Exhibit 10.1

AMENDMENT NO. 1 dated as of February 15, 2019 (this “Amendment”), to the Credit
Agreement dated as of July 25, 2007, as amended and restated as of November 5,
2010, February 2, 2012, January 27, 2014 and March 23, 2018 (as heretofore
amended, supplemented, amended and restated or otherwise modified, the “Credit
Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation
(the “Borrower”), COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation
(“Parent”), the lenders party thereto (the “Lenders”) and CREDIT SUISSE AG,
CAYMAN ISLANDS BRANCH as administrative agent (in such capacity, the
“Administrative Agent”) and as collateral agent for the Lenders.

PRELIMINARY STATEMENT

A.    Pursuant to the Credit Agreement, the Lenders have extended, and have
agreed to extend, credit to the Borrower.

B.    Parent, the Borrower and the Required Covenant Lenders desire that certain
provisions of the Credit Agreement be amended as provided herein.

C.    Parent, the Borrower and the Subsidiary Guarantors are party to one or
more of the Security Documents, pursuant to which, among other things, Parent
and the Subsidiary Guarantors Guaranteed the Obligations of the Borrower under
the Credit Agreement and provided security therefor.

Accordingly, in consideration of the mutual agreements herein contained and for
other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the parties hereto hereby agree as follows:

SECTION 1. Defined Terms. (a) Capitalized terms used but not otherwise defined
herein (including the Preliminary Statement hereto) shall have the meanings
assigned thereto in the Credit Agreement. The provisions of Section 1.02 of the
Credit Agreement are hereby incorporated by reference herein, mutatis mutandis.
This Amendment shall be a “Loan Document” for all purposes of the Credit
Agreement and the other Loan Documents.

(b) The amendment to the Credit Agreement described in Section 2 hereof, the
reduction of the Revolving Credit Commitments described in Section 3 hereof and
the payment of fees and expenses with respect to the foregoing, in each case on
the Amendment No. 1 Effective Date, are collectively referred to herein as the
“Transactions”.

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SECTION 2. Amendments to the Credit Agreement. Subject to the satisfaction of
the conditions set forth in Section 5 hereof, Section 6.13 of the Credit
Agreement is hereby amended by replacing in its entirety the chart contained
therein with the following, effective as of the Amendment No. 1 Effective Date
(as defined below):

 

Period

   Ratio  

July 1, 2018 through December 31, 2018

     5.00 to 1.00  

January 1, 2019 through December 31, 2019

     5.25 to 1.00  

January 1, 2020 through June 30, 2020

     5.00 to 1.00  

July 1, 2020 through September 30, 2020

     4.50 to 1.00  

Thereafter

     4.25 to 1.00  

SECTION 3. Revolving Credit Commitment Reduction. Upon the effectiveness of this
Amendment, and without any further action of any party hereto, the Revolving
Credit Commitments in effect immediately prior to the Amendment No. 1 Effective
Date will be reduced to $385,000,000 in the aggregate with such reduction
applied on a ratable basis among the Revolving Credit Lenders. Schedule I
attached hereto reflects such reduction in the Revolving Credit Commitments.

SECTION 4. Representations and Warranties. To induce the other parties hereto to
enter into this Amendment, each of Parent, the Borrower and each Subsidiary
Guarantor hereby represents and warrants to each of the Lenders party hereto
(collectively, the “Consenting Lenders”), the Administrative Agent, the Issuing
Banks and the Collateral Agent that, after giving effect to this Amendment and
the Transactions contemplated hereby:

(a) The representations and warranties set forth in Article III of the Credit
Agreement and in each other Loan Document are true and correct (i) in the case
of representations and warranties qualified as to materiality, in all respects,
and (ii) otherwise, in all material respects, in each case on and as of the
Amendment No. 1 Effective Date as though made on and as of such date, except to
the extent that such representations and warranties expressly relate to an
earlier date, in which case such representations and warranties were so true and
correct as of such earlier date (it being understood and agreed that the
Transactions (as defined in this Amendment) shall be deemed to be the Subject
Transactions for the purposes of the representation and warranty made in
Section 3.22 of the Credit Agreement).

