EX-10.1



 Exhibit 10.1 

FIFTH AMENDMENT TO RECEIVABLES LOAN AGREEMENT 

This FIFTH AMENDMENT TO RECEIVABLES LOAN AGREEMENT is made as of February 28, 2015 (this
“Amendment”), among CHS RECEIVABLES FUNDING, LLC, a Delaware limited liability company (“Receivables Funding”), as Borrower, THE BANK OF NOVA SCOTIA (“Scotia”), as a Committed Lender and as a
Managing Agent, CRÉDIT AGRICOLE CORPORATE AND INVESTMENT BANK (“CA-CIB”), as a Committed Lender, as a Managing Agent and as Administrative Agent, THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.
(“BTMU”), as a Committed Lender and as a Managing Agent, ATLANTIC ASSET SECURITIZATION LLC (“Atlantic”), as a Conduit Lender, LIBERTY STREET FUNDING LLC (“Liberty Street”), as a Conduit Lender, VICTORY
RECEIVABLES CORPORATION (“Victory”), as a Conduit Lender, and CHSPSC, LLC (as successor-by-conversion to Community Health Systems Professional Services Corporation) (“Professional Services”), a Delaware
limited liability company, as Collection Agent under the Receivables Loan Agreement, and is acknowledged and agreed by Receivables Funding, as the Company, Professional Services, as Collection Agent under each of the Contribution Agreement and the
Sale Agreement, and as Authorized Representative (as defined in the Sale Agreement, the “Authorized Representative”), CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“CHS”), as Transferor, as Buyer and
individually (as the provider of a performance undertaking), and EACH OF THE OTHER PERSONS IDENTIFIED AS ORIGINATORS ON THE SIGNATURE PAGES HERETO AFFILIATED WITH CHS/COMMUNITY HEALTH SYSTEMS, INC., as Originators. All capitalized terms used herein
without reference shall have the meanings assigned to such terms in the Receivables Loan Agreement (as defined below) after giving effect to this Amendment. 

WHEREAS, Receivables Funding, as Borrower, Scotia, as a Committed Lender and as a Managing Agent, CA-CIB, as a Committed
Lender, as a Managing Agent and as Administrative Agent, BTMU, as a Committed Lender and as a Managing Agent, the other Lenders party thereto and Professional Services, as Collection Agent, have entered into the Receivables Loan Agreement, dated as
of March 21, 2012 (as amended, restated, supplemented or otherwise modified prior to the date hereof, the “Receivables Loan Agreement”); 

WHEREAS, CHS, as Transferor, Receivables Funding, as the Company, and Professional Services, as Collection Agent thereunder,
have entered into the Receivables Purchase and Contribution Agreement, dated as of March 21, 2012 (as amended, restated, supplemented or otherwise modified prior to the date hereof, the “Contribution Agreement”); 

WHEREAS, the Originators, Professional Services, as Collection Agent and Authorized Representative thereunder, and CHS, as
Buyer, have entered into the Receivables Sale Agreement, dated as of March 21, 2012 (as amended, restated, supplemented or otherwise modified prior to the date hereof, the “Sale Agreement”); 

WHEREAS, the parties hereto desire to amend certain provisions of the Receivables Loan Agreement pursuant to
Section 10.01 of the Receivables Loan Agreement and take the other actions set forth herein, and have agreed to do so subject to the terms and conditions of this Amendment. 







 NOW, THEREFORE, in consideration of the agreements hereinafter set forth, and
for other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the parties hereto agree as follows: 

SECTION 1. Amendment to Receivables Loan Agreement. Subject to all of the terms and conditions set forth in this
Amendment, effective as of the last day of the Collection Period ended February 28, 2015, the definition of “Trigger Temporary Relief Period” in Section 1.01 of the Receivables Loan Agreement is hereby amended and restated in its
entirety to read as follows: 
 “Trigger Temporary Relief Period” means
the period comprised of the seven consecutive Collection Periods from August 2014 through and including February 2015. 

SECTION 2. Conditions to Effectiveness. This Amendment shall become effective upon the date on which the following
conditions have been satisfied (in form and substance reasonably acceptable to the Administrative Agent): 
 (a) The
Administrative Agent shall have received counterparts of this Amendment duly executed by each of the Borrower, the Collection Agent, the Managing Agents, the Committed Lenders, the Conduit Lenders and the Administrative Agent and counterparts
evidencing acknowledgment and agreement duly executed by each of the Company, the Collection Agent (as Collection Agent under each of the Contribution Agreement and the Sale Agreement), the Authorized Representative, the Transferor, the Buyer, CHS
individually and the Originators. 
 (b) All fees and expenses required to be paid prior to an Advance under the Receivables
Loan Agreement (as amended by this Amendment) pursuant to (i) the Receivables Loan Agreement (as amended by this Amendment) and (ii) the Fee Letter shall have been paid. 

