Document:

Ex-4.3

 

EXHIBIT 4.3

PLEDGE AGREEMENT

          PLEDGE AGREEMENT dated as of November 17, 2006 among HCA Inc., a Delaware corporation (the
“Company”), each of the Subsidiaries of the Company listed on Schedule 1 hereto or that
becomes a party hereto pursuant to Section 9 hereof (each such Subsidiary being a “Subsidiary
Pledgor” and, collectively, the “Subsidiary Pledgors”; the Subsidiary Pledgors and the
Company are referred to collectively as the “Pledgors”) and The Bank of New York, as
Collateral Agent (in such capacity, the “Collateral Agent”) under the Indenture (as defined
below) for the benefit of the Secured Parties (as defined below).

W I T N E S S E T H:

          WHEREAS, pursuant to the terms, conditions and provisions of (a) the Indenture dated as of the
date hereof (as amended, restated, supplemented or otherwise modified from time to time, the
“Indenture”), among the Company, the Guarantors listed on the signature pages thereto and
The Bank of New York, as Trustee (the “Trustee”), (b) the Purchase Agreement dated November
9, 2006 (as amended, restated, supplemented, waived or otherwise modified from time to time, the
“Purchase Agreement”), among Hercules Holding II, LLC (“Hercules Holding”) and the
several parties named in Schedule I thereto (the “Initial Purchasers”) and (c) the Joinder
Agreement dated as of the date hereof (the “Joinder Agreement”) among the Company, the
Guarantors listed on the signature pages thereto and the Initial Purchasers by which the Company
and the Guarantors assume all of Hercules Holdings’ obligations under the Purchase Agreement, the
Company is issuing (i) $1,000,000,000 aggregate principal amount of
its 91/8% Senior Secured Notes
due 2014 (the “2014 Cash Pay Notes”), (ii) $3,200,000,000 aggregate principal amount of its
91/4% Senior Secured Notes due 2016 (the “2016 Cash Pay Notes”) and (iii) $1,500,000,000
aggregate principal amount of its
95/8%/103/8% Senior Secured Toggle Notes due 2016 (the “Toggle
Notes” and, together with the 2014 Cash Pay Notes and the 2016 Cash Pay Notes, the
“Notes”), which will be guaranteed on a senior secured basis by each of the Guarantors;

          WHEREAS, pursuant to the Credit Agreement dated as of the date hereof (as the same may be
amended, restated, supplemented or otherwise modified, refinanced or replaced from time to time,
the “Credit Agreement”) among the Company, HCA UK Capital Limited, a limited liability
company (company no. 04779021) formed under the laws of England and Wales (the “European
Subsidiary Borrower” and together with the Company, the “Borrowers”), the lenders or
other financial institutions or entities from time to time parties thereto (the “Lenders”)
and Bank of America, N.A., as Administrative Agent and as Collateral Agent (the “First Lien
Collateral Agent”), the Borrowers and the Subsidiary Guarantors party thereto have granted to
the First Lien Collateral Agent a senior priority lien and security interest in the Collateral (as
defined below);

 

 

          WHEREAS, the Collateral Agent and the First Lien Collateral Agent have entered into an
Intercreditor Agreement with respect to the Non-Receivables Collateral dated as of the date hereof
(as amended, restated, supplemented or otherwise modified from time to time, the “General
Intercreditor Agreement”), pursuant to which the lien upon and security interest in the
Non-Receivables Collateral granted by this Agreement are and shall be subordinated in all respects
to the lien upon and security interest in the Non-Receivables Collateral granted pursuant to, and
subject to the terms and conditions of, the First Lien Security Documents (as defined therein);

          WHEREAS, pursuant to the Indenture, each Subsidiary Pledgor party thereto has unconditionally
and irrevocably guaranteed, as primary obligor and not merely as surety, to the Collateral Agent
for the benefit of the Secured Parties the prompt and complete payment and performance when due
(whether at the stated maturity, by acceleration or otherwise) of the Obligations (as defined
below);

          WHEREAS, the proceeds of the issuance of the Notes will be used in part to enable valuable
transfers to the Subsidiary Pledgors in connection with the operation of their respective
businesses;

          WHEREAS, each Pledgor acknowledges that it will derive substantial direct and indirect benefit
from the issuance of the Notes;

          WHEREAS, it is a condition precedent to the obligation of the Initial Purchasers to purchase
the Notes under the Purchase Agreement that the Company and the Subsidiary Pledgors shall have
executed and delivered this Pledge Agreement to the Collateral Agent for the benefit of the Secured
Parties (as defined below); and

          WHEREAS, (a) the Pledgors are the legal and beneficial owners of the Equity Interests, as
described under Schedule 2 hereto and issued by the entities named therein (the pledged Equity
Interests are, together with any Equity Interests of the issuer of such Equity Interests or any
other Subsidiary directly held by any Pledgor in the future, in each case, except to the extent
excluded from the Collateral for the applicable Obligations pursuant to the last paragraph of
Section 2 below (the “After-acquired Shares”), referred to collectively herein as the
“Pledged Shares”) and (b) each of the Pledgors is the legal and beneficial owner of the
Indebtedness as described under Schedule 2 hereto (together with any other Indebtedness owed to any
Pledgor hereafter and required to be pledged pursuant to the Purchase Agreement, the “Pledged
Debt”);

          NOW, THEREFORE, for and in consideration of the premises, and of the mutual covenants herein
contained, and in order to induce the Trustee to enter into the Indenture and the Initial
Purchasers to purchase the Notes, each Pledgor and the Collateral Agent, on behalf of itself and
each Secured Party (and each of their respective successors or assigns), hereby agree as follows:

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          1. Defined Terms.

          (i) Unless otherwise defined herein, terms defined in the Indenture and used herein shall have
the meanings given to them in the Indenture.

          (ii) The following terms shall have the following meanings:

          “Additional Secured Debt Documents” means any document or instrument executed and
delivered with respect to any Additional Secured Obligations.

          “Additional Secured Obligations” shall have the meaning provided in Section 27.

          “Additional Secured Parties” shall mean the holders from time to time of Additional
Secured Obligations.

          “Additional Secured Party Consent” shall mean a completed Additional Secured Party
consent in the form of Annex B hereto.

          “After-acquired Shares” shall have the meaning set forth in the recitals hereto.

          “Authorized Officer” shall mean the President, the Chief Financial Officer, the
Treasurer, the Vice President-Finance or any other senior officer of the Company designated as such
in writing to the Collateral Agent by the Company.

          “Authorized Representative” means (i) the Trustee for so long as the Notes are Secured
Obligations hereunder and (ii) any duly authorized representative of any Additional Secured Parties
designated as an “Authorized Representative” for any Additional Secured Parties in an Additional
Secured Party Consent delivered to the Collateral Agent and the other Authorized Representatives in
accordance with Section 27 for so long as the Additional Secured Obligations for which such party
is serving in such capacity constitutes Secured Obligations hereunder.

          “Change in Law” shall mean (a) the adoption of any law, treaty, order, policy, rule or
regulation after the date of this Agreement, (b) any change in any law, treaty, order, policy, rule
or regulation or in the interpretation or application thereof by any Governmental Authority after
the date of this Agreement or (c) any guideline, request or directive issued or made after the date
hereof by any central bank or other governmental or quasi-governmental authority (whether or not
having the force of law) that requires compliance by a Holder.

          “Collateral” shall have the meaning provided in Section 2.

          “Collateral Agent” shall have the meaning provided in the preamble hereto.

          “Contractual Requirement” means (a) any applicable provision of any material law,
statute, rule, regulation, order, writ, injunction or decree of any court or governmental
instrumentality, (b) any of the terms, covenants, conditions or provisions of, or constitute a
default under, or result in the creation or imposition of (or the obligation to create or impose)
any Lien

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upon any of the property or assets of such Indenture Party or any of the Restricted
Subsidiaries (other than Liens created under the Indenture Documents or other Liens subject to the
Intercreditor Agreements) pursuant to, the terms of any material indenture, loan agreement, lease
agreement, mortgage, deed of trust, agreement or other material instrument to which such Indenture
Party or any of the Restricted Subsidiaries is a party or by which it or any of its property or
assets is bound.

          “Credit Agreement” shall have the meaning assigned to such term in the recitals
hereto.

          “Domestic Subsidiary” means any Subsidiary of the Company that is not a Foreign
Subsidiary.

          “Excluded Stock and Stock Equivalents” shall mean (i) any Stock or Stock Equivalents
subject to a Lien permitted by clauses (8), (9) and (18) (to the extent such Lien secures a
refinancing, refunding, extension, renewal or replacement of any Indebtedness secured by a Lien
referred to in clause (8) or (9)) of the definition of Permitted Liens in the Indenture, (ii) any
Stock or Stock Equivalents with respect to which, in the reasonable judgment of the Company
(confirmed in writing by notice to the Collateral Agent), the cost or other consequences (including
any adverse tax consequences) of doing so shall be excessive in view of the benefits to be obtained
by the Secured Parties therefrom, (iii) any Stock or Stock Equivalents of any class of any Foreign
Subsidiary in excess of 65% of the outstanding Stock or Stock Equivalents of such class (such
percentage to be adjusted upon any Change in Law as may be required to avoid adverse U.S. federal
income tax consequences to the Company or any Subsidiary of the Company), (iv) any Stock or Stock
Equivalents to the extent the pledge thereof would violate any applicable Requirement of Law, (v)
in the case of Stock or Stock Equivalents of any Subsidiary that is not wholly-owned by the Company
and its Subsidiaries at the time such Subsidiary becomes a Subsidiary, any Stock or Stock
Equivalents of such Subsidiary to the extent (A) that a pledge thereof to secure the Obligations is
prohibited by any applicable Contractual Requirement (other than customary non-assignment
provisions which are ineffective under the Uniform Commercial Code or other applicable law), (B)
any Contractual Requirement prohibits such a pledge without the consent of any other party;
provided that this clause (B) shall not apply if (I) such other party is an Indenture Party
or Wholly-Owned Subsidiary of the Company or (II) such consent has been obtained (it being
understood that the foregoing shall not be deemed to obligate the Company or any Subsidiary of the
Company to obtain any such consent)) and for so long as such Contractual Requirement or replacement
or renewal thereof is in effect, or (C) a pledge thereof to secure the Obligations would give any
other party (other than an Indenture Party or Wholly-Owned Subsidiary of the Company) to any
contract, agreement, instrument or indenture governing such Stock or Stock Equivalents the right to
terminate its obligations thereunder (other than customary non-assignment provisions which are
ineffective under the Uniform Commercial Code or other applicable law) and (vi) any Stock or Stock
Equivalents of any Subsidiary of the Company to the extent that (A) the pledge of such Stock or
Stock Equivalents would result in adverse tax consequences to the Company or any Subsidiary as
reasonably determined by the Company and (B) such Stock or Stock Equivalents have been identified
in writing to the Collateral Agent by an Authorized Officer of the Company.

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          “First Lien Collateral Agent” shall have the meaning assigned to such term in the
recitals hereto.

          “General Intercreditor Agreement” shall have the meaning assigned to such term in the
recitals hereto.

          “Governmental Authority” shall mean any nation, sovereign or government, any state,
province, territory or other political subdivision thereof, and any entity or authority exercising
executive, legislative, judicial, regulatory or administrative functions of or pertaining to
government, including a central bank or stock exchange.

          “Hercules Holding” shall have the meaning assigned to such term in the recitals
hereto.

          “Indenture” shall have the meaning assigned to such term in the recitals
hereto.

          “Indenture Documents” means (a) the Indenture, the Notes, the other Security Documents
and this Agreement and (b) any other related documents or instruments executed and delivered
pursuant to the Indenture or any Security Document, in each case, as such agreements may be
amended, restated, supplemented or otherwise modified from time to time.

          “Indenture Party” means the Company and the Subsidiary Pledgors.

          “Initial Purchasers” shall have the meaning assigned to such term in the recitals
hereto.

          “Notes” shall have the meaning assigned to such term in the recitals hereto.

          “Obligations” shall mean (i) any principal, interest (including any interest accruing
subsequent to the filing of a petition in bankruptcy, reorganization or similar proceeding with
respect to any Indenture Party at the rate provided for in the Indenture Documents, whether or not
such interest is an allowed claim under applicable state, federal or foreign law), premium,
penalties, fees, indemnifications, reimbursements, damages and other liabilities, and guarantees of
payment of such principal, interest, penalties, fees, indemnifications, reimbursements, damages and
other liabilities, payable to any Secured Party under the Notes, the Indenture and any other
Indenture Documents and all other obligations, covenants and duties of, any Indenture Party arising
under any Indenture Document or otherwise with respect to any Indenture Document, and (ii) if any
Additional Secured Obligations are incurred, all obligations, liabilities and indebtedness
(including, without limitation, principal, premium, interest (including, without limitation, all
interest accruing subsequent to the filing of a petition in bankruptcy, reorganization or similar
proceeding of any Pledgor at the rate provided for in the respective documentation, whether or not
such interest is an allowed claim under any applicable state, federal or foreign law)) owing to any
holder of Additional Secured Obligations (that has been designated as Additional Secured
Obligations pursuant to Section 27) under any Additional Secured Debt Documents.

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          “Pledged Shares” shall have the meaning set forth in the recitals hereto.

          “Proceeds” and any other term used herein or in the Indenture without definition that
is defined in the UCC has the meaning given to it in the UCC.

          “Purchase Agreement” shall have the meaning set forth in the recitals hereto.

          “Requirement of Law” shall mean, as to any Person, the certificate of incorporation
and by-laws or other organizational or governing documents of such Person, and any law, treaty,
rule or regulation or determination of an arbitrator or a court or other Governmental Authority, in
each case applicable to or binding upon such Person or any of its property or assets or to which
such Person or any of its property or assets is subject.

          “Secured Parties” shall mean, collectively, (a) the Collateral Agent, (b) each Holder,
(c) the beneficiaries of each indemnification obligation undertaken by any Indenture Party under
any Indenture Document, (d) the Trustee, (e) Additional Secured Parties and their Authorized
Representatives; provided that such Additional Secured Parties and their Authorized
Representative comply with Section 27 hereof and execute an Additional Secured Party Consent and
(f) the successors and permitted assigns of each of the foregoing.

          “Stock” shall mean shares of capital stock or shares in the capital, as the case may
be (whether denominated as common stock or preferred stock or ordinary shares or preferred shares,
as the case may be), beneficial, partnership or membership interests, participations or other
equivalents (regardless of how designated) of or in a corporation, partnership, limited liability
company or equivalent entity, whether voting or non-voting.

          “Stock Equivalents” shall mean all securities convertible into or exchangeable for
Stock and all warrants, options or other rights to purchase or subscribe for any Stock, whether or
not presently convertible, exchangeable or exercisable.

          “Subsidiary Pledgor” shall have the meaning set forth in the recitals hereto.

          (b) As used herein, the term “Equity Interests” shall mean, collectively, Stock and
Stock Equivalents.

          (c) As used herein, the term “UCC” shall mean the Uniform Commercial Code as from time
to time in effect in the State of New York; provided, however, that, in the event
that, by reason of mandatory provisions of law, any of the attachment, perfection or priority of
the Collateral Agent’s and the Secured Parties’ security interest in any Collateral is governed by
the Uniform Commercial Code as in effect in a jurisdiction other than the State of New York, the
term “UCC” shall mean the Uniform Commercial Code as in effect in such other jurisdiction
for purposes of the provisions hereof relating to such attachment, perfection or priority and for
purposes of definitions related to such provisions.

          (d) The words “hereof”, “herein” and “hereunder” and words of similar import when used in this
Pledge Agreement shall refer to this Pledge Agreement as a whole and not

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to any particular provision of this Pledge Agreement, and Section references are to Sections of
this Pledge Agreement unless otherwise specified. The words “include”, “includes” and “including”
shall be deemed to be followed by the phrase “without limitation”.

          (e) The meanings given to terms defined herein shall be equally applicable to both the
singular and plural forms of such terms.

          2. Grant of Security. Each Pledgor hereby transfers, assigns and pledges to the
Collateral Agent, for the benefit of the Secured Parties, and grants to the Collateral Agent, for
the benefit of the Secured Parties, a lien on and a security interest in (the “Security
Interest”) all of such Pledgor’s right, title and interest in, to and under the following,
whether now owned or existing or at any time hereafter acquired or existing (collectively, the
“Collateral”):

     (a) the Pledged Shares held by such Pledgor and the certificates representing such
Pledged Shares and any interest of such Pledgor in the entries on the books of the issuer of
the Pledged Shares or any financial intermediary pertaining to the Pledged Shares and all
dividends, cash, warrants, rights, instruments and other property or proceeds from time to
time received, receivable or otherwise distributed in respect of or in exchange for any or
all of the Pledged Shares;

     (b) the Pledged Debt and the instruments evidencing the Pledged Debt owed to such
Pledgor, and all interest, cash, instruments and other property or proceeds from time to
time received, receivable or otherwise distributed in respect of or in exchange for any or
all of such Pledged Debt; and

     (c) to the extent not covered by clauses (a) and (b) above, respectively, all proceeds
of any or all of the foregoing Collateral. For purposes of this Pledge Agreement, the term
“proceeds” includes whatever is receivable or received when Collateral or proceeds are sold,
exchanged, collected or otherwise disposed of, whether such disposition is voluntary or
involuntary, and includes proceeds of any indemnity or guarantee payable to any Pledgor or
the Collateral Agent from time to time with respect to any of the Collateral.

