Document:

EX-10.2

Exhibit 10.2

THE NORTH AMERICAN COAL CORPORATION

2009 ANNUAL INCENTIVE COMPENSATION PLAN

SUMMARY

This Incentive Compensation Plan (the “Plan”) offers a highly attractive incentive compensation
opportunity to senior managers of The North American Coal Corporation (the “Company” or “NA Coal”)
and its subsidiaries (the “Subsidiaries”) when specified performance objectives under their control
or influence are achieved. This is accomplished through a structure containing the following
elements:

	 	•	 	Each Participant is assigned an individual incentive target, stated as a percentage
of their base salary midpoint that establishes the target incentive compensation Award
they may receive under the Plan when performance objectives are met.
	 
	 	•	 	The individual target Award is allocated among the following performance components:

	 	•	 	North American Coal (NA Coal) corporate performance.
	 
	 	•	 	Bellaire Corporation cash flow.
	 
	 	•	 	Business unit results.
	 
	 	•	 	Individual achievement.

	 	•	 	Percentage weightings are assigned to each component, based on the
Participant’s accountabilities and their impact on each component.
	 
	 	•	 	One or more performance objectives will be established at the
beginning of the Award Year for each performance component.
	 
	 	•	 	A performance range, which defines the acceptable level of
results, from threshold to maximum, is created for each
performance objective.
	 
	 	•	 	A payout range is defined, which provides for actual incentive
Award payments of up to 150 percent of the incentive target Award,
except to the extent the Committee elects to increase or decrease
the actual pool by up to 10 percent, as described below.
	 
	 	•	 	A performance/payout formula combines the two ranges into a matrix
that defines the level of incentive compensation payment that will
result from each level of performance.
	 
	 	•	 	After audited financials are available, actual Awards will be
calculated based on actual results against the established
objectives.
	 
	 	•	 	A final individual performance adjustment may be made, within a
range of +10 percent of the calculated Award, based on a judgment
of the Participant’s overall performance.
	 
	 	•	 	All Awards will be paid in cash, during the period from January
1st through March 15th after the end of the
Award Term.

This Incentive Compensation Plan allows management and the Committee to establish, in advance, the
performance expectations and related incentive compensation potential that Plan Participants can
expect for
the Award Year. At the end of the Award Year, the Plan focuses judgment of the management team’s
performance on predetermined objectives that should produce fairness in the determination of
Awards.

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PLAN STRUCTURE

Individual Incentive Targets

The primary focus of the Plan is the individual incentive compensation target Award. At the
beginning of each Award Term, each Participant is assigned a target Award, stated as a
percentage of the mid-point of base salary, which is payable under the Plan when all
relevant performance objectives are achieved. The Plan provides for payments above or below
the target Award to reflect acceptable variances from performance objectives.

Performance Goals

The following four sets of performance goals apply for the 2009 Award Term:

	 	•	 	Corporate — one or two key measures of overall financial success.
	 
	 	•	 	Bellaire Corporation — measure of cash flow (where applicable).
	 
	 	•	 	Business Unit — one to three goals, quantifiable or narrative
goals that relate to the success of the business unit or department.
	 
	 	•	 	Individual — four to eight quantifiable or narrative goals
reflecting the most important areas of achievement expected from the
participant.

Incentive Award Range

Actual performance results attained probably will not match the established performance
goals exactly. Therefore, the Plan is designed to provide incentive compensation payouts of
up to 150 percent of the target Award if actual results fall within a predetermined range of
acceptable performance.

The Award range is defined as follows:

	 	 	 	 	 	 	 
	 	 	% of	 	 
	Award Level	 	Target	 	Description
	Maximum

	 	 	150	%	 	Highest level of incentive paid.
	 
	 	 	 	 	 	 
	Target

	 	 	100	%	 	Competitive incentive opportunity for
achieving all-important goals.
	 
	 	 	 	 	 	 
	Threshold

	 	25% to 50%
	 	Incentive paid when results meet minimum
acceptable standards.
	 
	 	 	 	 	 	 
	Below threshold

	 	 	0	%	 	Performance does not merit incentive
payment.

Component Weightings

Participants’ potential incentive Awards will be allocated between performance components
based on their individual impact on results. The allocations allow for Awards to be earned
based on the achievement of the performance objectives over which each Participant has the
most control. Weightings will be stated as a percentage and total 100 percent for each
Participant. The
weightings will be established as of the beginning of each Award Year to reflect current
organizational accountabilities and the relative importance of the various performance
components. The applicable weightings for the 2009 Award Year are as follows:

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	 	 	Performance Component
	Position of Participant	 	Corporate	 	Bellaire	 	Unit	 	Individual	 	Total
	 
	President & CEO
	 	 	60	%	 	 	20	%	 	 	0	%	 	 	20	%	 	 	100	%
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Exec. VP
	 	 	50	%	 	 	0	%	 	 	30	%	 	 	20	%	 	 	100	%
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Staff (Dallas)
	 	 	40	%	 	 	0	%	 	 	40	%	 	 	20	%	 	 	100	%
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	G.M. (Mine)
	 	 	20	%	 	 	0	%	 	 	60	%	 	 	20	%	 	 	100	%

When there is more than one goal for a performance component, further percentage weightings
may be assigned, within the overall weightings, to reflect the relative priority of each
goal. For example, if the individual component has a 40 percent weighting and there are
five individual goals, each individual goal might be assigned a priority weighting of 20
percent.

Performance Range

A range of performance acceptable for incentive compensation payment will be established for
each performance objective. For quantitative goals, the range may be set as a percentage of
the objective. For goals that cannot be quantified, the range will be defined in narrative
form.

The following general definitions will apply. The percentage ranges indicated are only
guidelines; specific percentage ranges or narrative descriptions will be determined for each
goal based on the definitions.

	 	 	 	 	 	 	 
	 	 	Performance	 	 
	Performance	 	Percentage	 	 
	Level	 	Guideline	 	Definition
	Threshold

	 	 	75	%	 	Minimum acceptable results justifying
payment of incentives.
	 
	 	 	 	 	 	 
	Objective

	 	 	100	%	 	Results meet high performance demands
justifying fully competitive rewards.
	 
	 	 	 	 	 	 
	Maximum

	 	 	125	%	 	Highest foreseeable level of performance.

