Exhibit 4.1
SIXTH SUPPLEMENTAL
INDENTURE (this “ Supplemental Indenture ”),
dated as of March 30, 2009, 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 8 7 / 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 National Healthcare of Cleveland, Inc., an existing
Subsidiary Guarantor, with and into Cleveland Tennessee Hospital
Company, LLC on February 1, 2009, Cleveland Tennessee Hospital
Company, LLC is entering into this Supplemental Indenture pursuant
to Section 5.01(b) of the Indenture.
WHEREAS, National
Healthcare of Cleveland, Inc. (i) has been merged into
Cleveland Tennessee Hospital Company, LLC; (ii) has therefore
ceased to exist, and (iii) will therefore no longer be a
Subsidiary Guarantor under the Indenture.
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
