EX-4.3


 Exhibit 4.03 

JUNIOR-PRIORITY COLLATERAL AGREEMENT 

dated as of 
 June 22, 2018

 among 
 CHS/COMMUNITY HEALTH
SYSTEMS, INC., 
 COMMUNITY HEALTH SYSTEMS, INC., 

the Subsidiaries of the Company 

from time to time party hereto 

and 
 REGIONS BANK, 

as Junior-Priority Collateral Agent 
 Reference
is made to (i) the ABL Intercreditor Agreement (as herein defined), (ii) the Senior-Junior Lien Intercreditor Agreement (as herein defined) and (iii) the Junior-Priority Lien Pari Passu Intercreditor Agreement (as herein defined and,
together with the ABL Intercreditor Agreement and the Senior-Junior Lien Intercreditor Agreement, the “Intercreditor Agreements”). Notwithstanding anything herein to the contrary, the lien and security interest granted
to the Junior-Priority Collateral Agent, for the benefit of the Secured Parties, pursuant to this Agreement and the exercise of any right or remedy by the Junior-Priority Collateral Agent and the other Secured Parties hereunder are subject to the
provisions of the Intercreditor Agreements. In the event of any conflict or inconsistency between the terms of the Intercreditor Agreements and this Agreement, the terms of the Intercreditor Agreements shall govern. 






 TABLE OF CONTENTS 
  

							
	 	 	 	  	Page	 
	ARTICLE I	 
	
	Definitions	 
			
	 SECTION 1.01.
	 	 Indentures
	  	 	2	 
	 SECTION 1.02.
	 	 Other Defined Terms
	  	 	2	 
	
	ARTICLE II	 
	
	Pledge of Securities	 
			
	 SECTION 2.01.
	 	 Pledge
	  	 	15	 
	 SECTION 2.02.
	 	 Delivery of the Pledged Collateral
	  	 	17	 
	 SECTION 2.03.
	 	 Representations, Warranties and Covenants
	  	 	18	 
	 SECTION 2.04.
	 	 Certification of Limited Liability Company Interests and Limited Partnership Interests
	  	 	19	 
	 SECTION 2.05.
	 	 Registration in Nominee Name; Denominations
	  	 	19	 
	 SECTION 2.06.
	 	 Voting Rights; Dividends and Interest, Etc
	  	 	19	 
	
	ARTICLE III	 
	
	Security Interests in Personal Property	 
			
	 SECTION 3.01.
	 	 Security Interest
	  	 	22	 
	 SECTION 3.02.
	 	 Representations and Warranties
	  	 	24	 
	 SECTION 3.03.
	 	 Covenants
	  	 	26	 
	 SECTION 3.04.
	 	 Other Actions
	  	 	30	 
	 SECTION 3.05.
	 	 Covenants Regarding Patent, Trademark and Copyright Collateral
	  	 	32	 
	
	ARTICLE IV	 
	
	Remedies	 
			
	 SECTION 4.01.
	 	 Remedies Upon Default
	  	 	33	 
	 SECTION 4.02.
	 	 Application of Proceeds
	  	 	35	 
	 SECTION 4.03.
	 	 Grant of License to Use Intellectual Property
	  	 	36	 
	 SECTION 4.04.
	 	 Securities Act, Etc
	  	 	36	 








							
	ARTICLE V	 
	
	Indemnity, Subrogation and Subordination	 
			
	 SECTION 5.01.
	 	 Indemnity and Subrogation
	  	 	37	 
	 SECTION 5.02.
	 	 Contribution and Subrogation
	  	 	37	 
	 SECTION 5.03.
	 	 Subordination
	  	 	37	 
	
	ARTICLE VI	 
	
	Miscellaneous	 
			
	 SECTION 6.01.
	 	 Notices
	  	 	38	 
	 SECTION 6.02.
	 	 Security Interest Absolute
	  	 	38	 
	 SECTION 6.03.
	 	 Survival of Agreement
	  	 	39	 
	 SECTION 6.04.
	 	 Binding Effect; Several Agreement
	  	 	39	 
	 SECTION 6.05.
	 	 Successors and Assigns
	  	 	39	 
	 SECTION 6.06.
	 	 Junior-Priority Collateral Agent’s Fees and Expenses; Indemnification
	  	 	40	 
	 SECTION 6.07.
	 	 Junior-Priority Collateral Agent Appointed Attorney-in-Fact
	  	 	40	 
	 SECTION 6.08.
	 	 Applicable Law
	  	 	41	 
	 SECTION 6.09.
	 	 Waivers; Amendment
	  	 	41	 
	 SECTION 6.10.
	 	 WAIVER OF JURY TRIAL
	  	 	42	 
	 SECTION 6.11.
	 	 Severability
	  	 	42	 
	 SECTION 6.12.
	 	 Counterparts
	  	 	42	 
	 SECTION 6.13.
	 	 Headings
	  	 	43	 
	 SECTION 6.14.
	 	 Jurisdiction; Consent to Service of Process
	  	 	43	 
	 SECTION 6.15.
	 	 Termination or Release
	  	 	43	 
	 SECTION 6.16.
	 	 Additional Subsidiaries
	  	 	44	 
	 SECTION 6.17.
	 	 Subject to Intercreditor Agreements
	  	 	44	 








			
	 Schedules

		
	 Schedule I
	 	 Exact Legal Names of Each Grantor

	 Schedule II
	 	 Subsidiary Guarantors

	 Schedule III
	 	 Capital Stock; Stock Ownership; Pledged Debt Securities

	 Schedule IV
	 	 Debt Instruments; Advances

	 Schedule V
	 	 Mortgage Filings

	 Schedule VI
	 	 Intellectual Property

	 Schedule VII
	 	 Commercial Tort Claims

		
	 Exhibits
	 	
		
	 Exhibit A
	 	Form of Supplement







 JUNIOR-PRIORITY COLLATERAL AGREEMENT dated as of June 22, 2018 (this
“Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Company”), COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“Parent”), the
Subsidiaries from time to time party hereto and REGIONS BANK (“Regions Bank”), as collateral agent for the Secured Parties (as defined below) (in such capacity and together with its successors in such capacity, the
“Junior-Priority Collateral Agent”), Regions Bank, in its capacity as the 2023 Notes Authorized Representative and in its capacity as the 2024 Notes Authorized Representative (each as defined below) and each Additional
Authorized Representative (as defined below) from time to time party hereto. 
 PRELIMINARY STATEMENT 

Reference is made to (a) that certain indenture, dated as of June 22, 2018, governing the Company’s Junior-Priority Senior
Secured Notes due 2023 (such notes, the “2023 Notes”) (as amended, restated, supplemented or otherwise modified from time to time, the “2023 Notes Indenture”), among the Company, each Guarantor party
thereto and Regions Bank, an Alabama banking corporation, as trustee (in such capacity and together with its successors in such capacity, the “2023 Notes Authorized Representative”) and as the Junior-Priority Collateral
Agent, (b) that certain indenture, dated as of June 22, 2018, governing the Company’s 8.125% Junior-Priority Senior Secured Notes due 2024 (such notes, the “2024 Notes” and, together with the 2023 Notes, the
“Notes”) (as amended, restated, supplemented or otherwise modified from time to time, the “2024 Notes Indenture” and, together with the 2023 Indenture, the “Indentures”), among
the Company, each Guarantor party thereto and Regions Bank, an Alabama banking corporation, as trustee (in such capacity and together with its successors in such capacity, the “2024 Notes Authorized Representative”) and as
the Junior-Priority Collateral Agent, (c) the Amended and Restated ABL Intercreditor Agreement (the “ABL Intercreditor Agreement”), dated as of June 22, 2018, among JPMorgan Chase Bank, N.A., as ABL Agent (as
defined therein), Credit Suisse AG, as Senior-Priority Collateral Agent (as defined therein), Credit Suisse AG, as Senior-Priority Non-ABL Loan Agent (as defined therein), Regions Bank, as 2021 Secured Notes
Trustee (as defined therein), Regions Bank, as 2023 Secured Notes Trustee (as defined therein), Regions Bank, as Junior-Priority Collateral Agent (as defined therein) Regions Bank, as trustee under the 2023 Notes Indenture, Regions Bank, as trustee
under the 2024 Notes Indenture, the Company, Parent, the Subsidiaries of the Company from time to time party thereto and each Additional Agent (as defined therein) from time to time party thereto, (d) the Senior-Junior Lien Intercreditor
Agreement (the “Senior-Junior Lien Intercreditor Agreement”), dated as of June 22, 2018, among Credit Suisse AG, Cayman Islands Branch, as Initial Senior-Priority Collateral Agent (as defined therein), Regions Bank, as
Initial Junior-Priority Collateral Agent (as defined therein), the Company, Parent and each Additional Agent (as defined therein) from time to time party thereto for the Additional Holders (as defined therein), (e) the Junior-Priority Lien Pari
Passu Intercreditor Agreement (the “Junior-Priority Lien Pari Passu Intercreditor Agreement” and, together with the ABL Intercreditor Agreement and the Senior-Junior Lien Intercreditor Agreement, the “Intercreditor
Agreements”), dated as of June 22, 2018, among Regions Bank, as collateral agent for the Junior-Priority Secured Parties (as defined therein), Regions Bank, in its capacity as the 2023 Notes Authorized Representative, Regions Bank,
in its capacity as the 2024 Notes Authorized Representative and each additional Authorized Representative (as defined therein) from time to time party thereto for the Additional Junior-Priority Secured Parties (as defined therein) of the series with
respect to which it is acting in such capacity and (f) any Pari Passu Agreements (such term and each other capitalized term used but not defined in this preliminary statement having the meaning given or ascribed to it in Article I). 

  
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 Additionally, to the extent permitted by the Indentures, the Grantors may from time to time enter
into Pari Passu Agreements, and the Obligations owed to the holders of Pari Passu Debt Obligations may be secured hereunder on a pari passu basis with the Junior-Priority Obligations. 

Each Guarantor is an Affiliate of the Company, will derive substantial benefits from delivery and performance of the obligations under the
Indentures, the Notes and any Pari Passu Agreement and each is, therefore, willing to execute and deliver this Agreement. Accordingly, the parties hereto agree as follows: 

ARTICLE I 
 Definitions

 SECTION 1.01. Indentures. (a) Capitalized terms used in this Agreement and not otherwise defined herein have
the meanings set forth in the New York UCC (as such term is defined herein); provided that, if any definition given to such term in Chapter 9 of the New York UCC conflicts with the definition given to such term in any other chapter of the New
York UCC, the Chapter 9 definition shall prevail. The following terms are used herein as defined in the New York UCC: “Accounts”, “Account Debtor”, “Chattel Paper”, “Commercial Tort Claims”,
“Documents”, “Electronic Chattel Paper”, “Equipment”, “General Intangibles”, “Instruments”, “Inventory”, “Investment Property”, “Letter-of-Credit Rights” and “Proceeds”. All references to the Uniform Commercial Code shall mean the New York UCC. 

(b) The rules of construction specified in Section 1.4 of the 2023 Notes Indenture also apply to this Agreement. 

SECTION 1.02. Other Defined Terms. As used in this Agreement, the following terms have the meanings specified below: 

“2023 Notes” shall have the meaning assigned to such term in the preliminary statement. 

“2023 Notes Authorized Representative” shall have the meaning assigned to such term in the preliminary statement. 

“2023 Notes Indenture” shall have the meaning assigned to such term in the preliminary statement. 

“2023 Notes Obligations” shall mean any Obligations under the Note Documents in respect of the 2023 Notes. 

  
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 “2023 Notes Secured Parties” means the holders of the 2023 Notes
Obligations and the 2023 Notes Authorized Representative. 
 “2024 Notes” shall have the meaning assigned to such
term in the preliminary statement. 
 “2024 Notes Authorized Representative” shall have the meaning assigned to such
term in the preliminary statement. 
 “2024 Notes Indenture” shall have the meaning assigned to such term in the
preliminary statement. 
 “2024 Notes Obligations” shall mean any Obligations under the Note Documents in respect of
the 2024 Notes. 
 “2024 Notes Secured Parties” means the holders of the 2024 Notes Obligations and the 2024 Notes
Authorized Representative. 
 “ABL Collateral Agent” shall mean JPMorgan Chase Bank, N.A., in its capacity as
collateral agent for the ABL Facility Secured Parties, together with its successors and permitted assigns under the ABL Facility Agreement and the ABL Facility Collateral Documents. 

“ABL Facility Agreement” shall mean (i) the ABL Credit Agreement dated as of April 3, 2018 among the Company, Parent,
the lenders party thereto and JPMorgan Chase Bank, N.A., as administrative agent and collateral agent, together with the related documents thereto (including the revolving loans thereunder, any letters of credit and reimbursement obligations related
thereto, any guarantee and collateral agreement, patent and trademark security agreement, mortgages or letter of credit applications and other Guarantees, pledges, agreements, security agreements and collateral documents), (ii) any amendments,
extensions, renewals, restatements, refundings, replacements, refinancings, supplements, modifications or other changes (in whole or in part, and without limitation as to amount, terms, conditions, covenants and other provisions) from time to time
of the foregoing and (iii) any one or more additional agreements (and related documents) governing Indebtedness, including indentures, incurred to refinance, substitute, supplement, replace or add to (including increasing the amount available for
borrowing or adding or removing any Person as a borrower, issuer or guarantor thereunder) in whole or in part, the borrowings and commitments then outstanding or permitted to be outstanding under (or otherwise incurred in compliance with) such ABL
Facility Agreement (whether documented in the agreement for such ABL Facility Agreement or in a separate written instrument) or one or more successors to the ABL Facility Agreement. 

“ABL Facility Collateral Documents” shall mean the Guarantee and Collateral Agreement, dated as of April 3, 2018 (as
amended, restated, supplemented or otherwise modified from time to time), among Parent, the Company certain of its Subsidiaries identified therein as guarantors and JPMorgan Chase Bank, N.A., as the collateral agent, together with the documents
related thereto (including any supplements thereto), the ABL Intercreditor Agreement, the intellectual property security agreements, the mortgages and each other agreement, instrument or other document entered into in favor of the ABL Collateral
Agent or any of the other ABL 

  
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Facility Secured Parties for purposes of securing the ABL Facility Obligations (including the guarantees thereof), as the same may be amended, restated, supplemented or otherwise modified from
time to time. 
 “ABL Facility Obligations” shall mean (a) the due and punctual payment of (i) the principal of and
interest (including interest accruing during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding, regardless of whether allowed or allowable in such proceeding) on the loans under the ABL Facility Agreement, when and
as due, whether at maturity, by acceleration, upon one or more dates set for prepayment or otherwise, (ii) each payment required to be made by the Company under the ABL Facility Agreement in respect of any letter of credit, when and as due,
including payments in respect of reimbursement of disbursements, interest thereon and obligations to provide cash collateral, and (iii) all other monetary obligations of the Company to any of the ABL Facility Secured Parties under the ABL Facility
Agreement, the ABL Facility Collateral Documents and each of the other loan documents in respect thereof, including fees, costs, expenses and indemnities, whether primary, secondary, direct, contingent, fixed or otherwise (including monetary
obligations incurred during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding, regardless of whether allowed or allowable in such proceeding), (b) the due and punctual performance of all other obligations of the
Company under or pursuant to the ABL Facility Agreement, the ABL Facility Collateral Documents and each of the other loan documents in respect thereof and (c) the due and punctual payment and performance of all the obligations of Parent and each
other Subsidiary of Parent under or pursuant to the ABL Facility Collateral Documents and each of the other loan documents in respect of the ABL Facility Agreement. 

“ABL Facility Secured Parties” shall mean (a) the holders of ABL Facility Obligations, (b) the
Representative(s) with respect thereto and (c) the successors and assigns of each of the foregoing. 
 “ABL Intercreditor
Agreement” shall have the meaning assigned to such term in the preliminary statement. 
 “ABL Priority
Collateral” shall have the meaning assigned to such term in the ABL Intercreditor Agreement. 
 “Accounts
Receivable” shall mean all Accounts and all right, title and interest in any returned goods, together with all rights, titles, securities and guarantees with respect thereto, including any rights to stoppage in transit, replevin,
reclamation and resales, and all related security interests, liens and pledges, whether voluntary or involuntary, in each case whether now existing or owned or hereafter arising or acquired. 

“Additional Authorized Representative” shall mean each additional Authorized Representative named in the applicable
Officer’s certificate, delivered in accordance with Section 6.09(c), for a Series of Pari Passu Debt Obligations or Pari Passu Secured Parties that become subject to this Agreement after the date hereof. 

“Additional Senior-Priority Obligation Collateral Documents” shall mean, in respect of any series of Additional
Senior-Priority Obligations, each agreement, instrument or 

  
 4 







 
other document entered into in favor of the Representative(s) in respect of such Indebtedness or any of the other secured parties in respect thereof for purposes of securing the Obligations under
such Indebtedness, as the same may be amended, restated, supplemented or otherwise modified from time to time. 
 “Additional
Senior-Priority Obligation Secured Parties” shall mean (a) the holders of any Additional Senior-Priority Obligations, (b) any Representative(s) with respect thereto and (c) the successors and assigns of each of the
foregoing. 
 “Additional Senior-Priority Obligations” shall mean any Obligations secured by a Senior-Priority Lien
that are permitted to be incurred and permitted to be secured by a Senior-Priority Lien by the then existing Note Documents of each Series, the then existing Pari Passu Agreements and the then existing Senior-Priority Debt Documents. 

“Affiliate” shall mean any specified Person means any other Person, directly or indirectly, controlling or controlled
by or under direct or indirect common control with such specified Person. For the purposes of this definition, “control” when used with respect to any Person means the power to direct the management and policies of such Person, directly or
indirectly, whether through the ownership of voting securities, by contract or otherwise; and the terms “controlling” and “controlled” have meanings correlative to the foregoing. 

“Agreement” shall have the meaning assigned to such term in the preamble. 

“Applicable Priority Agent” shall mean, with respect to any Collateral, the applicable Priority Agent with respect to
such Collateral. 
 “Article 9 Collateral” shall have the meaning assigned to such term in Section 3.01. 

“Authorized Representative” means (i) in the case of the 2023 Notes Obligations or the 2023 Notes Secured
Parties, the 2023 Notes Authorized Representative, (ii) in the case of the 2024 Notes Obligations or the 2024 Notes Secured Parties, the 2024 Notes Authorized Representative and (iii) in the case of any Series of Pari Passu Debt
Obligations, the Authorized Representative named for such Series in accordance with Section 6.09(c). 
 “Business
Day” shall mean each day that is not a Saturday, Sunday or other day on which banking institutions in New York, New York, United States or the jurisdiction of the place of payment are authorized or required by law to close. 

“Capital Stock” of any Person shall mean any and all shares of, rights to purchase, warrants, options or depositary
receipts for, or other equivalents of or partnership or other interests in (however designated), equity of such Person, including any Preferred Stock, but excluding any debt securities convertible into such equity. 

“Claiming Guarantor” shall have the meaning assigned to such term in Section 5.02. 

“Collateral” shall mean the Article 9 Collateral and the Pledged Collateral. 

  
 5 







 “Company” shall have the meaning assigned to such term in the preamble.

 “Contractual Obligation” shall mean, as to any Person, any provision of any security issued by such person or of
any agreement, instrument or undertaking to which such Person is a party or by which it or any of the property owned by it is bound. 

“Contributing Guarantor” shall have the meaning assigned to such term in Section 5.02. 

“Copyright License” shall mean any written agreement, now or hereafter in effect, granting any right to any third
person under any registered copyright now or hereafter owned by any Grantor or that such Grantor otherwise has the right to license, or granting any right to any Grantor under any registered copyright now or hereafter owned by any third person, and
all rights of such Grantor under any such agreement. 
 “Copyrights” shall mean all of the following now owned or
hereafter acquired by any Grantor: (a) all registered copyright rights in any work subject to the copyright laws of the United States or any other country, whether as author, assignee, transferee or otherwise, and (b) all registrations and
applications for registration of any such copyright in the United States or any other country, including registrations, recordings, supplemental registrations and pending applications for registration in the United States Copyright Office (or any
successor office or any similar office in any other country), including those registered and pending copyrights listed on Schedule VI. 

“Credit Agreement” shall mean (i) the Fourth Amended and Restated Credit Agreement dated as of
March 23, 2018, among the Company, Parent, the lenders party thereto and Credit Suisse AG, as administrative agent and collateral agent, together with the related documents thereto (including the revolving loans thereunder, any letters of
credit and reimbursement obligations related thereto, any guarantee and collateral agreement, patent and trademark security agreement, mortgages or letter of credit applications and other Guarantees, pledges, agreements, security agreements and
collateral documents), (ii) any amendments, extensions, renewals, restatements, refundings, replacements, refinancings, supplements, modifications or other changes (in whole or in part, and without limitation as to amount, terms, conditions,
covenants and other provisions) from time to time of the foregoing and (iii) any one or more additional agreements (and related documents) governing Indebtedness, including indentures, incurred to refinance, substitute, supplement, replace or
add to (including increasing the amount available for borrowing or adding or removing any Person as a borrower, issuer or guarantor thereunder) in whole or in part, the borrowings and commitments then outstanding or permitted to be outstanding under
(or otherwise incurred in compliance with) such Credit Agreement (whether documented in the agreement for such Credit Agreement or in a separate written instrument) or one or more successors to the Credit Agreement. 

“Credit Agreement Collateral Documents” shall mean the Non-ABL Senior
Collateral Agreement, the First Lien Intercreditor Agreement, ABL Intercreditor Agreement, the Senior-Junior Lien Intercreditor Agreement, the intellectual property security agreements, the mortgages and each other agreement, instrument or other
document entered into in favor of the Non-ABL Senior Collateral Agent or any of the other Credit Agreement Secured Parties for purposes of securing the Credit Agreement Obligations (including the guarantees
thereof), as the same may be amended, restated, supplemented or otherwise modified from time to time. 

  
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 “Credit Agreement Obligations” shall mean (a) the due and punctual
payment of (i) the principal of and interest (including interest accruing during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding, regardless of whether allowed or allowable in such proceeding) on the loans
under the Credit Agreement, when and as due, whether at maturity, by acceleration, upon one or more dates set for prepayment or otherwise, (ii) each payment required to be made by the Company under the Credit Agreement in respect of any letter
of credit, when and as due, including payments in respect of reimbursement of disbursements, interest thereon and obligations to provide cash collateral, and (iii) all other monetary obligations of the Company to any of the Credit Agreement
Secured Parties under the Credit Agreement and each of the other loan documents in respect thereof, including fees, costs, expenses and indemnities, whether primary, secondary, direct, contingent, fixed or otherwise (including monetary obligations
incurred during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding, regardless of whether allowed or allowable in such proceeding), (b) the due and punctual performance of all other obligations of the Company under
or pursuant to the Credit Agreement and each of the other loan documents in respect thereof, (c) the due and punctual payment and performance of all the obligations of Parent and each other Subsidiary of Parent under or pursuant to the Non-ABL Senior Collateral Agreement and each of the other loan documents in respect of the Credit Agreement and (d) the due and punctual payment and performance of all obligations of Parent and each Subsidiary
of Parent under each hedging agreement or cash management arrangement that (i) was in effect on July 25, 2007 with a counterparty that is, or is an Affiliate of, the administrative agent or a lender under the Credit Agreement as of
July 25, 2007 or (ii) is entered into after July 25, 2007 with any counterparty that is, or is an Affiliate of, the administrative agent or a lender under the Credit Agreement at the time such hedging agreement or cash management
arrangement is entered into; provided, however, that the aggregate amount of obligations under cash management arrangements that shall constitute “Credit Agreement Obligations” shall not exceed $200.0 million at
any time. 
 “Credit Agreement Secured Parties” shall mean (a) the holders of Credit Agreement Obligations,
(b) the Representatives with respect thereto and (c) the successors and assigns of each of the foregoing. 
 “Domestic
Subsidiary” shall mean, with respect to any Person, any Restricted Subsidiary of such Person other than a Foreign Subsidiary. 

