Document:

EX-4.8

 Exhibit 4.8 

EXECUTION COPY 
  

CHS/Community Health Systems, Inc. 
  

$3,000,000,000 6.875% Senior Notes due 2022 
  

REGISTRATION RIGHTS JOINDER 
  

 
 January 27, 2014 

 
 MERRILL LYNCH, PIERCE,
FENNER & SMITH INCORPORATED 
 CREDIT SUISSE SECURITIES
(USA) LLC 
 As Representatives of the several Initial Purchasers 

c/o Merrill Lynch, Pierce, Fenner & Smith 

Incorporated 
 One Bryant Park

 New York, New York 10036 
  

Ladies and Gentlemen: 
 Reference is made to the
Registration Rights Agreement (the “Registration Rights Agreement”) dated January 27, 2014, among FWCT-2 Escrow Corporation, a Delaware corporation (the “Escrow Issuer”), and the several Initial Purchasers
listed on Schedule A thereto (the “Initial Purchasers”), for whom Merrill Lynch, Pierce, Fenner & Smith Incorporated and Credit Suisse Securities (USA) LLC are acting as representatives (in such capacity, the
“Representatives”), concerning certain registration rights provisions with respect to the $3,000,000,000 aggregate principal amount of 6.875% Senior Notes due 2022 issued by the Escrow Issuer. Capitalized terms used and not
otherwise defined herein have the meanings ascribed to them in the Registration Rights Agreement. This agreement (this “Registration Rights Joinder”) is the “Registration Rights Joinder” referred to in the Registration
Rights Agreement. 
 The Issuer and each of the Guarantors, for good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, hereby agrees to join, and to become bound by the terms, conditions, covenants, agreements, indemnities and other provisions of, the Registration Rights Agreement as the “Issuer” and the “Company” (in the
case of the Issuer) or as a “Guarantor” (in the case of any Guarantor), in each case with all attendant rights, duties and obligations stated therein, with the same force and effect as if originally a party thereto, and as if such party
executed the Registration Rights Agreement on the date thereof. 

 

 
 If the foregoing is in accordance with your understanding, please indicate your acceptance of this Registration Rights Joinder by
signing in the space provided below. 
Very truly yours, 
CHS/COMMUNITY HEALTH
SYSTEMS, INC., 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and Secretary 
[Joinder to the Senior Unsecured Notes
Registration Rights Agreement] 

 

 
 Community Health Systems, Inc. 
Abilene Hospital,
LLC 
Abilene Merger, LLC 
Affinity Health Systems, LLC 
Affinity Hospital, LLC 
Anna Hospital Corporation 
Berwick Hospital Company, LLC 
Big Bend Hospital Corporation 
Big Spring Hospital Corporation 
Birmingham Holdings, LLC 
Birmingham Holdings II, LLC 
Blue Island Hospital Company, LLC 
Blue Island Illinois Holdings, LLC 
Bluefield Holdings, LLC 
Bluefield Hospital Company, LLC 
Bluffton Health System LLC 
Brownsville Hospital Corporation 
Brownwood Medical Center, LLC 
Bullhead City Hospital Corporation 
Bullhead City Hospital Investment Corporation 
Carlsbad Medical Center, LLC 
Centre Hospital Corporation 
CHHS Holdings, LLC 
CHS Kentucky Holdings, LLC 
CHS Pennsylvania Holdings, LLC 
CHS Virginia Holdings, LLC 
CHS Washington Holdings, LLC 
Clarksville Holdings, LLC 
Clarksville Holdings II, LLC 
Cleveland Hospital Corporation 
Cleveland Tennessee Hospital Company, LLC 
Clinton Hospital Corporation 
Coatesville Hospital Corporation 
College Station Medical Center, LLC 
College Station Merger, LLC 
Community GP Corp. 
Community Health Investment Company, LLC 
Community LP Corp. 
CP Hospital GP, LLC 
CPLP, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and Secretary 
Acting on behalf of each of the Guarantors set
for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 Crestwood Hospital, LLC 
Crestwood Hospital LP, LLC

CSMC, LLC 
CSRA Holdings, LLC 
Deaconess Holdings, LLC 
Deaconess Hospital Holdings, LLC 
Deming Hospital Corporation Desert Hospital Holdings, LLC 
Detar Hospital, LLC 
DHFW Holdings, LLC 
DHSC, LLC 
Dukes Health System, LLC 
Dyersburg Hospital Corporation 
Emporia Hospital Corporation 
Evanston Hospital Corporation 
Fallbrook Hospital Corporation 
Foley Hospital Corporation 
Forrest City Arkansas Hospital Company, LLC 
Forrest City Hospital Corporation 
Fort Payne Hospital Corporation 
Frankfort Health Partner, Inc. 
Franklin Hospital Corporation 
Gadsden Regional Medical Center, LLC 
Galesburg Hospital Corporation 
Granbury Hospital Corporation 
Granite City Hospital Corporation 
Granite City Illinois Hospital Company, LLC 
Greenville Hospital Corporation 
GRMC Holdings, LLC 
Hallmark Healthcare Company, LLC 
Hobbs Medco, LLC 
Hospital of Barstow, Inc. 
Hospital of Fulton, Inc. 
Hospital of Louisa, Inc. 
Hospital of Morristown, Inc. 
Jackson Hospital Corporation (KY) 
Jackson Hospital Corporation (TN) 
Jourdanton Hospital Corporation 
Kay County Hospital Corporation 
Kay County Oklahoma Hospital Company, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and Secretary 
Acting on behalf of each of the Guarantors set for above. 
[Signature Page to the Joinder to
the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 Kirksville Hospital Company, LLC 
Lakeway Hospital
Corporation 
Lancaster Hospital Corporation 
Las Cruces Medical Center, LLC

Lea Regional Hospital, LLC 
Lexington Hospital Corporation 
Longview Clinic Operations Company, LLC 
Longview Merger, LLC 
LRH, LLC 
Lutheran Health Network of Indiana, LLC 
Marion Hospital Corporation 
Martin Hospital Corporation 
Massillon Community Health System LLC 
Massillon Health System LLC 
Massillon Holdings, LLC 
McKenzie Tennessee Hospital Company, LLC 
McNairy Hospital Corporation 
MCSA, L.L.C. 
Medical Center of Brownwood, LLC 
Merger Legacy Holdings, LLC 
MMC of Nevada, LLC 
Moberly Hospital Company, LLC 
MWMC Holdings, LLC 
Nanticoke Hospital Company, LLC 
National Healthcare of Leesville, Inc. 
National Healthcare of Mt. Vernon, Inc. 
National Healthcare of Newport, Inc. 
Navarro Regional, LLC 
NC-DSH, LLC 
Northampton Hospital Company, LLC 
Northwest Arkansas Hospitals, LLC 
Northwest Hospital, LLC 
NOV Holdings, LLC 
NRH, LLC 
Oak Hill Hospital Corporation 
Oro Valley Hospital, LLC 
Palmer-Wasilla Health System, LLC 
Payson Hospital Corporation 
Peckville Hospital Company, LLC 
Pennsylvania Hospital Company, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and Secretary 
Acting on behalf of each of the Guarantors set
for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 Phillips Hospital Corporation 
Phoenixville
Hospital Company, LLC 
Pottstown Hospital Company, LLC 
QHG Georgia Holdings,
Inc. 
QHG Georgia Holdings II, LLC 
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 Massillon, Inc. 
QHG of South Carolina, Inc. 
QHG of Spartanburg, Inc. 
QHG of Springdale, Inc. 
QHG of Warsaw Company, LLC 
Quorum Health Resources, LLC 
Red Bud Hospital Corporation 
Red Bud Illinois Hospital Company, LLC 
Regional Hospital of Longview, LLC 
River Region Medical Corporation 
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 
San Miguel Hospital Corporation 
Scranton Holdings, LLC 
Scranton Hospital Company, LLC 
Scranton Quincy Holdings, LLC 
Scranton Quincy Hospital Company, LLC 
Shelbyville Hospital Corporation 
Siloam Springs Arkansas Hospital Company, LLC 
Siloam Springs Holdings, LLC 
Southern Texas Medical Center, LLC 
Spokane Valley Washington Hospital Company, LLC 
Spokane Washington Hospital Company, LLC 
Tennyson Holdings, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and Secretary 
Acting on behalf of each of the Guarantors set
for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 Tooele Hospital Corporation 
Tomball Texas
Holdings, LLC 
Tomball Texas Hospital Company, LLC 
Triad Healthcare
Corporation Triad Holdings III, LLC 
Triad Holdings IV, LLC 
Triad Holdings V,
LLC 
Triad Nevada Holdings, LLC Triad of Alabama, LLC 
Triad of Oregon, LLC
Triad-ARMC, LLC 
Triad-El Dorado, Inc. 
Triad-Navarro Regional Hospital
Subsidiary, LLC 
Tunkhannock Hospital Company, LLC 
VHC Medical, LLC

Vicksburg Healthcare, LLC 
Victoria Hospital, LLC 
Virginia Hospital Company, LLC 
Warren Ohio Hospital Company, LLC 
Warren Ohio Rehab Hospital Company, LLC 
Watsonville Hospital Corporation Waukegan Hospital
Corporation Waukegan Illinois Hospital Company, LLC 
Weatherford Hospital Corporation 
Weatherford Texas Hospital Company, LLC 
Webb Hospital Corporation 
Webb Hospital Holdings, LLC 
Wesley Health System LLC 
West Grove Hospital Company, LLC 
WHMC, LLC 
Wilkes-Barre Behavioral Hospital Company, LLC 
Wilkes-Barre Holdings, LLC 
Wilkes-Barre Hospital Company, LLC 
Williamston Hospital Corporation 
Women & Children’s Hospital, LLC 
Woodland Heights Medical Center, LLC 
Woodward Health System, LLC 
York Pennsylvania Holdings, LLC 
York Pennsylvania Hospital Company, LLC 
Youngstown Ohio Hospital Company, LLC 
By: 
Name:

Rachel A. Seifert 
Title: 
Executive Vice President and 
Secretary 
Acting on behalf of each of the 
Guarantors set for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 BROWNWOOD HOSPITAL, L.P. 
By: Brownwood Medical
Center, LLC 
Its: General Partner 
COLLEGE STATION HOSPITAL, L.P. 
By: College Station Medical Center, LLC 
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 
VICTORIA OF TEXAS, L.P. 
By: Detar Hospital, LLC 
Its: General Partner 
By: 
Name:

Rachel A. Seifert 
Title: 
Executive Vice President and 
Secretary 
Acting on behalf of each of the General 
Partners of the Guarantors set 
forth on this page. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration
Rights Agreement] 

 

