Document:

Exhibit 4.1

 

THIS FOURTH SUPPLEMENTAL INDENTURE (the “Fourth Supplemental Indenture”), dated as of August 23, 2013, is by and among LifePoint Hospitals, Inc. a Delaware corporation (the “Company”), the guarantors named herein (the “Guarantors”) and The Bank of New York Mellon Trust Company, N.A., as trustee (the “Trustee”) under the Indenture referred to below, as defined below.

 

W I T N E S S E T H

 

WHEREAS, the Company and the Guarantors have heretofore executed and delivered to the Trustee the Indenture, dated as of September 23, 2010, as supplemented by that First Supplemental Indenture, dated as of July 19, 2011, that Second Supplemental Indenture dated as of February 8, 2012 and that Third Supplemental Indenture dated as of September 28, 2012 (together, the “Indenture”), providing for the issuance of the Company’s 6.625% Senior Notes due 2020 (the “Notes”);

 

WHEREAS, Section 9.02 of the Indenture provides that the Company, the Guarantors and the Trustee may amend or supplement the Indenture with the consent of the Holders of at least a majority in principal amount of the Notes then outstanding, subject to certain conditions contained therein; and

 

WHEREAS, pursuant to a Consent Solicitation Statement dated July 30, 2013 (as amended on August 21, 2013, the “Consent Solicitation Statement”) and the related Consent Form (as such term is defined in the Consent Solicitation Statement and, together with the Consent Solicitation Statement, the “Consent Solicitation”), the Company solicited the Holders of the Notes for approval to amend and modify certain provisions contained in the Indenture (the “Proposed Amendments”); and

 

WHEREAS, the Holders of at least a majority in principal amount of the Notes outstanding as of the Record Date (as defined in the Consent Solicitation) have tendered Consents (as such term is defined in the Consent Solicitation) pursuant to the terms of the Consent Solicitation and have approved the Proposed Amendments as described in this Fourth Supplemental Indenture; and

 

WHEREAS, pursuant to Article 9.02 of the Indenture, the Trustee is authorized to execute and deliver this Fourth Supplemental Indenture.

 

NOW THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Company, the Guarantors and the Trustee agree as follows:

 

1.                                      Capitalized Terms.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

 

2.                                      Amendments to the Indenture.  The Indenture is hereby amended as follows:

 

(a)         The definition of “Excluded Subsidiaries” in Section 1.01 of the Indenture shall be amended and restated in its entirety as follows:

 

 

“Excluded Subsidiaries” means those Domestic Subsidiaries that are designated by the Company as Domestic Subsidiaries that will not be Guarantors; provided, however, that in no event will the Excluded Subsidiaries, either individually or collectively, hold more than 45% of the consolidated assets of the Company and its Domestic Subsidiaries as of the end of any fiscal quarter (determined as of the most recent fiscal quarter for which the Company has internal financial statements available); provided, further, that any wholly owned Domestic Subsidiary that guarantees any Indebtedness incurred pursuant to clause (a) of the second paragraph of Section 4.07 hereof may not be designated as or continue to be an Excluded Subsidiary. In the event any Domestic Subsidiaries, individually or collectively, previously designated as Excluded Subsidiaries cease to meet the requirements of the previous sentence, the Company will, within 60 calendar days following such event, cause one or more of such Domestic Subsidiaries to become Guarantors so that the requirements of the previous sentence are complied with.  After the Issue Date, the Company may designate Domestic Subsidiaries as Excluded Subsidiaries by an Officers’ Certificate submitted to the Trustee. Notwithstanding the foregoing, no Existing Guarantor may be designated as an Excluded Subsidiary unless, after giving effect to such release, the Excluded Subsidiaries will not, either individually or collectively, hold more than 25% of the consolidated assets of the Company and its Domestic Subsidiaries as of the end of any fiscal quarter or account for more than 25% of the consolidated revenue of the Company and its Domestic Subsidiaries during the most recent four-quarter period (in each case determined as of the most recent fiscal quarter for which the Company has internal financial statements available).

 

(b)         The definition of “Existing Guarantors” shall be added to Section 1.01 of the Indenture as follows:

 

“Existing Guarantors” means those Domestic Subsidiaries that are Guarantors immediately prior to the date of this Supplemental Indenture.

 

(c)          The first paragraph of Section 4.07 of the Indenture shall be amended by adding the following as the final sentence of such paragraph:

 

Notwithstanding the foregoing, Indebtedness incurred by non wholly owned Excluded Subsidiaries pursuant to this first paragraph of Section 4.07 may not exceed $250.0 million at any time outstanding.

