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third party payors for recoupment of amounts paid to the Operator, (xv) liens on Property acquired by the Operator if the assumption of the Hospital Debt secured by such lien is additional Hospital Debt permitted under the Senior Indenture and if an Officer's Certificate is delivered to the Trustee certifying that (A) such lien and the Hospital Debt secured thereby were created and incurred by a person other than the Operator prior to acquisition of such Property by the Operator, (B) such lien was created prior to the decision of the Operator to acquire the Property and was not created for the purpose of enabling the Operator to avoid the limitations of the Senior Indenture on creation of liens on Property, and (C) the lien attaches solely to the Property and does not extend by its terms to other Property of the Operator, and (xvi) such minor defects, irregularities, encumbrances, utility, access and other easements and rights of way, restrictions, reservations, exceptions and clouds on title as normally exist with respect to properties similar in character to the Leased Premises and as do not in the opinion of Independent Counsel, in the aggregate materially impair the property affected thereby for the purpose for which it is or will be held by the City. "Rental Payment Date" means the fifteenth day of each month. "Required Services" means (i) obstetrical/gynecological services, (ii) 24 hour a day emergency room providing trauma services, (iii) rescue squad/paramedic services, (iv) intensive care services and (v) acute care medical/surgical services (including, without limitation, care for children and adolescents), of the nature then generally provided by a community hospital in communities comparable to the City; or such services as may result from amendments to this definition pursuant to Section 9.16 hereof. The term "Required Services" does not include the magnitude or level of service, such as hours of service, or the manner (including changes in technology) by which the types of services are provided; provided, however, that the change in magnitude or levels of services does not, as a practical matter, result in the significant reduction in such service so as to be an effective elimination of such service. "Senior Indenture' means the Trust Indenture dated as of March 15, 1983 between the City and the Senior Trustee, as supplemented and amended by the First Supplemental Senior Indenture, as such may be amended or supplemented from time to time in accordance with the provisions thereof. "Senior Ordinance" means Ordinance No. 8-83 of the City passed by the Council on February 26, 1983. "Senior Trustee" means National City Bank, Cleveland, Ohio and any successor thereto as trustee under the Senior Indenture. "Special Funds" means, collectively, the funds or accounts permitted by, established under, or identified in the Indentures. "State" means the State of Ohio. "Subordinated Indenture" means the Trust Indenture dated as of November 1, 1983 between the City and the Subordinated Trustee. "Subordinated Ordinance" means Ordinance No. 10643 of the City passed by the Council on October 17, 1983. "Subordinated Trustee" means Mellon Bank, F.S.B., successor trustee to KeyBank National Association, Cleveland, Ohio (formerly known as Society National Bank and successor by merger to Central National Bank of Cleveland) and any successor thereto as trustee under the Subordinated Indenture.