AMENDMENT NO. 7 TO CREDIT AGREEMENT Dated as of June 15, 2004

Exhibit 10.1

AMENDMENT NO. 7 TO CREDIT AGREEMENT

Dated as of June 15, 2004

among

TRIAD HOSPITALS, INC.,

as Borrower

AND

BANK OF AMERICA, N.A.,

as Administrative Agent on behalf of itself and the Lenders,

MERRILL LYNCH & CO.,

as Syndication Agent

AND

JPMORGAN CHASE BANK, CITICORP NORTH AMERICA, INC. and WACHOVIA BANK,

NATIONAL ASSOCIATION,

as Co-Documentation Agents

Arranged By:

BANC OF AMERICA SECURITIES LLC and WACHOVIA CAPITAL MARKETS, LLC

as Joint Lead Arrangers

AND

BANC OF AMERICA SECURITIES LLC, WACHOVIA CAPITAL MARKETS, LLC and THE BANK

OF NOVA SCOTIA

as Joint Book Runners

AMENDMENT NO. 7

THIS AMENDMENT NO. 7 dated as of June 15, 2004 (this “Amendment”) to the Credit Agreement referenced below is by and among Triad Hospitals, Inc., a Delaware corporation (the “Borrower”), and Bank of America, N.A., as Administrative Agent on behalf of itself and the Lenders.

W I T N E S S E T H

WHEREAS, a $1.2 billion credit facility was established in favor of the Borrower pursuant to the terms of that Amended and Restated Credit Agreement dated as of April 27, 2001 (as amended and modified from time to time, the “Credit Agreement”) among the Borrower, the lenders identified therein and Bank of America, N.A., as Administrative Agent;

WHEREAS, the Borrower has requested certain modifications to the Credit Agreement; and

WHEREAS, the requisite Lenders have agreed to the requested modifications on the terms and conditions set forth herein and have directed the Administrative Agent to enter into this Amendment for and on their behalf.

NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

1. Defined Terms. Capitalized terms used herein but not otherwise defined herein shall have the meanings provided to such terms in the Credit Agreement.

2. Amendments. The Credit Agreement is amended in the following respects:

2.1 The definition of “Aggregate Revolving Committed Amount” in Section1.1 is hereby amended to read as follows:

“Aggregate Revolving Committed Amount” means the aggregate amount of Revolving Commitments in effect from time to time, as referenced in Section 2.1(a), being FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to reduction pursuant to Section 3.4.

2.2 The reference to “Section 9.7” in the definition of “Approved Asset Disposition” in Section 1.1 is hereby amended to read “Section 9.5”.

2.3 The reference to “$100 million” in subclause (vii)(A) in the definition of “Permitted Acquisition” in Section 1.1 is hereby amended to read as “$250 million”.

2.4 A new subclause (xxi) is hereby added at the end of the definition of “Permitted Liens” in Section 1.1 and shall read as follows:

and (xxi) Liens on Property of any Foreign Subsidiary securing Indebtedness permitted under Section 9.1(p).

2.5 The parenthetical in subclause (ii) of the definition of “Pro Forma Compliance Certificate” in Section 1.1 is hereby amended to read as follows:

(other than Approved Asset Dispositions)

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2.6 The definition of “QHR Disposition” in Section 1.1 is hereby deleted in its entirety.

2.7 The following definition is hereby added to Section 1.1 in the appropriate alphabetical order and shall read as follows:

“Amendment No. 7 Effective Date” means June 15, 2004.

2.8 Subclause (i) of Section 2.1(a) is hereby amended to read as follows:

(i) with regard to the Revolving Lenders collectively, the aggregate principal amount of Revolving Obligations at any time shall not exceed FOUR HUNDRED MILLION DOLLARS ($400,000,000), subject to reduction pursuant to Section 3.4 (the “Aggregate Revolving Committed Amount”) and

2.9 The first proviso in subclause (A) of Section 3.3(b)(ii) is hereby amended to read as follows:

provided, that, the first $150 million of Net Proceeds received from such Approved Asset Dispositions subsequent to the Amendment No. 7 Effective Date shall not be required to be used by the Borrower to prepay the Loans and thereafter, the payment of such Net Proceeds need not be made until such time as the aggregate amount payable hereunder shall be at least $10 million at any time;

2.10 The second proviso in Section 3.3(b)(ii)(A) is hereby deleted in its entirety.

2.11 The reference to “$100 million” in subclause (2)(A)(y) of Section 3.3(b)(ii)(B) is hereby amended to read as “$250 million”.

