SUPPLEMENTAL INDENTURE

Exhibit 4.1

SUPPLEMENTAL INDENTURE

The Supplemental Indenture (this “Supplemental Indenture”), is entered into as of November 15, 2010, among UHS Escrow Corporation, a Delaware corporation (the “Escrow Issuer”), Universal Health Services, Inc. (the “Company” or “Successor”), each of the guarantors that is a subsidiary of the Company (the “UHS Subsidiary Guarantors”), the Subsidiary Guarantors that are subsidiaries of Psychiatric Solutions, Inc. (together with Psychiatric Solutions, Inc., the “PSI Guarantors,” and collectively with the UHS Subsidiary Guarantors, the “Subsidiary Guarantors”) and Union Bank, N.A. (the “Trustee”), as Trustee under the Indenture referred to below.

W I T N E S S E T H

WHEREAS, the Escrow Issuer and the Trustee entered into that certain Indenture (the “Indenture”), dated as of September 29, 2010, providing for the issuance of 7% Senior Notes due 2018 (the “Notes”);

WHEREAS, the Escrow Issuer and the Successor have executed definitive documentation, which provides for the merger of the Escrow Issuer with and into Successor (the “Merger”), with Successor continuing its existence under Delaware law;

WHEREAS, the Merger shall become effective upon the filing of the Certificate of Ownership and Merger with the Secretary of State of the State of Delaware;

WHEREAS, Section 5.1 of the Indenture provides, among other things, that Escrow Issuer shall not be prevented from merging with or into Successor;

WHEREAS, Section 9.1 of the Indenture provides that the Escrow Issuer, the Company, the Subsidiary Guarantors and the Trustee may, without the consent of the Holders of Notes, enter into a supplemental indenture for the purposes of evidencing the succession of another Person to the Escrow Issuer;

WHEREAS, each of the Escrow Issuer, Successor and the Subsidiary Guarantors have been duly authorized to enter into this Supplemental Indenture; and

WHEREAS, all acts, conditions, proceedings and requirements necessary to make this Supplemental Indenture a valid, binding and legal agreement enforceable in accordance with its terms for the purposes expressed herein, in accordance with its terms, have been duly done and performed.

NOW THEREFORE, in consideration of the premises and the covenants and agreements contained herein, and for other good and valuable consideration the receipt of which is hereby acknowledged, the Escrow Issuer, Successor, the Subsidiary Guarantors and the Trustee hereby agree as follows:

ARTICLE 1

Definitions

1.1           Capitalized terms used in this Supplemental Indenture and not otherwise defined herein shall have the meanings assigned to such terms in the Indenture.

ARTICLE 2

Representations of Escrow Issuer, Successor and Subsidiary Guarantors

2.1           Each of the Escrow Issuer and Successor represents and warrants to the Trustee as follows:

(a)           It is a Delaware corporation duly organized, validly existing and in good standing under the laws of the State of Delaware.

(b)           The execution, delivery and performance by it of this Supplemental Indenture have been authorized and approved by all necessary corporate action on its part.

2.2           Each of the Subsidiary Guarantors represents and warrants to the Trustee as follows:

(a)           It is duly organized, validly existing and in good standing under its jurisdiction of organization.

(b)           The execution, delivery and performance by it of this Supplemental Indenture have been authorized and approved by all necessary corporate or limited liability company action.

2.3           Each of the Escrow Issuer and Successor represents and warrants to the Trustee that upon the filing and acceptance for record of the Certificate of Ownership and Merger by the Secretary of State of the State of Delaware or at such other time thereafter as is provided in the Certificate of Ownership and Merger (the “Merger Effective Time”), the Merger will be effective in accordance with the definitive documentation providing for the Merger and Delaware law.

ARTICLE 3

Assumption and Agreement of Successor

3.1           In accordance with Sections 5.1 and 9.1 of the Indenture, Successor hereby expressly assumes all of the obligations of Escrow Issuer under the Notes and the Indenture and shall enter into the Security Documents. Successor hereby confirms that its obligations under the Registration Rights Agreement shall remain in full force and effect.

3.2           Successor shall succeed to, and be substituted for, and may exercise every right and power of, the Issuer under the Indenture and the Notes with the same effect as if Successor had been named as “Issuer” in the Indenture and the Notes; and thereafter the Escrow Issuer shall be fully released from its obligations under the Indenture and the Notes.

