Document:

Exhibit
10.4

 

AMENDMENT TO
ASSET PURCHASE AGREEMENT

 

THIS
AMENDMENT TO ASSET PURCHASE AGREEMENT (this “Amendment”),
dated as of February 20, 2008, is entered into by and among EOG Resources, Inc.,
a Delaware corporation, EOG Resources Appalachian LLC, a Delaware limited
liability company, and Energy Search, Incorporated, a Tennessee corporation
(collectively referred to hereinafter as “Seller”), and EXCO Appalachia, Inc.,
a Delaware corporation (“Buyer”).  Each capitalized term used and not otherwise
defined herein shall have the meaning ascribed to it in the APA referred to
below.

 

RECITALS

 

WHEREAS, Seller and Buyer
entered into that certain Asset Purchase Agreement (the “APA”), dated as
of December 7, 2007, whereby, among other matters, Seller agreed to sell,
and Buyer agreed to purchase, accept and pay for, the Assets and to assume the
Assumed Liabilities;

 

WHEREAS, although Seller has
performed in all material respects all covenants and agreements under Section 8.1
of the APA regarding Transfer Requirements, Seller has been unable to obtain,
comply with or otherwise satisfy the Transfer Requirements applicable to the
Hydrocarbon Interests and Incidental Rights described in Exhibit A
attached hereto (the “Affected Interests”), Buyer, subject to the
provisions contained herein, desires to close on, pay the portion of the
Purchase Price allocated to and accept delivery of the assignments and
conveyances covering the Affected Interests on the Closing Date, and Seller,
subject to the provisions contained herein, desires to close on, receive the
portion of the Purchase Price allocated to and deliver the assignments and
conveyances covering the Affected Interests on the Closing Date;

 

WHEREAS, Seller and Buyer
desire to supplement and amend Schedule A-1,
Part II of Schedule A-1-A,  Schedule
A-2, Schedule A-4,
Schedule 4.1(f), Schedule 4.1(t), Schedule 4.1(u), Schedule 4.1(cc) and Schedule 4.1(ee) to the APA; and

 

WHEREAS, Seller and Buyer
desire to enter into this Amendment to evidence the foregoing in accordance with
the terms and conditions set forth herein.

 

NOW, THEREFORE, in
consideration of the foregoing and the mutual promises, covenants, conditions
and agreements herein and in the APA, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged,
the parties hereto, intending to be legally bound by the terms hereof, agree as
follows:

 

1.             Affected Interests.

 

(a)           Seller acknowledges and agrees that it has performed all
covenants and agreements under Section 8.1 of the APA that were required
to be performed by Seller on or before the date hereof in accordance with the
APA in all material respects.

 

 

1

(b)           Seller hereby covenants and agrees from and after the
Closing Date to continue to use its commercially reasonable efforts to obtain,
comply with and otherwise satisfy the Transfer Requirements applicable to the
Affected Interests.

 

(c)           Notwithstanding anything to the contrary contained in the
APA and notwithstanding that the Transfer Requirements applicable to the
Affected Interests have not been obtained, complied with or otherwise satisfied
prior to the date hereof, the Affected Interests shall be included in the
Assets to be transferred and conveyed from Seller to Buyer on the Closing Date
pursuant to the terms of the Conveyance without any reduction in the Purchase
Price on account thereof.  In connection
therewith, Buyer hereby agrees to (a) waive any condition in the APA
regarding Seller obtaining, complying with or otherwise satisfying the Transfer
Requirements applicable to the Affected Interests and (b) release, acquit
and forever discharge Seller and the Seller Indemnified Persons from any and
all claims, demands or causes of action (including all Covered Liabilities)
which Buyer may have against Seller or any Seller Indemnified Person with
respect to the failure to obtain, comply with or otherwise satisfy any of the
Transfer Requirements applicable to the Affected Interests.

 

2.             Amendment to Schedules.

 

(a)           Schedule A-1
to the APA is hereby amended in the following respects: (i) the
Hydrocarbon Interests described in Part I
of Schedule A-1 attached hereto are
hereby added to Part I
of Schedule A-1 to the APA; (ii) the
Hydrocarbon Interests described in Part II
of Schedule A-1 attached hereto are
hereby deleted from Part I
of Schedule A-1 to the APA; (iii) the
Hydrocarbon Interests described in Part III
of Schedule A-1 attached hereto are
hereby deleted from Part II
of Schedule A-1 to the APA; and (iv) the
Hydrocarbon Interests described in Part IV
of Schedule A-1 attached hereto are
hereby added to Part II
of Schedule A-1 to the APA.

 

(b)           Schedule 4.1(t) to
the APA is amended and supplemented by adding therein the matters described in Schedule 4.1(t) attached
hereto.

 

(c)           Schedule 4.1(cc)
to the APA is hereby amended by adding therein the joint operating agreements
described in Schedule 4.1(cc) attached
hereto.

 

(d)           Schedule 4.1(ee)
to the APA is hereby amended by adding therein the Preference Rights described
in Schedule 4.1(ee) attached hereto
and deleting therefrom the Transfer Requirements described in Schedule 4.1(ee) attached hereto.

 

(e)           Part II
of Schedule A-1-A,  Schedule
A-2, Schedule A-4, Schedule 4.1(f) and
Schedule 4.1(u) to the APA are
hereby amended and restated as set forth in Part II
of Schedule A-1-A, Schedule A-2, Schedule
A-4, Schedule 4.1(f) and
Schedule 4.1(u), respectively,
attached hereto.

 

(f)            The reference to “Part IV” in the definition of “Pennsylvania
Fee Interests” set forth on page 10 to Appendix A to the APA is hereby
deleted and replaced with the word “Part III”.

 

2

3.             Severability. 
If any term, provision or condition of this Amendment, or any
application thereof, is held invalid, illegal or unenforceable in any respect
under any Law, this Amendment shall be reformed to the extent necessary to
conform, in each case consistent with the intention of the parties, to such
Law, and to the extent such term, provision or condition cannot be so reformed,
then such term, provision or condition (or such invalid, illegal or
unenforceable application thereof) shall be deemed deleted from (or prohibited
under) this Amendment, as the case may be, and the validity, legality and
enforceability of the remaining terms, provisions and conditions contained
herein (and any other application such term, provision or condition) shall not
in any way be affected or impaired thereby. 
Upon such determination that any term or other provision is invalid,
illegal or incapable of being enforced, the parties hereto shall negotiate in
good faith to modify this Amendment so as to effect the original intent of the
parties as closely as possible in an acceptable manner to the end that the
transactions contemplated hereby are fulfilled to the extent possible.

 

4.             Governing Law. 
THIS AMENDMENT AND THE TRANSACTIONS CONTEMPLATED HEREBY SHALL BE
GOVERNED BY AND INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS
WITHOUT GIVING EFFECT TO PRINCIPLES THEREOF RELATING TO CONFLICTS OF LAW RULES
THAT WOULD DIRECT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION, EXCEPT
TO THE EXTENT THAT IT IS MANDATORY THAT THE LAW OF ANOTHER JURISDICTION,
WHEREIN OR ADJACENT TO WHICH THE ASSETS ARE LOCATED, SHALL APPLY.

 

5.             Schedules and Exhibits.  All Schedules and Exhibits hereto which are
referred to herein are hereby made a part of this Amendment and incorporated
herein by such reference.

 

6.             Interpretation. 
It is expressly agreed that this Amendment shall not be construed
against any party, and no consideration shall be given or presumption made, on
the basis of who drafted this Amendment or any particular provision hereof or
who supplied the form of Amendment.  Each
party agrees that this Amendment has been purposefully drawn and correctly
reflects its understanding of the transaction that this Amendment contemplates.

 

7.             Counterparts. 
This Amendment may be executed in one or more counterparts, all of which
shall be considered one and the same agreement, and shall become effective when
one or more counterparts have been signed by each of the parties and delivered
to the other party.

 

8.             Ratification. 
The parties hereto hereby ratify and approve the APA, as amended hereby,
and the parties hereto acknowledge that all of the terms and provisions of the
APA, as amended hereby, are and remain in full force and effect.

 

[Signature
Page Follows]

 

3

IN WITNESS WHEREOF, this
Amendment is executed by the parties hereto as of the date set forth above.

 

	
   

  	
  EOG
  RESOURCES, INC.  . 

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  LLOYD W. HELMS

  
	
   

  	
   

  	
  Lloyd
  W. Helms, Jr

  
	
   

  	
   

  	
  Vice
  President, Engineering & Acquisitions

  
	
   

  	
   

  	
   

  
	
   

  	
  EOG
  RESOURCES APPALACHIAN LLC   

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  LLOYD W. HELMS

  
	
   

  	
   

  	
  Lloyd
  W. Helms, Jr. 

  
	
   

  	
   

  	
  Agent
  and Attorney-in-Fact

  
	
   

  	
   

  	
   

  
	
   

  	
  ENERGY
  SEARCH, INCORPORATED  

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  LLOYD W. HELMS 

  
	
   

  	
   

  	
  Lloyd
  W. Helms, Jr. 

  
	
   

  	
   

  	
  Vice
  President, Engineering & Acquisitions

  
	
   

  	
   

  	
   

  
	
   

  	
  EXCO
  APPALACHIA, INC.   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  FRANK ROTUNDA

  
	
   

  	
   

  	
  Frank
  Rotunda

  
	
   

  	
   

  	
  Vice
  President

  
	
   

  	
   

  	
   

  

 

4Exhibit 10(b)

CIVIL SETTLEMENT AGREEMENT

 

I.
PARTIES

 

                This Settlement Agreement (“Agreement”) is entered
into between the following (hereinafter “the Parties”) through their authorized
representatives:

 

                (a) the United States of America, acting through
the United States Department of Justice and on behalf of the Office of

Inspector General (“OIG-HHS”)
of the Department of Health and Human Services (“HHS”); the TRICARE Management
Activity (“TMA”) (formerly the Office of Civilian Health and Medical Program of
the Uniformed Services (“OCHAMPUS”)), through its General Counsel; and the
Office of Personnel Management (“OPM”), which administers the Federal Employees
Health Benefit Program (“FEHBP”) (collectively, “the United States”); and,

 

                (b) Tenet Healthcare Corporation, on behalf of
its predecessors, and current and former affiliates, divisions, and direct and
indirect subsidiaries (“Tenet”); Tenet HealthSystem HealthCorp.; Tenet
HealthSystem Holdings, Inc.; Tenet HealthSystem Medical, Inc.; OrNda Hospital
Corp.; and the 165 hospitals listed in Exhibit 1 hereto (referred to
herein as the “Settling Hospitals”) (collectively the “Tenet Entities”).

 

II.
PREAMBLE

 

                As a preamble to this Agreement, the Parties agree to
the following:

 

                A. Tenet is a Nevada corporation with headquarters in
Dallas, Texas. Tenet, through its predecessors, subsidiaries, and/or
affiliates, operates or has operated the Settling Hospitals during some or all
of the time period January 1, 1990 to the present.

 

                B. The United States has filed three actions against
certain Tenet Entities in the Central District of California (collectively the “DRG
Complaints”), captioned as follows:

 

                (1) U.S.v. Tenet Healthcare et al.,  CV03-206 GAF

 

                (2) U.S.v. Tenet Healthcare et al.,  CV04-857 GAF

 

                (3) U.S.v. Tenet Healthcare et al.,  CV04-859 GAF

 

 

The DRG Complaints allege
that these Tenet Entities engaged in “upcoding” as further described

in Paragraph II.E(2) below.

 

                C.
Various relators have filed qui tam actions that are pending against the Tenet Entities,
including the actions identified in Paragraph II.E below.

 

                D. The Tenet Entities submitted or caused to be
submitted claims for payment to the Medicare Program (“Medicare”), Title XVIII
of the Social Security Act, 42 U.S.C. §§ 1395-1395ggg (1997); the Medicaid
Program (“Medicaid”), 42 U.S.C. §§ 1396-1396v; the TRICARE Program (“TRICARE”),
10 U.S.C. §§ 1071-1107; and the FEHBP, 5 U.S.C. §§ 8901 et. seq. (collectively
the “Government Health Care Programs”).

 

                E. The United States alleges that it has certain
civil claims against the Tenet Entities, as specified in Paragraph III.4 below,
for engaging in the following conduct (hereinafter the “Covered Conduct”):

 

                (1) Outlier Payments:

 

                From October 1, 1995 through August 7,
2003, the Tenet Entities allegedly submitted or caused to be submitted claims
to the Government Health Care Programs for inpatient and outpatient outlier
payments that the Tenet Entities were not entitled to receive because (a) the
Tenet Entities allegedly had artificially and purposely inflated the charges
billed for inpatient and outpatient care substantially in excess of any
increase in the costs associated with that care, (b) as a result, the
Tenet Entities allegedly improperly received outlier payments that were further
inflated because they were computed pursuant to statewide average cost-to-charge
ratios that should not properly have applied, and (c) the Tenet Entities
allegedly billed for inpatient and outpatient services and supplies not provided
to patients. Certain
of these claims were submitted by hospitals identified in the relators’
Complaint filed in U.S. ex rei. [Under Seal] v. Tenet Healthcare
Corporation. et al., Case No. 02-8309, (E.D. Pa.).

 

2

As a result of these artificially
inflated and allegedly false claims, the Tenet Entities allegedly caused the Government
Health Care Programs to pay to Tenet money that lawfully belonged to the United
States in that it exceeded the amount Tenet would have received had these
claims not been artificially inflated and false.

