EX-10.1


 Exhibit 10.1 

EIGHTH OMNIBUS AMENDMENT 

This EIGHTH OMNIBUS AMENDMENT is made as of November 13, 2017 (this “Amendment”), among CHS RECEIVABLES FUNDING,
LLC, a Delaware limited liability company (“Receivables Funding”), as Borrower and as the Company, 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, PNC BANK, NATIONAL ASSOCIATION (“PNC”), 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, CHSPSC, LLC (as successor-by-conversion to Community Health Systems Professional Services Corporation), a Delaware limited liability company (“Professional Services”), as Collection Agent under each of the
Receivables Loan Agreement, the Contribution Agreement and the Sale Agreement (as each is defined below), 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 or the Sale Agreement, as applicable, 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, PNC, 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”); and 

WHEREAS, the parties hereto desire to amend certain provisions of the Receivables Loan Agreement, the Sale Agreement, and the Contribution
Agreement pursuant to Section 10.01 of the Receivables Loan Agreement, Section 9.01 of the Contribution Agreement, and Section 9.01 of the Sale 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 Effective Date, the Receivables Loan Agreement is hereby amended as follows: 

(a)    The definition of “Medicare/Medicaid Cost Report Liability Reserve” in Section 1.01 of the
Receivables Loan Agreement is deleted in its entirety. 
 (b)    Section 1.01 of the Receivables Loan Agreement is
amended by inserting the following definition in the appropriate alphabetical order: 
 “Eighth Omnibus Amendment
Effective Date” means November 13, 2017. 
 “Medicare/Medicaid/Blue Cross/Blue Shield Cost Report
Liability Reserve” means, at any time, all Medicare and Medicaid cost report liabilities and all Blue Cross/Blue Shield cost report liabilities as shown on the financial statements of the Originators determined in accordance with the
Critical Accounting Policy plus any additional reserves that the Administrative Agent may establish and maintain from time to time in its reasonable discretion to reflect any claims asserted or threatened by an Obligor that is a Governmental Entity
that may result in a setoff, recoupment or other reduction of amounts payable on Receivables. 
 (c)    The following
definition in Section 1.01 of the Receivables Loan Agreement is amended and restated in its entirety to read as follows: 

“Scheduled Termination Date” means November 13, 2019, as such date may be extended thereafter in
accordance with Section 2.03(a) or Section 10.01. 
 (d)    Each
reference in the Receivables Loan Agreement to “Medicare/Medicaid Cost Report Liability Reserve” is replaced with “Medicare/Medicaid/Blue Cross/Blue Shield Cost Report Liability Reserve.” 

SECTION 2.    Amendment to Sale Agreement. Subject to all of the terms and conditions set forth in this Amendment,
effective as of the Effective Date, the Sale Agreement is hereby amended as follows: 
 (a)    Section 9.14(b)(iii) of
the Sale Agreement is amended by adding the words “or the 2018 calendar year” immediately after the words “the 2017 calendar year” contained therein. 

(b)    Each reference in the Receivables Sale Agreement to “Medicare/Medicaid Cost Report Liability Reserve” is
replaced with “Medicare/Medicaid/Blue Cross/Blue Shield Cost Report Liability Reserve.” 

  
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 SECTION 3.    Amendment to Contribution Agreement. Subject to all of
the terms and conditions set forth in this Amendment, effective as of the Effective Date, the Contribution Agreement is hereby amended as follows: 

(a)    Each reference in the Contribution Agreement to “Medicare/Medicaid Cost Report Liability Reserve” is
replaced with “Medicare/Medicaid/Blue Cross/Blue Shield Cost Report Liability Reserve.” 
 SECTION
4.    Conditions to Effectiveness. This Amendment shall become effective upon the date on which the following conditions have been satisfied (with respect to documentary conditions, in form and substance reasonably
acceptable to the Administrative Agent) (such date, the “Effective Date”): 
 (a)    The Administrative
Agent shall have received counterparts of (i) this Amendment duly executed by each of the Borrower, the Company, the Managing Agents, the Committed Lenders, the Conduit Lenders, the Administrative Agent, the Collection Agent (as Collection
Agent under each of the Receivables Loan Agreement, the Contribution Agreement and the Sale Agreement), the Authorized Representative, the Transferor, the Buyer, CHS individually and the Originators and (ii) any fee letter required by the
Administrative Agent and/or the Managing Agents in connection with this Amendment duly executed by the parties thereto. 