“Event of Default” shall mean any Event of Default under and as defined in any of (a) the 2023 Notes Indenture,
(b) the 2024 Notes Indenture or (c) any Pari Passu Agreement, as the context requires, provided that any notice, lapse of time or other condition precedent to the occurrence of such Event of Default in the relevant instrument shall
have been satisfied. 
 “Exchange Offers” shall mean the exchange offers, commenced on May 4, 2018, made by the
Company to holders of its outstanding 8.000% Senior Notes due 2019 (the “2019 Notes”), 7.125% Senior Notes due 2020 (the “2020 Notes”) and 6.875% Senior Notes due 2022 (the “2022
Notes” and, together with the 2019 Notes and the 2020 Notes, the “Old Notes”) to exchange such Old Notes (A) in the case of the 2019 Notes, for 2023 Notes and (B) in the case of the 2020 Notes and 2022
Notes, for 2024 Notes, on the terms and subject to the conditions set forth in the Company’s offering memorandum dated as of May 4, 2018. 

  
 7 







 “Excluded Assets” shall have the meaning assigned to such term in
Section 3.01. 
 “Excluded Stock Collateral” shall have the meaning assigned to such term in Section 2.01.

 “Existing Secured Notes” shall mean (a) the $1,000,000,000 aggregate principal amount of 5.125% senior
secured notes due 2021 issued by the Company on January 27, 2014 and (b) the $3,100,000,000 aggregate principal amount of 6.250% senior secured notes due 2023 issued by the Company (of which $2,200,000,000 aggregate principal amount was
issued on March 16, 2017 and $900,000,000 aggregate principal amount was issued on May 12, 2017). 
 “Existing Secured
Notes Collateral Documents” shall mean the Non-ABL Senior Collateral Agreement, the First Lien Intercreditor Agreement, the ABL Intercreditor Agreement, the Senior-Junior Lien Intercreditor
Agreement, the intellectual property security agreements, the mortgages and each other agreement, instrument or other document entered into in favor of the Non-ABL Senior Collateral Agent or any other Existing
Secured Notes Secured Party for purposes of securing the Obligations in respect of any or all of the Existing Secured Notes (including the guarantees thereof), the Existing Secured Notes Collateral Documents and any or all of the indentures
governing any or all of the Existing Secured Notes, as the same may be amended, restated, supplemented or otherwise modified from time to time. 

“Existing Secured Notes Secured Parties” shall mean (a) the holders of the Obligations in respect of any or all
of the Existing Secured Notes, (b) the respective Representative(s) with respect thereto and (c) the successors and assigns of each of the foregoing. 

“Federal Securities Laws” shall have the meaning assigned to such term in Section 4.04. 

“First Lien Intercreditor Agreement” shall mean the First Lien Intercreditor Agreement, dated as of August 17,
2012, among Credit Suisse AG, as collateral agent and authorized representative, Regions Bank, as trustee and authorized representative, and the additional authorized representatives from time to time party thereto. 

“Foreign Subsidiary” shall mean, with respect to any Person, (i) any Subsidiary of such Person that is not
organized or existing under the laws of the United States, any state thereof or the District of Columbia, and any Subsidiary of such Subsidiary and (ii) any Subsidiary of such Person that otherwise would be a Domestic Subsidiary substantially
all of whose assets consist of Capital Stock and/or indebtedness of one or more Foreign Subsidiaries and any other assets incidental thereto. 

“Governmental Authority” shall mean any Federal, state, local or foreign court or governmental agency, authority,
instrumentality or regulatory body. 
 “Grantors” shall mean the Company and the Guarantors. 

  
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 “Guarantees” shall mean any obligation, contingent or otherwise, of any
Person directly or indirectly guaranteeing any Indebtedness of any other Person, including any such obligation, direct or indirect, contingent or otherwise, of such Person: 

(1) to purchase or pay (or advance or supply funds for the purchase or payment of) such Indebtedness of such other Person (whether arising by
virtue of partnership arrangements, or by agreements to keep-well, to purchase assets, goods, securities or services, to take-or-pay or to maintain financial statement
conditions or otherwise); or 
 (2) entered into primarily for purposes of assuring in any other manner the obligee of such Indebtedness of
the payment thereof or to protect such obligee against loss in respect thereof (in whole or in part); 
 provided, however, that the term
“Guarantee” will not include (x) endorsements for collection or deposit in the ordinary course of business or consistent with past practice and (y) standard contractual indemnities or product warranties provided in the ordinary
course of business; provided, further, that the amount of any Guarantee shall be deemed to be the lower of (i) an amount equal to the stated or determinable amount of the primary obligation in respect of which such Guarantee is
made and (ii) the maximum amount for which such guaranteeing Person may be liable pursuant to the terms of the instrument embodying such Guarantee or, if such Guarantee is not an unconditional guarantee of the entire amount of the primary
obligation and such maximum amount is not stated or determinable, the amount of such guaranteeing Person’s maximum reasonably anticipated liability in respect thereof as determined by such Person in good faith. The term “Guarantee”
used as a verb has a corresponding meaning. 
 “Guarantors” shall mean Parent and the Subsidiary Guarantors. 

“Indemnitees” shall have the meaning assigned to such term in Section 6.06. 

“Indebtedness” shall mean Indebtedness under and as defined in (a) the 2023 Notes Indenture, (b) the 2024
Notes Indenture or (c) any Pari Passu Agreement, as the context requires. 
 “Indentures” shall have the
meaning assigned to such term in the preliminary statement. 
 “Intellectual Property” shall mean all intellectual
property of any Grantor of every kind and nature now owned or hereafter acquired by any Grantor, including inventions, designs, Patents, Copyrights, Licenses, Trademarks, trade secrets, confidential or proprietary technical and business information,
know-how, show-how or other data or information, software and databases and all embodiments or fixations thereof and related documentation and registrations, and all
additions and improvements to any of the foregoing. 
 “Intercreditor Agreements” shall have the meaning assigned to
such term in the preliminary statement. 
 “Junior-Priority Collateral Agent” shall have the meaning assigned to
such term in the preamble. 

  
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 “Junior-Priority Lien Pari Passu Intercreditor Agreement” shall have the
meaning assigned to such term in the preliminary statement. 
 “Junior-Priority Obligations” shall mean the 2023
Notes Obligations, the 2024 Notes Obligations and the Pari Passu Debt Obligations. 
 “Junior-Priority Secured
Parties” means (i) the 2023 Notes Secured Parties, (ii) the 2024 Notes Secured Parties and (iii) the Pari Passu Secured Parties. 

“License” shall mean any Patent License, Trademark License, Copyright License or other license or sublicense agreement
relating to Intellectual Property to which any Grantor is a party, including those listed on Schedule VI. 

“Lien” shall mean any mortgage, pledge, security interest, encumbrance, lien or charge of any kind (including any
conditional sale or other title retention agreement or lease in the nature thereof). 
 “Mortgaged Properties” shall
mean, at any time, those certain parcels of real property owned by Parent or any of its Subsidiaries that at such time is subject to a mortgage Lien to secure Credit Agreement Obligations. 

“New York UCC” or “Uniform Commercial Code” shall mean the Uniform Commercial Code as from
time to time in effect in the State of New York. 
 “Non-ABL Priority
Collateral” shall mean all assets of the Company and the Guarantors constituting Collateral, whether owned on or acquired after the date hereof, and not constituting ABL Priority Collateral, including cash, money, instruments,
securities, financial assets and deposit accounts directly received as proceeds of any Non-ABL Priority Collateral. 

“Non-ABL Senior Collateral Agent” shall mean Credit Suisse AG, in its capacity
as collateral agent under the Non-ABL Senior Collateral Agreement, and any successor thereto in such capacity. 

“Non-ABL Senior Collateral Agreement” shall mean the Amended and Restated
Guarantee and Collateral Agreement, dated as of July 25, 2007, as amended and restated as of November 5, 2010, as further amended on August 17, 2012, by and among Parent, the Company, certain of its Subsidiaries identified therein as
guarantors and Credit Suisse AG, as the collateral agent, together with the documents related thereto (including the supplements thereto and certificates delivered thereunder designating indebtedness and other obligations as “Pari Passu Debt
Obligations” thereunder), as amended, restated, supplemented or otherwise modified from time to time. 
 “Non-Significant Subsidiary” means at any time, any Subsidiary of the Company (a) which at such time has total assets (on a book value basis (including the total assets of any subsidiaries of such
Subsidiary on a book value basis)), or for which the Company or any of its Subsidiaries shall have paid (including the assumption of Indebtedness) in connection with the acquisition of Capital Stock or the total assets of such Subsidiary, less than
$10.0 million or (b) which does not and will not itself or through its subsidiaries own a hospital or an interest in a 

  
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hospital or manage or operate a hospital as a “Non-Significant Subsidiary”; provided that the total assets of all Non-Significant Subsidiaries at any time does not exceed 5.0% of the total assets of Parent, the Company and its Restricted Subsidiaries on a consolidated basis. 

“Note Documents” shall mean with respect to a series of Notes, the Notes of such series (including any additional
Notes of such series issued after the original issue date), the Guarantees of such series of Notes, the Notes Collateral Documents in respect of such series of Notes and the Indenture in respect of such series of Notes. 

“Notes” shall have the meaning assigned to such term in the preliminary statement. 

“Notes Collateral Documents” shall mean, with respect to a series of Notes, this Agreement, the Intercreditor
Agreements, the intellectual property security agreements, the mortgages and each other agreement, instrument or other document entered into in favor of the Junior-Priority Collateral Agent or any other Notes Secured Party for purposes of securing
the Obligations in respect of such series of Notes (including the Guarantees thereof), the applicable Notes Collateral Documents and the applicable Indenture, as the same may be amended, restated, supplemented or otherwise modified from time to
time. 
 “Notes Secured Parties” shall mean with respect to a series of Notes, (a) the holders of Obligations
in respect of such series of Notes (including the related Guarantees), the Notes Collateral Documents in respect of such series of Notes and the Indenture in respect of such series of Notes, (b) the Authorized Representative(s) in respect of
such series of Notes and (c) the successors and assigns of each of the foregoing. 
 “Obligations” shall mean
any principal, interest (including interest accruing on or after the filing of any petition in bankruptcy or for reorganization relating to the Company or any Guarantor whether or not a claim for Post-Petition Interest is allowed in such
proceedings), penalties, fees, indemnifications, reimbursements (including, without limitation, reimbursement obligations with respect to letters of credit and bankers’ acceptances), damages and other liabilities payable under the documentation
governing any Indebtedness. 
 “Officer” shall mean, with respect to any Person, (1) the Chairman of the Board
of Directors, the Chief Executive Officer, the President, the Chief Financial Officer, any Vice President, the Treasurer, any Managing Director, or the Secretary (a) of such Person or (b) if such Person is owned or managed by a single
entity, of such entity, or (2) any other individual designated as an “Officer” for the purposes of the applicable Indenture by the Board of Directors of such Person. 

“Parent” shall have the meaning assigned to such term in the preamble. 

“Pari Passu Agreement” shall mean any indenture, credit agreement or other agreement, document or instrument, if any,
pursuant to which any Grantor has or will incur, assume or otherwise become liable for, Pari Passu Debt Obligations, as the same may be amended, restated, supplemented or otherwise modified from time to time; provided that, in each case, the
Indebtedness and other obligations thereunder have been designated as Pari Passu Debt Obligations pursuant to and in accordance with Section 6.09(c). 

  
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 “Pari Passu Debt Obligations” shall mean all advances to, and debts,
liabilities, obligations, covenants and duties of, any Grantor arising under any Pari Passu Agreement, whether direct or indirect (including those acquired by assumption), absolute or contingent, due or to become due, now existing or hereafter
arising (including monetary obligations incurred during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding, regardless of whether allowed or allowable in such proceeding), in each case, that have been designated as
Pari Passu Debt Obligations pursuant to and in accordance with this Agreement and that the Representative in respect thereof has become party to this Agreement and the Intercreditor Agreements. 

“Pari Passu Secured Parties” shall mean (a) the holders of any Pari Passu Debt Obligations, (b) any
Authorized Representative(s) with respect thereto and (c) the successors and assigns of each of the foregoing. 
 “Patent
License” shall mean any written agreement, now or hereafter in effect, granting to any third person any right to make, use or sell any invention on which a Patent, now or hereafter owned by any Grantor or that any Grantor otherwise has
the right to license, is in existence, or granting to any Grantor any right to make, use or sell any invention on which a Patent, now or hereafter owned by any third person, is in existence, and all rights of any Grantor under any such agreement.

 “Patents” shall mean all of the following now owned or hereafter acquired by any Grantor: (a) all letters
patent of the United States or the equivalent thereof in any other country, all registrations and recordings thereof, and all applications for letters patent of the United States or the equivalent thereof in any other country, including
registrations, recordings and pending applications in the United States Patent and Trademark Office (or any successor or any similar offices in any other country), including those listed on Schedule VI, and (b) all reissues, continuations,
divisions, continuations-in-part, renewals or extensions thereof, and the inventions disclosed or claimed therein, including the right to exclude others from making,
using and/or selling the inventions disclosed or claimed therein. 
 “Permitted Joint Venture Subsidiary” shall mean
Permitted Joint Venture Subsidiary under and as defined in the Credit Agreement. 
 “Permitted Liens” shall mean
Permitted Liens under and as defined in (a) the 2023 Notes Indenture, (b) the 2024 Notes Indenture or (c) any Pari Passu Agreement, as the context requires. 

“Permitted Syndication Subsidiary” shall mean Permitted Syndication Subsidiary under and as defined in the Credit
Agreement. 
 “Person” shall mean any individual, corporation, partnership, joint venture, association, joint-stock
company, trust, unincorporated organization, limited liability company, government or any agency or political subdivision thereof or any other entity. 

“Pledged Collateral” shall have the meaning assigned to such term in Section 2.01. 

  
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 “Pledged Debt Securities” shall have the meaning assigned to such term
in Section 2.01. 
 “Pledged Securities” shall mean any promissory notes, stock certificates or other
securities now or hereafter included in the Pledged Collateral, including all certificates, instruments or other documents representing or evidencing any Pledged Collateral. 

“Pledged Stock” shall have the meaning assigned to such term in Section 2.01. 

“Post-Petition Interest” shall mean any interest or entitlement to fees or expenses or other charges that accrue after
the commencement of any bankruptcy or insolvency proceeding, whether or not allowed or allowable as a claim in any such bankruptcy or insolvency proceeding. 

“Preferred Stock” as applied to the Capital Stock of any Person, means Capital Stock of any class or classes (however
designated) which is preferred as to the payment of dividends or as to the distribution of assets upon any voluntary or involuntary liquidation or dissolution of such Person, over shares of Capital Stock of any other class of such Person. 

“Priority Agent” shall mean, with respect to any matter, the agent or representative from time to time under the
relevant Intercreditor Agreement or Agreements (other than the Junior-Priority Lien Pari Passu Intercreditor Agreement) who has authority to act on such matter for the holders of the related Senior-Priority Obligations. 

“Regions Bank” shall have the meaning assigned to such term in the preamble. 

“Representative” shall mean, with respect to any Person, such Person’s designated agent. 

“Restricted Subsidiary” shall mean any Subsidiary of the Company other than an Unrestricted Subsidiary. 

“Rule 3-16” shall have the meaning assigned to such term in Section 2.01.

 “SEC” shall mean the U.S. Securities and Exchange Commission or any successor thereto. 

“Secured Parties” shall mean the Notes Secured Parties and any Pari Passu Secured Parties. 

“Securities Act” shall mean the U.S. Securities Act of 1933, as amended, and the rules and regulations of the SEC
promulgated thereunder, as amended. 
 “Securitization Subsidiary” shall mean Securitization Subsidiary under and as
defined in the Credit Agreement. 
 “Security Interest” shall have the meaning assigned to such term in
Section 3.01. 

  
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 “Senior-Junior Lien Intercreditor Agreement” shall have the meaning
assigned to such term in the preliminary statement. 
 “Senior-Priority Collateral Documents” shall mean
collectively, the Existing Secured Notes Collateral Documents, the Credit Agreement Collateral Documents, the ABL Facility Collateral Documents and the Additional Senior-Priority Obligation Collateral Documents. 

“Senior-Priority Debt Documents” shall mean, with respect to any class of Senior-Priority Obligations, the credit
agreements, loan agreements, notes, indentures, Senior-Priority Collateral Documents or other operative agreements evidencing or governing such Senior-Priority Obligations, as the same may be amended, restated, supplemented or otherwise modified
from time to time. 
 “Senior-Priority Lien” shall mean any Lien on Collateral in favor of the Senior-Priority
Secured Parties that is senior in priority to the Lien on such Collateral in favor of the Junior-Priority Secured Parties pursuant to, and in accordance with, the Intercreditor Agreements. 

“Senior-Priority Obligations” shall mean the Obligations in respect of the Existing Secured Notes, the Credit
Agreement Obligations, the ABL Facility Obligations and any Additional Senior-Priority Obligations secured by the Collateral on a pari passu basis (but without regard to control of remedies) with any series of Existing Secured Notes, the
Credit Agreement Obligations or the ABL Facility Obligations (and, in each case, any and all guarantees in respect thereof). 

“Senior-Priority Registered Debt Securities” shall have the meaning assigned to such term in Section 2.01. 

“Senior-Priority Secured Parties” shall mean (a) the ABL Facility Secured Parties, (b) the Credit Agreement
Secured Parties, (c) the Existing Secured Notes Secured Parties and (d) any Additional Senior-Priority Obligation Secured Parties. 

“Series” shall mean (a) the 2023 Notes Obligations, (b) the 2024 Notes Obligations and (c) any Pari
Passu Debt Obligations which are represented by a common Authorized Representative. 
 “Subsidiary” shall mean, with
respect to any Person, (1) any corporation, association, or other business entity (other than a partnership, joint venture, limited liability company or similar entity) of which more than 50% of the total voting power of shares of Capital Stock
entitled (without regard to the occurrence of any contingency) to vote in the election of directors, managers or trustees thereof is at the time of determination owned or controlled, directly or indirectly, by such Person or one or more of the other
Subsidiaries of that Person or a combination thereof; or (2) any partnership, joint venture, limited liability company or similar entity of which: 

(a) more than 50% of the capital accounts, distribution rights, total equity and voting interests or general or limited partnership interests,
as applicable, are owned or controlled, 

  
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directly or indirectly, by such Person or one or more of the other Subsidiaries of that Person or a combination thereof whether in the form of membership, general, special or limited partnership
interests or otherwise; and 
 (b) such Person or any Subsidiary of such Person is a controlling general partner or otherwise controls such
entity. 
 “Subsidiary Guarantors” shall mean (a) the Subsidiaries identified on Schedule II hereto as
Subsidiary Guarantors and (b) each other Subsidiary that becomes a party to this Agreement as a Grantor after the date hereof. 

“Taxes” shall mean all present and future taxes, levies, imposts, deductions, charges, duties and withholdings and any
charges of a similar nature (including interest, penalties and other liabilities with respect thereto) that are imposed by any government or other taxing authority. 

“Trademark License” shall mean any written agreement, now or hereafter in effect, granting to any third person any
right to use any trademark now or hereafter owned by any Grantor or that any Grantor otherwise has the right to license, or granting to any Grantor any right to use any trademark now or hereafter owned by any third person, and all rights of any
Grantor under any such agreement. 
 “Trademarks” shall mean all of the following now owned or hereafter acquired by
any Grantor: (a) all registered trademarks, service marks, trade names, corporate names, company names, business names, fictitious business names, trade styles, trade dress, logos, other source or business identifiers, designs and general
intangibles of like nature, now existing or hereafter adopted or acquired, all registrations and recordings thereof, and all registration and recording applications filed in connection therewith, including registrations and applications for
registration (other than intent-to-use applications) in the United States Patent and Trademark Office (or any successor office) or any similar offices in any State of
the United States, and all extensions or renewals thereof, including those listed on Schedule VI, and (b) all goodwill associated therewith or symbolized thereby. 

“Transactions” shall mean Exchange Offers and the other transactions in connection therewith. 

“Unrestricted Subsidiary” shall mean any Subsidiary of the Company that at the time of determination is an
Unrestricted Subsidiary under a then existing Indenture. 
 ARTICLE II 

Pledge of Securities 

SECTION 2.01. Pledge. (a) As security for the payment or performance, as the case may be, in full of the Junior-Priority
Obligations, each Grantor hereby assigns and pledges to the Junior-Priority Collateral Agent, its successors and permitted assigns, for the ratable benefit of the Secured Parties, and hereby grants to the Junior-Priority Collateral Agent, its


  
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successors and permitted assigns, for the ratable benefit of the Secured Parties, a security interest in, all of such Grantor’s right, title and interest in, to and under (a)(i) the Capital
Stock owned by such Grantor on the date hereof (including all such Capital Stock listed on Schedule III), (ii) any other Capital Stock obtained in the future by such Grantor and (iii) the certificates representing all such Capital Stock
(all the foregoing collectively referred to herein as the “Pledged Stock”) (provided, however, that the Pledged Stock shall not include (A) more than 65% of the outstanding voting Capital Stock in any
Foreign Subsidiary of the Company, (B) any Capital Stock in any Non-Significant Subsidiary, (C) any Capital Stock in any Permitted Syndication Subsidiary, any Securitization Subsidiary or any
Permitted Joint Venture Subsidiary to the extent the pledge of the Capital Stock in such Subsidiary is prohibited by any applicable Contractual Obligation or requirement of law, or (D) any minority Capital Stock), (b)(i) the debt
securities held by such Grantor on the date hereof (including all such debt securities listed opposite the name of such Grantor on Schedule III), (ii) any debt securities in the future issued to such Grantor and (iii) the promissory
notes and any other instruments evidencing such debt securities (excluding any promissory notes issued by employees of any Grantor) (all the foregoing collectively referred to herein as the “Pledged Debt Securities”),
(c) all other property that may be delivered to and held by the Junior-Priority Collateral Agent pursuant to the terms of this Section 2.01, (d) subject to Section 2.06, all payments of principal or interest, dividends, cash,
instruments and other property from time to time received, receivable or otherwise distributed in respect of, in exchange for or upon the conversion of, and all other Proceeds received in respect of, the securities referred to in clauses (a)
and (b) above, (e) subject to Section 2.06, all rights and privileges of such Grantor with respect to the securities and other property referred to in clauses (a), (b), (c) and (d) above, and (f) all Proceeds of any of
the foregoing (the items referred to in clauses (a) through (f) above being collectively referred to as the “Pledged Collateral”). 