 

                (2) DRG Upcoding:

 

                (a) From January 1, 1992 through December 31,
1998, Tenet and the Settling Hospitals listed in Exhibit 2 allegedly
submitted or caused to be submitted claims to Medicare that assigned diagnosis
codes for inpatient discharges that were not supported by physician documentation
in the patient’s medical records or were otherwise improper for the following diagnosis
related groups (“DRG’s”): 79, 106, 124, 415, 416, 475 and 483; and,

 

                (b) Between January 1, 1992 and December 31,
1998, Tenet annually certified compliance with its obligations under its
Corporate Integrity Agreement notwithstanding its alleged knowledge of claims
of the type described above.

 

                (3) Physician Relationships:

 

                From January 1, 1992 through October 12,
2005, the Tenet Entities allegedly submitted or caused to be submitted claims
to Medicare for items and services delivered by those Tenet Entities that were
ordered by a physician, a member of a physician group practice, a professional
corporation, or other legal entity owned at least in part by a physician with
whom the Tenet Entities had a financial relationship, directly or through a
family member. The United States alleges these claims were false because (a) Section 1877
of the Social Security Act (“SSA”), 42 U.S.C. § 1395nn (also known as the Stark
Law) prohibited the Tenet Entities from billing Medicare for items or services
referred or ordered by physicians with whom the Tenet

 

3

Entities had improper
financial relationships, (b) the Tenet Entities forfeited the right to
bill Medicare for such items and services by allegedly paying remuneration to
physicians intending that remuneration to induce those and other referrals in
violation of the Anti-kickback Statute, 42 U.S.C. § 1320a-7b(b), and (c) the
Tenet Entities were required to and did certify on cost reports submitted to
fiscal intermediaries for the applicable fiscal years that items and services
identified or summarized in each cost report were not provided or procured
through the payment directly or indirectly of a kickback or billed in violation
of federal or state referral laws (e.g., the
Stark Law). Certain
of these claims were submitted by the hospitals identified in the relators’
Complaints in U.S. ex rel. Albaral v. Tenet Healthcare Corp. (E.D. La.)
and U.S. ex rel. Greene v. Tenet Healthcare Corp., et al. (E.D. La.).

 

                (4) Tiered Charges:

 

                From January 1,
1996 through September 30, 2005, Tenet and the Settling Hospitals listed
in Exhibit 3 allegedly submitted or caused to be submitted claims to
Medicare that used higher charges for inpatient than outpatient services, when
those charges were required to be uniform. These claims were identified by the relator’s First Amended
Complaint in U.S. ex rel. [Sealed] v.
Tenet Healthcare Corporation, Case No. [Sealed] (C.D.
Cal.).

 

                (5) Centinela Hospital Medical Center Claims:

 

                From January 1, 1999 through December 31,
2005, Centinela Hospital Medical Center allegedly submitted or caused to be
submitted claims to Medicare for cardiac catheterizations that were not
medically necessary.

 

                (6) Desert Regional Medical Center Claims:

 

                (a) From January 1, 1997 through May 31,
2004, Tenet and Desert Regional Medical Center allegedly submitted or caused to
be submitted claims to Medicare for outpatient

 

4

care rendered at the
Comprehensive Cancer Center (i) with the following billing codes that were
inaccurate and resulted in excessive reimbursement: modifiers 25, 27, and 59,
and diagnostic codes related to screening and diagnostic mammograms, and (ii) for
diagnostic laboratory and imaging services that were not supported by
appropriate documentation. These claims were alleged by the relator’s Complaint in U.S. ex
rel. [Sealed] v. Tenet Healthcare
Corporation, et al., Case No. [Sealed] (C.D.
Cal.); and

 

                (b) From January 1, 1997 through May 31,
2001, Tenet and Desert Regional Medical Center allegedly submitted or caused to
be submitted cost reports to Government Health Care Programs that sought
reimbursement for excessive management fees paid to the Comprehensive Cancer
Center.

 

                (7) Brookwood Medical Center Claims:

 

                From January I, 1997 through May 1, 2000,
Brookwood Medical Center submitted claims to Government Health Care Programs
for reimbursement for (i) units of blood that allegedly were not
administered and (ii) blood filters that allegedly were not used. These claims were alleged by the
relator’s Complaint in U.S. ex rel. [Sealed] v.
Tenet Healthcare Corp. (N.D. Ala.).

 

                (8) People’s Health Network Claims:

 

                From January 1, 1999 through August 23,
2005, People’s Health Network (“PHN”), an entity in which Tenet had an
ownership interest, allegedly failed to provide services and provided services
not consistent with the standard of care required under applicable regulations
and statutes to patients that were included in the capitated rate paid by
Medicare to PHN.

 

                F. The United States also contends that it has
certain administrative claims against

 

5

the Tenet Entities for the
Covered Conduct under the provisions for permissive exclusion from Medicare,
Medicaid and other Federal health care programs, 42 U.S.C. § 1320a-7(b), the provisions
for permissive exclusion from TRICARE, 32 C.F.R. § 199.9, and the provisions
for civil monetary penalties, 42 U.S.C. § 1320a-7a.

 

                G. The Tenet Entities deny the contentions of the
United States set out in Paragraphs II.E and II.F above.

 

                H. To avoid the delay, uncertainty, inconvenience and
expense of protracted litigation of these claims, the Parties reach a full and
final settlement as set forth in this Agreement. The settlement amount required
to be paid by the Tenet Entities pursuant to this Agreement reflects
limitations on the Tenet Entities’ ability to pay occasioned by the financial condition
of the Tenet Entities.

 

III.           TERMS AND CONDITIONS

 

                NOW, THEREFORE, in consideration of the mutual
promises, covenants, and obligations set forth below, and for good and valuable
consideration as stated herein, the Parties agree as follows:

 

                1. The Tenet Entities agree to pay to the United
States a total of $900 million, plus applicable interest, as follows (the “Settlement
Amount”):

 

                (a) The Tenet Entities agree to pay the United
States $450 million, plus interest accruing at a simple rate of 4.125% from November 1,
2005, within ten (10) days after the Effective Date of this Agreement. The
payment shall be made by electronic funds transfer pursuant to written instructions
to be provided by Michael F. Hertz, Director, Commercial Litigation Branch,
Civil Division, United States Department of Justice.

 

                (b) The Tenet Entities agree to waive, and not
assert any claim for, additional

 

6

 

Disproportionate Share
Hospital (“DSH”) program payments related to Medicaid eligible patient days and
SSI patient days to which the Tenet Entities may be entitled for all cost
reporting periods beginning on or before December 31, 2001, which claims
and potential claims have a value of $50 million.

 

                (c) The Tenet Entities agree to waive, and not
assert any claim for, any additional outlier payments from any Government
Health Care Program to which the Tenet Entities may be entitled for any period
prior to August 7, 2003, which claims and potential claims have a value of
$125 million.

 

                (d) The Tenet Entities further agree to pay the
United States $275 million, plus interest accruing at a simple rate of 4.125%
from November 1, 2005, in quarterly installments from November 1,
2007 through August 1, 2010 in accordance with the schedule of payments attached
as Exhibit 4. All quarterly payments shall be made by electronic funds
transfer pursuant to written instructions to be provided by Michael F. Hertz,
Director, Commercial Litigation Branch, Civil Division, United States
Department of Justice.

 

                2. The principal portion of the Settlement Amount is
attributable to the Covered Conduct as follows (with interest to be allocated
on the same pro rata basis):

 

                (a) Outlier Payments: $788,851,228, with $106,359,191 of this arnount
attributable to claims submitted by the hospitals identified in the relator’s
Complaint in U.S. ex rel. [Under Seal] v. Tenet Healthcare Corporation. et al.
Case No. 02-8309, (E.D. Pa.).

 

                (b) DRG Upcoding: $46,886,882         

 

                (c) Physician
Relationships: $47,533,514, with $6,029,735 of this amount attributable to claims submitted by the
hospitals identified in the relator’s Complaint in U.S. ex  rel. Albaral v. Tenet Healthcare Corp.
(E.D. La.) and $34,402,514 attributable to claims submitted by the hospitals
identified in the relator’s Complaint in U.S. ex rel. Greene v. Tenet
Healthcare Corp., et al. (E.D. La.).

 

 

7

 

                (d) Tiered Charges:
$822,577, with all of
this amount attributable to the claims identified by the relator’s First
Amended Complaint in U.S. ex rel. [Sealed] v.
Tenet Healthcare Corporation, Case No. [Sealed] (C.D.
Cal.).

                

                (e) Desert
Regional Medical Center Claims: $452,417, with all of this amount attributable to the claims
identified by the relator’s Complaint in U.S. ex rel. [Sealed]
v. Tenet Healthcare Corporation, et al., Case No. [Sealed]
(C.D. Cal.).

                

                (f) Brookwood
Medical Center Claims: $30,065, with all of this amount attributable to claims
alleged by the relator’s Complaint in U.S. ex rel. [Sealed]
v. Tenet Healthcare Corp. (N.D. Ala.).

 

                (g) People’s Health Network Claims: $15,423,316           

 

                3. If the Tenet Entities fail to make any of the
payments described in Paragraph III. 1 above at the specified time, upon
written notice to the Tenet Entities of this default, the Tenet Entities shall
have ten (10) calendar days to cure the default. If the default is not
cured within the ten-day period: (a) the remaining unpaid principal
portion of the Settlement Amount shall become accelerated and immediately due
and payable, with interest at a simple rate of 4.125% from November 1,
2005 to the date of default, and at a simple rate of 9.5% per annum from the date
of default until the date of payment; (b) the United States may pursue any
and all actions for collection as it may choose, including, without limitation,
filing an action for specific performance of this Agreement; and (c) the
United States may offset the remaining unpaid balance of the Settlement Amount
(inclusive of interest) from any amounts due and owing to any of the Released
Tenet Entities (defined in Paragraph III.4 below) by any department, agency, or

 

8

agent of the United States.
The Released Tenet Entities agree not to contest any collection action
undertaken by the United States pursuant to this Paragraph III.3, and to pay
the United States all reasonable costs incurred in any such collection action,
including attorney’s fees and expenses.

 

                4. Subject to the exceptions in Paragraph III.11
below, in consideration of the obligations of the Tenet Entities set forth in
this Agreement, conditioned upon the Tenet Entities’ payment in full of the
Settlement Amount, and subject to Paragraph III.18 below (concerning bankruptcy
proceedings commenced within 91 days of the Effective Date of this Agreement or
any payment under this Agreement), the United States (on behalf of itself, its
officers, agents, agencies, and departments) hereby releases Tenet, together
with its current and former parent corporations, each of its direct and
indirect subsidiaries including the Settling Hospitals, brother or sister
corporations, divisions, current or former owners, partnerships or other legal
entity in which Tenet or a Tenet subsidiary has or had an ownership interest,
and the successors and assigns of any of them (the “Released Tenet Entities”),
from any civil or administrative monetary claim the United States has or may
have under the False Claims Act, 31 U.S.C. §§ 3729-3733; the Civil Monetary
Penalties Law, 42 U.S.C. § 1320a-7a; the Program Fraud Civil Remedies Act, 31
U.S.C. §§ 3801-3812; any other statutory cause of action for civil damages or civil
penalties which the Civil Division has actual and present authority to assert and
compromise pursuant to 28 C.F.R. Subpart I, Section 0.45(d) (2004);
or the common law and/or equitable theories of payment by mistake, unjust
enrichment, restitution, recoupment, disgorgement of illegal profits, and
fraud, for the Covered Conduct.

 

                5. Within 30 days of the Effective Date of this
Agreement, the United States will seek dismissal with prejudice of (a) the
claims stated in the United States’ Complaints and

 

9

 

Amended Complaints in the
Civil Actions identified in Paragraph II.B above; (b) claims asserted
against the Tenet Entities in 

the qui tam cases identified in Paragraph II.E above
that encompass the Covered Conduct.The stipulations of dismissal will be
conditioned upon receipt by the United States of the
Settlement Amount, and if necessary, will request that the courts retain
jurisdiction to resolve issues of relators’ share and attorney’s fees.

 

                6. Should this Agreement be challenged by any relator
as not fair, adequate or reasonable pursuant to 31 U.S.C. § 3730(c)(2)(B), the
United States and the Tenet Entities agree that they will take all reasonable
and necessary steps to defend this Agreement. If a court concludes that the
Agreement is not fair, adequate or reasonable as to the claims of a particular relator,
then the Agreement shall be null and void as to the Covered Conduct asserted by
those claims; the Agreement will otherwise remain in full force and effect; and
that portion of the Settlement Amount allocated to the excluded Covered Conduct
(the “Allocated Amount”) will be held by the United States to be used as follows
upon entry of a final judgment resolving (whether by settlement or otherwise)
the amount the Tenet Entities must pay on the particular relator’s claims (the
“Judgment Amount”): (a) if the Judgment Amount is greater than Allocated
Amount, the Allocated Amount shall remain allocated to those claims, with the
Tenet Entities responsible for payment of the difference between the Judgment
Amount and the Allocated Amount; (b) if the Judgment Amount is less than
or equal to the Allocated Amount, the portion of the Allocated Amount
equivalent to the Judgment Amount shall remain allocated to those claims, while
the difference between the Allocated Amount and the Judgment Amount shall be
reallocated to the remaining Covered Conduct in an amount proportionate to the
original allocation set forth in Paragraph III.2 above.