(b)    All fees and expenses required to be paid on or prior to the date hereof pursuant to (i) any fee letter
referred to in clause (a)(ii) above or (ii) any other Facility Document shall have been paid. 
 (c)    The
Administrative Agent shall have received, each in form and substance reasonably satisfactory to the Administrative Agent: (i) an opinion of Bass, Berry & Sims PLC, counsel for Borrower, Collection Agent, and CHS, as to existence and
good standing, due authorization and execution, and enforceability, and (ii) an opinion of in-house counsel for Borrower, Collection Agent, Originators and CHS regarding additional corporate matters. 

(d)    Each Managing Agent and the Administrative Agent shall have completed satisfactory due diligence and obtained the
requisite credit approvals. 
 SECTION 5.    Representations and Warranties. 

(a)    Each of the CHS Parties 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, the Contribution Agreement, the Sale 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 CHS Parties 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 

  
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obligation, enforceable against such person in accordance with its terms, 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 6.    Facility Document. This Amendment shall constitute a Facility Document under the terms of the
Receivables Loan Agreement as amended hereby. 
 SECTION 7.    Further Assurances. The CHS Parties 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 8.    Confirmation of Agreements. On and after the date hereof, all references to each of the Receivables
Loan Agreement, the Contribution Agreement and the Sale Agreement in the Facility Documents and the other documents and instruments delivered pursuant to or in connection with such Facility Documents shall mean, respectively, (i) the
Receivables Loan Agreement as amended by this Amendment, and as hereafter modified, amended or restated in accordance with its terms, (ii) the Contribution Agreement as in effect on the date hereof, and as hereafter modified, amended or
restated in accordance with its terms, and (iii) the Sale Agreement as amended by this Amendment, and as hereafter modified, amended or restated in accordance with its terms. Except as herein expressly amended, each of the Receivables Loan
Agreement, the Contribution Agreement and the Sale Agreement is ratified and confirmed in all respects and shall remain in full force and effect in accordance with its terms. 

SECTION 9.    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 the amendment to the Sale Agreement set forth in
Section 2 of this Amendment, and hereby 

  
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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, the Contribution Agreement and the Sale Agreement, each as amended by this Amendment, and the Performance Undertaking is hereby so ratified and confirmed. 

SECTION 10.    GOVERNING LAW. THIS AMENDMENT SHALL, IN ACCORDANCE WITH
SECTION 5-1401 OF THE GENERAL OBLIGATIONS LAW OF 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 TO 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 11.    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 12.    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 13.    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 and as Company

		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer
	
	 CHS Receivables Funding, LLC
 4000
Meridian Boulevard
 Franklin, Tennessee 37067
 Attention: Ben
C. Fordham
 Telephone No: (615) 465-7000

Facsimile No: (615) 373-9704

Email: ben_fordham@chs.net

	
	 CHSPSC, LLC, as Collection Agent under each of

the Receivables Loan Agreement, the Contribution
 Agreement and
the Sale Agreement and as
 Authorized Representative

		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer
	
	 CHSPSC, LLC
 4000 Meridian
Boulevard
 Franklin, Tennessee 37067
 Attention: Ben C.
Fordham
 Telephone No: (615) 465-7000