Performance/Payout Formula

Combining the performance and payout ranges yields a performance/payout formula as in the
following example:

	 	 	 	 	 	 	 	 	 	 	 	 	 
	Performance	 	Definition	 	Results	 	Award Levels	 	Payout
	Threshold

	 	Minimum
	 	 	75	%	 	Threshold
	 	 	50	%
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Objective

	 	On plan
	 	 	100	%	 	Target
	 	 	100	%
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Maximum

	 	Exceeding expectations
	 	 	125	%	 	Maximum
	 	 	150	%

This formula is applied separately to the results of each established performance element to
determine the incentive amount earned in accordance with assigned weightings. Performance
that falls between the defined levels would result in proportionally adjusted payouts, which
may be calculated mathematically or determined judgmentally.

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Corporate Performance Threshold

Notwithstanding any provision of the Plan to the contrary, no incentive compensation Awards
will be earned under the Plan in any Award Year unless the threshold level of the corporate
performance component is achieved. Once the corporate performance threshold is attained,
each performance objective is separate and distinct. This means that partial Awards can be
earned for the attainment of one performance objective even if another is not sufficient to
generate a payout.

Individual Adjustment Factor

Each individual Award, as calculated above, may be adjusted upward or downward by as much as
10 percent of the total Award, based on management’s perceptions of each individual’s
overall performance.

Partial Awards

Executives who are hired or promoted during an Award Year to positions eligible for
participation in the Plan may be included in the Plan on a prorata basis (as determined by
the Committee, in its sole discretion). Unless otherwise determined by the Committee, a
Participant must be employed by an Employer on December 31 of the Award Term in order to be
entitled to receive an Award hereunder.

Committee Discretion

It is the intent of the Plan that the total incentive compensation, as determined above,
will be the final total corporate incentive compensation to be paid under the Plan.
However, the Committee, in its sole discretion, may increase or decrease, by up to 10
percent, the total incentive compensation Award pool or may approve incentive compensation
Award payments where normally there would be no payment, due to corporate performance which
is below the criteria established for the Award Year.

This Plan shall be administered by the Committee. The Committee shall have complete
authority to interpret all provisions of this Plan consistent with law, to prescribe the
form of any instrument evidencing any Award granted or paid under this Plan, to adopt, amend
and rescind general and special rules and regulations for its administration, and to make
all other determinations necessary or advisable for the administration of this Plan. A
majority of the Committee shall constitute a quorum, and the action of members of the
Committee present at any meeting at which a quorum is present or acts unanimously approved
in writing, shall be the act of the Committee. All acts and decisions of the Committee with
respect to any questions arising in connection with the administration and interpretation of
this Plan, including the severability of any or all of the provisions hereof, shall be
conclusive, final and binding upon the Employers and all present and former Participants and
employees and their respective descendants, successors and assigns. No member of the
Committee shall be liable for any such act or decision made in good faith.

PAYMENT DATE/TAXES

     Promptly following the Committee’s approval of the final Awards, the Employers shall pay the
amount of such Awards to the Participants in cash, subject to all withholdings and deductions
described in the following sentence; provided, however, that (i) no Award shall be payable to a
Participant except as determined by the Committee and (ii) all Awards shall be paid during the
period from January 1st through March 15th after the close of the Award Term.
Any Award paid to a Participant under this Plan shall be
subject to all applicable federal, state and local income tax, social security and other
standard withholdings and deductions.

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DEFINITIONS

     (a) “Award” means cash paid to a Participant under the Plan for the Award Term in an amount
determined in accordance with the Plan.

     (b) “Award Term” means the period from January 1, 2009 through December 31, 2009.

     (c) “Employer” means the Company and the Subsidiaries.

     (d) “Participant” means any person who is classified by an Employer as a salaried employee,
who in the judgment of the Committee occupies a key position in which his efforts may significantly
contribute to the profits or growth of the Employers; provided, however, that the Committee may
select any employee who is expected to contribute, or who has contributed, significantly to the
Employers’ profitability to participate in the Plan and receive an Award hereunder; and further
provided, however, that following the end of the Award Term the Committee may make one or more
discretionary Awards to employees of the Employers who were not previously designated as
Participants. Directors of the Company who are also employees of the Employers are eligible to
participate in the Plan. The Committee shall have the power to add Participants at any later date
in the Award Term if individuals subsequently become eligible to participate in the Plan. Each
Participant shall be notified that he is eligible to receive an Award and the amount of his target
Award. If a Participant receives a change in salary midpoint, such Participant shall be notified
of any resulting change in his target Award.

GENERAL PLAN PROVISIONS

     (a) No Right of Employment. Neither the adoption or operation of this Plan, nor any
document describing or referring to this Plan, or any part thereof, shall confer upon any employee
any right to continue in the employ of an Employer, or shall in any way affect the right and power
of the Employer to Terminate the employment of any employee at any time with or without assigning a
reason therefor to the same extent as the Employer might have done if this Plan had not been
adopted.

     (b) Governing Law. The provisions of this Plan shall be governed by and construed in
accordance with the laws of the State of Texas.

     (c) Miscellaneous. Headings are given to the sections of this Plan solely as a
convenience to facilitate reference. Such headings, numbering and paragraphing shall not in any
case be deemed in any way material or relevant to the construction of this Plan or any provisions
thereof. The use of the masculine gender shall also include within its meaning the feminine. The
use of the singular shall also include within its meaning the plural, and vice versa.

     (d) American Jobs Creation Act. It is intended that this Plan be exempt from the
requirements of Section 409A of the Internal Revenue Code, as enacted by the American Jobs Creation
Act, and the Plan shall be interpreted and administered in a manner to give effect to such intent.

     (e) Limitation on Rights of Participants; No trust.  No trust has been created by the
Employers for the payment of Awards granted under this Plan; nor have the Participants been granted
any lien on any assets of the Employers to secure payment of such benefits. This Plan represents
only an unfunded, unsecured promise to pay by the Participant’s Employer and a Participant
hereunder is a mere unsecured creditor of his Employer.

     (f) Payment to Guardian. If an Award is payable to a minor, to a person declared
incompetent or to a person incapable of handling the disposition of his property, the Committee may
direct payment of such Award to the guardian, legal representative or person having the care and
custody of such minor, incompetent or person. The Committee may require such proof of
incompetency, minority, incapacity or
guardianship as it may deem appropriate prior to the distribution of such Award. Such distribution
shall completely discharge the Company and the Subsidiaries from all liability with respect to such
Award.

     (g) Effective Date. This Plan shall become effective as of January 1, 2009.