 

3.                                      Receipt by Trustee.  In accordance with Section 9.02 of the Indenture, the Trustee acknowledges that it has received a copy of the Board Resolution authorizing the execution of this Fourth Supplemental Indenture and the Act of the Holders of the Notes consenting to the Proposed Amendment evidenced by this Fourth Supplemental Indenture.  In addition, in accordance with Section 9.06, Section 12.04, and Section 12.05 of the Indenture, the Trustee acknowledges that it has received an Officers’ Certificate and Opinion of Counsel stating

 

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that the execution of this Fourth Supplement Indenture is authorized or permitted by the Indenture, and that all conditions precedent have been complied with.

 

4.                                      New York Law to Govern.  The Internal Law of the State of New York shall govern and be used to construe this Supplemental Indenture but without giving effect to applicable principles of conflicts of law to the extent that the application of the laws of another jurisdiction would be required thereby.

 

5.                                      Severability.  In case any provision in this Fourth Supplemental Indenture shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.

 

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

 

7.                                      Effect of Headings.  The Section headings herein are for convenience only and shall not affect the construction hereof.

 

8.                                      The Trustee.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Fourth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Company.

 

9.                                      Ratification of Indenture; Fourth Supplemental Indenture Part of Indenture.  Except as expressly supplemented 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 Fourth Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby.

 

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IN WITNESS WHEREOF, the parties hereto have caused this Fourth Supplemental Indenture to be duly executed, all as of the date first above written.

 

 

	
 
    	
LIFEPOINT HOSPITALS, INC.
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
By: 
    	
/s/ Christy S. Green
    
	
 
    	
 
    	
Name: 
    	
Christy S. Green
    
	
 
    	
 
    	
Title: 
    	
Vice President and Corporate Secretary
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
THE BANK OF NEW YORK MELLON TRUST   COMPANY, N.A., as Trustee
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
By:
    	
/s/ Lawrence M. Kusch
    
	
 
    	
 
    	
Name: Lawrence M. Kusch
    
	
 
    	
 
    	
Title:   Vice President
    

 

[Guarantor Signature Pages Follow]

 

[Signature Page to Fourth Supplemental Indenture]

 

 

	
 
    	
AMERICA MANAGEMENT COMPANIES, LLC
    
	
 
    	
AMG-CROCKETT,   LLC
    
	
 
    	
AMG-HILCREST,   LLC
    
	
 
    	
AMG-HILLSIDE,   LLC
    
	
 
    	
AMG-LIVINGSTON,   LLC
    
	
 
    	
AMG-LOGAN,   LLC
    
	
 
    	
AMG-SOUTHERN   TENNESSEE, LLC
    
	
 
    	
AMG-TRINITY,   LLC
    
	
 
    	
ANDALUSIA   PHYSICIAN PRACTICES, LLC
    
	
 
    	
ASHLAND PHYSICIAN SERVICES, LLC
    
	
 
    	
ASHLEY VALLEY MEDICAL CENTER, LLC
    
	
 
    	
ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
    
	
 
    	
ATHENS   PHYSICIANS PRACTICE, LLC
    
	
 
    	
ATHENS REGIONAL MEDICAL CENTER, LLC
    
	
 
    	
ATHENS SURGERY CENTER PARTNER, LLC
    
	
 
    	
BARROW   MEDICAL CENTER, LLC
    
	
 
    	
BARTOW   GENERAL PARTNER, LLC
    
	
 
    	
BARTOW   HEALTHCARE SYSTEM, LTD.
    
	
 
    	
BARTOW   MEMORIAL LIMITED PARTNER, LLC
    
	
 
    	
BOLIVAR PHYSICIAN PRACTICES, LLC
    
	
 
    	
BOURBON   COMMUNITY HOSPITAL, LLC
    
	
 
    	
BOURBON   PHYSICIAN PRACTICE, LLC
    
	
 
    	
BRIM   HOSPITALS, INC.
    
	
 
    	
BUFFALO TRACE RADIATION ONCOLOGY ASSOCIATES, LLC
    
	
 
    	
CARE   HEALTH COMPANY, INC.
    
	
 
    	
CASTLEVIEW   HOSPITAL, LLC
    
	
 
    	
CASTLEVIEW   MEDICAL, LLC
    
	
 
    	
CASTLEVIEW   PHYSICIAN PRACTICE, LLC
    
	
 
    	
CLARK   REGIONAL PHYSICIAN PRACTICES, LLC
    
	
 
    	
CLINCH PROFESSIONAL PHYSICIAN SERVICES, LLC
    
	
 
    	
CLINCH   VALLEY MEDICAL CENTER, INC.
    
	
 
    	
CLINCH   VALLEY PHYSICIANS ASSOCIATES, LLC
    
	
 
    	
CLINCH   VALLEY PULMONOLOGY, LLC
    
	
 
    	
CLINCH   VALLEY UROLOGY, LLC
    
	
 
    	
COLORADO   PLAINS PHYSICIAN PRACTICES, LLC
    
	
 
    	
COMMUNITY   HOSPITAL OF ANDALUSIA, INC.
    
