0000950123-07-010424 Sample Contracts

CHS/COMMUNITY HEALTH SYSTEMS, INC. 87/8 Senior Notes due 2015 REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • July 30th, 2007 • 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 stated set forth in a purchase agreement, dated June 27, 2007 (the “Purchase Agreement”), to issue and sell to the several Initial Purchasers U.S. $3,021,331,000 principal amount of its 87/8% Senior Notes due 2015 (the “Initial Securities”) to be unconditionally guaranteed (the “Guarantees”) by Holdings and the subsidiary guarantors listed in Schedule I attached hereto (the “Guarantors”) and immediately following the consummation of the Merger (as defined in the Purchase Agreement) by Triad Hospitals, Inc., a Delaware corporation (“Triad”) and its subsidiary guarantors listed on Schedule II attached hereto (the “Triad Guarantors”). The Initial Securities will be issued pursuant to an

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CREDIT AGREEMENT dated as of July 25, 2007, among CHS/COMMUNITY HEALTH SYSTEMS, INC., COMMUNITY HEALTH SYSTEMS, INC., THE LENDERS PARTY HERETO and CREDIT SUISSE, as Administrative Agent and Collateral Agent CREDIT SUISSE SECURITIES (USA) LLC and...
Credit Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

CREDIT AGREEMENT dated as of July 25, 2007, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Borrower”), COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“Parent”), the Lenders (as defined in Article I), and CREDIT SUISSE, as administrative agent (in such capacity, the “Administrative Agent”) and as collateral agent (in such capacity, the “Collateral Agent”) for the Lenders.

RESTRICTED STOCK AWARD AGREEMENT Community Health Systems, Inc. (Special Grant 7/25/07 to Certain Officers/Employees and Non-employee Directors)
Restricted Stock Award Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • Tennessee

THIS AGREEMENT between you and Community Health Systems, Inc., a Delaware corporation (the “Company”) governs an award of restricted stock in the amount and on the date specified in your award notification (the “Grant Date”).

PERFORMANCE BASED RESTRICTED STOCK AWARD AGREEMENT (Most Highly Compensated Executive Officers) (Grant Date 7/25/07 – Part B) Community Health Systems, Inc.
Restricted Stock Award Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • Tennessee

THIS AGREEMENT, between you and Community Health Systems, Inc., a Delaware corporation (the “Company”) governs an award of restricted stock in the amount and on the date specified in your award notification (the “Grant Date”).

GUARANTEE AND COLLATERAL AGREEMENT dated as of July 25, 2007 among CHS/COMMUNITY HEALTH SYSTEMS, INC., COMMUNITY HEALTH SYSTEMS, INC., the Subsidiaries of the Borrower from time to time party hereto and CREDIT SUISSE, as Collateral Agent
Guarantee and Collateral Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

GUARANTEE AND COLLATERAL AGREEMENT dated as of July 25, 2007 (this “Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Borrower”), COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“Parent”), the Subsidiaries from time to time party hereto and CREDIT SUISSE (“Credit Suisse”), as collateral agent (in such capacity, the “Collateral Agent”).

CHS/Community Health Systems, Inc. $3,021,331,000 Senior Notes due 2015 JOINDER TO THE PURCHASE AGREEMENT
The Purchase Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

Credit Suisse Securities (USA) LLC Wachovia Capital Markets, LLC, As Representatives of the Several Purchasers, c/o Credit Suisse Securities (USA) LLC Eleven Madison Avenue, New York, N.Y. 10010-3629

CHS/COMMUNITY HEALTH SYSTEMS, INC. 87/8% Senior Notes due 2015 JOINDER TO THE REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

CREDIT SUISSE SECURITIES (USA) LLC, WACHOVIA CAPITAL MARKETS, LLC As Representatives of the Several Initial Purchasers c/o Credit Suisse Securities (USA) LLC, Eleven Madison Avenue, New York, New York 10010-3629

FIRST SUPPLEMENTAL INDENTURE
First Supplemental Indenture • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

THIS FIRST SUPPLEMENTAL INDENTURE, dated as of July 24, 2007 (this “Supplemental Indenture”), is by and between Community Health Systems, Inc., a Delaware corporation (the “Issuer”) and U.S. Bank National Association, successor to Suntrust Bank, as trustee (the “Trustee”).

TRIAD HOSPITALS, INC. AND THE BANK OF NEW YORK TRUST COMPANY, N.A., as successor Trustee to Citibank, N.A. FIRST SUPPLEMENTAL INDENTURE Dated as of July 24, 2007 to Indenture Dated as of November 12, 2003 7% SENIOR SUBORDINATED NOTES DUE 2013
First Supplemental Indenture • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

THIS FIRST SUPPLEMENTAL INDENTURE, dated as of July 24, 2007 (this “Supplemental Indenture”), is by and between Triad Hospitals, Inc., a Delaware corporation (the “Issuer”) and The Bank of New York Trust Company, N.A., successor to Citibank, N.A., as trustee (the “Trustee”).

TRIAD HOSPITALS, INC. AND THE BANK OF NEW YORK TRUST COMPANY, N.A., as successor Trustee to Citibank, N.A. SECOND SUPPLEMENTAL INDENTURE Dated as of July 24, 2007 to Indenture Dated as of May 6, 2004 7% SENIOR NOTES DUE 2012
Second Supplemental Indenture • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

THIS SECOND SUPPLEMENTAL INDENTURE, dated as of July 24, 2007 (this “Second Supplemental Indenture”), is by and between Triad Hospitals, Inc., a Delaware corporation (the “Issuer”) and The Bank of New York Trust Company, N.A., successor to Citibank, N.A., as trustee (the “Trustee”).

Contract
Supplemental Indenture • July 30th, 2007 • Community Health Systems Inc • Services-general medical & surgical hospitals, nec • New York

FIRST SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of July 25, 2007, among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Issuer”), each of the parties identified as a Triad Guarantor on the schedules to the signature pages hereto (each, a “Triad Guarantor” and collectively, the “Triad Guarantors”) and U.S. BANK NATIONAL ASSOCIATION, as Trustee under the Indenture (the “Trustee”).

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