Supplemental Indenture Second Supplemental Indenture Sample Contracts

SUPPLEMENTAL INDENTURE
Supplemental Indenture             Second Supplemental Indenture • April 2nd, 2012 • Vanguard Health Systems Inc • Hospital & medical service plans • New York

SECOND SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of March 30, 2012, among VANGUARD HEALTH HOLDING COMPANY II, LLC, a Delaware limited liability company (the “Company”), VANGUARD HOLDING COMPANY II, INC., a Delaware corporation (the “Co-Issuer” and, together with the Company, the “Issuers”), the guarantors listed on the signature pages hereto (the “Guarantors”) and U.S. BANK NATIONAL ASSOCIATION, as trustee under the Indenture referred to below (the “Trustee”).

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Supplemental Indenture Second Supplemental Indenture • July 26th, 2023 • Churchill Downs Inc • Services-racing, including track operation
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