exv4w19











Exhibit 4.19




     RELEASE OF CERTAIN GUARANTORS (this “Release”), dated as of December 31, 2009, by and
among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), those Subsidiary
Guarantors parties hereto, and U.S. BANK NATIONAL ASSOCIATION, as Trustee under the Indenture (the
“Trustee”).



WITNESSETH:




     WHEREAS, the Issuer has heretofore executed and delivered to the Trustee an Indenture, dated
as of July 25, 2007, as supplemented by the First Supplemental Indenture, dated as of July 25,
2007, the Second Supplemental Indenture, dated as of December 31, 2007, the Third Supplemental
Indenture, dated as of October 10, 2008, the Fourth Supplemental Indenture, dated December 1, 2008,
the Fifth Supplemental Indenture, dated February 5, 2009, the Sixth Supplemental Indenture, dated
March 30, 2009 and the Seventh Supplemental Indenture dated June 30, 2009 (the “Indenture”),
providing for the issuance of the 87/8% Senior Notes due 2015 (the
“Securities”);



     WHEREAS, pursuant to that certain Private Placement Memorandum, dated June 1, 2009 (as
amended, supplemented or otherwise modified from time to time, the “PPM”), Petersburg Hospital
Company, LLC, a Delaware limited liability company (“PHC”), has offered and sold membership
interests in PHC to certain physician investors effective as of November 1, 2009 (such transaction,
the “Petersburg Syndication”).



     WHEREAS, pursuant to that certain Private Placement Memorandum, dated August 21, 2009 (as
amended, supplemented or otherwise modified from time to time, the “PPM”), Greenbrier VMC, LLC, a
Delaware limited liability company (“GVMC”), has offered and sold membership interests in GVMC to
certain physician investors effective as of December 1, 2009 (such transaction, the “Greenbrier
Syndication” and, collectively with the Petersburg Syndication, the “Syndications”).



     WHEREAS, (i) upon the consummation of the Syndications, each of the Subsidiary Guarantors
listed on the signature pages hereto (the “Syndicated Subsidiary Guarantors”) has been released as
a Subsidiary Guarantor under the Credit Agreement, dated as of July 25, 2007, by and among the
Issuer, Community Health Systems, Inc., the lenders that from time to time become parties to the
Credit Agreement and Credit Suisse, as Collateral Agent, and (ii) the Issuer has delivered an
Officer’s Certificate to the Trustee certifying that the Syndicated Subsidiary Guarantors no longer
have any Indebtedness outstanding that would require such Syndicated Subsidiary Guarantors to
enter into a Guaranty Agreement pursuant to Section 4.12 of the Indenture.



     WHEREAS pursuant to Section 10.06(4) of the Indenture, a Guarantor will be released from its
obligations under the Indenture under the circumstances described in the immediately preceding
recital.



     WHEREAS pursuant to the last sentence of Section 10.06 of the Indenture, the Issuer requests
and the Trustee is authorized to execute and deliver this Release evidencing such release pursuant
to Section 10.06(4) of the Indenture.



     NOW THEREFORE, in consideration of the foregoing and for good and valuable consideration, the
receipt of which is hereby acknowledged, the Issuer, those Subsidiary Guarantors parties hereto and
the Trustee mutually covenant and agree as follows:



     SECTION 1. Capitalized Terms. Capitalized terms used herein but not defined shall have
the meanings assigned to them in the Indenture.



     SECTION 2. Subsidiary Guarantors. Effective from and after the consummation of the
Syndication, each of the Syndicated Subsidiary Guarantors is hereby irrevocably released and
discharged from its



 









 






obligations under Article 10 of the Indenture, any Guaranty Agreement to which
it may be party or any obligations with respect to the Securities.




     SECTION 3. Ratification of Indenture; Release Part of Indenture. Except as expressly
modified hereby, the Indenture is in all respects ratified and confirmed and all the terms,
conditions and provisions thereof shall remain in full force and effect. This Release shall form a
part of the Indenture for all purposes, shall inure to the benefit of the Issuer, each of the
Syndicated Subsidiary Guarantors, the Trustee and every Holder of Securities heretofore or
hereafter authenticated and the Issuer, each of the Syndicated Subsidiary Guarantors, the Trustee
and every Holder of Securities heretofore or hereafter authenticated and delivered shall be bound
hereby.



     SECTION 4. Governing Law. THIS RELEASE SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.



     SECTION 5. Trustee Makes No Representation. The Trustee makes no representation as to
the accuracy or correctness of the recitals of this Release.



     SECTION 6. Counterparts. The parties may sign any number of copies of this Release.
Each signed copy shall be an original, but all of them together represent the same agreement.



     SECTION 7. Effect of Headings. The Section headings herein are for convenience only
and shall not effect the construction of this Release.



 









 






IN WITNESS WHEREOF, the parties have caused this Release to be duly executed as of this 31st day of December 2009.




	 	 	 	 	 
	 	CHS/Community Health Systems, Inc.,

a Delaware corporation

 	 
	 	By:  	/s/ Rachel A. Seifert
 	 
	 	 	Rachel A. Seifert 	 
	 	 	Senior Vice President, Secretary & General Counsel 	 
	 
	 	Syndicated Subsidiary Guarantors:

Greenbrier VMC, LLC

Petersburg Hospital Company, LLC

 	 
	 	By:  	/s/ James W. Doucette
 	 
	 	 	James W. Doucette 	 
	 	 	Vice President, Finance and Treasurer 	 
	 



	 	 	 	 	 
	U.S. Bank National Association,

as Trustee

 	 
	By:  	/s/ Wally Jones
 	 
	 	Wally Jones 	 
	 	Vice President