(b) No Default or Event of Default has occurred and is continuing.

(c) None of the Security Documents in effect immediately prior to the Amendment
No. 1 Effective Date will be rendered invalid, non-binding or unenforceable
against any Loan Party as a result of this Amendment. The Guarantees created
under such Security Documents will continue to guarantee the Obligations to the
same extent as they guaranteed the Obligations immediately prior to the
Amendment No. 1 Effective Date. The Liens created under such Security Documents
will continue to secure the Obligations, and will continue to be perfected, in
each case, to the same extent as they secured the Obligations or were perfected
immediately prior to the Amendment No. 1 Effective Date.

 

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(d) To the knowledge of the Borrower, the information included in any
certification regarding beneficial ownership (the “Beneficial Ownership
Certification”) as required by 31 CFR § 1010.230 (the “Beneficial Ownership
Regulation”) provided by the Borrower on or prior to the Amendment No. 1
Effective Date to any Lender in connection with the Credit Agreement or any Loan
Document is true and correct in all material respects.

SECTION 5. Effectiveness. This Amendment shall become effective on and as of the
date on which each of the following conditions precedent is satisfied (such
date, the “Amendment No. 1 Effective Date”):

(a) The Administrative Agent shall have received duly executed and delivered
counterparts of this Amendment that, when taken together, bear the signatures of
Parent, the Borrower, each Subsidiary Guarantor and the Required Covenant
Lenders.

(b) The Administrative Agent shall have received a certificate, dated the
Amendment No. 1 Effective Date and signed by a Financial Officer of the
Borrower, confirming compliance with the conditions precedent set forth in
paragraphs (b) and (c) of Section 4.01 of the Credit Agreement as if the
Transactions were a Credit Event.

(c) The Administrative Agent shall have received (i) payment from the Borrower,
for the account of each Lender that shall have unconditionally and irrevocably
delivered to the Administrative Agent (or its counsel) its executed signature
page to this Amendment at or prior to 5:00 p.m., New York City time, on
February 6, 2019, an amendment fee in an amount equal to 0.25% of the aggregate
amount of such Consenting Lender’s Revolving Credit Commitments (whether drawn
or undrawn) as of the Amendment No. 1 Effective Date before giving effect to the
reduction in such Revolving Credit Commitments as set forth in Section 3 hereof
and (ii) all other amounts due and payable on or prior to the Amendment No. 1
Effective Date, including, to the extent invoiced, reimbursement or payment of
all out-of-pocket expenses required to be reimbursed or paid by the Borrower
hereunder, under the Credit Agreement or under any other Loan Document.

(d) To the extent requested in writing at least five Business Days prior to the
Amendment No. 1 Effective Date, the Lenders shall have received (i) all
documentation and other information that any Lender reasonably requests in order
to comply with its ongoing obligations under applicable “know your customer” and
anti-money laundering rules and regulations, including the USA PATRIOT Act and,
(ii) to the extent that any Loan Party qualifies as a “legal entity customer”
under the Beneficial Ownership Regulation, a Beneficial Ownership Certification
in relation to, and signed by a Responsible Officer of, such Loan Party.

The Administrative Agent shall notify Parent, the Borrower and the Lenders of
the Amendment No. 1 Effective Date and such notice shall be conclusive and
binding.

 

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SECTION 6. Effect of this Amendment. (a) Except as expressly set forth herein,
this Amendment shall not by implication or otherwise limit, impair, constitute a
waiver of, or otherwise affect the rights and remedies of the Administrative
Agent, the Lenders or any other Secured Party under the Credit Agreement or any
other Loan Document, and shall not alter, modify, amend or in any way affect any
of the terms, conditions, obligations, covenants or agreements contained in the
Credit Agreement or any other Loan Document, all of which are ratified and
affirmed in all respects and shall continue in full force and effect. Nothing
herein shall be deemed to entitle any Loan Party to a consent to, or a waiver,
amendment, modification or other change of, any of the terms, conditions,
obligations, covenants or agreements contained in the Credit Agreement or any
other Loan Document in similar or different circumstances. This Amendment shall
apply and be effective only with respect to the provisions of the Credit
Agreement specifically referred to herein.

