REGISTRATION RIGHTS AGREEMENT by and among VANGUARD HEALTH HOLDING COMPANY II, LLC, VANGUARD HOLDING COMPANY II, INC., VANGUARD HEALTH SYSTEMS, INC. and the Other Guarantors Party Hereto and Banc of America Securities LLC Barclays Capital Inc....Registration Rights Agreement • February 3rd, 2010 • Vanguard Health Systems Inc • Hospital & medical service plans • New York
This Registration Rights Agreement (this “Agreement”) is made and entered into as of January 29, 2010, by and among Vanguard Health Holding Company II, LLC, a Delaware limited liability company (the “Company”), and Vanguard Holding Company II, Inc., a Delaware corporation (the “Co-Issuer” and, together with the Company, the “Companies”), Vanguard Health Systems, Inc., a Delaware corporation (the “Parent”), the other entities listed on the signature pages hereof as “Guarantors” (collectively, the “Guarantors”), and Banc of America Securities LLC and Barclays Capital Inc. on behalf of themselves and as representatives of the several initial purchasers listed on Schedule I hereto (collectively, the “Initial Purchasers”), each of whom has agreed to purchase the Companies’ 8% Senior Notes due 2018 (the “Initial Notes”) fully and unconditionally guaranteed by the Guarantors (the “Guarantees”) pursuant to the Purchase Agreement (as defined below). The Initial Notes and the Guarantees attached
VANGUARD HEALTH HOLDING COMPANY II, LLC VANGUARD HOLDING COMPANY II, INC. and each of the Guarantors party hereto 8% SENIOR NOTES DUE 2018 INDENTURE Dated as of January 29, 2010 U.S. Bank National Association as TrusteeSupplemental Indenture • February 3rd, 2010 • Vanguard Health Systems Inc • Hospital & medical service plans • New York
INDENTURE dated as of January 29, 2010 among Vanguard Health Holding Company II, LLC, a Delaware limited liability company (“VHS Holdco II”), Vanguard Holding Company II, Inc., a Delaware corporation and a Wholly-Owned Subsidiary (as defined) of VHS Holdco II (the “Co-Issuer,” and together with VHS Holdco II, the “Issuers”), Vanguard Health Holding Company I, LLC (“VHS Holdco I”), Vanguard Health Systems, Inc. (“Vanguard”), the Subsidiary Guarantors (as defined) and U.S. Bank National Association, a national banking association, as trustee (the “Trustee”).
CREDIT AGREEMENT among VANGUARD HEALTH HOLDING COMPANY I, LLC, VANGUARD HEALTH HOLDING COMPANY II, LLC, VARIOUS LENDERS, BANK OF AMERICA, N.A., as ADMINISTRATIVE AGENT, BARCLAYS CAPITAL, as SYNDICATION AGENT, CITIGROUP GLOBAL MARKETS INC., DEUTSCHE...Credit Agreement • February 3rd, 2010 • Vanguard Health Systems Inc • Hospital & medical service plans
CREDIT AGREEMENT, dated as of January 29, 2010, among VANGUARD HEALTH HOLDING COMPANY I, LLC, a Delaware limited liability company, VANGUARD HEALTH HOLDING COMPANY II, LLC, a Delaware limited liability company (the “Borrower”), the Lenders party hereto from time to time and BANK OF AMERICA, N.A., as Administrative Agent, Collateral Agent, Issuing Lender and Swingline Lender.
NINTH SUPPLEMENTAL INDENTURESupplemental Indenture • February 3rd, 2010 • Vanguard Health Systems Inc • Hospital & medical service plans • New York
NINTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of January 28, 2010, by and among Vanguard Health Holding Company II, LLC, a Delaware limited liability company (“VHS Holdco II”), Vanguard Holding Company II, Inc., a Delaware corporation (“VHS Holdco II Inc.” and, together with VHS Holdco II, the “Companies”), the guarantors defined therein (the “Guarantors”) and U.S. Bank National Association, as trustee (the “Trustee”) to the Indenture, dated as of September 23, 2004, as amended by the First Supplemental Indenture, dated as of November 5, 2004, the Second Supplemental Indenture, dated as of March 28, 2005, the Third Supplemental Indenture, dated as of July 13, 2006, the Fourth Supplemental Indenture, dated as of June 25, 2007, the Fifth Supplemental Indenture, dated as of July 1, 2007, the Sixth Supplemental Indenture, dated as of October 2, 2007, the Seventh Supplemental Indenture, dated as of November 3, 2008 and the Eighth Supplemental Indenture, dated as of
FIRST SUPPLEMENTAL INDENTURESupplemental Indenture • February 3rd, 2010 • Vanguard Health Systems Inc • Hospital & medical service plans • New York
FIRST SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of January 28, 2010, by and among Vanguard Health Holding Company I, LLC, a Delaware limited liability company (“VHS Holdco I”), Vanguard Holding Company I, Inc., a Delaware corporation (“VHS Holdco I Inc.” and, together with VHS Holdco I, the “Companies”), the guarantor defined therein (the “Guarantor”) and U.S. Bank National Association, as trustee (the “Trustee”) to the Indenture, dated as of September 23, 2004 (the “Indenture”).