2009 PERFORMANCE TARGETS -[Intentionally Omitted]

5EX-4.1

Exhibit 4.1

EXECUTION VERSION

          AMENDMENT No. 3, dated as of June 18, 2009 (this “Amendment”), to the Credit
Agreement, dated as of November 17, 2006 (as amended on February 16, 2007 and further amended on
March 2, 2009, the “Credit Agreement”), among HCA Inc. (the “Company” or the
“Parent Borrower”), HCA UK Capital Limited (the “European Subsidiary Borrower” and,
collectively with the Parent Borrower, the “Borrowers”), the lending institutions from time
to time parties thereto (each a “Lender” and, collectively, the “Lenders”), Bank of
America, N.A., as Administrative Agent, Swingline Lender and Letter of Credit Issuer, JPMorgan
Chase Bank, N.A. and Citicorp North America, Inc., as Co-Syndication Agents, Banc of America
Securities LLC, J.P. Morgan Securities Inc., Citigroup Global Markets Inc. and Merrill Lynch,
Pierce, Fenner & Smith Incorporated, as Joint Lead Arrangers and Bookrunners, Deutsche Bank
Securities Inc. and Wachovia Capital Markets LLC, as Joint Bookrunners, and Merrill Lynch Capital
Corporation, as Documentation Agent. Capitalized terms used but not defined herein have the
meanings provided in the Credit Agreement.

          WHEREAS, Section 14.1 of the Credit Agreement permits the Required Lenders or, with the
consent of the Required Lenders, the Administrative Agent and/or the Collateral Agent, as
applicable, to enter into amendments, supplements or other modifications to the Credit Agreement
and the other Credit Documents with the relevant Credit Parties;

          WHEREAS, the Credit Parties desire to amend the Credit Agreement and the other Credit
Documents on the terms set forth herein;

          NOW, THEREFORE, in consideration of the premises and covenants contained herein and for other
good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto, intending to be legally bound hereby, agree as follows:

          Section 1 Amendments.

          (a) Section 1.1 of the Credit Agreement is hereby amended by adding the following definitions
in proper alphabetical order:

          “Amendment No. 3” shall mean Amendment No. 3 to this Agreement, dated as of June 18,
2009.

          “Existing Class” shall have the meaning set forth in Section 2.14(f)

          “Extended Repayment Date” shall have the meaning provided in Section 2.5(d).

          “Extended Term Loan Repayment Amount” shall have the meaning provided in Section
2.5(d).

          “Extended Term Loans” shall have the meaning set forth in Section 2.14(f).

 

 

          “Extending Lender” shall have the meaning set forth in Section 2.14(f).

          “Extension Amendment” shall have the meaning set forth in Section 2.14(f).

          “Extension Election” shall have the meaning set forth in Section 2.14(f).

          “Extension Request” shall have the meaning set forth in Section 2.14(f).

          “Extension Series” shall mean all Extended Term Loans that are established pursuant to
the same Extension Amendment (or any subsequent Extension Amendment to the extent such
Extension Amendment expressly provides that the Extended Term Loans provided for therein are
intended to be a part of any previously established Extension Series) and that provide for
the same interest margins, extension fees and amortization schedule.

          “Refinancing Term Loans” shall mean any New Term Loans designated as “Refinancing Term
Loans” in the applicable Joinder Agreement.

          “Replacement Revolving Credit Commitments” shall have the meaning set forth in
Section 2.14(b)(ii).

          “Replacement Revolving Credit Loan” shall have the meaning set forth in Section
2.14(b)(ii).

          “Replacement Revolving Credit Series” shall have the meaning set forth in Section
2.14(b)(ii).

          “Section 2.14(e) Additional Amendment” shall have the meaning set forth in Section
2.14(e).

          “Section 2.14(f) Additional Amendment” shall have the meaning set forth in Section
2.14(f)(iii).

          (b) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of
“Class” contained therein and replacing it with the following:

          “Class”, when used in reference to any Loan or Borrowing, shall refer to whether such
Loan, or the Loans comprising such Borrowing, are Revolving Credit Loans, New Revolving
Loans, Tranche A-1 Term Loans, Tranche B-1 Term Loans, European-1 Tranche Term Loans, New
Term Loans (of the same Series), Extended Term Loans (of the same Extension Series),
Replacement Revolving Credit Loans (made pursuant to the same Replacement Revolving Credit
Series of Replacement Revolving Credit Commitments) or Swingline Loans and, when used in
reference to any Commitment, refers to whether such Commitment is a Revolving Credit
Commitment, a Replacement Revolving Credit Commitment (of the same Replacement Revolving
Credit Series), Tranche A-1 Term Loan Commitment, Tranche B-1 Term Loan Commitment,
European-1 Tranche Term Loan Commitment or a New Term Loan Commitment.

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          (c) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of “Debt
Incurrence Prepayment Event” contained therein and replacing it with the following:

          “Debt Incurrence Prepayment Event” shall mean any issuance or incurrence by the Parent
Borrower or any of the Restricted Subsidiaries of (x) any Indebtedness (excluding any
Indebtedness permitted to be issued or incurred under Section 10.1 other than
Section 10.1(o) or Section 10.1(y)(i)) or (y) any Refinancing Term Loans.

          (d) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of
“European Credit Facility” contained therein and replacing it with the following:

          “European Credit Facility” shall mean the Credit Facility consisting of the European-1
Tranche Term Loan Commitments, the European-1 Tranche Term Loans and any Extended Term Loans
in respect of European-1 Tranche Term Loans.

          (e) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of
“European Obligations” contained therein and replacing it with the following:

          “European Obligations” shall mean all advances to, and debts, liabilities, obligations,
covenants and duties of, any Credit Party arising under any Credit Document or otherwise, in
each case with respect to any European-1 Tranche Term Loan or any Extended Term Loans in
respect of European-1 Tranche Term Loans or under any Secured Cash Management Agreement or
Secured Hedge Agreement, and in each case, entered into with the European Subsidiary
Borrower or any other European Subsidiary, whether direct or indirect (including those
acquired by assumption), absolute or contingent, due or to become due, now existing or
hereafter arising and including interest and fees that accrue after the commencement by or
against any Credit Party or any Affiliate thereof of any proceeding under any bankruptcy or
insolvency law naming such Person as the debtor in such proceeding, regardless of whether
such interest and fees are allowed claims in such proceeding.

          (f) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of
“Repayment Amount” contained therein and replacing it with the following:

          “Repayment Amount” shall mean the Tranche A-1 Repayment Amount, the Tranche B-1
Repayment Amount, the European-1 Tranche Repayment Amount, a New Term Loan Repayment Amount
with respect to any Series or an Extended Term Loan Repayment Amount with respect to any
Extension Series, as applicable.

          (g) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of “Term
Loans” contained therein and replacing it with the following:

          “Term Loans” shall mean the Tranche A-1 Term Loans, the Tranche B-1 Term Loans, the
European-1 Tranche Term Loans, any New Term Loans and any Extended Term Loans, collectively.

