0001193125-12-074190 Sample Contracts

Contract
Eleventh Supplemental Indenture • February 23rd, 2012 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

ELEVENTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of October 1, 2011, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), each of the parties identified as a New Subsidiary Guarantor on the signature pages hereto (each, a “New Subsidiary Guarantor” and collectively, the “New Subsidiary Guarantors”) and U.S. BANK NATIONAL ASSOCIATION, as Trustee under the Indenture (the “Trustee”).

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CHS/COMMUNITY HEALTH SYSTEMS, INC. REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • February 23rd, 2012 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

CHS/Community Health Systems, Inc., a Delaware corporation (the “Company”), a wholly owned subsidiary of Community Health Systems, Inc., a Delaware corporation (“Holdings”), agrees with the several initial purchasers named in Schedule A hereto (the “Initial Purchasers”), subject to the terms and conditions set forth in a purchase agreement, dated November 14, 2011 (the “Purchase Agreement”), to issue and sell to the several Initial Purchasers $1,000,000,000 aggregate principal amount of its 8.000% Senior Notes due 2019 (the “Initial Securities”) to be unconditionally guaranteed (the “Guarantees”) by Holdings and the subsidiary guarantors listed in Schedule I attached hereto (the “Guarantors”). The Initial Securities will be issued pursuant to an indenture, dated as of November 22, 2011 (the “Indenture”), among the Company, the Guarantors named therein and U.S. Bank National Association, as Trustee (the “Trustee”). As an inducement to the Initial Purchasers, the Company and the Guaranto

Contract
Release of Certain Guarantor • February 23rd, 2012 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

RELEASE OF CERTAIN GUARANTOR (this “Release”), dated as of October 22, 2011, by and among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), the Subsidiary Guarantor party hereto, and U.S. BANK NATIONAL ASSOCIATION, as Trustee under the Indenture (the “Trustee”).

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