(b) Notwithstanding anything herein to the contrary, “Pledged Collateral” shall be limited as follows: (i) so
long as the Existing Secured Notes or any other hereafter issued debt securities of the Company constituting Senior-Priority Obligations that are registered under the Securities Act (together with the Existing Secured Notes, the
“Senior-Priority Registered Debt Securities”) are outstanding and subject to Rule 3-16 of Regulation S-X under the Securities Act
(“Rule 3-16”), the stock, other Capital Stock and other securities of a Subsidiary of Parent otherwise constituting Pledged Collateral will constitute Pledged Collateral only to the
extent that such stock, Capital Stock and other securities can secure the Senior-Priority Registered Debt Securities without Rule 3-16 (or any other U.S. Federal law, rule or regulation) requiring separate
financial statements of such Subsidiary to be filed with the SEC (or any other U.S. Federal government agency), (ii) in the event that Rule 3-16 (or any such other U.S. Federal law, rule or regulation)
requires or is amended, modified or interpreted by the SEC to require (or is replaced with another rule or regulation, or any other law, rule or regulation is adopted, which would require) the filing with the SEC (or any other governmental agency)
of separate financial statements of any Subsidiary due to the fact that such Subsidiary’s stock, Capital Stock or other securities secure any such Senior-Priority Registered Debt Securities, then the stock, Capital Stock and other securities of
such Subsidiary shall automatically be deemed not to be part of the Pledged Collateral (but only to the extent necessary to not be subject to such requirement) (such excluded portions of the stock, Capital Stock and other securities, the
“Excluded Stock Collateral”); provided, however, that if (a) Rule 3-16 is thereafter amended, modified or interpreted by the SEC to permit (or is replaced with
another rule or regulation, or any law, rule 

  
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or regulation is adopted, which would permit) such Subsidiary’s stock, Capital Stock and other securities to secure any such Senior-Priority Registered Debt Securities in excess of the
amount then pledged without filing with the SEC (or any other U.S. Federal governmental agency) of separate financial statements of such Subsidiary or (b) no Senior-Priority Registered Debt Securities are outstanding, then, in either case, the
stock, Capital Stock and other securities of such Subsidiary shall automatically be deemed to be Pledged Collateral (but, in the case of clause (i) above, only to the extent necessary to not be subject to any such financial statement
requirement) and (iii) in the event that a registration statement with respect to any Series of Pari Passu Debt Obligations has been filed with the SEC and is effective, the “Pledged Collateral” securing any such Series
shall, at all times while any debt securities of such Series are outstanding and subject to Rule 3-16, automatically be deemed not to include any Capital Stock which, if pledged to secure such Series, would
require the Company to file separate financial statements for any Subsidiary with the SEC; provided that, the limitation in this paragraph (b)(iii) shall not be applied to the Junior-Priority Obligations or to any Series of Pari Passu
Debt Obligations for which no such registration statement has been filed or is effective. 
 TO HAVE AND TO HOLD the Pledged Collateral,
together with all right, title, interest, powers, privileges and preferences pertaining or incidental thereto, unto the Junior-Priority Collateral Agent, its successors and permitted assigns, for the ratable benefit of the Secured Parties, forever;
subject, however, to the terms, covenants and conditions hereinafter set forth. 
 SECTION 2.02. Delivery of the Pledged
Collateral. (a) Each Grantor agrees promptly to deliver or cause to be delivered any and all certificates, promissory notes, instruments or other documents representing or evidencing Pledged Securities (other than Pledged Debt
Securities with a face amount less than $1,000,000) to (i) the Applicable Priority Agent or its designee (so long as Senior-Priority Obligations are outstanding, other than ABL Facility Obligations) or (ii) the Junior-Priority Collateral
Agent. 
 (b) Each Grantor agrees promptly to deliver or cause to be delivered any and all Pledged Debt Securities with a face amount in
excess of $1,000,000 to (i) the Applicable Priority Agent or its designee (so long as Senior-Priority Obligations are outstanding, other than ABL Facility Obligations) or (ii) the Junior-Priority Collateral Agent. 

(c) Upon delivery to the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, (i) any certificates,
promissory notes, instruments or other documents representing or evidencing pledges of Capital Stock shall be accompanied by undated stock powers duly executed in blank or other undated instruments of transfer satisfactory to the Applicable Priority
Agent or the Junior-Priority Collateral Agent, as applicable, and duly executed in blank and by such other instruments and documents as the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, may reasonably request and
(ii) all other property comprising part of the Pledged Collateral shall be accompanied by proper instruments of assignment duly executed by the applicable Grantor and such other instruments or documents as the Applicable Priority Agent or the
Junior-Priority Collateral Agent, as applicable, may reasonably request. Each delivery of Pledged Securities shall be accompanied by a schedule describing the applicable securities, which schedule shall be attached hereto as Schedule III and
made a part hereof; provided that failure to attach any such schedule hereto shall not affect the validity of the pledge of such Pledged Securities. Each schedule so delivered shall supplement any prior schedules so delivered. 

  
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 SECTION 2.03. Representations, Warranties and Covenants. The Grantors jointly and
severally represent, warrant and covenant to and with the Junior-Priority Collateral Agent, for the benefit of the Secured Parties, that: 

(a) As of the date hereof, Schedule III correctly sets forth the percentage of the issued and outstanding shares of each class of the Capital
Stock of the issuer thereof represented by such Pledged Stock and includes all Capital Stock, debt securities and promissory notes required to be pledged hereunder; 

(b) as of the date hereof, Schedule IV correctly sets forth all promissory notes and other evidence of indebtedness required to be pledged
hereunder including all intercompany notes between Parent and any subsidiary of Parent and any subsidiary of Parent and any other such subsidiary; 

(c) the Pledged Stock and Pledged Debt Securities have been duly and validly authorized and issued by the issuers thereof and (i) in the
case of Pledged Stock, are fully paid and nonassessable and (ii) in the case of Pledged Debt Securities, are legal, valid and binding obligations of the issuers thereof; 

(d) except for the security interests granted hereunder or otherwise permitted under the Indentures or the other Note Documents, each Grantor
(i) is and, subject to any transfers made in compliance with the Indentures, will continue to be the direct owner, beneficially and of record, of the Pledged Securities indicated on Schedule III as owned by such Grantor, (ii) holds the
same free and clear of all Liens other than Permitted Liens, and (iii) will not create or permit to exist any security interest in or other Lien on, the Pledged Collateral, other than in compliance with the Indentures and the other Note
Documents; 
 (e) except for restrictions and limitations imposed by any Pari Passu Agreement, the Note Documents, the Intercreditor
Agreements or securities or other laws generally, the Pledged Collateral is and will continue to be freely transferable and assignable, and none of the Pledged Collateral is or will be subject to any option, right of first refusal, shareholders
agreement, charter or by-law provisions or contractual restriction of any nature that might prohibit, impair, delay or otherwise affect the pledge of such Pledged Collateral hereunder, the sale or disposition
thereof pursuant hereto or the exercise by the Junior-Priority Collateral Agent of rights and remedies hereunder other than Permitted Liens; 

(f) each Grantor (i) has the power and authority to pledge the Pledged Collateral pledged by it hereunder in the manner hereby done or
contemplated and (ii) will defend its title or interest thereto or therein against any and all Liens (other than any Lien created or permitted by the Note Documents or any Pari Passu Agreement), however arising, of all persons whomsoever; 

(g) no material consent or approval of any Governmental Authority or any securities exchange was or is necessary to the validity of the pledge
effected hereby (other than such as have been obtained and are in full force and effect); 

  
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 (h) by virtue of the execution and delivery by each Grantor of this Agreement, when any Pledged
Securities are delivered to the Applicable Priority Agent or the Junior-Priority Collateral Agent in accordance with this Agreement, the Junior-Priority Collateral Agent will obtain a legal, valid and perfected lien upon and security interest in
such Pledged Securities, as security for the payment and performance of the Junior-Priority Obligations; and 
 (i) subject to the terms of
the Intercreditor Agreements, the pledge effected hereby is effective to vest in the Junior-Priority Collateral Agent, for the ratable benefit of the Secured Parties, the rights of the Junior-Priority Collateral Agent in the Pledged Collateral as
set forth herein. 
 SECTION 2.04. Certification of Limited Liability Company Interests and Limited Partnership Interests. If
any Pledged Collateral is not a security pursuant to Section 8-103 of the Uniform Commercial Code, no Grantor shall take any action that, under such Section, converts such Pledged Collateral into a
security without causing the issuer thereof to issue to it certificates or instruments evidencing such Pledged Collateral, which it shall promptly deliver to the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, as
provided in Section 2.02. 
 SECTION 2.05. Registration in Nominee Name; Denominations. Subject to the terms of the
Intercreditor Agreements, the Junior-Priority Collateral Agent, on behalf of the Secured Parties, shall have the right (in its sole and absolute discretion), upon the occurrence and during the continuance of an Event of Default, to hold the Pledged
Securities in its own name as pledgee, the name of its nominee (as pledgee or as sub-agent) or the name of the applicable Grantor, endorsed or assigned in blank or in favor of the Junior-Priority Collateral
Agent. Each Grantor will promptly give to the Junior-Priority Collateral Agent copies of any material written notices or other material written communications received by it with respect to Pledged Securities in its capacity as the registered owner
thereof. After the occurrence and during the continuance of an Event of Default, subject to the terms of the Intercreditor Agreements, the Junior-Priority Collateral Agent shall at all times have the right to exchange the certificates representing
Pledged Securities for certificates of smaller or larger denominations for any purpose consistent with this Agreement. 
 SECTION 2.06.
Voting Rights; Dividends and Interest, Etc. (a) Unless and until an Event of Default shall have occurred and be continuing and the Junior-Priority Collateral Agent shall have given the Grantors notice of its intent to exercise its
rights under this Agreement (which notice shall be deemed to have been given immediately upon the occurrence of an Event of Default under Section 6.1(a)(6) or (7) of the 2023 Notes Indenture): 

(i)    Each Grantor shall be entitled to exercise any and all voting and/or other consensual rights and
powers inuring to an owner of Pledged Securities or any part thereof for any purpose consistent with the terms of this Agreement, the Indentures and the other Note Documents; provided, however, that such rights and powers shall not be
exercised in any manner that could reasonably be expected to materially and adversely affect the rights inuring to a holder of any Pledged Securities or the rights and remedies of any of the Junior-Priority Collateral Agent or the other Secured
Parties under this Agreement, any Pari Passu Agreement, the Indentures or any other Note Documents or the ability of the Secured Parties to exercise the same. 

  
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 (ii)    The Junior-Priority Collateral Agent shall execute
and deliver to each Grantor, or cause to be executed and delivered to each Grantor, all such proxies, powers of attorney and other instruments as such Grantor may reasonably request for the purpose of enabling such Grantor to exercise the voting
and/or consensual rights and powers it is entitled to exercise pursuant to paragraph (i) above. 

(iii)    Each Grantor shall be entitled to receive and retain any and all dividends, interest, principal
and other distributions paid on or distributed in respect of the Pledged Securities to the extent and only to the extent that such dividends, interest, principal and other distributions are permitted by, and otherwise paid or distributed in
accordance with, the terms and conditions of the Indentures, the other Note Documents, and any Pari Passu Agreement, and applicable law; provided, however, that any noncash dividends, interest, principal or other distributions that
would constitute Pledged Stock or Pledged Debt Securities, whether resulting from a subdivision, combination or reclassification of the outstanding Capital Stock of the issuer of any Pledged Securities or received in exchange for Pledged Securities
or any part thereof, or in redemption thereof, or as a result of any merger, consolidation, acquisition or other exchange of assets to which such issuer may be a party or otherwise, shall be and become part of the Pledged Collateral, and, if
received by any Grantor, shall not be commingled by such Grantor with any of its other funds or property but shall be held separate and apart therefrom, shall be held in trust for the ratable benefit of the Secured Parties and shall be forthwith
delivered to the Junior-Priority Collateral Agent in the same form as so received (with any necessary endorsement or instrument of assignment). This paragraph (iii) shall not apply to dividends between or among the Company, the Guarantors and
any Subsidiaries only of property subject to a perfected security interest under this Agreement. 
 (b) Subject to the terms of the
Intercreditor Agreements, to the fullest extent permitted by applicable law, upon the occurrence and during the continuance of an Event of Default, after the Junior-Priority Collateral Agent shall have notified (or shall be deemed to have notified
pursuant to Section 2.06(a)) the Grantors of the suspension of their rights under paragraph (a)(iii) of this Section 2.06, then: 

(i) all rights of any Grantor to dividends, interest, principal or other distributions that such Grantor is authorized to
receive pursuant to paragraph (a)(iii) of this Section 2.06 shall cease, and all such rights shall thereupon become vested in the Junior-Priority Collateral Agent, which shall have the sole and exclusive right and authority to receive and
retain such dividends, interest, principal or other distributions; 
 (ii) all dividends, interest, principal or other
distributions received by any Grantor contrary to the provisions of this Section 2.06 shall be held in trust for the benefit of the Junior-Priority Collateral Agent, shall be segregated from other


  
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property or funds of such Grantor and shall be forthwith delivered to the Junior-Priority Collateral Agent upon demand in the same form as so received (with any necessary endorsement or
instrument of assignment); and 
 (iii) any and all money and other property paid over to or received by the Junior-Priority
Collateral Agent pursuant to the provisions of this paragraph (b) shall be retained by the Junior-Priority Collateral Agent in an account to be established by the Junior-Priority Collateral Agent upon receipt of such money or other property and
shall be applied in accordance with the provisions of Section 4.02. 
 After all Events of Default have been cured or waived and each applicable
Grantor has delivered to each Authorized Representative certificates to that effect, the Junior-Priority Collateral Agent shall, promptly after all such Events of Default have been cured or waived, repay to each applicable Grantor (without interest)
all dividends, interest, principal or other distributions that such Grantor would otherwise be permitted to retain pursuant to the terms of paragraph (a)(iii) of this Section 2.06 and that remain in such account. 

(c) Subject to the terms of the Intercreditor Agreements, upon the occurrence and during the continuance of an Event of Default, after the
Junior-Priority Collateral Agent shall have notified (or shall be deemed to have notified pursuant to Section 2.06(a)) the Grantors of the suspension of their rights under paragraph (a)(i) of this Section 2.06, then all rights of any
Grantor to exercise the voting and consensual rights and powers it is entitled to exercise pursuant to paragraph (a)(i) of this Section 2.06, and the obligations of the Junior-Priority Collateral Agent under paragraph (a)(ii) of this
Section 2.06, shall cease, and, subject to compliance with any applicable healthcare laws, all such rights shall thereupon become vested in the Junior-Priority Collateral Agent, which shall have the sole and exclusive right and authority to
exercise such voting and consensual rights and powers; provided that the Junior-Priority Collateral Agent shall have the right from time to time following and during the continuance of an Event of Default to permit the Grantors to exercise
such rights. After all Events of Default have been cured or waived and each applicable Grantor has delivered to each Authorized Representative a certificate to that effect, such voting and consensual rights shall automatically vest in the applicable
Grantor, and the Junior-Priority Collateral Agent shall (1) take such steps reasonably requested by the applicable Grantor, at such Grantor’s expense, to allow all Pledged Securities registered under its name to be registered under the
name of the applicable Grantor and (2) promptly repay to each applicable Grantor (without interest) all dividends, interest, principal or other distributions that such Grantor would otherwise have been permitted to retain pursuant to the terms
of paragraph (a) of this Section 2.06 that were not applied to repay the Junior-Priority Obligations. 
 (d) Any notice given by
the Junior-Priority Collateral Agent to the Grantors exercising its rights under paragraph (a) of this Section 2.06 (i) may be given by telephone if promptly confirmed in writing, (ii) may be given to one or more of the Grantors at
the same or different times and (iii) may suspend the rights of the Grantors under paragraph (a)(i) or paragraph (a)(iii) in part without suspending all such rights (as specified by the Junior-Priority Collateral Agent in its sole and absolute
discretion) and without waiving or otherwise affecting the Junior-Priority Collateral Agent’s rights to give additional notices from time to time suspending other rights so long as an Event of Default has occurred and is continuing. 

  
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 ARTICLE III 

Security Interests in Personal Property 

SECTION 3.01. Security Interest. (a) As security for the payment or performance, as the case may be, in full of the
Junior-Priority Obligations, each Grantor hereby assigns and pledges to the Junior-Priority Collateral Agent, its successors and permitted assigns, for the ratable benefit of the Secured Parties, and hereby grants to the Junior-Priority Collateral
Agent, its successors and permitted assigns, for the ratable benefit of the Secured Parties, a security interest (the “Security Interest”), in all right, title or interest in or to any and all of the following assets and
properties now owned or at any time hereafter acquired by such Grantor or in which such Grantor now has or at any time in the future may acquire any right, title or interest (collectively, the “Article 9
Collateral”): 
 (i)    all Accounts; 

(ii)    all Chattel Paper; 

(iii)    all Documents; 

(iv)    all Equipment; 

(v)    all General Intangibles; 

(vi)    all Instruments; 

(vii)    all Inventory; 

(viii)    all Investment Property; 

(ix)    all
Letter-of-Credit Rights; 

(x)    all Commercial Tort Claims; 

(xi)    all books and records pertaining to the Article 9 Collateral; and 

(xii)    to the extent not otherwise included, all Proceeds and products of any and all of the foregoing
and all collateral security and guarantees given by any person with respect to any of the foregoing. 
 Notwithstanding anything herein to the contrary, in
no event shall the Collateral include, and no Grantor shall be deemed to have granted a security interest in, the following property and assets of the Grantors: (I) any General Intangible, Instrument, license, property right, permit or any
other contract or agreement to which a Grantor is a party or any of its rights or interests thereunder if and for so long as the grant of such security interest will constitute or result in (x) 

  
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the abandonment, invalidation or unenforceability of any right, title or interest of the Grantor therein, (y) a violation of a valid and enforceable restriction in respect of such General
Intangible, Instrument, license, property right, permit or any other contract or agreement or other such rights (1) in favor of a third party or (2) under any law, regulation, permit, order or decree of any Governmental Authority or
(z) a breach or termination (or result in any party thereto having the right to terminate) pursuant to the terms of, or a default under, such General Intangible, Instrument, license, property right, permit or any other contract or agreement
(other than to the extent that any such term would be rendered ineffective pursuant to Section 9-406, 9-407, 9-408 or 9-409 of the New York UCC or any other applicable law or principles of equity); provided, however, that such security interest will attach immediately at such time as the condition causing such
abandonment, invalidation, unenforceability or breach or termination, as the case may be, is remedied and, to the extent severable, any portion of such General Intangible, Instrument, license, property right, permit or any other contract or
agreement that does not result in any of the consequences specified in the immediately preceding clause (x), (y) or (z), including any proceeds of such General Intangible, Instrument, license, property rights, permit or any other contract or
agreement, will become Collateral immediately, (II) more than 65% of the outstanding voting Capital Stock in any Foreign Subsidiary of the Company; (III) any Capital Stock in any Non-Significant
Subsidiary; (IV) any Capital Stock in any Permitted Syndication Subsidiary, any Securitization Subsidiary or any Permitted Joint Venture Subsidiary to the extent the pledge of the Capital Stock in such Subsidiary is prohibited by any applicable
Contractual Obligation or requirement of law; (V) any vehicle or other asset subject to certificate of title; (VI) any asset that requires perfection through control agreements (including, to the extent required in the relevant
jurisdiction for deposit accounts and investment property); (VII) any minority Capital Stock; (VIII) (A) with respect to any assets that would otherwise constitute Non-ABL Priority Collateral, any such
assets with respect to which the Non-ABL Senior Collateral Agent reasonably determines that the cost of creating and/or perfecting a security interest therein is excessive in relation to the benefit to the
Senior-Priority Secured Parties (other than the ABL Facility Secured Parties) or that the granting or perfection of a security interest therein would violate applicable law or regulation and (B) with respect to any assets that would otherwise
constitute ABL Priority Collateral, any such assets with respect to which the ABL Collateral Agent reasonably determines that the cost of creating and/or perfecting a security interest therein is excessive in relation to the benefit to the ABL
Facility Secured Parties or that the granting or perfection of a security interest therein would violate applicable law or regulation; (IX) any assets (other than any General Intangible, Instrument, license, property right, permit or any other
contract or agreement) owned by any Grantor that are subject to (i) Liens securing Indebtedness to finance the acquisition, construction or improvement of fixed or capital assets permitted by Section 6.02(n) of the Credit Agreement or
(ii) any Lien existing on any property or asset prior to the acquisition thereof by the Company or any Subsidiary or existing on property or assets of any Person becoming a Subsidiary after the date hereof prior to the time such Person becomes
a Subsidiary, in each case, permitted by Section 6.02(c) of the Credit Agreement, and in the case of each of clause (i) and (ii) above, only to the extent and for so long as such Lien exists and the terms of the Indebtedness or Obligations
secured thereby prevent the grant of a security interest in such assets to secure Senior-Priority Obligations or Junior-Priority Obligations; (X) Excluded Stock Collateral but only to the extent that, and for so long as, the inclusion of such
Excluded Stock Collateral as collateral for any outstanding Senior-Priority Registered Debt Securities would have required the Company to file separate financial statements for any subsidiary with the SEC; and (XI) any leasehold interest in
real property (collectively, the “Excluded Assets”). 

  
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 (b) Each Grantor hereby irrevocably authorizes the Junior-Priority Collateral Agent at any time
and from time to time to file in any relevant jurisdiction any initial financing statements (including fixture filings) with respect to the Article 9 Collateral or any part thereof and amendments thereto that (i) indicate the
Article 9 Collateral as “all assets” of such Grantor or words of similar effect, and (ii) contain the information required by Article 9 of the Uniform Commercial Code of each applicable jurisdiction for the filing of any
financing statement or amendment, including (A) whether such Grantor is an organization, the type of organization and any organizational identification number issued to such Grantor and (B) in the case of a financing statement filed as a
fixture filing, a sufficient description of the real property to which such Article 9 Collateral relates. Each Grantor agrees to provide such information to the Junior-Priority Collateral Agent promptly upon request. 

(c) Each Grantor also ratifies its authorization for the Junior-Priority Collateral Agent to file in any relevant jurisdiction any initial
financing statements or amendments thereto if filed prior to the date hereof. 
 (d) The Junior-Priority Collateral Agent is further
authorized to file with the United States Patent and Trademark Office or United States Copyright Office (or any successor office) such documents as may be necessary or advisable for the purpose of perfecting, confirming, continuing, enforcing or
protecting the Security Interest granted by each Grantor, without the signature of any Grantor, and naming any Grantor or the Grantors as debtors and the Junior-Priority Collateral Agent as secured party. 

(e) The Security Interest is granted as security only and shall not subject the Junior-Priority Collateral Agent or any other Secured Party
to, or in any way alter or modify, any obligation or liability of any Grantor with respect to or arising out of the Article 9 Collateral. 

SECTION 3.02. Representations and Warranties. The Grantors jointly and severally represent and warrant to the Junior-Priority
Collateral Agent and the Secured Parties that: 
 (a) Each Grantor has good and valid rights in and marketable title to the Article 9
Collateral with respect to which it has purported to grant a Security Interest hereunder and has full power and authority to grant to the Junior-Priority Collateral Agent, for the ratable benefit of the Secured Parties, the Security Interest in such
Article 9 Collateral pursuant hereto and to execute, deliver and perform its obligations in accordance with the terms of this Agreement, without the consent or approval of any other person other than any consent or approval that has been
obtained or any other consent where the failure to obtain such consent could not reasonably be expected to have a material adverse effect on (i) the business, assets, operations, financial condition or operating results of the Grantors, taken
as a whole, or (ii) the ability of the Grantors, taken as a whole, to pay or perform, as the case may be, in full the Junior-Priority Obligations. 

(b) The Schedules attached hereto have been duly prepared and completed and the information set forth therein (including (x) the exact
legal name of each Grantor in Schedule I 

  
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and (y) the jurisdiction of organization of each Grantor in Schedule I) is true and correct in all material respects as of the date hereof. Uniform Commercial Code financing statements
(including fixture filings, as applicable) or other appropriate filings, recordings or registrations containing a description of the Article 9 Collateral have been prepared by, or at the direction of, the Company in accordance with the
information provided to each Authorized Representative in the applicable Schedules attached hereto for filing in each governmental, municipal or other office specified in Schedule I (or specified by notice from the Company to each Authorized
Representative after the date hereof in the case of filings, recordings or registrations required by Section 3.04(a)), which are all the filings, recordings and registrations (other than filings required to be made in the United States Patent
and Trademark Office and the United States Copyright Office in order to perfect the Security Interest in the Article 9 Collateral consisting of United States Patents, Trademarks and Copyrights (to the extent that perfection can be achieved by
such filings)) that are necessary to publish notice of and protect the validity of and to establish a legal, valid and perfected security interest in favor of the Junior-Priority Collateral Agent (for the ratable benefit of the Secured Parties) in
respect of all Article 9 Collateral in which the Security Interest may be perfected by filing, recording or registration in the United States (or any political subdivision thereof) and its territories and possessions, and no further or
subsequent filing, refiling, recording, rerecording, registration or reregistration is necessary in any such jurisdiction, except as provided under applicable law with respect to the filing of continuation statements. Each Grantor represents and
warrants that a fully executed short form agreement in form and substance reasonably satisfactory to the Junior-Priority Collateral Agent, and containing a description of all Article 9 Collateral consisting of pending and issued United States
Patents and United States Trademarks and United States Copyrights will be delivered to the Junior-Priority Collateral Agent as of or prior to the date hereof for timely recording with the United States Patent and Trademark Office and the United
States Copyright Office pursuant to 35 U.S.C. §261, 15 U.S.C. §1060 or 17 U.S.C. §205 and the regulations thereunder. 

