AMERICA GROUP OFFICES, LLC BY: LIFEPOINT CORPORATE SERVICES, LIMITED PARTNERSHIP BY: GENERAL PARTNER: LIFEPOINT CSGP, LLC
EXHIBIT 4.4(d)
GUARANTOR ASSUMPTION AGREEMENT
May 11, 1999
Reference is hereby made to the Registration Rights Agreement, dated May 11,
1999 (the "Agreement"), between Healthtrust, Inc.The Hospital Company
("Healthtrust") and the Initial Purchasers named therein and the LifePoint
Assumption Agreement, dated May 11, 1999, between Healthtrust and LifePoint
Hospitals, Inc. ("LifePoint") and the Holdings Assumption Agreement, dated May
11, 1999, between LifePoint and LifePoint Hospitals Holdings, Inc. Unless
otherwise defined herein, terms defined in the Agreement and used herein shall
have the meanings given them in the Agreement.
Each of the undersigned parties hereby unconditionally and irrevocably expressly
assumes, confirms and agrees to perform and observe as a "Guarantor" each and
any of the covenants, agreements, terms, conditions, obligations, appointments,
duties, promises and liabilities of the "Guarantors" under the Agreement.
Each of the undersigned hereby agrees to promptly execute and deliver any and
all further documents and take such further action as any other undersigned
party or the Representative reasonably require to effect the purpose of this
Guarantor Assumption Agreement.
This Guarantor Assumption Agreement shall be governed by and construed in
accordance with the laws of the State of New York.
AMERICA GROUP OFFICES, LLC
BY: LIFEPOINT CORPORATE SERVICES, LIMITED
PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT CSGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMERICA MANAGEMENT
COMPANIES, LLC
BY: LIFEPOINT CORPORATE SERVICES, LIMITED
PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT CSGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - XXXXXXXX, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - HILCREST, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - HILLSIDE, LLC
BY: LIFEPOINT MEDICAL GROUP HILLSIDE, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - XXXXXXXXXX, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - XXXXX, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - SOUTHERN TENNESSEE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
AMG - TRINITY, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
ASHLEY VALLEY MEDICAL CENTER, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXXX MEDICAL CENTER, LLC
BY: LIFEPOINT OF GEORGIA,
LIMITED PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT OF GAGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
BARTOW HEALTHCARE PARTNER, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
BARTOW HEALTHCARE SYSTEM, LTD.
BY: GENERAL PARTNER:
BARTOW HEALTHCARE PARTNER, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
BOURBON COMMUNITY HOSPITAL, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
BUFFALO TRACE RADIATION ONCOLOGY
ASSOCIATES, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
CASTLEVIEW HOSPITAL, LLC
BY: CASTLEVIEW MEDICAL, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
CASTLEVIEW MEDICAL, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
CASTLEVIEW PHYSICIAN PRACTICE, LLC
BY: CASTLEVIEW MEDICAL, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
COMMUNITY HOSPITAL OF ANDALUSIA, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
COMMUNITY MEDICAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXXXXX HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
DODGE CITY HEALTHCARE GROUP, LP
BY: GENERAL PARTNER:
DODGE CITY HEALTHCARE PARTNER, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
DODGE CITY HEALTHCARE PARTNER, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
GEORGETOWN COMMUNITY HOSPITAL, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
GEORGETOWN REHABILITATION, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXXXXX HOSPITAL, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HCK XXXXX MEMORIAL, LLC
By: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HDP ANDALUSIA, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HDP GEORGETOWN, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HILLSIDE HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HST PHYSICIAN PRACTICE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HTI GEORGETOWN, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
HTI PINELAKE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
INTEGRATED PHYSICIAN SERVICES, LLC
BY: LIFEPOINT OF GEORGIA,
LIMITED PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT OF GAGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
KANSAS HEALTHCARE MANAGEMENT COMPANY, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
KENTUCKY HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
KENTUCKY MEDSERVE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
KENTUCKY MSO, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
KENTUCKY PHYSICIANS SERVICES, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LAKE CUMBERLAND HEALTH CARE, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC
BY: LAKE CUMBERLAND HEALTH CARE, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT CSGP, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT CSLP, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT CORPORATE SERVICES, LIMITED
PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT CSGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT HOLDINGS 2, INC.
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT HOLDINGS 3, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT MEDICAL GROUP - HILLSIDE, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT OF GEORGIA, LIMITED
PARTNERSHIP
BY: GENERAL PARTNER:
LIFEPOINT OF GAGP, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT OF GAGP, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT OF KENTUCKY, LLC
BY: LIFEPOINT HOLDINGS 3, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
LIFEPOINT RC, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXXXXXXX REGIONAL HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXX MEDICAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXX MEMORIAL HOSPITAL, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXX, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
MEADOWVIEW PHYSICIAN PRACTICE, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
MEADOWVIEW REGIONAL MEDICAL CENTER, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
MEADOWVIEW RIGHTS, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
PINELAKE PHYSICIAN PRACTICE, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
PINELAKE REGIONAL HOSPITAL, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXXXX PRACTICE, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
R. XXXXXXX XXXXX PRACTICE, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
RIVERTON MEMORIAL HOSPITAL, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
RIVERTON PHYSICIAN PRACTICES, LLC
BY: LIFEPOINT HOSPITALS HOLDINGS, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
RIVERVIEW MEDICAL CENTER, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SELECT HEALTHCARE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SILETCHNIK PRACTICE, LLC
BY: LIFEPOINT OF KENTUCKY, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
XXXXX COUNTY MEMORIAL HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SOUTHERN TENNESSEE EMS, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SOUTHERN TENNESSEE MEDICAL CENTER, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SPRINGHILL MEDICAL CENTER, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
SPRINGHILL MOB, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
THM PHYSICIAN PRACTICE, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
TRINITY HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 2, LLC
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
WESTERN PLAINS REGIONAL HOSPITAL, LLC
BY: LIFEPOINT HOLDINGS 3, INC.
By: /s/ Xxxxxxx X. Xxxxxxxxx III
-------------------------------
Name: Xxxxxxx X. Xxxxxxxxx III
Title: Senior Vice President