 
 Amory HMA, LLC 
Bartow HMA, LLC 
Biloxi H.M.A., LLC 
Brandon HMA, LLC 
Brevard HMA Holdings, LLC 
Brevard HMA Hospitals, LLC 
Campbell County HMA, LLC 
Carlisle HMA, LLC 
Carolinas JV Holdings General, LLC 
Central Florida HMA Holdings, LLC 
Central States HMA Holdings, LLC 
Chester HMA, LLC 
Citrus HMA, LLC 
Clarksdale HMA, LLC 
Cocke County HMA, LLC 
Florida HMA Holdings, LLC 
Fort Smith HMA, LLC 
Hamlet H.M.A., LLC 
Health Management Associates, Inc. 
Health Management General Partner, LLC 
HMA Fentress County General Hospital, LLC 
HMA Santa Rosa Medical Center, LLC 
Hospital Management Associates, LLC 
Jackson HMA, LLC 
Jefferson County HMA, LLC 
Kennett HMA, LLC 
Key West HMA, LLC 
Knoxville HMA Holdings, LLC 
Lehigh HMA, LLC 
Madison HMA, LLC 
Melbourne HMA, LLC 
Mesquite HMA General, LLC 
Metro Knoxville HMA, LLC 
Mississippi HMA Holdings I, LLC 
Mississippi HMA Holdings II, LLC 
Monroe HMA, LLC 
Naples HMA, LLC 
Poplar Bluff Regional Medical Center, LLC Port Charlotte HMA, LLC Punta Gorda
HMA, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and 
Secretary 
Acting on behalf of each of the 
Guarantors set for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration Rights Agreement] 

 

 
 River Oaks Hospital, LLC Rockledge HMA, LLC ROH, LLC

Sebastian Hospital, LLC 
Sebring Hospital Management Associates, LLC

Southeast HMA Holdings, LLC 
Southwest Florida HMA Holdings, LLC 
Statesville HMA, LLC 
Van Buren H.M.A., LLC 
Venice HMA, LLC 
Winder HMA, LLC 
Yakima HMA, LLC 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and 
Secretary 
Acting on behalf of each of the 
Guarantors set for above. 
[Signature Page to the Joinder to the Senior Unsecured Notes
Registration Rights Agreement] 

 

 
 CAROLINAS JV HOLDINGS, L.P. 
By: Carolinas JV
Holdings General, 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 
LONE STAR HMA, L.P. 
By: Mesquite HMA General, LLC 
Its: General Partner 
By: 
Name: Rachel A. Seifert 
Title: Executive Vice President and 
Secretary 
Acting on behalf of each of the General 
Partners of the Guarantors set 
forth on this page. 
[Signature Page to the Joinder to the Senior Unsecured Notes Registration
Rights Agreement] 

 

 
 The foregoing Agreement is hereby confirmed and accepted as of the date first above written. 
Merril Lynch, Pierce, Fenner & Smith Incorporated, 
By: 
Name: Sarang Gadkari Title: Managing Director 
Acting on behalf of itself and as a
Representative of the several Purchasers 
Credit Suisse Securities (USA) LLC,

By: 
Name: 
Title: 
Acting on behalf of itself and as a Representative of the several Purchasers

[Signature Page to the Registration Rights Agreement Joinder] 

 

 
 The foregoing Agreement is hereby confirmed and accepted as of the date first above written. 
Merril Lynch, Pierce, Fenner & Smith Incorporated, 
By: 
Name: 
Title: 
Acting on behalf of itself and as a Representative of the several Purchasers 
Credit Suisse
Securities (USA) LLC, 
By: 
Name: Steven Schwartz 
Title: Managing Director 
Acting on behalf of itself and as a Representative of the several
Purchasers 
[Signature Page to the Registration Rights Agreement Joinder]EX-10.1

 Exhibit 10.1 

EXECUTION VERSION 
  

THIRD AMENDMENT AND RESTATEMENT AGREEMENT dated as of January 27, 2014 (this “Agreement”), to
the CREDIT AGREEMENT dated as of July 25, 2007, as amended and restated as of November 5, 2010 and February 2, 2012 (as amended, supplemented or otherwise modified prior to the date hereof, the “Existing Credit
Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation, COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation, the Subsidiary Guarantors listed on the signature pages hereto, the Lenders listed on the signature
pages hereto and CREDIT SUISSE AG, as Administrative Agent and Collateral Agent. 
 PRELIMINARY STATEMENT 

The Borrower has requested that the Existing Credit Agreement be amended and restated in the form attached hereto as Exhibit A (as so
amended and restated, the “Third Restated Credit Agreement”), to provide for, among other things: 

(a) the making of 2019 Term A Loans (defined below) to the Borrower on the Third Restatement Effective Date (as defined
below), on the terms and subject to the conditions set forth herein and in the Third Restated Credit Agreement, in an aggregate principal amount of $1,000,000,000; 

(b) the making of 2017 Term E Loans (defined below) to the Borrower on the Third Restatement Effective Date, on the terms and
subject to the conditions set forth herein and in the Third Restated Credit Agreement, in an aggregate principal amount of $171,146,550.47; 

(c) the making of 2021 Term D Loans (defined below) to the Borrower on the Third Restatement Effective Date, on the terms and
subject to the conditions set forth herein and in the Third Restated Credit Agreement, in an aggregate principal amount of $2,925,000,000; 

(d) the repayment in full of (i) all the Incremental Term Loans incurred on the First Incremental Term Loan Assumption
Agreement Date (each as defined in the Existing Credit Agreement) outstanding on the Third Restatement Effective Date (the “Incremental Term Loans”); (ii) all the Non-Extended Term Loans (as defined in the Existing
Credit Agreement) outstanding on the Third Restatement Effective Date; and (iii) all the Extended Term Loans (as defined in the Existing Credit Agreement) that are not converted into either 2021 Term D Loans or 2017 Term E Loans as described
below; 
 (e) (i) the extension of the maturity of, and modification of the pricing terms with respect to, certain of
the Extended Term Loans so that such Extended Term Loans shall be converted into 2021 Term D Loans with such converted 

 
 2
 
  

 
Extended Term Loans being treated with the 2021 Term D Loans made on the Third Restatement Effective Date as a single Class for all purposes under the Third Restated Credit Agreement; and
(ii) the modification of the pricing terms with respect to, certain of the Extended Term Loans so that such Extended Term Loans shall be converted into 2017 Term E Loans with such converted Extended Term Loans being treated with the 2017 Term E
Loans made on the Third Restatement Effective Date as a single Class for all purposes under the Third Restated Credit Agreement; 

(f) the termination of all the Revolving Credit Commitments (as defined in the Existing Credit Agreement), the repayment in
full of all outstanding Revolving Loans (as defined in the Existing Credit Agreement) and the establishment of replacement Revolving Credit Commitments under the Third Restated Credit Agreement in an aggregate principal amount of $1,000,000,000; and

 (g) the modification of certain covenants and other provisions set forth in the Existing Credit Agreement. 

The Borrower has requested that the persons set forth on Schedule I hereto (the “2019 Term A Lenders”) commit to make
2019 Term A Loans to the Borrower on the Third Restatement Effective Date in an aggregate principal amount of $1,000,000,000 (the “2019 Term A Loans”; the commitment of each 2019 Term A Lender to provide its applicable
portion of the 2019 Term A Loans, a “2019 Term A Commitment”). The 2019 Term A Lenders are willing to make the 2019 Term A Loans to the Borrower on the Third Restatement Effective Date on the terms set forth herein and in the
Third Restated Credit Agreement and subject to the conditions set forth herein. 
 The Borrower has requested that the persons set forth on
Schedule II hereto (the “2017 Term E Lenders”) commit to make 2017 Term E Loans to the Borrower on the Third Restatement Effective Date in an aggregate principal amount of $171,146,550.47 (the “2017 Term E
Loans”; the commitment of each 2017 Term E Lender to provide its applicable portion of the 2017 Term E Loans, a “2017 Term E Commitment”). The 2017 Term E Lenders are willing to make the 2017 Term E Loans to
the Borrower on the Third Restatement Effective Date on the terms set forth herein and in the Third Restated Credit Agreement and subject to the conditions set forth herein. 

The Borrower has requested that the persons set forth on Schedule III hereto (the “2021 Term D Lenders”) commit to
make 2021 Term D Loans to the Borrower on the Third Restatement Effective Date in an aggregate principal amount of $2,925,000,000 (the “2021 Term D Loans”; the commitment of each 2021 Term D Lender to provide its
applicable portion of the 2021 Term D Loans, a “2021 Term D Commitment”). The 2021 Term D Lenders are willing to make the 2021 Term D Loans to the Borrower on the Third Restatement Effective Date on the terms set forth herein
and in the Third Restated Credit Agreement and subject to the conditions set forth herein. 

 
 3
 
  

 The Borrower has requested that the persons set forth on Schedule IV hereto (the
“Replacement Revolving Credit Facility Lenders”) commit to provide to the Borrower on the Third Restatement Effective Date a new senior secured revolving credit facility in an aggregate principal amount of $1,000,000,000 (the
“Replacement Revolving Credit Facility”; the commitment of each Replacement Revolving Credit Facility Lender to provide its applicable portion of the Replacement Revolving Credit Facility, a “Replacement Revolving
Credit Facility Commitment”). The Replacement Revolving Credit Facility Lenders are willing to provide such Replacement Revolving Credit Facility Commitments to the Borrower on the Third Restatement Effective Date on the terms set forth
herein and in the Third Restated Credit Agreement and subject to the conditions set forth herein. 
 Each Extended Term Loan Lender that is
party to this Agreement may elect to convert all (or a portion) of its Extended Term Loans into 2021 Term D Loans or into 2017 Term E Loans by executing and delivering to the Administrative Agent (or its counsel), on or prior to 12:00 p.m. (noon),
New York City time, on January 17, 2014 (the “Delivery Time”), a signature page to this Agreement identifying itself as an Extended Term Loan Lender and specifying the amount of its Extended Term Loans that it elects to
so convert; on and after the Third Restatement Effective Date, subject to the proviso to Section 3(d)(i), (a) such portion of its Extended Term Loans as such Lender shall have specified for conversion into 2021 Term D Loans shall be 2021
Term D Loans under the Third Restated Credit Agreement and shall be subject to all terms and conditions applicable to 2021 Term D Loans as set forth in the Third Restated Credit Agreement, and (b) such portion of its Extended Term Loans as such
Lender shall have specified for conversion into 2017 Term E Loans shall be 2017 Term E Loans under the Third Restated Credit Agreement and shall be subject to all terms and conditions applicable to 2017 Term E Loans as set forth in the Third
Restated Credit Agreement. 
 Accordingly, in consideration of the foregoing and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows: 
 SECTION 1.  Defined
Terms.  Capitalized terms used but not otherwise defined herein (including the Preliminary Statement hereto) shall have the meanings assigned thereto in the Third Restated Credit Agreement. The provisions of Section 1.02 of the
Third Restated Credit Agreement are hereby incorporated by reference herein, mutatis mutandis. 
 SECTION
2.  Amendment and Restatement of the Existing Credit Agreement.  Effective as of the Third Restatement Effective Date, the Existing Credit Agreement is hereby amended and restated in the form attached hereto as Exhibit
A. 
 SECTION 3.  Transactions on the Third Restatement Effective Date.  (a) 2019 Term A
Loans.  On the terms and subject to the conditions set forth herein, each 2019 Term A Lender agrees, severally and not jointly, to make, on the Third Restatement Effective Date, a 2019 Term A Loan to the Borrower in an aggregate
principal amount equal to its 2019 Term A Commitment. The 2019 Term A Commitment of each 2019 

