EXHIBIT 4.2 THIRD SUPPLEMENTAL INDENTURE THIRD SUPPLEMENTAL INDENTURE (this "Supplemental Indenture"), dated as of October 31, 2002 among VHS Acquisition Subsidiary Number 11, Inc., a Delaware corporation ("VHS-11"); VHS Acquisition Subsidiary Number...Supplemental Indenture • February 11th, 2003 • Vanguard Health Systems Inc • Hospital & medical service plans • New York
Contract Type FiledFebruary 11th, 2003 Company Industry Jurisdiction