	
 
    	
COMMUNITY   MEDICAL, LLC
    
	
 
    	
COMMUNITY-BASED   SERVICES, LLC
    
	
 
    	
CROCKETT   HOSPITAL, LLC
    
	
 
    	
CROCKETT   PHO, LLC
    
	
 
    	
DANVILLE   DIAGNOSTIC IMAGING CENTER, LLC
    
	
 
    	
DANVILLE PHYSICIAN PRACTICES, LLC
    
	
 
    	
DANVILLE REGIONAL MEDICAL CENTER SCHOOL OF HEALTH   PROFESSIONS, LLC
    
	
 
    	
DANVILLE REGIONAL MEDICAL CENTER, LLC
    
	
 
    	
DLP   PARTNER MARQUETTE, LLC
    
	
 
    	
DLP   PARTNER TWIN COUNTY, LLC
    
	
 
    	
DLP PARTNER, LLC
    
	
 
    	
DODGE CITY HEALTHCARE GROUP, LLC
    

 

 

	
 
    	
DODGE CITY HEALTHCARE PARTNER, INC.
    
	
 
    	
GEORGETOWN   COMMUNITY HOSPITAL, LLC
    
	
 
    	
GEORGETOWN   REHABILITATION, LLC
    
	
 
    	
GUYAN   VALLEY HOSPITAL, LLC
    
	
 
    	
HALSTEAD   HOSPITAL, LLC
    
	
 
    	
HCK LOGAN MEMORIAL, LLC
    
	
 
    	
HDP ANDALUSIA, LLC
    
	
 
    	
HDP   GEORGETOWN, LLC
    
	
 
    	
HILLSIDE   HOSPITAL, LLC
    
	
 
    	
HISTORIC   LIFEPOINT HOSPITALS, INC.
    
	
 
    	
HRMC, LLC
    
	
 
    	
HSC   MANAGER, LLC
    
	
 
    	
HSCGP, LLC
    
	
 
    	
HST PHYSICIAN PRACTICE, LLC
    
	
 
    	
HTI   GEORGETOWN, LLC
    
	
 
    	
HTI   PINELAKE, LLC
    
	
 
    	
INTEGRATED   PHYSICIAN SERVICES, LLC
    
	
 
    	
KANSAS   HEALTHCARE MANAGEMENT COMPANY, INC.
    
	
 
    	
KANSAS HEALTHCARE MANAGEMENT SERVICES, LLC
    
	
 
    	
KENTUCKY   HOSPITAL, LLC
    
	
 
    	
KENTUCKY   MEDSERV, LLC
    
	
 
    	
KENTUCKY   MSO, LLC
    
	
 
    	
KENTUCKY   PHYSICIAN SERVICES, INC.
    
	
 
    	
LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC
    
	
 
    	
LAKE   CUMBERLAND PHYSICIAN PRACTICES, LLC
    
	
 
    	
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC
    
	
 
    	
LAKE CUMBERLAND REGIONAL PHYSICIAN HOSPITAL   ORGANIZATION, LLC
    
	
 
    	
LAKELAND COMMUNITY HOSPITAL, LLC
    
	
 
    	
LAKELAND   PHYSICIAN PRACTICES, LLC
    
	
 
    	
LAMAR SURGERY CENTER, L.P.
    
	
 
    	
LANDER VALLEY AMBULATORY SURGERY CENTER, LLC
    
	
 
    	
LANDER VALLEY MEDICAL CENTER, LLC
    
	
 
    	
LANDER   VALLEY PHYSICIAN PRACTICES, LLC
    
	
 
    	
LAS CRUCES ENDOSCOPY PARTNER, LLC
    
	
 
    	
LAS CRUCES PHYSICIAN   PRACTICES, LLC
    
	
 
    	
LCMC   MRI, LLC
    
	
 
    	
LCMC   PET, LLC
    
	
 
    	
LHSC,   LLC
    
	
 
    	
LIFEPOINT   ACQUISITION CORP.
    
	
 
    	
LIFEPOINT BILLING SERVICES, LLC
    
	
 
    	
LIFEPOINT CORPORATE SERVICES, GENERAL PARTNERSHIP
    
	
 
    	
LIFEPOINT   CSLP, LLC
    
	
 
    	
LIFEPOINT   HOLDINGS 2, LLC
    
	
 
    	
LIFEPOINT   HOLDINGS 3, INC.
    
	
 
    	
LIFEPOINT   HOSPITALS HOLDINGS, INC.
    

