shall be deemed to have authorized the Administrative Agent and the Lenders to treat
such Borrower Materials as either publicly available information or not material information (although it may be sensitive and proprietary) with respect to the Borrower or its securities for purposes of United States federal and state securities
laws and (b) the Administrative Agent shall be entitled to post such Borrower Materials on the portion of the Platform marked “PUBLIC”. Unless the Borrower and the Administrative Agent expressly agree otherwise, the Administrative Agent
agrees to treat any Borrower Materials that are not marked “PUBLIC” as being suitable only for posting on a portion of the Platform not marked as “PUBLIC” and not to post any Borrower Materials on the portion of the Platform
designated as “PUBLIC” which is not clearly and conspicuously marked “PUBLIC”. 
  
 2.15 Section 8.11(f) is hereby amended to read as follows: 
  
 (f) Capital Expenditures. Consolidated Capital Expenditures for each fiscal year shall not exceed an amount equal to the sum of (i)
$450 million plus (ii) the unused amount available for Consolidated Capital Expenditures under this Section 8.11 for the immediately preceding fiscal year (excluding any carry forward available from any prior fiscal year), plus (iii) the amount of
any Net Proceeds from Asset Dispositions permitted to be retained by the Borrower pursuant to Section 3.3(b)(ii) to the extent that the Borrower applies such amount to Consolidated Capital Expenditures within twelve (12) months of the date of such
Asset Dispositions, plus (iv) the amount of any Net Proceeds from Equity Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv) (to the extent not used in connection with any Permitted Acquisition or the prepayment,
redemption, defeasance or acquisition of Indebtedness permitted under Section 9.8(d)), plus (v) the amount of any Consolidated Capital Expenditures which constitute Permitted Acquisitions hereunder, plus (vi) the amount of any Net Proceeds from Debt
Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iii) (to the extent not used in connection with any Permitted Acquisition or the prepayment, redemption, defeasance or acquisition of Indebtedness permitted under
Section 9.8(d)). 
  
 2.16 A new subclause (p) is hereby added at
the end of Section 9.1 and shall read as follows: 
  
 and (p) Indebtedness of Foreign Subsidiaries in an aggregate principal amount up to $75 million. 
  
 2.17 The first three lines of Section 9.5 are hereby amended to read as follows: 
  
 No member of the Consolidated Group will make any Asset Disposition (including, without limitation, any Sale
and Leaseback Transaction), other than the Approved Asset Dispositions, unless 
  
 2.18 Section 9.8(c) is hereby amended to read as follows: 
  

 4 

 (c) Make any payment in contravention of the terms of any Subordinated Debt (including
the Refinancing Subordinated Debt), the Senior Notes or the 2004 Refinancing Debt; or 
  
 2.19 Subclause (A) in Section 9.8(d)(ii) is hereby amended to read as follows: 
  
 (A) in an amount equal to 50% of the Net Proceeds received from any Equity Transaction, after compliance with Section 3.3(b)(iv) hereof; provided
that such Net Proceeds shall not include the first $100 million in aggregate Net Proceeds received from Equity Transactions consummated after the Amendment No. 7 Effective Date permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv)
hereof, and 
  
 2.20 A new proviso is hereby added at the end of
Section 9.8(d) and shall read as follows: 
  
 provided,
further that the Borrower may (1) prepay, redeem, defease or reacquire the Senior Notes outstanding in an aggregate amount not to exceed $85,000 and (2) prepay, redeem, defease or reacquire the Senior Subordinated Notes outstanding in an aggregate
amount not to exceed $4.2 million. 
  
 2.21 A new Section
12.17 is hereby added and shall read as follows: 
  
 12.17 USA
PATRIOT Act Notice. 
  
 Each Lender and the
Administrative Agent (for itself and not on behalf of any Lender) hereby notifies the Borrower that pursuant to the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001)) (the “Act”), it
is required to obtain, verify and record information that identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender or the Administrative Agent, as applicable, to
identify the Borrower in accordance with the Act. 
  
 2.22 The
Revolving Commitment Percentages as of the Amendment No. 7 Effective Date are set forth on Schedule 2.22 attached hereto. 
  
 3. The Guarantors join in the execution of this Amendment for purposes of acknowledging and consenting to the terms of this Amendment and reaffirming
their guaranty obligations under the Guaranty Agreement. 
  
 4.
The Borrower affirms that the representations and warranties in the Credit Agreement and the other Credit Documents are true and correct in all material respects as of the date hereof (except those which expressly relate to an earlier period or date
and except to the extent that changes in facts and conditions on which such representations and warranties are based are required or permitted under the Credit Agreement). 
  
 5. This Amendment shall be effective upon receipt by the Administrative Agent of the following: 
  
 (a) executed copies of consents from the Required Lenders,
Tranche A Term Lenders holding more than 50% of the outstanding Tranche A Term Loans, Tranche B Term Lenders holding more than 50% of the outstanding Tranche B Term Loans and Revolving 
  

 5 

 Lenders holding more than 50% of the outstanding Revolving Commitments, and executed signature pages to
this Amendment from each of the parties hereto; and 
  
 (b) the amendment fee equal to five basis points (0.05%) on the aggregate Commitments (prior to the effectiveness of this Amendment) of those existing Lenders consenting to this Amendment and any other fees payable in connection with this
Amendment. 
  
 6. From and after the Amendment No. 7 Effective
Date, by execution of the consent to this Amendment attached hereto, each Person identified as a “Lender” on each consent signature page that is not already a Lender under the Credit Agreement (a “New Lender”) hereby
acknowledges, agrees and confirms that, by its execution of such consent to this Amendment, such Person will be deemed to be a party to the Credit Agreement and a “Lender” for all purposes of the Credit Agreement, and shall have all of the
obligations of a Lender thereunder as if it had executed the Credit Agreement. Such Person hereby ratifies, as of the date hereof, and agrees to be bound by, all of the terms, provisions and conditions applicable to the Lenders contained in the
Credit Agreement. 
  
 7. Except as modified hereby, all of the
terms and provisions of the Credit Agreement (including Schedules and Exhibits) shall remain in full force and effect. 
  
 8. The Borrower agrees to pay all reasonable costs and expenses of the Administrative Agent in connection with the preparation, execution and delivery of
this Amendment, including without limitation the reasonable fees and expenses of Moore & Van Allen, PLLC. 
  
 9. This Amendment may be executed in any number of counterparts, each of which when so executed and delivered shall be deemed an original, and it shall
not be necessary in making proof of this Amendment to produce or account for more than one such counterpart. 
  
 10. This Amendment shall be deemed to be a contract made under, and for all purposes shall be construed in accordance with, the laws of the State of New
York. 
  