 
 4
 
  

 
Term A Lender shall automatically terminate upon the making of the 2019 Term A Loans on the Third Restatement Effective Date. The proceeds of the 2019 Term A Loans are to be used by the Borrower
solely to pay a portion of the HMA Acquisition Costs. 
 (b) 2021 Term D Loans.  (i) On the terms and
subject to the conditions set forth herein, each 2021 Term D Lender agrees, severally and not jointly, to make, on the Third Restatement Effective Date, a 2021 Term D Loan to the Borrower in an aggregate principal amount equal to its 2021 Term D
Commitment. The 2021 Term D Commitment of each 2021 Term D Lender shall automatically terminate upon the making of the 2021 Term D Loans on the Third Restatement Effective Date. The proceeds of the 2021 Term D Loans made on the Third Restatement
Effective Date are to be used by the Borrower solely to pay a portion of the HMA Acquisition Costs. 
 (ii)
On the terms and subject to the conditions set forth herein, each 2017 Term E Lender agrees, severally and not jointly, to make, on the Third Restatement Effective Date, a 2017 Term E Loan to the Borrower in an aggregate principal amount equal to
its 2017 Term E Commitment. The 2017 Term E Commitment of each 2017 Term E Lender shall automatically terminate upon the making of the 2017 Term E Loans on the Third Restatement Effective Date. The proceeds of the 2017 Term E Loans made on the Third
Restatement Effective Date are to be used by the Borrower solely to pay a portion of the HMA Acquisition Costs. 
 (c)
Replacement Revolving Credit Facility; Letters of Credit.  (i).  On the terms and subject to the conditions set forth herein, each Replacement Revolving Credit Facility Lender agrees, severally and not jointly, to assume
its Replacement Revolving Credit Facility Commitment on the Third Restatement Effective Date. On the Third Restatement Effective Date, the Revolving Credit Commitments in effect immediately prior to the occurrence of the Third Restatement Effective
Date shall terminate and be replaced by the Replacement Revolving Credit Commitments. From and after the Third Restatement Effective Date, each Replacement Revolving Credit Facility Lender shall constitute a “Revolving Credit Lender”, each
Replacement Revolving Credit Commitment shall constitute a “Revolving Credit Commitment” and the loans made pursuant thereto shall constitute “Revolving Loans”, in each case for all purposes of the Third Restated Credit Agreement
and the other Loan Documents, and the Replacement Revolving Credit Facility shall have the terms that are set forth in the Third Restated Credit Agreement. 

(ii)  Each of Credit Suisse AG and Wells Fargo Bank, N.A., in their capacities as Issuing Banks under the Existing
Credit Agreement and under the Third Restated Credit Agreement, and each Replacement Revolving Credit Facility Lender agree that notwithstanding the termination of the existing Revolving Credit Commitments, the Letters of Credit outstanding on the
Third Restatement Effective Date shall remain outstanding as Existing Letters of Credit, and each Replacement Revolving Credit Facility Lender shall be deemed to have acquired a participation therein and in each Existing Letter set forth on Schedule
1.01(a) to the Third 

 
 5
 
  

 
Restated Credit Agreement in accordance with its applicable Pro Rata Percentage in effect on the Third Restatement Effective Date and in accordance with the provisions of Section 2.23 of the
Third Restated Credit Agreement. 
 (iii)  Wells Fargo Bank, N.A. agrees to act as an Issuing Bank in respect of
the Replacement Revolving Credit Facility on the terms and subject to the conditions set forth herein and in the Third Restated Credit Agreement. 

(iv)  All Revolving Loans and Swingline Loans (such Loans, “Existing Revolving Facility
Loans”) outstanding immediately prior to the occurrence of the Third Restatement Effective Date shall be prepaid in full by the Borrower on the Third Restatement Effective Date, which prepayment shall be accompanied by accrued and
unpaid interest on the Existing Revolving Facility Loans being prepaid to but excluding the Third Restatement Effective Date. Such prepayment may be financed (subject to satisfaction of applicable borrowing conditions herein) with the proceeds of
Revolving Loans made on the Third Restatement Effective Date by the Replacement Revolving Credit Facility Lenders, in which case the Borrower irrevocably directs that the proceeds of such Revolving Loans be applied directly to prepay in full (and be
netted against) the Existing Revolving Facility Loans, with any excess being delivered in accordance with the applicable Borrowing Request. 

(d)  Extended Term Loans.  (i) Subject to the terms and conditions set forth herein and in the
Third Restated Credit Agreement, as of the Third Restatement Effective Date, each Extended Term Loan Lender agrees that the principal amount (if any) of its Extended Term Loans specified by such Extended Term Loan Lender on the Extended Term Loan
Lender Election Form delivered by it together with its executed counterpart of this Agreement will be converted into, as specified on such form, (A) 2021 Term D Loans of like outstanding principal amount and such converted Extended Term Loans
shall constitute 2021 Term D Loans for all purposes under the Third Restated Credit Agreement, or (B) 2017 Term E Loans of like outstanding principal amount and such converted Extended Term Loans shall constitute 2017 Term E Loans for all
purposes under the Third Restated Credit Agreement; provided that, in the event that the aggregate principal amount of the Extended Term Loans which Extended Term Loan Lenders agree to convert into (1) 2021 Term D Loans in accordance
with the foregoing clause (A) (such Extended Term Loans being referred to herein as the “Term D Designated Loans”) is greater than $1,676,475,699.63, the Borrower may (but shall not be obligated to) elect, by written
notice to the Administrative Agent, to cause less than all (but not less than $1,676,475,699.63 aggregate principal amount) of the Term D Designated Loans to become 2021 Term D Loans, such allocation to be made on a pro rata basis among the Extended
Term Loan Lenders making such an election, such that the same proportion of each such Extended Term Loan Lender’s Term D Designated Loans is so converted into 2021 Term D Loans, or (2) 2017 Term E Loans in accordance with the foregoing
clause (B) (such Extended Term Loans being referred to herein as the “Term E Designated Loans”) is greater than $1,505,329,149.16 , the Borrower may (but shall not be obligated to) elect, by written notice to the
Administrative Agent, to cause less than all (but not less than 

 
 6
 
  

 
$1,505,329,149.16 aggregate principal amount) of the Term E Designated Loans to become 2017 Term E Loans, such allocation to be made on a pro rata basis among the Extended Term Loan Lenders
making such an election, such that the same proportion of each such Extended Term Loan Lender’s Term E Designated Loans is so converted into 2017 Term E Loans. 

  (ii)  Any Extended Term Loans that are not converted into 2021 Term D Loans or 2017 Term E Loans
shall be repaid in full on the Third Restatement Effective Date. 
 (e) Term Loans Generally.  None of the transactions
set forth in this Section 3 shall be deemed to be a conversion of any Term Loan into a Loan of a different Type or with a different Interest Period or a payment or prepayment of any Term Loan, and the parties hereto hereby agree that no
breakage or similar costs will accrue in respect of any Term Loan solely as a result of the transactions contemplated by this Section 3. 

SECTION 4.  Representations and Warranties.  Each of Parent, the Borrower and each Subsidiary Guarantor hereby
represents and warrants to each other party hereto that: 
 (a) The representations and warranties set forth in Article III of the
Third Restated Credit Agreement and in each other Loan Document are true and correct in all material respects on and as of the Third Restatement Effective Date as though made on and as of such date, except to the extent that such representations and
warranties expressly relate to an earlier date, in which case such representations and warranties were true and correct in all material respects as of such earlier date. 

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

(c) None of the Security Documents in effect on the Third Restatement Effective Date will be rendered invalid, non-binding or unenforceable
against any Loan Party as a result of this Agreement. The Guarantees created under such Security Documents will continue to guarantee the Obligations (as the Obligations are modified hereunder and under the Third Restated Credit Agreement) to the
same extent as they guaranteed the Obligations immediately prior to the Third Restatement Effective Date. The Liens created under such Security Documents will continue to secure the Obligations (as the Obligations are modified hereunder and under
the Third Restated Credit Agreement), and will continue to be perfected, in each case, to the same extent as they secured the Obligations or were perfected immediately prior to the Third Restatement Effective Date. Upon the filing of the Mortgage
Amendments (as defined below), the Liens created under such Security Documents will continue to secure the Obligations (as the Obligations are modified hereunder and under the Third Restated Credit Agreement), and will continue to be perfected, in
each case, to the same extent as they secured the Obligations or were perfected immediately prior to the Third Restatement Effective Date. 

(d) As of the Third Restatement Effective Date, no action, consent or approval of, registration or filing with or any other action by any
Governmental Authority 

 
 7
 
  

 
is or will be required in connection with the execution, delivery and performance by the Loan Parties of the Loan Documents to which they are a party and the making of the Borrowings under the
Third Restated Credit Agreement, except for (i) such as have been made or obtained and are in full force and effect and (ii) such actions, consents, approvals, registrations or filings which the failure to obtain or make could not
reasonably be expected to result in a Material Adverse Effect. 
 (e) As of the Third Restatement Effective Date, the Guarantee and
Collateral Agreement creates (and will create, in the case of assets of the Guarantors that are subsidiaries of Health Management Associates, Inc. (the “Company”, and each such subsidiary, a “Company Subsidiary
Guarantor”) following the making of the filings set forth on Schedule 3.19(a) of the Third Restated Credit Agreement) in favor of the Collateral Agent, for the ratable benefit of the Secured Parties, a legal, valid and enforceable
security interest in the Collateral (as defined in the Guarantee and Collateral Agreement) and the proceeds thereof, subject to the effects of bankruptcy, insolvency or similar laws affecting creditors’ rights generally and general equitable
principles, and (i) with respect to all Pledged Collateral (as defined in the Guarantee and Collateral Agreement) previously delivered to and in possession of the Collateral Agent, the Lien created under the Guarantee and Collateral Agreement
constitutes a fully perfected first priority Lien on, and security interest in, all right, title and interest of the Loan Parties in such Pledged Collateral as to which perfection may be obtained by such actions, in each case prior and superior in
right to any other person, and (ii) with the previous filing of financing statements in the offices specified on Schedule 3.19(a) of the Third Restated Credit Agreement, the Lien created under the Guarantee and Collateral Agreement constitutes
a fully perfected Lien on, and security interest in, all right, title and interest of the Loan Parties in such Collateral (other than Intellectual Property, as defined in the Guarantee and Collateral Agreement) as to which perfection may be obtained
by such filings, in each case prior and superior in right to any other person, other than with respect to Liens expressly permitted by Section 6.02 of the Third Restated Credit Agreement. 

