0001193125-24-176379 Sample Contracts

This AMENDMENT NO. 3 to AMENDED AND RESTATED ABL CREDIT AGREEMENT, dated as of April 21, 2023 (this “Amendment”), among AHP HEALTH PARTNERS, INC., a Delaware corporation (the “Company”), AHS EAST TEXAS HEALTH SYSTEM, LLC, a Texas limited liability...
Abl Credit Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • New York

This AMENDED AND RESTATED ABL CREDIT AGREEMENT is entered into as of June 28, 2018, as amended by Amendment No. 1, dated as of August 24, 2021, as amended by Amendment No. 2, dated as of June 16, 2022, and as further amended by Amendment No. 3, dated as of April 21, 2023, among AHP HEALTH PARTNERS, INC., a Delaware corporation (“Company”), AHS EAST TEXAS HEALTH SYSTEM, LLC, a Texas limited liability company (“AHS East Texas”), ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (“Parent”), as Parent, the Subsidiaries of the Company and AHS East Texas from time to time party hereto as Borrowers, the Guarantors (defined herein), the Lenders (defined herein), BANK OF AMERICA, N.A., as Administrative Agent, Swing Line Lender, and Collateral Agent, and the L/C Issuers (as defined herein).

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ELEVENTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

This ELEVENTH AMENDMENT TO MASTER LEASE (the “Eleventh Amendment”) is dated as of December 29, 2023 by and among (a) ALL ENTITIES LISTED ON Schedule 1 ATTACHED HERETO AS A LANDLORD (individually and collectively “Landlord”): (b) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”) and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”)

Equity Group Investments Two North Riverside Plaza, Suite 600 Chicago, Illinois 60606 Attention: Joseph Miron Dear Mr. Miron:
Ardent Health Partners, LLC • July 8th, 2024 • Services-general medical & surgical hospitals, nec • Delaware

This letter agreement, dated as of [•], 2024, will confirm our understanding of the basis on which EGI-AM Investments, L.L.C. (together with its affiliates, “EGI”) will provide, directly or indirectly, on a non-exclusive basis, certain advisory services to Ardent Health Partners, Inc. (together with its affiliates and subsidiaries, the “Company”) in connection with Matters (as such term is defined herein).

TWELFTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

This TWELFTH AMENDMENT TO MASTER LEASE (this “Twelfth Amendment”) is dated as of June 21, 2024, by and among (a) ALL ENTITIES LISTED ON Schedule 1 ATTACHED HERETO AS A LANDLORD (individually and collectively, “Landlord”); (b) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”); and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

SIXTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE
Master Lease And • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

THIS SIXTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE (this “Amendment”) is dated as of February 26, 2021 and is entered into by and among VTR Hillcrest MC Tulsa, LLC, VTR Hillcrest HS Tulsa, LLC, VTR Bailey MC, LLC, VTR Heart Hospital, LLC, VTR Lovelace WH, LLC, VTR Lovelace Westside, LLC, VTR Lovelace Roswell, LLC, VTR Lovelace MC & Rehab, LLC, VTR Hillcrest Claremore, LLC, and VTR Baptist SA, LLC, each a Delaware limited liability company (individually and collectively, “Landlord”); the entities listed on Schedule 1 attached hereto (individually and collectively, “Tenant”); and Ardent Health Partners, LLC, a Delaware limited liability company, f/k/a EGI-AM Holdings, L.L.C. (“AHP LLC”), AHP Health Partners, Inc., a Delaware corporation, and Ardent Legacy Holdings, LLC, a Delaware limited liability company (individually and collectively, “Guarantor”).

This AMENDMENT NO. 1 to AMENDED AND RESTATED TERM LOAN CREDIT AGREEMENT, dated as of June 8, 2023 (this “Amendment”), is entered into by BANK OF AMERICA, N.A., as Administrative Agent (in such capacity, together with its successors, the...
Term Loan Credit Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • New York

This AMENDED AND RESTATED TERM LOAN CREDIT AGREEMENT is entered into as of August 24, 20212021, as amended by Amendment No. 1, dated as of June 8, 2023, among AHP HEALTH PARTNERS, INC., a Delaware corporation (the “Borrower”), ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (“Parent”), as Parent, the Guarantors (defined herein), the Lenders (defined herein) and BANK OF AMERICA, N.A., as Administrative Agent.

FIFTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE
Master Lease and Guaranty of Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

This FIFTH AMENDMENT TO MASTER LEASE AND GUARANTY OF MASTER LEASE (this “Amendment”) is dated as of November 30, 2018 by and among VTR Hillcrest MC Tulsa, LLC, VTR Hillcrest HS Tulsa, LLC, VTR Bailey MC, LLC, VTR Heart Hospital, LLC, VTR Lovelace WH, LLC, VTR Lovelace Westside, LLC, VTR Lovelace Roswell, LLC, VTR Lovelace MC & Rehab, LLC, VTR Hillcrest Claremore, LLC and VTR Baptist SA, LLC, each a Delaware limited liability company (individually and collectively, “Landlord”); the entities listed on Schedule 1 attached hereto (individually and collectively, “Tenant”); and ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company, f/k/a EGI-AM Holdings, L.L.C., ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, AHS LEGACY OPERATIONS, LLC, a Delaware limited liability company, ARP HEALTH PARTNERS, INC., a Delaware corporation, and ARDENT LEGACY ACQUISITIONS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