(c) Each Managing Agent and the Administrative Agent shall have completed satisfactory due diligence and obtained the
requisite credit approvals. 
 SECTION 3. Representations and Warranties. 

(a) Each of the Borrower and the Collection Agent represents and warrants as of the date hereof that (i) it has taken
all necessary action to authorize the execution, delivery and performance of this Amendment and the performance of the Receivables Loan Agreement and the other Facility Documents, each as amended hereby, as applicable, and (ii) no consent,
approval, authorization or order of, or filing, registration or qualification with, any court or governmental authority or third party is required in connection with the execution, delivery or performance by such Person of this Amendment other than
such as has been met or obtained and are in full force and effect. 
 (b) Each of the Borrower and the Collection Agent
represents and warrants as of the date hereof that each of this Amendment and each Facility Document (as amended by this Amendment or otherwise as of the date hereof, as applicable) constitutes such Person’s legal, valid and binding obligation,
enforceable against such person in accordance with its terms, 

  
 2 








 
except as such enforceability may be subject to (A) bankruptcy, insolvency, reorganization, fraudulent conveyance or transfer, moratorium or similar laws affecting creditors’ rights
generally and (B) general principles of equity (regardless of whether such enforceability is considered in a proceeding at law or in equity). 

(c) The Borrower hereby makes each of the representations and warranties contained in Sections 4.01 and 4.03 of the
Receivables Loan Agreement as of the date hereof, in each case after giving effect to this Amendment, except for those representations and warranties that refer to specific dates, which are made as of the dates indicated therein. 

(d) The Collection Agent hereby makes each of the representations and warranties contained in Section 4.02 of the
Receivables Loan Agreement as of the date hereof, in each case after giving effect to this Amendment, except for those representations and warranties that refer to specific dates, which are made as of the dates indicated therein. 

(e) Each of the Borrower and the Collection Agent further represents and warrants that, both before and after giving effect
to this Amendment, no event has occurred and is continuing which constitutes an Event of Default, or would, with the passage of time or the giving of notice, constitute an Event of Default. 

SECTION 4. Facility Document. This Amendment shall constitute a Facility Document under the terms of the Receivables
Loan Agreement as amended hereby. 
 SECTION 5. Further Assurances. The Borrower and the Collection Agent agree to
promptly take such action, upon the reasonable request of the Administrative Agent, as is necessary to carry out the intent of this Amendment. 

SECTION 6. Confirmation of Agreement. On and after the date hereof, all references to the Receivables Loan Agreement in
the Facility Documents and the other documents and instruments delivered pursuant to or in connection with such Facility Documents shall mean the Receivables Loan Agreement as amended by this Amendment, and as hereafter modified, amended or restated
in accordance with its terms. Except as herein expressly amended, the Receivables Loan Agreement is ratified and confirmed in all respects and shall remain in full force and effect in accordance with its terms. 

SECTION 7. Confirmation of Undertaking. CHS, as undertaking party under the Collection Agent Performance Undertaking,
dated as of March 21, 2012 (as amended, restated, supplemented or otherwise modified prior to the date hereof, the “Performance Undertaking”), in favor of CA-CIB as administrative agent on behalf of the Lenders, hereby consents
to the amendment to the Receivables Loan Agreement set forth in Section 1 of this Amendment, and hereby confirms and agrees that, notwithstanding the effectiveness of this Amendment, the Performance Undertaking heretofore executed and delivered
by it is, and shall continue to be, in full force and effect in accordance with its terms and shall apply to the Receivables Loan Agreement (as amended by this Amendment), the Contribution Agreement and the Sale Agreement and the Performance
Undertaking is hereby so ratified and confirmed. 
 SECTION 8. GOVERNING LAW. THIS AMENDMENT SHALL, IN ACCORDANCE
WITH SECTION 5-1401 OF THE GENERAL OBLIGATIONS LAW OF 

  
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 THE STATE OF NEW YORK, BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF
NEW YORK. EACH OF THE PARTIES HERETO HEREBY SUBMITS TO THE EXCLUSIVE JURISDICTION OF THE STATE AND FEDERAL COURTS OF THE UNITED STATES AND THE NON-EXCLUSIVE JURISDICTION OF THE STATE AND FEDERAL COURTS SITTING IN NEW YORK COUNTY, NEW YORK IN ANY
ACTION OR PROCEEDING ARISING OUT OF OR RELATING TO THIS AMENDMENT, ANY OTHER FACILITY DOCUMENT, ANY OTHER DOCUMENT DELIVERED PURSUANT HERETO OR THERETO, OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY. EACH OF THE PARTIES HERETO HEREBY WAIVES ANY
OBJECTION BASED ON FORUM NON CONVENIENS THE MAINTENANCE OF ANY SUCH ACTION OR PROCEEDING AND CONSENTS TO THE GRANTING OF SUCH LEGAL OR EQUITABLE RELIEF AS IS DEEMED APPROPRIATE BY SUCH COURT. 

