Document:

EX-4.2

 Exhibit 4.2 

 
 SECOND SUPPLEMENTAL INDENTURE (this “Supplemental
Indenture”), dated as of March 31, 2013, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), the party identified as a New Subsidiary Guarantor on the signature pages hereto (the
“New Subsidiary Guarantor”) and REGIONS BANK, 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 18, 2012, providing for the issuance of the 7.125% Senior
Notes due 2020 (the “Securities”); 
 WHEREAS, the undersigned New Subsidiary Guarantor 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; and 

WHEREAS, pursuant to Section 9.01(4) of the Indenture, the Trustee, the Issuer and the New Subsidiary Guarantor 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 Guarantor 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. The 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. 

 
 [Signature page follows] 

  
 1 

									
		 	 IN WITNESS WHEREOF, the parties have caused this Supplemental Indenture to be duly executed as of this 31st day of March, 2013.

			
		 		 	 CHS/Community Health Systems, Inc.,

		 		 	 a Delaware corporation
	 	
					
		 		 	 By:
	 	   /s/ Rachel A. Seifert
	 	
		 		 		 	 Rachel A. Seifert
	 	
		 		 		 	 Executive Vice President, Secretary & General Counsel

		 		 	  
  
 New Subsidiary Guarantor:
	 	
		 		 	  
  
 Clarksville Holdings II, LLC,
 a Delaware limited liability
company

					
		 		 	 By:
	 	   /s/ James W. Doucette
	 	
		 		 		 	 James W. Doucette
	 	
		 		 		 	 Vice President & Treasurer
	 	
		 		 	  
  
 Regions Bank, as Trustee
	 	
					
		 		 	 By:
	 	   /s/ Paul Williams
	 	
		 		 		 	 Paul Williams
	 	
		 		 		 	 Vice President
	 	

  
 2EX-4.3

 Exhibit 4.3 

 
 SECOND SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”),
dated as of March 31, 2013, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), the party identified as a New Subsidiary Guarantor on the signature pages hereto (the “New Subsidiary
Guarantor”) and REGIONS BANK, 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 August 17, 2012, providing for the issuance of the 5.125% Senior Secured Notes due 2018 (the “Securities”); 
 WHEREAS, the undersigned New Subsidiary Guarantor 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; and 
 WHEREAS, pursuant to Section 9.01(4) of the Indenture, the Trustee, the Issuer and the New Subsidiary
Guarantor 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 Guarantor 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. The 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. 

 
 [Signature page follows] 

  
 1 

									
		 	IN WITNESS WHEREOF, the parties have caused this Supplemental Indenture to be duly executed as of this 31st day of March, 2013.
			
		 		 	CHS/Community Health Systems, Inc.,
		 		 	a Delaware corporation	 	
					
		 		 	By:	 	   /s/ Rachel A. Seifert
	 	
		 		 		 	Rachel A. Seifert	 	
		 		 		 	Executive Vice President, Secretary & General Counsel
		 		 	  
  
 New Subsidiary Guarantor:
	 	
		 		 	  
  
 Clarksville Holdings II, LLC,
 a Delaware limited liability company

					
		 		 	By:	 	   /s/ James W. Doucette
	 	
		 		 		 	James W. Doucette	 	
		 		 		 	Vice President & Treasurer
		 		 	  
  
 Regions Bank, as Trustee
	 	
					
		 		 	By:	 	   /s/ Paul Williams
	 	
		 		 		 	Paul Williams	 	
		 		 		 	Vice President	 	

  
 2EX-4.4

 Exhibit 4.4 

 
 RELEASE OF CERTAIN GUARANTOR (this “Release”),
dated as of March 31, 2013, by and among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), the Subsidiary Guarantor party hereto, and REGIONS BANK, as successor 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, as successor Trustee, an Indenture (the “Indenture”), dated as of November 22, 2011, providing for the
issuance of the 8.000% Senior Notes due 2019 (the “Securities”); 
 WHEREAS, (i) pursuant to
Section 9.09(e) of the Second Amended and Restated Credit Agreement, dated as of July 25, 2007, as amended and restated as of November 5, 2010 and February 2, 2012, as amended by the Replacement Credit Facility and Incremental
Term Loan Assumption Agreement, dated as of March 6, 2012, and as further amended as of August 3, 2012 and November 27, 2012 (as amended, restated, supplemented or otherwise modified from time to time, the ‘Credit
Agreement”), by and among the Issuer, Community Health Systems, Inc., the lenders that from time to time become parties to the Credit Agreement (the “Lenders”) and Credit Suisse AG, as administrative agent for the Lenders
and as Collateral Agent, the Subsidiary Guarantor listed on the signature page hereto (the “Released Subsidiary Guarantor”) has been released as a Subsidiary Guarantor under the Credit Agreement; and (ii) the Issuer has
delivered an Officer’s Certificate to the Trustee certifying that the Released Subsidiary Guarantor no longer has any Indebtedness outstanding that would require the Released Subsidiary Guarantor 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, the Subsidiary Guarantor party 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 this Release, the Released Subsidiary Guarantor 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, the Released Subsidiary Guarantor, the Trustee and every Holder of Securities
heretofore or hereafter authenticated and the Issuer, the Released Subsidiary Guarantor, 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. 

  
 1 

 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. 
  

[Signature page follows] 

  
 2 

											
		 	IN WITNESS WHEREOF, the parties have caused this Release to be duly executed as of this 31st day of March 2013.
			
		 		 	CHS/Community Health Systems, Inc.,
		 		 	a Delaware corporation	 	
					
		 		 	By:	 	   /s/ Rachel A. Seifert
	 	
		 		 		 	Rachel A. Seifert	 	
		 		 		 	Executive Vice President, Secretary & General Counsel
		 		 	  
  
 Released Subsidiary Guarantor:
  

 
	 	
		 		 	Triad of Oregon, LLC	 	
					
		 		 	By:	 	   /s/ James W. Doucette
	 	
		 		 		 	Name:	 	James W. Doucette	 	
		 		 		 	Title:	 	Vice President and Treasurer
		 		 	  
  
 Regions Bank, as Trustee
	 	
					
		 		 	By:	 	   /s/ Paul Williams
	 	
		 		 		 	Paul Williams	 	
		 		 		 	Vice President	 	

  
 3

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