0001564590-21-045588 Sample Contracts

SEVENTH AMENDMENT
Credit Agreement • August 24th, 2021 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

CREDIT AGREEMENT (this “Agreement”), dated as of November 15, 2010 and amended and restated as of September 21, 2012, August 7, 2014, October 23, 2018 and August 24, 2021, among UNIVERSAL HEALTH SERVICES, INC., a Delaware corporation (the “Borrower”), the several banks and other financial institutions or entities from time to time parties to this Agreement (the “Lenders”), FIFTH THIRD BANK, NATIONAL ASSOCIATION, SUMITOMO MITSUI BANKING CORPORATION, and CAPITAL ONE, N.A., as co-documentation agents (in such capacity, the “Co-Documentation Agents”), BOFA SECURITIES, INC., TRUIST BANK, GOLDMAN SACHS BANK USA, WELLS FARGO BANK, NATIONAL ASSOCIATION, MIZUHO BANK, LTD., MUFG BANK LTD., PNC BANK NATIONAL ASSOCIATION, TD BANK, N.A. and U.S. BANK NATIONAL ASSOCIATION, as co-syndication agents (in such capacity, the “Co-Syndication Agents”), and JPMORGAN CHASE BANK, N.A., as administrative agent.

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REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • August 24th, 2021 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This REGISTRATION RIGHTS AGREEMENT dated August 24, 2021 (this “Agreement”) is entered into by and among Universal Health Services, Inc., a Delaware corporation (the “Company”), the guarantors listed in Schedule 1 hereto (the “Initial Guarantors”), and J.P. Morgan Securities LLC, BofA Securities, Inc., Goldman Sachs & Co. LLC and Truist Securities, Inc., as the representatives (the “Representatives”) of the several initial purchasers (the “Initial Purchasers”) named on Schedule 1 to the Purchase Agreement (as defined below).

SUPPLEMENTAL INDENTURE
Supplemental Indenture • August 24th, 2021 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This SUPPLEMENTAL INDENTURE, dated as of August 24, 2021 (this “Supplemental Indenture”), among Universal Health Services, Inc., a Delaware corporation (the “Issuer”), each of the direct or indirect subsidiaries of the Issuer identified on Schedule 1 attached hereto as a guaranteeing subsidiary (each, a “Guaranteeing Subsidiary” and collectively, the “Guaranteeing Subsidiaries”), the other Guarantors (as defined in the Indenture (defined below)), U.S. Bank National Association (as successor to MUFG Union Bank, N.A.), as trustee (the “Trustee”), and JPMorgan Chase Bank, N.A., as Collateral Agent (as defined in the Indenture (defined below)) (the “Collateral Agent”).

ADDITIONAL AUTHORIZED REPRESENTATIVE JOINDER AGREEMENT, dated as of August 24, 2021 (this “Joinder Agreement”), among the Additional Authorized Representative (as defined below), Universal Health Services, Inc. (the “Borrower”), the other Grantors...
Additional Authorized Representative Joinder Agreement • August 24th, 2021 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

Capitalized terms used herein but not otherwise defined herein shall have the meanings assigned to such terms in the Amended and Restated Collateral Agreement, dated as of August 7, 2014, as supplemented by the Additional Authorized Representative Joinder Agreement dated June 3, 2016 and the Additional Authorized Representative Joinder Agreement dated September 21, 2020, by and among the Borrower, the other Grantors party thereto, the Authorized Representatives and Collateral Agent (as amended, restated, modified, and/or supplemented from time to time, the “Collateral Agreement”).

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