(f) As of the Third Restatement Effective Date, the Guarantee and Collateral Agreement, together with the filings made pursuant to the
Guarantee and Collateral Agreement currently on file with the United States Patent and Trademark Office and the United States Copyright Office and the financing statements currently on file in the offices specified on Schedule 3.19(a) of the
Third Restated Credit Agreement, constitutes (and will constitute, in the case of assets of the Company Subsidiary Guarantors following the making of the filings set forth on Schedule 3.19(a) of the Third Restated Credit Agreement) a fully perfected
Lien on, and security interest in, all right, title and interest of the Loan Parties in the Intellectual Property (as defined in the Guarantee and Collateral Agreement) in which a security interest may be perfected by filing security agreements in
the United States and its territories and possessions, in each case prior and superior in right to any other person other than with respect to Liens permitted pursuant to Section 6.02 of the Third Restated Credit Agreement (it being understood
that subsequent recordings in the United States Patent and Trademark Office and the United States Copyright Office may be necessary to perfect a Lien on registered trademarks and patents, trademark and patent applications and registered copyrights
acquired by the Loan Parties after the Third Restatement Effective Date). 

 
 8
 
  

 (g) This Agreement has been duly executed and delivered by each Loan Party and constitutes a
legal, valid and binding obligation of such Loan Party enforceable against such Loan Party in accordance with its terms, except as such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium, or similar laws
affecting creditors’ rights generally and by general principles of equity (regardless of whether enforcement is sought in a proceeding in equity or at law). 

Notwithstanding anything herein to the contrary, the only representations and warranties set forth in this Section 4 the accuracy of which shall
constitute a condition to the Third Restatement Effective Date (and the making of Loans on the Third Restatement Effective Date) shall be the Specified Representations (defined below). 

“Specified Representations” means the representations and warranties set forth in (a) the Third Restated Credit
Agreement in Sections 3.01 (as it relates solely to Parent and Borrower), 3.02(a) and 3.03 (solely as each of them relates to the borrowing of Loans, the guaranteeing of the Obligations, the granting of security interests in the Collateral and the
performance of obligations under the Loan Documents), 3.02(b)(i)(A), 3.11, 3.12, 3.19, 3.22 and 3.23 thereof and (b) Section (g) (solely as it relates to the Parent and Borrower) hereof. 

SECTION 5.  Effectiveness.  This Agreement shall become effective on and as of the date on which each of the
following conditions precedent is satisfied (such date, the “Third Restatement Effective Date”): 
 (a) The
Administrative Agent shall have received counterparts hereof duly executed and delivered by Parent, the Borrower, each Subsidiary Guarantor and the Required Lenders. 

(b) The Administrative Agent shall have received a Borrowing Request for the Loans to be made on the Third Restatement Effective Date,
setting forth the information specified in Section 2.03 of the Third Restated Credit Agreement. 
 (c) The Administrative Agent shall
have received a favorable written opinion of (i) Kirkland & Ellis LLP, counsel for Parent and the Borrower, substantially to the effect set forth on Exhibit B-1, (ii) the general counsel of Parent, substantially to the
effect set forth in Exhibit B-2 and (iii) each of the other law firms set forth on Exhibit B-3, in each case in form and substance satisfactory to the Administrative Agent. 

(d) The Administrative Agent shall have received (i) a certificate as to the good standing of Parent, the Borrower and (to the extent
the concept of good standing is applicable in such jurisdiction) each other Loan Party as of a recent date, from the Secretary of State of its state of organization; (ii) a certificate of the Secretary or Assistant Secretary of Parent, the
Borrower and each other Loan Party dated the Third Restatement Effective Date and certifying (A) that attached thereto is a true and complete copy of (1) the by-laws (or equivalent thereof) and (2) the certificate or articles of

 
 9
 
  

 
incorporation, certified as of a recent date by the Secretary of State of the applicable state of organization, in each case of such Loan Party as in effect on the Third Restatement Effective
Date and at all times since a date prior to the date of the resolutions described in clause (B) below (or, if such by-laws (or equivalent thereof) or certificate or articles of incorporation have not been amended or modified since any delivery
thereof to the Administrative Agent on the Closing Date, the First Restatement Effective Date or the “Effective Date” under the Replacement Revolving Credit Facility and Incremental Term Loan Assumption Agreement dated as of March 6,
2012 (the “First Replacement Effective Date”), as applicable, certifying that no such amendment or modification has occurred), (B) that attached thereto is a true and complete copy of resolutions duly adopted by the
Board of Directors (or equivalent thereof) of such Loan Party authorizing the execution, delivery and performance of the Loan Documents to which such person is a party, and that such resolutions have not been modified, rescinded or amended and are
in full force and effect and (C) as to the incumbency and specimen signature of each officer executing this Agreement or any other document delivered in connection herewith on behalf of such Loan Party; and (iii) a certificate of another
officer as to the incumbency and specimen signature of the Secretary or Assistant Secretary executing the certificate pursuant to clause (ii) above. 

(e) The Administrative Agent shall have received a certificate, dated the Third Restatement Effective Date and signed by a Financial Officer
of the Borrower, confirming compliance with the conditions set forth in each of paragraph (g)(i) and paragraph (i) of this Section. 

(f) The Administrative Agent shall have received a certificate, dated the Third Restatement Effective Date and signed by the chief financial
officer of Parent, as to the solvency of Parent and its Subsidiaries on a consolidated basis after giving effect to the Transactions to occur on the Third Restatement Effective Date, in substantially the form of Exhibit C hereto. 

(g) (i) The Permitted HMA Transaction shall have been consummated, or substantially simultaneously with the initial borrowing under the
Facilities, shall be consummated, in all material respects in accordance with the terms of the HMA Merger Agreement. 

(ii) The Specified Merger Agreement Representations shall be true and correct. “Specified Merger Agreement
Representations” means such of the representations made by, or with respect to, the Company and its subsidiaries in the HMA Merger Agreement as are material to the interests of the Lenders, but only to the extent that Parent (or its
affiliates) have the right to terminate its (or their) obligations under the HMA Merger Agreement or to decline to consummate the Permitted HMA Transaction as a result of a breach of any one or more of such representations in the HMA Merger
Agreement. 
 (h) Substantially simultaneously with the initial borrowing under the Facilities and the consummation of the Permitted HMA
Transaction, (i) the HMA Refinancing shall have been consummated and (ii) all the Incremental Term Loans, 

 
 10
 
  

 
Non-Extended Term Loans, Extended Term Loans that are not converted to either 2021 Term D Loans or 2017 Term E Loans on the Third Restatement Effective Date, Revolving Loans and Swingline Loans
(each as defined in the Existing Credit Agreement) outstanding on the Third Restatement Effective Date shall have been prepaid in full, together with all accrued and unpaid interest on the principal amount thereof to but excluding the Third
Restatement Effective Date. 
 (i) Since July 29, 2013, there shall not have occurred any Company Material Adverse
Effect. 
 “Company Material Adverse Effect” means any effect, change, event, circumstance or
occurrence that, individually or in the aggregate, has had or would reasonably be expected to have a material adverse effect on the business, results of operations, assets or financial condition of the Company and its Subsidiaries (as defined in the
HMA Merger Agreement as in effect on July 29, 2013), taken as a whole; provided, however, that none of the following, and no effect, change, event, circumstance or occurrence arising out of, or resulting from, the following, shall constitute or
be taken into account, individually or in the aggregate, in determining whether a Company Material Adverse Effect has occurred or would reasonably be expected to occur: (A) changes generally affecting the economy, credit or financial or capital
markets, in the United States or elsewhere in the world, including changes in interest or exchange rates; (B) changes generally affecting the industries in which the Company and its Subsidiaries operate; (C) changes or prospective changes
in Applicable Law (as defined in the HMA Merger Agreement as in effect on July 29, 2013) or GAAP (as defined in the HMA Merger Agreement as in effect on July 29, 2013) or in accounting standards, or any changes or prospective changes in
the interpretation or enforcement of any of the foregoing, or any changes or prospective changes in general legal, regulatory or political conditions; (D) changes caused by the negotiation, execution, announcement or performance of the HMA
Merger Agreement (as in effect on July 29, 2013) or the consummation of the transactions contemplated thereby, or the identity of any party thereto, including the impact thereof on relationships, contractual or otherwise, with customers,
suppliers, distributors, partners, employees or Governmental Entities (as defined in the HMA Merger Agreement as in effect on July 29, 2013), or any litigation arising from allegations of breach of fiduciary duty or violation of Applicable Law
relating to the HMA Merger Agreement (as in effect on July 29, 2013) or the transactions contemplated thereby; (E) acts of war (whether or not declared), sabotage or terrorism, or any escalation or worsening of any such acts of war
(whether or not declared), sabotage or terrorism; (F) volcanoes, tsunamis, pandemics, earthquakes, floods, storms, hurricanes, tornados or other natural disasters; (G) any action taken by the Company or its Subsidiaries that is required by
the HMA Merger Agreement (as in effect on July 29, 2013) or with the prior written consent or at the direction of the Borrower in accordance with the HMA Merger Agreement (as in effect on July 29, 2013), or the failure to take any action
by the Company or its Subsidiaries if that action is prohibited by the HMA Merger Agreement (as in effect on July 29, 2013); (H) changes or prospective 

 
 11
 
  

 
changes in the Company’s credit ratings; (I) changes in the price or trading volume of the Company’s Common Stock (as defined in the HMA Merger Agreement as in effect on
July 29, 2013); or (J) any failure to meet any internal or public projections, forecasts, guidance, estimates, milestones, budgets or internal or published financial or operating predictions of revenue, earnings, cash flow or cash position
(it being understood that the exceptions in clauses (H), (I) and (J) shall not prevent or otherwise affect a determination that the underlying cause of any such change or failure referred to therein (to the extent not otherwise falling
within any of the exceptions provided by clauses (A) through (J) hereof) is, may be, contributed to or may contribute to, a Company Material Adverse Effect); provided further, however, that any effect, change, event or occurrence referred
to in clauses (A), (B), (C), (E) or (F) may be taken into account in determining whether or not there has been or may be a Company Material Adverse Effect to the extent such effect, change, event, circumstance or occurrence has a material
disproportionate adverse effect on the Company and its Subsidiaries, taken as a whole, as compared to other participants in the industries in which the Company and its Subsidiaries operate. 

