SIXTH SUPPLEMENTAL INDENTURE, (this Supplemental Indenture) dated as of July 1, 2019, by and among CHS/Community Health Systems, Inc., a Delaware corporation (Issuer), the party that is a signatory hereto as a Guarantor (the Guaranteeing Subsidiary), Credit Suisse AG, as Collateral Agent, and Regions Bank, as Trustee under the Indenture referred to below.
W I T N E S S E T H:
WHEREAS, each of the Issuer, the Guarantors and the Trustee have heretofore executed and delivered an indenture dated as of March 16, 2017 (the Base Indenture) and a first supplemental indenture dated March 16, 2017 (the First Supplemental Indenture) providing for the issuance on such date of an initial aggregate principal amount of $2,200,000,000 of 6.250% Senior Secured Notes due 2023, and a second supplemental indenture dated May 12, 2017 (the Second Supplemental Indenture and, together with the Base Indenture and the First Supplemental Indenture, as amended, supplemented, waived or otherwise modified, the Indenture) providing for the issuance on such date of an additional aggregate principal amount of $900,000,000 of 6.250% Senior Secured Notes due 2023, for an total aggregate principal amount of $3,100,000 of 6.250% Senior Secured Notes due 2023 (the Notes) of the Issuer;
WHEREAS, the First Supplemental Indenture provides that the Guaranteeing Subsidiary shall, as to and to the extent provided therein, execute and deliver to the Trustee and the Collateral Agent a supplemental indenture pursuant to which the Guaranteeing Subsidiary shall unconditionally guarantee all of the Issuers Obligations under the Notes and the First Supplemental Indenture on the terms and conditions set forth herein and under the First Supplemental Indenture (the Note Guarantee), each on the terms and conditions set forth herein; and
WHEREAS, pursuant to Section 9.1 of the First Supplemental Indenture, the Issuer, any Guarantor and the Trustee are authorized to execute and deliver this Supplemental Indenture to amend or supplement the First Supplemental Indenture, without the consent of any Holder;
NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Guaranteeing Subsidiary and the Trustee mutually covenant and agree for the benefit of the Trustee, the Collateral Agent and the Holders of the Notes as follows:
SECTION 1.1. Defined Terms. As used in this Supplemental Indenture, terms defined in the Indenture or the First Supplemental Indenture, dated March 16, 2017, or in the preamble or recitals hereto are used herein as therein defined. The words herein, hereof and hereby and other words of similar import used in this Supplemental Indenture refer to this Supplemental Indenture as a whole and not to any particular section hereof.