 [Signature Pages Follow] 
  

 6 

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

			
	 BORROWER:
	  	TRIAD HOSPITALS, INC.,
	 	  	a Delaware corporation
		
	 	  	By: /s/ JAMES R BEDENBAUGH
	 	  	Name: James R. Bedenbaugh
	 	  	Title: Senior Vice President & Treasurer
		
	 ADMINISTRATIVE AGENT:
	  	BANK OF AMERICA, N.A.,
	 	  	as Administrative Agent and on behalf of the Lenders
		
	 	  	By: /s/ KEVIN WAGLEY
	 	  	Name: Kevin Wagley
	 	  	Title: Principal

  

											
	 	 	Consented to by:	 	 	 	 
	 	 	 	 	 	 	 
	 	 	GUARANTOR:	 	 	 	ARIZONA ASC MANAGEMENT, INC.
	 	 	 	 	 	 	DAY SURGERY, INC.
	 	 	 	 	 	 	MEDICAL HOLDINGS, INC.
	 	 	 	 	 	 	MEDICAL MANAGEMENT, INC.
	 	 	 	 	 	 	PACIFIC GROUP ASC DIVISION, INC.
	 	 	 	 	 	 	SOUTH ALABAMA MANAGED CARE
	 	 	 	 	 	 	CONTRACTING, INC.
	 	 	 	 	 	 	SOUTH ALABAMA MEDICAL MANAGEMENT
    SERVICES, INC.
	 	 	 	 	 	 	SOUTH ALABAMA PHYSICAN SERVICES, INC.
	 	 	 	 	 	 	SPROCKET MEDICAL MANAGEMENT, INC.
	 	 	 	 	 	 	SURGICARE OF INDEPENDENCE, INC.
	 	 	 	 	 	 	SURGICARE OF SAN LEANDRO, INC.
	 	 	 	 	 	 	SURGICARE OF VICTORIA, INC.
	 	 	 	 	 	 	SURGICARE OUTPATIENT CENTER OF LAKE
    CHARLES, INC.
	 	 	 	 	 	 	SURGICENTER OF JOHNSON COUNTY, INC.
	 	 	 	 	 	 	SURGICENTERS OF AMERICA, INC.
	 	 	 	 	 	 	TRIAD EL—DORADO, INC.
	 	 	 	 	 	 	TRIAD HOLDINGS III, INC.
	 	 	 	 	 	 	TRIAD RC, INC.
	 	 	 	 	 	 	TRIAD-ARIZONA I, INC.
	 	 	 	 	 	 	TRIAD-SOUTH TULSA HOSPITAL COMPANY, INC.
	 	 	 	 	 	 	CAROLINAS MEDICAL ALLIANCE, INC.
	 	 	 	 	 	 	FRANKFORT HEALTH PARTNER, INC.
	 	 	 	 	 	 	GADSDEN REGIONAL PRIMARY CARE, INC.
	 	 	 	 	 	 	NC-CSH, INC.
	 	 	 	 	 	 	NC-DSH, INC.
	 	 	 	 	 	 	QHG GEORGIA HOLDINGS, INC.
	 	 	 	 	 	 	QHG OF ALABAMA, INC.
	 	 	 	 	 	 	QHG OF BARBERTON, INC.
	 	 	 	 	 	 	QHG OF BLUFFTON, INC.
	 	 	 	 	 	 	QHG OF ENTERPRISE, INC.
	 	 	 	 	 	 	QHG OF FORREST COUNTY, INC.
	 	 	 	 	 	 	QHG OF FORT WAYNE, INC.
	 	 	 	 	 	 	QHG OF GADSDEN, INC.
	 	 	 	 	 	 	QHG OF HATTISBURG, INC.
	 	 	 	 	 	 	QHG OF JACKSONVILLE, INC.
	 	 	 	 	 	 	QHG OF LAKE CITY, INC.
	 	 	 	 	 	 	QHG OF MASSILLON, INC.
	 	 	 	 	 	 	QHG OF OHIO, INC.
	 	 	 	 	 	 	QHG OF SOUTH CAROLINA, INC.
	 	 	 	 	 	 	QHG OF SPARTANBURG, INC.
	 	 	 	 	 	 	QHG OF SPRINGDALE, INC.
	 	 	 	 	 	 	QHG OF TEXAS, INC.
						
	 	 	 	 	 	 	 	 	By:	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 	 	Name:	 	 Donald P. Fay

	 	 	 	 	 	 	 	 	Title:	 	 Executive Vice President and Secretary

					
	 	 	 	 	 	 	 	 	[SIGNATURE PAGES CONTINUE]

  

 8 

									
	 GUARANTOR:
	 	QHG OF WARSAW, INC.
	 	 	QUORUM HEALTH GROUP OF VICKSBURG, INC.
	 	 	SOFTWARE SALES CORP.
	 	 	ST. JOSEPH MEDICAL GROUP, INC.
	 	 	WESLEY HEALTHTRUST, INC.
	 	 	 	 	 	 	 
	 	 	By:	 	 /s/ DONALD P. FAY

	 	 	Name:	 	 Donald P. Fay

	 	 	Title:	 	 Executive Vice President and Secretary

	 	 	 	 	 
	 	 	 	 	 
	 	 	ALICE HOSPITAL, LLC
	 	 	ALICE SURGEONS, LLC
				
	 	 	 	 	 By:
	 	 APS Medical, LLC, its Sole Member

	 	 	 	 	 
					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	E.D. CLINICS, LLC
	 	 	EL DORADO MEDICAL CENTER, LLC
				
	 	 	 	 	 By:
	 	 Arizona Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	BRAZOS VALLEY SURGICAL CENTER, LLC
	 	 	BVSC, LLC
				
	 	 	 	 	 By:
	 	 Brazos Medco, LLC, its Sole Member

	 	 	 	 	 
					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	COLLEGE STATION MEDICAL CENTER, LLC
	 	 	CSMC, LLC
				
	 	 	 	 	 By:
	 	 College Station Merger, LLC, its Sole Member

	 	 	 	 	 
					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 [SIGNATURE PAGES CONTINUE]

  

									
	 GUARANTOR:
	 	CORONADO HOSPITAL, LLC
	 	 	PAMPA MEDICAL CENTER, LLC
				
	 	 	 	 	 By:
	 	 Coronado Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	HOBBS PHYSICIAN PRACTICE, LLC
	 	 	LEA REGIONAL HOSPITAL, LLC
				
	 	 	 	 	 By:
	 	 Hobbs Medco, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	LRH, LLC
	 	 	REGIONAL HOSPITAL OF LONGVIEW, LLC
				
	 	 	 	 	 By:
	 	 Longview Merger, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	WILLAMETTE VALLEY CLINICS, LLC
	 	 	WILLAMETTE VALLEY MEDICAL CENTER, LLC
				
	 	 	 	 	 By:
	 	 Oregon Healthcorp., LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	BLUFFTON HEALTH SYSTEM LLC
				
	 	 	 	 	 By:
	 	 QHG of Bluffton, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 [SIGNATURE PAGES CONTINUE]

									
	 GUARANTOR:
	 	 ST. JOSEPH HEALTH SYSTEM LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	WESLEY HEALTH SYSTEM LLC
				
	 	 	 	 	 By:
	 	 QHG OF Hattiesburg, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	WARSAW HEALTH SYSTEM LLC
				
	 	 	 	 	 By:
	 	 QHG Warsaw, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

				
	 	 	 	 	 By:
	 	 Frankfort Health Partner, Inc., its Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 [SIGNATURE PAGES CONTINUE]

  