(j) The Security Documents (other than the Mortgage Amendments contemplated by Section 7(b) below and the new Mortgages contemplated by
Section 7(c) below) shall be in full force and effect on the Third Restatement Effective Date, and, in the case of assets of Parent, the Borrower and the Subsidiary Guarantors that are not Company Subsidiary Guarantors, the Collateral Agent on
behalf of the Secured Parties shall have a security interest in the Collateral of the type and priority described in each Security Document. All documents and instruments required to create and perfect the Collateral Agent’s security interests
in the Collateral (other than in any parcel of real property, the requirements in respect of which are set forth in Section 7(c)) held by the Company Subsidiary Guarantors shall have been executed and delivered and, if applicable, be in proper
form for filing (or arrangements reasonably satisfactory to the Administrative Agent and the Collateral Agent shall have been made for the execution, delivery and filing of such documents and instruments substantially concurrently with the
consummation of the Permitted HMA Transaction). Notwithstanding anything herein to the contrary, to the extent that any security interest in any Collateral that is not or cannot be provided and/or perfected on the Third Restatement Effective Date
(other than the pledge and perfection of the security interests in the Pledged Collateral that constitutes certificated equity interests of HMA and, to the extent held by domestic subsidiaries of HMA that are required to become Loan Parties pursuant
to Section 5.12 of the Third Restated Credit Agreement, each subsidiary of HMA and other assets pursuant to which a lien may be perfected solely by the filing of a financing statement under the Uniform Commercial Code (provided that, to the
extent Parent has used commercially reasonable efforts to procure the delivery thereof prior to the Third Restatement Effective Date, certificated equity interests of HMA and its subsidiaries will only be required to be delivered on the Third
Restatement Effective Date if such certificated equity interests are received from HMA)) after the Borrower’s use of commercially reasonable efforts to do so or without undue burden or expense, then the provision and/or perfection of a security
interest in such Collateral shall not constitute a condition to the Third Restatement Effective Date, but instead shall be required to be delivered after the Third Restatement Effective Date in accordance with Section 5.12 of the Third Restated
Credit Agreement or, in the case of Collateral consisting of real property interests, Section 7 hereof. 

 
 12
 
  

 (k) The Lead Arrangers shall have received a pro forma consolidated balance sheet and
related pro forma consolidated statements of income of Parent and its subsidiaries (based on the financial statements of Parent and the Company referred to in paragraph (l) below) as of, and for the twelve-month period ending on, the last day
of the most recently completed four fiscal quarter period ended at least 45 days prior to the Third Restatement Effective Date (or 90 days prior to the Third Restatement Effective Date in case such four fiscal quarter period is the end of
Parent’s fiscal year), prepared after giving effect to the Transactions as if the Transactions had occurred as of such date (in the case of such balance sheet) or at the beginning of such period (in the case of such statement of income). 

(l) The Lead Arrangers shall have received (i) audited consolidated balance sheets of Parent and its consolidated subsidiaries and of
the Company and its consolidated subsidiaries as at the end of, and related consolidated statements of income, changes in equity and cash flows of Parent and its consolidated subsidiaries and of the Company and its consolidated subsidiaries for, in
each case, the three most recently completed fiscal years ended at least 90 days before the Third Restatement Effective Date and (ii) unaudited consolidated balance sheets of Parent and its consolidated subsidiaries and of the Company and its
consolidated subsidiaries as at the end of, and related statements of income, changes in equity and cash flows of Parent and its consolidated subsidiaries and of the Company and its consolidated subsidiaries for, in each case, each subsequent fiscal
quarter (other than the fourth fiscal quarter of any fiscal year) of Parent and its consolidated subsidiaries and of the Company and its consolidated subsidiaries ended after the last fiscal year for which financial statements were prepared pursuant
to the preceding clause (i) and ended at least 45 days before the Third Restatement Effective Date; provided that the filing of the required financial statements on Form 10-K and Form 10-Q within such time periods by the Company and Parent will
satisfy the requirements of this paragraph (l). 
 (m) The Administrative Agent and the Lead Arrangers shall have received at least three
business days before the Third Restatement Effective Date all documentation and other information about the Borrower and the Guarantors that shall have been reasonably requested by the Administrative Agent or the Lead Arrangers in writing at least
10 Business Days prior to the Third Restatement Effective Date and that the Administrative Agent and the Lead Arrangers reasonably determine is required under applicable “know your customer” and anti-money laundering rules and regulations,
including without limitation the PATRIOT Act, based on their reasonable interpretation of such rules and regulations. 
 (n) All fees
agreed in writing and required to be paid on the Third Restatement Effective Date in connection with the Loans to be made on the date hereof and all reasonable out-of-pocket expenses required to be paid on the Third Restatement Effective Date, to
the extent invoiced at least three business days prior to the Third Restatement Effective Date (or such shorter period agreed to by the Borrower), shall, 

 
 13
 
  

 
substantially concurrently with the making of such Loans, have been paid (which amounts may, at the option of the Borrower, be offset against the proceeds of such Loans). 

(o) [reserved]. 
 (p) The
Administrative Agent shall have received payment from the Borrower, for the account of each Lender under the Existing Credit Agreement (other than any Lender that has, or is an Affiliate of a Person that has, a bookrunner, co-syndication agent,
co-documentation agent or co-manager title in respect of this Amendment) that unconditionally transmits its executed counterpart of this Agreement to the Administrative Agent (or its counsel) on or prior to the Delivery Time, of an amendment fee in
an amount equal to 0.15% of the aggregate principal amount of the outstanding Loans and unused Commitments of such Lender under the Third Restated Credit Agreement as of the Third Restatement Effective Date after giving effect to the HMA
Refinancing. Such fees shall be payable in immediately available funds and, once paid, shall not be refundable in whole or in part. 
 (q)
The Administrative Agent shall have received payment from the Borrower, for the account of each Extended Term Loan Lender, a fee in an amount equal to 0.25% of the aggregate principal amount of such Extended Term Loan Lender’s Extended Term
Loans that are converted into 2021 Term D Loans on the Third Restatement Effective Date. Such fees shall be payable in immediately available funds and, once paid, shall not be refundable in whole or in part. 

The Administrative Agent shall notify the parties hereto of the Third Restatement Effective Date and such notice shall be conclusive and binding.
Notwithstanding the foregoing, this Agreement shall not become effective unless each of the foregoing conditions is satisfied at or prior to 5:00 p.m. New York City time on February 28, 2014. 

SECTION 6.  Effect of this Agreement. (a) Except as expressly set forth herein, this Agreement shall not by implication
or otherwise limit, impair, constitute a waiver of, or otherwise affect the rights and remedies of the Administrative Agent, the Lenders or any other Secured Party under the Existing Credit Agreement, the Third Restated Credit Agreement or any other
Loan Document, and shall not alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Third Restated Credit Agreement or any other Loan Document, all of which are ratified and
affirmed in all respects and shall continue in full force and effect. Nothing herein shall be deemed to entitle any Loan Party to a consent to, or a waiver, amendment, modification or other change of, any of the terms, conditions, obligations,
covenants or agreements contained in the Existing Credit Agreement or any other Loan Document in similar or different circumstances. 
 (b)
On and after the Third Restatement Effective Date, each reference in the Third Restated Credit Agreement to “this Agreement”, “hereunder”, “hereof”, “herein” or words of like import, and each reference to the
“Credit Agreement” in any other Loan Document, shall be deemed a reference to the Third Restated Credit Agreement. 

 
 14
 
  

 (c) This Agreement shall constitute a “Loan Document”, a “Loan Modification
Agreement” and a “Permitted Amendment” for all purposes of the Existing Credit Agreement, the Third Restated Credit Agreement and the other Loan Documents. 

(d) On the Third Restatement Effective Date, the Borrower will be deemed to have given notice of (i) the prepayment in full on the Third
Restatement Effective Date of the Incremental Term Loans, the Non-Extended Term Loans, the Extended Term Loans that are not converted to either 2021 Term D Loans or 2017 Term E Loans on the Third Restatement Effective Date and the Existing Revolving
Facility Loans then outstanding and (ii) the termination of the Revolving Credit Commitments in effect on the Third Restatement Effective Date, in each case in accordance with this Agreement, and each of the Required Lenders under the Existing
Credit Agreement, the Administrative Agent, the Collateral Agent, each Issuing Bank and the Swingline Lender waive any requirement for any other notice of such prepayment and termination. 

SECTION 7.  Reaffirmation.  (a) Each of Parent, the Borrower and each of the Subsidiary Guarantors identified
on the signature pages hereto (collectively, Parent, the Borrower and such Subsidiary Guarantors (other than the Company Subsidiary Guarantors), the “Reaffirming Loan Parties”) hereby acknowledges that it expects to receive
substantial direct and indirect benefits as a result of this Agreement and the transactions contemplated hereby. Each Reaffirming Loan Party hereby consents to this Agreement and the transactions contemplated hereby, and hereby confirms its
respective guarantees (including in respect of the 2019 Term A Loans, the 2021 Term D Loans, the 2017 Term E Loans and the Replacement Revolving Credit Facility), pledges and grants of security interests, as applicable, under each of the Loan
Documents to which it is party, and agrees that, notwithstanding the effectiveness of this Agreement and the transactions contemplated hereby, such guarantees, pledges and grants of security interests shall continue to be in full force and effect
and shall accrue to the benefit of the Secured Parties (including in respect of the 2019 Term A Lenders, the 2021 Term D Lenders, the 2017 Term E Lenders and the Replacement Revolving Credit Facility Lenders). Each of the Reaffirming Loan Parties
further agrees to take any action that may be required or that is reasonably requested by the Administrative Agent to effect the purposes of this Agreement, the transactions contemplated hereby or the Loan Documents and hereby reaffirms its
obligations under each provision of each Loan Document to which it is party. 
 (b) Within 180 days after the Third Restatement Effective
Date (or such later date as the Administrative Agent in its sole discretion may permit) the Borrower shall deliver, with respect to each Mortgage encumbering a Mortgaged Property, an amendment or an amendment and restatement thereof (each, a
“Mortgage Amendment”), setting forth such changes as are reasonably necessary to reflect that the lien securing the Obligations under the Third Restated Credit Agreement encumbers such Mortgaged Property and to further grant,
preserve, protect, confirm and perfect the first-priority lien and security interest thereby created and perfected, and opinions by local counsel 

 
 15
 
  

 
reasonably acceptable to the Administrative Agent regarding the enforceability of each such Mortgage Amendment, together with modification and datedown endorsements to existing title policies to
the extent available (or, to the extent not available, new title policies) and flood determinations and flood insurance as required by Regulation H, each of the foregoing being in all respects reasonably acceptable to the Administrative Agent. 