 

                7. In consideration of the obligations of the Tenet
Entities set forth in this

 

10

Agreement, conditioned upon
the Tenet Entities’ payment in full of the Settlement Amount, and subject to
Paragraph III.18 below (concerning bankruptcy proceedings commenced within 91 days
of the Effective Date of this Agreement or any payment under this Agreement):

 

                (a) TMA hereby releases and agrees to refrain
from instituting, directing, or maintaining any administrative action seeking
exclusion from the TRICARE/CHAMPUS Program against the Released Tenet Entities
under 32 C.F.R. § 199.9 for the Covered Conduct, except as reserved in
Paragraph III.11, below, and as reserved in this Paragraph III.7(a). TMA expressly
reserves authority to exclude the Released Tenet Entities from the TRICARE/ CHAMPUS
program under 32 C.F.R. §§ 199.9 (f)(1)(i)(A), (f)(1)(i)(B), and (f)(1)(iii),
based upon the Covered Conduct.

 

                (b) OPM agrees to release and refrain from
instituting, directing, or maintaining any administrative action seeking
exclusion from the FEHBP against the Released Tenet Entities under 5 U.S.C. §
8902a or 5 C.F.R. Part 970 for the Covered Conduct, except as reserved in
Paragraph III.11, below and except if excluded by the OIG-HHS pursuant to 42 U.S.C.
§ 1320a-7(a). Nothing in this Paragraph III.7(b) precludes OPM from taking
action against entities or persons, or for conduct and practices, for which
claims have been reserved in Paragraph III.11, below.

 

                8. The Released Tenet Entities fully and finally
release, compromise, acquit and forever discharge the United States, its
agencies, officers, agents, employees, and contractors (and their employees)
from any and all claims, causes of action, adjustments, and set-offs of any kind
(including, without limitation, any claims for additional outlier payments for
any period prior to August 7, 2003; any claims for additional DSH payments
related to Medicaid eligible patient days and SSI patient days for cost
reporting periods beginning on or before December 31, 

 

11

 

2001; and any attorney’s
fees, costs, and expenses of every kind and however denominated) which the
Released Tenet Entities could have asserted, or may assert in the future,
against the United States, its agencies, officers, agents, employees, and
contractors (and their employees) arising out of or pertaining to the Covered
Conduct, including the United States’ investigation, prosecution, or settlement
thereof. 

 

                9. The Tenet Entities have provided financial
information to the United States and the United States has relied on the
accuracy and completeness of this financial information in reaching this
Agreement. If the United States learns that this financial information either
(a) failed to disclose a material non-contingent asset or assets in which the
Tenet Entities had an interest (a “Material Nondisclosure”); or (b) contained
any other knowing, material misrepresentation or omission regarding the
financial condition of the Tenet Entities (a “Knowing Material
Misrepresentation”), the United States may at its option pursue relief under this
Paragraph III.9 as follows: (a) the United States shall provide Tenet with
written notice of the nature of the Material Nondisclosure or Knowing Material
Misrepresentation; (b) within ten (10) calendar days of the date of
the written notice, Tenet shall provide the United States, in writing, with any
explanation it may have regarding the Material Nondisclosure or Knowing Material
Misrepresentation referenced in the written notice; (c) if unsatisfied
with Tenet’s explanation, as determined in its sole and absolute discretion,
the United States may file an action seeking relief under this Paragraph III.9
in which action the United States shall bear the burden of establishing by a
preponderance of the evidence the Material Nondisclosure or Knowing Material
Misrepresentation; (d) if the court finds a Material Nondisclosure or
Knowing Material Misrepresentation, then - (i) the Settlement Amount shall
be increased by one hundred percent (100%) of the amount of the Material
Nondisclosure or Knowing Material 

 

12

 

Misrepresentation; (ii) the
remaining unpaid principal portion of the Settlement Amount (including the
increase specified in subparagraph (d)(i) above) shall become accelerated and
immediately due and payable, with interest at a simple rate of 4.125% from November 1,
2005 to the date of the court finding, and at a simple rate of 9.5% per annum
from the date of the court finding until the date of payment; (iii) the
United States may offset the remaining unpaid balance of the Settlement Amount
(inclusive of interest and the increase specified in subparagraph (d)(i) above)
from any amounts due and owing to any of the Released Tenet Entities by any department,
agency, or agent of the United States; and (iv) the Tenet Entities shall
immediately pay the United States all reasonable costs incurred in the action
seeking relief under this Paragraph III.9, including attorney’s fees and
expenses.

 

                10. OIG-HHS expressly reserves all rights to
institute, direct, or maintain any administrative action seeking exclusion
against the Tenet Entities, and/or its officers, directors, and employees from
Medicare, Medicaid, or other Federal health care programs (as defined in 42
U.S.C. § 1320a-7b(f)) under 42 U.S.C. § 1320a-7(a) (mandatory exclusion),
or 42 U.S.C. 1320a-7(b) (permissive exclusion). The Tenet Entities and
OIG-HHS are engaged in the negotiation of a potential Corporate Integrity
Agreement (“CIA”) and have reached a common understanding on the basic terms of
such a CIA. The Tenet Entities shall use their best efforts and negotiate in
good faith to execute a CIA with OIG-HHS within 90 days after the Effective Date
of this Agreement (defined in Paragraph III.27 below). Upon execution of the
CIA, OIG-HHS shall provide a release to the Tenet Entities pursuant to which
OIG-HHS will agree not to institute, direct, or maintain an administrative
action seeking an exclusion against the Tenet Entities under 42 U.S.C. §
1320a-7(b)(7) (permissive exclusion for fraud, kickbacks, and other prohibited
activities) for the Covered Conduct.

 

 

13

 

                11. Notwithstanding any term of this Agreement,
specifically reserved and excluded from the scope and terms of this Agreement
as to any entity or person (including the Released Tenet Entities) are any and
all of the following:

 

                                a. Any civil, criminal or
administrative claims arising under Title 26, U.S. Code (commonly referred to
as the Internal Revenue Code);

 

                                b. Any criminal liability;

 

                                c. Except as explicitly stated in
this Agreement, any administrative liability, including mandatory and/or permissive
exclusion from the Government Health Care Programs; 

 

                                d. Any liability to the United States
(or its agencies) for any conduct other than the Covered Conduct; 

 

                                e. Any claims based upon such
obligations as are created by execution of this Agreement;

 

                                f. Any liability for express or
implied warranty claims or other claims for defective or deficient products or
services, including quality of goods and services; 

 

                                g. Any claims for personal injury or
property damage, or for other similar consequential damages, arising from the
Covered Conduct;

 

                                h. Any liability for failure to
deliver goods or services due;

 

                                i. Any claims against individuals
(including, without limitation, current or former directors, officers,
employees, agents, or shareholders of any of the Tenet Entities), provided,
however, that if the United States pursues claims based on the Covered Conduct against
any individual, if the United States obtains a judgment against or enters into
a settlement with any individual based on such claims, and if a court
determines that the Tenet Entities have an obligation to indemnify the
individual for the judgment or settlement amount (or any part 

 

14

 

thereof) (an “Indemnification
Obligation”), then the United States shall seek to recover from the individual
on the judgment or settlement only an amount such that the amount required to
be paid by the Tenet Entities on their Indemnification Obligation to that
individual, when summed with all amounts paid by the Tenet Entities on prior
Indemnification Obligations to other individuals, results in an aggregate total
no greater than $75 million;

 

                                j. Any claims of any State arising
under the Medicaid Program, or any other provision of law, based on the Covered
Conduct;

 

                                k. Any claims against any Settling
Hospital, Tenet subsidiary, affiliate, or division, or any partnership or other
legal entity in which Tenet or any Tenet subsidiary has or had an ownership
interest, and the partners or other shareholders in any such partnership or
other legal entity, for a time period that the Tenet Entity, partnership, or
other legal entity was not directly or indirectly owned by Tenet.

 

                                1. Any liability for the Covered
Conduct set forth in Paragraph II.E(3) above for claims submitted by or on
behalf of the hospitals identified by the relators’ Complaints in U.S. ex rel.
Meshel v. Tenet (W.D. Tex.) and U.S ex rel. Jones v. St. Mary’s Medical Center
(E.D. Ark.).

 

                                m. Any liability to the United States
of any entity other than a Released Tenet Entity for the Covered Conduct set
forth in Paragraphs II.E(6) and II.E(8) above, and in connection with
any investigation of any entity other than a Tenet Entity for such Covered Conduct,
Tenet shall make reasonable efforts to facilitate access to and encourage the cooperation
of its directors, officers, and employees for interviews and testimony
consistent with the rights and privileges of such individuals.

 

                12. Subject to the provisions set forth below, the
Released Tenet Entities agree to

 

15

provide to the Department of
Justice, within no more than 120 days (with production beginning within 30 days
and proceeding on the schedule set forth below), all documents falling within the
following categories, regardless of whether the Released Tenet Entities have
asserted, and/or continue to assert, that such documents are protected from
disclosure by the attorney-client privilege and/or work product doctrine (as
used in this Paragraph III.12, the term “document” is to be given its broadest
meaning, and includes any type or form of communication, including any
electronic communications, but excludes “documents” previously produced to the Department
of Justice by the Released Tenet Entities in connection with the Department of Justice’s
investigation of the Covered Conduct):

 

                                a.
all documents created prior to October 31, 2002, to, from, or prepared at
the request of, any attorney employed or retained by the Released Tenet
Entities that refer or relate to (i) the Released Tenet Entities’ request
or receipt of Medicare outlier payments; (ii) the Released Tenet Entities’
analysis of Medicare’s outlier payment rules and regulations; and/or, (iii) the
Released Tenet Entities’ charges, charge increases, or cost to charge ratios; 

 

                                b.
all documents created prior to December 31, 1998, to, from, or prepared at
the request of, any attorney employed or retained by the Released Tenet
Entities that refer or relate to coding compliance audits conducted by the
Released Tenet Entities between March, 1997 and October, 1998;

 

                                c.
all documents created prior to June 30, 1999, to, from, or prepared at the
request of, any attorney employed or retained by the Released Tenet Entities
that refer or relate to the Released Tenet Entities’ obligations under, and
compliance with, the Corporate Integrity Agreement (“CIA”) executed by Tenet’s
predecessor with the OIG-HHS on June 29, 1994;

 

                                d.
those documents previously withheld as privileged in United States ex rel.

 

16

 

 

Barbera v. Amisub. et al., Case No. 97-6590-CIV
(S.D.Fl.), and identified by Bates numbers as set forth in Exhibit 5
hereto;

 

                                e.
all documents created prior to August 23, 2005, that (i) were
requested by the United States Attorney’s Office for the Eastern District of
Louisiana or the Department of Justice in connection with the investigation of
allegations that PHN failed to provide services and provided services not
consistent with the standard of care required under applicable regulations and
statutes to patients that were included in the capitated rate paid by Medicare
to PHN and/or (ii) are otherwise relevant to the foregoing allegations;

 

                                f.
the Released Tenet Entities will produce the documents described in this Paragraph
III.12 according to the following schedule -

 

                                                                                      (i) with
respect to the documents described in subparagraph (a) above: substantially
all documents that were identified on any privilege log provided to the United
States Attorney’s Office for the Central District of California or the Department
of Justice within 30 days; substantially all documents that were identified on
any privilege log provided to the Securities and Exchange Commission within 60
days; substantially all documents that were identified on any privilege log
provided to Congress within 90 days; and all remaining documents within 120
days;

 

                                                                                      (ii) with
respect to the documents described in subparagraph (b) above: substantially
all documents within 30 days, and any remaining documents within 120 days; 

 

                                                                                      (iii) with
respect to the documents described in subparagraph (c) above: substantially
all documents that were identified on any privilege log provided in

 

17

                                                                                      the DRG Upcoding
litigation described in Paragraphs II.B and II.E(2) above within 60 days,
and all remaining documents within 120 days;

 

                                                                                      (iv) all
documents described in subparagraph (d) above within 30 days; and,

 

                                                                                      (v) with
respect to the documents described in subparagraph (e) above: substantially
all documents within 60 days, and any remaining documents within 120 days;

 

                                g.
the Released Tenet Entities shall mark any document produced to the Department of
Justice pursuant to this Paragraph III.12 that they continue to assert is
protected from disclosure by the Released Tenet Entities to third-parties with
the legend “Privilege Asserted and Produced Subject to Confidentiality
Agreement” (such marked documents are referred to as “Privilege Asserted
Documents”);

 

                                h. the Department of Justice agrees
to maintain the confidentiality of all Privilege Asserted Documents and not to
disclose them to any third party, except to the extent the Department of
Justice, in its sole and absolute discretion, determines that disclosure is
required by law or court order or would be necessary to protect the safety or
welfare of the public or any individual or would be in furtherance of the
discharge of the Department of Justice’s duties - thus, for example, this
Paragraph III.12 does not prevent the Department of Justice from disseminating
any Privilege Asserted Document to any other governmental entity of the United States
in connection with any potential violation of law or regulation or regarding
any matter within that entity’s jurisdiction or to the United States Congress
pursuant to a Congressional request;

 

                                i. the Department of Justice, and any
individual or entity to whom a Privilege Asserted Document is disclosed by the
Department of Justice pursuant to subparagraph (h)

 

18

 

above, may use any Privilege
Asserted Document as it deems appropriate in any criminal, civil, administrative,
or contractual investigation or proceeding;

 

                                j. subject to the provisions of this
Paragraph III.12 above, by producing any Privilege Asserted Document to the
Department of Justice, the Released Tenet Entities do not intend to waive as to
any third-party any protection of such Privilege Asserted Document under the
attorney-client privilege and/or the work product doctrine.

