Document:

EX-4.7

Exhibit 4.7

SECOND SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of December 31, 2007, among
CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), each of the parties
identified as a New Subsidiary Guarantor on the signature pages hereto (each, a “New Subsidiary
Guarantor” and collectively, the “New Subsidiary Guarantors”) and U.S. BANK NATIONAL ASSOCIATION,
as Trustee under the Indenture (the “Trustee”).

W I T N E S S E T H:

     WHEREAS the Issuer has heretofore executed and delivered to the Trustee an Indenture (the
“Indenture”), dated as of July 25, 2007, providing for the issuance of the
87/8% Senior Notes due 2015 (the “Securities”);

     WHEREAS, each of the undersigned New Subsidiary Guarantors has deemed it advisable and in its
best interest to execute and deliver this Supplemental Indenture, and to become a New Subsidiary
Guarantor under the Indenture;

     WHEREAS, following the merger of certain existing Subsidiary Guarantors with and into certain
of the New Subsidiary Guarantors, certain of the New Subsidiary Guarantors are entering into this
Supplemental Indenture pursuant to Section 5.01(b) of the Indenture;

     WHEREAS the entities listed on Schedule 1 hereto have been merged into existing
Subsidiary Guarantors or New Subsidiary Guarantors, have ceased to exist and will therefore no
longer be Subsidiary Guarantors under the Indenture;

     WHEREAS the Subsidiary Guarantors listed on Schedule 2 hereto have been converted into
Delaware limited liability companies, and

     WHEREAS, pursuant to Section 9.01(4) of the Indenture, the Trustee, the Issuer and the New
Subsidiary Guarantors are authorized to execute and deliver this Supplemental Indenture.

     NOW THEREFORE, in consideration of the foregoing and for good and valuable consideration, the
receipt of which is hereby acknowledged, the Issuer, the New Subsidiary Guarantors and the Trustee
mutually covenant and agree for the equal and ratable benefit of the Holders of the Securities 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. Guaranties. Each New Subsidiary Guarantor hereby agrees to guarantee the
Issuer’s obligations under the Securities on the terms and subject to the conditions set forth in
Article 10 of the Indenture and to be bound by all other applicable provisions of the Indenture as
a Subsidiary Guarantor.

     SECTION 3. Ratification of Indenture; Supplemental Indentures Part of Indenture.
Except as expressly amended 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
Supplemental Indenture shall form a part of the Indenture for all purposes, shall inure to the
benefit of the Trustee and every Holder of Securities heretofore or hereafter authenticated and the
Issuer, the Trustee and every Holder of Securities heretofore or hereafter authenticated and
delivered shall be bound hereby.

     SECTION 4. Governing Law. THIS SUPPLEMENTAL INDENTURE 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

 

 

validity or sufficiency of this Supplemental Indenture.

     SECTION 6. Counterparts. The parties may sign any number of copies of this
Supplemental Indenture. 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 Supplemental Indenture.

 

 

IN WITNESS WHEREOF, the parties have caused this Supplemental
Indenture to be duly executed as of this 31st day of
December, 2007.

	 	 	 	 	 
	 	CHS/Community Health Systems, Inc.

a Delaware corporation

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

	 	 	 	 	 
	 	CHS Kentucky Holdings, LLC,

a Delaware limited liability company

CHS Virginia Holdings, LLC,

a Delaware limited liability company

CHS Pennsylvania Holdings, LLC,

a Delaware limited liability company

Triad Indiana Holdings, LLC,

a Delaware limited liability company

Triad Nevada Holdings, LLC,

a Delaware limited liability company

Northampton Hospital Company, LLC,

a Delaware limited liability company

West Grove Hospital Company, LLC,

a Delaware limited liability company

Sunbury Hospital Company, LLC,

a Delaware limited liability company

Berwick Hospital Company, LLC,

a Delaware limited liability company

BH Trans Company, LLC,

a Delaware limited liability company

McKenzie Tennessee Hospital Company, LLC,

a Delaware limited liability company

Kirksville Hospital Company, LLC,

a Delaware limited liability company

Moberly Hospital Company, LLC,

a Delaware limited liability company

QHG of Bluffton Company, LLC,

a Delaware limited liability company

QHG of Warsaw Company, LLC,

a Delaware limited liability company

 	 
	 	 	 