          (i) Notwithstanding the foregoing, the Collateral shall not include any Excluded Stock and
Stock Equivalents or European Collateral, nor shall it include any of the following:

          (a) any Capital Stock and other securities of a Subsidiary of the Company
(excluding Healthtrust, Inc.—The Hospital Company, a Delaware corporation and its
successors and assigns) to the extent that the pledge of such Capital Stock and
other securities would result in the Company being required to file separate
financial statements of such Subsidiary with the SEC, but only to the extent
necessary to not be subject to such requirement and only for so long as such
requirement is in existence and only with respect to the relevant Notes affected;
provided that neither the Company nor any Subsidiary of the Company shall take

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any action in the form of a reorganization, merger or other restructuring a
principal purpose of which is to provide for the release of the Lien on any Capital
Stock pursuant to this clause (a). In addition, in the event that Rule 3-16 of
Regulation S-X under the Securities Act is amended, modified or interpreted by the
SEC to require (or is replaced with another rule or regulation, or any other law,
rule or regulation is adopted, which would require) the filing with the SEC (or any
other Governmental Authority) of separate financial statements of any Subsidiary of
the Company due to the fact that such Subsidiary’s Capital Stock secure the
Obligations affected thereby, then the Capital Stock of such Subsidiary will
automatically be deemed not to be part of the Collateral securing the relevant
Obligations affected thereby but only to the extent necessary to not be subject to
such requirement and only for so long as required to not be subject to such
requirement. In such event, this Agreement may be amended or modified, without the
consent of any Secured Party, to the extent necessary to release the Security
Interests in favor of the Collateral Agent on the shares of Capital Stock that are
so deemed to no longer constitute part of the Collateral for the Obligations. In
the event that Rule 3-16 of Regulation S-X under the Securities Act is amended,
modified or interpreted by the SEC to permit (or is replaced with another rule or
regulation, or any other law, rule or regulation is adopted, which would permit)
such Subsidiary’s Capital Stock to secure the Obligations in excess of the amount
then pledged without the filing with the SEC (or any other Governmental Authority)
of separate financial statements of such Subsidiary, then the Capital Stock of such
Subsidiary will automatically be deemed to be a part of the Collateral for the
relevant Obligations but only to the extent necessary to not be subject to any such
financial statement requirement; and

          (b) proceeds and products from any and all of the foregoing excluded collateral
described in clause (a), unless such proceeds or products would otherwise constitute
Collateral hereunder.

          3. Security for Obligations. This Pledge Agreement secures the payment of all
Obligations of each Indenture Party. Without limiting the generality of the foregoing, this Pledge
Agreement secures the payment of all amounts that constitute part of the Obligations and would be
owed by any of the Indenture Parties to the Secured Parties under the Indenture Documents but for
the fact that they are unenforceable or not allowable due to the existence of a bankruptcy,
reorganization or similar proceeding involving any Indenture Party.

          4. Delivery of the Collateral. Subject to the terms of the General Intercreditor
Agreement, all certificates or instruments, if any, representing or evidencing the Collateral shall
be promptly delivered to and held by or on behalf of the Collateral Agent pursuant hereto to the
extent required by the Purchase Agreement and shall be in suitable form for transfer by delivery,
or shall be accompanied by duly executed instruments of transfer or assignment in blank, all in
form and substance reasonably satisfactory to the Collateral Agent. Subject to the terms of the
General Intercreditor Agreement, the Collateral Agent shall have the right, at any time after the
occurrence and during the continuance of an Event of Default and with notice to the relevant

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Pledgor, to transfer to or to register in the name of the Collateral Agent or any of its
nominees any or all of the Pledged Shares. Each delivery of Collateral (including any
After-acquired Shares) shall be accompanied by a notice to the Collateral Agent describing the
securities theretofore and then being pledged hereunder.

          5. Representations and Warranties. Each Pledgor represents and warrants as follows:

     (a) Schedule 2 hereto (i) correctly represents as of the Issue Date (A) the issuer, the
certificate number, the Pledgor and the record and beneficial owner, the number and class
and the percentage of the issued and outstanding Equity Interests of such class of all
Equity Interests and (B) the issuer, the initial principal amount, the Pledgor and holder,
date of and maturity date of all Pledged Debt and (ii) together with the comparable schedule
to each supplement hereto, includes all Equity Interests, debt securities and promissory
notes required to be pledged hereunder. Except as set forth on Schedule 2, the Pledged
Shares represent all of the issued and outstanding Equity Interests of each class of Equity
Interests in the issuer on the Issue Date.

     (b) Such Pledgor is the legal and beneficial owner of the Collateral pledged or
assigned by such Pledgor hereunder free and clear of any Lien, except for Permitted Liens.

     (c) As of the Issue Date, the Pledged Shares pledged by such Pledgor hereunder have
been duly authorized and validly issued and, in the case of Pledged Shares issued by a
corporation, are fully paid and non-assessable.

     (d) The execution and delivery by such Pledgor of this Pledge Agreement and the pledge
of the Collateral pledged by such Pledgor hereunder pursuant hereto create a legal, valid
and enforceable security interest in such Collateral and, upon delivery of such Collateral
to the Collateral Agent in the State of New York, shall constitute a fully perfected Lien on
and security interest in the Collateral, securing the payment of the Obligations in favor of
the Collateral Agent for the benefit of the Secured Parties, except as enforceability
thereof may be limited by the terms of bankruptcy, insolvency or other similar laws
affecting creditors’ rights generally and subject to general principles of equity.

     (e) Such Pledgor has full power, authority and legal right to pledge all the Collateral
pledged by such Pledgor pursuant to this Pledge Agreement, and this Pledge Agreement
constitutes a legal, valid and binding obligation of each Pledgor, enforceable in accordance
with its terms, except as enforceability thereof may be limited by bankruptcy, insolvency or
other similar laws affecting creditors’ rights generally and subject to general principles
of equity.

          6. Certification of Limited Liability Company, Limited Partnership Interests and Pledged
Debt.

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          (a) In the event that any Equity Interests in any Domestic Subsidiary that is organized as a
limited liability company or limited partnership and pledged hereunder shall be represented by a
certificate, the applicable Pledgor shall cause the issuer of such interests to elect to treat such
interests as a “security” within the meaning of Article 8 of the Uniform Commercial Code of its
jurisdiction of organization or formation, as applicable, by including in its organizational
documents language substantially similar to the following and, accordingly, such interests shall be
governed by Article 8 of the Uniform Commercial Code:

“The Partnership/Company hereby irrevocably elects that all membership interests in
the Partnership/Company shall be securities governed by Article 8 of the Uniform
Commercial Code of [jurisdiction of organization or formation, as applicable]. Each
certificate evidencing partnership/membership interests in the Partnership/Company
shall bear the following legend: “This certificate evidences an interest in [name
of Partnership/LLC] and shall be a security for purposes of Article 8 of the Uniform
Commercial Code.” No change to this provision shall be effective until all
outstanding certificates have been surrendered for cancellation and any new
certificates thereafter issued shall not bear the foregoing legend.”

          (b) The Company agrees that all Indebtedness in excess of $10,000,000 of any Pledgor or any
Subsidiary thereof that is owing to any Indenture Party shall be evidenced by one or more
promissory notes.

          7. Further Assurances. Each Pledgor agrees that at any time and from time to time, at
the expense of such Pledgor, it will execute any and all further documents, financing statements,
agreements and instruments, and take all such further actions (including the filing and recording
of financing statements, fixture filings, mortgages, deeds of trust and other documents), which may
be required under any applicable law, or which, subject to the terms of the General Intercreditor
Agreement and the Indenture, the Collateral Agent may reasonably request, in order (x) to perfect
and protect any pledge, assignment or security interest granted or purported to be granted hereby
(including the priority thereof) or (y) to enable the Collateral Agent to exercise and enforce its
rights and remedies hereunder with respect to any Collateral.

          8. Voting Rights; Dividends and Distributions; Etc.

          (a) So long as no Event of Default shall have occurred and be continuing, and subject to the
terms of the General Intercreditor Agreement and the Indenture:

     (i) Each Pledgor shall be entitled to exercise any and all voting and other consensual
rights pertaining to the Collateral or any part thereof for any purpose not prohibited by
the terms of this Pledge Agreement or the other Indenture Documents.

     (ii) The Collateral Agent shall execute and deliver (or cause to be executed and
delivered) to each Pledgor all such proxies and other instruments as such Pledgor may
reasonably request for the purpose of enabling such Pledgor to exercise the voting and other
rights that it is entitled to exercise pursuant to paragraph (i) above.

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          (b) Subject to paragraph (c) below, each Pledgor shall be entitled to receive and retain and
use, free and clear of the Lien of this Pledge Agreement, any and all dividends, distributions,
principal and interest made or paid in respect of the Collateral to the extent permitted by the
Indenture, as applicable; provided, however, that any and all noncash dividends,
interest, principal or other distributions that would constitute Pledged Shares or Pledged Debt,
whether resulting from a subdivision, combination or reclassification of the outstanding Equity
Interests of the issuer of any Pledged Shares or received in exchange for Pledged Shares or Pledged
Debt or any part thereof, or in redemption thereof, or as a result of any merger, consolidation,
acquisition or other exchange of assets to which such issuer may be a party or otherwise, shall be,
and shall be forthwith delivered to the Collateral Agent to hold as, Collateral and shall, if
received by such Pledgor, be received in trust for the benefit of the Collateral Agent, be
segregated from the other property or funds of such Pledgor and be forthwith delivered to the
Collateral Agent as Collateral in the same form as so received (with any necessary indorsement).

          (c) Subject to the terms of the General Intercreditor Agreement, upon written notice to a
Pledgor by the Collateral Agent following the occurrence and during the continuance of an Event of
Default,

     (i) all rights of such Pledgor to exercise or refrain from exercising the voting and
other consensual rights that it would otherwise be entitled to exercise pursuant to Section
8(a)(i) shall cease, and all such rights shall thereupon become vested in the Collateral
Agent, which shall thereupon have the sole right to exercise or refrain from exercising such
voting and other consensual rights during the continuance of such Event of Default,
provided that, unless otherwise directed by the holders of a majority in principal
amount of the then total outstanding Notes, the Collateral Agent shall have the right from
time to time following the occurrence and during the continuance of an Event of Default to
permit the Pledgors to exercise such rights. After all Events of Default have been cured or
waived, each Pledgor will have the right to exercise the voting and consensual rights that
such Pledgor would otherwise be entitled to exercise pursuant to the terms of Section
8(a)(i) (and the obligations of the Collateral Agent under Section 8(a)(ii) shall be
reinstated);

     (ii) all rights of such Pledgor to receive the dividends, distributions and principal
and interest payments that such Pledgor would otherwise be authorized to receive and retain
pursuant to Section 8(b) shall cease, and all such rights shall thereupon become vested in
the Collateral Agent, which shall thereupon have the sole right to receive and hold as
Collateral such dividends, distributions and principal and interest payments during the
continuance of such Event of Default. After all Events of Default have been cured or
waived, the Collateral Agent shall repay to each Pledgor (without interest) all dividends,
distributions and principal and interest payments that such Pledgor would otherwise be
permitted to receive, retain and use pursuant to the terms of Section 8(b);

     (iii) all dividends, distributions and principal and interest payments that are
received by such Pledgor contrary to the provisions of Section 8(b) shall be received in
trust for the benefit of the Collateral Agent, shall be segregated from other property or

-11-

 

funds of such Pledgor and shall forthwith be delivered to the Collateral Agent as
Collateral in the same form as so received (with any necessary indorsements); and

     (iv) in order to permit the Collateral Agent to receive all dividends, distributions
and principal and interest payments to which it may be entitled under Section 8(b) above, to
exercise the voting and other consensual rights that it may be entitled to exercise pursuant
to Section 8(c)(i) above, and to receive all dividends, distributions and principal and
interest payments that it may be entitled to under Sections 8(c)(ii) and (c)(iii) above,
such Pledgor shall, if necessary, upon written notice from the Collateral Agent, from time
to time execute and deliver to the Collateral Agent, appropriate proxies, dividend payment
orders and other instruments as the Collateral Agent may reasonably request.

          9. Transfers and Other Liens; Additional Collateral; Etc. Each Pledgor shall:

     (a) not (i) except as permitted by the Indenture or the Intercreditor Agreements sell
or otherwise dispose of, or grant any option or warrant with respect to, any of the
Collateral or (ii) create or suffer to exist any consensual Lien upon or with respect to any
of the Collateral, except for the Lien under this Pledge Agreement and the Liens permitted
under the Indenture;

     (b) pledge and, if applicable, cause each Domestic Subsidiary to pledge, to the
Collateral Agent for the benefit of the Secured Parties, immediately upon acquisition
thereof, all the Equity Interests and all evidence of Indebtedness held or received by such
Pledgor or Domestic Subsidiary required to be pledged hereunder pursuant to Section 9.12 of
the Credit Agreement and Section 4.18(a) of the Indenture, in each case pursuant to a
supplement to this Pledge Agreement substantially in the form of Annex A hereto (it being
understood that the execution and delivery of such a supplement shall not require the
consent of any Pledgor hereunder and that the rights and obligations of each Pledgor
hereunder shall remain in full force and effect notwithstanding the addition of any new
Subsidiary Pledgor as a party to this Pledge Agreement); and

     (c) defend its and the Collateral Agent’s title or interest in and to all the
Collateral (and in the Proceeds thereof) against any and all Liens (other than Liens
permitted under the Indenture), however arising, and any and all Persons whomsoever.

          10. Collateral Agent Appointed Attorney-in-Fact. Each Pledgor hereby appoints, which
appointment is irrevocable and coupled with an interest, the Collateral Agent as such Pledgor’s
attorney-in-fact, with full authority in the place and stead of such Pledgor and in the name of
such Pledgor or otherwise, to take any action and to execute any instrument, in each case after the
occurrence and during the continuance of an Event of Default and with notice to such Pledgor, that
the Collateral Agent may deem reasonably necessary or advisable to accomplish the purposes of this
Pledge Agreement, including to receive, indorse and collect all instruments made payable to such
Pledgor representing any dividend, distribution or principal or interest payment in respect of the
Collateral or any part thereof and to give full discharge for the

-12-

 

same. Pursuant to Section 11.02 of the Indenture, the Collateral Agent is authorized to
appoint one or more Co-Collateral Agents, and for the purposes of this Agreement, references to the
Collateral Agent shall mean the Collateral Agent and any Co-Collateral Agents appointed in
accordance with the Indenture.

          11. The Collateral Agent’s Duties. The powers conferred on the Collateral Agent
hereunder are solely to protect its interest in the Collateral and shall not impose any duty upon
it to exercise any such powers. Except for the safe custody of any Collateral in its possession
and the accounting for moneys actually received by it hereunder, the Collateral Agent shall have no
duty as to any Collateral, as to ascertaining or taking action with respect to calls, conversions,
exchanges, maturities, tenders or other matters relative to any Pledged Shares, whether or not the
Collateral Agent or any other Secured Party has or is deemed to have knowledge of such matters, or
as to the taking of any necessary steps to preserve rights against any parties or any other rights
pertaining to any Collateral. The Collateral Agent shall be deemed to have exercised reasonable
care in the custody and preservation of any Collateral in its possession if such Collateral is
accorded treatment substantially equal to that which the Collateral Agent accords its own property.

          12. Remedies. Subject to the terms of the General Intercreditor Agreement, if any
Event of Default shall have occurred and be continuing:

     (a) The Collateral Agent may exercise in respect of the Collateral, in addition to
other rights and remedies provided for herein or otherwise available to it, all the rights
and remedies of a secured party upon default under the UCC (whether or not the UCC applies
to the affected Collateral) and also may with notice to the relevant Pledgor, sell the
Collateral or any part thereof in one or more parcels at public or private sale, at any
exchange broker’s board or at any of the Collateral Agent’s offices or elsewhere, for cash,
on credit or for future delivery, at such price or prices and upon such other terms as are
commercially reasonable irrespective of the impact of any such sales on the market price of
the Collateral. The Collateral Agent shall be authorized at any such sale (if it deems it
advisable to do so) to restrict the prospective bidders or purchasers of Collateral to
Persons who will represent and agree that they are purchasing the Collateral for their own
account for investment and not with a view to the distribution or sale thereof, and, upon
consummation of any such sale, the Collateral Agent shall have the right to assign, transfer
and deliver to the purchaser or purchasers thereof the Collateral so sold. Each purchaser
at any such sale shall hold the property sold absolutely free from any claim or right on the
part of any Pledgor, and each Pledgor hereby waives (to the extent permitted by law) all
rights of redemption, stay and/or appraisal that it now has or may at any time in the future
have under any rule of law or statute now existing or hereafter enacted. The Collateral
Agent or any Secured Party shall have the right upon any such public sale, and, to the
extent permitted by law, upon any such private sale, to purchase the whole or any part of
the Collateral so sold, and the Collateral Agent or such Secured Party may pay the purchase
price by crediting the amount thereof against the Obligations. Each Pledgor agrees that, to
the extent notice of sale shall be required by law, at least ten days’ notice to such
Pledgor of the time and place of any public sale or the time after which any pri-

-13-

 

vate sale is to be made shall constitute reasonable notification. The Collateral Agent
shall not be obligated to make any sale of Collateral regardless of notice of sale having
been given. The Collateral Agent may adjourn any public or private sale from time to time
by announcement at the time and place fixed therefor, and such sale may, without further
notice, be made at the time and place to which it was so adjourned. To the extent permitted
by law, each Pledgor hereby waives any claim against the Collateral Agent arising by reason
of the fact that the price at which any Collateral may have been sold at such a private sale
was less than the price that might have been obtained at a public sale, even if the
Collateral Agent accepts the first offer received and does not offer such Collateral to more
than one offeree.

     (b) Upon any sale of the Collateral by the Collateral Agent (including pursuant to a
power of sale granted by statute or under a judicial proceeding), the receipt of the
Collateral Agent or of the officer making the sale shall be a sufficient discharge to the
purchaser or purchasers of the Collateral so sold and such purchaser or purchasers shall not
be obligated to see to the application of any part of the purchase money paid over to the
Collateral Agent or such officer or be answerable in any way for the misapplication thereof.
The Collateral Agent shall apply the proceeds of any collection or sale of the Collateral
as well as any Collateral consisting of cash, at any time after receipt, as follows:

     (i) first, to pay amounts owing to the Collateral Agent or the Trustee
pursuant to this Agreement, any Indenture Document or any Additional Secured
Debt Documents;

     (ii) second, to reimburse the Secured Parties for any indemnification
amounts paid to the Collateral Agent;

     (iii) third, to the payment of all amounts owing in respect of the
Obligations on a pro rata basis in accordance with the respective amounts of
the Obligations owed to Secured Parties; and

     (iv) fourth, the balance, if any, to the Company or Pledgors or such
other persons as are entitled thereto.