(c) Within 180 days after the Third Restatement Effective Date (or such later date as the Administrative Agent in its sole discretion may
permit) the Borrower shall deliver, with respect to each parcel of real property held by any Company Subsidiary Guarantor (other than those expressly exempt from the mortgage requirements pursuant to the antepenultimate sentence of Section 2.12
of the Third Restated Credit Agreement), a mortgage, deed of trust or other applicable instrument which shall create and perfect a first-priority lien and security interest on such parcel of real property securing the Obligations under the Third
Restated Credit Agreement, together with opinions by local counsel reasonably acceptable to the Administrative Agent regarding the enforceability of each such Mortgage, together with title policies and flood determinations and flood insurance as
required by Regulation H, each of the foregoing being in all respects reasonably acceptable to the Administrative Agent. 
 SECTION
8.  [reserved] 
 SECTION 9.  Counterparts.  This Agreement may be executed in one or more
counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery by electronic transmission of an executed counterpart of a signature page to this Agreement shall be effective
as delivery of an original executed counterpart of this Agreement. 
 SECTION 10.  No Novation.  Neither this
Agreement nor the effectiveness of the Third Restated Credit Agreement shall extinguish the obligations for the payment of money outstanding under the Existing Credit Agreement or discharge or release the Lien or priority of any Loan Document or any
other security therefor or any guarantee thereof. Nothing herein contained shall be construed as a substitution or novation of the Obligations outstanding under the Existing Credit Agreement or instruments guaranteeing or securing the same, which
shall remain in full force and effect, except as modified hereby or by instruments executed concurrently herewith. Nothing expressed or implied in this Agreement, the Third Restated Credit Agreement or any other document contemplated hereby or
thereby shall be construed as a release or other discharge of the Borrower under the Existing Credit Agreement or any Loan Party under any other Loan Document from any of its obligations and liabilities thereunder. The Existing Credit Agreement and
each of the other Loan Documents shall remain in full force and effect, until and except as modified hereby or thereby in connection herewith or therewith. 

SECTION 11.  Governing Law.  (a) THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE
LAWS OF THE STATE OF NEW YORK; provided, however, that it is understood and agreed that (a) the interpretation of the definition of “Company Material Adverse Effect” (and 

 
 16
 
  

 
whether or not a Company Material Adverse Effect has occurred) and (b) the determination of whether the Permitted HMA Transaction has been consummated in accordance with the terms of the HMA
Merger Agreement, in each case shall be governed by, and construed in accordance with, the laws of the state of Delaware, regardless of the laws that might otherwise govern under applicable principles of conflicts of laws thereof. 

(b) EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL
PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY). EACH PARTY HERETO (I) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR
ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (II) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED
TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION. 
 SECTION
12.  Headings.  Section headings used herein are for convenience of reference only, are not part of this Agreement and shall not affect the construction of, or be taken into consideration in interpreting, this Agreement.

 [Remainder of page intentionally left blank] 

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

					
	CHS/COMMUNITY HEALTH SYSTEMS, INC.,
			
		 	by    	 	 /s/ Rachel A. Seifert

		 		 	Name: Rachel A. Seifert
		 		 	Title: Executive Vice President and Secretary

  

					
	COMMUNITY HEALTH SYSTEMS, INC.,
			
		 	by  	 	 /s/ Rachel A. Seifert

		 		 	Name: Rachel A. Seifert
		 		 	Title: Executive Vice President and Secretary

 Subsidiary Guarantors 

 

			
	ABILENE HOSPITAL, LLC	  	 CLEVELAND TENNESSEE HOSPITAL

COMPANY, LLC

		
	AFFINITY HOSPITAL, LLC	  	AFFINITY HEALTH SYSTEMS, LLC
		
	ABILENE MERGER, LLC	  	CLINTON HOSPITAL CORPORATION
		
	ANNA HOSPITAL CORPORATION	  	COATESVILLE HOSPITAL CORPORATION
		
	BERWICK HOSPITAL COMPANY, LLC	  	COLLEGE STATION MEDICAL CENTER, LLC
		
	BIG BEND HOSPITAL CORPORATION	  	COLLEGE STATION MERGER, LLC
		
	BIG SPRING HOSPITAL CORPORATION	  	COMMUNITY GP CORP.
		
	BIRMINGHAM HOLDINGS II, LLC	  	COMMUNITY HEALTH INVESTMENT COMPANY, LLC
		
	BIRMINGHAM HOLDINGS, LLC	  	COMMUNITY LP CORP.
		
	BLUEFIELD HOLDINGS, LLC	  	CP HOSPITAL GP, LLC
		
	BLUEFIELD HOSPITAL COMPANY, LLC	  	CPLP, LLC
		
	BLUFFTON HEALTH SYSTEM LLC	  	CRESTWOOD HOSPITAL, LLC
		
	BROWNSVILLE HOSPITAL CORPORATION	  	CRESTWOOD HOSPITAL LP, LLC
		
	BROWNWOOD MEDICAL CENTER, LLC	  	CSMC, LLC
		
	BULLHEAD CITY HOSPITAL CORPORATION	  	CSRA HOLDINGS, LLC
		
	BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION	  	DEACONESS HOLDINGS, LLC
		
	CARLSBAD MEDICAL CENTER, LLC	  	DEACONESS HOSPITAL HOLDINGS, LLC
		
	CENTRE HOSPITAL CORPORATION	  	DEMING HOSPITAL CORPORATION
		
	CHHS HOLDINGS, LLC	  	DESERT HOSPITAL HOLDINGS, LLC
		
	CHS KENTUCKY HOLDINGS, LLC	  	DETAR HOSPITAL, LLC
		
	CHS PENNSYLVANIA HOLDINGS, LLC	  	DHFW HOLDINGS, LLC
		
	CHS VIRGINIA HOLDINGS, LLC	  	DHSC, LLC
		
	CHS WASHINGTON HOLDINGS, LLC	  	DUKES HEALTH SYSTEM, LLC
		
	 CLARKSVILLE HOLDINGS, LLC
  

CLEVELAND HOSPITAL CORPORATION
  

CLARKSVILLE HOLDINGS II, LLC
	  	 DYERSBURG HOSPITAL CORPORATION

NORTHWEST ARKANSAS HOSPITALS, LLC

YORK PENNSYLVANIA HOLDINGS, LLC

YORK PENNSYLVANIA HOSPITAL COMPANY, LLC

 

	  

  

					
	by	 	 /s/ Rachel A. Seifert
	 	
		 	Name: Rachel A. Seifert	 	
		 	 Title: Executive Vice President and

Secretary
	 	

			
	EMPORIA HOSPITAL CORPORATION	    	KAY COUNTY HOSPITAL CORPORATION
		
	EVANSTON HOSPITAL CORPORATION	    	KAY COUNTY OKLAHOMA HOSPITAL COMPANY, LLC
		
	FALLBROOK HOSPITAL CORPORATION	    	KIRKSVILLE HOSPITAL COMPANY, LLC
		
	FOLEY HOSPITAL CORPORATION	    	LAKEWAY HOSPITAL CORPORATION
		
	FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC	    	LANCASTER HOSPITAL CORPORATION
		
	FORREST CITY HOSPITAL CORPORATION	    	LAS CRUCES MEDICAL CENTER, LLC
		
	FORT PAYNE HOSPITAL CORPORATION	    	LEA REGIONAL HOSPITAL, LLC
		
	FRANKFORT HEALTH PARTNER, INC.	    	LEXINGTON HOSPITAL CORPORATION
		
	FRANKLIN HOSPITAL CORPORATION	    	LONGVIEW MERGER, LLC
		
	GADSDEN REGIONAL MEDICAL CENTER, LLC	    	LRH, LLC
		
	GALESBURG HOSPITAL CORPORATION	    	LUTHERAN HEALTH NETWORK OF INDIANA, LLC
		
	GRANBURY HOSPITAL CORPORATION	    	MARION HOSPITAL CORPORATION
		
	GRANITE CITY HOSPITAL CORPORATION	    	MARTIN HOSPITAL CORPORATION
		
	GRANITE CITY ILLINOIS HOSPITAL COMPANY, LLC	    	MASSILLON COMMUNITY HEALTH SYSTEM LLC
		
	GREENVILLE HOSPITAL CORPORATION	    	MASSILLON HEALTH SYSTEM LLC
		
	GRMC HOLDINGS, LLC	    	MASSILLON HOLDINGS, LLC
		
	HALLMARK HEALTHCARE COMPANY, LLC	    	MCKENZIE TENNESSEE HOSPITAL COMPANY, LLC
		
	HOBBS MEDCO, LLC	    	MCNAIRY HOSPITAL CORPORATION
		
	HOSPITAL OF BARSTOW, INC.	    	MCSA, L.L.C.
		
	HOSPITAL OF FULTON, INC.	    	MEDICAL CENTER OF BROWNWOOD, LLC
		
	HOSPITAL OF LOUISA, INC.	    	MERGER LEGACY HOLDINGS, LLC
		
	HOSPITAL OF MORRISTOWN, INC.	    	MMC OF NEVADA, LLC
		
	JACKSON HOSPITAL CORPORATION (KY)	    	MOBERLY HOSPITAL COMPANY, LLC
		
	JACKSON HOSPITAL CORPORATION (TN)	    	MWMC HOLDINGS, LLC
		
	JOURDANTON HOSPITAL CORPORATION	    	NANTICOKE HOSPITAL COMPANY, LLC

  

			
	by  	 	 /s/ Rachel A. Seifert

		 	Name: Rachel A. Seifert
		 	Title: Executive Vice President and Secretary

			
	NATIONAL HEALTHCARE OF LEESVILLE, INC.	  	QHG OF FORREST COUNTY, INC.
		
	NATIONAL HEALTHCARE OF MT. VERNON, INC.	  	QHG OF FORT WAYNE COMPANY, LLC
		
	NATIONAL HEALTHCARE OF NEWPORT, INC.	  	QHG OF HATTIESBURG, INC.
		
	NAVARRO REGIONAL, LLC	  	QHG OF MASSILLON, INC.
		
	NC-DSH, LLC	  	QHG OF SOUTH CAROLINA, INC.
		
	NORTHAMPTON HOSPITAL COMPANY, LLC	  	QHG OF SPARTANBURG, INC.
		
	NORTHWEST HOSPITAL, LLC	  	QHG OF SPRINGDALE, INC.
		