3.3           In accordance with Section 5.1 of the Indenture, each Subsidiary Guarantor hereby confirms that its Guarantee shall apply to Successor’s obligation under the Indenture and the Notes and that it shall enter into the Security Documents. Each Subsidiary Guarantor confirms that its obligations under the Registration Rights Agreement shall remain in full force and effect.

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ARTICLE 4

Miscellaneous

4.1           This Supplemental Indenture shall become effective as of the Merger Effective Time.

4.2           This Supplemental Indenture shall be governed by, and construed in accordance with, the laws of the State of New York.

4.3           In case any provision in this Supplemental Indenture shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby and such provision shall be ineffective only to the extent of such invalidity, illegality or unenforceability.

4.4           Except as expressly amended hereby, the Indenture and the Notes are in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect.  This Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby.  The Trustee makes no representation or warranty as to the validity or sufficiency of this Supplemental Indenture or with respect to the recitals contained herein, all of which recitals are made solely by the other parties hereto.

4.5           The parties hereto may sign one or more copies of this Supplemental Indenture in counterparts, all of which together shall constitute one and the same agreement.

4.6           The headings of the Articles and the sections in this Supplemental Indenture are for convenience of reference only and shall not be deemed to alter or affect the meaning or interpretation of any provisions hereof.

[Signature page follows]

3

IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly executed as of the date first above written.

	UHS ESCROW CORPORATION, as Issuer
	By:	/s/ Xxxxx Filton
		Name: Xxxxx Filton
		Title:   Vice President

	UNIVERSAL HEALTH SERVICES, INC.
	By:	/s/ Xxxxx Filton
		Name: Xxxxx Filton
		Title:   Senior Vice President

AIKEN REGIONAL MEDICAL CENTERS, INC.	UHS OF GREENVILLE, INC.
ASSOCIATED CHILD CARE EDUCATIONAL SERVICES, INC.	UHS OF HAMPTON, INC.
AUBURN REGIONAL MEDICAL CENTER, INC.	UHS OF XXXXXXXXX, INC.
CCS/LANSING, INC.	UHS OF LAKESIDE, LLC
CHILDREN’S COMPREHENSIVE SERVICES, INC.	UHS OF NEW ORLEANS, INC.
DEL AMO HOSPITAL, INC.	UHS OF OKLAHOMA, INC.
FRONTLINE BEHAVIORAL HEALTH, INC.	UHS OF PARKWOOD, INC.
LANCASTER HOSPITAL CORPORATION	UHS OF PENNSYLVANIA, INC.
MCALLEN MEDICAL CENTER, INC.	UHS OF PROVO CANYON, INC.
MERION BUILDING MANAGEMENT, INC.	UHS OF PUERTO RICO, INC.
MERRIDELL ACHIEVEMENT CENTER, INC.	UHS OF RIVER PARISHES, INC.
NORTHWEST TEXAS HEALTHCARE SYSTEM, INC.	UHS OF SPRING MOUNTAIN, INC.
OAK PLAINS ACADEMY OF TENNESSEE, INC.	UHS OF TEXOMA, INC.
PARK HEALTHCARE COMPANY	UHS OF TIMBERLAWN, INC.
PENNSYLVANIA CLINICAL SCHOOLS, INC.	UHS OF TIMPANOGOS, INC.
RIVER OAKS, INC.	UHS OF WESTWOOD PEMBROKE, INC.
SOUTHEASTERN HOSPITAL CORPORATION	UHS OF WYOMING, INC
SPARKS FAMILY HOSPITAL, INC.	UHS SAHARA, INC.
STONINGTON BEHAVIORAL HEALTH, INC.	UHS-CORONA, INC.
THE XXXXXX, INC.	UNITED HEALTHCARE OF XXXXXX, INC.
THE BRIDGEWAY, INC.	UNIVERSAL HEALTH SERVICES OF PALMDALE, INC.
TURNING POINT CARE CENTER, INC.	UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS, INC.
TWO RIVERS PSYCHIATRIC HOSPITAL, INC.	VALLEY HOSPITAL MEDICAL CENTER, INC.
UHS CHILDREN’S SERVICES, INC.	WELLINGTON REGIONAL MEDICAL CENTER, INCORPORATED
UHS HOLDING COMPANY, INC.
UHS OF XXXXXX, INC.
UHS OF CORNERSTONE, INC.	By:	/s/ Xxxxx Filton
UHS OF CORNERSTONE HOLDINGS, INC.	Name:  Xxxxx Filton
UHS OF D.C., INC.	Title:    Vice President
UHS OF DELAWARE, INC.
UHS OF DENVER, INC.
UHS OF FAIRMOUNT, INC.
UHS OF XXXXXX, INC.
UHS OF GEORGIA, INC.
UHS OF GEORGIA HOLDINGS, INC.