Upon the request of the Collateral Agent prior to any distribution under this Section 12,
each Secured Party or their Authorized Representative shall provide to the Collateral Agent
certificates, in form and substance reasonably satisfactory to the Collateral Agent, setting
forth the respective amounts referred to in this Section 12 that each such Secured Party or
their Authorized Representative believes it is entitled to receive, and the Collateral Agent
shall be fully entitled to rely on such certificates.

     (c) If, despite the provisions of this Section 12, any Secured Party shall receive any
payment or other recovery in excess of its portion of payments on account of the Obligations
to which it is then entitled in accordance with this Agreement, such Se-

-14-

 

cured Party shall hold such payment or other recovery in trust for the benefit of all
Secured Parties hereunder for distribution in accordance with clause (b) above.

     (d) Subject to the General Intercreditor Agreement and Sections 8, 11 and 12(a), the
Collateral Agent may exercise any and all rights and remedies of each Pledgor in respect of
the Collateral.

          13. Amendments, etc. with Respect to the Obligations; Waiver of Rights. Each Pledgor
shall remain obligated hereunder notwithstanding that, without any reservation of rights against
any Pledgor and without notice to or further assent by any Pledgor, (a) any demand for payment of
any of the Obligations made by the Collateral Agent or any other Secured Party may be rescinded by
such party and any of the Obligations continued, (b) the Obligations, or the liability of any other
party upon or for any part thereof, or any collateral security or guarantee therefor or right of
offset with respect thereto, may, from time to time, in whole or in part, be renewed, extended,
amended, modified, accelerated, compromised, waived, surrendered or released by the Collateral
Agent or any other Secured Party, (c) the Indenture and the other Indenture Documents, and any
other documents executed and delivered in connection therewith may be amended, modified,
supplemented or terminated, in whole or in part, as the Collateral Agent may deem advisable from
time to time, and (d) any collateral security, guarantee or right of offset at any time held by the
Collateral Agent or any other Secured Party for the payment of the Obligations may be sold,
exchanged, waived, surrendered or released. Neither the Collateral Agent nor any other Secured
Party shall have any obligation to protect, secure, perfect or insure any Lien at any time held by
it as security for the Obligations or for this Pledge Agreement or any property subject thereto.
When making any demand hereunder against any Pledgor, the Collateral Agent or any other Secured
Party may, but shall be under no obligation to, make a similar demand on any Pledgor or any other
person, and any failure by the Collateral Agent or any other Secured Party to make any such demand
or to collect any payments from any Pledgor or any other person or any release of any Pledgor or
any other person shall not relieve any Pledgor in respect of which a demand or collection is not
made or any Pledgor not so released of its several obligations or liabilities hereunder, and shall
not impair or affect the rights and remedies, express or implied, or as a matter of law, of the
Collateral Agent or any other Secured Party against any Pledgor. For the purposes hereof “demand”
shall include the commencement and continuance of any legal proceedings.

          14. Continuing Security Interest; Assignments Under the Indenture; Release.

          (a) This Pledge Agreement shall remain in full force and effect and be binding in accordance
with and to the extent of its terms upon each Pledgor and the successors and assigns thereof, and
shall inure to the benefit of the Collateral Agent and the other Secured Parties and their
respective successors, indorsees, transferees and assigns until the Liens hereunder on the
Collateral shall be released pursuant to Section 11.04 of the Indenture.

          (b) A Subsidiary Pledgor shall automatically be released from its obligations hereunder and
the Collateral of such Subsidiary Pledgor shall be automatically released upon

-15-

 

such Subsidiary Pledgor ceasing to be a Guarantor in accordance with Section 12.06 of the
Indenture.

          (c) The Collateral shall be automatically released from the Liens of this Agreement (i) to the
extent provided for in Section 11.04 of the Indenture and (ii) if applicable, upon the
effectiveness of any written consent to the release of the security interest granted in such
Collateral pursuant to Section 11.04 of the Indenture. Any such release in connection with any
sale, transfer or other disposition of such Collateral shall result in such Collateral being sold,
transferred or disposed of, as applicable, free and clear of the Liens of this Agreement.

          (d) In connection with any termination or release pursuant to the foregoing paragraph (a), (b)
or (c), the Collateral Agent shall execute and deliver to any Pledgor, at such Pledgor’s expense,
all documents that such Pledgor shall reasonably request to evidence such termination or release.
Any execution and delivery of documents pursuant to this Section 14 shall be without recourse to or
warranty by the Collateral Agent.

          15. Reinstatement. Each Pledgor further agrees that, if any payment made by any
Indenture Party or other Person and applied to the Obligations is at any time annulled, avoided,
set aside, rescinded, invalidated, declared to be fraudulent or preferential or otherwise required
to be refunded or repaid, or the proceeds of Collateral are required to be returned by any Secured
Party to such Indenture Party, its estate, trustee, receiver or any other party, including any
Pledgor, under any bankruptcy law, state, federal or foreign law, common law or equitable cause,
then, to the extent of such payment or repayment, any Lien or other Collateral securing such
liability shall be and remain in full force and effect, as fully as if such payment had never been
made or, if prior thereto the Lien granted hereby or other Collateral securing such liability
hereunder shall have been released or terminated by virtue of such cancellation or surrender), such
Lien or other Collateral shall be reinstated in full force and effect, and such prior cancellation
or surrender shall not diminish, release, discharge, impair or otherwise affect any Lien or other
Collateral securing the obligations of any Pledgor in respect of the amount of such payment.

          16. Notices. All notices, requests and demands pursuant hereto shall be made in
accordance with Section 14.02 of the Indenture. All communications and notices hereunder to any
Pledgor shall be given to it in care of the Company at the Company’s address set forth in Section
14.02 of the Indenture.

          17. Counterparts. This Pledge Agreement may be executed by one or more of the parties
to this Pledge Agreement on any number of separate counterparts (including by facsimile or other
electronic transmission), and all of said counterparts taken together shall be deemed to constitute
one and the same instrument.

          18. Severability. Any provision of this Pledge Agreement that is prohibited or
unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of
such prohibition or unenforceability without invalidating the remaining provisions hereof, and any
such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforce-

-16-

 

able such provision in any other jurisdiction. The parties hereto shall endeavor in
good-faith negotiations to replace the invalid, illegal or unenforceable provisions with valid
provisions the economic effect of which comes as close as possible to that of the invalid, illegal
or unenforceable provisions.

          19. Integration. This Pledge Agreement together with the other Indenture Documents
represents the agreement of each of the Pledgors with respect to the subject matter hereof and
there are no promises, undertakings, representations or warranties by the Collateral Agent or any
other Secured Party relative to the subject matter hereof not expressly set forth or referred to
herein or in the other Indenture Documents.

          20. Amendments in Writing; No Waiver; Cumulative Remedies.

          (a) None of the terms or provisions of this Pledge Agreement may be waived, amended,
supplemented or otherwise modified except by a written instrument executed by the affected Pledgor
and the Collateral Agent in accordance with Section 9.01 or 9.02 of the Indenture.

          (b) Neither the Collateral Agent nor any Secured Party shall by any act (except by a written
instrument pursuant to Section 20(a) hereof), delay, indulgence, omission or otherwise be deemed to
have waived any right or remedy hereunder or to have acquiesced in any Default or Event of Default
or in any breach of any of the terms and conditions hereof. No failure to exercise, nor any delay
in exercising, on the part of the Collateral Agent or any other Secured Party, any right, power or
privilege hereunder shall operate as a waiver thereof. No single or partial exercise of any right,
power or privilege hereunder shall preclude any other or further exercise thereof or the exercise
of any other right, power or privilege. A waiver by the Collateral Agent or any other Secured
Party of any right or remedy hereunder on any one occasion shall not be construed as a bar to any
right or remedy that the Collateral Agent or such other Secured Party would otherwise have on any
future occasion.

          (c) The rights, remedies, powers and privileges herein provided are cumulative, may be
exercised singly or concurrently and are not exclusive of any other rights or remedies provided by
law.

          21. Section Headings. The Section headings used in this Pledge Agreement are for
convenience of reference only and are not to affect the construction hereof or be taken into
consideration in the interpretation hereof.

          22. Successors and Assigns. This Pledge Agreement shall be binding upon the
successors and assigns of each Pledgor and shall inure to the benefit of the Collateral Agent and
the other Secured Parties and their respective successors and assigns, except that no Pledgor may
assign, transfer or delegate any of its rights or obligations under this Pledge Agreement without
the prior written consent of the Collateral Agent.

-17-

 

          23. WAIVER OF JURY TRIAL. EACH PARTY HERETO IRREVOCABLY AND UNCONDITIONALLY WAIVES
TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS PLEDGE AGREEMENT, ANY OTHER
INDENTURE DOCUMENT AND FOR ANY COUNTERCLAIM THEREIN.

          24. Submission to Jurisdiction; Waivers. Each party hereto irrevocably and
unconditionally:

     (a) submits for itself and its property in any legal action or proceeding relating to
this Pledge Agreement and the other Indenture Documents to which it is a party, or for
recognition and enforcement of any judgment in respect thereof, to the non-exclusive general
jurisdiction of the courts of the State of New York, the courts of the United States of
America for the Southern District of New York and appellate courts from any thereof;

     (b) consents that any such action or proceeding may be brought in such courts and
waives any objection that it may now or hereafter have to the venue of any such action or
proceeding in any such court or that such action or proceeding was brought in an
inconvenient court and agrees not to plead or claim the same;

     (c) agrees that service of process in any such action or proceeding may be effected by
mailing a copy thereof by registered or certified mail (or any substantially similar form of
mail), postage prepaid, to such Person at its address referred to in Section 16 or at such
other address of which the Collateral Agent shall have been notified pursuant thereto;

     (d) agrees that nothing herein shall affect the right of any other party hereto (or any
Secured Party) to effect service of process in any other manner permitted by law or shall
limit the right of any party hereto (or any Secured Party) to sue in any other jurisdiction;
and

     (e) waives, to the maximum extent not prohibited by law, any right it may have to claim
or recover in any legal action or proceeding referred to in this Section 24 any special,
exemplary, punitive or consequential damages.

          25. GOVERNING LAW. THIS PLEDGE AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE
PARTIES HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW
OF THE STATE OF NEW YORK.

          26. Subject to General Intercreditor Agreement. Notwithstanding anything herein to
the contrary, (i) the liens and security interests granted to the Collateral Agent pursuant to this
Agreement are expressly subject and subordinate to the liens and security interests granted to the
First Lien Collateral Agent pursuant to the First Lien Security Documents, and (ii) the exercise of
any right or remedy by the Collateral Agent hereunder is subject to the limitations and provisions
of the General Intercreditor Agreement. In the event of any conflict between the

-18-

 

terms of the General Intercreditor Agreement
and the terms of this Agreement, the terms of the General Intercreditor Agreement shall govern.

          27. Additional Secured Obligations. On or after the Issue Date and so long as
permitted by the Indenture, the Company may from time to time designate additional Obligations of
the Company or any Guarantor permitted to be Incurred under the Indenture and to be secured by a
Lien on the Collateral as additional Obligations hereunder (“Additional Secured
Obligations”) by delivering to the Collateral Agent and each Authorized Representative (a) a
certificate signed by an Authorized Officer of the Company (i) identifying the obligations so
designated and the aggregate principal amount or face amount thereof, stating that such obligations
are designated as Additional Secured Obligations for purposes hereof, (ii) representing that such
designation of such obligations as Additional Secured Obligations complies with the terms of the
Indenture Documents and the applicable Additional Secured Debt Documents and (iii) specifying the
name and address of the Authorized Representative for such obligations, (b) a fully executed
Additional Secured Party Consent (in the form attached as Annex B); and (c) an Opinion of Counsel
to the effect that the designation of such obligations as “Additional Secured Obligations” is in
compliance with the terms of the Indenture and the Notes. Each Authorized Representative agrees
that upon the satisfaction of all conditions set forth in the preceding sentence, the Collateral
Agent shall act as agent under and subject to the terms of this Agreement for the benefit of all
Secured Parties, including without limitation, any Secured Parties that hold any such Additional
Secured Obligations, and each Authorized Representative agrees to the appointment, and acceptance
of the appointment, of the Collateral Agent as agent for the holders of such Additional Secured
Obligations as set forth in each Additional Secured Party Consent and agrees, on behalf of itself
and each Additional Secured Party it represents, to be bound by this Agreement.

[Signature Pages Follow]

-19-

 

          IN WITNESS WHEREOF, each of the undersigned has caused this Pledge Agreement to be duly
executed and delivered by its duly authorized officer as of the day and year first above written.

	 	 	 	 	 
	 	HCA INC., as

Pledgor

 	 
	 	By:  	/s/ R. Milton Johnson
 	 
	 	 	Name:  	R. Milton Johnson 	 
	 	 	Title:  	Executive Vice President and Chief
Financial Officer 	 
	 

 

 

	 	 	 	 	 
	 	Each of the SUBSIDIARY PLEDGORS

listed on Schedule 1 hereto

 	 
	 	By:  	/s/ David G. Anderson
 	 
	 	 	Name:  	David G. Anderson 	 
	 	 	Title:  	Vice President and Treasurer 	 
	 

 

 

	 	 	 	 	 
	 	THE BANK OF NEW YORK, as

Collateral Agent

 	 
	 	By:  	/s/ Mary LaGumina
 	 
	 	 	Name:  	Mary LaGumina 	 
	 	 	Title:  	Vice President 	 
	 

 

 

SCHEDULE 1

TO THE PLEDGE AGREEMENT

SUBSIDIARY PLEDGORS

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 EAST HOUSTON, L.P.

CHCA MAINLAND, L.P.

CHCA WEST HOUSTON, L.P.

CHCA WOMAN’S HOSPITAL, L.P.

CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.

CMS GP, LLC

COLORADO HEALTH SYSTEMS, INC.

COLUMBIA ASC MANAGEMENT, L.P.

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

DALLAS/FT. WORTH PHYSICIAN, LLC

DAUTERIVE HOSPITAL CORPORATION

 

 

DUBLIN COMMUNITY HOSPITAL, LLC

EASTERN IDAHO HEALTH SERVICES, INC.

EDMOND REGIONAL MEDICAL CENTER, LLC

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

GENERAL HEALTHSERV, 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.

HAMILTON MEDICAL CENTER, INC.

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.

HD&S CORP. SUCCESSOR, INC.

HEALTH MIDWEST OFFICE FACILITIES CORPORATION

HEALTH MIDWEST VENTURES GROUP, INC.

HEALTHTRUST MOB, LLC

HENDERSONVILLE HOSPITAL CORPORATION

HOSPITAL CORPORATION OF NORTH CAROLINA

HOSPITAL CORPORATION OF TENNESSEE

HOSPITAL CORPORATION OF UTAH

HOSPITAL DEVELOPMENT PROPERTIES, INC.

HSS HOLDCO, LLC

HSS SYSTEMS VA, LLC

HSS SYSTEMS, LLC

HSS VIRGINIA, L.P.

HTI MEMORIAL HOSPITAL CORPORATION

INTEGRATED REGIONAL LAB, LLC

INTEGRATED REGIONAL LABORATORIES, LLP

JFK MEDICAL CENTER LIMITED PARTNERSHIP

KPH-CONSOLIDATION, INC.

-2-

 

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

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.

NOTAMI HOSPITALS, LLC

OKALOOSA HOSPITAL, INC.

OKEECHOBEE HOSPITAL, INC.

OUTPATIENT CARDIOVASCULAR CENTER OF CENTRAL FLORIDA, LLC

PALMS WEST HOSPITAL LIMITED PARTNERSHIP

-3-

 

PALMYRA PARK HOSPITAL, INC.

PLANTATION GENERAL HOSPITAL, L.P.

PULASKI COMMUNITY HOSPITAL, INC.

REDMOND PARK HOSPITAL, LLC

REDMOND PHYSICIAN PRACTICE COMPANY

REDMOND PHYSICIAN PRACTICE VIII, LLC

RESTON HOSPITAL CENTER, LLC

RETREAT HOSPITAL, INC.

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

SPOTSYLVANIA MEDICAL CENTER, INC.

SPRING BRANCH MEDICAL CENTER, INC.

SPRING HILL HOSPITAL, INC.

ST. MARK’S LONE PEAK HOSPITAL, INC.

SUN CITY HOSPITAL, INC.

SUNBELT REGIONAL MEDICAL CENTER, 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.

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.

TIMPANOGOS REGIONAL MEDICAL SERVICES, INC.

TRIDENT MEDICAL CENTER, LLC

UTAH MEDCO, LLC

VH HOLDCO, INC.

VH HOLDINGS, INC.

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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

WOMEN’S AND CHILDREN’S HOSPITAL, INC.

-5-Ex-4.4

 

EXHIBIT 4.4

 

REGISTRATION RIGHTS AGREEMENT

Dated as of November 17, 2006

Among

HCA INC.,

THE GUARANTORS LISTED ON SCHEDULE I HERETO

and

CITIGROUP GLOBAL MARKETS INC.

BANC OF AMERICA SECURITIES LLC

J.P. MORGAN SECURITIES INC.

and

MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED

9 1/8% Senior Secured Notes due 2014

9 1/4% Senior Secured Notes due 2016

9 5/8%/10 3/8% Senior Secured Toggle Notes due 2016

 

 

 

TABLE OF CONTENTS

	 	 	 	 	 	 	 
	 	 	 	 	Page
	1.

	 	Definitions
	 	 	1	 
	 
	 	 	 	 	 	 
	2.

	 	Exchange Offer
	 	 	5	 
	 
	 	 	 	 	 	 
	3.

	 	Shelf Registration
	 	 	8	 
	 
	 	 	 	 	 	 
	4.

	 	Market-Making
	 	 	9	 
	 
	 	 	 	 	 	 
	5.