	NOV HOLDINGS, LLC	  	QHG OF WARSAW COMPANY, LLC
		
	NRH, LLC	  	QUORUM HEALTH RESOURCES, LLC
		
	OAK HILL HOSPITAL CORPORATION	  	RED BUD HOSPITAL CORPORATION
		
	ORO VALLEY HOSPITAL, LLC	  	RED BUD ILLINOIS HOSPITAL COMPANY, LLC
		
	PALMER-WASILLA HEALTH SYSTEM, LLC	  	REGIONAL HOSPITAL OF LONGVIEW, LLC
		
	PAYSON HOSPITAL CORPORATION	  	RIVER REGION MEDICAL CORPORATION
		
	PECKVILLE HOSPITAL COMPANY, LLC	  	ROSWELL HOSPITAL CORPORATION
		
	PENNSYLVANIA HOSPITAL COMPANY, LLC	  	RUSTON HOSPITAL CORPORATION
		
	PHILLIPS HOSPITAL CORPORATION	  	RUSTON LOUISIANA HOSPITAL COMPANY, LLC
		
	PHOENIXVILLE HOSPITAL COMPANY, LLC	  	SACMC, LLC
		
	POTTSTOWN HOSPITAL COMPANY, LLC	  	SALEM HOSPITAL CORPORATION
		
	QHG GEORGIA HOLDINGS II, LLC	  	SAN ANGELO COMMUNITY MEDICAL CENTER, LLC
		
	QHG GEORGIA HOLDINGS, INC.	  	SAN ANGELO MEDICAL, LLC
		
	QHG OF BLUFFTON COMPANY, LLC	  	SAN MIGUEL HOSPITAL CORPORATION
		
	QHG OF CLINTON COUNTY, INC.	  	SCRANTON HOLDINGS, LLC
		
	QHG OF ENTERPRISE, INC.	  	SCRANTON HOSPITAL COMPANY, LLC
		
		  	SCRANTON QUINCY HOLDINGS, LLC
		
		  	SCRANTON QUINCY HOSPITAL COMPANY, LLC

  

			
	by  	 	 /s/ Rachel A. Seifert

		 	Name: Rachel A. Seifert
		 	Title: Executive Vice President and Secretary

			
	SHELBYVILLE HOSPITAL CORPORATION	  	VIRGINIA HOSPITAL COMPANY, LLC
		
	 SILOAM SPRINGS ARKANSAS HOSPITAL

COMPANY, LLC
	  	WARREN OHIO HOSPITAL COMPANY, LLC
		
	SILOAM SPRINGS HOLDINGS, LLC	  	WARREN OHIO REHAB HOSPITAL COMPANY, LLC
		
	SOUTHERN TEXAS MEDICAL CENTER, LLC	  	WATSONVILLE HOSPITAL CORPORATION
		
	 SPOKANE VALLEY WASHINGTON HOSPITAL

COMPANY, LLC
	  	WAUKEGAN HOSPITAL CORPORATION
		
	SPOKANE WASHINGTON HOSPITAL COMPANY, LLC	  	WAUKEGAN ILLINOIS HOSPITAL COMPANY, LLC
		
	TENNYSON HOLDINGS, LLC	  	WEATHERFORD HOSPITAL CORPORATION
		
	TOMBALL TEXAS HOLDINGS, LLC	  	WEATHERFORD TEXAS HOSPITAL COMPANY, LLC
		
	TOMBALL TEXAS HOSPITAL COMPANY, LLC	  	WEBB HOSPITAL CORPORATION
		
	TOOELE HOSPITAL CORPORATION	  	WEBB HOSPITAL HOLDINGS, LLC
		
	TRIAD HEALTHCARE CORPORATION	  	WESLEY HEALTH SYSTEM LLC
		
	TRIAD HOLDINGS III, LLC	  	WEST GROVE HOSPITAL COMPANY, LLC
		
	TRIAD HOLDINGS IV, LLC	  	WHMC, LLC
		
	TRIAD HOLDINGS V, LLC	  	WILKES-BARRE BEHAVIORAL HOSPITAL COMPANY, LLC
		
	TRIAD NEVADA HOLDINGS, LLC	  	WILKES-BARRE HOLDINGS, LLC
		
	TRIAD OF ALABAMA, LLC	  	WILKES-BARRE HOSPITAL COMPANY, LLC
		
	TRIAD OF OREGON, LLC	  	WILLIAMSTON HOSPITAL CORPORATION
		
	TRIAD-ARMC, LLC	  	WOMEN & CHILDREN’S HOSPITAL, LLC
		
	TRIAD-EL DORADO, INC.	  	WOODLAND HEIGHTS MEDICAL CENTER, LLC
		
	TRIAD-NAVARRO REGIONAL HOSPITAL SUBSIDIARY, LLC	  	WOODWARD HEALTH SYSTEM, LLC
	TUNKHANNOCK HOSPITAL COMPANY, LLC	  	YOUNGSTOWN OHIO HOSPITAL COMPANY, LLC
		
	VHC MEDICAL, LLC	  	BLUE ISLAND HOSPITAL COMPANY, LLC
		
	VICKSBURG HEALTHCARE, LLC	  	BLUE ISLAND ILLINOIS HOLDINGS, LLC
		
	VICTORIA HOSPITAL, LLC	  	LONGVIEW CLINIC OPERATIONS COMPANY, LLC

  

			
	by  	 	 /s/ Rachel A. Seifert

		 	Name: Rachel A. Seifert
		 	Title: Executive Vice President and Secretary

			
	AMORY HMA, LLC	  	KEY WEST HMA, LLC
		
	BARTOW HMA, LLC	  	KNOXVILLE HMA HOLDINGS, LLC
		
	BILOXI H.M.A., LLC	  	LEHIGH HMA, LLC
		
	BRANDON HMA, LLC	  	MADISON HMA, LLC
		
	BREVARD HMA HOLDINGS, LLC	  	MELBOURNE HMA, LLC
		
	BREVARD HMA HOSPITALS, LLC	  	MESQUITE HMA GENERAL, LLC
		
	CAMPBELL COUNTY HMA, LLC	  	METRO KNOXVILLE HMA, LLC
		
	CARLISLE HMA, LLC	  	MISSISSIPPI HMA HOLDINGS I, LLC
		
	CAROLINAS JV HOLDINGS GENERAL, LLC	  	MISSISSIPPI HMA HOLDINGS II, LLC
		
	CENTRAL FLORIDA HMA HOLDINGS, LLC	  	MONROE HMA, LLC
		
	CENTRAL STATES HMA HOLDINGS, LLC	  	NAPLES HMA, LLC
		
	CHESTER HMA, LLC	  	POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
		
	CITRUS HMA, LLC	  	PORT CHARLOTTE HMA, LLC
		
	CLARKSDALE HMA, LLC	  	PUNTA GORDA HMA, LLC
		
	COCKE COUNTY HMA, LLC	  	RIVER OAKS HOSPITAL, LLC
		
	FLORIDA HMA HOLDINGS, LLC	  	ROCKLEDGE HMA, LLC
		
	FORT SMITH HMA, LLC	  	ROH, LLC
		
	HAMLET H.M.A., LLC	  	SEBASTIAN HOSPITAL, LLC
		
	HEALTH MANAGEMENT ASSOCIATES, INC.	  	SEBRING HOSPITAL MANAGEMENT ASSOCIATES, LLC
		
	HEALTH MANAGEMENT GENERAL PARTNER, LLC	  	SOUTHEAST HMA HOLDINGS, LLC
		
	HMA FENTRESS COUNTY GENERAL HOSPITAL, LLC	  	SOUTHWEST FLORIDA HMA HOLDINGS, LLC
		
	HMA SANTA ROSA MEDICAL CENTER, LLC	  	STATESVILLE HMA, LLC
		
	HOSPITAL MANAGEMENT ASSOCIATES, LLC	  	VAN BUREN H.M.A., LLC
		
	JACKSON HMA, LLC	  	VENICE HMA, LLC
		
	JEFFERSON COUNTY HMA, LLC	  	WINDER HMA, LLC
		
	KENNETT HMA, LLC	  	YAKIMA HMA, LLC

  

					
	by	 	 /s/ Rachel A. Seifert
	 	
		 	Name: Rachel A. Seifert	 	
		 	 Title: Executive Vice President and

Secretary
	 	

			
	CAROLINAS JV HOLDINGS, L.P.
		
	By:	 	Carolinas JV Holdings General, 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
	
	LONE STAR HMA, L.P.
		
	By:	 	Mesquite HMA General, LLC
	Its:	 	General Partner

  

					
	    by  	 	   /s/ Rachel A. Seifert

		 	  Name:	 	Rachel A. Seifert
		 	  Title:	 	 Executive Vice President and

Secretary

		 	  Acting	 	on behalf of each of the General Partners of the Guarantors set forth on this page.

			
	BROWNWOOD HOSPITAL, L.P.
		
	By:	 	Brownwood Medical Center, LLC
	Its:	 	General Partner
	
	COLLEGE STATION HOSPITAL, L.P.
		
	By:	 	College Station Medical Center, LLC
	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
	
	VICTORIA OF TEXAS, L.P.
		
	By:	 	Detar Hospital, LLC
	Its:	 	General Partner

  

					
	    by    	 	   /s/ Rachel A. Seifert

		 	  Name:	 	Rachel A. Seifert
		 	  Title:	 	Executive Vice President and Secretary
		 	  Acting on behalf of each of the General
		 		 	Partners of the Guarantors set
		 		 	forth on this page.

			
	CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH, individually and as Administrative Agent, Collateral Agent and Issuing Bank,
		
	      by  	 	 /s/ Robert Hetu

		 	Name: Robert Hetu
		 	Title: Authorized Signatory
		
	      by  	 	 /s/ Ryan Long

		 	Name: Ryan Long
		 	Title: Authorized Signatory

 EXHIBIT A 

Form of Third Amended and Restated Credit Agreement 

See Exhibit 10.2 to Community Health Systems, Inc.’s Form 8-K filed on January 27, 2014. 