ALLIANCE HEALTH CENTER, INC.	KIDS BEHAVIORAL HEALTH OF UTAH, INC.
ALTERNATIVE BEHAVIORAL SERVICES, INC.	XXXXXX XXXX BEHAVIORAL HEALTH CENTER, INC.
BENCHMARK BEHAVIORAL HEALTH SYSTEM, INC.	MICHIGAN PSYCHIATRIC SERVICES, INC.
BHC ALHAMBRA HOSPITAL, INC.	NORTH SPRING BEHAVIORAL HEALTHCARE, INC.
BHC BELMONT PINES HOSPITAL, INC.	PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC.
BHC FAIRFAX HOSPITAL, INC.	PREMIER BEHAVIORAL SOLUTIONS, INC.
BHC FOX RUN HOSPITAL, INC.	PSI SURETY, INC.
BHC FREMONT HOSPITAL, INC.	PSYCHIATRIC SOLUTIONS, INC.
BHC HEALTH SERVICES OF NEVADA, INC.	PSYCHIATRIC SOLUTIONS OF VIRGINIA, INC.
BHC HERITAGE OAKS HOSPITAL, INC.	RAMSAY YOUTH SERVICES OF GEORGIA, INC.
BHC HOLDINGS, INC.	RIVEREDGE HOSPITAL HOLDINGS, INC.
BHC INTERMOUNTAIN HOSPITAL, INC.	SPRINGFIELD HOSPITAL, INC.
BHC MONTEVISTA HOSPITAL, INC.	SUMMIT OAKS HOSPITAL, INC.
BHC PINNACLE POINTE HOSPITAL, INC.	TEXAS HOSPITAL HOLDINGS, INC.
BHC SIERRA VISTA HOSPITAL, INC.	THE PINES RESIDENTIAL TREATMENT CENTER, INC.
BHC STREAMWOOD HOSPITAL, INC.	WINDMOOR HEALTHCARE INC.
BRENTWOOD ACQUISITION, INC.	WINDMOOR HEALTHCARE OF PINELLAS PARK, INC.
BRENTWOOD ACQUISITION-SHREVEPORT, INC.
XXXXX XXXX HOSPITAL, INC.
CANYON RIDGE HOSPITAL, INC.	By:	/s/ Xxxxx Filton
CEDAR SPRINGS HOSPITAL, INC.	Name:  Xxxxx Filton
FIRST HOSPITAL CORPORATION OF VIRGINIA BEACH	Title:    Vice President
FIRST HOSPITAL PANAMERICANO, INC.
GREAT PLAINS HOSPITAL, INC.
H. C. CORPORATION
HAVENWYCK HOSPITAL INC.
HHC AUGUSTA, INC.
HHC XXXXXX INVESTMENT, INC.
HHC DELAWARE, INC.
HHC FOCUS FLORIDA, INC.
HHC POPLAR SPRINGS, INC.
HHC RIVER PARK, INC.
HHC ST. XXXXXX, INC.
HORIZON HEALTH CORPORATION
HSA HILL CREST CORPORATION

	LA AMISTAD RESIDENTIAL TREATMENT CENTER,
	TENNESSEE CLINICAL SCHOOLS, LLC
	UHS OF BOWLING GREEN, LLC
	UHS OF RIDGE, LLC
	UHS OF ROCKFORD, LLC
	By: Universal Health Services, Inc.
	Its managing member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Senior Vice President