	 	Additional Interest
	 	 	13	 
	 
	 	 	 	 	 	 
	6.

	 	Registration Procedures
	 	 	14	 
	 
	 	 	 	 	 	 
	7.

	 	Registration Expenses
	 	 	20	 
	 
	 	 	 	 	 	 
	8.

	 	Indemnification and Contribution
	 	 	21	 
	 
	 	 	 	 	 	 
	9.

	 	Rules 144 and 144A
	 	 	25	 
	 
	 	 	 	 	 	 
	10.

	 	Underwritten Registrations
	 	 	25	 
	 
	 	 	 	 	 	 
	11.

	 	Miscellaneous
	 	 	26	 

 -i-

 

 

REGISTRATION RIGHTS AGREEMENT

          This Registration Rights Agreement (this “Agreement”) is dated as of November 17,
2006, among HCA INC., a Delaware corporation (the “Issuer”), the guarantors listed on
Schedule I hereto (the “Guarantors”) and CITIGROUP GLOBAL MARKETS INC., BANC OF
AMERICA SECURITIES LLC, J.P. MORGAN SECURITIES INC. and MERRILL LYNCH, PIERCE, FENNER & SMITH
INCORPORATED, as representatives (the “Representatives”) of the several initial purchasers
(the “Initial Purchasers”) named on Schedule I to the Purchase Agreement (as
defined below).

          This Agreement is entered into in connection with the Purchase Agreement, dated as of November
9, 2006 (the “Purchase Agreement”), by and among Hercules Holding II, LLC (“Hercules
Holding”) and the Initial Purchasers, which provides for, among other things, the sale by the
Issuer to the Initial Purchasers of $1,000,000,000 aggregate principal amount of the Issuer’s 9
1/8% Senior Secured Notes due 2014 (the “2014 Cash-Pay Notes”), $3,200,000,000 aggregate
principal amount of the Issuer’s 9 1/4% Senior Secured Notes due 2016 (the “2016 Cash-Pay
Notes”) and $1,500,000,000 aggregate principal amount of the Issuer’s 9 5/8%/10 3/8% Senior
Secured Toggle Notes due 2016 (the “Toggle Notes” and, together with the 2014 Cash-Pay
Notes and the 2016 Cash-Pay Notes, the “Notes”). The Notes are issued under an indenture,
dated as of the date hereof (as amended or supplemented from time to time, the
“Indenture”), among the Issuer, the Guarantors and The Bank of New York, as trustee (the
“Trustee”). Pursuant to the Purchase Agreement and the Indenture, the Guarantors are
required to guarantee (collectively, the “Guarantees”) the Issuer’s obligations under the
Notes and the Indenture. References to the “Securities” shall mean, collectively, the
Notes and, when issued, the Guarantees. In order to induce the Initial Purchasers (including the
Market Maker) to enter into the Purchase Agreement, the Issuer has agreed to provide the
registration rights set forth in this Agreement for the benefit of the Initial Purchasers and any
subsequent holder or holders of the Securities. The execution and delivery of this Agreement is a
condition to the Initial Purchasers’ obligations under the Purchase Agreement.

          The parties hereby agree as follows:

     1. Definitions

          As used in this Agreement, the following terms shall have the following meanings:

          2014 Cash-Pay Notes: See the introductory paragraphs hereto.

          2016 Cash-Pay Notes: See the introductory paragraphs hereto.

          Additional Interest: See Section 5(a) hereof.

          Advice: See the last paragraph of Section 6 hereof.

          Agreement: See the introductory paragraphs hereto.

          Applicable Period: See Section 2(b) hereof.

          Business Day: Shall have the meaning ascribed to such term in Rule 14d-1 under the
Exchange Act.

 

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          Effectiveness Date: With respect to any Shelf Registration Statement, the 90th day
after the Filing Date with respect thereto; provided, however, that if the
Effectiveness Date would otherwise fall on a day that is not a Business Day, then the Effectiveness
Date shall be the next succeeding Business Day.

          Effectiveness Period: See Section 3(a) hereof.

          Event Date: See Section 5(b) hereof.

          Exchange Act: The Securities Exchange Act of 1934, as amended, and the rules and
regulations of the SEC promulgated thereunder.

          Exchange Notes: See Section 2(a) hereof.

          Exchange Offer: See Section 2(a) hereof.

          Exchange Offer Registration Statement: See Section 2(a) hereof.

          Exchange Securities: See Section 2(a) hereof.

          Filing Date: The 90th day after the delivery of a Shelf Notice as required pursuant
to Section 2(c) hereof; provided, however, that if the Filing Date would otherwise
fall on a day that is not a Business Day, then the Filing Date shall be the next succeeding
Business Day.

          Guarantees: See the introductory paragraphs hereto.

          Guarantors: See the introductory paragraphs hereto.

          Hercules Holding: See the introductory paragraphs hereof.

          Holder: Any holder of a Registrable Security or Registrable Securities.

          Indenture: See the introductory paragraphs hereto.

          Information: See Section 6(n) hereof.

          Initial Purchasers: See the introductory paragraphs hereto.

          Initial Shelf Registration: See Section 3(a) hereof.

          Inspectors: See Section 6(n) hereof.

          Issue Date: November 17, 2006, the date of original issuance of the Notes.

          Issuer: See the introductory paragraphs hereto.

          Market-Maker: See Section 4(a) hereof.

 

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          Market-Making Registration: See Section 4(a)(i) hereof.

          Market-Making Registration Statement: See Section 4(a)(i) hereof.

          NASD: See Section 6(r) hereof.

          New Guarantees: See Section 2(a) hereof.

          Notes: See the introductory paragraphs hereto.

          Participant: See Section 8(a) hereof.

          Participating Broker-Dealer: See Section 2(b) hereof.

          Person: An individual, trustee, corporation, partnership, limited liability company,
joint stock company, trust, unincorporated association, union, business association, firm or other
legal entity.

          Private Exchange: See Section 2(b) hereof.

          Private Exchange Notes: See Section 2(b) hereof.

          Prospectus: The prospectus included in any Registration Statement (including, without
limitation, any prospectus subject to completion and a prospectus that includes any information
previously omitted from a prospectus filed as part of an effective registration statement in
reliance upon Rule 430A under the Securities Act and any term sheet filed pursuant to Rule 433
under the Securities Act), as amended or supplemented by any prospectus supplement, and all other
amendments and supplements to the Prospectus, including post-effective amendments, and all
materials incorporated by reference or deemed to be incorporated by reference in such Prospectus.

          Purchase Agreement: See the introductory paragraphs hereof.

          Records: See Section 6(n) hereof.

          Registrable Securities: Each Security upon its original issuance and at all times
subsequent thereto, each Exchange Security as to which Section 2(c)(iv) hereof is applicable upon
original issuance and at all times subsequent thereto and each Private Exchange Note (and the
related Guarantees) upon original issuance thereof and at all times subsequent thereto, until, in
each case, the earliest to occur of (i) a Registration Statement (other than, with respect to any
Exchange Securities as to which Section 2(c)(iv) hereof is applicable, the Exchange Offer
Registration Statement) covering such Security, Exchange Security or Private Exchange Note (and the
related Guarantees) has been declared effective by the SEC and such Security, Exchange Security or
such Private Exchange Note (and the related Guarantees), as the case may be, has been disposed of
in accordance with such effective Registration Statement, (ii) such Security has been exchanged
pursuant to the Exchange Offer for an Exchange Security or Exchange Securities that may be resold
without restriction under state and federal securities laws, (iii) such Security, Exchange Security
or Private Exchange Note (and the related Guarantees), as the case may be, ceases to be outstanding
for purposes of the Indenture or (iv) such Security, Exchange Security or Private Exchange Note
(and the related Guarantees), as the case may be, may be resold without restriction pursuant to
Rule 144(k) (as amended or replaced).

 

-4-

          Registration Statement: Any registration statement of the Issuer that covers any of
the Securities, the Exchange Securities or the Private Exchange Notes (and the related Guarantees)
filed with the SEC under the Securities Act, including, in each case, the Prospectus, amendments
and supplements to such registration statement, including post-effective amendments, all exhibits,
and all material incorporated by reference or deemed to be incorporated by reference in such
registration statement.

          Representatives: See the introductory paragraphs hereof.

          Rule 144: Rule 144 (as amended or replaced) under the Securities Act.

          Rule 144A: Rule 144A (as amended or replaced) under the Securities Act.

          Rule 144(k): Rule 144(k) (as amended or replaced) under the Securities Act.

          Rule 405: Rule 405 (as amended or replaced) under the Securities Act.

          Rule 415: Rule 415 (as amended or replaced) under the Securities Act.

          Rule 424: Rule 424 (as amended or replaced)under the Securities Act.

          SEC: The U.S. Securities and Exchange Commission.

          Securities: See the introductory paragraphs hereto.

          Securities Act: The Securities Act of 1933, as amended, and the rules and regulations
of the SEC promulgated thereunder.

          Shelf Notice: See Section 2(c) hereof.

          Shelf Registration: See Section 3(b) hereof.

          Shelf Registration Statement: Any Registration Statement relating to a Shelf
Registration.

          Shelf Suspension Period: See Section 3(a) hereof.

          Subsequent Shelf Registration: See Section 3(b) hereof.

          TIA: The Trust Indenture Act of 1939, as amended.

          Toggle Notes: See the introductory paragraphs hereto.

          Trustee: The trustee under the Indenture and the trustee under any indenture (if
different) governing the Exchange Securities and Private Exchange Notes (and the related
Guarantees).

          Underwritten registration or underwritten offering: A registration in which
securities of the Issuer is sold to an underwriter for reoffering to the public.

 

-5-

          Except as otherwise specifically provided, all references in this Agreement to acts, laws,
statutes, rules, regulations, releases, forms, no-action letters and other regulatory requirements
(collectively, “Regulatory Requirements”) shall be deemed to refer also to any amendments
thereto and all subsequent Regulatory Requirements adopted as a replacement thereto having
substantially the same effect therewith; provided that Rule 144 shall not be deemed to
amend or replace Rule 144A.

     2. Exchange Offer

          (a) Unless the Exchange Offer would violate applicable law or any applicable interpretation of
the staff of the SEC, the Issuer shall use its reasonable best efforts to file with the SEC a
Registration Statement (the “Exchange Offer Registration Statement”) on an appropriate
registration form with respect to a registered offer (the “Exchange Offer”) to exchange any
and all of the Registrable Securities for a like aggregate principal amount of debt securities of
the Issuer (the “Exchange Notes”), guaranteed, to the extent applicable, on an senior
secured basis by the Guarantors (the “New Guarantees” and, together with the Exchange
Notes, the “Exchange Securities”), that are identical in all material respects to the 2014
Cash Pay Notes, 2016 Cash Pay Notes or Toggle Notes, as applicable, except that (i) the Exchange
Notes shall contain no restrictive legend thereon, (ii) interest thereon shall accrue from the last
date on which interest was paid on such Notes or, if no such interest has been paid, from the Issue
Date and (iii) the Exchange Securities shall be entitled to the benefits of the Indenture or a
trust indenture which is identical in all material respects to the Indenture (other than such
changes to the Indenture or any such identical trust indenture as are necessary to comply with the
TIA) and which, in either case, has been qualified under the TIA. The Exchange Offer shall comply
with all applicable tender offer rules and regulations under the Exchange Act and other applicable
laws. The Issuer shall use its reasonable best efforts to (x) prepare and file with the SEC the
Exchange Offer Registration Statement with respect to the Exchange Offer; (y) keep the Exchange
Offer open for at least 20 Business Days (or longer if required by applicable law) after the date
that notice of the Exchange Offer is mailed to Holders; and (z) consummate the Exchange Offer on or
prior to the 360th day following the Issue Date.

          Each Holder (including, without limitation, each Participating Broker-Dealer) that
participates in the Exchange Offer, as a condition to participation in the Exchange Offer, will be
required to represent to the Issuer in writing (which may be contained in the applicable letter of
transmittal) that: (i) any Exchange Securities acquired in exchange for Registrable Securities
tendered are being acquired in the ordinary course of business of the Person receiving such
Exchange Securities, whether or not such recipient is such Holder itself; (ii) at the time of the
commencement or consummation of the Exchange Offer neither such Holder nor, to the actual knowledge
of such Holder, any other Person receiving Exchange Securities from such Holder has an arrangement
or understanding with any Person to participate in the distribution (within the meaning of the
Securities Act) of the Exchange Securities in violation of the Securities Act; (iii) neither the
Holder nor, to the actual knowledge of such Holder, any other Person receiving Exchange Securities
from such Holder is an “affiliate” (as defined in Rule 405) of the Issuer or, if it is an affiliate
of the Issuer, it will comply with the registration and prospectus delivery requirements of the
Securities Act to the extent applicable and will provide information to be included in the Shelf
Registration Statement in accordance with Section 6 hereof in order to have their Securities
included in the Shelf Registration Statement and benefit from the provisions regarding Additional
Interest in Section 5 hereof; (iv) if such Holder is not a broker-dealer, neither such Holder nor,
to the actual knowledge of such Holder, any other Person receiving Exchange Securities from such
Holder is engaging or intends to engage in a distribution of the Exchange Securities; and (v) if
such Holder is a Participating Broker-Dealer, such Holder has acquired the Registrable Securities
for its own account in exchange for Securities that

 

-6-

were acquired as a result of market-making activities or other trading
activities and that it will comply with the applicable provisions of the Securities Act (including,
but not limited to, the prospectus delivery requirements thereunder).

          Upon consummation of the Exchange Offer in accordance with this Section 2, the provisions of
this Agreement shall continue to apply, mutatis mutandis, solely with respect to
Registrable Securities that are Private Exchange Notes (and the related Guarantees), Exchange
Securities as to which Section 2(c)(iv) is applicable and Exchange Securities held by the
Market-Maker and Participating Broker-Dealers, and the Issuer shall have no further obligation to
register Registrable Securities (other than Private Exchange Notes (and the related Guarantees) and
Exchange Securities as to which clause 2(c)(iv) hereof applies) pursuant to Section 3 hereof.

          No securities other than the Exchange Securities shall be included in the Exchange Offer
Registration Statement.

          (b) The Issuer shall include within the Prospectus contained in the Exchange Offer
Registration Statement a section entitled “Plan of Distribution,” which shall contain a summary
statement of the positions taken or policies made by the staff of the SEC with respect to the
potential “underwriter” status of any broker-dealer that is the “beneficial owner” (as defined in
Rule 13d-3 under the Exchange Act) of Exchange Notes received by such broker-dealer in the Exchange
Offer (a “Participating Broker-Dealer”), whether such positions or policies have been
publicly disseminated by the staff of the SEC or such positions or policies represent the
prevailing views of the staff of the SEC. Such “Plan of Distribution” section shall also expressly
permit, to the extent permitted by applicable policies and regulations of the SEC, the use of the
Prospectus by all Participating Broker-Dealers, and include a statement describing the means by
which Participating Broker-Dealers may resell the Exchange Securities in compliance with the
Securities Act.

          The Issuer shall use its reasonable best efforts to keep the Exchange Offer Registration
Statement effective and to amend and supplement the Prospectus contained therein in order to permit
such Prospectus to be lawfully delivered by all Persons subject to the prospectus delivery
requirements of the Securities Act for such period of time as is necessary to comply with
applicable law in connection with any resale of the Exchange Securities; provided,
however, that such period shall not be required to exceed 90 days, or such longer period if
extended pursuant to the last paragraph of Section 6 hereof (the “Applicable Period”).

          If, prior to consummation of the Exchange Offer, the Initial Purchasers hold any Notes
acquired by them that have the status of an unsold allotment in the initial distribution, the
Issuer, upon the request of the Initial Purchasers, shall simultaneously with the delivery of the
Exchange Notes issue and deliver to the Initial Purchasers, in exchange (the “Private
Exchange”) for such Notes held by any such Holder, a like principal amount of notes (the
“Private Exchange Notes”) of the Issuer, guaranteed by the Guarantors, that are identical
in all material respects to the Exchange Notes except for the placement of a restrictive legend on
such Private Exchange Notes. The Private Exchange Notes shall be issued pursuant to the same
indenture as the Exchange Notes and bear the same CUSIP number as the Exchange Notes if permitted
by the CUSIP Service Bureau.

 

-7-

          In connection with the Exchange Offer, the Issuer shall:

     (1) mail, or cause to be mailed, to each Holder of record entitled to participate in
the Exchange Offer a copy of the Prospectus forming part of the Exchange Offer Registration
Statement, together with an appropriate letter of transmittal and related documents;

     (2) use their respective reasonable best efforts to keep the Exchange Offer open for
not less than 20 Business Days from the date that notice of the Exchange Offer is mailed to
Holders (or longer if required by applicable law);

     (3) utilize the services of a depositary for the Exchange Offer with an address in the
Borough of Manhattan, The City of New York or in Wilmington, Delaware;

     (4) permit Holders to withdraw tendered Notes at any time prior to the close of
business, New York time, on the last Business Day on which the Exchange Offer remains open;
and

     (5) otherwise comply in all material respects with all laws, rules and regulations
applicable to the Exchange Offer.

          As soon as practicable after the close of the Exchange Offer and any Private Exchange, the
Issuer shall:

     (1) accept for exchange all Registrable Securities validly tendered and not validly
withdrawn pursuant to the Exchange Offer and any Private Exchange;

     (2) deliver to the Trustee for cancellation all Registrable Securities so accepted for
exchange; and

     (3) cause the Trustee to authenticate and deliver promptly to each Holder of Notes,
Exchange Notes or Private Exchange Notes, as the case may be, equal in principal amount to
the Notes of such Holder so accepted for exchange; provided that, in the case of any
Notes held in global form by a depositary, authentication and delivery to such depositary of
one or more replacement Notes in global form in an equivalent principal amount thereto for
the account of such Holders in accordance with the Indenture shall satisfy such
authentication and delivery requirement.