(c) As of the date hereof, Schedule I correctly sets forth (i) the exact legal name of each Grantor, as such name appears in its
respective certificate of formation; (ii) the jurisdiction of formation of each Grantor that is a registered organization; (iii) the Organizational Identification Number, if any, issued by the jurisdiction of formation of each Grantor that
is a registered organization; (iv) the chief executive office of each Grantor; and (v) all locations where Grantor maintains any material books or records relating to any Accounts Receivables. 

(d) As of the date hereof, Schedule V correctly sets forth, with respect to each Mortgaged Property, (i) the exact name of the person
that owns such property as such name appears in its certificate of formation or other organizational document; (ii) if different from the name identified pursuant to clause (i), the exact name of the current record owner of such property
reflected in the records of the filing office for such property identified pursuant to the following clause (iii); and (iii) the filing office in which a mortgage with respect to such property must be filed or recorded in order for the
Junior-Priority Collateral Agent to obtain a perfected security interest therein. 
 (e) As of the date hereof, Schedule VI correctly sets
forth, in proper form for filing with (a) the United States Patent and Trademark Office a list of each issued and pending Patent and Trademark, including, as applicable, the name of the registered owner and the registration number of each
Patent and Trademark owned by any Grantor and (b) the United States Copyright Office a list of each Copyright, including the name of the registered owner and the registration number of each Copyright owned by any Grantor. 

  
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 (f) The Security Interest constitutes (i) a legal and valid security interest in all
Article 9 Collateral securing the payment and performance of the Junior-Priority Obligations, (ii) subject to the qualifications and filings described in Section 3.02(b) (including payment of applicable fees in connection therewith),
a perfected security interest in all Article 9 Collateral in which and to the extent a security interest may be perfected by filing, recording or registering a financing statement or analogous document in the United States (or any political
subdivision thereof) and its territories and possessions pursuant to the Uniform Commercial Code or other applicable law in such jurisdictions and (iii) a security interest that shall be perfected in all Article 9 Collateral in which a
security interest may be perfected upon the receipt and recording of this Agreement (or short form thereof) with the United States Patent and Trademark Office and the United States Copyright Office, as applicable. The Security Interest is and shall
be (i) a second-priority security interest in the Non-ABL Priority Collateral and a third-priority security interest in the ABL Priority Collateral, as applicable, for any of the Article 9 Collateral
and (ii) subject to any Permitted Liens that have priority as a matter of law. 
 (g) The Article 9 Collateral is owned by the
Grantors free and clear of any Lien, except for Permitted Liens. No Grantor has filed or consented to the filing of (i) any financing statement or analogous document under the Uniform Commercial Code or any other applicable laws covering any
Article 9 Collateral, (ii) any assignment in which any Grantor assigns any Collateral or any security agreement or similar instrument covering any Article 9 Collateral with the United States Patent and Trademark Office or the United
States Copyright Office, (iii) any notice under the Assignment of Claims Act, or (iv) any assignment in which any Grantor assigns any Article 9 Collateral or any security agreement or similar instrument covering any Article 9
Collateral with any foreign governmental, municipal or other office, which financing statement or analogous document, assignment, security agreement or similar instrument is still in effect, except, in each case, for Permitted Liens. As of the date
hereof, no Grantor holds any Commercial Tort Claims in an amount in excess of $5,000,000 except as indicated on Schedule VII. 
 SECTION
3.03. Covenants. (a) Each Grantor agrees promptly to notify the Junior-Priority Collateral Agent in writing of any change in (i) its legal name and/or address, (ii) its identity or type of organization or corporate
structure, (iii) its Federal Taxpayer Identification Number or organizational identification number or (iv) its jurisdiction of organization. Each Grantor agrees promptly to provide the Junior-Priority Collateral Agent with certified
organizational documents reflecting any of the changes described in the first sentence of this paragraph. Each Grantor agrees not to effect or permit any change referred to in the preceding sentence unless, at its own cost and expense, all filings
have been made under the Uniform Commercial Code or otherwise that are required in order for the Junior-Priority Collateral Agent to continue at all times following such change to have a valid, legal and perfected security interest in all the
Article 9 Collateral. Each Grantor agrees promptly to notify the Junior-Priority Collateral Agent if any material portion of the Article 9 Collateral owned or held by such Grantor is damaged or destroyed. 

  
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 (b) Each Grantor agrees to maintain, at its own cost and expense, such complete and accurate
records (in all material respects) with respect to the Article 9 Collateral owned by it as is consistent with its current practices and in accordance with such prudent and standard practices used in industries that are the same as or similar to
those in which such Grantor is engaged, but in any event to include complete accounting records (in all material respects) indicating all material payments and proceeds received with respect to any part of the Article 9 Collateral. 

(c) Each year, at the time of delivery of annual financial statements with respect to the preceding fiscal year pursuant to
Section 3.10(a) of the 2023 Notes Indenture, the Company shall deliver to the Junior-Priority Collateral Agent a certificate executed by an Officer of the Company setting forth in the format of Schedule VI all Intellectual Property of any
Grantor in existence on the date thereof that, if it had existed on the date hereof, would have been required to be listed in such Schedule, and not then listed on such Schedules or previously so identified to the Junior-Priority Collateral Agent.

 (d) Each Grantor shall, at its own expense, take any and all commercially reasonable actions necessary to defend title to the
Article 9 Collateral against all persons and to defend the Security Interest of the Junior-Priority Collateral Agent in the Article 9 Collateral and the priority thereof against any Lien other than Permitted Liens. 

(e) The Grantors shall, at their own expense, on or within five Business Days following the date hereof, (i) record and file all Uniform
Commercial Code financing statements prepared pursuant to Section 3.02(b) and (ii) execute and file all Intellectual Property security agreements required or desirable in connection with the perfection of the Security Interests in
Collateral in existence as of the date hereof constituting U.S. Intellectual Property registrations and applications. 
 (f) Each Grantor
will, at its own expense, (i) take steps to maintain the security interest created, or intended to be created, by this Agreement in the Collateral as a valid, legal, enforceable and perfected security interest and, without limiting the
foregoing, will file all Uniform Commercial Code continuation statements or amendments as may be required by Article 9 of the Uniform Commercial Code of each applicable jurisdiction to continue the perfection of the security interest created, or
intended to be created, by this Agreement in the Collateral as a perfected security interest, (ii) take all actions reasonably required from time to time to ensure recordation of evidence of the security interest created, or intended to be created,
by this Agreement in Collateral constituting Intellectual Property by execution and filing of Intellectual Property security agreements, or supplements thereto, with the United States Patent and Trademark Office or the United States Copyright
Office, as applicable, with respect to U.S. Intellectual Property registrations and applications and (iii) provide prompt written notice to the Junior-Priority Collateral Agent, in accordance with the procedures set forth in Section 6.01,
of any filings or amendments made pursuant to the above clauses (i) and (ii). 
 (g) Each Grantor agrees, at its own expense, promptly
to execute, acknowledge, deliver and cause to be duly filed all such further instruments and documents and take all such actions that may be required under applicable law or that any Authorized Representative or the Junior-Priority Collateral Agent
may from time to time reasonably request to obtain, preserve, 

  
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protect and perfect (to the extent that perfection can be achieved under any applicable law by such filings and actions) the Security Interest and the rights and remedies created hereby,
including the payment of any fees and Taxes required in connection with the execution and delivery of this Agreement, the granting of the Security Interest and the filing of any financing or continuation statements (including fixture filings) or
other documents in connection herewith or therewith. If any amount payable to any Grantor under or in connection with any of the Article 9 Collateral shall be or become evidenced by any promissory note or other instrument with a face amount in
excess of $1,000,000, such note or instrument shall be promptly pledged and delivered to the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, duly endorsed in a manner reasonably satisfactory to the Junior-Priority
Collateral Agent. 
 Without limiting the generality of the foregoing, each Grantor hereby authorizes the Junior-Priority Collateral Agent,
with prompt notice thereof to Grantors, to supplement this Agreement by supplementing Schedule VI or adding additional schedules hereto to identify any such assets or items identified by such Grantor each year, at the time of delivery of annual
financial statements with respect to the preceding fiscal year pursuant to Section 3.10(a) of the 2023 Notes Indenture that may constitute U.S. registrations or applications for Copyrights, Patents or Trademarks owned by such Grantor. Each
Grantor agrees that it will use its commercially reasonable efforts to take such action as shall be necessary, and which the Junior-Priority Collateral Agent may from time to time reasonably request, in order that all representations and warranties
hereunder shall be true and correct in all material respects with respect to such Collateral within 45 days after the date it has notified the Junior-Priority Collateral Agent of the specific identification of such Collateral. 

(h) The Junior-Priority Collateral Agent and such persons as the Junior-Priority Collateral Agent may designate shall have the right to
inspect, subject to a reasonable prior notice to each Grantor, the Article 9 Collateral, all records related thereto (and to make extracts and copies from such records) and the premises upon which any of the Article 9 Collateral is
located, to discuss the applicable Grantor’s affairs with the officers of such Grantor and its independent accountants and to verify the existence, validity, amount, quality, quantity, value, condition and status of, or any other matter
relating to, the Article 9 Collateral, including, in the case of Accounts or other Article 9 Collateral in the possession of any third person, after the occurrence and during the continuance of an Event of Default, by contacting Account Debtors
or the third person possessing such Article 9 Collateral for the purpose of making such a verification, subject in each case to the requirements of applicable law, including healthcare laws, data privacy and third party confidentiality
obligations, all at the expense of the Company; provided that, excluding any such visits and inspections during the continuation of an Event of Default, only one such visit during any fiscal year shall be at the Company’s expense. The
Junior-Priority Collateral Agent shall have the absolute right to share any information it gains from such inspection or verification with any Secured Party, subject in each case to the requirements of applicable law, including healthcare laws, data
privacy and third party confidentiality obligations. 
 (i) Subject to the terms of the Intercreditor Agreements, at its option, upon the
occurrence and during the continuation of an Event of Default, the Junior-Priority Collateral Agent may, with five Business Days’ prior written notice to the relevant Grantor, discharge past due Taxes, assessments, charges, fees, Liens,
security interests or other encumbrances at any 

  
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time levied or placed on the Article 9 Collateral and not expressly permitted pursuant to the Indentures, the other Note Documents or the Pari Passu Agreements, and may pay for the
maintenance and preservation of the Article 9 Collateral to the extent any Grantor fails to do so as required by the Indentures, any Pari Passu Agreement or this Agreement, and each Grantor jointly and severally agrees to reimburse the
Junior-Priority Collateral Agent within five Business Days after written demand for any reasonable payment made or any reasonable expense incurred by the Junior-Priority Collateral Agent pursuant to the foregoing authorization; provided,
however, that nothing in this paragraph shall be interpreted as excusing any Grantor from the performance of, or imposing any obligation on the Junior-Priority Collateral Agent or any Secured Party to cure or perform, any covenants or other
promises of any Grantor with respect to Taxes, assessments, charges, fees, Liens, security interests or other encumbrances and maintenance as set forth herein, in the other Note Documents or in the Pari Passu Agreements. 

(j) If at any time any Grantor shall take a security interest in any property of an Account Debtor or any other person valued in excess of
$1,000,000 to secure payment and performance of an Account, such Grantor shall promptly assign such security interest to the Junior-Priority Collateral Agent for the ratable benefit of the Secured Parties. Such assignment need not be filed of public
record unless necessary to continue the perfected status of the security interest against creditors of and transferees from the Account Debtor or other person granting the security interest. 

(k) Except to the extent otherwise expressly agreed by the Junior-Priority Collateral Agent, each Grantor shall remain liable to observe and
perform all the conditions and obligations to be observed and performed by it under each contract, agreement or instrument relating to the Article 9 Collateral, all in accordance with the terms and conditions thereof, and each Grantor jointly
and severally agrees to indemnify and hold harmless the Junior-Priority Collateral Agent and the Secured Parties from and against any and all liability for such performance in accordance with Section 6.06 of this Agreement. 

(l) No Grantor shall make or permit to be made an assignment, pledge or hypothecation of the Article 9 Collateral or shall grant any other
Lien in respect of the Article 9 Collateral or permit any notice to be filed under the Assignment of Claims Act, except, in each case, as expressly permitted by the then existing Indentures, the other Note Documents and the Pari Passu Agreements. No
Grantor shall make or permit to be made any transfer of the Article 9 Collateral, except as permitted by the then existing Indentures, the other Note Documents and the Pari Passu Agreements. 

(m) No Grantor will, without the Junior-Priority Collateral Agent’s prior written consent, grant any extension of the time of payment of
any Accounts included in the Article 9 Collateral, compromise, compound or settle the same for less than the full amount thereof (unless the aggregate amount of such compromised or settled Accounts in any fiscal year is not in excess of
$5,000,000), release, wholly or partly, any person liable for the payment thereof (unless the aggregate amount of such compromised or settled Accounts in any fiscal year is not in excess of $5,000,000) or allow any credit or discount whatsoever
thereon (unless the aggregate amount of such compromised or settled Accounts in any fiscal year is not in excess of $5,000,000), other than extensions, credits, discounts, compromises, compoundings or settlements in each case granted or made in the
ordinary course of business. 

  
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 (n) Each Grantor, at its own expense, shall maintain or cause to be maintained insurance covering
physical loss or damage to the Inventory and Equipment in accordance with the requirements set forth in the then existing Indentures, the other Note Documents and the Pari Passu Agreements. Subject to the terms of the Intercreditor Agreements, each
Grantor irrevocably makes, constitutes and appoints the Junior-Priority Collateral Agent (and all officers, employees or agents designated by the Junior-Priority Collateral Agent) as such Grantor’s true and lawful agent (and attorney-in-fact) for the purpose, upon the occurrence and during the continuance of an Event of Default, of making, settling and adjusting claims in respect of Article 9
Collateral under policies of insurance, endorsing the name of such Grantor on any check, draft, instrument or other item of payment for the proceeds of such policies of insurance and for making all determinations and decisions with respect thereto
(provided that the Junior-Priority Collateral Agent shall give five Business Days’ prior written notice to such Grantor prior to exercising its rights in such capacity). In the event that any Grantor at any time or times shall fail to
obtain or maintain any of the policies of insurance required hereby or under the Indentures, the other Note Documents or the Pari Passu Agreements or to pay any premium in whole or part relating thereto, the Junior-Priority Collateral Agent may,
without waiving or releasing any obligation or liability of any Grantor hereunder or any Event of Default, in its sole reasonable discretion, upon notice to the Grantors, obtain and maintain such policies of insurance and pay such premium and take
any other actions with respect thereto as the Junior-Priority Collateral Agent reasonably deems advisable. All sums disbursed by the Junior-Priority Collateral Agent in connection with this paragraph, including reasonable attorneys’ fees, court
costs, out-of-pocket expenses and other charges relating thereto, shall be payable, within five Business Days of written demand (accompanied by supporting documentation
therefor in reasonable detail), by the Grantors to the Junior-Priority Collateral Agent and shall be additional Junior-Priority Obligations secured hereby. 

SECTION 3.04. Other Actions. In order to further insure the attachment, perfection and priority of, and the ability of the
Junior-Priority Collateral Agent to enforce, the Security Interest in the Article 9 Collateral, each Grantor agrees, in each case at such Grantor’s own expense, to take the following actions with respect to the following Article 9
Collateral:  
 (a) Instruments. If any Grantor shall at any time hold or
acquire any Instruments (other than any Instruments in an amount no greater than $1,000,000) that have not been pledged hereunder, such Grantor shall forthwith endorse, assign and deliver the same to the Applicable Priority Agent or the
Junior-Priority Collateral Agent, as applicable, accompanied by such undated instruments of endorsement, transfer or assignment duly executed in blank as the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, may from
time to time reasonably request. 
 (b) Electronic Chattel Paper and Transferable Records. If any Grantor at any time holds or
acquires an interest in any material Electronic Chattel Paper or any material “transferable record”, as that term is defined in Section 201 of the Federal Electronic Signatures in Global and National Commerce Act, or in
Section 16 of the Uniform Electronic Transactions Act as in effect in any relevant jurisdiction, such Grantor shall promptly notify the Junior-Priority Collateral Agent thereof and shall take such action as reasonably necessary (as determined
in good faith by such Grantor) to vest in the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, control under New York UCC Section 9-105 of such


  
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Electronic Chattel Paper or control under Section 201 of the Federal Electronic Signatures in Global and National Commerce Act or, as the case may be, Section 16 of the Uniform
Electronic Transactions Act, as so in effect in such jurisdiction, of such transferable record. The Junior-Priority Collateral Agent agrees with such Grantor that the Junior-Priority Collateral Agent will arrange, pursuant to procedures reasonably
satisfactory to the Junior-Priority Collateral Agent and so long as such procedures will not result in the Junior-Priority Collateral Agent’s loss of control, for the Grantor to make alterations to the Electronic Chattel Paper or transferable
record permitted under Uniform Commercial Code Section 9-105 or, as the case may be, Section 201 of the Federal Electronic Signatures in Global and National Commerce Act or Section 16 of the
Uniform Electronic Transactions Act for a party in control to allow without loss of control, unless an Event of Default has occurred and is continuing or would occur after taking into account any action by such Grantor with respect to such
Electronic Chattel Paper or transferable record. Notwithstanding the foregoing, no Grantor shall be obligated to deliver to the Junior-Priority Collateral Agent or the Applicable Priority Agent any Electronic Chattel Paper held by such Grantor with
a face amount less than $1,000,000, provided that the aggregate face amount of the Electronic Chattel Paper so excluded pursuant to this sentence shall not exceed $10,000,000 at any time. 

(c) Letter-of-Credit Rights. If any Grantor is
at any time a beneficiary under a letter of credit with a face amount exceeding $2,000,000 now or hereafter issued in favor of such Grantor, such Grantor shall promptly notify the Junior-Priority Collateral Agent thereof and such Grantor shall,
pursuant to an agreement in form and substance reasonably satisfactory to the Junior-Priority Collateral Agent, either (i) arrange for the issuer and any confirmer of such letter of credit to consent to an assignment to the Applicable Priority
Agent or the Junior-Priority Collateral Agent, as applicable, of the proceeds of any drawing under the letter of credit or (ii) arrange for the Applicable Priority Agent or the Junior-Priority Collateral Agent, as applicable, to become the
transferee beneficiary of the letter of credit, with the Junior-Priority Collateral Agent agreeing, in each case, that the proceeds of any drawing under the letter of credit are to be paid to the applicable Grantor unless an Event of Default has
occurred or is continuing. 
 (d) Commercial Tort Claims. If any Grantor shall at any time hold or acquire a Commercial Tort
Claim in an amount reasonably estimated to exceed $5,000,000, the Grantor shall promptly notify the Junior-Priority Collateral Agent thereof in a writing signed by such Grantor including a summary description of such claim and grant to the
Junior-Priority Collateral Agent, for the ratable benefit of the Secured Parties, in such writing a security interest therein and in the proceeds thereof, all upon the terms of this Agreement, with such writing to be in form and substance reasonably
satisfactory to the Junior-Priority Collateral Agent. 
 (e) Further Assurances. The Company and the Guarantors shall,
at their sole expense, take any and all actions that may be required under applicable law, or that any Authorized Representative or the Junior-Priority Collateral Agent may reasonably request, in order to effectuate the transactions contemplated by
this Agreement and in order to grant, preserve, protect and perfect the validity and junior-priority status of the Security Interests created or intended to be created by this Agreement and the other Notes Collateral Documents. 

  
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 SECTION 3.05. Covenants Regarding Patent, Trademark and Copyright Collateral. In
each case unless otherwise decided by such Grantor in its reasonable business judgment and/or such Collateral is not material to the business of such Grantor: 

(a) Each Grantor agrees that it will not, and will not permit any of its licensees to, do any act, or omit to do any act, whereby any Patent
that is material to the conduct of such Grantor’s business may become invalidated or dedicated to the public, and agrees that it shall continue to mark any products covered by a Patent with the relevant patent number to the extent necessary and
sufficient to establish and preserve its maximum rights under applicable patent laws, to the extent required by applicable law. 
 (b) Each
Grantor (either itself or through its licensees or its sublicensees) will, for each Trademark material to the conduct of such Grantor’s business, (i) maintain such Trademark in full force free from any claim of abandonment or invalidity
for non-use, (ii) maintain the quality of products and services offered under such Trademark, (iii) display such Trademark with notice of Federal or foreign registration to the extent necessary and
sufficient to establish and preserve its maximum rights under applicable law, to the extent required by applicable law and (iv) not knowingly use or knowingly permit the use of such Trademark in violation of any third party rights. 

(c) Each Grantor (either itself or through its licensees or sublicensees) will, for each work covered by a material Copyright, continue to
publish, reproduce, display, adopt and distribute the work with appropriate copyright notice to the extent necessary and sufficient to establish and preserve its maximum rights under applicable copyright laws, to the extent required by applicable
law. 
 (d) Each Grantor shall notify the Junior-Priority Collateral Agent promptly if it knows that any Patent, Trademark or Copyright
material to the conduct of its business has or is likely to become abandoned, lost or dedicated to the public, or of any materially adverse determination or development (including the institution of, or any such determination or development in, any
proceeding in the United States Patent and Trademark Office, United States Copyright Office or any court or similar office of any country, but not including ordinary course matters arising during prosecution) regarding such Grantor’s ownership
of any such Patent, Trademark or Copyright, its right to register the same, or its right to keep and maintain the same. 
 (e) If any
Grantor, either itself or through any agent, employee, licensee or designee, files an application for any Patent, Trademark or Copyright (or for the registration of any Trademark or Copyright) with the United States Patent and Trademark Office,
United States Copyright Office or any office or agency in any political subdivision of the United States, the Grantor shall so notify the Junior-Priority Collateral Agent each year, at the time of delivery of annual financial statements with respect
to the preceding fiscal year pursuant to Section 3.10(a) of the 2023 Notes Indenture, and shall execute, deliver and file any and all agreements, instruments, documents and papers reasonably necessary to evidence the Security Interest in such
Patent, Trademark or Copyright (as determined in good faith by such Grantor). 
 (f) Each Grantor will take all necessary steps that are
consistent with the practice in any proceeding before the United States Patent and Trademark Office, United States 

  
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Copyright Office or any office or agency in any political subdivision of the United States, to maintain and pursue each material application relating to the Patents, Trademarks and/or Copyrights
(and to obtain the relevant grant or registration) and to maintain each issued Patent and each registration of the Trademarks and Copyrights that is material to the conduct of any Grantor’s business, including timely filings of applications for
renewal, affidavits of use, affidavits of incontestability and payment of maintenance fees, and, if consistent with good business judgment, to initiate opposition, interference and cancellation proceedings against third parties. 

(g) In the event that any Grantor knows or has reason to believe that any Article 9 Collateral consisting of a Patent, Trademark or
Copyright material to the conduct of any Grantor’s business has been or is about to be infringed, misappropriated or diluted by a third person, such Grantor promptly shall notify the Junior-Priority Collateral Agent and shall, if consistent
with good business judgment, promptly sue for infringement, misappropriation or dilution and to recover any and all damages for such infringement, misappropriation or dilution, and take such other actions, if consistent with good business judgment,
as are reasonably appropriate under the circumstances to protect such Article 9 Collateral. 
 (h) Upon the occurrence and during the
continuance of an Event of Default, upon the reasonable request of the Junior-Priority Collateral Agent, each Grantor shall use its best efforts to obtain all requisite consents or approvals by the licensor of each Copyright License, Patent License
or Trademark License, and each other material License, to effect the assignment of all such Grantor’s right, title and interest thereunder to the Junior-Priority Collateral Agent, for the ratable benefit of the Secured Parties, or its designee.