2.12 The proviso at the end of Section 3.3 (b)(ii)(B) is hereby amended to read as follows:

provided that payment of the Net Proceeds which exceed the foregoing threshold amount need not be made until such time as the aggregate amount payable in excess of such threshold shall be at least $10 million at any time.

2.13 Section 3.3(b)(iv) is hereby amended to read as follows:

(iv) Equity Transactions. In connection with any Equity Transaction, to the extent the aggregate Net Proceeds from all Equity Transactions consummated after the Amendment No. 7 Effective Date exceed $100 million, the Loans shall be prepaid as hereafter provided in an amount equal to the percentage shown below of Net Proceeds therefrom based on the Consolidated Total Leverage Ratio after giving effect to such Equity Transaction and the application of proceeds in connection therewith on a Pro Forma Basis:

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2.14 The following paragraph is hereby added at the end of Section 8.1 and shall read as follows:

The Borrower and the Administrative Agent hereby acknowledge and agree that (a) the Administrative Agent will make available to the Lenders materials and/or information provided by or on behalf of the Borrower hereunder (collectively, “Borrower Materials”) by posting the Borrower Materials on Intralinks or another similar electronic system (the “Platform”) and (b) certain of the Lenders may be “public-side” Lenders (i.e., Lenders that do not wish to receive material non-public information with respect to the Borrower or its securities) (each, a “Public Lender”). The Borrower agrees that by marking any Borrower Materials “PUBLIC”, (a) the Borrower shall be deemed to have authorized the Administrative Agent and the Lenders to treat such Borrower Materials as either publicly available information or not material information (although it may be sensitive and proprietary) with respect to the Borrower or its securities for purposes of United States federal and state securities laws and (b) the Administrative Agent shall be entitled to post such Borrower Materials on the portion of the Platform marked “PUBLIC”. Unless the Borrower and the Administrative Agent expressly agree otherwise, the Administrative Agent agrees to treat any Borrower Materials that are not marked “PUBLIC” as being suitable only for posting on a portion of the Platform not marked as “PUBLIC” and not to post any Borrower Materials on the portion of the Platform designated as “PUBLIC” which is not clearly and conspicuously marked “PUBLIC”.

2.15 Section 8.11(f) is hereby amended to read as follows:

(f) Capital Expenditures. Consolidated Capital Expenditures for each fiscal year shall not exceed an amount equal to the sum of (i) $450 million plus (ii) the unused amount available for Consolidated Capital Expenditures under this Section 8.11 for the immediately preceding fiscal year (excluding any carry forward available from any prior fiscal year), plus (iii) the amount of any Net Proceeds from Asset Dispositions permitted to be retained by the Borrower pursuant to Section 3.3(b)(ii) to the extent that the Borrower applies such amount to Consolidated Capital Expenditures within twelve (12) months of the date of such Asset Dispositions, plus (iv) the amount of any Net Proceeds from Equity Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv) (to the extent not used in connection with any Permitted Acquisition or the prepayment, redemption, defeasance or acquisition of Indebtedness permitted under Section 9.8(d)), plus (v) the amount of any Consolidated Capital Expenditures which constitute Permitted Acquisitions hereunder, plus (vi) the amount of any Net Proceeds from Debt Transactions permitted to be retained by the Borrower pursuant to Section 3.3(b)(iii) (to the extent not used in connection with any Permitted Acquisition or the prepayment, redemption, defeasance or acquisition of Indebtedness permitted under Section 9.8(d)).

2.16 A new subclause (p) is hereby added at the end of Section 9.1 and shall read as follows:

and (p) Indebtedness of Foreign Subsidiaries in an aggregate principal amount up to $75 million.

2.17 The first three lines of Section 9.5 are hereby amended to read as follows:

No member of the Consolidated Group will make any Asset Disposition (including, without limitation, any Sale and Leaseback Transaction), other than the Approved Asset Dispositions, unless

2.18 Section 9.8(c) is hereby amended to read as follows:

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(c) Make any payment in contravention of the terms of any Subordinated Debt (including the Refinancing Subordinated Debt), the Senior Notes or the 2004 Refinancing Debt; or

2.19 Subclause (A) in Section 9.8(d)(ii) is hereby amended to read as follows:

(A) in an amount equal to 50% of the Net Proceeds received from any Equity Transaction, after compliance with Section 3.3(b)(iv) hereof; provided that such Net Proceeds shall not include the first $100 million in aggregate Net Proceeds received from Equity Transactions consummated after the Amendment No. 7 Effective Date permitted to be retained by the Borrower pursuant to Section 3.3(b)(iv) hereof, and

2.20 A new proviso is hereby added at the end of Section 9.8(d) and shall read as follows:

provided, further that the Borrower may (1) prepay, redeem, defease or reacquire the Senior Notes outstanding in an aggregate amount not to exceed $85,000 and (2) prepay, redeem, defease or reacquire the Senior Subordinated Notes outstanding in an aggregate amount not to exceed $4.2 million.

