Exhibit 4.2
Execution Version
AMENDMENT NO. 1 TO CREDIT AGREEMENT, dated as of January 4, 2023 (this “Agreement”), by and among HCA Inc., a Delaware corporation (“HCA” or the “Parent Borrower”), the subsidiary borrowers party hereto (the “Subsidiary Borrowers” and, together with the Parent Borrower, the “Borrowers”), the Lenders party hereto and Bank of America, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”) and Collateral Agent (in such capacity, the “Collateral Agent”).
WHEREAS, the Borrowers, the Lenders, Swingline Lender and Letter of Credit Issuers party thereto from time to time, the Administrative Agent and the Collateral Agent entered into a Credit Agreement, dated as of September 30, 2011, as amended and restated as of March 7, 2014, as amended and restated as of June 28, 2017 and as amended and restated as of June 30, 2021 (as further amended, restated, supplemented or modified from time to time prior to the date hereof, the “Existing Credit Agreement”);
WHEREAS, the Borrowers have requested, and the Lenders party hereto have agreed, upon the terms and subject to the conditions set forth herein, that the Existing Credit Agreement be amended as provided herein; and
NOW, THEREFORE, in consideration of the promises and mutual agreements herein contained, the Borrowers, the Lenders party hereto and the Administrative Agent hereby agree as follows:
SECTION 1. Defined Terms. Capitalized terms used but not defined herein shall have the meanings assigned to such terms in the Existing Credit Agreement, as amended hereby (the “Amended Credit Agreement”).
SECTION 2. Amendment. Effective as of the Amendment No. 1 Effective Date (as defined below) (i) the Existing Credit Agreement is hereby amended to delete the stricken text (indicated textually in the same manner as the following example: ) and to add the double-underlined text (indicated textually in the same manner as the following example: double-underlined text) as set forth in the conformed copy of the Amended Credit Agreement attached as Exhibit A hereto and (ii) Schedules 1.1(a), 1.1(b), 1.1(c), 1.1(d), 1.1(f), 1.1(g), 8.12, 9.9, 9.15(a), 9.15(c), 9.15(e), 10.1, 10.2, 10.4, 10.5 and 14.2 to the Existing Credit Agreement are hereby amended by replacing such Schedules in their entirety with the corresponding Schedules set forth as Exhibit B hereto.
SECTION 3. Conditions of Effectiveness. This Agreement shall become effective as of the first date (such date being referred to as the “Amendment No. 1 Effective Date”) when each of the following conditions shall have been satisfied or waived:
(a) Execution of Documents. The Administrative Agent shall have received executed counterparts hereof (which may include facsimile or other electronic transmission of a signed signature page to this Agreement) from the Borrowers, each Lender and the Administrative Agent.
(b) Fees. The Administrative Agent shall have received, on or prior to the Amendment No. 1 Effective Date, all fees required to be paid, and, to the extent invoiced at least one Business Day prior to the Amendment No. 1 Effective Date, all reasonable out-of-pocket costs and expenses required to be paid or reimbursed, to the Administrative Agent, as applicable, pursuant to the terms of the Amended Credit Agreement or as otherwise separately agreed in writing in connection with this Agreement.