0001193125-26-175197 Sample Contracts

Second SUPPLEMENTAL INDENTURE
Supplemental Indenture • April 24th, 2026 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This SECOND SUPPLEMENTAL INDENTURE, dated as of April 22, 2026 (this “Supplemental Indenture”), among Universal Health Services, Inc., a Delaware corporation (the “Issuer”), each of the direct or indirect subsidiaries of the Issuer identified on Schedule 1 attached hereto as a guaranteeing subsidiary (each, a “Guaranteeing Subsidiary” and collectively, the “Guaranteeing Subsidiaries”), the other Guarantors (as defined in the Indenture (defined below)), and U.S. Bank Trust Company, National Association (as successor to U.S. Bank National Association), as trustee (the “Trustee”).

THIRD SUPPLEMENTAL INDENTURE
Third Supplemental Indenture • April 24th, 2026 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This THIRD SUPPLEMENTAL INDENTURE, dated as of April 22, 2026 (this “Supplemental Indenture”), among Universal Health Services, Inc., a Delaware corporation (the “Issuer”), each of the direct or indirect subsidiaries of the Issuer identified on Schedule 1 attached hereto as a guaranteeing subsidiary (each, a “Guaranteeing Subsidiary” and collectively, the “Guaranteeing Subsidiaries”), the other Guarantors (as defined in the Indenture (defined below)), and U.S. Bank Trust Company, National Association (as successor to U.S. Bank National Association), as trustee (the “Trustee”).

FOURTH SUPPLEMENTAL INDENTURE
Supplemental Indenture • April 24th, 2026 • Universal Health Services Inc • Services-general medical & surgical hospitals, nec • New York

This FOURTH SUPPLEMENTAL INDENTURE, dated as of April 22, 2026 (this “Supplemental Indenture”), among Universal Health Services, Inc., a Delaware corporation (the “Issuer”), each of the direct or indirect subsidiaries of the Issuer identified on Schedule 1 attached hereto as a guaranteeing subsidiary (each, a “Guaranteeing Subsidiary” and collectively, the “Guaranteeing Subsidiaries”), the other Guarantors (as defined in the Indenture (defined below)), U.S. Bank Trust Company, National Association (as successor to U.S. Bank National Association), as trustee (the “Trustee”).