2.21 A new Section 12.17 is hereby added and shall read as follows:

12.17 USA PATRIOT Act Notice.

Each Lender and the Administrative Agent (for itself and not on behalf of any Lender) hereby notifies the Borrower that pursuant to the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001)) (the “Act”), it is required to obtain, verify and record information that identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender or the Administrative Agent, as applicable, to identify the Borrower in accordance with the Act.

2.22 The Revolving Commitment Percentages as of the Amendment No. 7 Effective Date are set forth on Schedule 2.22 attached hereto.

3. The Guarantors join in the execution of this Amendment for purposes of acknowledging and consenting to the terms of this Amendment and reaffirming their guaranty obligations under the Guaranty Agreement.

4. The Borrower affirms that the representations and warranties in the Credit Agreement and the other Credit Documents are true and correct in all material respects as of the date hereof (except those which expressly relate to an earlier period or date and except to the extent that changes in facts and conditions on which such representations and warranties are based are required or permitted under the Credit Agreement).

5. This Amendment shall be effective upon receipt by the Administrative Agent of the following:

(a) executed copies of consents from the Required Lenders, Tranche A Term Lenders holding more than 50% of the outstanding Tranche A Term Loans, Tranche B Term Lenders holding more than 50% of the outstanding Tranche B Term Loans and Revolving

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Lenders holding more than 50% of the outstanding Revolving Commitments, and executed signature pages to this Amendment from each of the parties hereto; and

(b) the amendment fee equal to five basis points (0.05%) on the aggregate Commitments (prior to the effectiveness of this Amendment) of those existing Lenders consenting to this Amendment and any other fees payable in connection with this Amendment.

6. From and after the Amendment No. 7 Effective Date, by execution of the consent to this Amendment attached hereto, each Person identified as a “Lender” on each consent signature page that is not already a Lender under the Credit Agreement (a “New Lender”) hereby acknowledges, agrees and confirms that, by its execution of such consent to this Amendment, such Person will be deemed to be a party to the Credit Agreement and a “Lender” for all purposes of the Credit Agreement, and shall have all of the obligations of a Lender thereunder as if it had executed the Credit Agreement. Such Person hereby ratifies, as of the date hereof, and agrees to be bound by, all of the terms, provisions and conditions applicable to the Lenders contained in the Credit Agreement.

7. Except as modified hereby, all of the terms and provisions of the Credit Agreement (including Schedules and Exhibits) shall remain in full force and effect.

8. The Borrower agrees to pay all reasonable costs and expenses of the Administrative Agent in connection with the preparation, execution and delivery of this Amendment, including without limitation the reasonable fees and expenses of Moore & Van Allen, PLLC.

9. This Amendment may be executed in any number of counterparts, each of which when so executed and delivered shall be deemed an original, and it shall not be necessary in making proof of this Amendment to produce or account for more than one such counterpart.

10. This Amendment shall be deemed to be a contract made under, and for all purposes shall be construed in accordance with, the laws of the State of New York.

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IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this Amendment to be duly executed and delivered as of the date and year first above written.

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CONSENT TO AMENDMENT NO. 7

TRIAD HOSPITALS, INC.

June     , 2004

Bank of America, N.A., as Administrative Agent

100 N. Tryon Street, 17^th Floor

NC1-007-17-11

Charlotte, North Carolina 28255

Attention: Kevin Wagley

Facsimile: (704) 388-6002

Amendment No. 7 dated as of June             , 2004 (the “Subject Amendment”) to the Credit Agreement

Ladies and Gentlemen:

This should serve to confirm our receipt of, and consent to, the Subject Amendment. We hereby authorize and direct you, as Administrative Agent for the Lenders, to enter into the Subject Amendment on our behalf in accordance with the terms of the Credit Agreement upon your receipt of such consent and direction from the requisite Lenders, and agree that the Borrower may rely upon such authorization.

Very truly yours,

Schedule 2.22

Revolving Commitment Percentages