SECTION 9. Execution in Counterparts. This Amendment may be executed in any number of counterparts and by different
parties hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which when taken together shall constitute one and the same agreement. Delivery of an executed counterpart of a signature page to
this Amendment by facsimile or by electronic mail in portable document format (pdf) shall be effective as delivery of a manually executed counterpart of this Amendment. 

SECTION 10. Severability of Provisions. Any provision of this Amendment which is prohibited or unenforceable in any
jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof or affecting the validity or enforceability of such provision in any other
jurisdiction. 
 SECTION 11. Headings. 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. 

[Signature Pages Follow] 

  
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 IN WITNESS WHEREOF, this Amendment has been duly executed as of the date first
written above. 
  

			
	CHS RECEIVABLES FUNDING, LLC,
	as Borrower
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Sr. VP Finance & Treasurer
	
	CHS Receivables Funding, LLC
	4000 Meridian Boulevard
	Franklin, Tennessee 37067
	Attention: Rachel A. Seifert
	Telephone No: (615) 465-7000
	Facsimile No: (615) 373-9704
	Email: rachel_seifert@chs.net
	
	CHSPSC, LLC, as Collection Agent under the Receivables Loan Agreement
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Sr. VP Finance & Treasurer
	
	CHSPSC, LLC
	4000 Meridian Boulevard
	Franklin, Tennessee 37067
	Attention: Rachel A. Seifert
	Telephone No: (615) 465-7000
	Facsimile No: (615) 373-9704
	Email: rachel_seifert@chs.net


  
  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement








 
							
	 CRÉDIT AGRICOLE CORPORATE AND

INVESTMENT BANK, as Administrative Agent, as a Managing Agent and as a Committed Lender

			
	By: 	 	 /s/ Sam Pilcer
	 	
		 	Name:	 	Sam Pilcer	 	
		 	Title:	 	Managing Director	 	
			
	By:	 	 /s/ Kostantina Kourmpetis
	 	
		 	Name:	 	Kostantina Kourmpetis	 	
		 	Title:	 	Managing Director	 	
		
	Crédit Agricole CIB	 	
	1301 Avenue of the Americas	 	
	New York, NY 10019	 	
	Attention: Sunny Gulrajani	 	
	Telephone No: (212) 261-7845	 	
	Facsimile No: (917) 849-5584	 	
	Email: sunny.gulrajani@ca-cib.com	 	
	
	ATLANTIC ASSET SECURITIZATION LLC,
	as a Conduit Lender
		
	By:	 	CRÉDIT AGRICOLE CORPORATE AND
		 	INVESTMENT BANK, as attorney-in-fact
			
	  By:	 	 /s/ Sam Pilcer
	 	
		 	Name:	 	Sam Pilcer	 	
		 	Title:	 	Managing Director	 	
			
	By:	 	 /s/ Kostantina Kourmpetis
	 	
		 	Name:	 	Kostantina Kourmpetis	 	
		 	Title:	 	Managing Director	 	
		
	Atlantic Asset Securitization	 	
	c/o Crédit Agricole CIB	 	
	1301 Avenue of the Americas	 	
	New York, NY 10019	 	
	Attention: Sunny Gulrajani	 	
	Telephone No: (212) 261-7845	 	
	Facsimile No: (917) 849-5584	 	
	Email: sunny.gulrajani@ca-cib.com	 	



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement










							
	THE BANK OF NOVA SCOTIA, as a Managing
	Agent and as a Committed Lender
			
	By:	 	 /s/ John Frazell
	 	
		 	Name:	 	John Frazell	 	
		 	Title:	 	Director	 	
	
	LIBERTY STREET FUNDING LLC,
	as a Conduit Lender
			
	By:	 	 /s/ Jill A. Russo
	 	
		 	Name:	 	Jill A. Russo	 	
		 	Title:	 	Vice President	 	



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement









 
					