	FORT XXXXXX MEDICAL CENTER, L.P.,
	By: Fort Xxxxxx Medical Center, Inc.
	Its general partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: UHS of Fairmount, Inc.
	Its limited partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	FRONTLINE HOSPITAL, LLC,
	FRONTLINE RESIDENTIAL TREATMENT CENTER, LLC
	By: Frontline Behavioral Health, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KEYS GROUP HOLDINGS LLC
	By: UHS Children Services, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KEYSTONE/CCS PARTNERS LLC
	By: Children’s Comprehansive Services, Inc.
	Its Minority Member
	By: KEYS Group Holdings LLC
	Its Managing Member and sole member of the minority member
	By: UHS Children Services, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KEYSTONE CONTINUUM, LLC
	KEYSTONE NPS LLC
	KEYSTONE RICHLAND CENTER, LLC
	By: Keystone/CCS Partners LLC
	Its managing member
	By: Children’s Comprehensive Services, Inc.
	Its minority member
	By: KEYS Group Holdings LLC
	Its managing member and sole member of the minority member
	By: UHS Children’s Services, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KEYSTONE EDUCATION AND YOUTH SERVICES, LLC
	By: KEYS Group Holdings LLC
	Its managing member
	By: UHS Children’s Services, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KEYSTONE XXXXXX, LLC
	KEYSTONE MEMPHIS, LLC
	KEYSTONE NEWPORT NEWS, LLC
	KEYSTONE WSNC, L.L.C.
	By: Keystone Education and Youth Services, LLC
	Its managing member
	By: KEYS Group Holdings LLC
	Its managing member
	By: UHS Children’s Services, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	MANATEE MEMORIAL HOSPITAL, L.P.
	By: Wellington Regional Medical Center, Incorporated
	Its general partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: UHS of Pennsylvania, Inc.
	Its limited partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	MCALLEN HOSPITALS, L.P.
	By: McAllen Medical Center, Inc.
	Its general partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: UHS of Georgia Holdings, Inc.
	Its limited partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	XXXXXXXXX METHODIST HOSPITAL, L.L.C.
	By: UHS of River Parishes, Inc.
	Its managing member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS KENTUCKY HOLDINGS, L.L.C.
	By: UHS of Delaware, Inc.
	Its managing member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF ANCHOR, L.P.
	UHS OF LAUREL HEIGHTS, L.P.
	UHS OF PEACHFORD, L.P.
	By: UHS of Georgia, Inc.
	Its general partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: UHS of Georgia Holdings, Inc.
	Its limited partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF CENTENNIAL PEAKS, L.L.C.
	By: UHS of Denver, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF DOVER, L.L.C.
	By: UHS of Rockford, LLC
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF DOYLESTOWN, L.L.C.
	By: UHS of Pennsylvania, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF SALT LAKE CITY, L.L.C.
	By: UHS of Provo Canyon, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF SAVANNAH, L.L.C.
	By: UHS of Georgia Holdings, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OKLAHOMA CITY LLC
	UHS OF SPRINGWOODS, L.L.C.
	By: UHS of New Orleans, Inc.
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UHS OF SUMMITRIDGE, LLC
	By: UHS of Peachford, L.P.,
	Its managing member
	By: UHS of Georgia, Inc.
	Its general partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	PSYCHIATRIC SOLUTIONS HOSPITALS, LLC
	By: Psychiatric Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KMI ACQUISITION, LLC
	ROLLING HILLS HOSPITAL, LLC
	PSJ ACQUISITION, LLC
	SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
	TBD ACQUISITION, LLC
	By: Psychiatric Solutions Hospitals, LLC
	Its Sole Member
	By: Psychiatric Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	ATLANTIC SHORES HOSPITAL, L.L.C.
	EMERALD COAST BEHAVIORAL HOSPITAL, LLC
	OCALA BEHAVIORAL HEALTH, LLC
	PALMETTO BEHAVIORAL HEALTH HOLDINGS, LLC
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	PALMETTO BEHAVIORAL HEALTH SYSTEM, L.L.C.
	By: Palmetto Behavioral Helath Holdings, LLC
	Its Sole Member
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, L.L.C.
	By: Palmetto Behavioral Helath System, L.L.C.
	Its Sole Member
	By: Palmetto Behavioral Health Holdings, LLC
	Its Sole Member
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	RAMSAY MANAGED CARE, LLC
	SAMSON PROPERTIES, LLC
	TBJ BEHAVIORAL CENTER, LLC
	THREE RIVERS HEALTHCARE GROUP, LLC
	ZEUS ENDEAVORS, LLC
	WEKIVA SPRINGS CENTER, LLC