									
	 GUARANTOR:
	 	 SACMC, LLC

	 	 	 SAN ANGELO COMMUNITY MEDICAL CENTER, LLC

				
	 	 	 	 	 By:
	 	 San Angelo Medical, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 SAN LEANDRO MEDICAL CENTER, LLC

	 	 	 SLH, LLC

				
	 	 	 	 	 By:
	 	 San Leandro, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 BROWNWOOD MEDICAL CENTER, LLC

	 	 	 MEDICAL CENTER OF BROWNWOOD, LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 PACIFIC PHYSICIANS SERVICE, LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	 [SIGNATURE PAGES CONTINUE]

  

									
	 GUARANTOR:
	 	 CLAREMORE PHYSICIANS, LLC

	 	 	 CLAREMORE REGIONAL HOSPITAL, LLC

	 	 	 CLINICO, LLC

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

	 	 	 KENSINGCARE, LLC

	 	 	 MEDICAL PARK HOSPITAL, LLC

	 	 	 MEDICAL PARK MSO, LLC

	 	 	 PHYS-MED, LLC

	 	 	 PRIMARY MEDICAL, LLC

	 	 	 SOUTH ARKANSAS CLINIC, LLC

	 	 	 TRIAD CSGP, LLC

	 	 	 TROSCO, LLC

	 	 	 TRUFOR PHARMACY, LLC

	 	 	 WOMEN & CHILDREN’S HOSPITAL, LLC

	 	 	 
				
	 	 	 	 	 By:
	 	 Triad Holdings II, LLC, its Sole Member

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

  
  
  

									
	 GUARANTOR:
	 	 ARIZONA DH, LLC

	 	 	 CSDS, LLC

	 	 	 GRB REAL ESTATE, LLC

	 	 	 GREENBRIER VMC, LLC

	 	 	 LS PSYCHIATRIC, LLC

	 	 	 MISSOURI HEALTHSERV, LLC

	 	 	 TRIAD-DENTON HOSPITAL GP, LLC

	 	 	 VFARC, LLC

	 	 	 VHC HOLDINGS, LLC

	 	 	 VHC MEDICAL, LLC

	 	 	 VMF MEDICAL, LLC

	 	 	 WEST VIRGINIA MS, LLC

	 	 	 WHMC, LLC

	 	 	 WH MEDICAL, LLC

	 	 	 WOODLAND HEIGHTS MEDICAL CENTER, LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Secretary

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 MEDICAL CENTER AT TERRELL, LLC

	 	 	 TERRELL MEDICAL CENTER, LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 NAVARRO REGIONAL, LLC

	 	 	 NRH, LLC

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

					
	 	 	 	 	 	 	 By:
	 	 /s/ DONALD P. FAY

	 	 	 	 	 	 	 Name:
	 	 Donald P. Fay

	 	 	 	 	 	 	 Title:
	 	 Executive Vice President and Manager

	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	 [SIGNATURE PAGES CONTINUE]

  

							
	 GUARANTOR:
	  	APS MEDICAL, LLC
	 	  	ARIZONA MEDCO, LLC
	 	  	BRAZOS MEDCO, LLC
	 	  	CARLSBAD MEDICAL CENTER, LLC
	 	  	COLLEGE STATION MERGER, LLC
	 	  	CORONADO MEDICAL, LLC
	 	  	DALLAS PHY SERVICE, LLC
	 	  	DFW PHYSERV, LLC
	 	  	EYE INSTITUTE OF SOUTHERN ARIZONA, LLC
	 	  	GH TEXAS, LLC
	 	  	GHC HOSPITAL, LLC
	 	  	HDP WOODLAND PROPERTY, LLC
	 	  	HDPWH, LLC
	 	  	HOBBS MEDCO, LLC
	 	  	LAS CRUCES MEDICAL CENTER, LLC
	 	  	LONGVIEW MERGER, LLC
	 	  	NORTHWEST HOSPITAL, LLC
	 	  	NORTHWEST RANCHO VISTOSO IMAGING
    SERVICES, LLC
	 	  	OPRMC, LLC (F/K/A OVERLAND PARK REGIONAL
    MEDICAL CENTER, LLC)
	 	  	OREGON HEALTHCORP, LLC
	 	  	PACIFIC WEST DIVISION OFFICE, LLC
	 	  	PECOS VALLEY OF NEW MEXICO, LLC
	 	  	PHOENIX SURGICAL, LLC
	 	  	SAN ANGELO MEDICAL, LLC
	 	  	SAN LEANDRO, LLC
	 	  	SOUTHERN TEXAS MEDICAL CENTER, LLC
	 	  	TRIAD CSLP, LLC
	 	  	TRIAD TEXAS, LLC
	 	  	TRIAD-MEDICAL CENTER AT TERRELL SUBSIDIARY,
    LLC
	 	  	TRIAD-NAVARRO REGIONAL HOSPITAL
    SUBSIDIARY, LLC
	 	  	WHARTON MEDCO, LLC
			
	 	  	By:	  	Triad Hospitals, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	DETAR HOSPITAL, LLC
	 	  	VICTORIA HOSPITAL, LLC
			
	 	  	By:	  	VHC Medical, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	WAMC, LLC
			
	 	  	By:	  	West Anaheim, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	GCMC, LLC
	 	  	GULF COAST MEDICAL CENTER, LLC
			
	 	  	By:	  	Wharton Medco, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	LAKE AREA PHYSICIAN SERVICES, L.L.C.
			
	 	  	By:	  	Women & Children Hospital, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	AMERICAN HEALTH FACILITIES DEVELOPMENT, LLC
	 	  	QHR INTERNATIONAL, LLC
	 	  	THE INTENSIVE RESOURCE GROUP, LLC
			
	 	  	By:	  	Quorum Health Resources, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	HATTIESBURG ASG-GP
			
	 	  	By:	  	Wesley Health System LLC, its Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

			
	 	  	By:	  	QHG of Forrest County, Inc., its Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

  
 [SIGNATURE PAGES
CONTINUE] 
  

							
	 GUARANTOR:
	  	DALLAS PHYSICIAN PRACTICE, L.P.
			
	 	  	By:	  	DPW Physerv, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	GULF COAST HOSPITAL, L.P.
			
	 	  	By:	  	Gulf Coast Medical Center, LLC,
	 	  	 	  	its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	HDP WOODLAND HEIGHTS, L.P.
			
	 	  	By:	  	HDP Woodland Property, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	NAVARRO HOSPITAL, L.P.
			
	 	  	By:	  	Navarro Regional, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	PAMPA HOSPITAL, L.P.
			
	 	  	By:	  	Pampa Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	QHG GEORGIA, LP
			
	 	  	By:	  	QHG Georgia Holdings, Inc., its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	REHAB HOSPITAL OF FORT WAYNE GENERAL PARTNERSHIP
			
	 	  	By:	  	QHG of Fort Wayne, Inc., its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	IOM HEALTH SYSTEM, L.P.
			
	 	  	By:	  	QHG of Indiana, Inc., its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	LONGVIEW MEDICAL CENTER, L.P.
			
	 	  	By:	  	Regional Hospital of Longview, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	SAN ANGELO HOSPITAL, L.P.
			