(b) From and after the Amendment No. 1 Effective Date, any reference to the
Credit Agreement shall mean the Credit Agreement as modified by this Amendment.

SECTION 7. Additional Undertakings. Each of Parent and the Borrower covenants
and agrees with each Consenting Lender that, so long as the Credit Agreement
remains in effect and until (a) the Revolving Credit Commitments have been
terminated, (b) the principal of and interest on each Revolving Loan made in
respect of the Revolving Credit Commitments has been paid in full, (c) all fees
and all other expenses or amounts payable under any Loan Document in respect of
the foregoing have been paid in full and (d) all Letters of Credit have been
cancelled or have expired and all amounts drawn thereunder have been reimbursed
in full or other arrangements acceptable to the Issuing Banks and the
Administrative Agent have been made with respect thereto, unless the Required
Covenant Lenders shall otherwise consent in writing, notwithstanding anything in
the Credit Agreement or any other Loan Document to the contrary, (i) neither
Parent nor the Borrower will, nor will they cause or permit any of the
Subsidiaries to, on any date on and after the Amendment No. 1 Effective Date,
make any Restricted Payment pursuant to Section 6.06(a)(v) of the Credit
Agreement in an aggregate amount from and after the Third Restatement Effective
Date in excess of $100,000,000 less the amount of payments made from and after
the Third Restatement Effective Date pursuant to Section 6.09(b)(i) of the
Credit Agreement and (ii) in the case of Parent, furnish to the Administrative
Agent prompt notice of any change in the information provided in the Beneficial
Ownership Certification as required by the Beneficial Ownership Regulation that
would result in a change to such Beneficial Ownership Certification. The
provisions of this Section 7 of this Amendment are solely for the benefit of the
Revolving Credit Lenders and a majority in interest of such Revolving Credit
Lenders may (a) amend or otherwise modify this Section 7 or (b) waive any
non-compliance with this Section 7 or any Default or Event of Default resulting
from such non-compliance. In addition, for the avoidance of doubt, any breach of
this Section 7 shall constitute a breach of a covenant contained in a Loan
Document in accordance with Article VII(e) of the Credit Agreement.

SECTION 8. Reaffirmation. Each of Parent, the Borrower and each of the
Subsidiary Guarantors identified on the signature pages hereto (collectively,
Parent, the

 

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Borrower and such Subsidiary Guarantors, the “Reaffirming Loan Parties”) hereby
acknowledges that it expects to receive substantial direct and indirect benefits
as a result of this Amendment and the transactions contemplated hereby. Each
Reaffirming Loan Party hereby consents to this Amendment and the transactions
contemplated hereby, and hereby confirms its respective guarantees, pledges and
grants of security interests, as applicable, under each of the Loan Documents to
which it is party, and agrees that, notwithstanding the effectiveness of this
Amendment and the transactions contemplated hereby, such guarantees, pledges and
grants of security interests shall continue to be in full force and effect and
shall accrue to the benefit of the Secured Parties.

SECTION 9. Expenses. The Borrower agrees to reimburse the Administrative Agent
for its reasonable out-of-pocket expenses in connection with the Loan Documents
(including the preparation of this Amendment), including the reasonable fees,
charges and disbursements of Cravath, Swaine & Moore LLP.

SECTION 10. Notices. All notices hereunder shall be given in accordance with
Section 9.01 of the Credit Agreement.

SECTION 11. Counterparts. This Amendment may be executed in one or more
counterparts, each of which shall be deemed an original, but all of which
together shall constitute one and the same instrument. Delivery by electronic
transmission (e.g., “pdf”) of an executed counterpart of a signature page to
this Amendment shall be effective as delivery of an original executed
counterpart of this Amendment.