Contract
Abl Credit Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • New York

This AMENDMENT NO. 1 to AMENDED AND RESTATED ABL CREDIT AGREEMENT, dated as of August 24, 2021 (this “Amendment”), among AHP HEALTH PARTNERS, INC., a Delaware corporation (the “Company”), AHS EAST TEXAS HEALTH SYSTEM, LLC, a Texas limited liability company (“AHS East Texas”), ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (“Parent”), the Subsidiaries of the Company and AHS East Texas party to the Credit Agreement, as Borrowers (together with the Company and AHS East Texas, the “Borrowers”), the Guarantors, the Lenders party hereto, which constitute the Required Lenders, and BANK OF AMERICA, N.A., as Administrative Agent (in such capacity, together with its successors, the “Administrative Agent”), amends that certain Amended and Restated ABL Credit Agreement dated as of July 8, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “ABL Credit Agreement”), entered into among the Borrowers, the Guarantors, the Lender

EIGHTH AMENDMENT TO MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

THIS EIGHTH AMENDMENT TO MASTER LEASE (this “Amendment”) is entered into as of July 13, 2021, by and between: (a) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A LANDLORD (individually and collectively, “Landlord”); (b) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”); and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

NINTH AMENDMENT TO MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

THIS NINTH AMENDMENT to MASTER LEASE (this “Amendment”) is entered into as of February 9, 2022, by and between: (a) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A LANDLORD (individually and collectively, “Landlord”); (b) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”); and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

ARDENT HEALTH PARTNERS, INC. FORM OF INDEMNIFICATION AGREEMENT
Form of Indemnification Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • Delaware

This Indemnification Agreement (this “Agreement”) is made as of [•], by and between Ardent Health Partners, Inc., a Delaware corporation (the “Company”), and [•], an individual (“Indemnitee”).

Contract
Abl Credit Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • New York

This AMENDMENT NO. 2 to AMENDED AND RESTATED ABL CREDIT AGREEMENT, dated as of June 16, 2022 (this “Amendment”), among AHP HEALTH PARTNERS, INC., a Delaware corporation (the “Company”), AHS EAST TEXAS HEALTH SYSTEM, LLC, a Texas limited liability company (“AHS East Texas”), the Subsidiaries of the Company and AHS East Texas party to the ABL Credit Agreement, as Borrowers (together with the Company and AHS East Tex- as, the “Borrowers”) and BANK OF AMERICA, N.A., as Administrative Agent (in such capacity, together with its successors, the “Administrative Agent”), amends that certain Amended and Restated ABL Credit Agreement dated as of July 8, 2021 (as amended by Amendment No. 1, dated as of August 24, 2021 and as further amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “ABL Credit Agreement”), entered into among ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (“Parent”), the Borrowers, the Guarantors, the Lenders, Bank

MASTER SERVICES AGREEMENT
Master Services Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • Tennessee

This Master Services Agreement is effective as of May 5, 2022, (the “Effective Date”) by and between Ensemble RCM, LLC d/b/a Ensemble Health Partners (“Ensemble”), located at 11511 Reed Hartman Hwy, Blue Ash, OH 45241, and AHS Management Company, Inc. (“Client”), located at One Burton Hills Blvd., Suite 250, Nashville, TN 37215. Ensemble and Client are referred to individually as a “Party”, and collectively as the “Parties.”

SEVENTH AMENDMENT TO MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

THIS SEVENTH AMENDMENT TO MASTER LEASE (this “Amendment”) is entered into as of March 1, 2021, by and between: (a) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A LANDLORD (individually and collectively, “Landlord”); (b) ALL ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”); and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

NOMINATION AGREEMENT
Nomination Agreement • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec • Delaware

This Nomination Agreement (this “Agreement”) is made and entered into as of [•], 2024 (the “Effective Date”), by and among Ardent Health Partners, Inc., a Delaware corporation (the “Company”), EGI-AM Investments, L.L.C., a Delaware limited liability company (“EGI”), and ALH Holdings, LLC, a Delaware limited liability company and subsidiary of Ventas, Inc. (“Ventas”).

TENTH AMENDMENT TO MASTER LEASE
Master Lease • July 8th, 2024 • Ardent Health Partners, LLC • Services-general medical & surgical hospitals, nec

THIS TENTH AMENDMENT TO MASTER LEASE (this “Amendment”) is entered into as of April 27, 2022, by and between: (a) ALL ENTITIES LISTED ON Schedule 1 ATTACHED HERETO AS A LANDLORD (individually and collectively, “Landlord”); (b) ALL ENTITIES LISTED ON Schedule 1 ATTACHED HERETO AS A TENANT (individually and collectively, “Tenant”); and (c) ARDENT HEALTH PARTNERS, LLC, a Delaware limited liability company (f/k/a EGI-AM Holdings, L.L.C.), ARDENT LEGACY HOLDINGS, LLC, a Delaware limited liability company, and AHP HEALTH PARTNERS, INC., a Delaware corporation (individually and collectively, “Guarantor”).

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