	 	  	By:	  	San Angelo Community Medical Center, LLC,
	 	  	 	  	its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	SAN LEANDRO HOSPITAL, L.P.
			
	 	  	By:	  	San Leandro Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	TERRELL HOSPITAL, L.P.
			
	 	  	By:	  	Terrell Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	TRIAD CORPORATE SERVICES, LIMITED PARTNERSHIP
			
	 	  	By:	  	Triad CSGP, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	PACIFIC EAST DIVISION OFFICE, L.P.
			
	 	  	By:	  	Triad Texas, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	TRIAD-DENTON HOSPITAL, L.P.
			
	 	  	By:	  	Triad-Denton Hospital GP, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	PINEY WOODS HEALTHCARE SYSTEM, L.P.
			
	 	  	By:	  	Woodland Heights Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	QUORUM ELF, INC.
	 	  	QUORUM HEALTH SERVICES, INC.
			
	 	  	By:	  	/s/ DONALD P. FAY

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

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	QUORUM HEALTH RESOURCES, LLC
			
	 	  	By:	  	Quorum Health Group, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	PHYSICIANS AND SURGEONS HOSPITAL OF ALICE, L.P.
			
	 	  	By:	  	Alice Hospital, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	BRAZOS VALLEY OF TEXAS, L.P.
			
	 	  	By:	  	Brazos Valley Surgical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	BROWNWOOD HOSPITAL, L.P.
			
	 	  	By:	  	Brownwood Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	COLLEGE STATION HOSPITAL, L.P.
			
	 	  	By:	  	College Station Medical Center, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	CRESTWOOD HEALTHCARE, L.P.
			
	 	  	By:	  	Crestwood Hospital & Nursing Home, Inc., its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	VICTORIA OF TEXAS, L.P.
			
	 	  	By:	  	DeTar Hospital, LLC, its General Partner
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Manager

		
	 	  	ABILENE HOSPITAL, LLC
			
	 	  	By:	  	NC-SCHI, INC., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	ABILENE MERGER, LLC
			
	 	  	By:	  	Quorum, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	ARMC, LP
			
	 	  	By:	  	Triad-ARMC, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	CRESTWOOD HOSPITAL, LLC
			
	 	  	By:	  	Triad Holdings III, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	CRESTWOOD HOSPITAL LP, LLC
			
	 	  	By:	  	Crestwood Hospital, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	GASLIGHT ASC-GP, LLC
			
	 	  	By:	  	Pineywoods Healthcare Systems, L.P., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	MMC OF NEVADA, LLC
			
	 	  	By:	  	Triad Hospitals, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	NORTHWEST PHYSICIANS, LLC
			
	 	  	By:	  	QHG of Springdale, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	PDMC, LLC
			
	 	  	By:	  	Sebastopol, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 
		
	 	  	PROCURE SOLUTIONS, LLC
			
	 	  	By:	  	Quorum Health Group, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 
		
	 	  	SOUTHCREST, L.L.C.
			
	 	  	By:	  	Triad-South Tulsa Hospital Company, Inc. its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 

  
 [SIGNATURE PAGES
CONTINUE] 

							
	 GUARANTOR:
	  	TRIAD HOLDINGS IV, LLC
			
	 	  	By:	  	Triad Hospitals, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	TRIAD HOLDINGS V, LLC
			
	 	  	By:	  	Triad Hospitals, Inc. its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	TRIAD HOLDINGS VI, INC.
			
	 	  	By:	  	/s/ DONALD P. FAY

	 	  	Name:	  	Donald P. Fay
	 	  	Title:	  	Executive Vice President and Secretary
		
	 	  	TRIAD OF INDIANA, LLC
			
	 	  	By:	  	Triad Holdings V, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President and Secretary

		
	 	  	TRIAD-ARMC, LLC
			
	 	  	By:	  	NC-SCHI, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

		
	 	  	TRIAD-WILLOW CREEK, LLC
			
	 	  	By:	  	QHG of Springdale, Inc., its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 Executive Vice President

  
 [SIGNATURE PAGES
CONTINUE] 
  
 23 

							
	 GUARANTOR:
	  	MADISON’S HOSPITAL, LLC
			
	 	  	By:	  	Triad Holdings II, LLC, its Sole Member
				
	 	  	 	  	By:	  	 /s/ DONALD P. FAY

	 	  	 	  	Name:	  	 Donald P. Fay

	 	  	 	  	Title:	  	 President

		
	 	  	SURGICENTERS OF AMERICA, INC.
			
	 	  	By:	  	/s/ DONALD P. FAY

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

  
 24 

 CONSENT TO AMENDMENT NO. 7 
 TRIAD HOSPITALS, INC. 
  
 June
    , 2004 
  
 Bank of America, N.A., as Administrative Agent

 100 N. Tryon Street, 17th Floor 
 NC1-007-17-11 
 Charlotte, North
Carolina 28255 
 Attention: Kevin Wagley 
 Facsimile: (704)
388-6002 
  

	 	Re:	Amended and Restated Credit Agreement dated as of April 27, 2001 (as amended and modified, the “Credit Agreement”) among Triad Hospitals, Inc., a Delaware
corporation, as Borrower, the lenders identified therein and Bank of America, N.A., as Administrative Agent. Terms used but not otherwise defined shall have the meanings provided in the Credit Agreement. 

  
 Amendment No. 7 dated as of June
            , 2004 (the “Subject Amendment”) to the Credit Agreement 
  
 Ladies and Gentlemen: 
  
 This should serve to confirm our receipt of, and consent to, the Subject Amendment. We hereby authorize and direct you, as Administrative Agent for the Lenders, to enter into the Subject Amendment on our behalf in
accordance with the terms of the Credit Agreement upon your receipt of such consent and direction from the requisite Lenders, and agree that the Borrower may rely upon such authorization. 
  
 Very truly yours, 
  

			
	 
	[Name of Lender]
		
	By:	 	 
	 Name:
 Title:
	 	 

  

 Schedule 2.22 
  
 Revolving Commitment Percentages 
  

							
	 Lender

	  	 Revolving
Commitment
 Percentage

	 	 	Revolving
Committed
Amount

	 Bank of America, N.A.
	  	13.875000000	%	 	$	55,500,000
	 Wachovia Bank, National Association
	  	9.000000000	%	 	$	36,000,000
	 General Electric Capital Corporation
	  	7.250000000	%	 	$	29,000,000
	 Citicorp USA, Inc.
	  	7.125000000	%	 	$	28,500,000
	 JPMorgan Chase Bank
	  	7.125000000	%	 	$	28,500,000
	 Credit Lyonnais (Calyon New York Branch)
	  	6.625000000	%	 	$	26,500,000
	 Scotiabanc Inc.
	  	6.625000000	%	 	$	26,500,000
	 Merrill Lynch Capital Corp.
	  	5.875000000	%	 	$	23,500,000
	 Credit Suisse First Boston
	  	5.000000000	%	 	$	20,000,000
	 Goldman Sachs Credit Partners L.P.
	  	5.000000000	%	 	$	20,000,000
	 Morgan Stanley Bank
	  	5.000000000	%	 	$	20,000,000
	 SunTrust Bank
	  	5.000000000	%	 	$	20,000,000
	 First Tennessee Bank National Association
	  	3.750000000	%	 	$	15,000,000
	 Bank of Oklahoma, N.A.
	  	2.500000000	%	 	$	10,000,000
	 Bear Stearns Corporate Lending Inc.
	  	2.500000000	%	 	$	10,000,000
	 National City Bank of Kentucky
	  	2.500000000	%	 	$	10,000,000
	 Hibernia National Bank
	  	1.875000000	%	 	$	7,500,000
	 UBS AG, Stamford Branch
	  	1.362500000	%	 	$	5,450,000
	 Loan Funding I LLC
	  	1.250000000	%	 	$	5,000,000
	 C-Squared CDO LTD
	  	0.381250000	%	 	$	1,525,000
	 Winged Foot Funding Trust
	  	0.381250000	%	 	$	1,525,000
			