-3-

 

          (h) Section 1.1 of the Credit Agreement is hereby amended by deleting the definition of “U.S.
Credit Facilities” contained therein and replacing it with the following:

          “U.S. Credit Facilities” shall mean the Tranche A-1 Term Loan Facility, the Tranche B-1
Term Loan Facility, the New Term Loans (of each Series) and the Extended Term Loans (of each
Extension Series) (to the extent made to the Parent Borrower) and the Revolving Credit
Facility.

          (i) Section 2.5(d) of the Credit Agreement is hereby amended by adding a new sentence at the
end of such clause as follows:

     In the event that any Extended Term Loans are established, such Extended Term Loans
shall, subject to Section 2.14(f), be repaid by the applicable Borrower in the
amounts (each such amount with respect to any Extended Repayment Date, an “Extended Term
Loan Repayment Amount”) and on the dates (each an “Extended Repayment Date”) set forth in
the applicable Extension Amendment.

          (j) Section 2.14(a) of the Credit Agreement is hereby amended by (i) adding the words “or
replacement classes of” immediately after the words “increases in” in the first clause (y) in such
Section and (ii) adding the phrase “(which amount for purposes of this limitation shall be
calculated exclusive of (A) the amount any New Term Loan Commitments in respect of Refinancing Term
Loans and (B) the amount of any Replacement Revolving Credit Commitments that were not established
in reliance on subclause (a)(y) of the proviso to Section 2.14(b)(ii))” after the
first occurrence of the phrase “aggregate amount” therein.

          (k) Section 2.14(b) of the Credit Agreement is hereby amended by (i) adding “(i)” prior to the
first word thereof, (ii) inserting the phrase “(other than Replacement Revolving Credit
Commitments)” immediately after the first occurrence of the word “Commitments” in such Section and
adding new subclauses (ii) and (iii) at the end of Section 2.14(b) as follows:

     “(ii) At the option of the Parent Borrower and the New Lenders providing such New
Revolving Credit Commitments, any New Revolving Credit Commitments may be in the form of one
or more separate classes of revolving credit commitments (the “Replacement Revolving Credit
Commitments”) which shall constitute a separate Class of Commitments from the Revolving
Credit Commitments (each such separate Class of Replacement Revolving Credit Commitments, a
“Replacement Revolving Credit Series” and each Loan thereunder, a “Replacement Revolving
Credit Loan”) shall constitute a separate Class of Loans from the Revolving Credit Loans (it
being understood that Replacement Revolving Credit Commitments of a single Replacement
Revolving Credit Series may be established on more than one date); provided that:

     (a) the aggregate principal amount of Replacement Revolving Credit Commitments
in effect at any time, when aggregated with the aggregate principal amount of
Revolving Credit Commitments at such time, shall not exceed the sum of (x) (A)
$2,000,000,000 plus (B) the amount of Replacement Revolving Credit
Commitments previously established prior to such date pursuant to the following
subclause (y) plus (y) solely to the extent the applicable Joinder
Agreement pro-

-4-

 

vides that the Replacement Revolving Credit Commitments are being made in
reliance on this subclause (y), the remainder if positive of (A)
$1,500,000,000 minus (B) the Excess Amount on the date such Replacement
Revolving Credit Commitments are established minus (C) the aggregate amount
of New Term Loan Commitments (excluding New Term Loan Commitments for Refinancing
Term Loans) established on or prior to such date minus (D) the aggregate
amount of Replacement Revolving Credit Commitments previously established in
reliance on this subclause (y);

     (b) there shall be no more than three Classes, in the aggregate, of Revolving
Credit Commitments and Replacement Revolving Credit Commitments outstanding at any
time;

     (c) the terms of such Replacement Revolving Credit Commitments, except for the
tenor of the Replacement Revolving Credit Commitments (which shall have a scheduled
expiration date no earlier than the Revolving Credit Maturity Date), the size of any
swingline loan and/or letter of credit subfacilities under such Replacement
Revolving Credit Commitments and the applicable interest rates and Fees payable with
respect to such Replacement Revolving Credit Commitments (which shall be as
specified in the applicable Joinder Agreement), shall be substantially identical to
the terms of the Revolving Credit Commitments or Replacement Revolving Credit
Commitments being replaced thereby (unless otherwise consented to by the
Administrative Agent); and

     (d) in connection with the establishment of any Replacement Revolving Credit
Commitments that will include swingline loan and/or letter of credit subfacilities,
any amendment to this Agreement pursuant to Section 2.14(e) may include
provisions relating to swingline loans and/or letters of credit, as applicable,
issued thereunder, which issuances shall be on terms substantially identical (except
for the overall size of such subfacilities, which shall be specified in the
applicable Joinder Agreement) to the terms relating to Swingline Loans and Letters
of Credit with respect to the Revolving Credit Commitments or otherwise reasonably
acceptable to the Administrative Agent and any applicable swingline lender or letter
of credit issuer thereunder.

     (iii) On any Increased Amount Date on which Replacement Revolving Credit Commitments
are effected, subject to the satisfaction
of the foregoing terms and conditions, (a) the
Revolving Credit Loans or Replacement Revolving Credit Loans, as applicable, of any existing
Revolving Credit Lender who is providing a new Replacement Revolving Credit Commitment on
such date and whose existing Revolving Credit Commitment or Replacement Revolving Credit
Commitment, as applicable, is being reduced on such date pursuant to clause (a) of
the first proviso to Section 4.2 (or the corresponding provision in any Joinder
Agreement with respect to Replacement Revolving Credit Commitments) in connection therewith
shall be converted into Replacement Revolving Credit Loans under such Lender’s new
Replacement Revolving Credit Commitment being provided on such date in the same ratio as (x)
the amount of such Lender’s new Replacement Revolving Credit Commitment bears to (y) the
aggregate amount of such

-5-

 

Lenders existing Revolving Credit Commitment or Replacement Revolving Credit Commitment
of such Class prior to any reduction of such Lender’s Revolving Credit Commitment or
Replacement Revolving Credit Commitment pursuant to clause (a) of the first proviso
to Section 4.2 (or the corresponding provision in any Joinder Agreement with respect
to Replacement Revolving Credit Commitments) in connection therewith and (b) each of the New
Revolving Loan Lenders with Replacement Revolving Credit Commitments of the applicable Class
shall purchase from each of the other Lenders with Replacement Revolving Credit Commitments
of such Class, at the principal amount thereof and in the applicable currencies, such
interests in the Replacement Revolving Credit Loans under such Class of Replacement
Revolving Credit Commitments so converted or outstanding on such Increased Amount Date as
shall be necessary in order that, after giving effect to all such assignments and purchases,
the Replacement Revolving Credit Loans of such Class will be held by New Revolving Loan
Lenders with such Class of Replacement Revolving Credit Commitments ratably in accordance
with their respective Replacement Revolving Credit Commitments of such Class.”