          The Exchange Offer and the Private Exchange shall not be subject to any conditions, other than
that (i) the Exchange Offer or Private Exchange, as the case may be, does not violate applicable
law or any applicable interpretation of the staff of the SEC; (ii) no action or proceeding shall
have been instituted or threatened in any court or by any governmental agency which might
materially impair the ability of the Issuer to proceed with the Exchange Offer or the Private
Exchange, and no material adverse development shall have occurred in any existing action or
proceeding with respect to the Issuer; and (iii) all governmental approvals shall have been
obtained, which approvals the Issuer deems necessary for the consummation of the Exchange Offer or
Private Exchange.

          The Exchange Securities and the Private Exchange Notes (and related guarantees) shall be
issued under (i) the Indenture or (ii) an indenture identical in all material respects to the
Indenture and

 

-8-

which, in either case, has been qualified under the TIA or is exempt from such
qualification and shall provide that the Exchange Securities shall not be subject to the transfer
restrictions set forth in the Indenture. The Indenture or such indenture shall provide that the
Exchange Notes, the Private Exchange Notes and the Notes shall vote and consent together on all
matters as one class and that none of the Exchange Notes, the Private Exchange Notes or the Notes
will have the right to vote or consent as a separate class on any matter.

          (c) If, (i) because of any change in law or in currently prevailing interpretations of the
staff of the SEC, the Issuer is not permitted to effect the Exchange Offer, (ii) the Exchange Offer
is not consummated within 360 days of the Issue Date, (iii) any holder of Private Exchange Notes so
requests in writing to the Issuer at any time within 30 days after the consummation of the Exchange
Offer, or (iv) in the case of any Holder that participates in the Exchange Offer, such Holder does
not receive Exchange Securities on the date of the exchange that may be sold without restriction
under state and federal securities laws (other than due solely to the status of such Holder as an
affiliate of the Issuer within the meaning of the Securities Act) and so notifies the Issuer within
30 days after such Holder first becomes aware of such restrictions, then, in the case of each of
clauses (i) through (iv) of this sentence, the Issuer shall promptly deliver to the Trustee (to
deliver to the Holders) written notice thereof (the “Shelf Notice”) and shall file a Shelf
Registration pursuant to Section 3 hereof.

     3. Shelf Registration

          If at any time a Shelf Notice is delivered as contemplated by Section 2(c) hereof, then:

          (a) Shelf Registration. The Issuer shall promptly file with the SEC a Registration
Statement for an offering to be made on a continuous basis pursuant to Rule 415 covering all of the
Registrable Securities (the “Initial Shelf Registration”). The Issuer shall use its
reasonable best efforts to file with the SEC the Initial Shelf Registration on or prior to the
Filing Date. The Initial Shelf Registration shall be on Form S-1 or another appropriate form
permitting registration of such Registrable Securities for resale by Holders in the manner or
manners designated by them (including, without limitation, one or more underwritten offerings).
The Issuer shall not permit any securities other than the Registrable Securities and the Guarantees
to be included in the Initial Shelf Registration or any Subsequent Shelf Registration (as defined
below).

          The Issuer shall use its respective reasonable best efforts to cause the Shelf Registration to
be declared effective under the Securities Act on or prior to the Effectiveness Date and to keep
the Initial Shelf Registration continuously effective under the Securities Act until the earliest
of (i) the date that is two years from the Issue Date, (ii) such shorter period ending when all
Registrable Securities covered by the Initial Shelf Registration have been sold in the manner set
forth and as contemplated in the Initial Shelf Registration or, if applicable, a Subsequent Shelf
Registration or (iii) the date upon which all Registrable Securities become eligible for resale
without regard to volume, manner of sale or other restrictions contained in Rule 144(k) (the
“Effectiveness Period”); provided, however, that the Effectiveness Period
in respect of the Initial Shelf Registration shall be extended to the extent required to permit
dealers to comply with the applicable prospectus delivery requirements of Rule 174 under the
Securities Act and as otherwise provided herein. Notwithstanding anything to the contrary in this
Agreement, at any time, the Issuer may delay the filing of any Initial Shelf Registration Statement
or
delay or suspend the effectiveness thereof, for a reasonable period of time, but not in excess
of 60 consecutive days or more than three (3) times during any calendar year (each, a “Shelf
Suspension Period”), if the Board of Directors of the Issuer

 

-9-

determines reasonably and in good
faith that the filing of any such Initial Shelf Registration Statement or the continuing
effectiveness thereof would require the disclosure of non-public material information that, in the
reasonable judgment of the Board of Directors of the Issuer, would be detrimental to the Issuer if
so disclosed or would otherwise materially adversely affect a financing, acquisition, disposition,
merger or other material transaction or if such action is required by applicable law.

          (b) Withdrawal of Stop Orders; Subsequent Shelf Registrations. If the Initial Shelf
Registration or any Subsequent Shelf Registration ceases to be effective for any reason at any time
during the Effectiveness Period (other than because of the sale of all of the Securities registered
thereunder), the Issuer shall use its reasonable best efforts to obtain the prompt withdrawal of
any order suspending the effectiveness thereof, and in any event shall file an additional Shelf
Registration Statement pursuant to Rule 415 covering all of the Registrable Securities covered by
and not sold under the Initial Shelf Registration or an earlier Subsequent Shelf Registration
(each, a “Subsequent Shelf Registration”). If a Subsequent Shelf Registration is filed,
the Issuer shall use its reasonable best efforts to cause the Subsequent Shelf Registration to be
declared effective under the Securities Act as soon as practicable after such filing and to keep
such subsequent Shelf Registration continuously effective for a period equal to the number of days
in the Effectiveness Period less the aggregate number of days during which the Initial Shelf
Registration or any Subsequent Shelf Registration was previously continuously effective. As used
herein the term “Shelf Registration” means the Initial Shelf Registration and any
Subsequent Shelf Registration.

          (c) Supplements and Amendments. The Issuer shall promptly supplement and amend the
Shelf Registration if required by the rules, regulations or instructions applicable to the
registration form used for such Shelf Registration, if required by the Securities Act, or if
reasonably requested by the Holders of a majority in aggregate principal amount of the Registrable
Securities (or their counsel) covered by such Registration Statement with respect to the
information included therein with respect to one or more of such Holders, or, if reasonably
requested by any underwriter of such Registrable Securities, with respect to the information
included therein with respect to such underwriter.

     4. Market-Making

          (a) For the sole benefit of Merrill Lynch, Pierce, Fenner & Smith Incorporated (in such
capacity, the “Market-Maker”) or any of its affiliates (as defined in the rules and
regulations of the SEC), so long as (x) any of the Registrable Securities or Exchange Securities
are outstanding and (y) it would be necessary under applicable laws, rules and regulations, in the
reasonable opinion of the Market-Maker, for the Market-Maker or any of its affiliates to deliver a
prospectus in connection with market-making activities with respect to the Registrable Securities
or Exchange Securities and the Market-Maker or such affiliate proposes to make a market in the
Registrable Securities or Exchange Securities as part of its business in the ordinary course, the
following provisions shall apply for the sole benefit of the Market-Maker:

     (i) The Issuer shall file under the Securities Act one or more registration statements,
in a form approved by the Market-Maker (each such filing, a “Market-Making
Registration,” and each such registration statement, the “Market-Making Registration
Statement”). The Issuer
agrees to use its reasonable best efforts to cause a Market-Making Registration
Statement with respect to the Exchange Securities (and, upon reasonable request by the
Market-Maker, the Issuer will use commercially reasonable efforts to have such Market-Making
Registration Statement also cover the Existing Notes) to be declared effective on or prior
to (i) the date the Exchange Of-

 

-10-

fer is completed pursuant to Section 2(a) above or (ii) the
date the Initial Shelf Registration becomes or is declared effective pursuant to Section 3
above, and, in each case, to keep such Market-Making Registration Statement continuously
effective for so long as the Market-Maker may be required to deliver a prospectus in
connection with transactions in the Registrable Securities or the Exchange Securities, as
the case may be. In the event that the Market-Maker holds Securities at the time the
Exchange Offer is to be conducted under Section 2(a) above, the Issuer agrees that the
applicable Market-Making Registration shall provide for the resale by the Market-Maker of
such Registrable Securities or Exchange Securities and shall use its reasonable best efforts
to keep the Market-Making Registration Statement continuously effective for so long as the
Market-Maker may be required to deliver a prospectus in connection with the sale of such
Registrable Securities or Exchange Securities. The Issuer further agrees to supplement or
make amendments to each Market-Making Registration Statement, as and when required by the
rules, regulations or instructions applicable to the registration form used by the Issuer
for the applicable Market-Making Registration Statement, and the Issuer agrees to furnish to
the Market-Maker copies of any such supplement or amendment prior to its being used or
promptly following its filing with the SEC.

     (ii) Notwithstanding the foregoing, the Issuer may suspend the offering and sale under
a Market-Making Registration Statement for a period or periods the Board of Directors of the
Issuer reasonably determines to be advisable for valid business reasons, but in any event
not in excess of 60 consecutive days or more than three (3) times during any calendar year
during which such Market-Making Registration Statement is required to be effective and
usable hereunder (measured from the Effective Time of such Market-Making Registration
Statement to successive anniversaries thereof) if (A) (i) the Board of Directors of the
Issuer determines in good faith that such action is in the best interests of the Issuer or
(ii) such Market-Making Registration Statement, prospectus or amendment or supplement
thereto contains an untrue statement of a material fact or omits to state a material fact
necessary in order to make the statements therein, in light of the circumstances under which
they were made, not misleading, and (B) the Issuer notifies the Market-Maker within five
days before the effectiveness of such suspension.

     (iii) The Issuer shall notify the Market-Maker (A) when any post-effective amendment to
a Market-Making Registration Statement or any amendment or supplement to the related
prospectus has been filed, and, with respect to any post-effective amendment, when the same
has become effective; (B) of any request by the SEC for any post-effective amendment to a
Market-Making Registration Statement, any supplement or amendment to the related prospectus
or for additional information; (C) the issuance by the SEC of any stop order suspending the
effectiveness of a Market-Making Registration Statement or the initiation of any proceedings
for that purpose; (D) of the receipt by the Issuer of any notification with respect to the
suspension of the qualification of the Registrable Securities or Exchange Securities for
sale in any jurisdiction or the initiation or threatening of any proceedings for such
purpose; and (E) of the happening of any event that makes any statement made in a
Market-Making Registration Statement, the related prospectus or any amendment or supplement
thereto untrue or that requires the making of any
changes in a Market-Making Registration Statement, such prospectus or any amendment or
supplement thereto, in order to make the statements therein not misleading.

     (iv) If any event contemplated by Section 4(a)(iii)(B), (D) and (E) occurs during the
period for which the Issuer is required to maintain an effective Market-Making Registration
Statement, the Issuer shall promptly prepare and file with the SEC a post-effective
amendment to

 

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the applicable Market-Making Registration Statement or a supplement to the
related prospectus or file any other required document so that the prospectus will not
include an untrue statement of a material fact or omit to state a material fact necessary in
order to make the statements therein, in the light of the circumstances under which they
were made, not misleading.

     (v) In the event of the issuance of any stop order suspending the effectiveness of a
Market-Making Registration Statement or of any order suspending the qualification of the
Registrable Securities or Exchange Securities for sale in any jurisdiction, the Issuer shall
use promptly its reasonable best efforts to obtain its withdrawal.

     (vi) The Issuer shall furnish to the Market-Maker, in each case without charge to the
Market-Maker, at least one conformed copy of each Market-Making Registration Statement and
any post-effective amendment thereto and electronic copies of the related prospectus and any
amendment or supplement thereto.

     (vii) The Issuer shall consent to the use of the prospectus contained in a
Market-Making Registration Statement or any amendment or supplement thereto by the
Market-Maker in connection with its market-making activities.

     (viii) Notwithstanding the foregoing provisions of this Section 4, the Issuer may for
valid business reasons, including without limitation, a potential acquisition, divestiture
of assets or other material corporate transaction, issue a notice that a Market-Making
Registration Statement is no longer effective or the prospectus included therein is no
longer usable for offers and sales of Registrable Securities or Exchange Securities (or
Existing Notes, if applicable) and may issue any notice suspending use of such Market-Making
Registration Statement required under applicable securities laws to be issued for so long as
valid business reasons exist and the Issuer shall not be obligated to amend or supplement
such Market-Making Registration Statement or the prospectus included therein until it
reasonably deems appropriate. The Market-Maker agrees that upon receipt of any notice from
the Issuer pursuant to this Section 4(a)(viii), it will discontinue use of each
Market-Making Registration Statement until receipt of copies of the supplemented or amended
prospectus relating thereto until advised in writing by the Issuer that the use of a
Market-Making Registration Statement may be resumed.

          (b) In connection with a Market-Making Registration, the Issuer shall (i) make reasonably
available for inspection by a representative of, and counsel acting for, the Market-Maker all
relevant financial and other records, pertinent corporate documents and properties of the Issuer
and its subsidiaries and (ii) use its reasonable best efforts to have its officers, directors,
employees, accountants and counsel supply all relevant information reasonably requested by such
representative or counsel or the Market-Maker.

          (c) Prior to the effective date of a Market-Making Registration Statement, the Issuer will use
its reasonable best efforts to register or qualify such Registrable or Exchange Securities (or
Existing Notes, if applicable), as applicable, for offer and sale under the securities or blue sky
laws of such jurisdictions as the Market-Maker reasonably requests in writing and do any and all
other acts or things necessary or advisable to enable the offer and sale in such jurisdictions of
the Registrable Securities or Exchange Securities (or Existing Notes, if applicable) covered by
such Market-Making Registration Statement; provided that neither the Issuer nor any
Guarantor will be required to qualify generally to do

 

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business in any jurisdiction where it is not
then so qualified or to take any action which would subject it to general service of process or to
taxation in any such jurisdiction where it is not then so subject.

          (d) The Issuer represents that each Market-Making Registration Statement, any post-effective
amendments thereto, any amendments or supplements to the related prospectus and any documents filed
by them under the Exchange Act will, when they become effective or are filed with the SEC, as the
case may be, conform in all respects to the requirements of the Securities Act and the Exchange Act
and the rules and regulations of the SEC thereunder and will not, as of the effective date of such
Market-Making Registration Statement or post-effective amendments and as of the filing date of
amendments or supplements to such prospectus or filings under the Exchange Act, contain an untrue
statement of a material fact or omit to state a material fact required to be stated therein or
necessary to make the statements therein in light of the circumstances under which they were made
not misleading; provided that no representation or warranty is made as to information
contained in or omitted from a Market-Making Registration Statement or the related prospectus in
reliance upon and in conformity with written information furnished to the Issuer by the
Market-Maker specifically for inclusion therein, which information the parties hereto agree will be
limited to the statements concerning the Market-Making activities of the Market-Maker to be set
forth on the cover page and in the “Plan of Distribution” section of the prospectus.

          (e) At the time of effectiveness of a Market-Making Registration Statement (unless it is the
same as the time of effectiveness of the Exchange Offer Registration Statement) and concurrently
with each time such Market-Making Registration Statement or the related prospectus shall be amended
or such prospectus shall be supplemented, the Issuer shall (if requested in writing by the
Market-Maker) furnish the Market-Maker and its counsel with a certificate of an appropriate officer
to the effect that:

     (i) such Market-Making Registration Statement has been declared effective;

     (ii) in the case of an amendment or supplement, such amendment has become effective
under the Securities Act as of the date and time specified in such certificate, if
applicable; if required, such amendment or supplement to the prospectus was filed with the
SEC pursuant to the subparagraph of Rule 424(b) under the Securities Act specified in such
certificate on the date specified therein; and

     (iii) as of the date of such Market-Making Registration Statement, amendment or
supplement, as applicable, such Market-Making Registration Statement and the prospectus, as
amended or supplemented, if applicable, did not include any untrue statement of a material
fact and did not omit to state a material fact required to be stated therein or necessary to
make the statements therein not misleading.

          (f) The Issuer, on the one hand, and the Market-Maker, on the other hand, hereby agree to
indemnify each other, and, if applicable, contribute to the other, in accordance with Section 8 of
this Agreement.

          (g) The Issuer will comply with the provisions of this Section 4 at its own expense.

          (h) The agreements contained in this Section 4 and the representations, warranties and
agreements contained in this Agreement shall survive all offers and sales of the Existing Notes,
Registrable Securities or Exchange Securities and shall remain in full force and effect, regardless
of any ter-

 

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mination or cancellation of agreements outside this Section 4 of this Agreement or any
investigation made by or on behalf of any indemnified party.

          (i) For purposes of this Section 4, any reference to the terms “amend,” “amendment” or
“supplement” with respect to a Market-Making Registration Statement or the prospectus contained
therein shall be deemed to refer to and include the filing under the Exchange Act of any document
deemed to be incorporated therein by reference.

     5. Additional Interest

          (a) The Issuer and the Initial Purchasers agree that the Holders will suffer damages if the
Issuer fails to fulfill its obligations under Section 2 or Section 3 hereof and that it would not
be feasible to ascertain the extent of such damages with precision. Accordingly, the Issuer and
the Guarantors agree to pay, jointly and severally, as liquidated damages, additional interest on
the 2014 Cash-Pay Notes, the 2016 Cash-Pay Notes and/or the Toggle, as applicable (“Additional
Interest”) if (A) the Issuer has neither (i) exchanged Exchange Securities for all Securities
of a series validly tendered in accordance with the terms of the Exchange Offer nor (ii) had a
Shelf Registration Statement declared effective, in either case on or prior to the 360th day after
the Issue Date, (B) notwithstanding clause (A), the Issuer is required to file a Shelf Registration
Statement and such Shelf Registration Statement is not declared effective on or prior to the 360th
day after the date such Shelf Registration Statement filing was requested or required or (C), if
applicable, a Shelf Registration has been declared effective and such Shelf Registration ceases to
be effective at any time during the Effectiveness Period (other than because of the sale of all of
the Securities of a series registered thereunder), then Additional Interest shall accrue on the
principal amount of the Notes in such series at a rate of 0.25% per annum (which rate will be
increased by an additional 0.25% per annum for each subsequent 90 day period that such Additional
Interest continues to accrue, provided that the rate at which such Additional Interest
accrues may in no event exceed 1.00% per annum) (such Additional Interest to be calculated by the
Issuer) commencing on the (x) 361st day after the Issue Date, in the case of (A) above; (y) the
361st day after the date such Shelf Registration Statement filing was requested or required in the
case of (B) above; or (z) the day such Shelf Registration ceases to be effective in the case of (C)
above; provided, however, that upon the exchange of the Exchange Securities for all
Securities tendered (in the case of clause (A) of this Section 5(a), upon the effectiveness of the
applicable Shelf Registration Statement (in the case of clause (B) of this Section 5(a), or upon
the effectiveness of the applicable Shelf Registration Statement which had ceased to remain
effective (in the case of clause (C) of this Section 5(a), Additional Interest on the Notes in
respect of which such events relate as a result of such clause (or the relevant subclause thereof),
as the case may be, shall cease to accrue. Notwithstanding any other provisions of this Section 5,
the Issuer shall not be obligated to pay Additional Interest provided in Section 5(a)(B) during a
Shelf Suspension Period permitted by Section 3(a) hereof.