	 Total
	  	100.00000	%	 	$	400,000,000Change in Control Agreement by and between Registrant and D. Jeffry Benoliel

 EXHIBIT 10(yy) 
  
 CHANGE IN CONTROL AGREEMENT 
  

THIS AGREEMENT, dated June 10, 2004, between QUAKER CHEMICAL CORPORATION, a Pennsylvania corporation (the “Company”), and D. Jeffry Benoliel
(the “Manager”), 
  
 W I T N E S S E T H   T
H A T 
  
 WHEREAS, the Board of Directors of the Company has
determined that it is in the best interests of the Company and its shareholders that the Company and its subsidiaries be able to attract, retain, and motivate highly qualified management personnel and, in particular, that they be assured of
continuity of management in the event of any actual or threatened change in control of the Company; and 
  
 WHEREAS, the Board of Directors of the Company believes that the execution by the Company of change in control agreements with certain management
personnel, including the Manager, is an important factor in achieving this desired end; 
  
 NOW, THEREFORE, IN CONSIDERATION of the mutual obligations and agreements contained herein and intending to be legally bound hereby, the Manager and the Company agree as follows: 
  
 1. Term of Agreement. 
  
 This Agreement shall become effective on May 14, 2004 (the “Effective
Date”), and shall continue in effect through December 31, 2005; provided, however, that the term of this Agreement shall automatically be extended for one additional year beyond December 31, 2005, and successive one year periods thereafter,
unless, not later than eighteen (18) months preceding the calendar year in which the term would otherwise automatically extend, the Company shall have given written notice to the Manager of intention not to extend this Agreement for an additional
year, in which event this Agreement shall continue in effect until December 31 of the calendar year immediately preceding the calendar year in which the term would have otherwise automatically extended. Notwithstanding any such notice not to extend,
if a Change in Control (as defined in Section 2) occurs during the original or extended term of this Agreement, this Agreement shall remain in effect after a Change in Control until all obligations of the parties hereto under this Agreement shall
have been satisfied. 
  
 2. Change in Control. 
  
 As used in this Agreement, a “Change in Control” of the Company
shall be deemed to have occurred if: 
  
 (a) Any person (a
“Person”), as such term is used in Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) (other than (i) the Company and/or its wholly owned subsidiaries; (ii) any ESOP or other employee
benefit plan of the Company and any trustee or other fiduciary in such capacity holding securities under such plan; (iii) any corporation owned, directly or indirectly, by the shareholders of the Company in 

 substantially the same proportions as their ownership of stock of the Company; or (iv) any other Person who, within the
one year prior to the event which would otherwise be a Change in Control, is an executive officer of the Company or any group of Persons of which he voluntarily is a part), is or becomes the “beneficial owner” (as defined in Rule 13d-3
under the Exchange Act), directly or indirectly, of securities of the Company representing 30% or more of the combined voting power of the Company’s then outstanding securities or such lesser percentage of voting power, but not less than 15%,
as determined by the members of the Board of Directors of the Company who are independent directors (as defined in the New York Stock Exchange, Inc. Listed Company Manual); provided, however, that a Change in Control shall not be deemed to have
occurred under the provisions of this subsection (a) by reason of the beneficial ownership of voting securities by members of the Benoliel family (as defined below) unless and until the beneficial ownership of all members of the Benoliel family
(including any other individuals or entities who or which, together with any member or members of the Benoliel family, are deemed under Sections 13(d) or 14(d) of the Exchange Act to constitute a single Person) exceeds 50% of the combined voting
power of the Company’s then outstanding securities; 
  
 (b)
During any two-year period after the Effective Date, Directors of the Company in office at the beginning of such period plus any new Director (other than a Director designated by a Person who has entered into an agreement with the Company to effect
a transaction within the purview of subsections (a) or (c)) whose election by the Board of Directors of the Company or whose nomination for election by the Company’s shareholders was approved by a vote of at least two-thirds of the Directors
then still in office who either were Directors at the beginning of the period or whose election or nomination for election was previously so approved shall cease for any reason to constitute at least a majority of the Board; 
  
 (c) The consummation of (i) any consolidation or merger of the Company in
which the Company is not the continuing or surviving corporation or pursuant to which the Company’s voting common shares (the “Common Shares”) would be converted into cash, securities, and/or other property, other than a merger of the
Company in which holders of Common Shares immediately prior to the merger have the same proportionate ownership of voting shares of the surviving corporation immediately after the merger as they had in the Common Shares immediately before; or (ii)
any sale, lease, exchange, or other transfer (in one transaction or a series of related transactions) of all or substantially all the assets or earning power of the Company; or 
  
 (d) The Company’s shareholders or the Company’s Board of Directors shall approve the liquidation or dissolution of
the Company. 
  
 As used in this Agreement, “members of the
Benoliel family” shall mean Peter A. Benoliel, his wife and children and their respective spouses and children, and all trusts created by or for the benefit of any of them. 
  
 3. Entitlement to Change in Control Benefits; Certain Definitions. 
  
 The Manager shall be entitled to the benefits provided in this Agreement in
the event the Manager’s employment with the Company or its affiliates is terminated under the circumstances described in (a) or (b) below (a “Covered Termination”), provided the Manager executes and does not revoke a Release (as
defined below). 
  

 - 2 - 

 (a) A Covered Termination shall have occurred within the meaning of this subsection (a) in the event the
Manager’s employment with the Company or its affiliates is terminated within two (2) years following a Change in Control by: 
  

	 	(i)	The Company or its affiliates without Cause (as defined below); or 

  

	 	(ii)	Resignation of the Manager for Good Reason (as defined below).  

  
 (b) A Covered Termination shall have occurred within the meaning of this subsection (b) in the event the Manager’s employment with the Company or its
affiliates is terminated by the Company or its affiliates without Cause within six months prior to a Change in Control and the Manager reasonably demonstrates after such Change in Control that such termination was at the request or suggestion of any
individual or entity who or which has taken steps reasonably calculated to effect such Change in Control. 
  