	 THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.,

as a Managing Agent

			
	By:	 	 /s/ Van Dusenbury
	 	
		 	Name: Van Dusenbury	 	
		 	Title:   Managing Director	 	
	
	 THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.,

as a Committed Lender

			
	By:	 	 /s/ Brian McNany
	 	
		 	Name: Brian McNany	 	
		 	Title:   Director	 	
	
	 VICTORY RECEIVABLES CORPORATION,
 as
a Conduit Lender

			
	By:	 	 /s/ David V. DeAngelis
	 	
		 	Name: David V. DeAngelis	 	
		 	Title:   Vice President	 	



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement









 ACKNOWLEDGED AND AGREED: 

 

			
	 CHS RECEIVABLES FUNDING, LLC,
 as
Company

		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Sr. VP Finance & Treasurer
	
	CHS Receivables Funding, LLC
	4000 Meridian Boulevard
	Franklin, Tennessee 37067
	Attention: Rachel A. Seifert
	Telephone No: (615) 465-7000
	Facsimile No: (615) 373-9704
	Email: rachel_seifert@chs.net
	
	 CHSPSC, LLC,
 as Collection Agent
under each of the Contribution Agreement and the Sale Agreement and as Authorized Representative

		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Sr. VP Finance & Treasurer
	
	CHSPSC, LLC
	4000 Meridian Boulevard
	Franklin, Tennessee 37067
	Attention: Rachel A. Seifert
	Telephone No: (615) 465-7000
	Facsimile No: (615) 373-9704
	Email: rachel_seifert@chs.net



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement









 ACKNOWLEDGED AND AGREED: 

 

			
	 CHS/COMMUNITY HEALTH SYSTEMS, INC.,

as Transferor, as Buyer and individually

		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Sr. VP Finance & Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement









 ACKNOWLEDGED AND AGREED: 

 

			
	ORIGINATORS:
	
	AFFINITY HOSPITAL, LLC
	BERWICK HOSPITAL COMPANY, LLC
	BLUEFIELD HOSPITAL COMPANY, LLC
	BLUFFTON HEALTH SYSTEM LLC
	BULLHEAD CITY HOSPITAL CORPORATION
	CARLSBAD MEDICAL CENTER, LLC
	CLEVELAND TENNESSEE HOSPITAL COMPANY, LLC
	COATESVILLE HOSPITAL CORPORATION
	CRESTVIEW HOSPITAL CORPORATION
	DEACONESS HEALTH SYSTEM, LLC
	DHSC, LLC
	DUKES HEALTH SYSTEM, LLC
	DYERSBURG HOSPITAL CORPORATION
	EMPORIA HOSPITAL CORPORATION
	FOLEY HOSPITAL CORPORATION
	FRANKLIN HOSPITAL CORPORATION
	GADSDEN REGIONAL MEDICAL CENTER, LLC
	GALESBURG HOSPITAL CORPORATION
	GRANBURY HOSPITAL CORPORATION
	GRANITE CITY ILLINOIS HOSPITAL COMPANY, LLC
	GREENBRIER VMC, LLC
	HOSPITAL OF MORRISTOWN, INC.
	JACKSON, TENNESSEE HOSPITAL COMPANY, LLC
	JOURDANTON HOSPITAL CORPORATION
	KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
		 	ORIGINATORS (CONT.):

  

 
			
	LAKE WALES HOSPITAL CORPORATION
	LANCASTER HOSPITAL CORPORATION
	LAS CRUCES MEDICAL CENTER, LLC
	LEA REGIONAL HOSPITAL, LLC
	MARTIN HOSPITAL CORPORATION
	MARY BLACK HEALTH SYSTEM LLC
	MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES, LLC
	MCNAIRY HOSPITAL CORPORATION
	MCSA, L.L.C.
	MOBERLY HOSPITAL COMPANY, LLC
	NATIONAL HEALTHCARE OF LEESVILLE, INC.
	NATIONAL HEALTHCARE OF MT. VERNON, INC.
	NORTHAMPTON HOSPITAL COMPANY, LLC
	NORTHWEST HOSPITAL, LLC
	ORO VALLEY HOSPITAL, LLC
	PAYSON HOSPITAL CORPORATION
	PETERSBURG HOSPITAL COMPANY, LLC
	PHOENIXVILLE HOSPITAL COMPANY, LLC
	POTTSTOWN HOSPITAL COMPANY, LLC
	PORTER HOSPITAL, LLC
	QHG OF ENTERPRISE, INC.
	QHG OF SOUTH CAROLINA, INC.
	ROSWELL HOSPITAL CORPORATION
	RUSTON LOUISIANA HOSPITAL COMPANY, LLC
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
		 	ORIGINATORS (CONT.):

  