 ARTICLE IV 
 Remedies

 SECTION 4.01. Remedies Upon Default. Subject to the terms of the Intercreditor Agreements, upon the occurrence and
solely during the continuance of an Event of Default, each Grantor agrees to deliver each item of Collateral to the Junior-Priority Collateral Agent on demand, and it is agreed that the Junior-Priority Collateral Agent shall have the right, upon the
direction of the applicable Authorized Representative in accordance with the terms of the Junior-Priority Lien Pari Passu Intercreditor Agreement (provided that if the Junior-Priority Collateral Agent has requested instruction from the
applicable Authorized Representative and such Authorized Representative has not responded to such request, the Junior-Priority Collateral Agent will not be required to take, and will not have any liability for the failure to take, any actions with
regard to a default or event), to take any of or all the following actions at the same or different times: (a) with respect to any Article 9 Collateral consisting of Intellectual Property, on demand, to cause the Security Interest to
become an assignment, transfer and conveyance of any of or all such Article 9 Collateral by the applicable Grantor to the Junior-Priority Collateral Agent, or to license or sublicense, whether general, special or otherwise, and whether on an
exclusive or nonexclusive basis, any such Article 9 Collateral throughout the world on such terms and conditions and in such manner as the Junior-Priority Collateral Agent shall determine (other than in violation of any then-existing licensing
arrangements to the extent that waivers 

  
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cannot be obtained), (b) with or without legal process and with or without prior notice or demand for performance, to take possession of the Article 9 Collateral and without liability for
trespass to enter any premises where the Article 9 Collateral may be located for the purpose of taking possession of or removing the Article 9 Collateral and, generally, to exercise any and all rights afforded to a secured party under the Uniform
Commercial Code or other applicable law and (c) with respect to all Capital Stock included in the Collateral, to the extent permitted by law, to exercise voting and other consensual rights and powers. Without limiting the generality of the
foregoing, each Grantor agrees that the Junior-Priority Collateral Agent shall have the right, subject to the requirements of the Intercreditor Agreements and of applicable law, including any applicable healthcare laws, and upon the direction of the
applicable Authorized Representative in accordance with the terms of the Junior-Priority Lien Pari Passu Intercreditor Agreement, to sell or otherwise dispose of all or any part of the Collateral at a public or private sale or at any broker’s
board or on any securities exchange, for cash, upon credit or for future delivery as the Junior-Priority Collateral Agent shall deem appropriate. The Junior-Priority Collateral Agent shall be authorized at any such sale (if it deems it advisable to
do so) to restrict the prospective bidders or purchasers to persons who will represent and agree that they are purchasing the Collateral for their own account for investment and not with a view to the distribution or sale thereof, and upon
consummation of any such sale the Junior-Priority Collateral Agent shall have the right to assign, transfer and deliver to the purchaser or purchasers thereof the Collateral so sold. Each such purchaser at any such sale shall hold the property sold
absolutely, free from any claim or right on the part of any Grantor, and each Grantor hereby waives (to the extent permitted by law) all rights of redemption, stay and appraisal which such Grantor now has or may at any time in the future have under
any rule of law or statute now existing or hereafter enacted. 
 The Junior-Priority Collateral Agent shall give each applicable Grantor
10 days’ written notice (which each Grantor agrees is reasonable notice within the meaning of Section 9-611 of the New York UCC or its equivalent in other jurisdictions) of the
Junior-Priority Collateral Agent’s intention to make any sale of Collateral. Such notice, in the case of a public sale, shall state the time and place for such sale and, in the case of a sale at a broker’s board or on a securities
exchange, shall state the board or exchange at which such sale is to be made and the day on which the Collateral, or portion thereof, will first be offered for sale at such board or exchange. Any such public sale shall be held at such time or times
within ordinary business hours and at such place or places as the Junior-Priority Collateral Agent may fix and state in the notice (if any) of such sale. At any such sale, the Collateral, or portion thereof, to be sold may be sold in one lot as an
entirety or in separate parcels, as the Junior-Priority Collateral Agent may (in its sole and absolute discretion) determine. The Junior-Priority Collateral Agent shall not be obligated to make any sale of any Collateral if it shall determine not to
do so, regardless of the fact that notice of sale of such Collateral shall have been given. The Junior-Priority Collateral Agent may, without notice or publication, adjourn any public or private sale or cause the same to be adjourned from time to
time by announcement at the time and place fixed for sale, and such sale may, without further notice, be made at the time and place to which the same was so adjourned. In case any sale of all or any part of the Collateral is made on credit or for
future delivery, the Collateral so sold may be retained by the Junior-Priority Collateral Agent until the sale price is paid by the purchaser or purchasers thereof, but the Junior-Priority Collateral Agent shall not incur any liability in case any
such purchaser or purchasers shall fail to take up and pay for the Collateral so sold and, in case of any such failure, such Collateral may be 

  
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sold again upon like notice. At any public (or, to the extent permitted by law, private) sale made pursuant to this Agreement, any Secured Party may bid for or purchase, free (to the extent
permitted by applicable law) from any right of redemption, stay, valuation or appraisal on the part of any Grantor (all said rights being also hereby waived and released to the extent permitted by applicable law), the Collateral or any part thereof
offered for sale and may make payment on account thereof by using any claim then due and payable to such Secured Party from any Grantor as a credit against the purchase price, and such Secured Party may, upon compliance with the terms of sale, hold,
retain and dispose of such property without further accountability to any Grantor therefor. For purposes hereof, a written agreement to purchase the Collateral or any portion thereof shall be treated as a sale thereof; the Junior-Priority Collateral
Agent shall be free to carry out such sale pursuant to such agreement and no Grantor shall be entitled to the return of the Collateral or any portion thereof subject thereto, notwithstanding the fact that after the Junior-Priority Collateral Agent
shall have entered into such an agreement all Events of Default shall have been remedied and the Junior-Priority Obligations paid in full. As an alternative to exercising the power of sale herein conferred upon it, the Junior-Priority Collateral
Agent may proceed by a suit or suits at law or in equity to foreclose this Agreement and to sell the Collateral or any portion thereof pursuant to a judgment or decree of a court or courts having competent jurisdiction or pursuant to a proceeding by
a court-appointed receiver. To the fullest extent permitted under applicable law, any sale pursuant to the provisions of this Section 4.01 shall be deemed to conform to the commercially reasonable standards as provided in Section 9-610(b) of the New York UCC or its equivalent in other jurisdictions. 
 SECTION 4.02.
Application of Proceeds. Subject to the terms of the Intercreditor Agreements, if an Event of Default shall have occurred and is continuing, the Junior-Priority Collateral Agent shall apply the proceeds of any collection, sale,
foreclosure or other realization upon any Collateral, including any Collateral consisting of cash, as follows: 
 FIRST, to the payment of
all reasonable out-of-pocket costs and expenses incurred by each Authorized Representative and the Junior-Priority Collateral Agent or any other Representative in
respect of any Pari Passu Debt Obligations in connection with such collection, sale, foreclosure or realization or otherwise in connection with this Agreement, any other Notes Collateral Documents, the Indentures, any Pari Passu Agreement or any of
the Junior-Priority Obligations, including all court costs and the fees and expenses of its agents and legal counsel, the repayment of all advances made by any Authorized Representative, the Junior-Priority Collateral Agent or any other
Representative in respect of any Pari Passu Debt Obligations (in their respective capacities as such) on behalf of any Grantor and any other reasonable out-of-pocket
costs or expenses incurred in connection with the exercise of any right or remedy hereunder or under any other Notes Collateral Documents or any Pari Passu Agreement, as applicable; 

SECOND, to the payment in full of all other Junior-Priority Obligations (the amounts so applied to the Secured Parties to be distributed pro
rata in accordance with the amounts of the Junior-Priority Obligations owed to them on the date of any such distribution); and 
 THIRD, to
the Grantors, as applicable, their successors or assigns, or as a court of competent jurisdiction may otherwise direct. 

  
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 Subject to the terms of the Intercreditor Agreements, if no Senior-Priority Obligations are outstanding the
Junior-Priority Collateral Agent shall have absolute discretion as to the time of application of any such proceeds, moneys or balances in accordance with this Agreement. Upon any sale of Collateral by the Junior-Priority Collateral Agent (including
pursuant to a power of sale granted by statute or under a judicial proceeding), the receipt of the Junior-Priority Collateral Agent or of the officer making the sale shall be a sufficient discharge to the purchaser or purchasers of the Collateral so
sold and such purchaser or purchasers shall not be obligated to see to the application of any part of the purchase money paid over to the Junior-Priority Collateral Agent or such officer or be answerable in any way for the misapplication thereof.

 SECTION 4.03. Grant of License to Use Intellectual Property. Solely for the purpose of enabling the Junior-Priority
Collateral Agent to exercise its rights and remedies under this Agreement at such time as the Junior-Priority Collateral Agent shall be lawfully entitled to exercise such rights and remedies (including in accordance with the terms of the
Intercreditor Agreements), each Grantor hereby grants to the Junior-Priority Collateral Agent an irrevocable, nonexclusive license (exercisable without payment of royalty or other compensation to the Grantors), to use, license or sublicense any of
the Article 9 Collateral consisting of Intellectual Property now owned or hereafter acquired by such Grantor, and wherever the same may be located, and including in such license access to all media in which any of the licensed items may be
recorded or stored and to all computer software and programs used for the compilation or printout thereof. The use of such license by the Junior-Priority Collateral Agent may be exercised at the option of the Junior-Priority Collateral Agent, and
shall be effective only upon the occurrence and during the continuation of an Event of Default; provided, however, that any license, sublicense or other transaction entered into by the Junior-Priority Collateral Agent in accordance
herewith shall be binding upon each Grantor notwithstanding any subsequent cure of an Event of Default. 
 SECTION 4.04. Securities
Act, Etc. In view of the position of the Grantors in relation to the Pledged Collateral, or because of other current or future circumstances, a question may arise under the U.S. Securities Act of 1933, as now or hereafter in effect, or any
similar statute hereafter enacted analogous in purpose or effect (such Act and any such similar statute as from time to time in effect being called the “Federal Securities Laws”) with respect to any disposition of the Pledged
Collateral permitted hereunder. Each Grantor understands that compliance with the Federal Securities Laws might very strictly limit the course of conduct of the Junior-Priority Collateral Agent if the Junior-Priority Collateral Agent were to attempt
to dispose of all or any part of the Pledged Collateral, and might also limit the extent to which or the manner in which any subsequent transferee of any Pledged Collateral could dispose of the same. Similarly, there may be other legal restrictions
or limitations affecting the Junior-Priority Collateral Agent in any attempt to dispose of all or part of the Pledged Collateral under applicable “blue sky” or other state securities laws or similar laws analogous in purpose or effect.
Each Grantor recognizes that in light of such restrictions and limitations the Junior-Priority Collateral Agent may, with respect to any sale of the Pledged Collateral, limit the purchasers to those who will agree, among other things, to acquire
such Pledged Collateral for their own account, for investment, and not with a view to the distribution or resale thereof. Each Grantor acknowledges and agrees that in light of such restrictions and limitations, the Junior-Priority Collateral Agent,
in its sole and absolute discretion (a) to the fullest extent permitted by applicable Federal Securities Laws, may proceed to make such a sale whether or not a 

  
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registration statement for the purpose of registering such Pledged Collateral or part thereof shall have been filed under the Federal Securities Laws and (b) may approach and negotiate with
a limited number of potential purchasers (including a single potential purchaser) to effect such sale. Each Grantor acknowledges and agrees that any such sale might result in prices and other terms less favorable to the seller than if such sale were
a public sale without such restrictions. In the event of any such sale, the Junior-Priority Collateral Agent shall incur no responsibility or liability for selling all or any part of the Pledged Collateral at a price that the Junior-Priority
Collateral Agent, in its sole and absolute discretion, may in good faith deem reasonable under the circumstances, notwithstanding the possibility that a substantially higher price might have been realized if the sale were deferred until after
registration as aforesaid or if more than a limited number of purchasers (or a single purchaser) were approached. The provisions of this Section 4.04 will apply notwithstanding the existence of a public or private market upon which the
quotations or sales prices may exceed substantially the price at which the Junior-Priority Collateral Agent sells. 
 ARTICLE V 

Indemnity, Subrogation and Subordination 

SECTION 5.01. Indemnity and Subrogation. In addition to all such rights of indemnity and subrogation as the Guarantors may have
under applicable law (but subject to Section 5.03), the Company agrees that in the event any assets of any Guarantor shall be sold pursuant to this Agreement or any other Notes Collateral Document to satisfy in whole or in part a claim of any
Secured Party, the Company shall indemnify such Guarantor in an amount equal to the greater of the book value or the fair market value of the assets so sold. 

SECTION 5.02. Contribution and Subrogation. Each Guarantor (a “Contributing Guarantor”) agrees (subject
to Section 5.03) that, in the event assets of any other Guarantor shall be sold pursuant to any Notes Collateral Document to satisfy any Junior-Priority Obligation owed to any Secured Party, and such other Guarantor (the “Claiming
Guarantor”) shall not have been fully indemnified by the Company as provided in Section 5.01, the Contributing Guarantor shall indemnify the Claiming Guarantor in an amount equal to the greater of the book value or the fair market
value of such assets, as the case may be, in each case multiplied by a fraction of which the numerator shall be the net worth of the Contributing Guarantor on the date hereof and the denominator shall be the aggregate net worth of all the Guarantors
on the date hereof (or, in the case of any Guarantor becoming a party hereto after the date hereof, the date on which such party became a Guarantor hereunder). Any Contributing Guarantor making any payment to a Claiming Guarantor pursuant to this
Section 5.02 shall be subrogated to the rights of such Claiming Guarantor under Section 5.01 to the extent of such payment. 

SECTION 5.03. Subordination. (a) Notwithstanding any provision of this Agreement to the contrary, all rights of the
Guarantors under Sections 5.01 and 5.02 and all other rights of indemnity, contribution or subrogation under applicable law or otherwise shall be fully subordinated to the payment in full in cash of the Junior-Priority Obligations (other than
contingent indemnification obligations for which no claim has been made). No failure on the 

  
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part of the Company or any Guarantor to make the payments required by Sections 5.01 and 5.02 (or any other payments required under applicable law or otherwise) shall in any respect limit the
obligations and liabilities of any Guarantor with respect to its obligations hereunder, and each Guarantor shall remain liable for the full amount of its obligations hereunder. 

(b) The Company and each Guarantor hereby agree that all Indebtedness and other monetary obligations owed by it to the Company or any
Subsidiary shall be fully subordinated to the payment in full in cash of the Junior-Priority Obligations; provided that, as long as no Event of Default shall have occurred and be continuing, nothing in this Section 5.03(b) shall prohibit
any payments or distributions permitted by the then existing Indentures, the other Note Documents and the Pari Passu Agreements. 
 ARTICLE
VI 
 Miscellaneous 

SECTION 6.01. Notices. All communications and notices hereunder shall (except as otherwise expressly permitted herein) be in
writing and shall be delivered by hand or overnight courier service, mailed by certified or registered mail, sent by telecopy or electronically mailed, as follows: 

(a)    if to the Junior-Priority Collateral Agent, the 2023 Notes Authorized Representative or the 2024
Notes Authorized Representative, to it at Regions Bank, 1180 West Peachtree Street, Suite 1200, Atlanta, GA 30309, Attention: Corporate Trust Services; 

(b)    if to an Additional Authorized Representative, to it at the address set forth in the applicable
Officer’s certificate delivered in accordance with Section 6.09(c); or 
 (c)    if to the
Company, Parent or any Subsidiary Guarantor, to such Grantor at CHS/Community Health Systems, Inc. 4000 Meridian Boulevard, Franklin, TN 37067-6325, Attention: General Counsel, Facsimile No.: (615) 373-9704.
All communications and notices hereunder to any Subsidiary Guarantor shall be given to it in care of the Company. 
 Any party hereto may
change its address or telecopy number for communications and notices hereunder by notice to the other parties hereto. All notices and other communications given to any party hereto in accordance with the provisions of this Agreement shall be deemed
to have been given on the date of receipt (if a Business Day) and on the next Business Day thereafter (in all other cases) if delivered by hand or overnight courier service or sent by telecopy or electronically mailed or on the date five Business
Days after dispatch by certified or registered mail if mailed, in each case delivered, sent or mailed (properly addressed) to such party as provided in this Section 6.01 or in accordance with the latest unrevoked direction from such party given
in accordance with this Section 6.01. 
 SECTION 6.02. Security Interest Absolute. All rights of the Junior-Priority
Collateral Agent hereunder, the Security Interest, the grant of a security interest in the Pledged 

  
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Collateral and all obligations of each Grantor hereunder shall be absolute and unconditional irrespective of (a) any lack of validity or enforceability of any Indenture, any other Note
Document, any Pari Passu Agreement, any other agreement with respect to any of the Junior-Priority Obligations or any other agreement or instrument relating to any of the foregoing, (b) any change in the time, manner or place of payment of, or
in any other term of, all or any of the Junior-Priority Obligations, or any other amendment or waiver of or any consent to any departure from any Indenture, any other Note Document, any Pari Passu Agreement or any other agreement or instrument
relating to the foregoing, (c) any exchange, release or non-perfection of any Lien on other collateral, or any release or amendment or waiver of or consent under or departure from any guarantee, securing
or guaranteeing all or any of the Junior-Priority Obligations, or (d) any other circumstance that might otherwise constitute a defense available to, or a discharge of, any Grantor in respect of the Junior-Priority Obligations or this Agreement.

 SECTION 6.03. Survival of Agreement. All covenants, agreements, representations and warranties made by the Grantors
hereunder and in the other Note Documents, any Pari Passu Agreement and in the certificates or other instruments prepared or delivered in connection with or pursuant to this Agreement, any other Note Document or any Pari Passu Agreement shall be
considered to have been relied upon by the Secured Parties and shall survive the execution and delivery of the Note Documents and of any Pari Passu Agreement in connection with any Series of Pari Passu Debt Obligations, regardless of any
investigation made by any Secured Party or on their behalf and notwithstanding that the Junior-Priority Collateral Agent or any Secured Party may have had notice or knowledge of any Event of Default or incorrect representation or warranty at the
time any note is issued or other credit is extended under any Indenture or any Pari Passu Agreement, and shall continue in full force and effect as long as this Agreement has not been terminated pursuant to Section 6.15. 

SECTION 6.04. Binding Effect; Several Agreement. This Agreement shall become effective as to any Grantor when a counterpart
hereof executed on behalf of such Grantor shall have been delivered to the Junior-Priority Collateral Agent and a counterpart hereof shall have been executed on behalf of the Junior-Priority Collateral Agent, and thereafter shall be binding upon
such Grantor and the Junior-Priority Collateral Agent and their respective permitted successors and assigns, and shall inure to the benefit of such Grantor, the Junior-Priority Collateral Agent and the other Secured Parties and their respective
successors and permitted assigns, except that no Grantor shall have the right to assign or transfer its rights or obligations hereunder or any interest herein or in the Collateral (and any such assignment or transfer shall be void) except as
expressly contemplated or permitted by this Agreement and except as expressly permitted by any then existing Indenture and any then existing Pari Passu Agreement. This Agreement shall be construed as a separate agreement with respect to each Grantor
and may be amended, modified, supplemented, waived or released with respect to any Grantor without the approval of any other Grantor and without affecting the obligations of any other Grantor hereunder. 

SECTION 6.05. Successors and Assigns. Whenever in this Agreement any of the parties hereto is referred to, such reference shall
be deemed to include the permitted successors and permitted assigns of such party; and all covenants, promises and agreements by or on behalf of any Grantor or the Junior-Priority Collateral Agent that are contained in this Agreement shall bind and
inure to the benefit of their respective successors and permitted assigns. 

  
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 SECTION 6.06. Junior-Priority Collateral Agent’s Fees and Expenses;
Indemnification. (a) The parties hereto agree that the Junior-Priority Collateral Agent shall be entitled to reimbursement of its expenses incurred hereunder as provided in Section 12.1 of the 2023 Notes Indenture and in
Section 12.1 of the 2024 Notes Indenture. 
 (b) Without limitation or duplication of its indemnification obligations under the other
Note Documents or any Pari Passu Agreement, each Grantor jointly and severally agrees to indemnify the Junior-Priority Collateral Agent and the Secured Parties (together, the “Indemnitees”) against, and hold each Indemnitee
harmless from, any and all actual losses, claims, damages, liabilities, penalties and related reasonable out of pocket expenses, including the reasonable fees, charges and disbursements of one counsel in each relevant jurisdiction (and any such
additional counsel, if necessary, as a result of actual or potential conflicts of interest) for all Indemnitees, incurred by or asserted against any Indemnitee arising out of, in any way connected with, or as a result of, the execution, delivery or
performance of this Agreement or any agreement or instrument contemplated hereby or any claim, litigation, investigation or proceeding relating to any of the foregoing or to the Collateral, regardless of whether any Indemnitee is a party thereto or
whether initiated by a third party or by a Grantor or any Affiliate thereof; provided, however, that such indemnity shall not, as to any Indemnitee, be available to the extent that such losses, claims, damages, liabilities, penalties
or related expenses are determined by a court of competent jurisdiction by final judgment to have resulted from the gross negligence or wilful misconduct of such Indemnitee. To the extent permitted by applicable law, neither any Grantor nor the
Junior-Priority Collateral Agent nor any Indemnitee shall assert, and each hereby waives any claim against any Indemnitee, any Grantor and the Junior-Priority Collateral Agent, on any theory of liability, for special, indirect, consequential or
punitive damages (as opposed to direct or actual damages) arising out of, in connection with, or as a result of, this Agreement or any agreement or instrument contemplated hereby, the Transactions, any Note or the use of proceeds thereof. 

(c) Any such amounts payable as provided hereunder or under any Pari Passu Agreement shall be additional Junior-Priority Obligations secured
hereby and by the other Notes Collateral Documents. The provisions of this Section 6.06 shall remain operative and in full force and effect regardless of the termination of this Agreement, any other Note Document or any Pari Passu Agreement,
the consummation of the transactions contemplated hereby, the repayment of any of the Junior-Priority Obligations, the invalidity or unenforceability of any term or provision of this Agreement, any other Note Document or any Pari Passu Agreement, or
any investigation made by or on behalf of the Junior-Priority Collateral Agent or any other Secured Party. All amounts due under this Section 6.06 shall be payable within 30 days after written demand therefor. 

SECTION 6.07. Junior-Priority Collateral Agent Appointed
Attorney-in-Fact. Subject to the terms of the Intercreditor Agreements, each Grantor hereby appoints the Junior-Priority Collateral Agent as the attorney-in-fact of such Grantor for the purpose of carrying out the provisions of this Agreement and taking any action and executing any instrument that the Junior-Priority
Collateral Agent may deem necessary or advisable to accomplish the purposes hereof, which appointment is irrevocable and coupled with an interest. Without limiting the generality of the foregoing, the Junior-Priority Collateral Agent shall have the
right, upon the occurrence and during the continuance of an Event of Default, with full power of substitution 

  
 40 







 
either in the Junior-Priority Collateral Agent’s name or in the name of such Grantor (provided, that to the extent written notice is not required hereunder, the Junior-Priority
Collateral Agent shall use commercially reasonable efforts to provide notice to such Grantor, though its rights hereunder are not conditioned thereon) (a) to receive, endorse, assign and/or deliver any and all notes, acceptances, checks,
drafts, money orders or other evidences of payment relating to the Collateral or any part thereof, (b) upon three Business Days’ prior written notice to such Grantor, to demand, collect, receive payment of, give receipt for and give
discharges and releases of all or any of the Collateral, (c) to sign the name of any Grantor on any invoice or bill of lading relating to any of the Collateral, (d) to commence and prosecute any and all suits, actions or proceedings at law
or in equity in any court of competent jurisdiction to collect or otherwise realize on all or any of the Collateral or to enforce any rights in respect of any Collateral, (e) to settle, compromise, compound, adjust or defend any actions, suits
or proceedings relating to all or any of the Collateral and (f) to use, sell, assign, transfer, pledge, make any agreement with respect to or otherwise deal with all or any of the Collateral, and to do all other acts and things necessary to
carry out the purposes of this Agreement in accordance with its terms, as fully and completely as though the Junior-Priority Collateral Agent were the absolute owner of the Collateral for all purposes; provided, however, that nothing
herein contained shall be construed as requiring or obligating the Junior-Priority Collateral Agent to make any commitment or to make any inquiry as to the nature or sufficiency of any payment received by the Junior-Priority Collateral Agent, or to
present or file any claim or notice, or to take any action with respect to the Collateral or any part thereof or the moneys due or to become due in respect thereof or any property covered thereby. The Junior-Priority Collateral Agent and the Secured
Parties shall be accountable only for amounts actually received as a result of the exercise of the powers granted to them herein, and neither they nor their officers, directors, employees or agents shall be responsible to any Grantor for any act or
failure to act hereunder, except for their own gross negligence, wilful misconduct or bad faith. 
 SECTION 6.08. Applicable
Law. THIS AGREEMENT SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF NEW YORK. 
 SECTION 6.09.
Waivers; Amendment. (a) No failure or delay by the Junior-Priority Collateral Agent, any Authorized Representative or any other Secured Party in exercising any right or power hereunder or under any other Note Document or any Pari
Passu Agreement shall operate as a waiver hereof or thereof, nor shall any single or partial exercise of any such right or power, or any abandonment or discontinuance of steps to enforce such a right or power, preclude any other or further exercise
thereof or the exercise of any other right or power. The rights and remedies of the Junior-Priority Collateral Agent, each Authorized Representative and the other Secured Parties hereunder and under the other Note Documents and any Pari Passu
Agreements are cumulative and are not exclusive of any rights or remedies that they would otherwise have. No waiver of any provision of any Note Document or any Pari Passu Agreement or consent to any departure by any Grantor therefrom shall in any
event be effective unless the same shall be permitted by paragraph (b) of this Section 6.09, and then such waiver or consent shall be effective only in the specific instance and for the purpose for which given. No notice or demand on any
Grantor in any case shall entitle any Grantor to any other or further notice or demand in similar or other circumstances. 