Facsimile No: (615) 373-9704

Email: ben_fordham@chs.net




  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	 CRÉDIT AGRICOLE CORPORATE AND INVESTMENT BANK, as Administrative Agent,

as a Managing Agent and as a Committed Lender

		
	By:	 	 /s/ Kostantina Kourmpetis

	Name:	 	Kostantina Kourmpetis
	Title:	 	Managing Director
		
	By:	 	 /s/ Sam Pilcer

	Name:	 	Sam Pilcer
	Title:	 	Managing Director
	
	 ATLANTIC ASSET SECURITIZATION LLC,

as a Conduit Lender

		
	By:	 	 CRÉDIT AGRICOLE CORPORATE AND

INVESTMENT BANK, as attorney-in-fact

		
	By:	 	 /s/ Kostantina Kourmpetis

	Name:	 	Kostantina Kourmpetis
	Title:	 	Managing Director
		
	By:	 	 /s/ Sam Pilcer

	Name:	 	Sam Pilcer
	Title:	 	Managing Director



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	THE BANK OF NOVA SCOTIA, as a Managing Agent and as a Committed Lender


 
			
		
	By:	 	 /s/ Michelle C. Phillips

	Name:	 	Michelle C. Phillips
	Title:	 	Execution Head & Director


  

			
	 LIBERTY STREET FUNDING LLC,
 as a
Conduit Lender



 
			
		
	By:	 	 /s/ Jill A. Russo

	Name:	 	Jill A. Russo
	Title:	 	Vice President



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	 PNC BANK, NATIONAL ASSOCIATION,
 as
a Managing Agent



 
			
		
	By:	 	 /s/ Eric Bruno

	Name:	 	Eric Bruno
	Title:	 	Senior Vice President


  

			
	 PNC BANK, NATIONAL ASSOCIATION,
 as
a Committed Lender



 
			
		
	By:	 	 /s/ Eric Bruno

	Name:	 	Eric Bruno
	Title:	 	Senior Vice President



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	 CHS/COMMUNITY HEALTH SYSTEMS, INC.,

as Transferor, as Buyer and individually

		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer
	
	 CHS/Community Health Systems, Inc.

4000 Meridian Boulevard
 Franklin, Tennessee 37067

Attention: Ben C. Fordham
 Telephone No: (615) 465-7000
 Facsimile No: (615) 373-9704

Email: ben_fordham@chs.net




  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	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

	 CRESTVIEW HOSPITAL CORPORATION

	 DEACONESS HEALTH SYSTEM, LLC

	 DUKES HEALTH SYSTEM, LLC

	 DYERSBURG HOSPITAL COMPANY, LLC

	 EMPORIA HOSPITAL CORPORATION

	 FOLEY HOSPITAL CORPORATION

	 FRANKLIN HOSPITAL CORPORATION

	 GADSDEN REGIONAL MEDICAL CENTER, LLC

	 GRANBURY HOSPITAL CORPORATION

	 GREENBRIER VMC, LLC

	 HOSPITAL OF MORRISTOWN, LLC

	 JACKSON, TENNESSEE HOSPITAL COMPANY, LLC

	 KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC

	 LAKE WALES HOSPITAL CORPORATION

	 LAS CRUCES MEDICAL CENTER, LLC

	 LEA REGIONAL HOSPITAL, LLC

	 MARTIN HOSPITAL COMPANY, LLC

	 MARY BLACK HEALTH SYSTEM LLC

	 MCSA, L.L.C.