          (l) Subclauses (i) and (ii) of the proviso to Section 2.14(d) of the Credit Agreement are
hereby restated in their entirety as follows:

“(i) the applicable New Term Loan Maturity Date of each Series shall be no earlier than the
Tranche B-1 Term Loan Maturity Date and the mandatory prepayment and other payment rights of
the New Term Loans and the existing Tranche B-1 Term Loans (other than with respect to any
Debt Incurrence Prepayment Event and any scheduled amortization) shall be identical, (ii)
the rate of interest and the amortization schedule applicable to the New Term Loans of each
Series, and the rights thereof (if any) to participate in any Debt Incurrence Prepayment
Event, shall be determined by the Parent Borrower and the applicable new Lenders and set
forth in the applicable Joinder Agreement; provided, that (x) the weighted average
life to maturity of all New Term Loans shall be no shorter than the weighted average life to
maturity of the Tranche B-1 Term Loans, (y) in no event shall any Series of New Term Loans
be entitled to participate in any Debt Incurrence Prepayment Event on a basis that would
require a greater proportionate repayment thereof from any such Debt Incurrence Prepayment
Event than that applicable to the Tranche A-1 Term Loans, Tranche B-1 Term Loans or
European-1 Tranche Term Loans (for so long as any of such Classes of Term Loans are
outstanding) or that would result in the proportionate repayment thereof from any such Debt
Incurrence Prepayment Event, when added to the proportionate repayments required with
respect to all other Classes of Term Loans then outstanding, exceeding the amount of Net
Cash Proceeds from such Debt Incurrence Prepayment Event and (z) notwithstanding anything to
the contrary in this Section 2.14 or otherwise, no Refinancing Term Loans of any
Series shall be prepaid from any Debt Incurrence Prepayment Event until all outstanding
Tranche A-1 Term Loans, Tranche B-1 Term Loans and European-1 Tranche Term Loans have been
repaid”.

          (m) Section 2.14(d) of the Credit Agreement is hereby amended by replacing the word “and”
before “(iii)” with “,” and inserting the following at the end of clause (iii):

“and (iv) the Joinder Agreement for any New Term Loans may, but shall not be required
to, impose additional requirements (not inconsistent with the
provisions of this Agree-

-6-

 

ment in effect at such time) with respect to the final maturity and weighted average
life to maturity of New Term Loans incurred following the date of the applicable Joinder
Agreement”.

          (n) Section 2.14(e) of the Credit Agreement is hereby amended by adding a new sentence at the
end of such clause as follows:

     “In addition to any terms and provisions in any Joinder Agreement, and any changes or
amendments to this Agreement or any other Credit Document provided for therein, in each
case, that are required or contemplated by the foregoing provisions of this Section
2.14, notwithstanding anything to the contrary in this Section 2.14 and without
limiting the generality or applicability of the provisions of Section 14.1 to any
Section 2.14(e) Additional Amendments, any Joinder Agreement may provide for additional
terms and/or additional amendments to this Agreement and the other Credit Documents (any
such amendment a “Section 2.14(e) Additional Amendment”); provided that such Section
2.14(e) Additional Amendments do not become effective prior to the time that such Section
2.14(e) Additional Amendments have been consented to (including, without limitation,
pursuant to (1) consents applicable to holders of New Term Loans and New Revolving Credit
Commitments provided for in any Joinder Agreement and (2) consents applicable to holders of
any Extended Term Loans provided for in any Extension Amendment) by such of the Lenders,
Credit Parties and other parties (if any) as may be required in order for such Section
2.14(e) Additional Amendments to become effective at such time in accordance with
Section 14.1. It is understood and agreed that, each Lender that has consented to
Amendment No. 3 hereby has consented, and shall at the effective time thereof be deemed to
consent to each amendment to this Agreement and the other Credit Documents authorized by
this Section 2.14(e) and the arrangements described above in connection therewith
except that the foregoing shall not constitute a consent on behalf of any Lender to the
terms of any Section 2.14(e) Additional Amendment.”

     (o) A new Section 2.14(f) of the Credit Agreement is hereby added as follows:

“(f) (i) The Borrowers may at any time and from time to time request that all or a portion
of the Term Loans of any Class (an “Existing Class”) be converted to extend the scheduled
maturity date(s) of any payment of principal with respect to all or a portion of any
principal amount of such Term Loans (any such Term Loans which have been so converted,
“Extended Term Loans”) and to provide for other terms consistent with this Section
2.14(f). In order to establish any Extended Term Loans, the Borrowers shall provide a
notice to the Administrative Agent (who shall provide a copy of such notice to each of the
Lenders of the applicable Existing Class) (an “Extension Request”) setting forth the
proposed terms of the Extended Term Loans to be established which shall be identical to the
Term Loans of the Existing Class from which they are to be converted except (x) all or any
of the scheduled amortization payments of principal of the Extended Term Loans may be
delayed to later dates than the scheduled amortization of principal of the Term Loans of
such Existing Class (with any such delay resulting in a corresponding adjustment to the
scheduled amortization payments reflected in Section 2.5 or in the Joinder
Agreement, as the case may be, with respect to the Existing Class of Term Loans from which
such Extended Term Loans were converted, in each case as more particularly

-7-

 

set forth in paragraph (iii) of this Section 2.14(f) below), (y) (A) the interest
margins with respect to the Extended Term Loans may be higher than the interest margins for
the Term Loans of such Existing Class and/or (B) additional fees may be payable to the
Lenders providing such Extended Term Loans in addition to or in lieu of any increased
margins contemplated by the preceding clause (A), in each case, to the extent provided in
the applicable Extension Amendment and (z) the mandatory prepayment rights of the Extended
Term Loans and such Existing Class with respect to any Debt Incurrence Prepayment Event may
be different so long as the proportion (if any) of the proceeds thereof to which such
Extended Term Loans are entitled is no greater than the proportion of such proceeds to which
the Existing Class is entitled for so long as such Existing Class is outstanding and such
prepayment rights would not result in the proportionate repayment thereof from any such Debt
Incurrence Prepayment Event, when added to the proportionate repayments required with
respect to all other Classes of Term Loans then outstanding, exceeding the amount of Net
Cash Proceeds from such Debt Incurrence Prepayment Event); provided, that,
notwithstanding anything to the contrary in this Section 2.14 or otherwise, (A) no Extended
Term Loans of any Series shall be prepaid from any Debt Incurrence Prepayment Event until
all outstanding Tranche A-1 Term Loans, Tranche B-1 Term Loans and European-1 Tranche Term
Loans have been repaid and (B) no Extended Term Loans may be optionally prepaid prior to the
date on which the Existing Class of Term Loans from which they were converted are repaid in
full except in accordance with the last sentence of Section 5.1(a). No Lender shall
have any obligation to agree to have any of its Term Loans of any Existing Class converted
into Extended Term Loans pursuant to any Extension Request. Any Extended Term Loans of any
Extension Series shall constitute a separate Class of Term Loans from the Existing Class of
Term Loans from which they were converted.