 The Manager shall have no rights to any payments or benefits under this Agreement in the event the Manager’s employment with the Company and its
affiliates is terminated (i) as a result of death or Disability (as defined below), or (ii) by the Company or its affiliates for Cause. Except as provided in subsection (b), in the event the Manager’s employment is terminated for any reason
prior to a Change in Control, the Manager shall have no rights to any payments or benefits under this Agreement and, after any such termination, this Agreement shall be of no further force or effect. 
  
 “Cause” shall mean (i) the Manager’s willful and
material breach of the employment agreement, if any, between the Manager and the Company (after having received notice thereof and a reasonable opportunity to cure or correct), (ii) dishonesty, fraud, willful malfeasance, gross negligence, or other
gross misconduct, in each case relating to the performance of the Manager’s employment with the Company or its affiliates which is materially injurious to the Company, or (iii) conviction of or plea of guilty to a felony, such Cause to be
determined, in each case, by a resolution approved by at least two-thirds of the Directors of the Company after having afforded the Manager a reasonable opportunity to appear before the Board of Directors of the Company and present his position.

  
 “Disability” shall mean: (i) a physical or
mental disability which, at least twenty-six (26) weeks after its commencement, is determined to be total and permanent by a physician selected by the Company or its insurers and reasonably acceptable to the Manager or the Manager’s legal
representative, or (ii) if the Company then has in effect a long-term disability plan covering employees generally, including the Manager, the definition of covered total and permanent “disability” set forth in such plan. 
  
 “Good Reason” shall mean any of the following actions
without the Manager’s consent, other than due to the Manager’s death or Disability: (i) any reduction in the Manager’s base salary from that provided immediately before the Covered Termination or, if higher, immediately before the
Change in Control; (ii) any reduction in the Manager’s bonus opportunity (including cash and noncash incentives) or increase in the goals or standards required to accrue that opportunity, as compared to the opportunity and goals or standards in
effect immediately before 
  

 - 3 - 

 the Change in Control; (iii) a material adverse change in the nature or scope of the Manager’s authorities, powers,
functions, or duties from those in effect immediately before the Change in Control; (iv) a reduction in the Manager’s benefits from those provided immediately before the Change in Control, disregarding any reduction under a plan or program
covering employees generally that applies to all employees covered by the plan or program; or (v) the Manager being required to accept a primary employment location which is more than twenty-five (25) miles from the location at which he primarily
was employed during the ninety (90) day period prior to a Change in Control. 
  
 “Release” shall mean a release (in a form satisfactory to the Company) of any and all claims against the Company and all related parties with respect to all matters arising out of the Manager’s
employment by the Company and its affiliates, or the termination thereof (other than claims for any entitlements under the terms of this Agreement or under any plans or programs of the Company under which the Manager has accrued a benefit).
Notwithstanding any provision of this Agreement to the contrary, the Manager shall not be entitled to any payments or benefits under this Agreement unless the Manager executes and does not revoke a Release. 
  
 4. Severance Allowance. 
  
 (a) Amount of Severance Allowance. In the event of a Covered
Termination, except as provided in Section 6, the Company shall pay or cause to be paid to the Manager in cash a severance allowance (the “Severance Allowance”) equal to 1.5 times the sum of the amounts determined in accordance with the
following paragraphs (i) and (ii): 
  

	 	(i)	An amount equivalent to the highest annualized base salary which the Manager was entitled to receive from the Company and its subsidiaries at any time during his employment prior to
the Covered Termination; and 

  

	 	(ii)	An amount equal to the average of the aggregate annual amounts paid to the Manager under all applicable annual incentive compensation plans maintained by the Company and its
affiliates (other than compensation relating to relocation expense; the grant, exercise, or settlement of stock options or performance incentive units or the sale or other disposition of shares received upon exercise or settlement of such options)
during the three (3) calendar years prior to the year such Covered Termination occurs or, if higher, prior to the year such Change in Control occurs (provided, however, that (x) in determining the average amount paid under the annual incentive plan
during such period there shall be excluded any year in which no amounts were paid to the Manager under that plan; and (y) there shall be excluded from such calculation any amounts paid to the Manager under any such incentive compensation plan as a
result of the acceleration of such payments under such plan due to termination of the plan, a Change in Control, or a similar occurrence). 

  
 In no event shall any retention bonus or change in control or success fee be taken into account when determining the amount of the Severance Allowance hereunder.

  

 - 4 - 

 (b) Payment of Severance Allowance. The Severance Allowance shall be paid to the Manager (i) in a
lump sum within sixty (60) days after the date of any termination of the Manager covered by Section 3(a), or (ii) in the case of a termination described in Section 3(b), in a lump sum within sixty (60) days after the date of the Change in Control
giving rise to such Covered Termination. 
  
 5. Outplacement and Welfare
Benefits. 
  
 (a) Outplacement. Subject to Section
6, for a period of one year following a Covered Termination of the Manager (or the Change in Control resulting in a Covered Termination, if later), the Company shall make or cause to be made available to the Manager, at its expense, outplacement
counseling and other outplacement services comparable to those available for the Company’s senior managers prior to the Change in Control. 
  
 (b) Welfare Benefits. Subject to Section 6, for a period of 18 months following a Covered Termination of the Manager (or the Change in Control
resulting in a Covered Termination, if later), the Manager and the Manager’s dependents shall be entitled to participate in the Company’s life, medical, and dental insurance plans at the Company’s expense, in accordance with the terms
of such plans at the time of such Covered Termination as if the Manager were still employed by the Company or its affiliates under this Agreement. If, however, life, medical, or dental insurance benefits are not paid or provided under any such plan
to the Manager or his dependents because the Manager is no longer an employee of the Company or its subsidiaries, the Company itself shall, to the extent necessary, pay or otherwise provide for such benefits to the Manager and his dependents.

  
 6. Effect of Other Employment. 
  
 In the event the Manager becomes employed (as defined below) during the
period with respect to which benefits are continuing pursuant to Section 5: (a) the Manager shall notify the Company not later than the day such employment commences; and (b) the benefits provided for in Section 5 shall terminate as of the date of
such employment. For the purposes of this Section 6, the Manager shall be deemed to have become “employed” by another entity or person only if the Manager becomes essentially a full-time employee of a person or an entity (not more than 30%
of which is owned by the Manager and/or members of his family); and the Manager’s “family” shall mean his parents, his siblings and their spouses, his children and their spouses, and the Manager’s spouse and her parents and
siblings. Nothing herein shall relieve the Company of its obligations for compensation or benefits accrued up to the time of termination provided for herein. 
  