SECTION 12. No Novation. This Amendment shall not extinguish the obligations for
the payment of money outstanding under the Credit Agreement or discharge or
release the Lien or priority of any Loan Document or any other security therefor
or any guarantee thereof. Nothing herein contained shall be construed as a
substitution or novation of the Obligations outstanding under the Credit
Agreement or instruments guaranteeing or securing the same, which shall remain
in full force and effect, except as modified hereby or by instruments executed
concurrently herewith. Nothing expressed or implied in this Amendment or any
other document contemplated hereby shall be construed as a release or other
discharge of the Borrower under the Credit Agreement or any Loan Party under any
other Loan Document from any of its obligations and liabilities thereunder. The
Credit Agreement and each of the other Loan Documents shall remain in full force
and effect, until and except as modified hereby or thereby in connection
herewith or therewith.

SECTION 13. Governing Law. (a) THIS AMENDMENT SHALL BE GOVERNED BY, AND
CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

(b) EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY
APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL PROCEEDING
DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AMENDMENT OR THE
TRANSACTIONS CONTEMPLATED HEREBY (WHETHER BASED ON

 

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CONTRACT, TORT OR ANY OTHER THEORY). EACH PARTY HERETO (I) CERTIFIES THAT NO
REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY
OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK
TO ENFORCE THE FOREGOING WAIVER AND (II) ACKNOWLEDGES THAT IT AND THE OTHER
PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AMENDMENT BY, AMONG OTHER
THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION.

SECTION 14. Headings; Titles. Section headings used herein are for convenience
of reference only, are not part of this Amendment and shall not affect the
construction of, or be taken into consideration in interpreting, this Amendment.

[Remainder of page intentionally left blank]

 

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly
executed by their respective authorized officers as of the date first above
written.

 

CHS/COMMUNITY HEALTH SYSTEMS, INC.,   By:  

/s/ Kevin J. Hammons

    Name:   Kevin J. Hammons     Title:   SVP, Assistant Chief Financial
Officer, Chief Accounting Officer and Treasurer COMMUNITY HEALTH SYSTEMS, INC.,
  By:  

/s/ Kevin J. Hammons

    Name:   Kevin J. Hammons     Title:   SVP, Assistant Chief Financial
Officer, Chief Accounting Officer and Treasurer

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH, as a Lender and as Administrative Agent
By:  

/s/ William O’Daly

  Name:   William O’Daly   Title:   Authorized Signatory By:  

/s/ Lingzi Huang

  Name:   Lingzi Huang   Title:   Authorized Signatory

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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ABILENE HOSPITAL, LLC ABILENE MERGER, LLC AFFINITY HEALTH SYSTEMS, LLC AFFINITY
HOSPITAL, LLC BERWICK HOSPITAL COMPANY, LLC BILOXI H.M.A., LLC BIRMINGHAM
HOLDINGS II, LLC BIRMINGHAM HOLDINGS, LLC BLUEFIELD HOLDINGS, LLC BLUEFIELD
HOSPITAL COMPANY, LLC BLUFFTON HEALTH SYSTEM LLC BRANDON HMA, LLC BROWNWOOD
MEDICAL CENTER, LLC BULLHEAD CITY HOSPITAL CORPORATION BULLHEAD CITY HOSPITAL
INVESTMENT CORPORATION CAMPBELL COUNTY HMA, LLC CARLSBAD MEDICAL CENTER, LLC
CAROLINAS HOLDINGS, LLC CAROLINAS JV HOLDINGS GENERAL, LLC CAROLINAS JV HOLDINGS
II, LLC CENTRAL FLORIDA HMA HOLDINGS, LLC CENTRAL STATES HMA HOLDINGS, LLC
CHESTER HMA, LLC CHESTNUT HILL HEALTH SYSTEM, LLC CHHS HOLDINGS, LLC CHHS
HOSPITAL COMPANY, LLC CHS PENNSYLVANIA HOLDINGS, LLC CHS RECEIVABLES FUNDING,
LLC CHS TENNESSEE HOLDINGS, LLC CHS VIRGINIA HOLDINGS, LLC CITRUS HMA, LLC
CLARKSVILLE HOLDINGS II, LLC CLARKSVILLE HOLDINGS, LLC CLEVELAND HOSPITAL
COMPANY, LLC CLEVELAND TENNESSEE HOSPITAL COMPANY, LLC CLINTON HMA, LLC
COATESVILLE HOSPITAL CORPORATION COCKE COUNTY HMA, LLC COLLEGE STATION MEDICAL
CENTER, LLC COLLEGE STATION MERGER, LLC COMMUNITY HEALTH INVESTMENT COMPANY, LLC
CP HOSPITAL GP, LLC CPLP, LLC CRESTWOOD HOSPITAL, LLC CSMC, LLC DEACONESS
HOLDINGS, LLC DEACONESS HOSPITAL HOLDINGS, LLC DESERT HOSPITAL HOLDINGS, LLC
DETAR HOSPITAL, LLC DHFW HOLDINGS, LLC DUKES HEALTH SYSTEM, LLC DYERSBURG
HOSPITAL COMPANY, LLC EMPORIA HOSPITAL CORPORATION