  
 41 







 (b) Subject to the terms of the Intercreditor Agreements, neither this Agreement nor any
provision hereof may be waived, amended or modified except pursuant to an agreement or agreements in writing entered into by the Junior-Priority Collateral Agent and the Grantor or Grantors with respect to which such waiver, amendment or
modification is to apply, subject to any consent required in accordance with any other Note Document or any Pari Passu Agreement. 
 (c) So
long as permitted by the Note Documents and the Pari Passu Agreements then in effect, the Company may from time to time designate Indebtedness and other obligations at the time of the assumption or incurrence thereof to be secured on a pari
passu basis with the then outstanding Junior-Priority Obligations as Pari Passu Debt Obligations hereunder by delivering to the Junior-Priority Collateral Agent and each Authorized Representative a certificate signed by an Officer of the Company
(i) identifying the Indebtedness and other obligations so designated and the aggregate principal amount or face amount thereof, (ii) stating that such Indebtedness and other obligations are designated as Pari Passu Debt Obligations for
purposes hereof, (iii) representing that such designation of such Indebtedness and other obligations as Pari Passu Debt Obligations complies with the terms of the Note Documents and the Pari Passu Agreements then outstanding and
(iv) specifying the name and address of the Authorized Representative for such Indebtedness and other obligations. Upon such delivery, the Junior-Priority Collateral Agent shall act hereunder for the benefit of all Secured Parties, including
any Secured Parties that hold any Pari Passu Debt Obligations so designated. 
 SECTION 6.10. WAIVER OF JURY TRIAL. EACH PARTY
HERETO HEREBY IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION DIRECTLY OR INDIRECTLY ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT OR ANY OTHER
NOTE DOCUMENT OR ANY PARI PASSU AGREEMENT. EACH PARTY HERETO HEREBY (A) 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 (B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AGREEMENT AND THE OTHER NOTE DOCUMENTS AND ANY PARI PASSU AGREEMENT, AS APPLICABLE, BY, AMONG OTHER THINGS, THE
MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION 6.10. 
 SECTION 6.11. Severability. In the event any one or more of
the provisions contained in this Agreement should be held invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein shall not in any way be affected or impaired thereby
(it being understood that the invalidity of a particular provision in a particular jurisdiction shall not in and of itself affect the validity of such provision in any other jurisdiction). The parties shall endeavor in good-faith negotiations to
replace the invalid, illegal or unenforceable provisions with valid provisions the economic effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions. 

SECTION 6.12. Counterparts. This Agreement may be executed in counterparts (and by different parties hereto on different
counterparts), each of which shall constitute an 

  
 42 







 
original but all of which when taken together shall constitute a single contract, and shall become effective as provided in Section 6.04. Delivery of an executed signature page to this
Agreement by facsimile transmission or electronic transmission shall be as effective as delivery of a manually signed counterpart of this Agreement. 

SECTION 6.13. Headings. Article and Section headings and the Table of Contents used herein are for convenience of reference
only, are not part of this Agreement and are not to affect the construction of, or to be taken into consideration in interpreting, this Agreement. 

SECTION 6.14. Jurisdiction; Consent to Service of Process. (a) Each of the parties hereto hereby irrevocably and
unconditionally submits, for itself and its property, to the exclusive jurisdiction of any New York State court or Federal court of the United States of America, sitting in New York City, and any appellate court from any thereof, in any action or
proceeding arising out of or relating to this Agreement or any other Note Document, or for recognition or enforcement of any judgment, and each of the parties hereto hereby irrevocably and unconditionally agrees that all claims in respect of any
such action or proceeding may be heard and determined in such New York State court or, to the extent permitted by law, in such Federal court. Each of the parties hereto agrees that a final judgment in any such action or proceeding shall be
conclusive and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by law. Nothing in this Agreement or any other Note Document shall affect any right that the Junior-Priority Collateral Agent, any
Authorized Representative or any other Secured Party may otherwise have to bring any action or proceeding relating to this Agreement or any other Note Document against any Grantor or its properties in the courts of any jurisdiction. 

(b) Each of the parties hereto hereby irrevocably and unconditionally waives, to the fullest extent it may legally and effectively do so, any
objection which it may now or hereafter have to the laying of venue of any suit, action or proceeding arising out of or relating to this Agreement or any other Note Document in any court referred to in paragraph (a) of this Section 6.14.
Each of the parties hereto hereby irrevocably waives, to the fullest extent permitted by law, the defense of an inconvenient forum to the maintenance of such action or proceeding in any such court. 

(c) Each of the parties hereto hereby irrevocably consents to service of process in the manner provided for notices in Section 6.01.
Nothing in this Agreement or in any other Note Documents will affect the right of any party hereto to serve process in any other manner permitted by law. 

SECTION 6.15. Termination or Release. (a) This Agreement, the Security Interest, the pledge of the Pledged Collateral and
all other security interests granted hereby shall automatically terminate and be released when all the Junior-Priority Obligations (other than contingent indemnification obligations for which no claim has been made) have been paid in full in cash.

 (b) The Security Interest, the pledge of the Pledged Collateral and all other security interests granted hereby to secure any particular
Series shall be released, whether in 

  
 43 







 
whole or in part, (i) in the case of the 2023 Notes Obligations, as and to the extent expressly provided under the 2023 Notes Indenture, (ii) in the case of the 2024 Notes Obligations,
as and to the extent expressly provided under the 2024 Notes Indenture and (iii) in the case of any Series of Pari Passu Debt Obligations, as and to the extent expressly provided under the Pari Passu Agreement governing such Series of Pari
Passu Debt Obligations. 
 (c) In connection with any termination or release pursuant to paragraph (a) or (b) above, (i) the
Company will furnish to the Junior-Priority Collateral Agent and each Authorized Representative, prior to the proposed release of Collateral, an Officer’s certificate and an opinion of counsel and such other documentation as required by the
then existing Indentures and any Pari Passu Agreements and (ii) upon receipt of such, the Junior-Priority Collateral Agent shall promptly execute and deliver to any Grantor, at such Grantor’s expense, all Uniform Commercial Code
termination statements and similar documents that such Grantor shall reasonably request to evidence such termination or release, and all assignments or other instruments of transfer as may be necessary to reassign to such Grantor all rights, titles
and interests in any relevant Intellectual Property as may have been assigned to the Junior-Priority Collateral Agent and/or its designees, subject to any disposition thereof that may have been made by the Junior-Priority Collateral Agent and/or its
designees in accordance with the terms of this Agreement, and all rights and license granted to the Junior-Priority Collateral Agent and/or its designees in or to any such Intellectual Property pursuant to this Agreement shall automatically and
immediately terminate and all rights shall automatically and immediately revert to such Grantor. Any execution and delivery of documents pursuant to this Section 6.15 shall be without recourse to or representation or warranty by the
Junior-Priority Collateral Agent or any other Secured Party. Without limiting the provisions of Section 6.06, the Company shall reimburse the Junior-Priority Collateral Agent upon demand for all costs and out of pocket expenses, including the
reasonable fees, charges and expenses of counsel, incurred by it in connection with any action contemplated by this Section 6.15. 

SECTION 6.16. Additional Subsidiaries. Any Subsidiary that is required to become a party hereto pursuant to Section 3.7 of
the 2023 Notes Indenture, Section 3.7 of the 2024 Notes Indenture or the analogous provision of any Pari Passu Agreement shall enter into this Agreement as a Grantor upon becoming such a Subsidiary. Upon execution and delivery by the
Junior-Priority Collateral Agent and such Subsidiary of a supplement in the form of Exhibit A hereto, such Subsidiary shall become a Grantor hereunder with the same force and effect as if originally named as a Grantor herein. The execution and
delivery of any such instrument shall not require the consent of any other Grantor hereunder. The rights and obligations of each Grantor hereunder shall remain in full force and effect notwithstanding the addition of any new Grantor as a party to
this Agreement. 
 SECTION 6.17. Subject to Intercreditor Agreements. Notwithstanding anything herein to the contrary,
the lien and security interest granted to the Junior-Priority Collateral Agent, for the benefit of the Secured Parties, pursuant to this Agreement and the exercise of any right or remedy by the Junior-Priority Collateral Agent and the other Secured
Parties hereunder are subject to the provisions of the Intercreditor Agreements. In the event of any conflict or inconsistency between the terms of the Intercreditor Agreements and this Agreement, the terms of the Intercreditor Agreements shall
govern. 
 [Remainder of page intentionally left blank] 

  
 44 







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

					
	CHS/COMMUNITY HEALTH SYSTEMS, INC.
		
	By:	 	             /s/ Edward W.
Lomicka

		 	Name:	 	Edward W. Lomicka
		 	Title:	 	Vice President and Treasurer
	
	COMMUNITY HEALTH SYSTEMS, INC.
		
	By:	 	             /s/ Edward W.
Lomicka

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








 
					
	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,
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,
    as Grantors and Subsidiary Guarantors
		
	By:	 	             /s/ Edward W.
Lomicka

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








 
					
	College Station Merger, LLC,
Community Health Investment Company, LLC,
CP Hospital GP, LLC,
CPLP, LLC,
Crestwood Hospital LP, 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,
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,
    as Grantors
and Subsidiary Guarantors
		
	By:	 	             /s/ Edward W.
Lomicka

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









					
	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,
Knoxville HMA Holdings, 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,
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,
    as Grantors and Subsidiary
Guarantors
		
	By:	 	             /s/ Edward W.
Lomicka

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









					
	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,
    as Grantors and Subsidiary Guarantors
		
	By:	 	             /s/ Edward W.
Lomicka

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








 
					
	Southeast HMA Holdings, LLC,
Southern Texas Medical Center, LLC
Southwest Florida HMA Holdings, LLC,
Statesville HMA, LLC,
Tennyson Holdings, LLC,
Tomball Texas Holdings, LLC,
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
    as Grantors and Subsidiary Guarantors
		
	By:	 	             /s/ Edward W.
Lomicka

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








 
							
	BROWNWOOD HOSPITAL, L.P.
		
	By:	 	Brownwood Medical Center, LLC
	Its:	 	General Partner
	
	CAROLINAS JV HOLDINGS, L.P.
		
	By:	 	Carolinas 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
	Its:	 	General Partner
	
	HEALTH MANAGEMENT ASSOCIATES, LP
		
	By:	 	Health Management General Partner, LLC
	Its:	 	General Partner
	
	HMA HOSPITALS HOLDINGS, LP
		
	By:	 	Health Management General Partner, LLC
	Its:	 	General Partner
	
	HOSPITAL MANAGEMENT SERVICES OF FLORIDA, LP
		
	By:	 	HMA Services GP, LLC, its general partner
	Its:	 	General Partner
			
		 	 By:
	 	             /s/ Edward W.
Lomicka

		 		 	Name:	 	Edward W. Lomicka
		 		 	Title:	 	Vice President and Treasurer
		
		 	 Acting on behalf of each of the General Partners of the Guarantors set forth on this
page.




  







 
							
	LAREDO TEXAS HOSPITAL COMPANY, L.P.
		
	By:	 	Webb Hospital Corporation, its general partner
	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
	
	QHG GEORGIA, LP
		
	By:	 	QHG Georgia Holdings II, LLC
	Its:	 	General Partner
	
	TENNESSEE HMA HOLDINGS, LP
		
	By:	 	Health Management General Partner I, LLC, its general partner
	Its:	 	General Partner
	
	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
		
		 	 Acting on behalf of each of the General Partners of the Guarantors set forth on this
page.









 
					
	REGIONS BANK, as Junior-Priority Collateral Agent
		
	 By:
	 	             /s/ Kristine
Prall

		 	Name:	 	Kristine Prall
		 	Title:	 	Vice President
		
	 By:
	 	             /s/ Arthur G. Mosley,
II

		 	Name:	 	Arthur G. Mosley, II
		 	Title:	 	Vice President








 I-1 
  

EXACT LEGAL NAMES AND OTHER INFORMATION 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	  1.	  	Community Health Systems, Inc.	  	Delaware	  	2631063	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	  2.	  	CHS/Community Health Systems, Inc.	  	Delaware	  	2057824	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	  3.	  	Abilene Hospital, LLC	  	Delaware	  	3561884	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	  4.	  	Abilene Merger, LLC	  	Delaware	  	3561879	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	  5.	  	Affinity Health Systems, LLC	  	Delaware	  	4023256	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	  6.	  	Affinity Hospital, LLC	  	Delaware	  	4023245	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Grandview Medical Center 
3690 Grandview Parkway 
Birmingham, AL 35243

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-2 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	7.	  	Berwick Hospital Company, LLC	  	Delaware	  	4447833	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Berwick Hospital Center
701 East 16th Street
Berwick, PA 18603

 
 Professional Account Services, Inc.
7000 Commerce Way,
Suite 100
Brentwood,
TN 37027

						
	8.	  	Biloxi H.M.A., LLC	  	Mississippi	  	938583	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health Biloxi
150 Reynoir Street
Biloxi, MS 39530
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	9.	  	Birmingham Holdings II, LLC	  	Delaware	  	4559514	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	10.	  	Birmingham Holdings, LLC	  	Delaware	  	4014204	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	11.	  	Bluefield Holdings, LLC	  	Delaware	  	4812809	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	12.	  	Bluefield Hospital Company, LLC	  	Delaware	  	4812810	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Bluefield Regional Medical Center
500 Cherry Street
Bluefield, WV 24701

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood,
TN 37027








 I-3 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	13.	  	Bluffton Health System LLC	  	Delaware	  	3089523	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Bluffton Regional Medical Center
303 S. Main Street
Bluffton, IN 46714

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	14.	  	Brandon HMA, LLC	  	Mississippi	  	938712	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health Rankin
350 Crossgates Boulevard 
Brandon, MS 39042

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	15.	  	Brownwood Hospital, L.P.	  	Delaware	  	2967928	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Brownwood Regional Medical Center
1501 Burnet Drive
Brownwood, TX 76801

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	16.	  	Brownwood Medical Center, LLC	  	Delaware	  	2964283	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-4 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	17.	  	Bullhead City Hospital Corporation	  	Arizona	  	09397220	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Western Arizona Regional Medical Center 
2735 Silver Creek Road 
Bullhead City, AZ 86442

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	18.	  	Bullhead City Hospital Investment Corporation	  	Delaware	  	3844912	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	19.	  	Campbell County HMA, LLC	  	Tennessee	  	660519	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 LaFollette Medical Center 
923 East Central Ave.
LaFollette, TN 37766

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	20.	  	Carlsbad Medical Center, LLC	  	Delaware	  	2964276	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Carlsbad Medical Center 
2430 W. Pierce 
Carlsbad, NM 
88220

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	21.	  	Carolinas Holdings, LLC	  	Delaware	  	4521156	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-5 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	22.	  	Carolinas JV Holdings General, LLC	  	Delaware	  	4521157	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	23.	  	Carolinas JV Holdings, L.P.	  	Delaware	  	4521161	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	24.	  	Central Florida HMA Holdings, LLC	  	Delaware	  	4634571	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	25.	  	Central States HMA Holdings, LLC	  	Delaware	  	4634573	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	26.	  	Chester HMA, LLC	  	South Carolina	  	N/A	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Chester Regional Medical Center
One Medical Park Drive Chester, SC 29706

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	27.	  	Chestnut Hill Health System, LLC	  	Delaware	  	3914878	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	28.	  	CHHS Holdings, LLC	  	Delaware	  	3914324	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	29.	  	CHHS Hospital Company, LLC	  	Delaware	  	3917580	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027







 I-6 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	30.	  	CHS Pennsylvania Holdings, LLC	  	Delaware	  	4474748	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	31.	  	CHS Receivables Funding, LLC	  	Delaware	  	5099211	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	32.	  	CHS Tennessee Holdings, LLC	  	Delaware	  	5736132	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	33.	  	CHS Virginia Holdings, LLC	  	Delaware	  	4474750	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	34.	  	Citrus HMA, LLC	  	Florida	  	L08000108791	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Seven Rivers
 Regional Medical

Center
 6201 N. Suncoast

Blvd.
 Crystal River, FL 34428-6712

 
 Professional Account Services, Inc. 
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	35.	  	Clarksville Holdings II, LLC	  	Delaware	  	5169339	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	36.	  	Clarksville Holdings, LLC	  	Delaware	  	4014187	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	37.	  	Cleveland Hospital Company, LLC	  	Tennessee	  	289046	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-7 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	38.	  	Cleveland Tennessee Hospital Company, LLC	  	Delaware	  	4589625	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare – Cleveland 
2305 Chambliss Avenue Cleveland, TN 37311

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	39.	  	Clinton HMA, LLC	  	Oklahoma	  	3512339859	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Alliance Health Clinton 
100 North 30th Street
Clinton, OK 73601

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	40.	  	Coatesville Hospital Corporation	  	Pennsylvania	  	2987105	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027
						
	41.	  	Cocke County HMA, LLC	  	Tennessee	  	660506	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Newport Medical Center 
435 Second Street
Newport, TN 37821
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027








 I-8 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	42.	  	College Station Hospital, L.P.	  	Delaware	  	2967943	  	 Community Health Systems
 4000 Meridian
Blvd.
Franklin, TN 37067
	  	 College Station
 Medical Center
1604 Rock
Prairie Road 
College Station, TX 77845
  
 Professional Account Services,
Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	43.	  	College Station Medical Center, LLC	  	Delaware	  	2964215	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	44.	  	College Station Merger, LLC	  	Delaware	  	3000998	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	45.	  	Community Health Investment Company, LLC	  	Delaware	  	2066922	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	46.	  	CP Hospital GP, LLC	  	Delaware	  	4072307	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	47.	  	CPLP, LLC	  	Delaware	  	4072308	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	48.	  	Crestwood Healthcare, L.P.	  	Delaware	  	2616459	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 College Station
 Medical Center
1604 Rock
Prairie Road 
College Station, TX 77845
  
 Professional Account Services,
Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027








 I-9 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	49.	  	Crestwood Hospital LP, LLC	  	Delaware	  	2964362	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	50.	  	Crestwood Hospital, LLC	  	Delaware	  	3000931	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	51.	  	CSMC, LLC	  	Delaware	  	2964231	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	52.	  	Deaconess Holdings, LLC	  	Delaware	  	2575694	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	53.	  	Deaconess Hospital Holdings, LLC	  	Delaware	  	3931158	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	54.	  	Desert Hospital Holdings, LLC	  	Delaware	  	4272332	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	55.	  	Detar Hospital, LLC	  	Delaware	  	2947802	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	56.	  	DHFW Holdings, LLC	  	Delaware	  	4562267	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	57.	  	Dukes Health System, LLC	  	Delaware	  	3575662	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Dukes Memorial Hospital 
275 West 12th Street
Peru, IN 46970-1698

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-10 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	58.	  	Dyersburg Hospital Company, LLC	  	Tennessee	  	435828	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare - Dyersburg Regional 400 Tickle Street Dyersburg, TN 38024

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood,
TN
 37027

						
	59.	  	Emporia Hospital Corporation	  	Virginia	  	0514489-4	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Southern Virginia Regional Medical Center
727 North Main 
Street Emporia, VA 23847

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood,
TN
 37027

						
	60.	  	Florida HMA Holdings, LLC	  	Delaware	  	4634568	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	61.	  	Foley Hospital Corporation	  	Alabama	  	208-366	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 South Baldwin Regional Medical Center
1613 North
McKenzie Street 
Foley, AL 36535

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood,
TN
 37027








 I-11 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	62.	  	Fort Smith HMA, LLC	  	Arkansas	  	800164237	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Sparks Regional Medical Center
PO Box 2406 
(1001 Towson Ave.) 
Fort Smith, AR 72902

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	63.	  	Frankfort Health Partner, Inc.	  	Indiana	  	1997030055	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	64.	  	Franklin Hospital Corporation	  	Virginia	  	0529059-8	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Southampton Memorial Hospital
100 Fairview Drive
Franklin, VA 23851

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	65.	  	Gadsden Regional Medical Center, LLC	  	Delaware	  	4275573	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Gadsden Regional Medical Center
1007 Goodyear Avenue 
Gadsden, AL 35903

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-12 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	66.	  	Gaffney H.M.A., LLC	  	South Carolina	  	N/A	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Mary Black Health System – Gaffney
1530 North Limestone Street 
Gaffney, SC 29340

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	67.	  	Granbury Hospital Corporation	  	Texas	  	142527600	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Lake Granbury
 Medical Center
1310 Paluxy
Road
Granbury, TX 76048
  
 Professional Account Services, Inc.
7000 Commerce
Way
Suite 100
Brentwood, TN 37027

						
	68.	  	GRMC Holdings, LLC	  	Delaware	  	4272335	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	5800 Tennyson Parkway 
Plano, TX 75024
						
	69.	  	Hallmark Healthcare Company, LLC	  	Delaware	  	924764	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	70.	  	Health Management Associates, LLC	  	Delaware	  	879607	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	71.	  	Health Management Associates, LP	  	Delaware	  	4769167	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	72.	  	Health Management General Partner I, LLC	  	Delaware	  	5267241	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-13 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	73.	  	Health Management General Partner, LLC	  	Delaware	  	5266667	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	74.	  	HMA Fentress County General Hospital, LLC	  	Tennessee	  	0160892	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare - Jamestown 
436 Central Avenue 
West Jamestown, TN 
38556

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood,
TN
 37027

						
	75.	  	HMA Hospitals Holdings, LP	  	Delaware	  	4634558	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	76.	  	HMA Santa Rosa Medical Center, LLC	  	Florida	  	L08000118053	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Santa Rosa Medical Center 
6002 Berryhill Road
Milton, FL 32570

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	77.	  	HMA Services GP, LLC	  	Delaware	  	5266665	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	78.	  	HMA-TRI Holdings, LLC	  	Delaware	  	5835808	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	79.	  	Hobbs Medco, LLC	  	Delaware	  	3000933	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-14 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	80.	  	Hospital Management Associates, LLC	  	Florida	  	L13000001937	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	81.	  	Hospital Management Services of Florida, LP	  	Florida	  	A13000000018	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	82.	  	Hospital of Morristown, LLC	  	Tennessee	  	264618	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Lakeway Regional Hospital 
726 McFarland 
Street 
Morristown, TN 37814

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	83.	  	Jackson HMA, LLC	  	Mississippi	  	938738	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health Central
1850 Chadwick Drive
Jackson, MS 39204
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	84.	  	Jackson Hospital Corporation	  	Tennessee	  	435834	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	85.	  	Jefferson County HMA, LLC	  	Tennessee	  	660508	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Jefferson Memorial Hospital
110 Hospital Drive 
Jefferson City, TN

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-15 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	86.	  	Kay County Hospital Corporation	  	Oklahoma	  	1912092200	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	87.	  	Kay County Oklahoma Hospital Company, LLC	  	Oklahoma	  	3512092198	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 AllianceHealth 
Ponca City 
1900 North 14th 
Street 
Ponca City, OK 
74601