 

 

	
 
    	
LIFEPOINT MEDICAL GROUP - HILLSIDE, INC
    
	
 
    	
LIFEPOINT   OF GAGP, LLC
    
	
 
    	
LIFEPOINT OF GEORGIA, LIMITED PARTNERSHIP
    
	
 
    	
LIFEPOINT   OF KENTUCKY, LLC
    
	
 
    	
LIFEPOINT OF LAKE CUMBERLAND, LLC
    
	
 
    	
LIFEPOINT   RC, INC.
    
	
 
    	
LIFEPOINT   VA HOLDINGS, INC.
    
	
 
    	
LIFEPOINT   WV HOLDINGS, INC.
    
	
 
    	
LIVINGSTON REGIONAL HOSPITAL, LLC
    
	
 
    	
LOGAN   GENERAL HOSPITAL, LLC
    
	
 
    	
LOGAN   HEALTHCARE PARTNER, LLC
    
	
 
    	
LOGAN MEDICAL, LLC
    
	
 
    	
LOGAN MEMORIAL HOSPITAL, LLC
    
	
 
    	
LOGAN   PHYSICIAN PRACTICE, LLC
    
	
 
    	
LOS ALAMOS PHYSICIAN PRACTICES, LLC
    
	
 
    	
MARTINSVILLE PHYSICIAN PRACTICES, LLC
    
	
 
    	
MEADOWVIEW   PHYSICIAN PRACTICE, LLC
    
	
 
    	
MEADOWVIEW REGIONAL MEDICAL CENTER, LLC
    
	
 
    	
MEADOWVIEW   RIGHTS, LLC
    
	
 
    	
MEMORIAL HOSPITAL OF MARTINSVILLE & HENRY   COUNTY AMBULATORY SURGERY CENTER, LLC
    
	
 
    	
MEMORIAL   PROMPT CARE, LLC
    
	
 
    	
MERCY   PHYSICIAN PRACTICES, LLC
    
	
 
    	
MEXIA   PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
    
	
 
    	
MEXIA-PRINCIPAL, INC.
    
	
 
    	
MINDEN PHYSICIAN PRACTICES, LLC
    
	
 
    	
NORTHEASTERN   NEVADA PHYSICIAN PRACTICES, LLC
    
	
 
    	
NORTHWEST MEDICAL CENTER-WINFIELD, LLC
    
	
 
    	
NORTON PARTNER, LLC
    
	
 
    	
NWMC — WINFIELD ANESTHESIA PHYSICIANS, LLC
    
	
 
    	
NWMC — WINFIELD HOSPITALIST PHYSICIANS, LLC
    
	
 
    	
NWMC-WINFIELD   PHYSICIAN PRACTICES, LLC
    
	
 
    	
OPELOUSAS IMAGING CENTER PARTNER, LLC
    
	
 
    	
OPELOUSAS PET/CT IMAGING CENTER, LLC
    
	
 
    	
ORTHOPEDICS   OF SOUTHWEST VIRGINIA, LLC
    
	
 
    	
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
    
	
 
    	
PALESTINE-PRINCIPAL   G.P., INC.
    
	
 
    	
PHC   HOSPITALS, LLC
    
	
 
    	
PHC-ASHLAND,   L.P.
    
	
 
    	
PHC-AVIATION, INC.
    
	
 
    	
PHC-BELLE   GLADE, INC.
    
	
 
    	
PHC-CHARLESTOWN,   L.P.
    
	
 
    	
PHC-CLEVELAND, INC.
    
	
 
    	
PHC-DOCTORS’   HOSPITAL, INC.
    
	
 
    	
PHC-ELKO, INC.
    
	
 
    	
PHC-FORT   MOHAVE, INC.
    

 

 

	
 
    	
PHC-FORT   MORGAN, INC.
    
	
 
    	
PHC-INDIANA, INC.
    
	
 
    	
PHC-KNOX, INC.
    
	
 
    	
PHC-LAKE   HAVASU, INC.
    
	
 
    	
PHC-LAKEWOOD, INC.
    
	
 
    	
PHC-LAS   CRUCES, INC.
    
	
 
    	
PHC-LOS ALAMOS, INC.
    
	
 
    	
PHC-LOUISIANA, INC.
    
	
 
    	
PHC-MARTINSVILLE, INC.
    
	
 
    	
PHC-MINDEN   G.P., INC.
    
	
 
    	
PHC-MINDEN,   L.P.
    
	
 
    	
PHC-MORGAN   CITY, L.P.
    
	
 
    	
PHC-MORGAN   LAKE, INC.
    
	
 
    	
PHC-OPELOUSAS,   L.P.
    
	
 
    	
PHC-PALESTINE, INC.
    
	
 
    	
PHC-SELMA,   LLC
    
	
 
    	
PHC-TENNESSEE, INC.
    
	
 
    	
PINELAKE   PHYSICIAN PRACTICE, LLC
    
	
 
    	
POITRAS   PRACTICE, LLC
    
	
 
    	
PRHC-ALABAMA,   LLC
    
	
 
    	
PRHC-ENNIS   G.P., INC.
    