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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FLORIDA HMA HOLDINGS, LLC FOLEY HOSPITAL CORPORATION FORT SMITH HMA, LLC
FRANKFORT HEALTH PARTNER, INC. FRANKLIN HOSPITAL CORPORATION GADSDEN REGIONAL
MEDICAL CENTER, LLC GAFFNEY H.M.A., LLC GRANBURY HOSPITAL CORPORATION GRMC
HOLDINGS, LLC HALLMARK HEALTHCARE COMPANY, LLC HEALTH MANAGEMENT ASSOCIATES, LLC
HEALTH MANAGEMENT GENERAL PARTNER I, LLC HEALTH MANAGEMENT GENERAL PARTNER, LLC
HMA FENTRESS COUNTY GENERAL HOSPITAL, LLC HMA SANTA ROSA MEDICAL CENTER, LLC HMA
SERVICES GP, LLC HMA-TRI HOLDINGS, LLC HOBBS MEDCO, LLC HOSPITAL MANAGEMENT
ASSOCIATES, LLC HOSPITAL OF MORRISTOWN, LLC JACKSON HMA, LLC JACKSON HOSPITAL
CORPORATION JEFFERSON COUNTY HMA, LLC KAY COUNTY HOSPITAL CORPORATION KAY COUNTY
OKLAHOMA HOSPITAL COMPANY, LLC KENNETT HMA, LLC KEY WEST HMA, LLC KIRKSVILLE
HOSPITAL COMPANY, LLC KNOX HOSPITAL COMPANY, LLC KNOXVILLE HMA HOLDINGS, LLC LA
PORTE HEALTH SYSTEM, LLC LA PORTE HOSPITAL COMPANY, LLC LAKEWAY HOSPITAL
COMPANY, LLC LANCASTER HOSPITAL CORPORATION LAS CRUCES MEDICAL CENTER, LLC LEA
REGIONAL HOSPITAL, LLC LEBANON HMA, LLC LONGVIEW CLINIC OPERATIONS COMPANY, LLC
LONGVIEW MERGER, LLC LRH, LLC LUTHERAN HEALTH NETWORK OF INDIANA, LLC MADISON
HMA, LLC MARSHALL COUNTY HMA, LLC MARTIN HOSPITAL COMPANY, LLC MARY BLACK HEALTH
SYSTEM LLC MCSA, L.L.C. MEDICAL CENTER OF BROWNWOOD, LLC METRO KNOXVILLE HMA,
LLC MISSISSIPPI HMA HOLDINGS I, LLC MISSISSIPPI HMA HOLDINGS II, LLC MOBERLY
HOSPITAL COMPANY, LLC NAPLES HMA, LLC NATCHEZ HOSPITAL COMPANY, LLC