     (ii) The Borrowers shall provide the applicable Extension Request at least ten (10)
Business Days prior to the date on which Lenders under the Existing Class are requested to
respond. Any Lender (an “Extending Lender”) wishing to have all or a portion of its Term
Loans of the Existing Class subject to such Extension Request converted into Extended Term
Loans shall notify the Administrative Agent (an “Extension Election”) on or prior to the
date specified in such Extension Request of the amount of its Term Loans of the Existing
Class which it has elected to convert into Extended Term Loans. In the event that the
aggregate amount of Term Loans of the Existing Class subject to Extension Elections exceeds
the amount of Extended Term Loans requested pursuant to the Extension Request, Term Loans
subject to Extension Elections shall be converted to Extended Term Loans on a pro rata basis
based on the amount of Term Loans included in each such Extension Election.

     (iii) Extended Term Loans shall be established pursuant to an amendment (an “Extension
Amendment”) to this Credit Agreement (which, except to the extent expressly contemplated by
the penultimate sentence of this Section 2.14(f)(iii) and notwithstanding anything
to the contrary set forth in Section 14.1, shall not require the consent of any
Lender other than the Extending Lenders with respect to the Extended Term Loans established
thereby) executed by the Loan Parties, the Administrative Agent and the Extending Lenders.
In addition to any terms and changes required or permitted by Section 2.14(f)(i),
each Extension Amendment (x) shall amend the scheduled

-8-

 

amortization payments pursuant to Section 2.5 or the applicable Joinder
Agreement with respect to the Existing Class of Term Loans from which the Extended Term
Loans were converted to reduce each scheduled Repayment Amount for the Existing Class in the
same proportion as the amount of Term Loans of the Existing Class is to be reduced pursuant
to such Extension Amendment (it being understood that the amount of any Repayment Amount
payable with respect to any individual Term Loan of such Existing Class that is not an
Extended Term Loan shall not be reduced as a result thereof), (y) may, but shall not be
required to, impose additional requirements (not inconsistent with the provisions of this
Agreement in effect at such time) with respect to the final maturity and weighted average
life to maturity of New Term Loans incurred following the date of such Extension Amendment
and (z) in the case of any Extension Amendment with respect to Extended Term Loans of the
European Borrower, provide such Extended Term Loans with the benefits of the European
Guarantee and European Security Documents on the same basis as the European-1 Tranche Term
Loans. Notwithstanding anything to the contrary in this Section 2.14(f) and without
limiting the generality or applicability of Section 14.1 to any Section 2.14(f)
Additional Amendments, any Extension Amendment may provide for additional terms and/or
additional amendments other than those referred to or contemplated above (any such
additional amendment, a “Section 2.14(f) Additional Amendment”) to this Agreement and the
other Credit Documents; provided that such Section 2.14(f) Additional Amendments do
not become effective prior to the time that such Section 2.14(f) Additional Amendments have
been consented to (including, without limitation, pursuant to (1) consents applicable to
holders of New Term Loans and New Revolving Credit Commitments provided for in any Joinder
Agreement and (2) consents applicable to holders of any Extended Term Loans provided for in
any Extension Amendment) by such of the Lenders, Credit Parties and other parties (if any)
as may be required in order for such Section 2.14(f) Additional Amendments to become
effective in accordance with Section 14.1. It is understood and agreed that, each
Lender that has consented to Amendment No. 3 hereby has consented, and shall at the
effective time thereof be deemed to consent to each amendment to this Agreement and the
other Credit Documents authorized by this Section 2.14(f) and the arrangements
described above in connection therewith except that the foregoing shall not constitute a
consent on behalf of any Lender to the terms of any Section 2.14(f) Additional Amendment. In
connection with any Extension Amendment, the Parent Borrower shall deliver an opinion of
counsel reasonably acceptable to the Administrative Agent (i) as to the enforceability of
such Extension Amendment, the Credit Agreement as amended thereby, and such of the other
Credit Documents (if any) as may be amended thereby (in the case of such other Credit
Documents as contemplated by the immediately preceding sentence) and (ii) to the effect that
such Extension Amendment, including without limitation, the Extended Term Loans provided for
therein, does not conflict with or violate the terms and provisions of Section 14.1
of the Credit Agreement.”

          (p) Clause (a) of the first proviso in Section 4.2 of the Credit Agreement is hereby deleted
and replaced in its entirety as follows:

“(a) any such reduction shall apply to proportionately and permanently reduce the Revolving
Credit Commitment of each of the Lenders except that, notwithstanding the foregoing, in
connection with the establishment on any date of any Replacement

-9-

 

Revolving Credit Commitments pursuant to Section 2.14(b)(ii), the Revolving Credit
Commitments of any one or more Lenders providing any such Replacement Revolving Credit
Commitments on such date may be reduced in whole or in part on such date (provided that (x)
after giving effect to any such reduction and to the repayment of any Revolving Credit Loans
made on such date, the Revolving Credit Exposure of any such Lender does not exceed the
Revolving Credit Commitment thereof (such Revolving Credit Exposure and Revolving Credit
Commitment being determined in each case, for the avoidance of doubt, exclusive of such
Lender’s Replacement Revolving Credit Commitment and any exposure in respect thereof) and
(y) for the avoidance of doubt, any such repayment of Revolving Credit Loans contemplated by
the preceding clause shall be made in compliance with the requirements of Section
5.3(a) with respect to the ratable allocation of payments hereunder, with such
allocation being determined after giving effect to any conversion pursuant to Section
2.14(b)(iii) of any Revolving Credit Loans into Replacement Revolving Credit Loans in
connection with the establishment of such Replacement Revolving Credit Commitments) prior to
any reduction being made to the Revolving Credit Commitment of any other Lender”.

          (q) Clause (b) of the penultimate sentence of Section 5.1(a) is deleted and replaced with the
following:

     “(b) applied to reduce Tranche A-1 Repayment Amounts, Tranche B-1 Repayment Amounts,
European-1 Tranche Repayment Amounts and, subject to the limitations provided in Section
2.14, any New Term Loan Repayment Amounts and/or Extended Term Loan Repayment Amounts,
as the case may be, in such order as the Parent Borrower may specify.”