	
 
    	
PRHC-ENNIS,   L.P.
    
	
 
    	
PRINCIPAL   HOSPITAL COMPANY OF NEVADA, INC.
    
	
 
    	
PRINCIPAL   KNOX, L.L.C.
    
	
 
    	
PRINCIPAL   KNOX, L.P.
    
	
 
    	
PRINCIPAL-NEEDLES, INC.
    
	
 
    	
PROVINCE HEALTHCARE COMPANY
    
	
 
    	
PUTNAM   AMBULATORY SURGERY CENTER, LLC
    
	
 
    	
PUTNAM COMMUNITY MEDICAL CENTER, LLC
    
	
 
    	
PUTNAM   PHYSICIAN PRACTICES, LLC
    
	
 
    	
R.   KENDALL BROWN PRACTICE, LLC
    
	
 
    	
RALEIGH   GENERAL HOSPITAL, LLC
    
	
 
    	
RIVER   PARISHES HOLDINGS, LLC
    
	
 
    	
RIVER   PARISHES HOSPITAL, LLC
    
	
 
    	
RIVER   PARISHES PARTNER, LLC
    
	
 
    	
RIVER   PARISHES PHYSICIAN PRACTICES, LLC
    
	
 
    	
RIVERTON   MEMORIAL HOSPITAL, LLC
    
	
 
    	
RIVERTON   ONCOLOGY PRACTICE, LLC
    
	
 
    	
RIVERTON   PHYSICIAN PRACTICES, LLC
    
	
 
    	
RIVERVIEW   MEDICAL CENTER, LLC
    
	
 
    	
RIVERVIEW   PHYSICIAN PRACTICES, LLC
    
	
 
    	
ROCKDALE CLINICALLY INTEGRATED MEDICAL CARE   ORGANIZATION, LLC
    
	
 
    	
ROCKDALE   HOSPITAL, LLC
    
	
 
    	
ROCKDALE   PHYSICIAN PRACTICES, LLC
    
	
 
    	
RUSSELLVILLE   HOSPITAL, LLC
    
	
 
    	
RUSSELLVILLE   PHYSICIAN PRACTICES, LLC
    
	
 
    	
SELECT   HEALTHCARE, LLC
    
	
 
    	
SELMA   DIAGNOSTIC IMAGING, LLC
    
	
 
    	
SILETCHNIK   PRACTICE, LLC
    
	
 
    	
SMITH   COUNTY MEMORIAL HOSPITAL, LLC
    

 

 

	
 
    	
SOMERSET   SURGERY PARTNER, LLC
    
	
 
    	
SOUTHERN   TENNESSEE EMS, LLC
    
	
 
    	
SOUTHERN   TENNESSEE MEDICAL CENTER, LLC
    
	
 
    	
SOUTHERN   TENNESSEE PHO, LLC
    
	
 
    	
SPRING   VIEW HOSPITAL, LLC
    
	
 
    	
SPRING   VIEW PHYSICIAN PRACTICES, LLC
    
	
 
    	
SPRINGHILL MEDICAL CENTER, LLC
    
	
 
    	
SST COMMUNITY HEALTH, L.L.C.
    
	
 
    	
STARKE   PHYSICIAN PRACTICES, LLC
    
	
 
    	
SUMNER PHYSICIAN PRACTICES, LLC
    
	
 
    	
SUMNER   REAL ESTATE HOLDINGS, LLC
    
	
 
    	
SUMNER   REGIONAL MEDICAL CENTER, LLC
    
	
 
    	
TEXAS   SPECIALTY PHYSICIANS
    
	
 
    	
THE MRI CENTER OF NORTHWEST ALABAMA, LLC
    
	
 
    	
THM   PHYSICIAN PRACTICE, LLC
    
	
 
    	
TROUSDALE   MEDICAL CENTER, LLC
    
	
 
    	
TROUSDALE   PHYSICIAN PRACTICES, LLC
    
	
 
    	
VALLEY VIEW PHYSICIAN PRACTICES, LLC
    
	
 
    	
VAUGHAN   PHYSICIAN PRACTICES, LLC
    
	
 
    	
VILLE PLATTE MEDICAL CENTER,   LLC
    
	
 
    	
WEST VIRGINIA MANAGEMENT SERVICES   ORGANIZATION, INC.
    