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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NATIONAL HEALTHCARE OF LEESVILLE, INC. NAVARRO REGIONAL, LLC NC-DSH, LLC
NORTHWEST ARKANSAS HOSPITALS, LLC NORTHWEST HOSPITAL, LLC NOV HOLDINGS, LLC NRH,
LLC OAK HILL HOSPITAL CORPORATION ORO VALLEY HOSPITAL, LLC PALMER-WASILLA HEALTH
SYSTEM, LLC PASCO REGIONAL MEDICAL CENTER, LLC PENNSYLVANIA HOSPITAL COMPANY,
LLC PHOENIXVILLE HOSPITAL COMPANY, LLC POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
PORT CHARLOTTE HMA, LLC POTTSTOWN HOSPITAL COMPANY, LLC PUNTA GORDA HMA, LLC QHG
GEORGIA HOLDINGS II, LLC QHG GEORGIA HOLDINGS, INC. QHG OF BLUFFTON COMPANY, LLC
QHG OF CLINTON COUNTY, INC. QHG OF ENTERPRISE, INC. QHG OF FORREST COUNTY, INC.
QHG OF FORT WAYNE COMPANY, LLC QHG OF HATTIESBURG, INC. QHG OF SOUTH CAROLINA,
INC. QHG OF SPARTANBURG, INC. QHG OF SPRINGDALE, INC. REGIONAL HOSPITAL OF
LONGVIEW, LLC RIVER OAKS HOSPITAL, LLC RIVER REGION MEDICAL CORPORATION ROH, LLC
ROSWELL HOSPITAL CORPORATION RUSTON HOSPITAL CORPORATION RUSTON LOUISIANA
HOSPITAL COMPANY, LLC SACMC, LLC SALEM HOSPITAL CORPORATION SAN ANGELO COMMUNITY
MEDICAL CENTER, LLC SAN ANGELO MEDICAL, LLC SCRANTON HOLDINGS, LLC SCRANTON
HOSPITAL COMPANY, LLC SCRANTON QUINCY HOLDINGS, LLC SCRANTON QUINCY HOSPITAL
COMPANY, LLC SEMINOLE HMA, LLC SHELBYVILLE HOSPITAL COMPANY, LLC SILOAM SPRINGS
ARKANSAS HOSPITAL COMPANY, LLC SILOAM SPRINGS HOLDINGS, LLC SOUTHEAST HMA
HOLDINGS, LLC SOUTHERN TEXAS MEDICAL CENTER, LLC SOUTHWEST FLORIDA HMA HOLDINGS,
LLC STATESVILLE HMA, LLC TENNYSON HOLDINGS, LLC TOMBALL TEXAS HOLDINGS, LLC

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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TOMBALL TEXAS HOSPITAL COMPANY, LLC TRIAD HEALTHCARE, LLC TRIAD HOLDINGS III,
LLC TRIAD HOLDINGS IV, LLC TRIAD HOLDINGS V, LLC TRIAD NEVADA HOLDINGS, LLC
TRIAD OF ALABAMA, LLC TRIAD-ARMC, LLC TRIAD-EL DORADO, INC. TRIAD-NAVARRO
REGIONAL HOSPITAL SUBSIDIARY, LLC TULLAHOMA HMA, LLC TUNKHANNOCK HOSPITAL
COMPANY, LLC VAN BUREN H.M.A., LLC VENICE HMA, LLC VHC MEDICAL, LLC VICKSBURG
HEALTHCARE, LLC VICTORIA HOSPITAL, LLC VIRGINIA HOSPITAL COMPANY, LLC
WEATHERFORD HOSPITAL CORPORATION WEATHERFORD TEXAS HOSPITAL COMPANY, LLC WEBB
HOSPITAL CORPORATION WEBB HOSPITAL HOLDINGS, LLC WESLEY HEALTH SYSTEM LLC WHMC,
LLC WILKES-BARRE BEHAVIORAL HOSPITAL COMPANY, LLC WILKES-BARRE HOLDINGS, LLC
WILKES-BARRE HOSPITAL COMPANY, LLC WOODLAND HEIGHTS MEDICAL CENTER, LLC WOODWARD
HEALTH SYSTEM, LLC

Acting on behalf of each of the Subsidiary Guarantors set forth above

 

By:  

