0001193125-15-394682 Sample Contracts

FORM OF SEPARATION AND DISTRIBUTION AGREEMENT BY AND BETWEEN COMMUNITY HEALTH SYSTEMS, INC. AND QUORUM HEALTH CORPORATION DATED AS OF [•], 20[•]
Separation and Distribution Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Delaware

THIS SEPARATION AND DISTRIBUTION AGREEMENT, dated as of [•], 20[•], is by and between COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“CHS”), and QUORUM HEALTH CORPORATION, a Delaware corporation (“QHC”).

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FORM OF EMPLOYEE SERVICE CENTER/HRIS TRANSITION SERVICES AGREEMENT
Transition Services Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

THIS EMPLOYEE SERVICE CENTER/HRIS TRANSITION SERVICES AGREEMENT (this “Agreement”) is made and entered into as of , 2016 (the “Effective Date”), by and between CHSPSC, LLC, a Delaware limited liability company (“CHSPSC”), and QHCCS, LLC, a Delaware limited liability company (“QHCCS”).

FORM OF PARTICIPATION AGREEMENT
Participation Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

This Participation Agreement is between HealthTrust Purchasing Group, L.P. (“HealthTrust”), a Delaware limited partnership and the following entity (“Participant”) (together with all Exhibits, this “Agreement”).

FORM OF TAX MATTERS AGREEMENT
Tax Matters Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Delaware

This TAX MATTERS AGREEMENT dated as of [●], 2016, is by and between COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“CHS”), and QUORUM HEALTH CORPORATION, a Delaware corporation (“Spinco” and, together with CHS, the “Parties”, and each individually, a “Party”).

FORM OF RECEIVABLES COLLECTION AGREEMENT
Receivables Collection Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

THIS RECEIVABLES COLLECTION AGREEMENT (the “Agreement”) is made and entered into effective as of the day of January, 2016, by and between Professional Account Services, Inc., a Tennessee corporation (“PASI”), and QHCCS, LLC, a Delaware limited liability company (“QHCCS”).

FORM OF BILLING AND COLLECTION AGREEMENT
Billing and Collection Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

THIS BILLING AND COLLECTION AGREEMENT (the “Agreement”) is made and entered into effective as of the day of , 2016, by and between PHYSICIAN PRACTICE SUPPORT, LLC, a Delaware limited liability company (“PPS”), and QHCCS, LLC, a Delaware limited liability company (“QHCCS”).

FORM OF SHARED SERVICE CENTERS TRANSITION SERVICES AGREEMENT
Transition Services Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

THIS SHARED SERVICE CENTERS TRANSITION SERVICES AGREEMENT (this “Agreement”) is made and entered into as of , 2016 (the “Effective Date”), by and between REVENUE CYCLE SERVICE CENTER, LLC, a Delaware limited liability company (“RCSC”), and QHCCS, LLC, a Delaware limited liability company (“CLIENT”).

FORM OF COMPUTER AND DATA PROCESSING TRANSITION SERVICES AGREEMENT
Transition Services Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

This COMPUTER AND DATA PROCESSING TRANSITION SERVICES AGREEMENT (this “Agreement”) dated as of , 2016, is by and between CHSPSC, LLC, a Delaware limited liability company (“CHSPSC”), and QHCCS, LLC, a Delaware limited liability company (together with its successors and permitted assigns, hereinafter sometimes referred to as “Customer”).

FORM OF ELIGIBILITY SCREENING SERVICES AGREEMENT
Form of Eligibility Screening Services Agreement • December 4th, 2015 • Quorum Health Corp • Services-general medical & surgical hospitals, nec • Tennessee

This Services Agreement (this “Agreement”) entered into this 1st day of , 2016 by and between Eligibility Screening Services, LLC, a Delaware limited liability company (“Vendor”), and QHCCS, LLC, a Delaware limited liability company (“Client”).

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