			
	SAN MIGUEL HOSPITAL CORPORATION
	SCRANTON HOSPITAL COMPANY, LLC
	SHELBYVILLE HOSPITAL CORPORATION
	SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY, LLC
	SPOKANE VALLEY WASHINGTON HOSPITAL COMPANY, LLC
	SPOKANE WASHINGTON HOSPITAL COMPANY, LLC
	ST. JOSEPH HEALTH SYSTEM LLC
	TOMBALL TEXAS HOSPITAL COMPANY, LLC
	TOOELE HOSPITAL CORPORATION
	WARREN OHIO HOSPITAL COMPANY, LLC
	WARREN OHIO REHAB HOSPITAL COMPANY, LLC
	WARSAW HEALTH SYSTEM LLC
	WAUKEGAN ILLINOIS HOSPITAL COMPANY, LLC
	WEATHERFORD TEXAS HOSPITAL COMPANY, LLC
	WESLEY HEALTH SYSTEM, LLC
	WEST GROVE HOSPITAL COMPANY, LLC
	WILKES-BARRE HOSPITAL COMPANY, LLC
	WOMEN & CHILDREN’S HOSPITAL, LLC
	YOUNGSTOWN OHIO HOSPITAL COMPANY, LLC
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
		 	ORIGINATORS (CONT.):

  

 
			
	ANNA HOSPITAL CORPORATION
	AUGUSTA HOSPITAL, LLC
	BIG BEND HOSPITAL CORPORATION
	BIG SPRING HOSPITAL CORPORATION
	BLUE RIDGE GEORGIA HOSPITAL COMPANY, LLC
	CENTRE HOSPITAL CORPORATION
	CLINTON HOSPITAL CORPORATION
	DEMING HOSPITAL CORPORATION
	EVANSTON HOSPITAL CORPORATION
	FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC
	FORT PAYNE HOSPITAL CORPORATION
	GREENVILLE HOSPITAL CORPORATION
	HOSPITAL OF BARSTOW, INC.
	HOSPITAL OF FULTON, INC.
	HOSPITAL OF LOUISA, INC.
	KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC
	LEXINGTON HOSPITAL CORPORATION
	LUTHERAN MUSCULOSKELETAL CENTER, LLC
	MARION HOSPITAL CORPORATION
	MCKENZIE TENNESSEE HOSPITAL COMPANY, LLC
	MMC OF NEVADA, LLC
	OAK HILL HOSPITAL CORPORATION
	PHILLIPS HOSPITAL CORPORATION
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
		 	ORIGINATORS (CONT.):

  

 
			
	RED BUD ILLINOIS HOSPITAL COMPANY, LLC
	SALEM HOSPITAL CORPORATION
	SCRANTON QUINCY HOSPITAL COMPANY, LLC
	SUNBURY HOSPITAL COMPANY, LLC
	WATSONVILLE HOSPITAL CORPORATION
	WILLIAMSTON HOSPITAL CORPORATION
	WOODWARD HEALTH SYSTEM, LLC
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
	ORIGINATORS (CONT.):


  


			
	BROWNWOOD HOSPITAL, L.P.
	By:	 	Brownwood Medical Center, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	COLLEGE STATION HOSPITAL, L.P.
	By:	 	College Station Medical Center, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	IOM HEALTH SYSTEM, L.P.
	By:	 	Lutheran Health Network Investors, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
	ORIGINATORS (CONT.):


  

 
			
	LAREDO TEXAS HOSPITAL COMPANY, L.P.
	By:	 	Webb Hospital Corporation
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	LONGVIEW MEDICAL CENTER, L.P.
	By:	 	Regional Hospital of Longview, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	NAVARRO HOSPITAL, L.P.
	By:	 	Navarro Regional, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
	ORIGINATORS (CONT.):


  

 
			
	PINEY WOODS HEALTHCARE SYSTEM, L.P.
	By:	 	Woodland Heights Medical Center, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	REHAB HOSPITAL OF FORT WAYNE GENERAL PARTNERSHIP
	By:	 	Lutheran Health Network Investors, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	SAN ANGELO HOSPITAL, L.P.
	By:	 	San Angelo Community Medical Center, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	VICTORIA OF TEXAS, L.P.
	By:	 	Detar Hospital, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement











			
	ORIGINATORS (CONT.):


  

 
			
	ARMC, L.P.
	By:	 	Triad-ARMC, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer
	
	CRESTWOOD HEALTHCARE, L.P.
	By:	 	Crestwood Hospital, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ James W. Doucette

		 	Name: James W. Doucette
		 	Title:   Senior Vice President and Treasurer



  

			
	62622207	  	Signature Page to Fifth Amendment to Receivables Loan Agreement