0001193125-15-224695 Sample Contracts

EXCHANGE AND REGISTRATION RIGHTS AGREEMENT Dated as of June 16, 2015 by and among Tenet Healthcare Corporation and Barclays Capital Inc. As Representative of the Initial Purchasers
Exchange and Registration Rights Agreement • June 16th, 2015 • Tenet Healthcare Corp • Services-general medical & surgical hospitals, nec • New York

This Exchange and Registration Rights Agreement (this “Agreement”) is made and entered into as of June 16, 2015, by and among Tenet Healthcare Corporation, a Nevada corporation (the “Company”), and Barclays Capital Inc., as representative (the “Representative”) of the several Initial Purchasers (as defined herein). Each of the Initial Purchasers has agreed to purchase THC Escrow Corporation II’s (the “Escrow Issuer”) 6.75% Senior Notes due 2023 (the “Initial Notes”), which will be assumed by the Company on the date hereof, pursuant to the Purchase Agreement, dated June 2, 2015, by and among the Escrow Issuer, the Company and the Representative (the “Purchase Agreement”).

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TENET HEALTHCARE CORPORATION Floating Rate Senior Secured Notes due 2020 unconditionally guaranteed as to the payment of principal, premium. if any, and interest by the Guarantors named on Schedule I hereto Exchange and Registration Rights Agreement
Purchase Agreement • June 16th, 2015 • Tenet Healthcare Corp • Services-general medical & surgical hospitals, nec • New York

Tenet Healthcare Corporation, a Nevada corporation (the “Company”), issued on the Closing Date (as defined herein), $900.0 million in aggregate principal amount of its Floating Rate Senior Secured Notes due 2020 (the “Notes”). The Notes are unconditionally guaranteed by the Guarantors (as defined herein), upon the terms and conditions set forth in that certain Offering Memorandum, dated June 2, 2015, and that certain Purchase Agreement (the “Purchase Agreement”), dated as of June 2, 2015, among the Company, the subsidiaries of the Company set forth on the signature pages thereto (the “Guarantors”) and Barclays Capital Inc., as representative (the “Representative”) of the several Initial Purchasers (as defined herein). As an inducement to purchase the Notes, and in satisfaction of a condition to the obligations of the Company under the Purchase Agreement, the Company and the Guarantors agree with the Representative, for the benefit of the holders (as defined herein) from time to time of

SUPPLEMENTAL INDENTURE RELATED TO THE COMPLETION DATE
Supplemental Indenture • June 16th, 2015 • Tenet Healthcare Corp • Services-general medical & surgical hospitals, nec

SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) dated as of June 16, 2015, among Tenet Healthcare Corporation, a Nevada corporation (the “Company”), and The Bank of New York Mellon Trust Company, N.A., as trustee under the Indenture referred to below (the “Trustee”).

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