Exhibit 10.1

AMENDMENT NO. 2

to

CREDIT AGREEMENT

dated as of

March 4, 2005

and amended as of

July 28, 2006

among

UNIVERSAL HEALTH SERVICES, INC.

THE ELIGIBLE SUBSIDIARIES REFERRED TO HEREIN

THE LENDERS LISTED HEREIN

JPMORGAN CHASE BANK, N.A.,

as Administrative Agent

BANK OF AMERICA, N.A.,

as Syndication Agent

and

ABN AMRO BANK N.V.,

SUNTRUST BANK

and

WACHOVIA BANK, NATIONAL ASSOCIATION,

as Co-Documentation Agents

 

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J.P. Morgan Securities Inc.

Banc of America Securities LLC,

Joint Lead Arrangers and Joint Bookrunners

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AMENDMENT NO. 2

AMENDMENT dated as of April 13, 2007 to the Credit Agreement dated as of
March 4, 2005 (as amended as of July 28, 2006, the “Credit Agreement”) among
UNIVERSAL HEALTH SERVICES, INC., the ELIGIBLE SUBSIDIARIES referred to therein,
the LENDERS listed on the signature pages thereof, JPMORGAN CHASE BANK, N.A., as
Administrative Agent, BANK OF AMERICA, N.A., as Syndication Agent and ABN AMRO
BANK N.V., SUNTRUST BANK and WACHOVIA BANK, NATIONAL ASSOCIATION, as
Co-Documentation Agents.

W I T N E S S E T H:

WHEREAS, Section 2.19 of the Credit Agreement contemplates that the Commitments
thereunder may be increased in the manner set forth therein; and

WHEREAS, the parties wish to amend Section 2.19 to increase the maximum amount
of increases in the Commitments which may be effected in that manner, and to
memorialize an increase in the Commitments pursuant to Section 2.19 as so
amended;

NOW, THEREFORE, the parties hereto agree as follows:

Section 1. Defined Terms; References. Unless otherwise specifically defined
herein, each term used herein that is defined in the Credit Agreement has the
meaning assigned to such term in the Credit Agreement. Each reference to
“hereof”, “hereunder”, “herein” and “hereby” and each other similar reference
and each reference to “this Agreement” and each other similar reference
contained in the Credit Agreement shall, after this Agreement becomes effective,
refer to the Credit Agreement as amended hereby.

Section 2. Amendment; Increase in Commitments.

(a) The figure “$100,000,000” in Section 2.19(c)(iii) of the Credit Agreement is
changed to “$150,000,000.”

(b) With effect from and including the Amendment Effective Date, (i) each Person
listed on the signature pages hereof which is not a party to the Credit
Agreement (a “New Lender”) shall become a Lender party thereto, (ii) the
Commitment of each Lender shall be the amount set forth opposite the name of
such Lender in the Commitment Schedule attached hereto and (iii) the Commitment
Schedule attached hereto shall replace the Commitment Schedule attached to the
Credit Agreement.

 

2

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Section 3. Representations of Company. The Company represents and warrants that
(i) the representations and warranties of the Company set forth in Article 4 of
the Credit Agreement will be true both before and after the Amendment Effective
Date and (ii) no Default will have occurred and be continuing at such time.

Section 4. Effect of Amendment. Except as expressly set forth herein, nothing
contained herein shall constitute a waiver or amendment of any term or condition
of the Credit Agreement, and all such terms and conditions shall remain in full
force and effect and are hereby ratified and confirmed in all respects.

Section 5. Governing Law. This Amendment shall be governed by and construed in
accordance with the laws of the State of New York.

Section 6. Counterparts. This Amendment may be signed in any number of
counterparts, each of which shall be an original, with the same effect as if the
signatures thereto and hereto were upon the same instrument.