	 MOBERLY HOSPITAL COMPANY, LLC

	 MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES, LLC

		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	NAPLES HMA, LLC
	NATIONAL HEALTHCARE OF LEESVILLE, INC.
	NORTHWEST HOSPITAL, LLC
	ORO VALLEY HOSPITAL, LLC
	PETERSBURG HOSPITAL COMPANY, LLC
	PORTER HOSPITAL, LLC
	QHG OF ENTERPRISE, INC.
	QHG OF SOUTH CAROLINA, INC.
	ROSWELL HOSPITAL CORPORATION
	RUSTON LOUISIANA HOSPITAL COMPANY,   LLC
	SCRANTON HOSPITAL COMPANY, LLC
	SHELBYVILLE HOSPITAL COMPANY, LLC
	SILOAM SPRINGS ARKANSAS HOSPITAL   COMPANY, LLC
	ST. JOSEPH HEALTH SYSTEM LLC
	WARSAW HEALTH SYSTEM LLC
	WESLEY HEALTH SYSTEM LLC
	WILKES-BARRE HOSPITAL COMPANY, LLC
	KIRKSVILLE MISSOURI HOSPITAL COMPANY,   LLC
	LUTHERAN MUSCULOSKELETAL CENTER,   LLC
	OAK HILL HOSPITAL CORPORATION
	SALEM HOSPITAL CORPORATION
	SCRANTON QUINCY HOSPITAL COMPANY,   LLC
	WOODWARD HEALTH SYSTEM, LLC
		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	BILOXI H.M.A., LLC
	BRANDON HMA, LLC
	CAMPBELL COUNTY HMA, LLC
	CHESTER HMA, LLC
	CITRUS HMA, LLC
	CLINTON HMA, LLC
	COCKE COUNTY HMA, LLC
	DURANT H.M.A., LLC
	EAST GEORGIA REGIONAL MEDICAL   CENTER, LLC
	FORT SMITH HMA, LLC
	HAINES CITY HMA, LLC
	HERNANDO HMA, LLC
	HMA FENTRESS COUNTY GENERAL
	  HOSPITAL, LLC
	HMA SANTA ROSA MEDICAL CENTER, LLC
	JACKSON HMA, LLC
	JEFFERSON COUNTY HMA, LLC
	KEY WEST HMA, LLC
	LANCASTER HOSPITAL CORPORATION
	LEBANON HMA, LLC
	MADISON HMA, LLC
	MARSHALL COUNTY HMA, LLC
	METRO KNOXVILLE HMA, LLC
	MIDWEST REGIONAL MEDICAL CENTER, LLC
		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Amendment to Receivables Loan Agreement 







 
			
	ORIGINATORS (CONT.):
	
	NORTHWEST ARKANSAS HOSPITALS, LLC
	PASCO REGIONAL MEDICAL CENTER, LLC
	POPLAR BLUFF REGIONAL MEDICAL   CENTER, LLC
	PORT CHARLOTTE HMA, LLC
	PUNTA GORDA HMA, LLC
	RIVER OAKS HOSPITAL, LLC
	ROH, LLC
	SEMINOLE HMA, LLC
	STATESVILLE HMA, LLC
	TRIAD OF ALABAMA, LLC
	TULLAHOMA HMA, LLC
	TUNKHANNOCK HOSPITAL COMPANY LLC
	VENICE HMA, LLC
	VICKSBURG HEALTHCARE, LLC
		
	By:	 	 /s/ Edward W. Lomicka

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	BROWNWOOD HOSPITAL, L.P.
	By: Brownwood Medical Center, LLC
	Its: General Partner
		
	By:	 	 /s/ Edward W. Lomicka

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

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

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	LAREDO TEXAS HOSPITAL COMPANY, L.P.
	By:	 	    Webb Hospital Corporation


 
			
	Its:	 	General Partner
		
	By:	 	 /s/ Edward W. Lomicka

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





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

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	PINEY WOODS HEALTHCARE SYSTEM, L.P.
	By:	 	Woodland Heights Medical Center, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ Edward W. Lomicka

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

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

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

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment 







 
			
	ORIGINATORS (CONT.):
	
	ARMC, L.P.
	By:	 	Triad-ARMC, LLC
	Its:	 	General Partner
		
	By:	 	 /s/ Edward W. Lomicka

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

	Name:	 	Edward W. Lomicka
	Title:	 	Vice President and Treasurer



  
 Signature Page to
Eighth Omnibus Amendment