 7. Other Payments and Benefits. 
  
 Within (30) business days after the Covered Termination (or the Change in Control resulting in a Covered Termination, if later), the Company shall pay or
cause to be paid to the Manager the aggregate of: (a) the Manager’s earned but unpaid base salary through the Covered Termination at the rate in effect on the date of the Covered Termination, or if higher, at the rate in effect at any time
during the 90-day period preceding the Change in Control; (b) any unpaid bonus or annual incentive payable to the Manager in respect of the calendar year ending prior to the Covered Termination; (c) the pro rata portion of any and all unpaid bonuses
and annual 
  

 - 5 - 

 incentive awards for the calendar year in which the Covered Termination occurs, said pro rata portion to be calculated on
the fractional portion (the numerator of said fraction being the number of days between January 1 and the date of the Covered Termination, and the denominator of which is 365) of the target bonuses or annual incentive awards for such calendar year;
and (d) the pro rata portion of any and all awards under the Company’s long term incentive plan for the performance period(s) in which the Covered Termination occurs, said pro rata portion to be calculated on the fractional portion (the
numerator of said fraction being the number of days between the first day of the applicable performance period and the date of the Covered Termination, and the denominator of which is the total number of days in the applicable performance period) of
the amount of the award which would have been payable had (i) the Covered Termination not occurred, and (ii) the target level of performance been achieved for the applicable performance period. The Manager shall be entitled to receive any other
payments or benefits that the Manager is entitled to pursuant to the express terms of any compensation or benefit plan or arrangement of the Company or any of its affiliates; provided that the Severance Allowance (x) shall be in lieu of any
severance payments to which the Manager might otherwise be entitled under the terms of any severance pay plan, policy, or arrangement maintained by the Company or the employment agreement, if any, between the Manager and the Company, and (y) shall
be credited against any severance payments to which the Manager may be entitled by statute. 
  
 8. Death After Covered Termination. 
  
 In the event the Manager dies after a Covered Termination occurs, (a) any payments due to the Manager under Section 4 and the first sentence of Section 7 and not paid prior to the Manager’s death shall be made to
the person or persons who may be designated by the Manager in writing or, in the event he fails to so designate, to the Manager’s personal representatives, and (b) the Manager’s dependents shall be eligible for the welfare benefits
described in Section 5(b). 
  
 9. Confidentiality and Noncompetition.

  
 (a) Confidential Information. The Manager
acknowledges that information concerning the method and conduct of the Company’s (and any affiliate’s) business, including, without limitation, strategic and marketing plans, budgets, corporate practices and procedures, financial
statements, customer and supplier information, formulae, formulation information, application technology, manufacturing information, and laboratory test methods and all of the Company’s (and any affiliate’s) manuals, documents, notes,
letters, records, and computer programs (“Proprietary Business Information”), are the sole and exclusive property of the Company (and/or the Company’s affiliates, as the case may be) and are likely to constitute, contain or reveal
trade secrets (“Trade Secrets”) of the Company (and/or the Company’s affiliate’s, as the case may be). The term “Trade Secrets” as used herein does not include Proprietary Business Information that is known or becomes
known to the public through no act or failure to act on the part of the Manager, or which can be clearly shown by written records to have been known by the Manager prior to the commencement of his employment with the Company. 
  

	 	(i)	The Manager agrees that at no time during or following his employment with the Company will he use, divulge, or pass on, directly or through any other individual or entity, any
Trade Secrets. 

  

 - 6 - 

	 	(ii)	Upon termination of the Manager’s employment with the Company regardless of the reason for the termination of the Manager’s employment hereunder, or at any other time upon
the Company’s request, the Manager agrees to forthwith surrender to the Company any and all materials in his possession or control which constitute or contain any Proprietary Business Information. 

  
 (b) Noncompetition. The Manager agrees that during his employment and
for a period of one (1) year thereafter, regardless of the reason for the termination of the Manager’s employment, he will not: 
  

	 	(i)	directly or indirectly, together or separately or with any third party, whether as an individual proprietor, partner, stockholder, officer, director, joint venturer, investor, or in
any other capacity whatsoever actively engage in business or assist anyone or any firm in business as a manufacturer, seller, or distributor of specialty chemical products or chemical management services which are the same, like, similar to, or
which compete with the products and services offered by the Company (or any of its affiliates); 

  

	 	(ii)	recruit or solicit any employee of the Company (or any of its affiliates) or otherwise induce such employee to leave the employ of the Company (or any of its affiliates) or to
become an employee or otherwise be associated with his or any firm, corporation, business or other entity with which he is or may become associated; or 

  

	 	(iii)	solicit, directly or indirectly, for himself or as agent or employee of any person, partnership, corporation, or other entity (other than for the Company), any then or former
customer, supplier, or client of the Company with the intent of actively engaging in business which would cause competitive harm to the Company (or any of its affiliates). 

  
 (c) Severability. The Manager acknowledges and agrees that all of the foregoing restrictions are reasonable as to the
period of time and scope. However, if any paragraph, sentence, clause, or other provision is held invalid or unenforceable by a court of competent and relevant jurisdiction, such provision shall be deemed to be modified in a manner consistent with
the intent of such original provision so as to make it valid and enforceable, and this Agreement and the application of such provision to persons and circumstances other than those with respect to which it would be invalid or unenforceable shall not
be affected thereby. 
  
 (d) Remedies. The Manager agrees
and recognizes that in the event of a breach or threatened breach of the provisions of the restrictive covenants contained in this Section 9, the Company may suffer irreparable harm, and monetary damages may not be an adequate remedy. Therefore, if
any breach occurs or is threatened, the Company shall be entitled to seek equitable remedies, including injunctive relief in any court of applicable jurisdiction notwithstanding the provisions of Section 11. In the event of any breach of the
restrictive covenant contained in this Section 9, the term of the restrictive covenant specified herein shall be extended by a period of 
  

 - 7 - 

 time equal to that period beginning on the date such violation commenced and ending when the activities constituting such
violation cease. Furthermore, if a court or arbitration panel determines that the Manager has breached any of the provisions of this Section 9, the Company’s obligations to pay amounts and continue the benefits under this Agreement to the
Manager (and his dependents) shall immediately terminate. 
  
 10. Set-Off
Mitigation. 
  
 Except as provided in Section 6, the
Company’s obligation to make the payments provided for in this Agreement and otherwise to perform its obligations hereunder shall not be affected by any set-off, counterclaim, recoupment, defense, or other claim, right, or action which the
Company may have against the Manager or others. In no event shall the Manager be obligated to seek other employment or take any other action by way of mitigation of the amounts payable to the Manager under any of the provisions of this Agreement.

  
 11. Arbitration: Costs and Expenses of Enforcement. 

 
 (a) Arbitration. Except as otherwise provided in Sections 9(d) and
12, any controversy or claim arising out of or relating to this Agreement or the breach thereof which cannot promptly be resolved by the parties shall be promptly submitted to and settled exclusively by arbitration in the City of Philadelphia,
Pennsylvania, in accordance with the laws of the Commonwealth of Pennsylvania by three arbitrators, one of whom shall be appointed by the Company, one by the Manager, and the third of whom shall be appointed by the first two arbitrators. The
arbitration shall be conducted in accordance with the rules of the American Arbitration Association, except with respect to the selection of arbitrators which shall be as provided in this Section 11. Judgment upon the award rendered by the
arbitrators may be entered in any court having jurisdiction thereof. 
  
 (b) Costs and Expenses. In the event that it shall be necessary or desirable for the Manager to retain legal counsel and/or incur other costs and expenses in connection with the enforcement of any and all of his rights under this
Agreement, the Company shall pay (or the Manager shall be entitled to recover from the Company, as the case may be) his reasonable attorneys’ fees and costs and expenses in connection with the enforcement of his said rights (including those
incurred in or related to any arbitration proceedings provided for in subsection (a) and the enforcement of any arbitration award in court), regardless of the final outcome. 
  
