0001193125-18-312254 Sample Contracts

Contract
Community Health Systems Inc • October 30th, 2018 • Services-general medical & surgical hospitals, nec • New York

ELEVENTH SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of October 3, 2018, by and among CHS/Community Health Systems, Inc., a Delaware corporation (“Issuer”), the parties that are signatories hereto as Guarantors (each, a “Guaranteeing Subsidiary” and, collectively, the “Guaranteeing Subsidiaries”), Credit Suisse AG, as Collateral Agent, and Regions Bank, as Trustee under the Indenture referred to below.

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Contract
Supplemental Indenture • October 30th, 2018 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

FOURTEENTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of October 3, 2018, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), the parties identified as New Subsidiary Guarantors on the signature pages hereto (each, a “New Subsidiary Guarantor” and, collectively, the “New Subsidiary Guarantors”) and REGIONS BANK, as Trustee under the Indenture (the “Trustee”).

Contract
Community Health Systems Inc • October 30th, 2018 • Services-general medical & surgical hospitals, nec • New York

FIRST SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of October 3, 2018, by and among CHS/Community Health Systems, Inc., a Delaware corporation (“Issuer”), the parties that are signatories hereto as Guarantors (each, a “Guaranteeing Subsidiary” and, collectively, the “Guaranteeing Subsidiaries”), Regions Bank, as Junior-Priority Collateral Agent, and Regions Bank, as Trustee under the Indenture referred to below.

Contract
Community Health Systems Inc • October 30th, 2018 • Services-general medical & surgical hospitals, nec • New York

ELEVENTH SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of October 3, 2018, by and among CHS/Community Health Systems, Inc., a Delaware corporation (“Issuer”), the parties that are signatories hereto as Guarantors (each, a “Guaranteeing Subsidiary” and, collectively, the “Guaranteeing Subsidiaries”) and Regions Bank, as Trustee under the Indenture referred to below.

CORPORATE INTEGRITY AGREEMENT BETWEEN THE OFFICE OF INSPECTOR GENERAL OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND COMMUNITY HEALTH SYSTEMS, INC., AMENDED
Corporate Integrity Agreement • October 30th, 2018 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec

Effective July 28, 2014, Community Health Systems, Inc. (CHSI) entered into a Corporate Integrity Agreement (CIA) with the Office of Inspector General (OIG) of the United States Department of Health and Human Services (HHS) to promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.S.C. § 1320a-7b(f)) (Federal health care program requirements). That CIA is hereby amended and extended for an additional period. Specifically, this amended CIA (hereafter “CIA”) will be in effect for three years commencing on its Effective Date. Contemporaneously with this CIA, CHSI is entering into a Settlement Agreement with the United States.

Contract
Community Health Systems Inc • October 30th, 2018 • Services-general medical & surgical hospitals, nec • New York

FOURTH SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of October 3, 2018, by and among CHS/Community Health Systems, Inc., a Delaware corporation (“Issuer”), each of the parties that is a signatory hereto as a Guarantor (the “Guaranteeing Subsidiary”), Credit Suisse AG, as Collateral Agent, and Regions Bank, as Trustee under the Indenture referred to below.

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