 
 Professional Account Services, Inc.
7000 Commerce 
Way
Suite 100 
Brentwood,
TN 
37027

						
	88.	  	Kennett HMA, LLC	  	Missouri	  	00538970	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Twin Rivers Regional Medical Center 
1301 First Street
Kennett, MO 638572525

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	89.	  	Key West HMA, LLC	  	Florida	  	L08000108767	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Lower Keys Medical Center 
5900 College Road 
Key West, Florida 33040

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	90.	  	Kirksville Hospital Company, LLC	  	Delaware	  	4447853	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-16 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	91.	  	Knoxville HMA Holdings, LLC	  	Tennessee	  	660504	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	92.	  	Lakeway Hospital Company, LLC	  	Tennessee	  	278113	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	93.	  	Lancaster Hospital Corporation	  	Delaware	  	2436981	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Ponca City Medical Center 
1900 North 14th Street
Ponca City, OK 74601

 
 Professional Account Services, Inc. 
7000 Commerce Way, 
Suite 100 
Brentwood,
TN 
37027

						
	94.	  	Laredo Texas Hospital Company, L.P.	  	Texas	  	800237874	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Laredo Medical 
Center 
1700 East Saunders
Laredo, TX 78041

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	95.	  	Las Cruces Medical Center, LLC	  	Delaware	  	3306969	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 MountainView Regional Medical Center 
4311 East Lohman Avenue 
Las Cruces, NM 88011

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-17 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	96.	  	Lea Regional Hospital, LLC	  	Delaware	  	2964402	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Lea Regional Medical Center 
5419 N. Lovington Hwy
Hobbs, NM 88240

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	97.	  	Lebanon HMA, LLC	  	Tennessee	  	453277	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare - Lebanon 
1411 W. Baddour Parkway
Lebanon, TN 370872513

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	98.	  	Longview Clinic Operations Company, LLC	  	Delaware	  	5118886	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	99.	  	Longview Medical Center, L.P.	  	Delaware	  	2964553	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Longview Regional Medical Center 
2901 N. Fourth Street
(P.O. Box 14000 / zip 75607)
Longview, TX 75605

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	100.	  	Longview Merger, LLC	  	Delaware	  	3000918	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-18 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	101.	  	LRH, LLC	  	Delaware	  	2964430	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	102.	  	Lutheran Health Network of Indiana, LLC	  	Delaware	  	2964221	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	103.	  	Madison HMA, LLC	  	Mississippi	  	938594	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health 
Madison
161 River Oaks Drive 
PO Box 1607 (zip code 39046-1607)
Canton, MS 39046

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	104.	  	Marshall County HMA, LLC	  	Oklahoma	  	3512339852	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 AllianceHealth 
Madill 
901 S. 5th Ave.
Madill, OK 73446
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	105.	  	Martin Hospital Company, LLC	  	Tennessee	  	435833	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare – Volunteer Martin 
161 Mt. Pelia Road
Martin, TN 38237

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-19 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	106.	  	Mary Black Health System LLC	  	Delaware	  	2623318	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Mary Black Health System – Spartanburg
1700 Skylyn Drive
Spartanburg, SC 29307

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	107.	  	MCSA, L.L.C.	  	Arkansas	  	100129761	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Medical Center of South Arkansas 
700 W. Grove Street
El Dorado, AR 71730

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	108.	  	Medical Center of Brownwood, LLC	  	Delaware	  	2964442	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	109.	  	Metro Knoxville HMA, LLC	  	Tennessee	  	660505	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 North Knoxville Medical Center 
7565 Dannaher Drive
Powell, TN 37849

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	110.	  	Mississippi HMA Holdings I, LLC	  	Delaware	  	4634574	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	111.	  	Mississippi HMA Holdings II, LLC	  	Delaware	  	4634575	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-20 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	112.	  	Moberly Hospital Company, LLC	  	Delaware	  	4447851	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Moberly Regional Medical Center
1515 Union Avenue
Moberly, MO 65270

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	113.	  	Naples HMA, LLC	  	Florida	  	L08000107925	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Physicians Regional Medical Center - Collier 
8300 Collier Blvd.
Naples, FL 34114

 
 Physicians Regional Medical Center - Pine Ridge 
6101 Pine Ridge Road
Naples, FL
34119
  
 Professional Account Services, Inc.
7000 Commerce Way
Suite
100
Brentwood, TN 37027

						
	114.	  	Natchez Hospital Company, LLC	  	Delaware	  	5526452	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health Natchez
54 Seargent Pretiss Drive 
Natchez, MS 39120

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-21 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	115.	  	National Healthcare of Leesville, Inc.	  	Delaware	  	2101020	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Byrd Regional Hospital 
1020 Fertitta Boulevard
Leesville, LA 71446

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	116.	  	Navarro Hospital, L.P.	  	Delaware	  	2964396	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Navarro Regional Hospital 
3201 W. Highway 22
Corsicana, TX 
75110

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	117.	  	Navarro Regional, LLC	  	Delaware	  	2964393	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	118.	  	NC-DSH, LLC	  	Nevada	  	C11431-1993	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-22 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	119.	  	Northwest Arkansas Hospitals, LLC	  	Delaware	  	4251378	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Northwest Medical Center – Bentonville
3000 Medical Center Pkwy. 
Bentonville, AR 
72712

 
 Northwest Medical Center – Springdale
609 W. Maple 
Springdale, AR 72764

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	120.	  	Northwest Hospital, LLC	  	Delaware	  	2964436	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Northwest Medical Center 
6200 N. LaCholla Boulevard 
Tucson, AZ 85741

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	121.	  	NOV Holdings, LLC	  	Delaware	  	4272333	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	122.	  	NRH, LLC	  	Delaware	  	2964428	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-23 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	123.	  	Oak Hill Hospital Corporation	  	West Virginia	  	46241	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Plateau Medical 
Center 
430 Main Street 
Oak Hill, WV 
25901

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	124.	  	Oro Valley Hospital, LLC	  	Delaware	  	3575660	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Oro Valley Hospital
1551 E. Tangerine Road Oro Valley, AZ 
85755

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	125.	  	Palmer-Wasilla Health System, LLC	  	Delaware	  	2964382	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	126.	  	Pasco Regional Medical Center, LLC	  	Florida	  	L08000103539	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	127.	  	Pennsylvania Hospital Company, LLC	  	Delaware	  	3657509	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	128.	  	Phoenixville Hospital Company, LLC	  	Delaware	  	3796044	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027







 I-24 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	129.	  	Poplar Bluff Regional Medical Center, LLC	  	Missouri	  	LC0961963	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027
						
	130.	  	Port Charlotte HMA, LLC	  	Florida	  	L08000111185	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Bayfront Health Port Charlotte 
2500 Harbor Boulevard 
Port Charlotte, FL 33952

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	131.	  	Pottstown Hospital Company, LLC	  	Delaware	  	3657514	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027
						
	132.	  	Punta Gorda HMA, LLC	  	Florida	  	L08000107920	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Bayfront Health 
Punta Gorda 
809 East Marion Avenue 
Punta Gorda, FL 33950-3898

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	133.	  	QHG Georgia Holdings II, LLC	  	Delaware	  	4754966	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	134.	  	QHG Georgia Holdings, Inc.	  	Georgia	  	K815327	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-25 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	135.	  	QHG Georgia, LP	  	Georgia	  	K815977	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	136.	  	QHG of Bluffton Company, LLC	  	Delaware	  	4474767	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	137.	  	QHG of Clinton County, Inc.	  	Indiana	  	1997020547	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	138.	  	QHG of Enterprise, Inc.	  	Alabama	  	176-166	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Medical Center Enterprise 
400 North Edwards Street 
Enterprise, AL 
36330

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	139.	  	QHG of Forrest County, Inc.	  	Mississippi	  	644555	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	140.	  	QHG of Fort Wayne Company, LLC	  	Delaware	  	4474773	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	141.	  	QHG of Hattiesburg, Inc.	  	Mississippi	  	644553	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-26 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	142.	  	QHG of South Carolina, Inc.	  	South Carolina	  	N/A	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Carolinas Hospital System 
805 Pamplico Hwy
Florence, SC 29505

 
 Carolinas Hospital System - Marion 
2829 East Hwy 76
Mullins, SC 29574

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	143.	  	QHG of Spartanburg, Inc.	  	South Carolina	  	N/A	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	144.	  	QHG of Springdale, Inc.	  	Arkansas	  	100163444	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	145.	  	Regional Hospital of Longview, LLC	  	Delaware	  	2964549	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	146.	  	River Oaks Hospital, LLC	  	Mississippi	  	939308	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health River Oaks 
1030 River Oaks Drive 
Flowood, MS 39232

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	147.	  	River Region Medical Corporation	  	Mississippi	  	631781	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-27 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	148.	  	ROH, LLC	  	Mississippi	  	938734	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Merit Health Woman’s Hospital 
1026 N. Flowood Drive PO Box 4546 (Jackson, MS 39296-4546) 
Flowood, MS 39232

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	149.	  	Roswell Hospital Corporation	  	New Mexico	  	1913540	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Eastern New Mexico Medical Center 
405 West Country
Club Road 
Roswell, NM 88201

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	150.	  	Ruston Hospital Corporation	  	Delaware	  	4270743	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	151.	  	Ruston Louisiana Hospital Company, LLC	  	Delaware	  	4270657	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Northern Louisiana Medical Center 
401 East Vaughn Avenue 
Ruston, LA 71270

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	152.	  	SACMC, LLC	  	Delaware	  	2964570	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-28 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	153.	  	Salem Hospital Corporation	  	New Jersey	  	100863665	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 The Memorial Hospital of Salem County 
310 Woodstown Road
Salem, NJ 08079

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	154.	  	San Angelo Community Medical Center, LLC	  	Delaware	  	2964587	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	155.	  	San Angelo Medical, LLC	  	Delaware	  	3001078	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	156.	  	Scranton Holdings, LLC	  	Delaware	  	4927795	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	157.	  	Scranton Hospital Company, LLC	  	Delaware	  	4927796	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Regional Hospital of Scranton 
746 Jefferson Ave.
Scranton, PA 18510

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	158.	  	Scranton Quincy Holdings, LLC	  	Delaware	  	5005526	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-29 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	159.	  	Scranton Quincy Hospital Company, LLC	  	Delaware	  	5005530	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Moses Taylor 
Hospital 
700 Quincy Ave.
Scranton, PA 18510

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	160.	  	Seminole HMA, LLC	  	Oklahoma	  	3512339861	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 AllianceHealth Seminole 
2401 Wrangler Boulevard 
Seminole, OK 
74868

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	161.	  	Shelbyville Hospital Company, LLC	  	Tennessee	  	494640	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare - Shelbyville 
2835 Hwy 231 
N Shelbyville, TN 37160

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	162.	  	Siloam Springs Arkansas Hospital Company, LLC	  	Delaware	  	4617628	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Siloam Springs Memorial Hospital
205 E. Jefferson Street
Siloam Springs, AR 72761

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-30 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	163.	  	Siloam Springs Holdings, LLC	  	Delaware	  	4617627	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	164.	  	Southeast HMA Holdings, LLC	  	Delaware	  	4634565	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	165.	  	Southern Texas Medical Center, LLC	  	Delaware	  	3001009	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	166.	  	Southwest Florida HMA Holdings, LLC	  	Delaware	  	4634561	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	167.	  	Statesville HMA, LLC	  	North Carolina	  	C200808000880	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Davis Regional
 Medical Center 
218 Old
Mocksville Road 
Statesville, NC 
28625
  
 Professional Account Services,
Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	168.	  	Tennessee HMA Holdings, LP	  	Delaware	  	5267250	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	169.	  	Tennyson Holdings, LLC	  	Delaware	  	4075793	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	170.	  	Tomball Texas Holdings, LLC	  	Delaware	  	5012107	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-31 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	171.	  	Tomball Texas Hospital Company, LLC	  	Delaware	  	5017131	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027
						
	172.	  	Triad Healthcare, LLC	  	Delaware	  	3035153	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	173.	  	Triad Holdings III, LLC	  	Delaware	  	3037153	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	174.	  	Triad Holdings IV, LLC	  	Delaware	  	2984727	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	175.	  	Triad Holdings V, LLC	  	Delaware	  	2226797	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	176.	  	Triad Nevada Holdings, LLC	  	Delaware	  	4474764	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	177.	  	Triad of Alabama, LLC	  	Delaware	  	2964867	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Flowers Hospital
4370 West Main Street
Dothan, AL 36305
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027

						
	178.	  	Triad-ARMC, LLC	  	Delaware	  	3561894	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-32 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	179.	  	Triad-El Dorado, Inc.	  	Arkansas	  	100129067	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	180.	  	Triad-Navarro Regional Hospital Subsidiary, LLC	  	Delaware	  	3036964	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	181.	  	Tullahoma HMA, LLC	  	Tennessee	  	453279	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tennova Healthcare - Harton 
1801 N. Jackson Street
Tullahoma,
TN 373888-2201

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	182.	  	Tunkhannock Hospital Company, LLC	  	Delaware	  	4927797	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Tyler Memorial Hospital 
880 SR 6 
West Tunkhannock,
PA 18657-9110

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	183.	  	Van Buren H.M.A., LLC	  	Arkansas	  	800152300	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Sparks Medical Center - Van Buren 
E. Main & South 20th Street 
PO Box 409 (zip code 72957) 
Van Buren, AR 
72956

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027








 I-33 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	184.	  	Venice HMA, LLC	  	Florida	  	L08000108774	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Venice Regional Bayfront Health 
540 The Rialto
Venice, FL 34285

 
 Professional Account Services, Inc.
7000 Commerce 
Way
Suite 100 
Brentwood,
TN 
37027

						
	185.	  	VHC Medical, LLC	  	Delaware	  	3001003	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	186.	  	Vicksburg Healthcare, LLC	  	Delaware	  	2939229	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 River Region Health System 
2100 Highway 61
North Vicksburg, MS 39183

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	187.	  	Victoria Hospital, LLC	  	Delaware	  	2948658	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	188.	  	Victoria of Texas, L.P.	  	Delaware	  	2949026	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 DeTar Hospital 
North 
101 Medical Drive
Victoria, TX 77904

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	189.	  	Virginia Hospital Company, LLC	  	Virginia	  	S097163-2	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A







 I-34 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	190.	  	Weatherford Hospital Corporation	  	Texas	  	800718212	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	191.	  	Weatherford Texas Hospital Company, LLC	  	Texas	  	800718224	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	192.	  	Webb Hospital Corporation	  	Delaware	  	3695172	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	193.	  	Webb Hospital Holdings, LLC	  	Delaware	  	3695131	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	194.	  	Wesley Health System LLC	  	Delaware	  	2770969	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Wesley Medical Center 
5001 Hardy Street
Hattiesburg, MS 39402

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	195.	  	WHMC, LLC	  	Delaware	  	2964658	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	196.	  	Wilkes-Barre Behavioral Hospital Company, LLC	  	Delaware	  	4617621	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 562 Wyoming 
Avenue 
Kingston, PA 
18704
  

Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN 37027








 I-35 
  

											
	 Exact Legal Name of

Grantor
	  	 Jurisdiction

of Formation
	  	Organizational
ID	  	 Address of Chief

Executive Office
	  	 Accounts Receivable

						
	197.	  	Wilkes-Barre Holdings, LLC	  	Delaware	  	4617617	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	198.	  	Wilkes-Barre Hospital Company, LLC	  	Delaware	  	4617619	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 Wilkes-Barre General Hospital 
575 North River Street
Wilkes-Barre, PA 18764

 
 Professional Account Services, Inc.
7000 Commerce Way
Suite 100
Brentwood, TN
37027

						
	199.	  	Woodland Heights Medical Center, LLC	  	Delaware	  	2964611	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	N/A
						
	200.	  	Woodward Health System, LLC	  	Delaware	  	2964411	  	Community Health Systems
4000 Meridian Blvd.
Franklin, TN 37067	  	 AllianceHealth Woodward 
900 17th Street 
Woodward, OK 
73801

 
 Professional Account Services, Inc.
7000 Commerce 
Way
Suite 100 
Brentwood,
TN 
37027








 II-1 
  

SUBSIDIARY GUARANTORS 
  

	1.	Abilene Hospital, LLC 


	2.	Abilene Merger, LLC 


	3.	Affinity Health Systems, LLC 


	4.	Affinity Hospital, LLC 


	5.	Berwick Hospital Company, LLC 


	6.	Biloxi H.M.A., LLC 


	7.	Birmingham Holdings II, LLC 


	8.	Birmingham Holdings, LLC 


	9.	Bluefield Holdings, LLC 


	10.	Bluefield Hospital Company, LLC 


	11.	Bluffton Health System LLC 


	12.	Brandon HMA, LLC 


	13.	Brownwood Hospital, L.P. 


	14.	Brownwood Medical Center, LLC 


	15.	Bullhead City Hospital Corporation 


	16.	Bullhead City Hospital Investment Corporation 


	17.	Campbell County HMA, LLC 


	18.	Carlsbad Medical Center, LLC 


	19.	Carolinas Holdings, LLC 


	20.	Carolinas JV Holdings General, LLC 


	21.	Carolinas JV Holdings, L.P. 


	22.	Central Florida HMA Holdings, LLC 


	23.	Central States HMA Holdings, LLC 


	24.	Chester HMA, LLC 


	25.	Chestnut Hill Health System, LLC 


	26.	CHHS Holdings, LLC 


	27.	CHHS Hospital Company, LLC 


	28.	CHS Pennsylvania Holdings, LLC 


	29.	CHS Receivables Funding, LLC 


	30.	CHS Tennessee Holdings, LLC 


	31.	CHS Virginia Holdings, LLC 


	32.	Citrus HMA, LLC 


	33.	Clarksville Holdings II, LLC 


	34.	Clarksville Holdings, LLC 


	35.	Cleveland Hospital Company, LLC 


	36.	Cleveland Tennessee Hospital Company, LLC 


	37.	Clinton HMA, LLC 


	38.	Coatesville Hospital Corporation 


	39.	Cocke County HMA, LLC 


	40.	College Station Hospital, L.P. 


	41.	College Station Medical Center, LLC 


	42.	College Station Merger, LLC 


	43.	Community Health Investment Company, LLC 


	44.	CP Hospital GP, LLC 


	45.	CPLP, LLC 







 II-2 
  

	46.	Crestwood Healthcare, L.P. 


	47.	Crestwood Hospital LP, LLC 


	48.	Crestwood Hospital, LLC 


	49.	CSMC, LLC 


	50.	Deaconess Holdings, LLC 


	51.	Deaconess Hospital Holdings, LLC 


	52.	Desert Hospital Holdings, LLC 


	53.	Detar Hospital, LLC 


	54.	DHFW Holdings, LLC 


	55.	Dukes Health System, LLC 


	56.	Dyersburg Hospital Company, LLC 


	57.	Emporia Hospital Corporation 


	58.	Florida HMA Holdings, LLC 


	59.	Foley Hospital Corporation 


	60.	Fort Smith HMA, LLC 


	61.	Frankfort Health Partner, Inc. 


	62.	Franklin Hospital Corporation 


	63.	Gadsden Regional Medical Center, LLC 


	64.	Gaffney H.M.A., LLC 


	65.	Granbury Hospital Corporation 


	66.	GRMC Holdings, LLC 


	67.	Hallmark Healthcare Company, LLC 


	68.	Health Management Associates, LLC 


	69.	Health Management Associates, LP 


	70.	Health Management General Partner I, LLC 


	71.	Health Management General Partner, LLC 


	72.	HMA Fentress County General Hospital, LLC 


	73.	HMA Hospitals Holdings, LP 


	74.	HMA Santa Rosa Medical Center, LLC 


	75.	HMA Services GP, LLC 


	76.	HMA-TRI Holdings, LLC 


	77.	Hobbs Medco, LLC 


	78.	Hospital Management Associates, LLC 


	79.	Hospital Management Services of Florida, LP 


	80.	Hospital of Morristown, LLC 


	81.	Jackson HMA, LLC 


	82.	Jackson Hospital Corporation 


	83.	Jefferson County HMA, LLC 


	84.	Kay County Hospital Corporation 


	85.	Kay County Oklahoma Hospital Company, LLC 


	86.	Kennett HMA, LLC 


	87.	Key West HMA, LLC 


	88.	Kirksville Hospital Company, LLC 


	89.	Knoxville HMA Holdings, LLC 


	90.	Lakeway Hospital Company, LLC 


	91.	Lancaster Hospital Corporation 







 II-3 
  

	92.	Laredo Texas Hospital Company, L.P. 


	93.	Las Cruces Medical Center, LLC 


	94.	Lea Regional Hospital, LLC 


	95.	Lebanon HMA, LLC 


	96.	Longview Clinic Operations Company, LLC 


	97.	Longview Medical Center, L.P. 


	98.	Longview Merger, LLC 


	99.	LRH, LLC 


	100.	Lutheran Health Network of Indiana, LLC 


	101.	Madison HMA, LLC 


	102.	Marshall County HMA, LLC 


	103.	Martin Hospital Company, LLC 


	104.	Mary Black Health System, LLC 


	105.	MCSA, L.L.C. 


	106.	Medical Center of Brownwood, LLC 


	107.	Metro Knoxville HMA, LLC 


	108.	Mississippi HMA Holdings I, LLC 


	109.	Mississippi HMA Holdings II, LLC 


	110.	Moberly Hospital Company, LLC 


	111.	Naples HMA, LLC 


	112.	Natchez Hospital Company, LLC 


	113.	National Healthcare of Leesville, Inc. 


	114.	Navarro Hospital, L.P. 


	115.	Navarro Regional, LLC 


	116.	NC-DSH, LLC 


	117.	Northwest Arkansas Hospitals, LLC 


	118.	Northwest Hospital, LLC 


	119.	NOV Holdings, LLC 


	120.	NRH, LLC 


	121.	Oak Hill Hospital Corporation 


	122.	Oro Valley Hospital, LLC 


	123.	Palmer-Wasilla Health System, LLC 


	124.	Pasco Regional Medical Center, LLC 


	125.	Pennsylvania Hospital Company, LLC 


	126.	Phoenixville Hospital Company, LLC 


	127.	Poplar Bluff Regional Medical Center, LLC 


	128.	Port Charlotte HMA, LLC 


	129.	Pottstown Hospital Company, LLC 


	130.	Punta Gorda HMA, LLC 


	131.	QHG Georgia Holdings II, LLC 


	132.	QHG Georgia Holdings, Inc. 


	133.	QHG Georgia, LP 


	134.	QHG of Bluffton Company, LLC 


	135.	QHG of Clinton County, Inc. 


	136.	QHG of Enterprise, Inc. 


	137.	QHG of Forrest County, Inc. 







 II-4 
  

	138.	QHG of Fort Wayne Company, LLC 


	139.	QHG of Hattiesburg, Inc. 


	140.	QHG of South Carolina, Inc. 


	141.	QHG of Spartanburg, Inc. 


	142.	QHG of Springdale, Inc. 


	143.	Regional Hospital of Longview, LLC 


	144.	River Oaks Hospital, LLC 


	145.	River Region Medical Corporation 


	146.	ROH, LLC 


	147.	Roswell Hospital Corporation 


	148.	Ruston Hospital Corporation 


	149.	Ruston Louisiana Hospital Company, LLC 


	150.	SACMC, LLC 


	151.	Salem Hospital Corporation 


	152.	San Angelo Community Medical Center, LLC 


	153.	San Angelo Medical, LLC 


	154.	Scranton Holdings, LLC 


	155.	Scranton Hospital Company, LLC 


	156.	Scranton Quincy Holdings, LLC 


	157.	Scranton Quincy Hospital Company, LLC 


	158.	Seminole HMA, LLC 


	159.	Shelbyville Hospital Company, LLC 


	160.	Siloam Springs Arkansas Hospital Company, LLC 


	161.	Siloam Springs Holdings, LLC 


	162.	Southeast HMA Holdings, LLC 


	163.	Southern Texas Medical Center, LLC 


	164.	Southwest Florida HMA Holdings, LLC 


	165.	Statesville HMA, LLC 


	166.	Tennessee HMA Holdings, LP 


	167.	Tennyson Holdings, LLC 


	168.	Tomball Texas Holdings, LLC 


	169.	Tomball Texas Hospital Company, LLC 


	170.	Triad Healthcare, LLC 


	171.	Triad Holdings III, LLC 


	172.	Triad Holdings IV, LLC 


	173.	Triad Holdings V, LLC 


	174.	Triad Nevada Holdings, LLC 


	175.	Triad of Alabama, LLC 


	176.	Triad-ARMC, LLC 


	177.	Triad-El Dorado, Inc. 


	178.	Triad-Navarro Regional Hospital Subsidiary, LLC 


	179.	Tullahoma HMA, LLC 


	180.	Tunkhannock Hospital Company, LLC 


	181.	Van Buren H.M.A., LLC 


	182.	Venice HMA, LLC 


	183.	VHC Medical, LLC 







 II-5 
  

	184.	Vicksburg Healthcare, LLC 


	185.	Victoria Hospital, LLC 


	186.	Victoria of Texas, L.P. 


	187.	Virginia Hospital Company, LLC 


	188.	Weatherford Hospital Corporation 


	189.	Weatherford Texas Hospital Company, LLC 


	190.	Webb Hospital Corporation 


	191.	Webb Hospital Holdings, LLC 


	192.	Wesley Health System LLC 


	193.	WHMC, LLC 


	194.	Wilkes-Barre Behavioral Hospital Company, LLC 


	195.	Wilkes-Barre Holdings, LLC 


	196.	Wilkes-Barre Hospital Company, LLC 


	197.	Woodland Heights Medical Center, LLC 


	198.	Woodward Health System, LLC 







 III-1 
  

CAPITAL STOCK 
 On file with
collateral agent 






 IV-1 
  

DEBT INSTRUMENTS; ADVANCES 
 See
Pledged Debt Securities, Debt Instruments; Advances in Schedule III 