	 	 	 
	 	 	 
	 

 

 

	 	 	 	 	 
	 	QHG of Fort Wayne Company, LLC,

a Delaware limited liability company

 	 
	 	By:  	/s/ Rachel A. Seifert
 	 
	 	 	Rachel A. Seifert 	 
	 	 	Senior Vice President and Secretary 	 
	 
	 	U.S. Bank National Association,

as Trustee

 	 
	 	By:  	/s/ Donna L. Williams
 	 
	 	 	Donna L. Williams 	 
	 	 	Vice President 	 
	 

 

 

Schedule 1

Subsidiary Guarantors that no longer exist and

are no longer Subsidiary Guarantors under the Indenture:

1. CHS Holdings Corp.

2. Hallmark Holdings Corp.

3. NWI Hospital Holdings, LLC

4. Northampton Hospital Corporation

5. West Grove Hospital Corporation

6. Sunbury Hospital Corporation

7. CHS Berwick Hospital Corporation

8. BH Trans Corporation

9. McKenzie Hospital Corporation

10. Kirksville Hospital Corporation

11. Moberly Hospital, Inc.

12. QHG of Bluffton, Inc.

13. QHG of Warsaw, Inc.

14. QHG of Fort Wayne, Inc.

 

 

Schedule 2

Subsidiary Guarantors converted into Delaware Limited Liability Companies:

	1.	 	Community Health Investment Corporation, a Delaware corporation, becomes Community
Health Investment Company, LLC

	2.	 	Hallmark Healthcare Corporation, a Delaware corporation, becomes Hallmark Healthcare
Company, LLC

	3.	 	Tennyson Holdings, Inc., a Delaware corporation, becomes Tennyson Holdings, LLCEX-4.8

Exhibit 4.8

     RELEASE OF CERTAIN GUARANTORS (this “Release”), dated as of January 30, 2008, 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”).

W I T N E S S E T H:

     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, and the Second Supplemental Indenture, dated as of December 31, 2007 (the “Indenture”),
providing for the issuance of the 87/8% Senior Notes due 2015 (the
“Securities”);

     WHEREAS, pursuant to that certain Stock Purchase Agreement, dated as of November 27, 2007 (as
amended, supplemented or otherwise modified from time to time, the “Sale Agreement”), by and
between Issuer and Capella Healthcare, Inc. (“Purchaser”), Issuer has agreed to sell (or to cause
certain of its Subsidiaries to sell) to Purchaser, and Purchaser has agreed to purchase, all of the
outstanding equity interests of certain Subsidiaries of the Issuer (such transaction, the “Sale”).

     WHEREAS, (i) upon the consummation of the Sale, each of the Subsidiary Guarantors listed on
the signature pages hereto (the “Sold Subsidiary Guarantors”) will no longer be Subsidiaries of the
Issuer, (ii) the Purchaser is not the Issuer or a Restricted Subsidiary of the Issuer, (iii) the
Sale is permitted by the Indenture, and (iv) the Issuer has delivered an Officer’s Certificate to
the Trustee to the effect that the Issuer will comply with its obligations under Section 4.06 of
the Indenture with respect to the Sale.

     WHEREAS pursuant to Section 10.06(1) 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(1) 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
Sale, each of the Sold 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 Sold
Subsidiary Guarantors, the Trustee and every Holder of Securities heretofore or hereafter
authenticated and the Issuer, each of the Sold 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 30th day of January 2008.

	 	 	 	 	 
	 	CHS/Community Health Systems, Inc.,

a Delaware corporation

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

Cullman Hospital Corporation

Farmington Hospital Corporation

Farmington Missouri Hospital Company, LLC

National Healthcare of Cullman, Inc.

National Healthcare of Decatur, Inc.

National Healthcare of Hartselle, Inc.

Oregon Healthcorp, LLC

QHG of Jacksonville, Inc.

Russellville Holdings, LLC

Sparta Hospital Corporation

Willamette Valley Medical Center, LLC

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

	 	 	 	 	 
	U.S. Bank National Association,	 	 
	as Trustee	 	 
	 
	 	 	 	 
	By:

	 	/s/ Donna L. Williams
 

Donna L. Williams
	 	 
	 

	 	Vice President

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