 

                13. The Released Tenet Entities waive and will not
assert any defenses they may have to any criminal prosecution or administrative
action relating to the Covered Conduct, which defenses may be based in whole or
in part on a contention that, under the Double Jeopardy Clause in the Fifth
Amendment of the Constitution, or under the Excessive Fines Clause in the Eighth
Amendment of the Constitution, this Agreement bars a remedy sought in such
criminal prosecution or administrative action. Nothing in this Paragraph III.13
or any other provision of this Agreement constitutes an agreement by the United
States concerning the characterization of the settlement amounts for purposes
of the Internal Revenue Laws, Title 26 of the United States Code.

 

                14. The Amounts that Tenet must pay pursuant to this
Agreement shall not be decreased as a result of the denial of claims for
payment now being withheld from payment by any Medicare carrier or fiscal
intermediary, any State payor, TRICARE, or FEHBP related to the Covered
Conduct. The Released Tenet Entities agree not to resubmit to any Medicare
carrier or fiscal intermediary, any State payor, TRICARE, or FEHBP any
previously denied claims related to the Covered Conduct, and agree not to
appeal any such denials of claims. 

 

                15. The Released Tenet Entities agree to the
following:

 

                                a. Unallowable Costs Defined:
All costs (as defined in the Federal

19

Acquisition Regulation, 48
C.F.R. § 31.205-47 and in Titles XVIII and XIX of the Social Security Act, 42
U.S.C. §§ 1395-1395ggg and 1396-1396v, and the regulations and official program
directives promulgated thereunder) incurred by or on behalf of a Released Tenet
Entity, in connection with the following are unallowable costs on government
contracts and under the Medicare, Medicaid, TRICARE, Veterans Affairs (“VA”) or
FEHBP programs:

 

                                                                                      (1) the
matters covered by this Agreement;

 

                                                                                      (2) the
Government’s audit(s), civil and any criminal investigation(s), and litigation
of the matters covered by this Agreement;

 

                                                                                      (3) any
Released Tenet Entity’s investigation, defense, and corrective actions
undertaken in response to the Government’s audit(s), civil and any criminal investigation(s),
and litigation in connection with the matters covered by this Agreement (including attorneys’ fees);

 

                                                                                      (4) the negotiation and performance of the Agreement;

 

                                                                                      (5) the payments made pursuant to this Agreement, and
any payments that the Tenet Entities may make to any relator and/or relator’s
attorney; and,

 

                                                                                      (6) the
negotiation of the CIA referenced in Paragraph 10 above, and any obligations
undertaken pursuant to such a CIA to: (i) retain an independent review organization
to perform reviews as described in the CIA; and (ii) prepare and submit reports
to OIG-HHS.

 

(All costs described or set
forth in this Paragraph III.15.a are hereafter, “Unallowable Costs.”)

 

                                b. Future Treatment of Unallowable
Costs: These Unallowable Costs shall be separately determined and accounted
for in non-reimbursable cost centers by the Released Tenet Entities, and the
Released Tenet Entities will not charge such Unallowable Costs directly

 

20

 

 

or indirectly to any
contracts with the United States or any State Medicaid Program, or seek payment
for such Unallowable Costs through any cost report, cost statement, information
statement or payment request submitted by the Released Tenet Entities, to the
Medicare, Medicaid, TRICARE, VA or FEHBP programs.

 

                                c. Treatment of Unallowable Costs
Previously Submitted for Payment: The Released Tenet Entities further agree
that within 90 days of the Effective Date of this Agreement they shall identify
to applicable Medicare and TRICARE fiscal intermediaries, carriers, and/or contractors,
and Medicaid, VA and FEHBP fiscal agents, any Unallowable Costs included in payments
previously sought from the United States, or any State Medicaid Program,
including, but not limited to, payments sought in any cost report, cost
statements, information reports, or payment requests already submitted by any
of the Released Tenet Entities, and shall request, and agree, that such cost
reports, cost statements, information reports or payment requests, even if already
settled, be adjusted to account for the effect of the inclusion of the
Unallowable Costs. The Released Tenet Entities agree that the United States, at
a minimum, will be entitled to recoup from the Released Tenet Entities any
overpayment plus applicable interest and penalties as a result of the inclusion
of such Unallowable Costs on previously submitted cost reports, information
reports, cost statements, or requests for payment. If any Released Tenet Entity
fails to identify such costs in past filed cost reports in conformity with this
Paragraph, the United States may seek an appropriate penalty or other sanction
in addition to the recouped amount. Any payments due after the adjustments have
been made shall be paid to the United States pursuant to the direction of the
Department of Justice and/or the affected agencies. The United States reserves
its rights to disagree with any calculations submitted by any Released Tenet Entity,
on the effect of inclusion of Unallowable Costs on the cost reports, cost
statement, or

 

21

 

information reports of the
Released Tenet Entity.

 

                                d. Nothing in this Agreement shall
constitute a waiver of the rights of the United States to audit, examine, or
re-examine the books and records of any Released Tenet Entity to determine that
no Unallowable Costs have been claimed in accordance with the provisions of
this Paragraph III.15.

 

                16. The Released Tenet Entities waive and agree that
they shall not seek payment for any of the health care billings covered by this
Agreement from any health care beneficiaries or their parents, sponsors,
legally responsible individuals or third party payors. The Released Tenet Entities
waive any causes of action against these beneficiaries or their parents,
sponsors, legally responsible individuals or any third party payors based upon
the claims for payment covered by this Agreement.

 

                17. The Tenet Entities expressly warrant that they
have reviewed their financial situations and that they are currently solvent
within the meaning of 11 U.S.C. § 547(b)(3), and 548(a)(1)(B)(ii)(I), and will
remain solvent following payment to the United States hereunder. Further, the
Parties expressly warrant that, in evaluating whether to execute this
Agreement, they (a) have intended that the mutual promises, covenants and
obligations set forth herein constitute a contemporaneous exchange for new
value given to the Tenet Entities, within the meaning of 11 U.S.C. § 547(c)(1),
and (b) have concluded that these mutual promises, covenants obligations
do, in fact, constitute such a contemporaneous exchange. Further, the Parties
warrant that the mutual promises, covenants, and obligations set forth herein
are intended and do, in fact, represent a reasonably equivalent exchange of
value which is not intended to hinder, delay, or defraud any entity to which
the Tenet Entities were or became indebted to on or after the date of this
transfer, within the meaning of 11 U.S.C. § 548(a)(1).

 

22

 

                18. In the event the Tenet Entities commence, or a
third party commences, within 91 days of the Effective Date of this Agreement,
or of any payment made hereunder, any case, proceeding, or other action (a) under
any law relating to bankruptcy, insolvency, reorganization or relief of
debtors, seeking to have any order for relief of any Tenet Entity’s debts, or
seeking to adjudicate any Tenet Entity as bankrupt or insolvent, or (b) seeking
appointment of a receiver, trustee, custodian or other similar official for any
Tenet Entity, or for all or any substantial part of a Tenet Entity’s assets,
the Tenet Entities agree as follows:

 

                a. No Tenet Entity’s obligations under this Agreement
may be avoided pursuant to 11 U.S.C. §§ 547 or 548, and no Tenet Entity will
argue or otherwise take the position in any such case, proceeding or action
that: (i) the Tenet Entity’s obligations under this Agreement may be
avoided under 11 U.S.C. § 547 or 548; (ii) the Tenet Entity was insolvent at
the time this Agreement was entered into, or became insolvent as a result of
the payment made to the United States hereunder; or (iii) the mutual
promises, covenants and obligations set forth in this Agreement do not
constitute a contemporaneous exchange for new value given to the Tenet Entity.

 

                                b. If any Tenet Entity’s obligations
under this Agreement are avoided for any reason, including, but not limited to,
through the exercise of a trustee’s avoidance powers under the Bankruptcy Code,
the United States, at its sole option, may rescind the releases in this Agreement,
and bring any civil and/or administrative claim, action, or proceeding against
the Tenet Entities for the claims that would otherwise be covered by the
releases provided in Paragraphs III.4, III.7, and III.8 above. The Tenet
Entities agree that (i) any such claims, actions, or proceedings brought
by the United States (including any proceedings to exclude any Tenet Entity
from participation in Medicare, Medicaid, or other Federal health care
programs)

 

23

 

are not subject to an “automatic
stay” pursuant to 11 U.S.C. § 362(a) as a result of the actions, cases, or
proceedings described in the first clause of this subparagraph, and that the
Tenet Entities will not argue or otherwise contend that the United States’
claims, actions, or proceedings are subject to an automatic stay; (ii) the
Tenet Entities will not plead, argue, otherwise raise any defenses under the
theories of statute of limitations, laches, estoppel, or similar theories, to
any such civil or administrative claims, actions, or proceeding which are brought
by the United States within 120 calendar days of written notification to any
Tenet Entity that the releases have been rescinded pursuant to this Paragraph
III.18, except to the extent such defenses were available on May 13, 2005;
and (iii) the United States has a valid claim against the Tenet Entities
for the Covered Conduct, and the United States may pursue its claims in the cases,
actions, or proceedings referenced in the first clause of this subparagraph, as
well as in any other case, action, or proceeding.

 

                                c. The Tenet Entities acknowledge
that their agreements in this Paragraph III. l8 are provided in exchange for
valuable consideration provided in this Agreement.

 

                19. Except as expressly provided to the contrary in
this Agreement, each Party shall bear its own legal and other costs incurred in
connection with this matter, including the preparation and performance of this
Agreement. This Agreement shall in no way be construed or considered as an
admission of liability or wrongdoing in any legal or administrative proceeding.

 

                20. The Tenet Entities represent that this Agreement
is freely and voluntarily entered into without any degree of duress or
compulsion whatsoever and they have been advised with respect hereto by counsel
prior to entering into this Settlement Agreement.

 

                21. This Agreement is governed by the laws of the
United States. The United States

 

24

and the Tenet Entities agree
that the exclusive jurisdiction and venue for any dispute arising between the
United States and the Tenet Entities under this Agreement will be the United
States District Court for the Central District of California.

 

                22. This Agreement constitutes the complete agreement
between the Parties. This Agreement may not be amended except by written
consent of the affected Parties.

 

                23. The individuals signing this Agreement on behalf
of the Tenet Entities represent and warrant that they are authorized to execute
this Agreement. The United States signatories represent that they are signing
this Agreement in their official capacities and that they are authorized to
execute this Agreement.

 

                24. This Agreement may be executed in counterparts,
each of which constitutes an original and all of which constitute one and the
same agreement.

 

                25. This Agreement is binding on the Tenet Entities’
successors, transferees, heirs and assigns.

 

                26. All Parties consent to the United States’
disclosure of this Agreement, and information about this Agreement, to the
public.

 

                27. This Agreement is effective on the date of
signature of the last signatory to the Agreement (“Effective Date”). Facsimiles
of signatures shall constitute acceptable, binding signatures for purposes of
this Agreement.

 

25

 

IN
WITNESS WHEREOF, the parties hereto affix their signatures:

 

FOR
THE UNITED  STATES OF AMERICA

 

	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED: 

  	
  June 28, 2006

  	
   

  	
  BY:

  	
  /s/ George S.
  Cardona, Chief AUSA for

  
	
   

  	
   

  	
   

  	
   

  	
  DEBRA WONG YANG

  
	
   

  	
   

  	
   

  	
   

  	
  United States Attorney

  
	
   

  	
   

  	
   

  	
   

  	
  Central District of California

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED:

  	
  6/29/06 by DA Spiro

  	
   

  	
  BY:

  	
  /s/ Michael D. Granston

  
	
   

  	
   

  	
   

  	
   

  	
  MICHAEL GRANSTON

  
	
   

  	
   

  	
   

  	
   

  	
  Assistant Director

  
	
   

  	
   

  	
   

  	
   

  	
  Commercial Litigation
  Branch

  
	
   

  	
   

  	
   

  	
   

  	
  Civil Division

  
	
   

  	
   

  	
   

  	
   

  	
  United States Department
  of Justice

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  FOR HHS-OIG

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  BY:

  	
  /s/ Gregory E. Demske

  
	
  DATED:

  	
  6/28/06

  	
   

  	
   

  	
  GREGORY E. DEMSKE

  
	
   

  	
   

  	
   

  	
   

  	
  Assistant  Inspector General for
  Legal Affairs

  
	
   

  	
   

  	
   

  	
   

  	
  Office of Counsel to the
  Inspector General

  
	
   

  	
   

  	
   

  	
   

  	
  U.S. Department of Health
  and Human Services

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  FOR OPM

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED:

  	
  June 28, 2006

  	
   

  	
  BY:

  	
  /s/ Kathleen M. McGettigan

  
	
   

  	
   

  	
   

  	
   

  	
  KATHLEEN MCGETTIGAN

  
	
   

  	
   

  	
   

  	
   

  	
  Deputy Associate Director

  
	
   

  	
   

  	
   

  	
   

  	
  Center for Retirement and
  Insurance Services

  
	
   

  	
   

  	
   

  	
   

  	
  Office of Personnel
  Management

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  BY:

  	
  /s/ J. David Cope

  
	
   

  	
   

  	
   

  	
   

  	
  J. DAVID COPE

  
	
   

  	
   

  	
   

  	
   

  	
  Debarring Official

  
	
   

  	
   

  	
   

  	
   

  	
  Office of Personnel
  Management

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  FOR TRICARE

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED:

  	
  28 June 2006

  	
   

  	
  BY:

  	
  /s/ Laurel C. Gillespie

  
	
   

  	
   

  	
   

  	
   

  	
  LAUREL C. GILLESPIE

  
	
   

  	
   

  	
   

  	
   

  	
  Deputy General Counsel

  
	
   

  	
   

  	
   

  	
   

  	
  Tricare Management
  Activity

  
	
   

  	
   

  	
   

  	
   

  	
  United States Department
  of Defense

  

 

26

FOR
THE SETTLING HOSPITALS

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President 

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  
	
   

  	
   

  	
   

  	
   

  	
  (for each of the Settling
  Hospitals identified in Exhibit 1)

  
	
   

  	
   

  	
   

  	
   

  	
   

  

FOR
TENET HEALTHCARE CORPORATION

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President 

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ David Schindler

  
	
   

  	
   

  	
   

  	
   

  	
  DAVID SCHINDLER

  
	
   

  	
   

  	
   

  	
   

  	
  LATHAM & WATKINS

  
	
   

  	
   

  	
   

  	
   

  	
  Counsel for Tenet
  Healthcare Corporation

  
	
   

  	
   

  	
   

  	
   

  	
   

  
	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Roger Goldman

  
	
   

  	
   

  	
   

  	
   

  	
  ROGER GOLDMAN

  
	
   

  	
   

  	
   

  	
   

  	
  LATHAM & WATKINS

  
	
   

  	
   

  	
   

  	
   

  	
  Counsel for Tenet
  Heatthcare Corporation

  
	
   

  	
   

  	
   

  	
   

  	
   

  

FOR
TENET HEALTHSYSTEM HEALTHCORP

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  
	
   

  	
   

  	
   

  	
   

  	
   

  

FOR
TENET HEALTHSYSTEM HOLDINGS, INC.

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  

 

27

 

 

 

FOR TENET HEALTHSYSTEM MEDICAL, INC.

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  

 

FOR ORNDA HOSPITAL CORPORATION

 

	
  DATED:

  	
  6/28/06

  	
   

  	
  BY:

  	
  /s/ Douglas E. Rabe

  
	
   

  	
   

  	
   

  	
   

  	
  DOUGLAS E. RABE

  
	
   

  	
   

  	
   

  	
   

  	
  Vice President

  
	
   

  	
   

  	
   

  	
   

  	
  Tenet Healthcare
  Corporation

  

 

28

 

EXHIBIT
1: SETTLING HOSPITALS

 

	
   

  	
  A

  	
  B

  	
  C

  	
  D

  
	
  1

  	
  Pro.
  #

  	
  Hospital
  Name

  	
  City

  	
  State

  
	
  2

  	
  05-0583

  	
  ALVARADO HOSPITAL MEDICAL
  CENTER

  	
  SAN DIEGO

  	
  CA

  
	
  3

  	
  15-0022

  	
  AMI CULVER UNION HOSPITAL

  	
  CRAWFORDSVILLE

  	
  IN

  
	
  4

  	
  45-0656

  	
  AMI NACOGDOCHES MEDICAL
  CENTER HOSP

  	
  NACOGDOCHES

  	
  TX

  
	
  5

  	
  05-0601

  	
  AMI TARZANA REGIONAL
  MEDICAL CENTER

  	
  TARZANA

  	
  CA

  
	
  6

  	
  10-0255

  	
  AMI TOWN & COUNTRY
  HOSPITAL

  	
  TAMPA

  	
  FL

  
	
  7

  	
  11-0115

  	
  ATLANTA MEDICAL CENTER
  (GEORGIA BAPTIST MEDICAL CENTER)

  	
  ATLANTA

  	
  GA

  
	
  8

  	
  45-0378

  	
  BAYOU CITY MEDICAL  CENTER

  	
  HOUSTON

  	
  TX

  
	
  9

  	
  01-0139

  	
  BROOKWOOD MEDICAL CENTER 

  	
  BIRMINGHAM

  	
  AL

  
	
  10

  	
  05-0144

  	
  BROTMAN MEDICAL CENTER 

  	
  CULVER CITY

  	
  CA

  
	
  11

  	
  45-0028

  	
  BROWNSVILLE MEDICAL CENTER 

  	
  BROWNSVILLE

  	
  TX

  
	
  12

  	
  45-0885

  	
  CENTENNIAL MEDICAL CENTER

  	
  FRISCO

  	
  TX

  
	
  13

  	
  05-0240

  	
  CENTINELA  HOSPITAL MEDICAL CENTER

  	
  INGLEWOOD

  	
  CA

  
	
  14

  	
  04-0014

  	
  CENTRAL ARKANSAS HOSPITAL

  	
  SEARCY

  	
  AR

  
	
  15

  	
  34-0020

  	
  CENTRAL CAROLINA HOSPITAL

  	
  SANFORD

  	
  NC

  
	
  16

  	
  05-0579

  	
  CENTURY CITY HOSPITAL

  	
  LOS ANGELES

  	
  CA

  
	
  17

  	
  05-0550

  	
  CHAPMAN MEDICAL CENTER  

  	
  ORANGE

  	
  CA

  
	
  18

  	
  39-0288

  	
  CITY AVENUE HOSPITAL

  	
  PHILADELPHIA

  	
  PA

  
	
  19

  	
  10-0056

  10-0289

  	
  CLEVELAND CLINIC 

  	
  WESTON

  	
  FL

  
	
  20

  	
  05-0535

  	
  COASTAL COMMUNITIES
  HOSPITAL

  	
  SANTA ANA

  	
  CA

  
	
  21

  	
  26-0178

  	
  COLUMBIA REGIONAL HOSPITAL

  	
  COLUMBIA

  	
  MO

  
	
  22

  	
  05-0188

  	
  COMMUNITY HOSPITAL LOS
  GATOS

  	
  LOS GATOS

  	
  CA

  
	
  23

  	
  05-0091

  	
  COMMUNITY/MISSION HOSPITAL
  OF HUNTINGTON PARK

  	
  0

  	
  CA

  
	
  24

  	
  03-0059

  	
  COMMUNITY HOSPITAL MEDICAL CENTER

  	
  PHOENIX

  	
  AZ

  
	
  25

  	
  10-0183

  	
  CORAL GABLES HOSPITAL

  	
  CORAL GABLES

  	
  FL

  
	
  26

  	
  45-0716

  	
  CYPRESS FAIRBANKS MED CTR
  HOSPITAL

  	
  HOUSTON

  	
  TX

  
	
  27

  	
  05-0559

  05-0730

  	
  DANIEL FREEMAN MARINA
  HOSPITAL

  	
  MARINA DEL REY

  	
  CA

  
	
  28

  	
  05-0267

  05-0729

  	
  DANIEL FREEMAN MEMORIAL HOSPITAL

  	
  INGELWOOD 

  	
  CA

  
	
  29

  	
  16-0104

  	
  DAVENPORT MEDICAL CENTER

  	
  DAVENPORT

  	
  IA

  
	
  30

  	
  26-0021

  	
  DEACONESS
  MEDICAL CENTER (FOREST PARK)

  	
  SAINT LOUIS

  	
  MO

  
	
  31

  	
  26-0176

  	
  DEACONESS MEDICAL CENTER
  WEST (DES PERES)

  	
  SAINT LOUIS

  	
  MO

  
	
  32

  	
  10-0258

  	
  DELRAY MEDICAL HOSPITAL

  	
  DELRAY BEACH

  	
  FL

  
	
  33

  	
  05-0243

  	
  DESERT REGIONAL MEDICAL
  CENTER

  	
  PALM SPRINGS

  	
  CA

  
	
  34

  	
  45-0678

  	
  DOCTORS  HOSPITAL

  	
  DALLAS

  	
  TX

  
	
  35

  	
  19-0203

  	
  DOCTORS HOSPITAL OF
  JEFFERSON

  	
  METAIRIE

  	
  LA

  
	
  36

  	
  05-0118

  	
  DOCTORS HOSPITAL OF MANTECA

  	
  MANTECA

  	
  CA

  
	
  37

  	
  05-0464

  	
  DOCTORS MEDICAL CENTER
  MODESTO 

  	
  MODESTO

  	
  CA

  
	
  38

  	
  05-0522

  	
  DOCTORS MEDICAL CENTER
  PINOLE CAMPUS 

  	
  PINOLE

  	
  CA

  
	
  39

  	
  05-0079

  	
  DOCTORS MEDICAL CTR SAN
  PABLO CAMPUS 

  	
  SAN PABLO

  	
  CA

  
	
  40

  	
  26-0119

  	
  DOCTORS REGIONAL

  	
  POPLAR BLUFF

  	
  MO

  
	
  41

  	
  42-0089

  	
  EAST COOPER REGIONAL
  MEDICAL CENTER

  	
  MOUNT PLEASANT

  	
  SC

  
	
  42

  	
  38-0039

  	
  EASTMORLAND HOSPITAL

  	
   PORTLAND

  	
  OR

  
	
  43

  	
  39-0289

  	
  ELKINS PARK HOSPITAL 

  	
  ELKINS PARK

  	
  PA

  
	
  44

  	
  05-0158

  	
  ENCINO-TARZANA REGIONAL
  MEDICAL CTR 

  	
  ENCINO

  	
  CA

  
	
  45

  	
  10-0210

  	
  FLORIDA MEDICAL CENTER 

  	
  FORT LAUDERDALE

  	
  FL

  
	
  46

  	
  10-0085

  	
  FLORIDA MEDICAL CENTER
  SOUTH

  	
  PLANTATION

  	
  FL

  
	
  47

  	
  05-0570

  	
  FOUNTAIN VALLEY REGIONAL HOSPITAL

  	
  FOUNTAIN VALLEY

  	
  CA

  

 

 

Page
1 of 4

 

EXHIBIT
1: SETTLING HOSPITALS

 

	
   

  	
  A

  	
  B

  	
  C

  	
  D

  
	
  1

  	
  Pro.
  #

  	
  Hospital
  Name

  	
  City

  	
  State

  
	
  48

  	
  05-0232

  	
  FRENCH HOSPITAL MEDICAL
  CENTER

  	
  SAN LUIS OBISPO

  	
  CA

  
	
  49

  	
  34-0116

  	
  FRYE REGIONAL MEDICAL
  CENTER

  	
  HICKORY

  	
  NC

  
	
  50

  	
  34-1312

  	
  FRYE REGIONAL MEDICAL
  CENTER - ALEXANDER CAMPUS

  	
   

  	
  NC

  
	
  51

  	
  05-0230

  	
  GARDEN GROVE HOSPITAL &
  MEDICAL CENTER

  	
  GARDEN GROVE

  	
  CA

  
	
  52

  	
  05-0432

  	
  GARFIELD MEDICAL CENTER

  	
  MONTEREY PARK

  	
  CA

  
	
  53

  	
  45-0315

  	
  GARLAND COMMUNITY HOSPITAL

  	
  GARLAND

  	
  TX

  
	
  54

  	
  10-0262

  10-0287

  	
  GOOD SAMARITAN

  	
  WEST PALM BEACH

  	
  FL

  
	
  55

  	
  39-0285

  	
  GRADUATE HOSPITAL

  	
  PHILADELPHIA

  	
  PA

  
	
  56

  	
  05-0615

  	
  GREATER EL MONTE COMMUNITY
  HOSPITAL

  	
  SOUTH EL MONTE

  	
  CA

  
	
  57

  	
  25-0125

  	
  GULF COAST MEDICAL CENTER

  	
  BILOXI

  	
  MS

  
	
  58

  	
  05-0607

  	
  HARBOR VIEW MEDICAL CENTER

  	
  SAN DIEGO

  	
  CA

  
	
  59

  	
  39-0290

  	
  HAHNEMANN UNIVERSITY
  HOSPITAL

  	
  PHILADELPHIA

  	
  PA

  
	
  60

  	
  10-0053

  	
  HIALEAH HOSPITAL

  	
  HIALEAH

  	
  FL

  
	
  61

  	
  42-0080

  	
  HILTON HEAD HOSPITAL

  	
  HILTON HEAD ISLAND

  	
  SC

  
	
  62

  	
  10-0225

  	
  HOLLYWOOD
  MEDICAL  CENTER

  	
  HOLLYWOOD

  	
  FL

  
	
  63

  	
  45-0638

  	
  HOUSTON NORTHWEST MEDICAL
  CENTER

  	
  HOUSTON

  	
  TX

  
	
  64

  	
  05-0693

  	
  IRVINE MEDICAL CENTER

  	
  IRVINE

  	
  CA

  
	
  65

  	
  19-0173

  	
  JOELLEN SMITH MEDICAL
  CENTER

  	
  NEW ORLEANS

  	
  LA

  
	
  66

  	
  05-0534

  	
  JOHN F KENNEDY MEMORIAL
  HOSPITAL

  	
  INDIO

  	
  CA

  
	
  67

  	
  44-0144

  	
  JOHN W HARTON REGIONAL MED
  CENTER

  	
  TULLAHOMA

  	
  TN

  
	