     (r) A new sentence is added at the end of Section 5.1(a) is added as follows:

     “Notwithstanding the foregoing, (x) the Parent Borrower may not prepay Replacement
Revolving Credit Loans that have been converted from Revolving Credit Loans pursuant to
Section 2.14(b)(iii)(a) until the date on which all Revolving Credit Loans that were
outstanding on the date of such conversion have been prepaid or repaid and (y) the Borrowers
may not prepay Extended Term Loans of any Extension Series unless such prepayment is
accompanied by a pro rata prepayment of Term Loans of the Existing Class from which such
Extended Term Loans were converted (or such Term Loans of the Existing Class have otherwise
been repaid in full).”

          (s) Section 5.2(c) of the Credit Agreement is hereby amended by adding the following new
sentence at the end of such clause:

“Notwithstanding anything to contrary set forth above, the New Term Loans of any Series
and Extended Term Loans shall participate in prepayments pursuant to Section 5.2(a)
to the extent (if any) and in the manner set forth in the applicable Joinder Agreement or
Extension Amendment (which shall not conflict with any applicable requirements of
Section 2.14(d), (e) and (f)).”

-10-

 

          (t) Section 10.1(a) of the Credit Agreement is hereby amended by inserting the following
phrase immediately after the words “Section 2.14 of this Agreement”:

“(other than (x) Refinancing Term Loans and (y) Replacement Revolving Credit
Commitments except to the extent such Replacement Revolving Credit Commitments were
established in reliance on subclause (a)(y) of the proviso to Section
2.14(b)(ii))”.

          Section 2 Representations and Warranties, No Default. Each Borrower represents and
warrants to the Lenders as of the date hereof and as of the date of effectiveness of this
Amendment:

     (a) The execution and delivery of this Amendment by the Borrowers has been duly
authorized.

     (b) The execution, delivery and performance by each of the Borrowers of this Amendment,
will not (a) contravene any applicable provision of any material law, statute, rule,
regulation, order, writ, injunction or decree of any court or governmental instrumentality,
(b) result in any breach of 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 upon any of the property or assets of any Credit Party or any of
the Restricted Subsidiaries (other than Liens created under the Credit Documents or 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 Credit Party or any of the Restricted Subsidiaries is a party or by
which it or any of its property or assets is bound or (c) violate any provision of the
certificate of incorporation, by-laws or other organizational documents of such Credit Party
or any of the Restricted Subsidiaries.

     (c) The representations and warranties set forth in the Credit Agreement and in the
other Credit Documents are true and correct in all material respects with the same effect as
if made on the date hereof, except to the extent such representations and warranties
expressly relate to an earlier date, in which case such representations and warranties shall
have been true and correct in all material respects as of such earlier date.

     (d) At the time of and after giving effect to this Amendment, no Default or Event of
Default has occurred and is continuing.

          Section 3 Conditions to Effectiveness of Amendment. This Amendment will become
effective upon:

          (a) receipt by the Administrative Agent of executed signature pages to this Amendment from the
Required Lenders and each Credit Party party to the Credit Agreement;

          (b) receipt by the Administrative Agent from the Parent Borrower of a fee for the account of
each Lender (other than any Defaulting Lender) that has returned an executed signature page to this
Amendment to the Administrative Agent at or prior to 12:00 p.m., noon, New York City time on June
16, 2009 (the “Consent Deadline”) equal to 0.05% of the sum of (x)

-11-

 

the Dollar Equivalent of the Term Loans, if any, of such Lender at the Consent Deadline and
(y) the Revolving Credit Commitment, if any, of such Lender at the Consent Deadline; and

          (c) payment by the Company of the reasonable costs and expenses of the Administrative Agent in
connection with this Amendment (including the reasonable fees, disbursements and other charges of
Cahill Gordon & Reindel LLP as counsel to the Agents).

          Section 4 Counterparts. This Amendment may be executed in any number of counterparts
and by different parties hereto on separate counterparts, each of which when so executed and
delivered shall be deemed to be an original, but all of which when taken together shall constitute
a single instrument. Delivery of an executed counterpart of a signature page of this Amendment by
facsimile transmission shall be effective as delivery of a manually executed counterpart hereof.

          Section 5 Applicable Law. THIS AMENDMENT SHALL BE GOVERNED BY, CONSTRUED AND ENFORCED
IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

          Section 6 Headings. The headings of this Amendment are for purposes of reference only
and shall not limit or otherwise affect the meaning hereof.

          Section 7 Effect of Amendment. Except as expressly set forth herein, this Amendment
shall not by implication or otherwise limit, impair, constitute a waiver of or otherwise affect the
rights and remedies of the Lenders or the other Secured Parties under the Credit Agreement or any
other Credit Document, and shall not alter, modify, amend or in any way affect any of the terms,
conditions, obligations, covenants or agreements contained in the Credit Agreement or any other
provision of either such agreement or any other Credit Document. Each and every term, condition,
obligation, covenant and agreement contained in the Credit Agreement or any other Credit Document
is hereby ratified and re-affirmed in all respects and shall continue in full force and effect.
Each Credit Party reaffirms its obligations under the Credit Documents to which it is party and the
validity of the Liens granted by it pursuant to the Security Documents. From and after the
effective date of this Amendment, all references to the Credit Agreement in any Credit Document
shall, unless expressly provided otherwise, refer to the Credit Agreement as amended by this
Amendment.

-12-

 

          IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed as of
the date first above written.

	 	 	 	 	 
	 	HCA INC.

 	 
	 	By:  	/s/ David G. Anderson
 	 
	 	 	Name:  	David G. Anderson 	 
	 	 	Title:  	Senior Vice President, Finance &
Treasurer 	 
	 
	 	HCA UK CAPITAL LIMITED

 	 
	 	By:  	/s/ Michael Neeb
 	 
	 	 	Name:  	Michael Neeb 	 
	 	 	Title:  	Director 	 
	 
	 	Each of the U.S. GUARANTORS listed on Schedule II
hereto

 	 
	 	By:  	/s/ John M. Franck II
 	 
	 	 	Name:  	John M. Franck II 	 
	 	 	Title:  	Vice President and Asst. Secretary 	 

 

 

	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	HCA UK HOLDINGS LIMITED

acting by

	 	 	)

)	 	 	 
	 	Director:
	 	/s/ Michael Neeb
 

	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA UK CAPITAL LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA UK SERVICES LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA INTERNATIONAL

	 	 	)	 	 	 	 	 	 	 	 	 
	HOLDINGS LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA UK INVESTMENTS

	 	 	)	 	 	 	 	 	 	 	 	 
	LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	THE HARLEY STREET