 12. Limitation on Payment Obligation. 
  
 (a) For purposes of this Section 12, all terms capitalized but not otherwise defined herein shall have the meanings as set
forth in Section 280G of the Internal Revenue Code of 1986, as amended, together with any applicable regulations thereunder (the “Code”). In addition: 
  

	 	(i)	the term “Parachute Payment” shall mean a payment described in Section 280G(b)(2)(A) or Section 280G(b)(2)(B) (including, but not limited to, any stock option rights,
stock grants, and other cash and noncash compensation amounts that are treated as payments under either such section) and not excluded under Section 280G(b)(4)(A) or Section 280G(b)(6) of the Code; 

  

 - 8 - 

	 	(ii)	the term “Reasonable Compensation” shall mean reasonable compensation for prior personal services as defined in Section 280G(b)(4)(B) of the Code and subject to the
requirement that any such reasonable compensation must be established by clear and convincing evidence; and 

  

	 	(iii)	the portion of the “Base Amount” and the amount of “Reasonable Compensation” allocable to any “Parachute Payment” shall be determined in accordance
with Section 280G(b)(3) and (4) of the Code. 

  
 (b)
Notwithstanding any other provision of this Agreement, each Parachute Payment to be made to or for the benefit of the Manager, whether pursuant to this Agreement or otherwise, with respect to a Change in Control shall be reduced if and to the extent
necessary so that the aggregate Present Value of all such Parachute Payments shall be at least one dollar ($1.00) less than the greater of (i) three times the Manager’s Base Amount and (ii) the aggregate Reasonable Compensation allocable to
such Parachute Payments. Unless otherwise agreed by the Manager and the Company, any reduction in Parachute Payments caused by reason of this subsection (b) shall be made proportionately with respect to each such Parachute Payment. 
  
 This subsection (b) shall be interpreted and applied to limit the amounts
otherwise payable to the Manager under this Agreement or otherwise only to the extent required to avoid any material risk of the imposition of excise taxes on the Manager under Section 4999 of the Code or the disallowance of a deduction to the
Company under Section 280G(a) of the Code. In the making of any such interpretation and application, the Manager shall be presumed to be a disqualified individual for purposes of applying the limitations set forth in this subsection (b) without
regard to whether or not the Manager meets the definition of disqualified individual set forth in Section 280G(c) of the Code. In the event that the Manager and the Company are unable to agree as to the application of this subsection (b), the
Company’s independent auditors shall select independent tax counsel to determine the amount of such limits. Such selection of tax counsel shall be subject to the Manager’s consent, provided that the Manager shall not unreasonably withhold
his consent. The determination of such tax counsel under this Section 12 shall be final and binding upon the Manager and the Company. 
  
 (c) Notwithstanding any other provision of this Agreement, no payment shall be made hereunder to or for the benefit of the Manager if and to the extent
that such payments are determined to be illegal. 
  
 13. Notices.

  
 Any notices, requests, demands, and other communications
provided for by this Agreement shall be sufficient if in writing, and if hand delivered or if sent by registered or certified mail, if to the Manager, at the last address he had filed in writing with the Company or if to the Company, at its
principal executive offices. Notices, requests, etc. shall be effective when actually received by the addressee or at such address. 
  

 - 9 - 

 14. Withholding. 
  

Notwithstanding any provision of this Agreement to the contrary, the Company may, to the extent required by law, withhold applicable Federal, state and
local income and other taxes from any payments due to the Manager hereunder. 
  
 15. Assignment and Benefit. 
  
 (a) This
Agreement is personal to the Manager and shall not be assignable by the Manager, by operation of law, or otherwise without the prior written consent of the Company otherwise than by will or the laws of descent and distribution. This Agreement shall
inure to the benefit of and be enforceable by the Manager’s heirs and legal representatives. 
  
 (b) This Agreement shall inure to the benefit of and be binding upon the Company and its successors and assigns, including, without limitation, any
subsidiary of the Company to which the Company may assign any of its rights hereunder; provided, however, that no assignment of this Agreement by the Company, by operation of law, or otherwise shall relieve it of its obligations hereunder except an
assignment of this Agreement to, and its assumption by, a successor pursuant to subsection (c). 
  
 (c) The Company shall require any successor (whether direct or indirect, by purchase, merger, consolidation operation of law, or otherwise) to all or
substantially all of the business and/or assets of the Company to assume expressly and agree to perform this Agreement in the same manner and to the same extent that the Company would be required to perform it if no such succession had taken place,
but, irrespective of any such assignment or assumption, this Agreement shall inure to the benefit of and be binding upon such a successor. As used in this Agreement, “Company” shall mean the Company as hereinbefore defined and any
successor to its business and/or assets as aforesaid. 
  
 16. Governing
Law. 
  
 The provisions of this Agreement shall be
construed in accordance with the laws of the Commonwealth of Pennsylvania without reference to principles of conflicts of laws. 
  
 17. Entire Agreement. 
  
 This Agreement represents the entire agreement and understanding of the parties with respect to the subject matter hereof, and it may not be altered or
amended except by an agreement in writing executed by the Company and the Manager. 
  
 18. No Waiver. 
  
 The failure to insist
upon strict compliance with any provision of this Agreement by any party shall not be deemed to be a waiver of any future noncompliance with such provision or of noncompliance with any other provision. 
  

 - 10 - 

 19. Severability. 
  

In the event that any provision or portion of this Agreement shall be determined to be invalid or unenforceable for any reason, the remaining
provisions of this Agreement shall be unaffected thereby and shall remain in full force and effect. 
  
 20. Indemnification. 
  
 The Company shall defend and hold the Manager harmless to the fullest extent permitted by applicable law in connection with any claim, action, suit, investigation or proceeding arising out of or relating to performance by the Manager of
services for, or action of the Manager as a director, officer or employee of the Company or any parent, subsidiary or affiliate of the Company, or of any other person or enterprise at the Company’s request. Expenses incurred by the Manager in
defending a claim, action, suit or investigation or criminal proceeding shall be paid by the Company in advance of the final disposition thereof upon the receipt by the Company of an undertaking by or on behalf of the Manager to repay said amount
unless it shall ultimately be determined that the Manager is entitled to be indemnified hereunder; provided, however, that this shall not apply to a nonderivative action commenced by the Company against the Manager. 
  
 IN WITNESS WHEREOF, the Manager has hereunto set his hand and, pursuant to
the authorization from its Board of Directors, the Company has caused these presents to be executed in its name and on its behalf and attested by its Secretary or Assistant Secretary, all as of the day and year first above written. 
  

			
	 MANAGER

	
	         /s/ D. Jeffry Benoliel

	 D. Jeffry Benoliel

	
	 QUAKER CHEMICAL CORPORATION

		
	 By:
	 	 /s/ Ronald J. Naples

	 	 	 Ronald J. Naples

	 Title:
	 	 Chairman & Chief Executive Officer

	
	 ATTEST:

	
	         /s/ Irene M. Kisleiko

	 Irene M. Kisleiko

  

 - 11 -

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