  68

  	
  19-0206

  	
  KENNER REGIONAL MEDICAL
  CENTER

  	
  KENNER

  	
  LA

  
	
  69

  	
  26-0054

  	
  LAFAYETTE-GRAND HOSPITAL
  (COMPTON HEIGHTS)

  	
  SAINT LOUIS

  	
  MO

  
	
  70

  	
  29-0005

  	
  LAKE MEAD HOSPITAL MEDICAL
  CENTER

  	
  NORTH LAS VEGAS

  	
  NV

  
	
  71

  	
  45-0742

  	
  LAKE POINTE MEDICAL CENTER 

  	
  ROWLETT

  	
  TX

  
	
  72

  	
  05-0581

  	
  LAKEWOOD REGIONAL MEDICAL
  CENTER 

  	
  LAKEWOOD

  	
  CA

  
	
  73

  	
  53-0010

  	
  LANDER VALLEY MEDICAL
  CENTER

  	
  LANDER

  	
  WY

  
	
  74

  	
  01-0068

  	
  LLOYD NOLAN HOSPITAL 

  	
  FAIRFIELD

  	
  AL

  
	
  75

  	
  05-0551

  	
  LOS ALAMITOS MEDICAL CENTER

  	
  LOS ALAMITOS

  	
  CA

  
	
  76

  	
  26-0120

  	
  LUCY LEE HOSPITAL

  (THREE RIVERS HEALTHCARE)

  	
  POPLAR BLUFF

  	
  MO

  
	
  77

  	
  26-0002

  	
  LUTHERAN MEDICAL CENTER (SOUTHPOINTE

  HOSPITAL) (ST. ALEXIUS
  -JEFFERSON CAMPUS)

  	
  SAINT LOUIS

  	
  MO

  
	
  78

  	
  19-0152

  	
  MEADOWCREST  HOSPITAL

  	
  GRETNA

  	
  LA

  
	
  79

  	
  44-0203

  	
  MEDICAL CENTER OF
  MANCHESTER

  	
  MANCHESTER

  	
  TN

  
	
  80

  	
  39-0287

  	
  MEDICAL COLLEGE OF PENNSYLVANIA

  	
  PHILADELPHIA

  	
  PA

  
	
  81

  	
  10-0206

  	
  MEMORIAL HOSPITAL OF TAMPA

  	
  TAMPA

  	
  FL

  
	
  82

  	
  19-0135

  	
  MEMORIAL MED. CTR. -BAPTIST
  CAMPUS 

  	
  NEW ORLEANS 

  	
  LA

  
	
  83

  	
  19-0075

  19-0260

  	
  MEMORIAL MED. CTR.-MERCY
  CAMPUS

  (LINDY BOGGS MEDICAL
  CENTER)

  	
  NEW ORLEANS

  	
  LA

  
	
  84

  	
  03-0017

  	
  MESA GENERAL HOSPITAL
  MEDICAL CENTER

  	
  MESA

  	
  AZ

  
	
  85

  	
  04-0118

  	
  METHODIST HOSPITAL OF
  JONESBORO (REGIONAL MEDICAL CENTER OF NEA)

  	
  JONESBORO

  	
  AR

  
	
  86

  	
  22-0089

  	
  METROWEST MEDICAL CENTER -
  LEONARD MORSE

  	
  FRAMINGHAM

  	
  MA

  
	
  87

  	
  22-0089

  	
  METROWEST MEDICAL CENTER -
  UNION HOSPITAL

  	
  NATICK

  	
  MA

  
	
  88

  	
  45-0514

  	
  MID-JEFFERSON HOSPITAL

  	
  NEDERLAND

  	
  TX

  
	
  89

  	
  05-0477

  	
  MIDWAY HOSPITAL MEDICAL
  CENTER

  	
  LOS ANGELES

  	
  CA

  
	
  90

  	
  19-0144

  	
  MINDEN MEDICAL CENTER INC

  	
  MINDEN

  	
  LA

  

 

 

Page
2 of 4

 

EXHIBIT
1: SETTLING HOSPITALS

 

	
   

  	
  A

  	
  B

  	
  C

  	
  D

  
	
  1

  	
  Pro.
  #

  	
  Hospital
  Name

  	
  City

  	
  State

  
	
  91

  	
  05-0591

  	
  MONTEREY PARK HOSPITAL

  	
  MONTEREY PARK

  	
  CA

  
	
  92

  	
  04-0078

  	
  NATIONAL PARK MEDICAL
  CENTER INC

  	
  HOT SPRINGS

  	
  AR

  
	
  93

  	
  10-0063

  	
  NORTH BAY MEDICAL CENTER

  	
  NEW PORT RICHEY

  	
  FL

  
	
  94

  	
  11-0198

  	
  NORTH FULTON REGIONAL
  HOSPITAL

  	
  ROSWELL

  	
  GA

  
	
  95

  	
  05-0241

  55-0241

  	
  NORTH HOLLYWOOD MEDICAL
  CENTER

  	
  NORTH HOLLYWOOD

  	
  CA

  
	
  96

  	
  10-0237

  	
  NORTH RIDGE MEDICAL CENTER

  	
  FORT LAUDERDALE

  	
  FL

  
	
  97

  	
  10-0029

  	
  NORTH SHORE MEDICAL CENTER

  	
  MIAMI

  	
  FL

  
	
  98

  	
  19-0204

  	
  NORTHSHORE REGIONAL MEDICAL
  CENTER

  	
  SLIDELL

  	
  LA

  
	
  99

  	
  45-0661

  	
  ODESSA REGIONAL HOSPITAL

  	
  ODESSA

  	
  TX

  
	
  100

  	
  10-0176

  	
  PALM BEACH GARDENS MEDICAL
  CENTER

  	
  PALM BEACH GARDENS

  	
  FL

  
	
  101

  	
  10-0187

  	
  PALMETTO GENERAL HOSPITAL

  	
  HIALEAH

  	
  FL

  
	
  102

  	
  10-0126

  	
  PALMS OF PASADENA HOSPITAL

  	
  SAINT PETERSBURG

  	
  FL

  
	
  103

  	
  45-0518

  	
  PARK PLACE MEDICAL CENTER

  	
  PORT ARTHUR

  	
  TX

  
	
  104

  	
  45-0659

  	
  PARK PLAZA HOSPITAL

  	
  HOUSTON

  	
  TX

  
	
  105

  	
  39-0234

  	
  PARKVIEW HOSPITAL

  	
  PHILADELPHIA

  	
  PA

  
	
  106

  	
  10-0114

  	
  PARKWAY REGIONAL MEDICAL
  CENTER

  	
  NORTH MIAMI

  	
  FL

  
	
  107

  	
  42-0002

  	
  PIEDMONT MEDICAL CENTER

  	
  ROCK HILL

  	
  SC

  
	
  108

  	
  10-3030

  	
  PINECREST REHABILITATION

  	
  DELRAY BEACH

  	
  FL

  
	
  109

  	
  05-0589

  	
  PLACENTIA LINDA HOSPITAL

  	
  PLACENTIA

  	
  CA

  
	
  110

  	
  45-2046

  	
  PLAZA SPECIALTY HOSPITAL

  	
  HOUSTON

  	
  TX

  
	
  111

  	
  51-0060

  	
  PLATEAU MEDICAL CENTER

  	
  OAK HILL

  	
  WV

  
	
  112

  	
  45-0002

  	
  PROVIDENCE MEMORIAL
  HOSPITAL

  	
  EL PASO

  	
  TX

  
	
  113

  	
  50-0045

  	
  PUGET SOUND HOSPITAL  

  	
  TACOMA

  	
  WA

  
	
  114

  	
  05-0063

  	
  QUEEN OF ANGELS - HOLLYWOOD
  PRESBYTERIAN MEDICAL CENTER

  	
  LOS ANGELES

  	
  CA

  
	
  115

  	
  05-0701

  	
  RANCHO SPRINGS MEDICAL
  CENTER 

  	
  MURRIETA

  	
  CA

  
	
  116

  	
  05-0312

  	
  REDDING MEDICAL CENTER 

  	
  REDDING

  	
  CA

  
	
  117

  	
  45-0379

  	
  RHD MEMORIAL MEDICAL CENTER
  

  	
  DALLAS

  	
  TX

  
	
  118

  	
  39-0135

  39-0304

  	
  ROXBOROUGH MEMORIAL
  HOSPITAL 

  	
  PHILADELPHIA

  	
  PA

  
	
  119

  	
  39-3307

  	
  SAINT CHRISTOPHER’S
  HOSPITAL FOR CHILDREN 

  	
  PHILADELPHIA

  	
  PA

  
	
  120

  	
  26-0105

  	
  SAINT LOUIS UNIVERSITY
  HOSPITAL

  	
  SAINT LOUIS

  	
  MO

  
	
  121

  	
  05-0029

  	
  SAINT LUKE MEDICAL CENTER

  	
  PASADENA

  	
  CA

  
	
  122

  	
  05-0588

  	
  SAN DIMAS COMMUNITY
  HOSPITAL 

  	
  SAN DIMAS

  	
  CA

  
	
  123

  	
  05-0689

  	
  SAN RAMON REGIONAL MEDICAL
  CTR 

  	
  SAN RAMON

  	
  CA

  
	
  124

  	
  05-0491

  	
  SANTA ANA HOSPITAL MEDICAL
  CENTER 

  	
  SANTA ANA

  	
  CA

  
	
  125

  	
  10-0249

  	
  SEVEN RIVERS COMMUNITY
  HOSPITAL 

  	
  CRYSTAL RIVER

  	
  FL

  
	
  126

  	
  45-0378

  	
  SHARPSTOWN GENERAL HOSPITAL
  

  	
  HOUSTON

  	
  TX

  
	
  127

  	
  45-0473

  45-0839
  

  	
  SHELBY MEMORIAL REGIONAL
  MEDICAL CENTER 

  	
  CENTER

  	
  TX

  
	
  128

  	
  45-0668

  	
  SIERRA MEDICAL CENTER  

  	
  EL PASO

  	
  TX

  
	
  129

  	
  45-3070

  	
  SIERRA PROVIDENCE
  REHABILITATION HOSPITAL 

  	
  EL PASO

  	
  TX

  
	
  130

  	
  05-0506

  	
  SIERRA VISTA REGIONAL MEDICAL  CENTER 

  	
  SAN LUIS OBISPO

  	
  CA

  
	
  131

  	
  05-0459

  	
  SOUTH BAY HOSPITAL 

  	
  REDONDO BEACH

  	
  CA

  
	
  132

  	
  11-0066

  11-0219

  	
  SOUTH FULTON

  	
  ATLANTA

  	
  GA

  
	
  133

  	
  45-0110

  	
  SOUTH PARK HOSPITAL &
  MEDICAL CENTER

  	
  LUBBOCK

  	
  TX

  
	
  134

  	
  45-0697

  	
  SOUTHWEST GENERAL HOSPITAL

  	
  SAN ANTONIO

  	
  TX

  
	
  135

  	
  11-0031

  	
  SPALDING REGIONAL HOSPITAL

  	
  GRIFFIN

  	
  GA

  

 

 

Page
3 of 4

 

EXHIBIT
1: SETTLING HOSPITALS

 

	
   

  	
  A

  	
  B

  	
  C

  	
  D

  
	
  1

  	
  Pro.
  #

  	
  Hospital
  Name

  	
  City

  	
  State

  
	
  136

  	
  19-0158

  	
  ST. CHARLES GENERAL
  HOSPITAL

  	
  NEW ORLEANS

  	
  LA

  
	
  137

  	
  44-0183

  	
  ST. FRANCIS HOSPITAL

  	
  MEMPHIS

  	
  TN

  
	
  138

  	
  28-0030

  	
  ST. JOSEPH HOSPITAL (CREIGHTON
  UNIVERSITY MEDICAL CENTER)

  	
  OMAHA

  	
  NE

  
	
  139

  	
  03-0037

  	
  ST LUKE’S MEDICAL CENTER

  	
  PHOENIX

  	
  AZ

  
	
  140

  	
  04-0041

  	
  ST. MARY’S REGIONAL MEDICAL
  CENTER

  	
  RUSSELLVILLE

  	
  AR

  
	
  141

  	
  22-0028

  	
  ST. VINCENT HOSPITAL
  (WORCESTER MEDICAL CENTER)

  	
  WORCESTER

  	
  MA

  
	
  142

  	
  26-0103

  26-0210

  	
  ST. ALEXIUS HOSPITAL

  	
  SAINT LOUIS

  	
  MO

  
	
  143

  	
  44-0228

  	
  ST. FRANCIS
  HOSPITAL-BARTLETT

  	
  BARTLETT

  	
  TN

  
	
  144

  	
  10-0010

  10-0288

  	
  ST. MARY’S HOSPITAL

  	
  WEST PALM BEACH

  	
  FL

  
	
  145

  	
  05-0571

  	
  SUBURBAN MEDICAL CENTER

  	
  PARAMOUNT

  	
  CA

  
	
  146

  	
  11-0065

  11-1319

  	
  SYLVAN GROVE HOSPITAL

  	
  JACKSON

  	
  GA

  
	
  147

  	
  03-0019

  	
  TEMPE ST LUKE’S HOSPITAL

  	
  TEMPE

  	
  AZ

  
	
  148

  	
  45-0730

  	
  TRINITY MEDICAL CENTER

  	
  CARROLLTON

  	
  TX

  
	