          (b) The Issuer shall notify the Trustee within five business days after each and every date on
which an event occurs in respect of which Additional Interest is required to be paid (an “Event
Date”). Any amounts of Additional Interest due pursuant to (a) of this Section 5 will be
payable in cash or in the form of PIK interest, with respect to the Toggle Notes in the same
proportion the Issuer has elected to pay PIK interest with respect to the applicable interest
period, if applicable, semiannually on each May 15 and November 15 (to the holders of record on the
May 1 and November 1 immediately preceding such dates), commencing with the first such date
occurring after any such Additional Interest commences to accrue. The amount of Additional
Interest will be determined by the Issuer by multiplying the applicable Additional Interest rate by
the principal amount of the Registrable Securities, multiplied by

 

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a fraction, the numerator of
which is the number of days such Additional Interest rate was applicable during such period
(determined on the basis of a 360 day year comprised of twelve 30-day months and, in the case of a
partial month, the actual number of days elapsed), and the denominator of which is 360.

     6. Registration Procedures

          In connection with the filing of any Registration Statement pursuant to Section 2 or 3 hereof,
the Issuer shall effect such registrations to permit the sale of the securities covered thereby in
accordance with the intended method or methods of disposition thereof, and pursuant thereto and in
connection with any Registration Statement filed by the Issuer hereunder the Issuer shall:

          (a) Prepare and file with the SEC (prior to the applicable Filing Date in the case of a Shelf
Registration), a Registration Statement or Registration Statements as prescribed by Section 2 or 3
hereof, and use its reasonable best efforts to cause each such Registration Statement to become
effective and remain effective as provided herein; provided, however, that if (1)
such filing is pursuant to Section 3 hereof or (2) a Prospectus contained in the Exchange Offer
Registration Statement filed pursuant to Section 2 hereof is required to be delivered under the
Securities Act by any Participating Broker-Dealer who seeks to sell Exchange Securities during the
Applicable Period relating thereto from whom the Issuer has received prior written notice that it
will be a Participating Broker-Dealer in the Exchange Offer, before filing any Registration
Statement or Prospectus or any amendments or supplements thereto, the Issuer shall furnish to and
afford counsel for the Holders of the Registrable Securities covered by such Registration Statement
(with respect to a Registration Statement filed pursuant to Section 3 hereof) or counsel for such
Participating Broker-Dealer (with respect to any such Registration Statement), as the case may be,
and counsel to the managing underwriters, if any, a reasonable opportunity to review copies of all
such documents (including copies of any documents to be incorporated by reference therein and all
exhibits thereto) proposed to be filed (in each case, at least three Business Days prior to such
filing). The Issuer shall not file any Registration Statement or Prospectus or any amendments or
supplements thereto if the Holders of a majority in aggregate principal amount of the Registrable
Securities covered by such Registration Statement, their counsel or the managing underwriters, if
any, shall reasonably object.

          (b) Prepare and file with the SEC such amendments and post-effective amendments to each Shelf
Registration Statement or Exchange Offer Registration Statement, as the case may be, as may be
necessary to keep such Registration Statement continuously effective for the Effectiveness Period,
the Applicable Period or until consummation of the Exchange Offer, as the case may be; cause the
related Prospectus to be supplemented by any Prospectus supplement required by applicable law, and
as so supplemented to be filed pursuant to Rule 424; and comply with the provisions of the
Securities Act and the Exchange Act applicable to it with respect to the disposition of all
securities covered by such Registration Statement as so amended or in such Prospectus as so
supplemented and with respect to the
subsequent resale of any securities being sold by an Participating Broker-Dealer covered by
any such Prospectus in all material respects. The Issuer shall be deemed not to have used its
reasonable best efforts to keep a Registration Statement effective if it voluntarily takes any
action that is reasonably expected to result in selling Holders of the Registrable Securities
covered thereby or Participating Broker-Dealers seeking to sell Exchange Securities not being able
to sell such Registrable Securities or such Exchange Securities during that period unless such
action is required by applicable law or permitted by this Agreement.

          (c) If (1) a Shelf Registration is filed pursuant to Section 3 hereof or (2) a Prospectus
contained in the Exchange Offer Registration Statement filed pursuant to Section 2 hereof is
required to

 

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be delivered under the Securities Act by any Participating Broker-Dealer who seeks to
sell Exchange Securities during the Applicable Period relating thereto from whom the Issuer has
received written notice that it will be a Participating Broker-Dealer in the Exchange Offer, notify
the selling Holders of Registrable Securities (with respect to a Registration Statement filed
pursuant to Section 3 hereof), or each such Participating Broker-Dealer (with respect to any such
Registration Statement), as the case may be, their counsel and the managing underwriters, if any,
promptly (but in any event within three Business Days), and confirm such notice in writing, (i)
when a Prospectus or any Prospectus supplement or post-effective amendment has been filed, and,
with respect to a Registration Statement or any post-effective amendment, when the same has become
effective under the Securities Act (including in such notice a written statement that any Holder
may, upon request, obtain, at the sole expense of the Issuer, one conformed copy of such
Registration Statement or post-effective amendment including financial statements and schedules,
documents incorporated or deemed to be incorporated by reference and exhibits), (ii) of the
issuance by the SEC of any stop order suspending the effectiveness of a Registration Statement or
of any order preventing or suspending the use of any preliminary prospectus or the initiation of
any proceedings for that purpose, (iii) if at any time when a prospectus is required by the
Securities Act to be delivered in connection with sales of the Registrable Securities or resales of
Exchange Securities by Participating Broker-Dealers the representations and warranties of the
Issuer contained in any agreement (including any underwriting agreement) contemplated by Section
6(m) hereof cease to be true and correct, (iv) of the receipt by the Issuer of any notification
with respect to the suspension of the qualification or exemption from qualification of a
Registration Statement or any of the Registrable Securities or the Exchange Securities to be sold
by any Participating Broker-Dealer for offer or sale in any jurisdiction, or the initiation or
threatening of any proceeding for such purpose, (v) of the happening of any event, the existence of
any condition or any information becoming known that makes any statement made in such Registration
Statement or related Prospectus or any document incorporated or deemed to be incorporated therein
by reference untrue in any material respect or that requires the making of any changes in or
amendments or supplements to such Registration Statement, Prospectus or documents so that, in the
case of the Registration Statement, it will not contain any untrue statement of a material fact or
omit to state any material fact required to be stated therein or necessary to make the statements
therein not misleading, and that in the case of the Prospectus, it will not contain any untrue
statement of a material fact or omit to state any material fact required to be stated therein or
necessary to make the statements therein, in the light of the circumstances under which they were
made, not misleading, and (vi) of the Issuer’s determination that a post-effective amendment to a
Registration Statement would be appropriate.

          (d) Use its reasonable best efforts to prevent the issuance of any order suspending the
effectiveness of a Registration Statement or of any order preventing or suspending the use of a
Prospectus or suspending the qualification (or exemption from qualification) of any of the
Registrable
Securities or the Exchange Securities to be sold by any Participating Broker-Dealer, for sale
in any jurisdiction.

          (e) If a Shelf Registration is filed pursuant to Section 3 and if requested during the
Effectiveness Period by the managing underwriter or underwriters (if any) or the Holders of a
majority in aggregate principal amount of the Registrable Securities being sold in connection with
an underwritten offering, (i) as promptly as practicable incorporate in a prospectus supplement or
post-effective amendment such information as the managing underwriter or underwriters (if any),
such Holders or counsel for either of them reasonably request to be included therein, (ii) make all
required filings of such prospectus supplement or such post-effective amendment as soon as
practicable after the Issuer has received notification of the matters to be incorporated in such
prospectus supplement or post-effective amendment, and (iii) supplement or make amendments to such
Registration Statement.

 

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          (f) If (1) a Shelf Registration is filed pursuant to Section 3 hereof, or (2) a Prospectus
contained in the Exchange Offer Registration Statement filed pursuant to Section 2 hereof is
required to be delivered under the Securities Act by any Participating Broker-Dealer who seeks to
sell Exchange Securities during the Applicable Period, furnish to each selling Holder of
Registrable Securities (with respect to a Registration Statement filed pursuant to Section 3
hereof) and to each such Participating Broker-Dealer who so requests (with respect to any such
Registration Statement) and to their respective counsel and each managing underwriter, if any, at
the sole expense of the Issuer, one conformed copy of the Registration Statement or Registration
Statements and each post-effective amendment thereto, including financial statements and schedules,
and, if requested, all documents incorporated or deemed to be incorporated therein by reference and
all exhibits.

          (g) If (1) a Shelf Registration is filed pursuant to Section 3 hereof, or (2) a Prospectus
contained in the Exchange Offer Registration Statement filed pursuant to Section 2 hereof is
required to be delivered under the Securities Act by any Participating Broker-Dealer who seeks to
sell Exchange Securities during the Applicable Period, deliver to each selling Holder of
Registrable Securities (with respect to a Registration Statement filed pursuant to Section 3
hereof), or each such Participating Broker-Dealer (with respect to any such Registration
Statement), as the case may be, their respective counsel, and the underwriters, if any, at the sole
expense of the Issuer, as many copies of the Prospectus or Prospectuses (including each form of
preliminary prospectus) and each amendment or supplement thereto and any documents incorporated by
reference therein as such Persons may reasonably request; and, subject to the last paragraph of
this Section 6, the Issuer hereby consents to the use of such Prospectus and each amendment or
supplement thereto by each of the selling Holders of Registrable Securities or each such
Participating Broker-Dealer, as the case may be, and the underwriters or agents, if any, and
dealers, if any, in connection with the offering and sale of the Registrable Securities covered by,
or the sale by Participating Broker-Dealers of the Exchange Securities pursuant to, such Prospectus
and any amendment or supplement thereto.

          (h) Prior to any public offering of Registrable Securities or any delivery of a Prospectus
contained in the Exchange Offer Registration Statement by any Participating Broker-Dealer who seeks
to sell Exchange Securities during the Applicable Period, use its reasonable best efforts to
register or qualify, and to cooperate with the selling Holders of Registrable Securities or each
such Participating Broker-Dealer, as the case may be, the managing underwriter or underwriters, if
any, and their respective counsel in connection with the registration or qualification (or
exemption from such registration or qualification) of such Registrable Securities for offer and
sale under the securities or Blue
Sky laws of such jurisdictions within the United States as any selling Holder, Participating
Broker-Dealer, or the managing underwriter or underwriters reasonably request in writing;
provided, however, that where Exchange Securities held by Participating
Broker-Dealers or Registrable Securities are offered other than through an underwritten offering,
the Issuer agrees to cause its counsel to perform Blue Sky investigations and file registrations
and qualifications required to be filed pursuant to this Section 6(h), keep each such registration
or qualification (or exemption therefrom) effective during the period such Registration Statement
is required to be kept effective and do any and all other acts or things necessary or advisable to
enable the disposition in such jurisdictions of the Exchange Securities held by Participating
Broker-Dealers or the Registrable Securities covered by the applicable Registration Statement;
provided, however, that the Issuer shall not be required to (A) qualify generally
to do business in any jurisdiction where it is not then so qualified, (B) take any action that
would subject it to general service of process in any such jurisdiction where it is not then so
subject or (C) subject itself to taxation in excess of a nominal dollar amount in any such
jurisdiction where it is not then so subject.

 

-17-

          (i) If a Shelf Registration is filed pursuant to Section 3 hereof, cooperate with the selling
Holders of Registrable Securities and the managing underwriter or underwriters, if any, to
facilitate the timely preparation and delivery of certificates representing Registrable Securities
to be sold, which certificates shall not bear any restrictive legends and shall be in a form
eligible for deposit with The Depository Trust Company; and enable such Registrable Securities to
be in such denominations (subject to applicable requirements contained in the Indenture) and
registered in such names as the managing underwriter or underwriters, if any, or Holders may
request.

          (j) Use its reasonable best efforts to cause the Registrable Securities covered by the
Registration Statement to be registered with or approved by such other U.S. governmental agencies
or authorities as may be necessary to enable the seller or sellers thereof or the underwriter or
underwriters, if any, to consummate the disposition of such Registrable Securities, except as may
be required solely as a consequence of the nature of such selling Holder’s business, in which case
the Issuer will cooperate in all respects with the filing of such Registration Statement and the
granting of such approvals.

          (k) If (1) a Shelf Registration is filed pursuant to Section 3 hereof, or (2) a Prospectus
contained in the Exchange Offer Registration Statement filed pursuant to Section 2 hereof is
required to be delivered under the Securities Act by any Participating Broker-Dealer who seeks to
sell Exchange Securities during the Applicable Period, upon the occurrence of any event
contemplated by paragraph 6(c)(v) or 6(c)(vi) hereof, as promptly as practicable prepare and
(subject to Section 6(a) hereof) file with the SEC, at the sole expense of the Issuer, a supplement
or post-effective amendment to the Registration Statement or a supplement to the related Prospectus
or any document incorporated therein by reference, or file any other required document so that, as
thereafter delivered to the purchasers of the Registrable Securities being sold thereunder (with
respect to a Registration Statement filed pursuant to Section 3 hereof) or to the purchasers of the
Exchange Securities to whom such Prospectus will be delivered by a Participating Broker-Dealer
(with respect to any such Registration Statement), any such Prospectus will not contain an untrue
statement of a material fact or omit to state a material fact required to be stated therein or
necessary to make the statements therein, in the light of the circumstances under which they were
made, not misleading.

          (l) Prior to the effective date of the first Registration Statement relating to the
Registrable Securities, (i) provide the Trustee with certificates for the Registrable Securities in
a form
eligible for deposit with The Depository Trust Company and (ii) provide a CUSIP number for the
Registrable Securities.

          (m) In connection with any underwritten offering of Registrable Securities pursuant to a Shelf
Registration, enter into an underwriting agreement as is customary in underwritten offerings of
debt securities similar to the Securities (including, without limitation, a customary condition to
the obligations of the underwriters that the underwriters shall have received “cold comfort”
letters and updates thereof in form, scope and substance reasonably satisfactory to the managing
underwriter or underwriters from the independent registered public accountants of the Issuer (and,
if necessary, any other independent registered public accountants of the Issuer, or of any business
acquired by the Issuer, for which financial statements and financial data are, or are required to
be, included or incorporated by reference in the Registration Statement), addressed to each of the
underwriters, such letters to be in customary form and covering matters of the type customarily
covered in “cold comfort” letters in connection with underwritten offerings of debt securities
similar to the Securities), and take all such other actions as are reasonably requested by the
managing underwriter or underwriters in order to expedite or facilitate the registration or

 

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the
disposition of such Registrable Securities and, in such connection, (i) make such representations
and warranties to, and covenants with, the underwriters with respect to the business of the Issuer
(including any acquired business, properties or entity, if applicable), and the Registration
Statement, Prospectus and documents, if any, incorporated or deemed to be incorporated by reference
therein, in each case, as are customarily made by issuers to underwriters in underwritten offerings
of debt securities similar to the Securities, and confirm the same in writing if and when
requested; (ii) obtain the written opinions of counsel to the Issuer, and written updates thereof
in form, scope and substance reasonably satisfactory to the managing underwriter or underwriters,
addressed to the underwriters covering the matters customarily covered in opinions reasonably
requested in underwritten offerings; and (iii) if an underwriting agreement is entered into, the
same shall contain indemnification provisions and procedures no less favorable to the sellers and
underwriters, if any, than those set forth in Section 8 hereof (or such other provisions and
procedures reasonably acceptable to Holders of a majority in aggregate principal amount of
Registrable Securities covered by such Registration Statement and the managing underwriter or
underwriters or agents, if any). The above shall be done at each closing under such underwriting
agreement, or as and to the extent required thereunder.