	
 
    	
WESTERN PLAINS PHYSICIAN PRACTICES, LLC
    
	
 
    	
WESTERN   PLAINS REGIONAL HOSPITAL, LLC
    
	
 
    	
WOODFORD   HOSPITAL, LLC
    
	
 
    	
WOODS   MEMORIAL HOSPITAL
    
	
 
    	
WYOMING   HOLDINGS, LLC
    
	
 
    	
WYTHE   COUNTY COMMUNITY HOSPITAL, LLC
    
	
 
    	
WYTHE COUNTY PHYSICIAN PRACTICES, LLC
    
	
 
    	
ZONE, INCORPORATED
    

 

	
 
    	
By:
    	
/s/   Christy S. Green
    
	
 
    	
Name:
    	
Christy   S. Green
    
	
 
    	
Title:
    	
Vice   President and Secretary
    

 

 

	
 
    	
LIFEPOINT   ASSET MANAGEMENT COMPANY, INC.
    
	
 
    	
 
    
	
 
    	
By:
    	
/s/   Christy S. Green
    
	
 
    	
Name:
    	
Christy   S. Green
    
	
 
    	
Title:
    	
Assistant   Secretary
    

 

 

	
 
    	
PINELAKE   REGIONAL HOSPITAL, LLC
    
	
 
    	
 
    
	
 
    	
By:
    	
/s/   Michael S. Coggin
    
	
 
    	
Name:
    	
Michael   S. Coggin
    
	
 
    	
Title:
    	
Senior   Vice President, Secretary and TreasurerExhibit 10.1

 

AMENDMENT NO. 2

 

Amendment No. 2, dated as of August 23, 2013 (“Amendment No. 2”), by and among LIFEPOINT HOSPITALS, INC., a Delaware corporation (the “Borrower”), the Lenders party hereto, CITIGROUP GLOBAL MARKETS INC., as administrative agent for the Lenders (the “Administrative Agent”), and CITIGROUP GLOBAL MARKETS INC., as lead arranger, to the Credit Agreement dated as of July 24, 2012 (as amended by Amendment No. 1 dated as of February 6, 2013 and as amended, extended, amended and restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), among Borrower, the financial institutions listed on Schedule 2.01 thereto, as such Schedule may from time to time be supplemented and amended (the “Lenders”) and the Administrative Agent, BANK OF AMERICA, N.A. and BARCLAYS BANK PLC, as co-syndication agents, and CITIGROUP GLOBAL MARKETS INC., MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED and BARCLAYS BANK PLC, as joint lead arrangers and joint bookrunners.  Terms used herein without definition shall have the meanings assigned to such terms in the Credit Agreement.

 

WHEREAS, Borrower has requested that the Administrative Agent and the Requisite Lenders amend the Credit Agreement as set forth herein; and

 

WHEREAS, the Administrative Agent and the Requisite Lenders have considered and agreed to Borrower’s request, upon the terms and conditions set forth in this Amendment No. 2.

 

NOW, THEREFORE:

 

SECTION 1.                            Amendments.

 

(a)                                 Amendments to Section 1.01.  Defined Terms.

 

(i) The following defined term shall be added in Section 1.01 of the Credit Agreement in appropriate alphabetical order:

 

‘“Amendment No. 2” means Amendment No. 2 to this Agreement, dated as of August 23, 2013.’

 

(ii) The defined term “Permitted Acquisition” shall be amended by (i) deleting “the consolidated assets (without double-counting and determined in accordance with GAAP) of Subsidiaries that do not constitute Loan Parties, taken as a whole, do not comprise more than 25% of the Consolidated Total Assets” in clause (c)(iii) and (ii) replacing it with “such Subsidiary is not a Wholly Owned Domestic Subsidiary.”

 

(iii)                               The following defined term shall be added in Section 1.01 of the Credit Agreement in appropriate alphabetical order:

 

‘“Wholly Owned Domestic Subsidiary” means, with respect to any Person at any date, a Domestic Subsidiary of such Person of which securities or other ownership representing 100% of the Equity Interests (other than (a) directors’ qualifying shares and (b) nominal shares issued to foreign nationals to the extent required by any applicable Requirement of Law) are, as of such date, owned, controlled or held by such Person or one or more Wholly Owned Domestic Subsidiaries of such Person or by such Person and one or more Wholly Owned Domestic Subsidiaries of such Person.”

 

 

(b)                                 Amendment to Section 5.14.  Guarantees.

 

(i)                  Section 5.14 of the Credit Agreement is hereby replaced with the following:

 