 VI-1 
  

MORTGAGE FILINGS 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	1.	  	Northwest Medical Center 
6200 N. LaCholla Blvd. 
Tucson, AZ 85741	  	Northwest Hospital, LLC	  	Pima County, AZ
				
	2.	  	Oro Valley Hospital 
1551 E. Tangerine Road 
Oro Valley, AZ 85755	  	Oro Valley Hospital, LLC	  	Pima County, AZ
				
	3.	  	Bluffton Regional Medical Center
303 South Main Street
Bluffton, IN 46714	  	Bluffton Health System LLC	  	Wells County, IN
				
	4.	  	Dukes Memorial Hospital
275 W. 12th Street
Peru, IN 46970	  	Dukes Health System, LLC	  	Miami County, IN
				
	5.	  	Merit Health River Region
2100 Highway 61 North/1111 N. Frontage Road
Vicksburg, MS 39183	  	Vicksburg Healthcare, LLC	  	Warren County, MS
				
	6.	  	Merit Health Wesley [(f/k/a Wesley Medical Center)]
5001 Hardy Street
Hattiesburg, MS 39402	  	Wesley Health System LLC	  	Lamar and Forrest Counties, MS
				
	7.	  	 Moberly Regional Medical Center
 1515 Union
Avenue
 Moberly, MO 65270
	  	Moberly Hospital Company, LLC	  	Shelby and Randolph counties, MO
				
	8.	  	Memorial Hospital of Salem County
310 Woodstown Road
Salem, NJ 08079	  	Salem Hospital Corporation	  	Salem & Gloucester Counties, NJ
				
	9.	  	Carlsbad Medical Center 
2430 West Pierce St 
Carlsbad, NM 88220	  	Carlsbad Medical Center, LLC	  	Eddy County, NM







 VI-2 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	10.	  	Eastern New Mexico Medical Center
405 West Country Club Road
Roswell, NM 88201	  	Roswell Hospital Corporation	  	Chaves County, NM
				
	11.	  	Lea Regional Medical Center 
5419 N. Lovington Highway
Hobbs, NM 88240	  	Lea Regional Hospital, LLC	  	Lea County, NM
				
	12.	  	Mountain View Regional Medical Center
4311 East Lohman Avenue
Las Cruces, NM 88011	  	Las Cruces Medical Center, LLC	  	Dona Ana County, NM
				
	13.	  	Berwick Hospital Center 
701 East 16th Street 
Berwick, PA 18603	  	Berwick Hospital Company, LLC	  	Columbia & Luzerne Counties, PA
				
	14.	  	Moses Taylor Hospital 
700 Quincy Avenue 
Scranton, PA 18510	  	Scranton Quincy Hospital Company, LLC	  	Lackawanna County, PA
				
	15.	  	Regional Hospital of Scranton
746 Jefferson Ave
Scranton, PA 18510	  	Scranton Hospital Company, LLC	  	Lackawanna County, PA
				
	16.	  	 Tyler Memorial Hospital 
5950 SR6
Tunkhannock, PA 18657
  

Wilkes-Barre General Hospital
 575 North River Street

Wilkes-Barre, PA 18702
	  	Tunkhannock Hospital Company, LLC	  	Wyoming County, PA
				
	17.	  	 Thomas P. Saxton Medical Pavilion
 468
Northampton Street
 Edwardsville, PA 18704
	  	Wilkes-Barre Hospital Company, LLC	  	Luzerne County, PA
				
		  	 Wyoming Valley Imaging Center
 345 N.
Pennsylvania Avenue
 Wilkes-Barre, PA 18702
	  		  	







 VI-3 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

	18.	  	 First Hospital
 562 and 534 Wyoming
Avenue
Kingston, PA 18704
  
 Community Counseling Services

110-130 S. Pennsylvania Avenue

(a/k/a 101 E. Northampton)
 Wilkes-Barre, PA 18701

 
 92 S. Franklin Street

Wilkes-Barre, PA 18701
  

320 S. Franklin Street
 Wilkes-Barre, PA 18702

 
 3504 Bear Creek

Bear Creek, PA 18602
  

First Hospital – Patient Resident
 House

76 South Dawes Avenue
 Kingston, PA 18704
	  	Wilkes-Barre Behavioral Hospital Company, LLC	  	Luzerne County, PA
				
	19.	  	Carolinas Hospital System 
805 Pamplico Highway 
Florence, SC 29505	  	QHG of South Carolina, Inc.	  	Florence County, SC
				
	20.	  	 Carolinas Hospital System –
 Marion
(f/k/a Marion Regional
 Hospital)
2829 E. Highway 76
Mullins, SC 29574
	  	QHG of South Carolina, Inc.	  	Marion County, SC
				
	21.	  	Mullins Nursing Center 
518 S. Main Street 
Mullins, SC 295741	  	QHG of South Carolina, Inc.	  	Marion County, SC
				
	22.	  	Springs Memorial Hospital 
800 W. Meeting Street 
Lancaster, SC 29720	  	Lancaster Hospital Corporation	  	Lancaster County, SC

  

	1 	Expected to be included in Mortgage on Carolinas Hospital System – Marion (f/k/a Marion Regional Hospital). 







 VI-4 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	23.	  	 Tennova – Lakeway Regional
 Hospital (f/k/a
Lakeway
 Regional Hospital)
726 McFarland Street 
Morristown, TN 37814
	  	Hospital of Morristown, LLC	  	Hamblen County, TN
				
	24.	  	 Tennova Healthcare-Cleveland
 2305 Chambliss
Avenue NW
 Cleveland, TN 37311
	  	 Cleveland Tennessee Hospital
 Company,
LLC
	  	Bradley County, TN
				
	25.	  	College Station Medical Center
1604 Rock Prairie Road
College Station, TX 77845	  	College Station Hospital, L.P.	  	Brazos County, TX
				
	26.	  	DeTar Healthcare System 
506 E. San Antonio Street
Victoria, TX 77901	  	Victoria of Texas, L.P.	  	Victoria County, TX
				
	27.	  	DeTar Healthcare System
101 Medical Drive 
Victoria, TX 77904	  	Victoria of Texas, L.P.	  	Victoria County, TX
				
	28.	  	 Bluefield Regional Medical
 Center

 
 500 Cherry Street (821 Bluefield

Avenue)
Bluefield, WV 24701
	  	Bluefield Hospital Company, LLC	  	Mercer County, WV
				
	29.	  	 Medical Center of South
 Arkansas
700 W.
Grove Street
El Dorado, AR 71730
	  	MCSA, L.L.C.	  	Union County, AR
				
	30.	  	 Western Arizona Regional
 Medical Center
2735
Silver Creek Road
Bullhead City, AZ 86442
	  	 Bullhead City Hospital
  

Corporation
	  	Mohave County, AZ
				
	31.	  	 Longview Regional Medical
 Center

 
 2901 N. Fourth Street

Longview, TX 75605
	  	Longview Medical Center, L.P.	  	Gregg County, AR







 VI-5 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	32.	  	Northwest Medical Center
Springdale
609 W. Maple Ave 
Springdale, AR 72764	  	Northwest Arkansas Hospitals, LLC & QHG of Springdale, Inc.	  	Washington County, AR
				
	33.	  	 Willow Creek Women’s Hospital
 4301
Greathouse Springs Rd.
 Johnson, AR 72741
	  	 Northwest Arkansas Hospitals,
 LLC
	  	Washington County, AR
				
	34.	  	 Northwest Medical Center –
 Bentonville

3000 Medical Center Pkwy.
Bentonville, AR 72712
	  	QHG of Springdale, Inc.	  	Benton County, AR
				
	35.	  	 Tennova- Newport Medical
 Center 
435 Second
Street 
Newport, TN 37821
	  	Cocke County HMA, LLC	  	Cocke County, TN
				
	36.	  	 Sparks Health System
 1001 Towson Avenue
Fort
Smith, AR 72901
	  	Fort Smith HMA, LLC	  	Sebastian County, AR
				
	37.	  	Merit Health Madison
161 River Oaks Drive
Canton, MS 39046	  	Madison HMA, LLC	  	Madison County, MS
				
	38.	  	 Tennova-Physicians Regional
 Medical Center

900 East Oak Hill Ave.
 Knoxville, TN 37917
	  	Metro Knoxville HMA, LLC	  	Knox County, TN
				
	39.	  	 Tennova- Turkey Creek Medical
 Center

10820 Parkside Drive
 Knoxville, TN 37934
	  	Metro Knoxville HMA, LLC	  	Knox County, TN
				
	40.	  	 Tennova- North Knoxville
 Medical Center

7565 Dannaher Drive
Knoxville, TN 37849
	  	Metro Knoxville HMA, LLC	  	Knox County, TN
				
	41.	  	 Poplar Bluff Regional Medical
 Center

3100 Oak Grove Road
 Poplar Bluff, MO 63901
	  	Poplar Bluff Regional Medical Center, LLC	  	Butler County, MO







 VI-6 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	42.	  	Merit Health River Oaks 
1030 River Oaks Drive 
Flowood, MS 39232	  	River Oaks Hospital, LLC	  	Rankin County, MS
				
	43.	  	 Merit Health Woman’s Hospital
 1026 N.
Flowood Drive2 
Flowood, MS 39232
	  	ROH, LLC	  	Rankin County, MS
				
	44.	  	 Davis Regional Medical Center
 218 Old
Mocksville Road
 Statesville, NC 28625
	  	Statesville HMA, LLC	  	Iredell County, NC
				
	45.	  	Merit Health Natchez
54 Seargent S Prentiss Drive
Natchez, MS 39120	  	Natchez Hospital Company, LLC	  	Adams County, MS
				
	46.	  	 Mary Black Health System-
 Gaffney
1530 N.
Limestone St.
Gaffney, SC 29340
	  	Gaffney H.M.A., LLC	  	Cherokee County, SC
				
	47.	  	Mary Black Health System 
1700 Skylyn Drive
Spartanburg, SC 29307	  	Mary Black Health System, LLC	  	Spartanburg County, SC
				
	48.	  	Tennova Healthcare-Lebanon 
1411 W. Baddour Parkway 
Lebanon, TN 37087	  	Lebanon HMA, LLC	  	Wilson County, TN
				
	49.	  	Laredo Medical Center
1700 East Saunders Street
Laredo, TX 78041	  	Laredo Texas Hospital Company, L.P.	  	Webb County, TX

  
  

	2 	Including the property at 1030 N. Flowood Drive, Flowood, MS 39232. 







 VI-7 
  

MORTGAGES WITH RESPECT TO MORTGAGED PROPERTIES IN MORTGAGE TAX STATES3 

 

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	1.	  	Flowers Hospital
4370 West Main Street
Dothan, AL 36305	  	Triad of Alabama, LLC	  	Houston County, AL
				
	2.	  	Gadsden Regional Medical Center
1007 Goodyear Avenue
Gadsden, AL 35903	  	Gadsden Regional Medical Center, LLC	  	Etowah County, AL
				
	3.	  	Medical Center Enterprise 
400 North Edwards St. 
Enterprise, AL 36330	  	QHG of Enterprise, Inc.	  	Coffee County, AL
				
	4.	  	AllianceHealth Ponca City
1900 North 14th Street 
Ponca City, OK 74601	  	Kay County Oklahoma Hospital Company, LLC	  	Kay County, OK
				
	5.	  	 Southern Virginia Regional Medical

Center
727 North Main Street
Emporia, VA 23847
	  	Emporia Hospital Corporation	  	Greensville County, VA
				
	6.	  	Southampton Memorial Hospital
100 Fairview Drive
Franklin, VA 23851	  	Franklin Hospital Corporation	  	Southampton County, VA
				
	7.	  	 Trinity Medical Center
 800 Montclair Road

Birmingham, AL 35213 (Jefferson)
 (No longer an operating
hospital)
 and
 Grandview Medical Center

3690 Grandview Parkway
 Birmingham, AL 35243
	  	Affinity Hospital, LLC	  	Jefferson County, AL

  
  

	3 	Mortgages shall not be recorded in any Mortgage Tax State with respect to Mortgaged Properties owned by any Loan Party as of the Closing Date unless a Covenant Trigger Event shall exist and the Administrative Agent
shall have provided notice to the Borrower of its intent to record such Mortgages at least five Business Days in advance of such recording. 







 VI-8 
  

							
	Property Name/Address	  	 Record Owner
	  	 Filing Office

				
	8.	  	Seven Rivers Regional Medical Center
6201 N. Suncoast Blvd. 
Crystal River, FL 34428	  	Citrus HMA, LLC	  	Citrus County, FL
				
	9.	  	Physicians Regional Medical Center (Pine Ridge)
6101 Pine Ridge Road
Naples, FL 34119	  	Naples HMA, LLC	  	Collier County, FL
				
	10.	  	Physicians Regional Medical Center
(Collier Blvd. and MOB)
8300 Collier Blvd.4
Naples, FL 34114	  	Naples HMA, LLC	  	Collier County, FL
				
	11.	  	Bayfront Health Port Charlotte
2500 Harbor Boulevard
Port Charlotte, FL 339525	  	Port Charlotte HMA, LLC	  	Charlotte County, FL
				
	12.	  	Bayfront Health Punta Gorda
809 E. Marion Avenue
Punta Gorda, FL 33950	  	Punta Gorda HMA, LLC	  	Charlotte County, FL
				
	13.	  	Riverside Behavioral Center 
733 E. Olympia Ave.
Punta Gorda, FL 33950	  	Punta Gorda HMA, LLC	  	Charlotte County, FL
				
	14.	  	Venice Regional Medical Center
540 The Rialto
Venice, FL 34285	  	Venice HMA, LLC	  	Sarasota County, FL
				
	15.	  	Crestwood Medical Center 
One Hospital Drive SW 
Huntsville, AL 35801-6455	  	Crestwood Healthcare, L.P.	  	Madison County, AL

  
  

 

	4 	Including the property at 8320 Collier Boulevard, Naples, FL 34114. 


	5 	Site also includes the following building numbers: 2370, 2380, and 2450. 







 VI-9 
  

Schedule VI on file with collateral agent 






 COMMERCIAL TORT CLAIMS 

None. 






 Exhibit A to the 

Collateral Agreement 

SUPPLEMENT NO. [●] (this “Supplement”) dated as of [●], 20[●] to the
Junior-Priority Collateral Agreement dated as of June 22, 2018 (the “Collateral Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the “Company”), COMMUNITY HEALTH
SYSTEMS, INC., a Delaware corporation (“Parent”), each Subsidiary from time to time party thereto (each such Subsidiary individually a “Subsidiary Guarantor” and collectively, the
“Subsidiary Guarantors”; the Subsidiary Guarantors, the Company and Parent are referred to collectively herein as the “Grantors”) and REGIONS BANK (together with its affiliates “Regions
Bank”), as collateral agent (in such capacity, the “Junior-Priority Collateral Agent”) for the Secured Parties (as defined therein). 

A. Reference is made to (a) that certain indenture, dated as of June 22, 2018, governing the Company’s Junior-Priority Senior
Secured Notes due 2023 (such notes, the “2023 Notes”) (as amended, restated, supplemented or otherwise modified from time to time, the “2023 Notes Indenture”), among the Company, each guarantor party
thereto and Regions Bank, an Alabama banking corporation, as trustee and the Junior-Priority Collateral Agent and (b) that certain indenture, dated as of June 22, 2018, governing the Company’s 8.125% Junior-Priority Senior Secured
Notes due 2024 (such notes, the “2024 Notes” and, together with the 2023 Notes, the “Notes”) (as amended, restated, supplemented or otherwise modified from time to time, the “2024 Notes
Indenture” and, together with the 2023 Notes Indenture, the “Indentures”), among the Company, each guarantor party thereto and Regions Bank, an Alabama banking corporation, as trustee and the Junior-Priority
Collateral Agent. 
 B. Capitalized terms used herein and not otherwise defined herein shall have the meanings assigned to such terms in the
2023 Notes Indenture or the Collateral Agreement referred to therein, as applicable. 
 C. The Grantors have entered into the Collateral
Agreement in order to induce the Secured Parties to make certain extensions of credit. Section 6.16 of the Collateral Agreement provides that additional Subsidiaries may become Grantors under the Collateral Agreement by execution and delivery
of an instrument in the form of this Supplement. The undersigned Subsidiary (the “New Subsidiary”) is executing this Supplement to become a Grantor under the Collateral Agreement. 

Accordingly, the Junior-Priority Collateral Agent and the New Subsidiary agree as follows: 

SECTION 1. In accordance with Section 6.16 of the Collateral Agreement, the New Subsidiary by its signature below becomes a Grantor under
the Collateral Agreement with the same force and effect as if originally named therein as a Grantor and the New Subsidiary hereby (a) agrees to all the terms and provisions of the Collateral Agreement applicable to it as a Grantor thereunder
and (b) represents and warrants that the representations and warranties made by it as a Grantor thereunder are true and correct in all material respects on and as of the date 






 A-2 
  

hereof. In furtherance of the foregoing, the New Subsidiary, as security for the payment and performance in full of the Junior-Priority Obligations (as defined
in the Collateral Agreement), does hereby create and grant to the Junior-Priority Collateral Agent, its successors and assigns, for the benefit of the Secured Parties, their successors and assigns, a security interest in and lien on all of the New
Subsidiary’s right, title and interest in and to the Collateral (as defined in the Collateral Agreement) of the New Subsidiary. Each reference to a “Grantor” or a “Subsidiary Guarantor” in the Collateral Agreement shall be
deemed to include the New Subsidiary. The Collateral Agreement is hereby incorporated herein by reference. 
 SECTION 2. The New Subsidiary
represents and warrants to the Junior-Priority Collateral Agent and the other Secured Parties that this Supplement has been duly authorized, executed and delivered by it and constitutes its legal, valid and binding obligation, enforceable against it
in accordance with its terms. 
 SECTION 3. This Supplement may be executed in counterparts (and by different parties hereto on different
counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Supplement shall become effective when the Junior-Priority Collateral Agent shall have received counterparts of
this Supplement that, when taken together, bear the signatures of the New Subsidiary and the Junior-Priority Collateral Agent. Delivery of an executed signature page to this Supplement by facsimile transmission shall be as effective as delivery of a
manually signed counterpart of this Supplement. 
 SECTION 4. The New Subsidiary hereby represents and warrants that as of the date
hereof (a) set forth on Schedule I attached hereto is a true and correct schedule of (i) any and all Capital Stock and Pledged Debt Securities now owned by the New Subsidiary and required to be pledged under the Collateral Agreement and
(ii) any and all Intellectual Property now owned by the New Subsidiary and that would have been required to be listed on Schedule V to the Collateral Agreement on the date thereof and (b) set forth under its signature hereto, is the true
and correct legal name of the New Subsidiary and its jurisdiction of organization. 
 SECTION 5. Except as expressly supplemented hereby,
the Collateral Agreement shall remain in full force and effect. 
 SECTION 6. THIS SUPPLEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK. 
 SECTION 7. In case any one or more of the provisions contained in this
Supplement should be held invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein and in the Collateral Agreement shall not in any way be affected or impaired thereby
(it being understood that the invalidity of a particular provision in a particular jurisdiction shall not in and of itself affect the validity of such provision in any other jurisdiction). The parties hereto shall endeavor in good-faith negotiations
to replace the invalid, illegal or unenforceable provisions with valid provisions the economic effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions. 






 A-3 
  

SECTION 8. All communications and notices hereunder shall (except as otherwise expressly permitted herein) be in writing and shall be delivered
by hand or overnight courier service, mailed by certified or registered mail, sent by telecopy or electronically mailed, as follows: 

(a)    if to the Junior-Priority Collateral Agent, the 2023 Notes Authorized Representative or the 2024
Notes Authorized Representative, to it as provided in Section 6.01 of the Collateral Agreement; 

(b)    if to an Additional Authorized Representative, to it at the address set forth in the applicable
Officer’s certificate delivered in accordance with Section 6.09(c); or 
 (c)    if to the
Company, Parent or any Subsidiary Guarantor (including, for the avoidance of doubt, the New Subsidiary), to it as provided in Section 6.01 of the Collateral Agreement. 

Any party hereto may change its address or telecopy number for communications and notices hereunder by notice to the other parties hereto. All
notices and other communications given to any party hereto in accordance with the provisions of this Agreement shall be deemed to have been given on the date of receipt (if a Business Day) and on the next Business Day thereafter (in all other cases)
if delivered by hand or overnight courier service or sent by telecopy or electronically mailed or on the date five Business Days after dispatch by certified or registered mail if mailed, in each case delivered, sent or mailed (properly addressed) to
such party as provided in this Section 6.01 or in accordance with the latest unrevoked direction from such party given in accordance with this Section 6.01. 

SECTION 9. The New Subsidiary agrees to reimburse the Junior-Priority Collateral Agent for its reasonable out-of-pocket expenses in connection with this Supplement, including the reasonable fees, other charges and disbursements of one counsel for the Junior-Priority Collateral Agent in each relevant jurisdiction.







 A-4 
  

IN WITNESS WHEREOF, the New Subsidiary and the Junior-Priority Collateral Agent have duly executed this Supplement to the Collateral Agreement
as of the day and year first above written. 
  

							
		 	[NAME OF NEW SUBSIDIARY],
				
		 		 	by	 	  

		 		 		 	Name:
		 		 		 	Title:
		 		 		 	Address:
		 		 		 	Legal Name:
		 		 		 	Jurisdiction of Formation:
		
		 	REGIONS BANK, as Junior-Priority Collateral Agent,
				
		 		 	by	 	  

		 		 		 	Name:
		 		 		 	Title:
				
		 		 	by	 	  

		 		 		 	Name:
		 		 		 	Title:







 Collateral of the New Subsidiary 

CAPITAL STOCK 
  

									
	 Company
	  	 Number of
Certificate
	  	 Registered
Owner
	  	
Number and
Class of
Capital Stock
	  	 Percentage
of Capital Stock

		  		  		  		  	
		  		  		  		  	
		  		  		  		  	
		  		  		  		  	

 PLEDGED DEBT SECURITIES 
  

							
	 Company
	  	 Principal
Amount
	  	 Date of Note
	  	 Maturity Date

		  		  		  	
		  		  		  	
		  		  		  	
		  		  		  	
		  		  		  	
		  		  		  	







 INTELLECTUAL PROPERTY 

[Follow format of Schedule III to the 

Collateral Agreement.]