          (n) If (1) a Shelf Registration is filed pursuant to Section 3 hereof, or (2) a Prospectus
contained in the Exchange Offer Registration Statement filed pursuant to Section 2 hereof is
required to be delivered under the Securities Act by any Participating Broker-Dealer who seeks to
sell Exchange Securities during the Applicable Period, make available for inspection by any Initial
Purchaser, any selling Holder of such Registrable Securities being sold (with respect to a
Registration Statement filed pursuant to Section 3 hereof), or each such Participating
Broker-Dealer, as the case may be, any underwriter participating in any such disposition of
Registrable Securities, if any, and any attorney, accountant or other agent retained by any such
selling Holder or each such Participating Broker-Dealer (with respect to any such Registration
Statement), as the case may be, or underwriter (any such Initial Purchasers, Holders, Participating
Broker-Dealers, underwriters, attorneys, accountants or agents, collectively, the
“Inspectors”), upon written request, at the offices where normally kept, during reasonable
business hours, all pertinent financial and other records, pertinent corporate documents and
instruments of the Issuer and subsidiaries of the Issuer (collectively, the “Records”), as
shall be reasonably necessary to enable them to exercise any applicable due diligence
responsibilities, and cause the officers, directors and employees of the Issuer and any of its
subsidiaries to supply all information (“Information”) reasonably requested by any such
Inspector in connection with such due diligence responsibilities. Each Inspector
shall agree in writing that it will keep the Records and Information confidential, to use the
Information only for due diligence purposes, to abstain from using the Information as the basis for
any market transactions in Securities of the Issuer and that it will not disclose any of the
Records or Information that the Issuer determines, in good faith, to be confidential and notifies
the Inspectors in writing are confidential unless (i) the disclosure of such Records or Information
is necessary to avoid or correct a misstatement or omission in such Registration Statement or
Prospectus, (ii) the release of such Records or Information is ordered pursuant to a subpoena or
other order from a court of competent jurisdiction, (iii) disclosure of such Records or Information
is necessary or advisable, in the opinion of counsel for any Inspector, in connection with any
action, claim, suit or proceeding, directly or indirectly, involving or potentially involving such
Inspector and arising out of, based upon, relating to, or involving this Agreement or the Purchase
Agreement, or any transactions contemplated hereby or thereby or arising hereunder or thereunder,
or (iv) the information in such Records or Information has been made generally available to the
public other than by an Inspector or an “affiliate” (as defined in Rule 405) thereof;
provided, however, that prior notice shall be provided as soon as practicable to
the Issuer of the potential disclosure of any information by such Inspector pursuant to clause (ii)
or (iii) of this sentence to permit the Issuer to obtain a protective order (or

 

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waive the
provisions of this paragraph (n)) and that such Inspector shall take such actions as are reasonably
necessary to protect the confidentiality of such information (if practicable) to the extent such
action is otherwise not inconsistent with, an impairment of or in derogation of the rights and
interests of the Holder or any Inspector.

          (o) Provide an indenture trustee for the Registrable Securities or the Exchange Securities, as
the case may be, and cause the Indenture or the trust indenture provided for in Section 2(a)
hereof, as the case may be, to be qualified under the TIA not later than the effective date of the
first Registration Statement relating to the Registrable Securities; and in connection therewith,
cooperate with the trustee under any such indenture and the Holders of the Registrable Securities,
to effect such changes (if any) to such indenture as may be required for such indenture to be so
qualified in accordance with the terms of the TIA; and execute, and use its commercially reasonable
best efforts to cause such trustee to execute, all documents as may be required to effect such
changes, and all other forms and documents required to be filed with the SEC to enable such
indenture to be so qualified in a timely manner.

          (p) Comply in all material respects with all applicable rules and regulations of the SEC and
make generally available to its securityholders with regard to any applicable Registration
Statement, a consolidated earning statement satisfying the provisions of Section 11(a) of the
Securities Act and Rule 158 thereunder (or any similar rule promulgated under the Securities Act)
no later than 60 days after the end of any fiscal quarter (or 105 days after the end of any
12-month period if such period is a fiscal year) (i) commencing at the end of any fiscal quarter in
which Registrable Securities are sold to underwriters in a firm commitment or best efforts
underwritten offering and (ii) if not sold to underwriters in such an offering, commencing on the
first day of the first fiscal quarter of the Issuer, after the effective date of a Registration
Statement, which statements shall cover said 12-month periods; provided that this
requirement shall be deemed satisfied by the Issuer complying with Section 4.03 of the Indenture.

          (q) Upon consummation of the Exchange Offer or a Private Exchange, obtain an opinion of
counsel to the Issuer, in a form customary for underwritten transactions, addressed to the Trustee
for the benefit of all Holders of Registrable Securities participating in the Exchange Offer or the
Private Exchange, as the case may be, that the Exchange Securities or Private Exchange Notes, as
the case may be, the related guarantees and the related indenture constitute legal, valid and
binding obligations of
the Issuer, enforceable against the Issuer in accordance with their respective terms, subject
to customary exceptions and qualifications. If the Exchange Offer or a Private Exchange is to be
consummated, upon delivery of the Registrable Securities by Holders to the Issuer (or to such other
Person as directed by the Issuer), in exchange for the Exchange Securities or the Private Exchange
Notes (and the related guarantees), as the case may be, the Issuer shall mark, or cause to be
marked, on such Registrable Securities that such Registrable Securities are being cancelled in
exchange for the Exchange Securities or the Private Exchange Notes (and the related guarantees), as
the case may be; in no event shall such Registrable Securities be marked as paid or otherwise
satisfied.

          (r) Use reasonable efforts to cooperate with each seller of Registrable Securities covered by
any Registration Statement and each underwriter, if any, participating in the disposition of such
Registrable Securities and their respective counsel in connection with any filings required to be
made with the National Association of Securities Dealers, Inc. (the “NASD”).

 

-20-

          (s) Use its respective reasonable best efforts to take all other steps reasonably necessary to
effect the registration of the Exchange Securities and/or Registrable Securities covered by a
Registration Statement contemplated hereby.

          The Issuer may require each seller of Registrable Securities as to which any registration is
being effected to furnish to the Issuer such information regarding such seller and the distribution
of such Registrable Securities as the Issuer may, from time to time, reasonably request. The
Issuer may exclude from such registration the Registrable Securities of any seller so long as such
seller fails to furnish such information within a reasonable time after receiving such request.
Each seller as to which any Shelf Registration is being effected agrees to furnish promptly to the
Issuer all information required to be disclosed in order to make the information previously
furnished to the Issuer by such seller not materially misleading.

          If any such Registration Statement refers to any Holder by name or otherwise as the holder of
any securities of the Issuer, then such Holder shall have the right to require (i) the insertion
therein of language, in form and substance reasonably satisfactory to such Holder, to the effect
that the holding by such Holder of such securities is not to be construed as a recommendation by
such Holder of the investment quality of the securities covered thereby and that such holding does
not imply that such Holder will assist in meeting any future financial requirements of the Issuer,
or (ii) in the event that such reference to such Holder by name or otherwise is not required by the
Securities Act or any similar federal statute then in force, the deletion of the reference to such
Holder in any amendment or supplement to the Registration Statement filed or prepared subsequent to
the time that such reference ceases to be required.

          Each Holder of Registrable Securities and each Participating Broker-Dealer agrees by its
acquisition of such Registrable Securities or Exchange Securities to be sold by such Participating
Broker-Dealer, as the case may be, that, upon actual receipt of any notice from the Issuer of the
happening of any event of the kind described in Section 6(c)(ii), 6(c)(iv), 6(c)(v) or 6(c)(vi)
hereof, such Holder will forthwith discontinue disposition of such Registrable Securities covered
by such Registration Statement or Prospectus or Exchange Securities to be sold by such Holder or
Participating Broker-Dealer, as the case may be, until such Holder’s or Participating
Broker-Dealer’s receipt of the copies of the supplemented or amended Prospectus contemplated by
Section 6(k) hereof, or until it is advised in writing (the “Advice”) by the Issuer that
the use of the applicable Prospectus may be resumed, and has received copies of any amendments or
supplements thereto. In the event that the Issuer shall give any
such notice, each of the Applicable Period and the Effectiveness Period shall be extended by
the number of days during such periods from and including the date of the giving of such notice to
and including the date when each seller of Registrable Securities covered by such Registration
Statement or Exchange Securities to be sold by such Participating Broker-Dealer, as the case may
be, shall have received (x) the copies of the supplemented or amended Prospectus contemplated by
Section 6(k) hereof or (y) the Advice.

     7. Registration Expenses

          All fees and expenses incident to the performance of or compliance with this Agreement by the
Issuer of its obligations under Sections 2, 3, 4, 6 and 9 shall be borne by the Issuer, whether or
not the Exchange Offer Registration Statement or any Shelf Registration Statement is filed or
becomes effective or the Exchange Offer is consummated, including, without limitation, (i) all
registration and filing fees (including, without limitation, (A) fees with respect to filings
required to be made with the NASD in connection with an underwritten offering and (B) fees and
expenses of compliance with state securities or

 

-21-

Blue Sky laws (including, without limitation,
reasonable fees and disbursements of counsel in connection with Blue Sky qualifications of the
Registrable Securities or Exchange Securities and determination of the eligibility of the
Registrable Securities or Exchange Securities for investment under the laws of such jurisdictions
in the United States (x) where the holders of Registrable Securities are located, in the case of
the Exchange Securities, or (y) as provided in Section 6(h) hereof, in the case of Registrable
Securities or Exchange Securities to be sold by a Participating Broker-Dealer during the Applicable
Period)), (ii) printing expenses, including, without limitation, printing prospectuses if the
printing of prospectuses is requested by the managing underwriter or underwriters, if any, by the
Holders of a majority in aggregate principal amount of the Registrable Securities included in any
Registration Statement or in respect of Registrable Securities or Exchange Securities to be sold by
any Participating Broker-Dealer during the Applicable Period, as the case may be, (iii) fees and
expenses of the Trustee, any exchange agent and their counsel, (iv) fees and disbursements of
counsel for the Issuer and, in the case of a Shelf Registration, reasonable fees and disbursements
of one special counsel for all of the sellers of Registrable Securities selected by the Holder of a
majority in aggregate principal amount of Registrable Securities covered by such Shelf Registration
(which counsel shall be reasonably satisfactory to the Issuer) exclusive of any counsel retained
pursuant to Section 8 hereof), (v) fees and disbursements of all independent registered public
accountants referred to in Section 6(m) hereof (including, without limitation, the expenses of any
“cold comfort” letters required by or incident to such performance), (vi) rating agency fees, if
any, and any fees associated with making the Registrable Securities or Exchange Securities eligible
for trading through The Depository Trust Company, (vii) Securities Act liability insurance, if the
Issuer desires such insurance, (viii) fees and expenses of all other Persons retained by the
Issuer, (ix) internal expenses of the Issuer (including, without limitation, all salaries and
expenses of officers and employees of the Issuer performing legal or accounting duties), (x) the
expense of any annual audit, (xi) any fees and expenses incurred in connection with the listing of
the securities to be registered on any securities exchange, and the obtaining of a rating of the
securities, in each case, if applicable and (xii) the expenses relating to printing, word
processing and distributing all Registration Statements, underwriting agreements, indentures and
any other documents necessary in order to comply with this Agreement.

     8. Indemnification and Contribution

          (a) The Issuer and the Guarantors jointly and severally agree to indemnify and hold harmless
each Holder of Registrable Securities, the Market-Maker and each Participating Broker-Dealer
selling Exchange Securities during the Applicable Period, and each Person, if any, who controls any
such Persons or its affiliates within the meaning of Section 15 of the Securities Act or Section 20
of the Exchange Act (each, a “Participant”) against any losses, claims, damages or liabilities,
joint or several, to which any Participant may become subject under the Securities Act, the
Exchange Act or otherwise, insofar as any such losses, claims, damages or liabilities (or actions
in respect thereof) arise out of or are based upon:

     (i) any untrue statement or alleged untrue statement of any material fact contained in
any Registration Statement (or any amendment thereto), Market-Making Registration Statement
(or any amendment thereto) or Prospectus (as amended or supplemented if the Issuer shall
have furnished any amendments or supplements thereto) or any preliminary prospectus; or

     (ii) the omission or alleged omission to state, in any Registration Statement (or any
amendment thereto), Market-Making Registration Statement (or any amendment thereto) or
Prospectus (as amended or sup-

 

-22-

plemented if the Issuer shall have furnished any amendments or
supplements thereto) or any preliminary prospectus or any other document or any amendment or
supplement thereto, a material fact required to be stated therein or necessary to make the
statements therein not misleading, except, in each case, insofar as such losses, claims,
damages or liabilities are arising out of or based upon any untrue statement or omission or
alleged untrue statement or omission made in reliance upon and in conformity with any
information relating to any Initial Purchaser, the Market-Maker or any Holder furnished to
the Issuer in writing through the Initial Purchasers, the Market-Maker or any selling Holder
expressly for use therein;

and agree (subject to the limitations set forth in this sentence) to reimburse, as incurred, the
Participant for any reasonable legal or other expenses incurred by the Participant in connection
with investigating, defending against or appearing as a third-party witness in connection with any
such loss, claim, damage, liability or action; provided, however, neither the
Issuer nor the Guarantors will be liable in any such case to the extent that any such loss, claim,
damage or liability arises out of or is based upon any untrue statement or alleged untrue statement
or omission or alleged omission made in any Registration Statement (or any amendment thereto),
Market-Making Registration Statement (or any amendment thereto) or Prospectus (as amended or
supplemented if the Issuer shall have furnished any amendments or supplements thereto) or any
preliminary prospectus or any amendment or supplement thereto in reliance upon and in conformity
with written information relating to any Participant furnished to the Issuer by such Participant
specifically for use therein. The indemnity provided for in this Section 8 will be in addition to
any liability that the Issuer may otherwise have to the indemnified parties. The Issuer and the
Guarantors shall not be liable under this Section 8 to any indemnified party regarding any
settlement or compromise or consent to the entry of any judgment with respect to any pending or
threatened claim, action, suit or proceeding in respect of which indemnification or contribution
may be sought hereunder (whether or not the indemnified parties are actual or potential parties to
such claim or action) unless such settlement, compromise or consent is consented to by the Issuer
and the Guarantors, which consent shall not be unreasonably withheld.

          (b) Each Participant, severally and not jointly, agrees to indemnify and hold harmless the
Issuer, the Guarantors, their respective directors (or equivalent), their respective officers who
sign any Registration Statement and each person, if any, who controls the Issuer within the meaning
of Section 15 of the Act or Section 20 of the Exchange Act against any losses, claims, damages or
liabilities to which the Issuer, the Guarantors or any such director, officer or controlling person
may become subject under the Securities Act, the Exchange Act or otherwise, insofar as such losses,
claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon (i)
any untrue statement or alleged untrue statement of any material fact contained in any Registration
Statement, Market-Making Registration Statement or Prospectus, any amendment or supplement thereto,
or any preliminary prospectus, or (ii) the omission or the alleged omission to state therein a
material fact necessary to make the statements therein not misleading, in each case to the extent,
but only to the extent, that such untrue statement or alleged untrue statement or omission or
alleged omission was made in reliance upon and in conformity with written information concerning
such Participant, furnished to the Issuer by or on behalf of such Participant, specifically for use
therein; and subject to the limitation set forth immediately preceding this clause, will reimburse,
as incurred, any reasonable legal or other expenses incurred by the Issuer, the Guarantors or any
such director, officer or controlling person in connection with investigating or defending against
or appearing as a third party witness in connection with any such loss, claim, damage, liability or
action in respect thereof. The indemnity provided for in this Section 8 will be in addition to any
liability that the Participants may otherwise have to the indemnified parties. The Participants
shall not be liable under this Section 8 to any indemnified party regarding any settlement or
compromise or consent to the entry of any

 

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judgment with respect to any pending or threatened claim,
action, suit or proceeding in respect of which indemnification or contribution may be sought
hereunder (whether or not the indemnified parties are actual or potential parties to such claim or
action) unless such settlement, compromise or consent is consented to by the Participants, which
consent shall not be unreasonably withheld. The Issuer and the Guarantors shall not, without the
prior written consent of such Participant, effect any settlement or compromise of any pending or
threatened proceeding in respect of which such Participant is or could have been a party, or
indemnity could have been sought hereunder by such Participant, unless such settlement (A) includes
an unconditional written release of such Participant, in form and substance reasonably satisfactory
to such Participant, from all liability on claims that are the subject matter of such proceeding
and (B) does not include any statement as to an admission of fault, culpability or failure to act
by or on behalf of such Participant.

          (c) Promptly after receipt by an indemnified party under this Section 8 of notice of the
commencement of any action, such indemnified party will, if a claim in respect thereof is to be
made against the indemnifying party under this Section 8, notify the indemnifying party of the
commencement thereof in writing; but the omission to so notify the indemnifying party (i) will not
relieve it from any liability under paragraph (a) or (b) above unless and to the extent such
indemnifying party did not otherwise learn of such action and such failure results in the
forfeiture by the indemnifying party of substantial rights and defenses and (ii) will not, in any
event, relieve the indemnifying party from any obligations to any indemnified party other than the
indemnification obligation provided in paragraphs (a) and (b) above. The indemnifying party shall
be entitled to appoint counsel (including local counsel) of the indemnifying party’s choice at the
indemnifying party’s expense to represent the indemnified party in any action for which
indemnification is sought (in which case the indemnifying party shall not thereafter be responsible
for the fees and expenses of any separate counsel, other than local counsel if not appointed by the
indemnifying party, retained by the indemnified party or parties except as set forth below);
provided, however, that such counsel shall be reasonably satisfactory to the
indemnified party. Notwithstanding the indemnifying party’s election to appoint counsel (including
local counsel) to
represent the indemnified party in an action, the indemnified party shall have the right to
employ separate counsel (including local counsel), and the indemnifying party shall bear the
reasonable fees, costs and expenses of such separate counsel if (i) the use of counsel chosen by
the indemnifying party to represent the indemnified party would present such counsel with a
conflict of interest (based on the advice of counsel to the indemnified person); (ii) such action
includes both the indemnified party and the indemnifying party and the indemnified party shall have
reasonably concluded (based on the advice of counsel to the indemnified person) that there may be
legal defenses available to it and/or other indemnified parties that are different from or
additional to those available to the indemnifying party; (iii) the indemnifying party shall not
have employed counsel reasonably satisfactory to the indemnified party to represent the indemnified
party within a reasonable time after notice of the institution of such action; or (iv) the
indemnifying party shall authorize the indemnified party to employ separate counsel at the expense
of the indemnifying party. It is understood and agreed that the indemnifying person shall not, in
connection with any proceeding or separate but related or substantially similar proceedings in the
same jurisdiction arising out of the same general allegations or circumstances, be liable for the
reasonable fees and expenses of more than one separate firm (in addition to any local counsel)
representing the indemnified parties under paragraph (a) or paragraph (b) of this Section 8, as the
case may be, who are parties to such action or actions. Any such separate firm for any
Participants shall be designated in writing by Participants who sold a majority in interest of the
Registrable Securities and Exchange Securities sold by all such Participants in the case of
paragraph (a) of this Section 8 or the Issuer in the case of paragraph (b) of this Section 8. In
the event that any Participants are indemnified persons collectively entitled, in connection with a
proceeding or separate but related or sub-

 

-24-

stantially similar proceedings in a single jurisdiction,
to the payment of fees and expenses of a single separate firm under this Section 8(c), and any such
Participants cannot agree to a mutually acceptable separate firm to act as counsel thereto, then
such separate firm for all such Indemnified Persons shall be designated in writing by Participants
who sold a majority in interest of the Registrable Securities and Exchange Securities sold by all
such Participants. An indemnifying party will not, without the prior written consent of the
indemnified parties, settle or compromise or consent to the entry of any judgment with respect to
any pending or threatened claim, action, suit or proceeding in respect of which indemnification or
contribution may be sought hereunder (whether or not the indemnified parties are actual or
potential parties to such claim or action) unless such settlement, compromise or consent includes
an unconditional release of each indemnified party from all liability arising out of such claim,
action, suit or proceeding and does not include any statement as to, or any admission of, fault,
culpability or failure to act by or on behalf of any indemnified party. All fees and expenses that
are reimbursable pursuant to this paragraph (c) shall be reimbursed as they are incurred.

