Exhibit 10.1
Execution Version
AMENDMENT NO. 1 TO CREDIT AGREEMENT, dated as of October 23, 2025 (this “Agreement”), by and among HCA Inc., a Delaware corporation (“HCA” or the “Borrower”), the Lenders party hereto and Bank of America, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”).
WHEREAS, the Borrower, the Lenders party thereto from time to time, the Swingline Lender, the Letter of Credit Issuers party thereto from time to time, and the Administrative Agent entered into a Credit Agreement, dated as of February 20, 2025 (as amended, restated, supplemented or modified from time to time prior to the date hereof, the “Existing Credit Agreement”);
WHEREAS, the Borrower has requested, and the Lenders party hereto have agreed, upon the terms and subject to the conditions set forth herein, that the Existing Credit Agreement be amended as provided herein; and
NOW, THEREFORE, in consideration of the promises and mutual agreements herein contained, the Borrower, the Lenders party hereto and the Administrative Agent hereby agree as follows:
SECTION 1. Defined Terms. Capitalized terms used but not defined herein shall have the meanings assigned to such terms in the Existing Credit Agreement, as amended hereby (the “Amended Credit Agreement”).
SECTION 2. Amendment. Effective as of the Amendment No. 1 Effective Date (as defined below), the Existing Credit Agreement is hereby amended to delete the stricken text (indicated textually in the same manner as the following example: stricken text) and to add the double-underlined text (indicated textually in the same manner as the following example: double-underlined text) as set forth in the conformed copy of the Amended Credit Agreement attached as Exhibit A hereto.
SECTION 3. Conditions of Effectiveness. This Agreement shall become effective as of the first date (such date being referred to as the “Amendment No. 1 Effective Date”) when each of the following conditions shall have been satisfied or waived:
(a) Execution of Documents. The Administrative Agent shall have received executed counterparts hereof (which may include facsimile or other electronic transmission of a signed signature page to this Agreement) from the Borrower, each Lender and the Administrative Agent.
(b) Expenses. The Administrative Agent shall have received, on or prior to the Amendment No. 1 Effective Date, to the extent invoiced at least two Business Days prior to the Amendment No. 1 Effective Date, all reasonable out-of-pocket costs and expenses required to be paid or reimbursed, to the Administrative Agent, as applicable, pursuant to the terms of the Amended Credit Agreement.