1 EXHIBIT 4.1 PARTICIPATION AGREEMENT Dated as of November 26, 1997Participation Agreement • February 17th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • North Carolina
Contract Type FiledFebruary 17th, 1998 Company Industry Jurisdiction
1 EXHIBIT 4.7 SECURITIES PURCHASE AGREEMENTSecurities Purchase Agreement • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • New York
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
STATEMENT OF PURPOSECredit Agreement • September 29th, 1997 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • North Carolina
Contract Type FiledSeptember 29th, 1997 Company Industry Jurisdiction
1 EXHIBIT 10.4 LIMITED LIABILITY COMPANY AGREEMENTLimited Liability Company Agreement • February 17th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Delaware
Contract Type FiledFebruary 17th, 1998 Company Industry Jurisdiction
FIFTH AMENDMENT This FIFTH AMENDMENT (the "Amendment") dated October 27, 1998 is entered into by and among QUORUM HEALTH GROUP, INC., a corporation organized under the laws of Delaware (the "Borrower"), the LENDERS referred to in the Credit Agreement...Quorum Health Group Inc • February 16th, 1999 • Services-general medical & surgical hospitals, nec • North Carolina
Company FiledFebruary 16th, 1999 Industry Jurisdiction
VALLEY/DESERT CONTRIBUTION AGREEMENT Table of ContentsContribution Agreement • February 17th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Nevada
Contract Type FiledFebruary 17th, 1998 Company Industry Jurisdiction
BY AND AMONGCredit Agreement • September 29th, 1997 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • North Carolina
Contract Type FiledSeptember 29th, 1997 Company Industry Jurisdiction
SIXTH AMENDMENT This SIXTH AMENDMENT (the "Amendment") dated March 16, 1999 is entered into by and among QUORUM HEALTH GROUP, INC., a corporation organized under the laws of Delaware (the "Borrower"), the LENDERS referred to in the Credit Agreement...Quorum Health Group Inc • May 12th, 1999 • Services-general medical & surgical hospitals, nec • North Carolina
Company FiledMay 12th, 1999 Industry Jurisdiction
1 EXHIBIT 4.4.18 AMENDMENT NO. 1 TO RIGHTS AGREEMENTRights Agreement • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Delaware
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
1 EXHIBIT 4.6.1 FIRST AMENDMENT TO PARTICIPATION AGREEMENT THIS FIRST AMENDMENT TO PARTICIPATION AGREEMENT dated as of January 26, 1998 (the "Amendment") is by and among QUORUM ELF INC., a Delaware corporation (the "Lessee" or the "Construction...Participation Agreement • September 28th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • North Carolina
Contract Type FiledSeptember 28th, 1998 Company Industry Jurisdiction
AGREEMENT ANDAgreement and Plan of Merger • October 20th, 2000 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Delaware
Contract Type FiledOctober 20th, 2000 Company Industry Jurisdiction
EXHIBIT 4.7.3 STOCKHOLDERS AGREEMENT STOCKHOLDERS AGREEMENT dated as of August 31, 1999, by and among QUORUM HEALTH GROUP, INC., a Delaware corporation (the "Company"), WELSH, CARSON, ANDERSON & STOWE VIII, L.P. ("WCAS VIII") and the several other...Stockholders Agreement • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • New York
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
THIRD AMENDMENTQuorum Health Group Inc • September 28th, 1998 • Services-general medical & surgical hospitals, nec • North Carolina
Company FiledSeptember 28th, 1998 Industry Jurisdiction
EXHIBIT 10.1.J SEPARATION AGREEMENT AND GENERAL RELEASE This Separation Agreement and General Release ("Agreement") is entered into by and between EUGENE C. FLEMING ("Executive") on the one hand, and QUORUM HEALTH GROUP, INC., ("Company") on the...Separation Agreement and General Release • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Tennessee
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
2 3 (viii) Hospital is in compliance with all requirements of state and federal wage and hour laws and other labor laws and has paid, in a timely manner, all required federal and state withholding taxes for its employees. Hospital has complied with...Management Agreement • September 29th, 1997 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledSeptember 29th, 1997 Company Industry
1 EXHIBIT 4.7.2 REGISTRATION RIGHTS AGREEMENTRegistration Rights Agreement • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • New York
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
RIGHTS AGREEMENTRights Agreement • April 23rd, 1997 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Delaware
Contract Type FiledApril 23rd, 1997 Company Industry Jurisdiction
1 SUMMERLIN CONTRIBUTION AGREEMENT Table of ContentsSummerlin Contribution Agreement • February 17th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • Nevada
Contract Type FiledFebruary 17th, 1998 Company Industry Jurisdiction
1 THIRD AMENDMENT TO GROUP PURCHASING ORGANIZATION PARTICIPATION AGREEMENT This Third Amendment to Group Purchasing Organization Participation Agreement ("Amendment") is entered into as of the 13th day of April, 2000, by and between QUORUM HEALTH...Participation Agreement • May 15th, 2000 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledMay 15th, 2000 Company Industry
QUORUM HEALTH GROUP, INC. Issuer TO UNITED STATES TRUST COMPANY OF NEW YORK TrusteeQuorum Health Group Inc • September 29th, 1997 • Services-general medical & surgical hospitals, nec
Company FiledSeptember 29th, 1997 Industry
FOURTH AMENDMENTQuorum Health Group Inc • September 28th, 1998 • Services-general medical & surgical hospitals, nec • North Carolina
Company FiledSeptember 28th, 1998 Industry Jurisdiction
SECOND AMENDMENT TO GROUP PURCHASING ORGANIZATION PARTICIPATION AGREEMENTParticipation Agreement • February 14th, 2000 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledFebruary 14th, 2000 Company Industry
TOParticipation Agreement • September 29th, 1997 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledSeptember 29th, 1997 Company Industry
1 EXHIBIT 4.2 SECOND AMENDMENT TO CREDIT AGREEMENT This SECOND AMENDMENT TO CREDIT AGREEMENT (the "Amendment") dated November 26, 1997 is entered into by and among QUORUM HEALTH GROUP, INC., a corporation organized under the laws of Delaware (the...Credit Agreement • February 17th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • North Carolina
Contract Type FiledFebruary 17th, 1998 Company Industry Jurisdiction
3 4 Debenture or such portion, as the case may be, on such date, in which event this Convertible Debenture or such portion, as the case may be, and, so far as may be lawful, any overdue installment of interest thereon, shall bear interest on and after...Securities Purchase Agreement • September 27th, 1999 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec • New York
Contract Type FiledSeptember 27th, 1999 Company Industry Jurisdiction
WITNESSETH:Executive Employment Agreement • May 15th, 1998 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledMay 15th, 1998 Company Industry
1 EXHIBIT 10.25.3 FOURTH AMENDMENT GROUP PURCHASING ORGANIZATION PARTICIPATION AGREEMENT This Fourth Amendment to Group Purchasing Organization Participation Agreement ("Amendment") is entered into as of the 13th day of June, 2000, by and between...Organization Participation Agreement • September 28th, 2000 • Quorum Health Group Inc • Services-general medical & surgical hospitals, nec
Contract Type FiledSeptember 28th, 2000 Company Industry