0001564590-22-037046 Sample Contracts

THIRD SUPPLEMENTAL INDENTURE
Third Supplemental Indenture • November 8th, 2022 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This THIRD SUPPLEMENTAL INDENTURE, dated as of November 4, 2022 (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 Trust Company, National Association (as successor to U.S. Bank National Association), as trustee (the “Trustee”).

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ELEVENTH AMENDMENT TO AMENDED AND RESTATED CREDIT AND SECURITY AGREEMENT
Credit and Security Agreement • November 8th, 2022 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This ELEVENTH AMENDMENT TO AMENDED AND RESTATED CREDIT AND SECURITY AGREEMENT (this “Amendment”), dated as of September 20, 2022, is entered into by and among the following parties:

SECOND SUPPLEMENTAL INDENTURE
Supplemental Indenture • November 8th, 2022 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This SECOND SUPPLEMENTAL INDENTURE, dated as of November 4, 2022 (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)), and U.S. Bank Trust Company, National Association (as successor to U.S. Bank National Association), as trustee (the “Trustee”).

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