“SECTION 5.14.     Guarantees.  In the event that (i) any Wholly Owned Domestic Subsidiary existing on the Effective Date has not previously executed the Guarantee Agreement, (ii) any Subsidiary that Guarantees the Existing Notes or future Material Indebtedness of Borrower and has not previously executed the Guarantee Agreement or (iii) any Person becomes a direct or indirect Wholly Owned Domestic Subsidiary after the Effective Date (and remains a Wholly Owned Domestic Subsidiary as of the Designation End Date), Borrower shall, within thirty (30) days (or such longer time period as may be acceptable to the Collateral Agent) (the last day of such period, the “Designation End Date”), cause such Subsidiary to execute and deliver to the Administrative Agent a counterpart of the Guarantee Agreement and deliver to the Collateral Agent a counterpart of the applicable Pledge Agreements and to take all such further actions and execute all such further documents and instruments (including actions, documents and certificates comparable to those described in Section 4.01(m)) as may be necessary under applicable law to create in favor of the Collateral Agent, for the benefit of itself and of the Secured Parties, a valid and perfected first priority Lien on all of the Property and assets of such Subsidiary described in the applicable forms of the Pledge Agreements.  Notwithstanding the foregoing (or anything in any other Loan Document to the contrary), Borrower may request from time to time that a Subsidiary Loan Party, other than one required to be a Subsidiary Loan Party pursuant to clause (ii) of this Section 5.14 (unless such Subsidiary is released from its guarantee obligations with respect to the Existing Notes and/or Material Indebtedness prior to or simultaneous with the release hereunder), be released from its obligations under the Guarantee Agreement and the applicable Pledge Agreement (and upon such request the Administrative Agent and Collateral Agent shall promptly execute such documentation evidencing such release as may be reasonably requested by Borrower and the Lenders hereby authorize each Agent to do so) or, at any time prior to such Subsidiary becoming a party to the Guarantee Agreement and the applicable Pledge Agreement, Borrower may designate such Subsidiary, other than one required to be a Subsidiary Loan Party pursuant to clause (ii) of this Section 5.14 (unless such Subsidiary is released from its guarantee obligations with respect to the Existing Notes and/or Material Indebtedness prior to or simultaneous with the release hereunder), as a Non-Loan Party, so long as, in either case, after giving effect to such request or designation, as applicable, Wholly Owned Domestic Subsidiaries that are not Subsidiary Loan Parties, in the aggregate, do not exceed 10% of Consolidated Total Assets immediately prior to the date of such request or designation (calculated as of the last day of the then most recently ended fiscal quarter); and, if such release is in connection with an Asset Sale, such Asset Sale is permitted pursuant to Section 6.05 and the Net Proceeds thereof are applied as and to the extent required pursuant to Section 2.05(c)(ii).”

 

(c)                                  Amendment to Section 6.01.  Indebtedness; Certain Equity Securities.

 

(i)                  Section 6.01(a)(iii) is hereby amended by replacing clause (z) with the following:

 

“(z) Indebtedness of any Non-Loan Party owed to any Loan Party and Guarantees then outstanding pursuant to clause (iv)(z) below, in each case in compliance with Section 6.04(xiv), (xv) or (xix);”

 

(ii)               Section 6.01(a)(iv) is hereby amended by replacing clause (z) with the following:

 

“(z)  Guarantees by any Loan Party of Indebtedness of any Non-Loan Party in compliance with Section 6.04(xiv), (xv) or (xix), to the extent such Indebtedness 

 

 

was permitted to be incurred hereunder, and if such Indebtedness is subordinated in right of payment to the Secured Obligations under the Loan Documents, such Guarantee is at least as subordinated in right of payment to the Secured Obligations;”

 

(d)                                 Amendment to Section 6.04.  Investments, Loans, Advances, Guarantees and Acquisitions.

 

(i)                  Section 6.04(ix) is hereby amended by replacing it with the following:

 

“Investments constituting a Permitted Acquisition (or made in connection with post-closing obligations provided for in an acquisition agreement related thereto);”

 

(ii)               Section 6.04(xiv) is hereby amended by deleting the final proviso thereto.

 

(iii)            Section 6.04(xv) is hereby amended by replacing it with the following:

 

“Investments in joint ventures and in Subsidiaries of Borrower that are not Loan Parties, in the case of any such Investment made pursuant to this clause (xv) after August 23, 2013, not to exceed on the date any such Investment is made (or, if earlier, on the date such Loan Party becomes obligated to make such Investment pursuant to a binding contract), when taken together with all existing Investments made pursuant to this clause (xv), Indebtedness then outstanding pursuant to Section 6.01(a)(iii)(z) and Guarantees then outstanding pursuant to Section 6.01(a)(iv)(z), in each case excluding any such Investments, Indebtedness and Guarantees existing on August 23, 2013, the greater of $75.0 million and 2.0% of Consolidated Total Assets per fiscal year, with unused amounts under this clause (xv) permitted to be carried over to the following year (but not subsequent years);”

 

(e)                                  Amendment to Section 6.05.  Asset Sales.

