Exhibit 4.1 THIS SECOND SUPPLEMENTAL INDENTURE, dated as of April 1, 2005 (this "Second Supplemental Indenture"), is by and between Province Healthcare Company, a Delaware corporation ("Province"), having its principal office at 105 Westwood Place,...Second Supplemental Indenture • April 5th, 2005 • Province Healthcare Co • Services-general medical & surgical hospitals, nec • New York