  149

  	
  45-0747

  	
  TRINITY VALLEY MEDICAL
  CENTER

  	
  PALESTINE

  	
  TX

  
	
  150

  	
  03-0035

  	
  TUCSON GENERAL HOSPITAL

  	
  TUCSON

  	
  AZ

  
	
  151

  	
  45-0423

  	
  TWELVE OAKS HOSPITAL

  	
  HOUSTON

  	
  TX

  
	
  152

  	
  05-0633

  	
  TWIN CITIES COMMUNITY
  HOSPITAL

  	
  TEMPLETON

  	
  CA

  
	
  153

  	
  26-0015

  	
  TWIN RIVERS REGIONAL
  MEDICAL CENTER

  	
  KENNETT

  	
  MO

  
	
  154

  	
  44-0193

  	
  UNIVERSITY MEDICAL CENTER

  	
  LEBANON

  	
  TN

  
	
  155

  	
  05-0660

  	
  USC KENNETH NORRIS JR
  CANCER HOSPITAL

  	
  LOS ANGELES

  	
  CA

  
	
  156

  	
  05-0696

  	
  USC UNIVERSITY HOSPITAL

  	
  LOS ANGELES

  	
  CA

  
	
  157

  	
  05-0449

  	
  VALLEY COMMUNITY HOSPITAL 

  	
  SANTA MARIA

  	
  CA

  
	
  158

  	
  39-0286

  	
  WARMINSTER HOSPITAL

  	
  WARMINSTER

  	
  PA

  
	
  159

  	
  10-0268

  	
  WEST BOCA MEDICAL CENTER

  	
  BOCA RATON

  	
  FL

  
	
  160

  	
  05-0065

  	
  WESTERN MEDICAL CENTER -
  SANTA ANA

  	
  SANTA ANA

  	
  CA

  
	
  161

  	
  05-0594

  	
  WESTERN MEDICAL CENTER -
  ANAHEIM

  	
  ANAHEIM

  	
  CA

  
	
  162

  	
  05-0328

  	
  WESTSIDE MEDICAL CENTER

  	
  LOS ANGELES

  	
  CA

  
	
  163

  	
  05-0175

  	
  WHITTIER HOSPITAL

  	
  WHITTIER

  	
  CA

  
	
  164

  	
  15-0014

  	
  WINONA MEMORIAL HOSPITAL

  	
  INDIANAPOLIS

  	
  IN

  
	
  165

  	
  38-0010

  	
  WOODLAND PARK HOSPITAL

  	
  PORTLAND

  	
  OR

  
	
  166

  	
  05-0021

  	
  WOODRUFF COMMUNITY HOSPITAL

  	
  LONG BEACH

  	
  CA

  

 

 

Page 4 of 4

 

EXHIBIT 2:  DRG
UPCODING HOSPITALS

 

	
   

  	
   

  	
  A

  	
   

  	
  B

  	
   

  
	
  1

  	
   

  	
  Pro.#

  	
   

  	
  Hospital/Entity Name

  
	
  2

  	
   

  	
  05-0583

  	
   

  	
  ALVARADO HOSPITAL MEDICAL CENTER

  
	
  3

  	
   

  	
  15-0022

  	
   

  	
  AMI CULVER UNION HOSPITAL

  
	
  4

  	
   

  	
  45-0656

  	
   

  	
  AMI NACOGDOCHES MEDICAL CENTER HOSP

  
	
  5

  	
   

  	
  05-0601

  	
   

  	
  AMI TARZANA REGIONAL MEDICAL CENTER

  
	
  6

  	
   

  	
  10-0255

  	
   

  	
  AMITOWN & COUNTRY HOSPITAL

  
	
  7

  	
   

  	
  01-0139

  	
   

  	
  BROOKWOOD MEDICAL CENTER

  
	
  8

  	
   

  	
  05-0144

  	
   

  	
  BROTMAN MEDICAL CENTER

  
	
  9

  	
   

  	
  45-0028

  	
   

  	
  BROWNSVILLE MEDICAL CENTER

  
	
  10

  	
   

  	
  05-0240

  	
   

  	
  CENTINELA HOSPITAL MEDICAL CENTER

  
	
  11

  	
   

  	
  04-0014

  	
   

  	
  CENTRAL ARKANSAS HOSPITAL

  
	
  12

  	
   

  	
  34-0020

  	
   

  	
  CENTRAL CAROLtNA HOSPITAL

  
	
  13

  	
   

  	
  05-0579

  	
   

  	
  CENTURY CITY HOSPITAL

  
	
  14

  	
   

  	
  05-0550

  	
   

  	
  CHAPMAN MEDICAL CENTER

  
	
  15

  	
   

  	
  05-0535

  	
   

  	
  COASTAL COMMUNITIES HOSPITAL

  
	
  16

  	
   

  	
  05-0188

  	
   

  	
  COMMUNITY HOSP LOS GATOS

  
	
  17

  	
   

  	
  05-0091

  	
   

  	
  COMMUNITY HOSP OF HUNTINGTON PARK

  
	
  18

  	
   

  	
  45-0716

  	
   

  	
  CYPRESS FAIRBANKS MED CTR HOSPITAL

  
	
  19

  	
   

  	
  10-0258

  	
   

  	
  DELRAY MEDICAL HOSPITAL

  
	
  20

  	
   

  	
  45-0678

  	
   

  	
  DOCTORS HOSPITAL (DALLAS)

  
	
  21

  	
   

  	
  05-0118

  	
   

  	
  DOCTORS HOSPITAL OF MANTECA

  
	
  22

  	
   

  	
  05-0464

  	
   

  	
  DOCTORS MEDICAL CENTER MODESTO

  
	
  23

  	
   

  	
  05-0522

  	
   

  	
  DOCTORS MEDICAL CENTER PINOLE CAMPUS

  
	
  24

  	
   

  	
  05-0079

  	
   

  	
  DOCTORS MEDICAL CTR SAN PABLO CAMPUS

  
	
  25

  	
   

  	
  42-0089

  	
   

  	
  EAST COOPER REGIONAL MEDICAL CENTER

  
	
  26

  	
   

  	
  05-0158

  	
   

  	
  ENCINO-TARZANA REGIONAL MEDICAL CTR

  
	
  27

  	
   

  	
  05-0570

  	
   

  	
  FOUNTAIN VALLEY REGIONAL HOSPITAL

  
	
  28

  	
   

  	
  34-0116

  	
   

  	
  FRYE REGIONAL MEDICAL CENTER

  
	
  29

  	
   

  	
  05-0230

  	
   

  	
  GARDEN GROVE HOSPITAL & MEDICAL CENTER

  
	
  30

  	
   

  	
  05-0432

  	
   

  	
  GARFIELD MEDICAL CENTER

  
	
  31

  	
   

  	
  45-0315

  	
   

  	
  GARLAND COMMUNITY HOSPITAL

  
	
  32

  	
   

  	
  05-0615

  	
   

  	
  GREATER EL MONTE COMMUNITY HOSPITAL

  
	
  33

  	
   

  	
  25-0125

  	
   

  	
  GULF COAST MEDICAL CENTER

  
	
  34

  	
   

  	
  42-0080

  	
   

  	
  HILTON HEAD HOSPITAL

  
	
  35

  	
   

  	
  45-0638

  	
   

  	
  HOUSTON NORTHWEST MEDICAL CENTER

  
	
  36

  	
   

  	
  05-0693

  	
   

  	
  IRVINE MEDICAL CENTER

  
	
  37

  	
   

  	
  19-0173

  	
   

  	
  JOELLEN SMITH MEDICAL CENTER

  
	
  38

  	
   

  	
  05-0534

  	
   

  	
  JOHN F KENNEDY MEMORIAL HOSPITAL

  
	
  39

  	
   

  	
  44-0144

  	
   

  	
  JOHN W HARTON REGIONAL MED CENTER

  
	
  40

  	
   

  	
  19-0206

  	
   

  	
  KENNER REGIONAL MEDICAL CENTER

  
	
  41

  	
   

  	
  29-0005

  	
   

  	
  LAKE MEAD HOSPITAL MEDICAL CENTER

  
	
  42

  	
   

  	
  45-0742

  	
   

  	
  LAKE POINTE MEDICAL CENTER

  
	
  43

  	
   

  	
  05-0581

  	
   

  	
  LAKEWOOD REGIONAL MEDICAL CENTER

  
	
  44

  	
   

  	
  05-0551

  	
   

  	
  LOS ALAMITOS MEDICAL CENTER

  
	
  45

  	
   

  	
  26-0120

  	
   

  	
  LUCY LEE HOSPITAL (THREE RIVERS HEALTHACRE)

  
	
  46

  	
   

  	
  19-0152

  	
   

  	
  MEADOWCREST HOSPITAL

  
	
  47

  	
   

  	
  10-0206

  	
   

  	
  MEMORIAL HOSPITAL OF TAMPA

  
	
  48

  	
   

  	
  19-0135

  	
   

  	
  MEMORIAL MED. CTR.—BAPTIST CAMPUS

  
	
  

  49

  	
   

  	
  19-0075

  19-0260

  	
   

  	
  MEMORIAL MED. CTR.—MERCY CAMPUS (LINDY BOGGS MEDICAL
  

  CENTER)

  
	
  50

  	
   

  	
  03-0017

  	
   

  	
  MESA GENERAL HOSPITAL MEDICAL CENTER

  

 

Page
1 of 3

 

EXHIBIT 2:  DRG
UPCODING HOSPITALS

 

	
   

  	
   

  	
  A

  	
   

  	
  B

  	
   

  
	
  1

  	
   

  	
  Pro.#

  	
   

  	
  Hospital/Entity Name

  
	
  

  51

  	
   

  	
  

  04-0118

  	
   

  	
  METHODIST HOSPITAL OF JONESBORO (REGIONAL MEDICAL 

  CENTER OF NEA)

  
	
  52

  	
   

  	
  45-0514

  	
   

  	
  MID-JEFFERSON HOSPITAL

  
	
  53

  	
   

  	
  05-0477

  	
   

  	
  MIDWAY HOSPITAL MEDICAL CENTER

  
	
  54

  	
   

  	
  19-0144

  	
   

  	
  MINDEN MEDICAL CENTER INC

  
	
  55

  	
   

  	
  05.0591

  	
   

  	
  MONTEREY PARK HOSPITAL

  
	
  56

  	
   

  	
  04-0078

  	
   

  	
  NATIONAL PARK MEDICAL CENTER INC

  
	
  57

  	
   

  	
  11-0198

  	
   

  	
  NORTH FULTON REGIONAL HOSPITAL

  
	
  58

  	
   

  	
  10-0237

  	
   

  	
  NORTH RIDGE MEDICAL CENTER

  
	
  59

  	
   

  	
  19-0204

  	
   

  	
  NORTHSHORE REGIONAL MEDICAL CENTER

  
	
  60

  	
   

  	
  45-0661

  	
   

  	
  ODESSA REGIONAL HOSPITAL

  
	
  61

  	
   

  	
  10-0176

  	
   

  	
  PALM BEACH GARDENS MEDICAL CENTER

  
	
  62

  	
   

  	
  10-0187

  	
   

  	
  PALMETTO GENERAL HOSPITAL

  
	
  63

  	
   

  	
  10-0126

  	
   

  	
  PALMS OF PASADENA HOSPITAL

  
	
  64

  	
   

  	
  45-0518

  	
   

  	
  PARK PLACE MEDICAL CENTER

  
	
  65

  	
   

  	
  45-0659

  	
   

  	
  PARK PLAZA HOSPITAL

  
	
  66

  	
   

  	
  42-0002

  	
   

  	
  PIEDMONT MEDICAL CENTER

  
	
  67

  	
   

  	
  05-0589

  	
   

  	
  PLACENTIA LINDA HOSPITAL

  
	
  68

  	
   

  	
  45-0002

  	
   

  	
  PROVIDENCE MEMORIAL
  HOSPITAL

  
	
  69

  	
   

  	
  05-0312

  	
   

  	
  REDDING MEDICAL CENTER

  
	
  70

  	
   

  	
  45-0379

  	
   

  	
  RHD MEMORIAL MEDICAL CENTER

  
	
  71

  	
   

  	
  05-0029

  	
   

  	
  SAINT LUKE MEDICAL CENTER

  
	
  72

  	
   

  	
  05-0588

  	
   

  	
  SAN DIMAS COMMUNITY HOSPITAL

  
	
  73

  	
   

  	
  05-0689

  	
   

  	
  SAN RAMON REGIONAL MEDICAL CTR

  
	
  74

  	
   

  	
  10-0249

  	
   

  	
  SEVEN RIVERS COMMUNITY HOSPITAL

  
	
  75

  	
   

  	
  45-0668

  	
   

  	
  SIERRA MEDICAL CENTER

  
	
  76

  	
   

  	
  05-0506

  	
   

  	
  SIERRA VISTA REGIONAL MEDICAL CENTER

  
	
  77

  	
   

  	
  05-0459

  	
   

  	
  SOUTH BAY

  
	
  78

  	
   

  	
  45-0110

  	
   

  	
  SOUTH PARK HOSPITAL & MEDICAL CENTER

  
	
  

  79

  	
   

  	
  

  26-0002

  	
   

  	
  SOUTHPOINTE HOSPITAL (LUTHERAN MEDICAL CENTER) (St. 