Section 7. Effectiveness. This Amendment shall become effective as of the date
hereof (the “Amendment Effective Date”), subject to satisfaction of the
following conditions:

(a) the Administrative Agent shall have received from each of the Company, each
New Lender, each Lender whose Commitment is increased hereby and such other
Lenders (if any) as may be necessary in order that the signatories hereto
comprise the Required Lenders (determined before giving effect to this
Amendment) a counterpart hereof signed by such party or facsimile or other
written confirmation (in form satisfactory to the Administrative Agent) that
such party has signed a counterpart hereof; and

(b) the Administrative Agent shall have received an opinion of the General
Counsel or Assistant General Counsel of the Company dated as of the Amendment
Effective Date, in form and substance satisfactory to the Administrative Agent;
and

(c) the Administrative Agent shall have received evidence satisfactory to it of
corporate authorization of this Amendment on the part of the Company.

 

3

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly
executed by their respective authorized officers as of the day and year first
above written.

 

UNIVERSAL HEALTH SERVICES, INC. By:   /s/ Cheryl K. Ramagano   Name: Cheryl K.
Ramagano   Title: Treasurer

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JPMORGAN CHASE BANK, N.A., as Lender and Administrative Agent By:   /s/ Dawn Lee
Lum   Name: Dawn Lee Lum   Title: Executive Director

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BANK OF AMERICA, N.A. By:   /s/ Jill J. Hogan   Name: Jill J. Hogan   Title:
Vice President

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ABN AMRO BANK N.V. By:   /s/ Kathleen Ross   Name: Kathleen Ross   Title: Senior
Vice President By:   /s/ Robert Hart   Name: Robert Hart   Title: Senior Vice
President

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SUNTRUST BANK By:   /s/ Helen C. Hartz   Name: Helen C. Hartz   Title: Vice
President

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WACHOVIA BANK, NATIONAL ASSOCIATION By:   /s/ Jeanette A. Griffin   Name:
Jeanette A. Griffin   Title: Director

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BANK OF TOKYO-MITSUBISHI UFJ TRUST COMPANY By:   /s/ Lillian Kim   Name: Lillian
Kim   Title: Vice President

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WILLIAM STREET COMMITMENT CORPORATION ( Recourse only to assets of William
Street Commitment Corporation) By:   /s/ Mark Walton   Name: Mark Walton  
Title: Assistance Vice President

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CALYON NEW YORK BRANCH By:   /s/ Thomas Randolph   Name: Thomas Randolph  
Title: Managing Director By:   /s/ Attila Coach   Name: Attila Coach   Title:
Managing Director

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PNC BANK, NATIONAL ASSOCIATION By:   /s/ Karin B. Takiff   Name: Karin B. Takiff
  Title: Senior Vice President

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THE BANK OF NEW YORK By:   /s/ Christopher T. Kordes   Name: Christopher T.
Kordes   Title: Vice President

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NATIONAL CITY BANK

By:   /s/ Erica E. Dowd   Name:   Erica E. Dowd   Title:   Assistant Vice
President

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CITIBANK, N.A.

By:   /s/ Allen Fisher   Name:   Allen Fisher   Title:   Vice President

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COMMITMENT SCHEDULE

 

LENDER

   COMMITMENT

JPMorgan Chase Bank, N.A.

   $ 105,000,000.00

Bank of America, N.A.

   $ 105,000,000.00

ABN AMRO Bank N.V.

   $ 85,000,000.00

SunTrust Bank

   $ 85,000,000.00

Wachovia Bank, National Association

   $ 85,000,000.00

Bank of Tokyo-Mitsubishi UFJ Trust Company

   $ 62,500,000.00

Citibank, N.A.

   $ 62,500,000.00

William Street Commitment Corporation

   $ 62,500,000.00

Calyon New York Branch

   $ 45,000,000.00

PNC Bank, National Association

   $ 42,500,000.00

National City Bank

   $ 35,000,000.00

The Bank of New York

   $ 25,000,000.00       

TOTAL

   $ 800,000,000.00