          (d) After notice from the indemnifying party to such indemnified party of its election so to
assume the defense thereof and approval by such indemnified party of counsel appointed to defend
such action, the indemnifying party will not be liable to such indemnified party under this Section
8 for any legal or other expenses, other than reasonable costs of investigation, subsequently
incurred by such indemnified party in connection with the defense thereof, unless (i) the
indemnified party shall have employed separate counsel in accordance with the third sentence of
paragraph (c) of this Section 8 or (ii) the indemnifying party has authorized in writing the
employment of counsel for the indemnified party at the expense of the indemnifying party. After
such notice from the indemnifying party to such indemnified party, the indemnifying party will not
be liable for the costs and expenses of any settlement of such action effected by such indemnified
party without the prior written consent of the indemnifying party (which consent shall not be
unreasonably withheld), unless such indemnified party waived in
writing its rights under this Section 8, in which case the indemnified party may effect such a
settlement without such consent.

          (e) In circumstances in which the indemnity agreement provided for in the preceding paragraphs
of this Section 8 is unavailable to, or insufficient to hold harmless, an indemnified party in
respect of any losses, claims, damages or liabilities (or actions in respect thereof) (other than
by virtue of the failure of an indemnified party to notify the indemnifying party of its right to
indemnification pursuant to paragraph (a) or (b) of this Section 8, where such failure materially
prejudices the indemnifying party (through the forfeiture of substantial rights or defenses)), each
indemnifying party, in order to provide for just and equitable contribution, shall contribute to
the amount paid or payable by such indemnified party as a result of such losses, claims, damages or
liabilities (or actions in respect thereof) in such proportion as is appropriate to reflect (i) the
relative benefits received by the indemnifying party or parties on the one hand and the indemnified
party on the other from the offering of the Securities or (ii) if the allocation provided by the
foregoing clause (i) is not permitted by applicable law, not only such relative benefits but also
the relative fault of the indemnifying party or parties on the one hand and the indemnified party
on the other in connection with the statements or omissions or alleged statements or omissions that
resulted in such losses, claims, damages or liabilities (or actions in respect thereof). The
relative benefits received by the Issuer and the Guarantors on the one hand and such Participant on
the other shall be deemed to be in the same proportion that the total net proceeds from the
offering (before deducting expenses) of the Securities received by the Issuer bear to the total
discounts and commissions received by such Participant in connection with the sale of the
Securities (or if such Participant did not receive discounts or commissions, the value or receiving
the Securities). The relative fault of the parties shall be determined by refer-

 

-25-

ence to, among
other things, whether the untrue or alleged untrue statement of a material fact or the omission or
alleged omission to state a material fact relates to information supplied by the Issuer on the one
hand, or the Participants on the other, the parties’ relative intent, knowledge, access to
information and opportunity to correct or prevent such statement or omission or alleged statement
or omission, and any other equitable considerations appropriate in the circumstances. The parties
agree that it would not be equitable if the amount of such contribution were determined by pro rata
or per capita allocation or by any other method of allocation that does not take into account the
equitable considerations referred to in the first sentence of this paragraph (e). Notwithstanding
any other provision of this paragraph (e), no Participant shall be obligated to make contributions
hereunder that in the aggregate exceed the total discounts, commissions and other compensation or
net proceeds on the sale of Securities received by such Participant in connection with the sale of
the Securities, less the aggregate amount of any damages that such Participant has otherwise been
required to pay by reason of the untrue or alleged untrue statements or the omissions or alleged
omissions to state a material fact, and no person guilty of fraudulent misrepresentation (within
the meaning of Section 11(f) of the Securities Act) shall be entitled to contribution from any
person who was not guilty of such fraudulent misrepresentation. For purposes of this paragraph
(e), each person, if any, who controls a Participant within the meaning of Section 15 of the Act or
Section 20 of the Exchange Act shall have the same rights to contribution as the Participants, and
each director and officer of the Issuer and the Guarantors and each person, if any, who controls
the Issuer and the Guarantors within the meaning of Section 15 of the Securities Act or Section 20
of the Exchange Act, shall have the same rights to contribution as the Issuer.

     9. Rules 144 and 144A

          The Issuer covenants and agrees that it will use reasonable best efforts to file the reports
required to be filed by it under the Securities Act and the Exchange Act and the rules and
regulations
adopted by the SEC thereunder in a timely manner in accordance with the requirements of the
Securities Act and the Exchange Act and, if at any time the Issuer is not required to file such
reports, the Issuer will, upon the request of any Holder or beneficial owner of Registrable
Securities, make available such information necessary to permit sales pursuant to Rule 144A. The
Issuer further covenants and agrees, for so long as any Registrable Securities remain outstanding
that it will take such further action as any Holder of Registrable Securities may reasonably
request, all to the extent required from time to time to enable such holder to sell Registrable
Securities without registration under the Securities Act within the limitation of the exemptions
provided by Rule 144(k) and Rule 144A unless the Issuer is then subject to Section 13 or 15(d) of
the Exchange Act and reports filed thereunder satisfy the information requirements of Rule 144A
then in effect.

     10. Underwritten Registrations

          The Issuer shall not be required to assist in an underwritten offering unless requested by the
Holders of a majority in aggregate principal amount of the Registrable Securities. If any of the
Registrable Securities covered by any Shelf Registration are to be sold in an underwritten
offering, the underwriters and managers that will manage the offering will be selected by the
Holders of a majority in aggregate principal amount of such Registrable Securities included in such
offering and shall be reasonably acceptable to the Issuer.

          No Holder of Registrable Securities may participate in any underwritten registration hereunder
unless such Holder (a) agrees to sell such Holder’s Registrable Securities on the basis provided

 

-26-

in
any underwriting arrangements approved by the Persons entitled hereunder to approve such
arrangements and (b) completes and executes all questionnaires, powers of attorney, indemnities,
underwriting agreements and other documents required under the terms of such underwriting
arrangements.

     11. Miscellaneous

          (a) No Inconsistent Agreements. The Issuer has not as of the date hereof, and the
Issuer shall not, after the date of this Agreement, enter into any agreement with respect to any of
its securities that is inconsistent with the rights granted to the Holders of Registrable
Securities in this Agreement or otherwise conflicts with the provisions hereof. The rights granted
to the Holders hereunder do not in any way conflict with and are not inconsistent with the rights
granted to the holders of the Issuer other issued and outstanding securities under any such
agreements. The Issuer will not enter into any agreement with respect to any of its securities
which will grant to any Person “piggy-back” registration rights with respect to any Registration
Statement.

          (b) Adjustments Affecting Registrable Securities. The Issuer shall not, directly or
indirectly, take any action with respect to the Registrable Securities as a class that would
adversely affect the ability of the Holders of Registrable Securities to include such Registrable
Securities in a registration undertaken pursuant to this Agreement.

          (c) Amendments and Waivers. The provisions of this Agreement may not be amended,
modified or supplemented, and waivers or consents to departures from the provisions hereof may not
be given, otherwise than with the prior written consent of (i) the Issuer, and (ii) (a) the Holders
of not less than a majority in aggregate principal amount of the then outstanding Registrable
Securities and

          (b) in circumstances that would adversely affect the Participating Broker-Dealers, the
Participating Broker-Dealers holding not less than a majority in aggregate principal amount of the
Exchange Notes held by all Participating Broker-Dealers (and, with respect to the provisions of
Section 4 hereof, the written consent of the Market-Maker); provided, however, that
Section 8 and this Section 11(c) may not be amended, modified or supplemented without the prior
written consent of each Holder and each Participating Broker-Dealer (including any person who was a
Holder or Participating Broker-Dealer of Registrable Securities or Exchange Securities, as the case
may be, disposed of pursuant to any Registration Statement) affected by any such amendment,
modification or supplement. Notwithstanding the foregoing, a waiver or consent to depart from the
provisions hereof with respect to a matter that relates exclusively to the rights of Holders of
Registrable Securities whose securities are being sold pursuant to a Registration Statement and
that does not directly or indirectly affect, impair, limit or compromise the rights of other
Holders of Registrable Securities may be given by Holders of at least a majority in aggregate
principal amount of the Registrable Securities being sold pursuant to such Registration Statement.

          (d) Notices. All notices and other communications (including, without limitation, any
notices or other communications to the Trustee) provided for or permitted hereunder shall be made
in writing by hand-delivery, registered first-class mail, next-day air courier or facsimile:

     (i) if to a Holder of the Registrable Securities, any Participating Broker-Dealer or
the Market-Maker, at the most current address of such Holder, Participating Broker-Dealer or
the Market-Maker, as the case may be, set forth on the records of the registrar under the
Indenture, with a copy in like manner to the Initial Purchasers as follows:

 

-27-

Citigroup Global Markets Inc.

388 Greenwich St.

New York, New York 10013

Facsimile No.: (212)816-7912

Attention: General Counsel

with a copy to:

Cahill Gordon & Reindel llp

80 Pine Street

New York, New York 10005

Facsimile No.: (212) 269-5420

Attention: Michael E. Michetti, Esq.

(ii) if to the Initial Purchasers, at the address specified in Section 11(d)(i);

(iii) if to the Issuer, at the address as follows:

HCA Inc.

One Park Plaza

Nashville, Tennessee 37203

Facsimile No.: (615) 344-1531

Attention: General Counsel

with a copy to:

Simpson Thacher & Bartlett LLP

425 Lexington Ave.

New York, New York 10017

Facsimile No.: (212) 455-2502

Attention: Richard Fenyes, Esq.

          All such notices and communications shall be deemed to have been duly given: when delivered
by hand, if personally delivered; five Business Days after being deposited in the mail, postage
prepaid, if mailed; one Business Day after being timely delivered to a next-day air courier; and
upon written confirmation, if sent by facsimile.

          Copies of all such notices, demands or other communications shall be concurrently delivered by
the Person giving the same to the Trustee at the address and in the manner specified in such
Indenture.

          (e) Successors and Assigns. This Agreement shall inure to the benefit of and be
binding upon the successors and assigns of each of the parties hereto, the Holders and the
Participating Broker-Dealers; provided, however, that nothing herein shall be
deemed to permit any assignment, transfer or other disposition of Registrable Securities in
violation of the terms of the Purchase Agreement or the Indenture.

 

-28-

          (f) Counterparts. This Agreement may be executed in any number of counterparts and by
the parties hereto in separate counterparts, each of which when so executed shall be deemed to be
an original and all of which taken together shall constitute one and the same agreement.

          (g) Headings. The headings in this Agreement are for convenience of reference only
and shall not limit or otherwise affect the meaning hereof.

          (h) GOVERNING LAW. THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE
WITH THE LAWS OF THE STATE OF NEW YORK, AS APPLIED TO CONTRACTS MADE AND PERFORMED ENTIRELY WITHIN
THE STATE OF NEW YORK. EACH OF THE PARTIES HEREBY WAIVE ANY RIGHT TO TRIAL BY JURY IN ANY ACTION,
PROCEEDING OR COUNTERCLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT.

          (i) Severability. If any term, provision, covenant or restriction of this Agreement
is held by a court of competent jurisdiction to be invalid, illegal, void or unenforceable, the
remainder of the terms, provisions, covenants and restrictions set forth herein shall remain in
full force and effect and shall in no way be affected, impaired or invalidated, and the parties
hereto shall use their best efforts to find and employ an alternative means to achieve the same or
substantially the same result as that contemplated by such term, provision, covenant or
restriction. It is hereby stipulated and declared to be the intention of the parties that they
would have executed the remaining terms, provisions, covenants and restrictions without including
any of such that may be hereafter declared invalid, illegal, void or unenforceable.

          (j) Notes Held by the Issuer or Its Affiliates. Whenever the consent or approval of
Holders of a specified percentage of Registrable Securities is required hereunder, Registrable
Securities held by the Issuer or its affiliates (as such term is defined in Rule 405 under the
Securities Act) shall not be counted in determining whether such consent or approval was given by
the Holders of such required percentage.

          (k) Third-Party Beneficiaries. Holders of Registrable Securities and Participating
Broker-Dealers are intended third-party beneficiaries of this Agreement, and this Agreement may be
enforced by such Persons.

          (l) Entire Agreement. This Agreement, together with the Purchase Agreement and the
Indenture, is intended by the parties as a final and exclusive statement of the agreement and
understanding of the parties hereto in respect of the subject matter contained herein and therein
and any and all prior oral or written agreements, representations, or warranties, contracts,
understandings, correspondence, conversations and memoranda between the Holders on the one hand and
the Issuer on the other, or between or among any agents, representatives, parents, subsidiaries,
affiliates, predecessors in interest or successors in interest with respect to the subject matter
hereof and thereof are merged herein and replaced hereby.

 

 

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

	 	 	 	 	 
	 	HCA INC.

 	 
	 	By:  	/s/ R. Milton Johnson
 	 
	 	 	Name:  	R. Milton Johnson 	 
	 	 	Title:  	Executive Vice President and
Chief Financial Officer 	 
	 

Signature Page to Registration Rights Agreement

 

 

	 	 	 	 	 
	 	Each of the SUBSIDIARY GUARANTORS

listed on Schedule 1 hereto

 	 
	 	By:  	/s/ David G. Anderson
 	 
	 	 	Name:  	David G. Anderson 	 
	 	 	Title:  	Vice President and Treasurer 	 
	 

Signature Page to Registration Rights Agreement

 

 

The foregoing Agreement is hereby

confirmed and accepted as of the

date first above written.

CITIGROUP GLOBAL MARKETS INC.

BANC OF AMERICA SECURITIES LLC

J.P. MORGAN SECURITIES INC.

MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED

By: Citigroup Global Markets Inc.

	 	 	 
	By:

	 	/s/ John W. Peruzzi
	 

	 	 
	 

	 	Name: John W. Peruzzi
	 

	 	Title: Managing Director

For itself, the other Representatives and

the other several Initial Purchasers.

Signature Page to Registration Rights Agreement

 

 

SCHEDULE I

THE GUARANTORS

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 EAST HOUSTON, L.P.

CHCA MAINLAND, L.P.

CHCA WEST HOUSTON, L.P.

CHCA WOMAN’S HOSPITAL, L.P.

CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.

CMS GP, LLC

COLORADO HEALTH SYSTEMS, INC.

COLUMBIA ASC MANAGEMENT, L.P.

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

DALLAS/FT. WORTH PHYSICIAN, LLC

DAUTERIVE HOSPITAL CORPORATION

DUBLIN COMMUNITY HOSPITAL, LLC

EASTERN IDAHO HEALTH SERVICES, INC.

EDMOND REGIONAL MEDICAL CENTER, LLC

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

GENERAL HEALTHSERV, 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.

HAMILTON MEDICAL CENTER, INC.

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.

HD&S CORP. SUCCESSOR, INC.

HEALTH MIDWEST OFFICE FACILITIES CORPORATION

HEALTH MIDWEST VENTURES GROUP, INC.

HEALTHTRUST MOB, LLC

HENDERSONVILLE HOSPITAL CORPORATION

HOSPITAL CORPORATION OF NORTH CAROLINA

HOSPITAL CORPORATION OF TENNESSEE

HOSPITAL CORPORATION OF UTAH

HOSPITAL DEVELOPMENT PROPERTIES, INC.

HSS HOLDCO, LLC

HSS SYSTEMS VA, LLC

HSS SYSTEMS, LLC

HSS VIRGINIA, L.P.

HTI MEMORIAL HOSPITAL CORPORATION

INTEGRATED REGIONAL LAB, LLC

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

LOS ROBLES REGIONAL MEDICAL CENTER

MANAGEMENT SERVICES HOLDINGS, INC.

MARIETTA SURGICAL CENTER, INC.

MARION COMMUNITY HOSPITAL, INC.

-2-

 

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.

NOTAMI HOSPITALS, LLC

OKALOOSA HOSPITAL, INC.

OKEECHOBEE HOSPITAL, INC.

OUTPATIENT CARDIOVASCULAR CENTER OF CENTRAL FLORIDA, LLC

PALMS WEST HOSPITAL LIMITED PARTNERSHIP

PALMYRA PARK HOSPITAL, INC.

PLANTATION GENERAL HOSPITAL, L.P.

PULASKI COMMUNITY HOSPITAL, INC.

REDMOND PARK HOSPITAL, LLC

REDMOND PHYSICIAN PRACTICE COMPANY

REDMOND PHYSICIAN PRACTICE VIII, LLC

RESTON HOSPITAL CENTER, LLC

RETREAT HOSPITAL, INC.

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

-3-

 

SPOTSYLVANIA MEDICAL CENTER, INC.

SPRING BRANCH MEDICAL CENTER, INC.

SPRING HILL HOSPITAL, INC.

ST. MARK’S LONE PEAK HOSPITAL, INC.

SUN CITY HOSPITAL, INC.

SUNBELT REGIONAL MEDICAL CENTER, 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.

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.

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

WOMEN’S AND CHILDREN’S HOSPITAL, INC.

-4-

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