  Alexius -Jefferson Campus)

  
	
  80

  	
   

  	
  45-0697

  	
   

  	
  SOUTHWEST GENERAL HOSPITAL

  
	
  81

  	
   

  	
  11-0031

  	
   

  	
  SPALDING REGIONAL HOSPITAL

  
	
  82

  	
   

  	
  19-0158

  	
   

  	
  ST CHARLES GENERAL HOSPITAL

  
	
  83

  	
   

  	
  44-0183

  	
   

  	
  ST FRANCIS HOSPITAL

  
	
  

  84

  	
   

  	
  

  28-0030

  	
   

  	
  ST JOSEPH HOSPITAL (CREIGHTON UNIVERSITY MEDICAL 

  CENTER)

  
	
  85

  	
   

  	
  03-0037

  	
   

  	
  ST LUKE’S MEDICAL CENTER

  
	
  86

  	
   

  	
  04-0041

  	
   

  	
  ST MARYS REGIONAL MEDICAL CENTER

  
	
  87

  	
   

  	
  22-0028

  	
   

  	
  ST VINCENT HOSPITAL

  
	
  88

  	
   

  	
  05-0571

  	
   

  	
  SUBURBAN MEDICAL CENTER

  
	
  89

  	
   

  	
  03-0019

  	
   

  	
  TEMPE ST LUKE’S HOSPITAL

  
	
  90

  	
   

  	
  45-0730

  	
   

  	
  TRINITY MEDICAL CENTER

  
	
  91

  	
   

  	
  03-0035

  	
   

  	
  TUCSON GENERAL HOSPITAL

  
	
  92

  	
   

  	
  45-0423

  	
   

  	
  TWELVE OAKS HOSPITAL

  
	
  93

  	
   

  	
  05-0633

  	
   

  	
  TWIN CITIES COMMUNITY HOSPITAL

  
	
  94

  	
   

  	
  26-0015

  	
   

  	
  TWIN RIVERS REGIONAL MEDICAL CENTER

  
	
  95

  	
   

  	
  44-0193

  	
   

  	
  UNIVERSITY MEDICAL CENTER

  
	
  96

  	
   

  	
  05-0696

  	
   

  	
  USC UNIVERSITY HOSPITAL

  
	
  97

  	
   

  	
  10-0268

  	
   

  	
  WEST BOCA MEDICAL CENTER

  

 

Page
2 of 3

 

EXHIBIT 2:  DRG
UPCODING HOSPITALS

 

	
   

  	
   

  	
  A

  	
   

  	
  B

  	
   

  
	
  1

  	
   

  	
  Pro.#

  	
   

  	
  Hospital/Entity Name

  
	
  98

  	
   

  	
  05-0175

  	
   

  	
  WHITTIER HOSPITAL

  
	
  99

  	
   

  	
  15-0014

  	
   

  	
  WINONA MEMORIAL HOSPITAL

  
	
  100

  	
   

  	
  05-0021

  	
   

  	
  WOODRUFF COMMUNITY HOSPITAL

  
	
  101

  	
   

  	
   

  	
   

  	
  TENET HEALTHSYSTEM HEALTHCORP.

  
	
  102

  	
   

  	
   

  	
   

  	
  TENET HEALTHSYSTEM HOLDINGS, INC.

  
	
  103

  	
   

  	
   

  	
   

  	
  TENET HEALTHSYSTEM MEDICAL, INC.

  
	
  104

  	
   

  	
   

  	
   

  	
  TENET HEALTHSYSTEM HOSPITALS, INC.

  
	
  105

  	
   

  	
   

  	
   

  	
  ORNDA HOSPITAL CORP.

  

 

Page 3 of 3

 

EXHIBIT 3: TIERED CHARGES
HOSPITALS

 

	
  Pro.#

  	
   

  	
  Hospital Name

  	
   

  	
  City

  	
   

  	
  State

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  10-0258

  	
   

  	
  DELRAY MEDICAL HOSPITAL

  	
   

  	
  DELRAY BEACH

  	
   

  	
  FL

  
	
  34-0116

  	
   

  	
  FRYE REGIONAL MEDICAL CENTER

  	
   

  	
  HICKORY

  	
   

  	
  NC

  
	
  05-0551

  	
   

  	
  LOS ALAMITOS MEDICAL CENTER

  	
   

  	
  LOS ALAMITOS

  	
   

  	
  CA

  
	
  05-0696

  	
   

  	
  USC UNIVERSITY HOSPITAL

  	
   

  	
  LOS ANGELES

  	
   

  	
  CA

  
	
  05-0243

  	
   

  	
  DESERT REGIONAL MEDICAL CENTER

  	
   

  	
  PALM SPRINGS

  	
   

  	
  CA

  
	
  05-0158

  	
   

  	
  ENCINO-TARZANA REGIONAL MEDICAL  CTR

  	
   

  	
  ENCINO

  	
   

  	
  CA

  
	
  44-0183

  	
   

  	
  ST. FRANCIS HOSPITAL

  	
   

  	
  MEMPHIS

  	
   

  	
  TN

  
	
  05-0188

  	
   

  	
  COMMUNITY HOSP LOS GATOS

  	
   

  	
  LOS GATOS

  	
   

  	
  CA

  
	
  05-0312

  	
   

  	
  REDDING MEDICAL CENTER

  	
   

  	
  REDDING

  	
   

  	
  CA

  
	
  19-0135

  	
   

  	
  MEMORIAL MED, CTR. —BAPTIST CAMPUS

  	
   

  	
  NEW ORLEANS

  	
   

  	
  LA

  
	
  05-0506

  	
   

  	
  SIERRA VISTA REGIONAL MEDICAL CENTER

  	
   

  	
  SAN LUIS OBISPO

  	
   

  	
  CA

  
	
  05-0583

  	
   

  	
  ALVARADO HOSPITAL MEDICAL CENTER

  	
   

  	
  SAN DIEGO

  	
   

  	
  CA

  
	
  01-0139

  	
   

  	
  BROOKWOOD MEDICAL CENTER

  	
   

  	
  BIRMINGHAM

  	
   

  	
  AL

  
	
  19-0204

  	
   

  	
  NORTHSHORE REGIONAL MEDICAL CENTER

  	
   

  	
  SLIDELL

  	
   

  	
  LA

  
	
  10-0029

  	
   

  	
  NORTH SHORE MEDICAL CENTER

  	
   

  	
  MIAMI

  	
   

  	
  FL

  
	
  26-0021

  	
   

  	
  DEACONESS MEDICAL CENTER (FOREST PARK)

  	
   

  	
  St. Louis

  	
   

  	
  MO

  
	
  26-0176

  	
   

  	
  DEACONESS MEDICAL CENTER WEST (DES PERES)

  	
   

  	
  St. Louis

  	
   

  	
  MO

  
	
  45-0379

  	
   

  	
  RHD MEMORIAL MEDICAL CENTER

  	
   

  	
  DALLAS

  	
   

  	
  TX

  
	
  29-0005

  	
   

  	
  LAKE MEAD HOSPITAL MEDICAL CENTER

  	
   

  	
  NORTH LAS VEGAS

  	
   

  	
  NV

  
	
  05-0240

  	
   

  	
  CENTINELA HOSPITAL MEDICAL CENTER

  	
   

  	
  INGLEWOOD

  	
   

  	
  CA

  
	
  04-0041

  	
   

  	
  ST. MARY’S REGIONAL MEDICAL CENTER

  	
   

  	
  RUSSELLVILLE

  	
   

  	
  AR

  

 

 

 

 

 

EXHIBIT 4: PAYMENT SCHEDULE

 

	
  Date

  	
   

  	
  Outstanding

  Amount

  	
   

  	
  Principal

  Payments

  	
   

  	
  Interest

  	
   

  	
  Interest

  Payments

  	
   

  	
  Total

  Payment

  	
   

  
	
  11/1/2005

  	
   

  	
  $

  	
  725,000,000

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  11/30/2005

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,376,113

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  12/31/2005

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,539,983

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,539,983

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  2/28/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,294,178

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  3/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,539,983

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  4/30/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,458,048

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  5/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  2,539,983

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  6/30/2006

  	
   

  	
  $

  	
  275,000,000

  	
   

  	
  $

  	
  450,000,000

  	
   

  	
  $

  	
  2,458,048

  	
   

  	
  $

  	
  19,746,318

  	
   

  	
  $

  	
  469,746,318

  	
   

  
	
  7/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  8/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  9/30/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  932,363

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  10/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  11/30/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  932,363

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  12/31/2006

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1/31/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  2/28/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  870,205

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  3/31/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  4/30/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  932,363

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  5/31/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  6/30/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  932,363

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  7/31/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  8/31/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  963,442

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  9/30/2007

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  932,363

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  11/1/2007

  	
   

  	
  $

  	
  15,197,517

  	
   

  	
   

  	
   

  	
  $

  	
  994,521

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  11/1/2007

  	
   

  	
  $

  	
  275,000,000

  	
   

  	
  $

  	
  24,231,795.52

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  $

  	
  39,429,313

  	
   

  
	
   

  	
   

  	
  $

  	
  250,768,204

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  2/1/2008

  	
   

  	
  $

  	
  229,122,456

  	
   

  	
  $

  	
  21,645,748.41

  	
   

  	
   

  	
   

  	
  2,586,047.11

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  5/1/2008

  	
   

  	
  $

  	
  207,253,486

  	
   

  	
  $

  	
  21,868,970.19

  	
   

  	
   

  	
   

  	
  2,362,825.33

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  8/1/2008

  	
   

  	
  $

  	
  185,158,992

  	
   

  	
  $

  	
  22,094,493.95

  	
   

  	
   

  	
   

  	
  2,137,301.57

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  11/1/2008

  	
   

  	
  $

  	
  162,836,649

  	
   

  	
  $

  	
  22,322,343.42

  	
   

  	
   

  	
   

  	
  1,909,452.10

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  2/1/2009

  	
   

  	
  $

  	
  140,284,106

  	
   

  	
  $

  	
  22,552,542.58

  	
   

  	
   

  	
   

  	
  1,679,252.94

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  5/1/2009

  	
   

  	
  $

  	
  117,498,990

  	
   

  	
  $

  	
  22,785,115.68

  	
   

  	
   

  	
   

  	
  1,446,679.84

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  8/1/2009

  	
   

  	
  $

  	
  94,478,903

  	
   

  	
  $

  	
  23,020,087.18

  	
   

  	
   

  	
   

  	
  1,211,708.34

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  11/1/2009

  	
   

  	
  $

  	
  71,221,421

  	
   

  	
  $

  	
  23,257,481.83

  	
   

  	
   

  	
   

  	
  974,313.69

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  2/1/2010

  	
   

  	
  $

  	
  47,724,097

  	
   

  	
  $

  	
  23,497,324.61

  	
   

  	
   

  	
   

  	
  734,470.91

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  5/1/2010

  	
   

  	
  $

  	
  23,984,456

  	
   

  	
  $

  	
  23,739,640.77

  	
   

  	
   

  	
   

  	
  492,154.75

  	
   

  	
  $

  	
  24,231,796

  	
   

  
	
  8/1/2010

  	
   

  	
   

  	
   

  	
  $

  	
  23,984,455.82

  	
   

  	
   

  	
   

  	
  247,339.70

  	
   

  	
  $

  	
  24,231,796

  	
   

  
																	

 

 

 

 

EXHIBIT 5: DOCUMENTS FROM US ex rel. BARBARA v.

AMISUB

 

	
  DOCUMENT ID No.

  	
   

  	
  Doc.
  Date

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  FLAPP/502519 [aka 592519]

  	
   

  	
  8/8/1995

  	
   

  
	
  FLAPP/532902-FLAPP/532903

  	
   

  	
  8/10/1995

  	
   

  
	
  FLAPP/523364-FLAPP/523812

  	
   

  	
  8/25/1995

  	
   

  
	
  FLAPP/509012-FLAPP/509018

  	
   

  	
  1/5/1996

  	
   

  
	
  FLAPP/525010

  	
   

  	
  1/11/1996

  	
   

  
	
  FLAPP/502531-FLAPP/502568

  	
   

  	
  2/8/1996

  	
   

  
	
  FLAPP/549516-FLAPP/549569

  	
   

  	
  4/9/1996

  	
   

  
	
  FLAPP/524978

  	
   

  	
  5/22/1996

  	
   

  
	
  FLAPP/524977

  	
   

  	
  6/5/1996

  	
   

  
	
  FLAPP/515211-FLAPP/515213

  	
   

  	
  8/19/1996

  	
   

  
	
  FLAPP/534761-FLAPP/534799

  	
   

  	
  10/7/1996

  	
   

  
	
  FLAPP/537000

  	
   

  	
  1/11/1997

  	
   

  
	
  FLAPP/535361-FLAPP/535364

  	
   

  	
  1/24/1997

  	
   

  
	
  FLAPP/516262

  	
   

  	
  3/4/1997

  	
   

  
	
  FLAPP/551850-FLAPP/552014

  	
   

  	
  6/23/1997

  	
   

  
	
  FLAPP/520805

  	
   

  	
  7/17/1997

  	
   

  
	
  FLAPP/503490

  	
   

  	
  7/31/1997

  	
   

  
	
  FLAPP/508381

  	
   

  	
  7/31/1997

  	
   

  
	
  PLAPP/517971

  	
   

  	
  8/29/1997

  	
   

  
	
  FLAPP/535733-FLAPP/535752

  	
   

  	
  no date

  	
   

  

 

 

 

Page 1 of 1

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00137-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00137-of-00352.parquet"}]]