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	SP BEHAVIORAL, LLC
	UNIVERSITY BEHAVIORAL, LLC
	By: Ramsay Managed Care, LLC
	Its Sole Member
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	THREE RIVERS BEHAVIORAL HEALTH, LLC
	By: Three Rivers Healthcare Group, LLC
	Its Sole Member
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	THE NATIONAL DEAF ACADEMY, LLC
	By: Zeus Endeavors, LLC
	Its Sole Member
	By: Premier Behavioral Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	WILLOW SPRINGS, LLC
	By: BHC Health Services of Nevada, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	BHC PROPERTIES, LLC
	By: Behavioral Healthcare, LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	BHC MESILLA VALLEY HOSPITAL
	By: BHC Properties, LLC
	Its Sole Member
	By: Behavioral Healthcare LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	BHC NORTHWEST PSYCHIATRIC HOSPITAL, LLC
	By: BHC Properties, LLC
	Its Sole Member
	By: Behavioral Healthcare LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	XXXXX XXXX HOSPITAL, LLC
	By: Behavioral Healthcare, LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	CUMBERLAND HOSPITAL PARTNERS, LLC
	By: BHC Properties, LLC
	Its Sole Member
	By: Behavioral Healthcare LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	CUMBERLAND HOSPITAL, LLC
	By: Cumberalnd Hospital Partners, LLC
	Its Managing Member
	By: BHC Properties, LLC
	Its Minority Member and Sole Member of the Managing Member
	By: Behavioal Healthcare LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	COLUMBUS HOSPITAL PARTNERS, LLC
	LEBANON HOSPITAL PARTNERS, LLC
	NORTHERN INDIANA PARTNERS, LLC
	XXXXX VISTA HOSPITAL PARTNERS, LLC
	By: Behavioral Healthcare LLC
	Its Sole Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	XXXXX VISTA, LLC
	By: BHC of Indiana, General Partnership
	Its Sole Member
	By: Columbus Hospital Partners, LLC
	Its General Partner
	By: Lebanon Hospital Partners, LLC
	Its General Partner
	By: Northern Indiana Partners, LLC
	Its General Partner
	By: Xxxxx Vista Hospital Partners, LLC
	Its General Partner
	By: Behavioral Healthcare LLC
	The Sole Member of each of the above General Partners
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	XXXXXXXXX REGIONAL HOSPITAL ACQUISITION, LLC
	By: Xxxxxxxxx Holdings, Inc.
	Its Minority Member
	By: Behavioral Healthcare LLC
	Its Managing Member and Sole Member of the Minority Member
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	BEHAVIORAL HEALTHCARE, LLC
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	HORIZON HEALTH HOSPITAL SERVICES, LLC
	HORIZON MENTAL HEALTH MANAGEMENT, LLC
	SUNSTONE BEHAVIORAL HEALTH, LLC
	By: Horizon Health Corporation
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	KINGWOOD PINES HOSPITAL, LLC
	HHC PENNSYLVANIA, LLC
	TOLEDO HOLDING CO., LLC
	By: Horizon Health Hospital Services, LLC
	Its Sole Member
	By: Horizon Health Corporation
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	HICKORY TRAIL HOSPITAL, L.P.
	NEURO INSTITUTE OF AUSTIN, L.P.
	TEXAS CYPRESS CREEK HOSPITAL, L.P.
	TEXAS XXXXXX XXXXX HOSPITAL, L.P.
	TEXAS SAN MARCOS TREATMENT CENTER, L.P.
	TEXAS WEST OAKS HOSPITAL, L.P.
	By: Texas Hospital Holdings, LLC
	Its General Partner
	By: Psychiatric Solutions Hospitals, LLC
	Its Sole Member
	By: Psychiatric Solutions, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: Texas Hospital Holdings, Inc.
	Its Limited Partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	SHC-KPH, LP
	By: HHC Kingwood Investment, LLC
	Its General Partner
	By: Kingwood Pines Hospital, LLC
	Its Limited partner
	By: Horizon Health Hospital Services, LLC
	The Sole Member of the above Limited and General Partner
	By: Horizon Health Corporation
	Its sole member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	H.C. PARTNERSHIP
	By: H.C. Corporation
	Its General Partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President
	By: HSA Hill Crest Corporation
	Its General Partner
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	BHC OF INDIANA, GENERAL PARTNERSHIP
	By: Columbus Hospital Partners, LLC
	Its General Partner
	By: Lebanon Hospital Partners, LLC
	Its General Partner
	By: Northern Indiana Partners, LLC
	Its General Partner
	By: Xxxxx Vista Hospital Partners, LLC
	Its General Partner
	By: BHC Healthcare, LLC
	The Sole Member of the above Limited and General Partner
	By: BHC Holdings, Inc.
	Its Sole Member
	By:	/s/ Xxxxx Filton
	Name:	Xxxxx Filton
	Title:	Vice President

	UNION BANK, N.A., as Trustee
	By:	/s/ Xxx Xxxxxxxx
	Name:  Xxx Xxxxxxxx
	Title:    Vice President