	 	 	)	 	 	 	 	 	 	 	 	 
	CANCER CLINIC LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA INTERNATIONAL

	 	 	)	 	 	 	 	 	 	 	 	 
	LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA UK LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	ST MARTINS LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	ST MARTINS HEALTHCARE

	 	 	)	 	 	 	 	 	 	 	 	 
	LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 

 

 

	 	 	 	 	 	 	 	 	 	 	 	 	 
	EXECUTED by

	 	 	)	 	 	 	 	 	 	 	 	 
	HCA STAFFING LIMITED

	 	 	)	 	 	 	 	Director:
	 	/s/ Michael Neeb	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	acting by

	 	 	)	 	 	 	 	 	 	 	 	 
	 

	 	 	)	 	 	 	 	Witness:
	 	/s/ George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 
	as a European Guarantor

	 	 	)	 	 	 	 	 	 	George Petrounakos	 	 
	 

	 	 	 	 	 	 	 	 	 	Legal Advisor	 	 

	 	 	 	 	 
	EXECUTED by

LA TOUR FINANCE LIMITED PARTNERSHIP

	 	 	)

)	 
	acting by

	 	 	)	 
	HCA SWITZERLAND HOLDING SARL, general

partner acting by
	 	 	 	 

	 	 	 	 	 
	 

	 	/s/ R. Milton Johson	 	 
	 

	 	 

R. Milton Johnson
	 	 
	and
	 	 	 	 
	 

	 	/s/ John M. Franck II	 	 
	 

	 	 

John M. Franck II
	 	 
	acting under the authority of the company	 	 

 

 

Schedule II

to Amendment No. 3

	 	 	 	 	 	 	 
	 	 	By its	 	 	 	By the General
	 	 	General	 	By its Sole	 	Partner of its
	U.S. Guarantor	 	Partner	 	Member	 	Sole Member
	American Medicorp Development Co.
	 	 	 	 	 	 
	Bay Hospital, Inc.
	 	 	 	 	 	 
	Brigham City Community Hospital, Inc.
	 	 	 	 	 	 
	Brookwood Medical Center of Gulfport, Inc.
	 	 	 	 	 	 
	Capital Division, Inc.
	 	 	 	 	 	 
	Centerpoint Medical Center of Independence, LLC
	 	 	 	 	 	 
	Central Florida Regional Hospital, Inc.
	 	 	 	 	 	 
	Central Shared Services, LLC
	 	 	 	 	 	 
	Central Tennessee Hospital Corporation
	 	 	 	 	 	 
	CHCA Bayshore, L.P.

	 	*	 	 	 	 
	CHCA Conroe, L.P.

	 	*	 	 	 	 
	CHCA Mainland, L.P.

	 	*	 	 	 	 
	CHCA West Houston, L.P.

	 	*	 	 	 	 
	CHCA Woman’s Hospital, L.P.

	 	*	 	 	 	 
	Chippenham & Johnston-Willis Hospitals, Inc.
	 	 	 	 	 	 
	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
	 	 	 	 	 	 

 

 

	 	 	 	 	 	 	 
	 	 	By its	 	 	 	By the General
	 	 	General	 	By its Sole	 	Partner of its
	U.S. Guarantor	 	Partner	 	Member	 	Sole Member
	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 - IT&S Field Operations, Inc.
	 	 	 	 	 	 
	HCA - IT&S Inventory Management, 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.

	 	*	 	 	 	 
	HCA Realty, Inc.
	 	 	 	 	 	 
	HD&S Corp. Successor, Inc.
	 	 	 	 	 	 
	Health Midwest Office Facilities Corporation
	 	 	 	 	 	 
	Health Midwest Ventures Group, Inc.
	 	 	 	 	 	 
	Healthtrust MOB, LLC

	 	 	 	*	 	 
	Hendersonville Hospital Corporation
	 	 	 	 	 	 
	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.
	 	 	 	 	 	 

 

 

	 	 	 	 	 	 	 
	 	 	By its	 	 	 	By the General
	 	 	General	 	By its Sole	 	Partner of its
	U.S. Guarantor	 	Partner	 	Member	 	Sole Member
	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

	 	*	 	 	 	 
	Palmyra Park Hospital, Inc.
	 	 	 	 	 	 
	Pasadena Bayshore Hospital, Inc.
	 	 	 	 	 	 
	Plantation General Hospital Limited Partnership

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

 

 

	 	 	 	 	 	 	 
	 	 	By its	 	 	 	By the General
	 	 	General	 	By its Sole	 	Partner of its
	U.S. Guarantor	 	Partner	 	Member	 	Sole Member
	Retreat Hospital, LLC
	 	 	 	 	 	 
	Rio Grande Regional Hospital, Inc.
	 	 	 	 	 	 
	Riverside Healthcare System, L.P.

	 	*	 	 	 	 
	Riverside Hospital, Inc.
	 	 	 	 	 	 
	Samaritan, LLC
	 	 	 	 	 	 
	San Jose Healthcare System, LP

	 	*	 	 	 	 
	San Jose Hospital, L.P.

	 	*	 	 	 	 
	San Jose Medical Center, LLC
	 	 	 	 	 	 
	San Jose, LLC
	 	 	 	 	 	 
	Sarasota Doctors Hospital, Inc.
	 	 	 	 	 	 
	SJMC, LLC
	 	 	 	 	 	 
	Southern Hills Medical Center, LLC
	 	 	 	 	 	 
	Spotsylvania Medical Center, Inc.
	 	 	 	 	 	 
	Spring Branch Medical Center, Inc.
	 	 	 	 	 	 
	Spring Hill Hospital, Inc.
	 	 	 	 	 	 
	St. Mark’s Lone Peak Hospital, Inc.
	 	 	 	 	 	 
	Sun City Hospital, Inc.
	 	 	 	 	 	 
	Sunrise Mountainview Hospital, Inc.
	 	 	 	 	 	 
	Surgicare of Brandon, Inc.
	 	 	 	 	 	 
	Surgicare of Florida, Inc.
	 	 	 	 	 	 
	Surgicare of Houston Women’s, Inc.
	 	 	 	 	 	 
	Surgicare of Manatee, Inc.
	 	 	 	 	 	 
	Surgicare of New Port 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.
	 	 	 	 	 	 

 

 

	 	 	 	 	 	 	 
	 	BANK OF AMERICA, N.A., as Administrative Agent,
Collateral Agent and a Lender	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	/s/ /David H. Strickert
 

	 	 
	 

	 	Name:
	 	David H. Strickert	 	 
	 

	 	Title:
	 	Senior Vice President

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00160-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00160-of-00352.parquet"}]]