/s/ Kevin J. Hammons

Name:   Kevin J. Hammons Title:   Senior Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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HEALTH MANAGEMENT ASSOCIATES, LP By: Health Management General Partner, LLC, its
general partner TENNESSEE HMA HOLDINGS, LP By: Health Management General Partner
I, LLC, its general partner QHG GEORGIA, LP By: QHG Georgia Holdings II, LLC,
its general partner HOSPITAL MANAGEMENT SERVICES OF FLORIDA, LP By: HMA Services
GP, LLC, its general partner HMA HOSPITALS HOLDINGS, LP By: Health Management
General Partner, LLC, its general partner BROWNWOOD HOSPITAL, L.P. By: Brownwood
Medical Center, LLC, its general partner CAROLINAS JV HOLDINGS, L.P. By:
Carolina JV Holdings General, LLC, its general partner COLLEGE STATION HOSPITAL,
L.P. By: College Station Medical Center, LLC, its general partner CRESTWOOD
HEALTHCARE, L.P. By: Crestwood Hospital, LLC LAREDO TEXAS HOSPITAL COMPANY, L.P.
By: Webb Hospital Corporation, its general partner LONGVIEW MEDICAL CENTER, L.P.
By: Regional Hospital of Longview, LLC, its general partner NAVARRO HOSPITAL,
L.P. By: Navarro Regional, LLC, its general partner VICTORIA OF TEXAS, L.P. By:
Detar Hospital, LLC, its general partner

Acting on behalf of each of the Subsidiary Guarantors set forth above

 

By:  

/s/ Kevin J. Hammons

Name:   Kevin J. Hammons Title:   Senior Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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  Name of Revolving Credit Lender: BANK OF AMERICA, N.A.  
                                             By:  

/s/ Jonathan Pfeifer

      Name:   Jonathan Pfeifer       Title:   Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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  Name of Revolving Credit Lender: Citibank, N.A.  
                                              By:   

/s/ Alvaro De Velasco

        Name:    Alvaro De Velasco         Title:    Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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  Name of Revolving Credit Lender: Credit Agricole Corporate and Investment Bank
    By:  

/s/ Jill Wong

                                                 Name:   Jill Wong       Title:
  Director     By:  

/s/ Gordon Yip

      Name:   Gordon Yip       Title:   Director

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Deutsche Bank AG New York Branch, as Lender   By:  

/s/ Marguerite Sutton

             Name:   Marguerite Sutton     Title:   Vice President   By:  

/s/ Michael Strobel

    Name:   Michael Strobel     Title:   Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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GOLDMAN SACHS BANK USA:   By:  

/s/ Jamie Minieri

             Name:   Jamie Minieri     Title:   Authorized Signatory

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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JPMORGAN CHASE BANK, N.A.,

Individually and as an Issuing Bank

           By:  

/s/ Dawn Lee Lum

    Name:   Dawn Lee Lum     Title:   Executive Director

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Royal Bank of Canada:            By:  

/s/ Kevin Bemben

    Name:   Kevin Bemben     Title:   Authorized Signatory

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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SIEMENS FINANCIAL SERVICES, INC.:            By:  

/s/ Jeffrey B. Iervese

    Name:   Jeffrey B. Iervese     Title:   Vice President   By:  

/s/ John Finore

    Name:   John Finore     Title:   Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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SunTrust Bank:            By:  

/s/ Anton Brykalin

    Name:   Anton Brykalin     Title:   Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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WELLS FARGO BANK, N.A.,

Individually and as an Issuing Bank

           By:  

/s/ Troy Jefferson

    Name:   Troy Jefferson     Title:   Senior Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Compass Bank, as a Lender       By:  

/s/ Jon McCurdy

  Name:   Jon McCurdy   Title:   SVP

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Fifth Third Bank       By:  

/s/ Leigh Daul

  Name:   Leigh Daul   Title:   Vice President, Fifth Third Bank

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Morgan Stanley Senior Funding, Inc.   By:  

/s/ Alice Lee

    Name:   Alice Lee     Title:   Vice President   By:  

/s/ Gilroy D’Souza

    Name:   Gilroy D’Souza     Title:   Vice President

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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The Bank of Nova Scotia   By:  

/s/ Michelle C. Phillips

    Name:   Michelle C. Phillips     Title:   Managing Director

 

[Signature Page to Amendment No. 1 to the Credit Agreement]

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Schedule I

Revolving Credit Commitments

On file with agent