 

(i)                  Section 6.05(vii) is hereby deleted and replaced with the following:

 

“(vii)                     (A) leases by any Loan Party to any joint venture or other Subsidiaries of Borrower that are not Loan Parties (on terms which, in the aggregate, are no less favorable to such Loan Party than leases to third parties (as determined by such Loan Party in its good faith judgment)) and (B) sales, transfers and other dispositions (other than of capital stock of a Subsidiary) for fair market value by any Loan Party to any joint venture or other Subsidiaries of Borrower that are not Loan Parties, in an aggregate principal amount not to exceed $100.0 million;”

 

(ii)               Section 6.05(xiii) is hereby amended by deleting clause (y) and replacing it with the following:

 

“(y) Wholly Owned Domestic Subsidiaries that are not Subsidiary Loan Parties, in the aggregate, do not exceed 10% of Consolidated Total Assets immediately prior to such sale, transfer, disposition or issuance (calculated as of the last day of the then most recently ended fiscal quarter);”

 

 

SECTION 2.                            Representations, Warranties and Covenants.  The Loan Parties represent, warrant and covenant that:

 

(a)                                 this Amendment No. 2 has been duly authorized, executed and delivered by them and constitutes a legal, valid and binding obligation of each Loan Party party hereto, enforceable against such Loan Party in accordance with its terms;

 

(b)                                 after giving effect to this Amendment No. 2, the representations and warranties set forth in Article III of the Credit Agreement and the other Loan Documents will be true and correct with the same effect as if made on and as of the date hereof (unless expressly stated to relate to an earlier date, in which case such representations and warranties shall be true and correct as of such earlier date); and

 

(c)                                  no Default or Event of Default has occurred and is continuing.

 

SECTION 3.                            Conditions to Effectiveness.  This Amendment No. 2 shall become effective when:

 

(a)                                 the Administrative Agent shall have received counterparts of this Amendment No. 2 that, when taken together, bear the signatures of Lenders constituting the Requisite Lenders and the Borrower;

 

(b)                                 all corporate and other proceedings taken or to be taken in connection with this Amendment No. 2 and all documents incidental thereto, whether or not referred to herein, shall be reasonably satisfactory in form and substance to the Administrative Agent;

 

(c)                                  all fees and expenses required to be paid or reimbursed by Borrower pursuant to the Credit Agreement, including all invoiced fees and expenses of counsel to the Administrative Agent, shall have been paid or reimbursed, on or prior to effectiveness as applicable; and

 

(d)                                 Borrower shall have paid to the Administrative Agent for the ratable account of each Lender who executes and delivers to the Administrative Agent, on or prior to 5:00 p.m. on August 9, 2013, a signature page to this Amendment, a payment equal to 0.05% of the aggregate amount of Revolving Credit Commitments, Revolving Loans and Term Loans held by such Lender.

 

SECTION 4.                            Applicable Law.  THIS AMENDMENT NO. 2 SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF NEW YORK.  SECTION 9.12 OF THE CREDIT AGREEMENT SHALL APPLY TO THIS AMENDMENT NO. 2.

 

SECTION 5.                            Credit Agreement; Loan Document.  Except as expressly set forth herein, this Amendment No. 2 shall not by implication or otherwise limit, impair, constitute a waiver of, or otherwise affect the rights and remedies of any party under, the Credit Agreement, nor alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Credit Agreement, all of which are ratified and affirmed in all respects and shall continue in full force and effect.  For the avoidance of doubt, this Amendment No. 2 shall be deemed to be a “Loan Document” within the meaning of the Credit Agreement.

 

SECTION 6.                            Counterparts.  This Amendment No. 2 may be executed in two or more counterparts, each of which shall constitute an original, but all of which when taken together shall constitute but one agreement.  Delivery of an executed counterpart of a signature page of this Amendment No. 2 

 

 

by facsimile transmission or other electronic transmission shall be as effective as delivery of a manually executed counterpart of this Amendment No. 2.

 

SECTION 7.                            Roles.  Citigroup Global Markets Inc. shall act as lead arranger (the “Arranger”) with respect to this Amendment No. 2, but in such capacities shall not have any obligations, duties or responsibilities, nor shall incur any liabilities, under this Amendment No. 2 or any other Loan Document.

 

[Signature Pages Follow]

 

 

IN WITNESS WHEREOF, the parties hereto have caused this Amendment No. 2 to be duly executed by their authorized officers as of the date set forth above.

 

	
 
    	
LIFEPOINT   HOSPITALS, INC.
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
By:
    	
/s/   Jeffrey S. Sherman
    
	
 
    	
 
    	
Name:   Jeffrey S. Sherman
    
	
 
    	
 
    	
Title:     Executive Vice President and Chief Financial   Officer
    

 

 

	
CONSENTED   TO:
    	
 
    
	
 
    	
 
    
	
CITIBANK,   N.A.,
    	
 
    
	
as Administrative Agent
    	
 
    
	
 
    	
 
    
	
 
    	
 
    
	
By:
    	
/s/   Mark Villanueva
    	
 
    
	
 
    	
Name:   Mark Villanueva
    	
 
    
	
 
    	
Title:     Vice President
    	
 
    

 

 

[Lenders Signature Pages Omitted]

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