 EXHIBIT B-1 

Form of Kirkland & Ellis LLP Opinion 

 

 
  

							
		 	 601 Lexington Avenue
 New
York, New York 10022
	 		 	
	Judson A. Oswald	 		 		 	
	To Call Writer Directly:	 	(212) 446-4800	 		 	 Facsimile:
 (212)
446-4900

	 (212) 446-4812

judson.oswald@kirkland.com
	 	www.kirkland.com	 		 	
		 	  
 January 27, 2014
	 		 	

 To the Agent 
 and each of the
Lenders under the 
 Credit Agreement (referred to below) 
 on
the date hereof: 
  

	 	Re:	 Third Amendment and Restatement Agreement dated as of January 27, 2014 (the “Amendment Agreement”), by and among
CHS/Community Health Systems, Inc., a Delaware corporation (the “Borrower”), Community Health Systems, Inc., a Delaware corporation (“Parent”), the Subsidiary Guarantors listed on the signature pages thereto, the
Lenders listed on the signature pages thereto and Credit Suisse AG, as the Administrative Agent and Collateral Agent for the Lenders (in such capacity, the “Agent”), amending and restating the Credit Agreement, dated as of
July 25, 2007, as amended and restated as of November 5, 2010 and February 2, 2012 (the “Existing Credit Agreement”), among Parent, Borrower, Agent and the financial institutions from time to time party thereto (the
“Lenders”) (the Existing Credit Agreement, as so amended and restated by the Amendment Agreement, the “Credit Agreement”) 

Ladies and Gentlemen: 
 We are
issuing this opinion letter in our capacity as counsel to and at the request of the Borrower, Parent and the parties identified as “Guarantors” on Schedule 1 hereto (each a “Guarantor” and collectively the
“Guarantors”) in respect of the Amendment Agreement. The Borrower, Parent and the Guarantors are collectively referred to herein as the “Credit Parties”. References to the “Illinois Credit Parties”
means each of the parties identified on Schedule 2 hereto. References to the “Delaware Credit Parties” means each of the parties identified on Schedule 3(a) hereto. References to the “New Delaware Credit
Parties” means each of the Delaware Credit Parties identified on Schedule 3(b) hereto. References to the “Covered Credit Parties” means the Illinois Credit Parties and the Delaware Credit Parties. 

The opinions expressed herein are being provided pursuant to Section 5(c)(i) of the Amendment Agreement. Capitalized
terms used but not otherwise defined herein shall have the meanings given to such terms in the Credit Agreement (with references herein to the Credit Agreement and each document defined therein meaning the Credit Agreement and each such document as
executed and delivered on the date hereof). The Lenders and the Agent are sometimes referred to in this opinion letter as “you”. 
  

																			
	Beijing	 	  Chicago	 	Hong Kong	 	London	 	Los Angeles	 	Munich	 	Palo Alto	 	San Francisco	 	Shanghai	 	Washington, D.C.

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 2 
  

 In connection with the preparation of this letter, we have, among other
things, reviewed executed counterparts of: 
  

	 	(a)	the Amendment Agreement; 

  

	 	(b)	Supplement No. 22 to the Guarantee and Collateral Agreement; 

  

	 	(c)	Trademark Security Agreement; and 

  

	 	(d)	Patent Security Agreement. 

 We have also reviewed unfiled copies of UCC Form-1 Financing Statements naming each New Delaware Credit Party, as debtor, and the Agent, as secured party, copies of which are attached hereto on Exhibit 1 (the “Delaware Financing Statements”)
to be filed in the Uniform Commercial Code filing office of the Secretary of State of Delaware (the “Delaware UCC Filing Office”). 

References in this opinion letter to the “New York UCC” mean the Uniform Commercial Code as in effect on the
date hereof in the State of New York. For purposes hereof, (a) the documents listed in items (a) through (d) above (each in the form reviewed by us for purposes of this opinion letter) are called the “Operative
Documents” and (b) the documents listed in items (b) through (d) (each in the form reviewed by us for purposes of this opinion letter) are called the “Security Documents”. Items (c) through
(d) (each in the form reviewed by us for purposes of this opinion letter) are called the “IP Security Agreements”. The term “Organizational Documents” whenever used in the letter means the certificate or
articles of incorporation (or the equivalent thereof), as applicable, of each Credit Party, and the by-laws or limited liability company agreement (or the equivalent thereof), as applicable, of each Credit Party, as in effect on the date hereof.

 Subject to the assumptions, qualifications, exclusions and other limitations which are identified in this opinion letter,
we advise you, and with respect to each legal issue addressed in this opinion letter, it is our opinion, that: 
  

	1.	 Each of the Covered Credit Parties is a corporation, limited liability company or limited partnership, as applicable, existing and in good standing
under the General Corporation Law of the State of Delaware (“DGCL”), Delaware Limited Liability Company Act (“DLLCA”), Delaware Revised Uniform Limited Partnership Act (“DRULPA”), the Illinois
Business Corporation Act (“IBCA”) or the Illinois Limited Liability Company 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 3 
  

	 	 
Act (“ILLCA”), as applicable. For purposes of this opinion, we have relied exclusively upon certificates issued by a governmental authority in the relevant jurisdiction, and such
opinions are not intended to provide any conclusion or assurance beyond that conveyed by those certificates. 

  

	2.	 Each of the Covered Credit Parties has the corporate, limited liability company or limited partnership power, as applicable, to execute, deliver
and perform its obligations under the Operative Documents to which it is a party and to perform its obligations under the Credit Agreement. 

  

	3.	 Each of the Covered Credit Parties has taken the corporate, limited liability company or limited partnership action, as applicable, necessary to
authorize its execution, delivery and performance of the Operative Documents to which it is a party and its performance of the Credit Agreement. 

  

	4.	 Each Operative Document has been duly executed and delivered on behalf of each Covered Credit Party that is a party thereto. 

 

	5.	 Each of the Operative Documents and the Credit Agreement is a valid and binding obligation of each Credit Party that is a party thereto and is
enforceable against such Credit Party in accordance with its terms. 

  

	6.	 The execution and delivery by any Covered Credit Party of the Operative Documents to which it is a party and the Credit Agreement, and the
performance by any Credit Party of the Operative Documents to which it is a party, and the granting of any security interests pursuant to any Security Document to which it is a party, will not (i) constitute a violation of, with respect to any
Covered Credit Party, the Organizational Documents of such Covered Credit Party, (ii) will not constitute a violation of any applicable provision of existing State of New York law or United States federal statutory law or published governmental
regulation applicable to such Credit Party, in each case to the extent covered by this opinion letter, or by any Delaware Credit Party of any applicable provision of the DGCL, DLLCA or DRULPA, or by the Illinois Credit Parties of any applicable
provision of the IBCA or the ILLCA, or (iii) result in a violation of, or result in the creation of any lien upon or security interest in any Credit Party’s properties pursuant to the terms of, any agreement or instrument identified on
Exhibit 2 attached hereto, provided that we express no opinion with respect to breaches, violations or defaults under any cross-default provision or with respect to any financial covenants or tests in any such agreement or instrument.

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 4 
  

	7.	 No consent, approval, authorization or order of, or filing with, any United States federal or New York governmental authority or body, or, with
respect to the Delaware Credit Parties, any Delaware governmental agency or body acting pursuant to the DGCL, DLLCA or DRULPA, as applicable to such Delaware Credit Party, or , with respect to the Illinois Credit Parties, any Illinois governmental
agency or body acting pursuant to the IBCA or ILLCA, as applicable to such Illinois Credit Party, is required in order for any Credit Party to obtain the right to the execute and deliver, or perform its obligations under, any Operative Document to
which it is a party, or perform its obligations under the Credit Agreement, except for (i) those obtained or made prior to the date hereof, (ii) filings required for the perfection of security interests granted under the Security Documents
or to release existing liens, (iii) consents, approvals, authorizations, orders or filings required in connection with the ordinary course of conduct by the Credit Parties of their respective businesses and ownership or operation by the Credit
Parties of their respective assets in the ordinary course of business (as to which we express no opinion), (iv) those that may be required under federal securities laws and regulations or state “blue sky” laws and regulations (as to
which we express no opinion) or any other laws, regulations or governmental requirements which are excluded from the coverage of this opinion letter and (v) consents, approvals, authorizations, orders or filings that may be required by any
banking, insurance or other regulatory statutes to which you may be subject (as to which we express no opinion). 

  

	8.	 No Credit Party is an “investment company” required to be registered as such under the Investment Company Act of 1940, as amended, or the
rules and regulations thereunder. 

  

	9.	 Solely with respect to each New Delaware Credit Party, Supplement No. 1 to the Guarantee and Collateral Agreement creates a valid security
interest in favor of the Agent, for the benefit of the Secured Parties in the “Collateral” (as defined in the Guarantee and Collateral Agreement) of each New Delaware Credit Party which is a party thereto described therein in which a
security interest may be created under Article 9 of the New York UCC (the “Code Collateral”). 

  

	10.	 Upon the filing in the Delaware UCC Filing Office of the Delaware Financing Statements, together with the payment of all filing and recordation
fees associated therewith, the Agent will have a perfected security interest (for the benefit of the Secured Parties) in that portion of the Code Collateral of the New Delaware Credit Parties in which a security interest can be perfected by the
filing of a Uniform Commercial Code financing statement in the Delaware UCC Filing Office. 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 5 
  

	11.	 The execution and delivery of the Operative Documents will not, in and of themselves, result in the loss of perfection (if any) of any security
interest in the Code Collateral of the Covered Credit Parties, other than Code Collateral of the New Delaware Credit Parties as provided in opinion paragraph 10, arising under Article 9 of the UCC to the extent that such security interest was and
remained perfected under the Guarantee and Collateral Agreement and under Article 9 of the UCC immediately prior to such execution and delivery. For the avoidance of doubt, we express no opinion regarding (i) the creation, priority or
enforcement of any such security interest, (ii) the effect on such priority of the execution and delivery of the Operative Documents, or (iii) except as expressly set forth in the preceding sentence, the perfection of any such security
interest. 

  

	12.	 Upon delivery to the Agent for the benefit of the Secured Parties in the State of New York of the certificates of the New Delaware Credit Parties
identified on Exhibit 3 attached hereto (the “Pledged Securities”), indorsed in blank or to the Agent by an effective indorsement, the Agent will have a perfected security interest (for the benefit of the Secured Parties) in the
Pledged Securities under the New York UCC to the extent they are “securities” (as such term is defined in Section 8-102(a)(15) of the New York UCC). Assuming neither the Agent nor any Secured Party has notice of any adverse claim to
the Pledged Securities, the Agent will acquire the security interest in the Pledged Securities for the benefit of the Secured Parties free of any adverse claim. 

 

	13.	 Upon (i) the timely filing and recordation of each IP Security Agreement in the United States Patent and Trademark Office or the United States
Copyright Office, as applicable, together with the payment of all filing and recordation fees associated therewith, and (ii) the taking of all actions required under the law of jurisdiction of organization of each New Delaware Credit Party
party to an IP Security Agreement with respect to the perfection of a security interest in such intangible property, the Agent will have a perfected security interest (for the benefit of the Secured Parties) in the United States registered
trademarks and applications therefor (but excluding any “intent to use” applications), patents and applications therefor and registered copyrights specifically identified in such IP Security Agreements executed by any New Delaware Credit
Party. 

  

	14.	 Assuming application of the proceeds of the Loans as contemplated by the Amendment Agreement and, for purposes of Regulation X of the Board of
Governors of the Federal Reserve System, no Lender or Agent is subject to Regulation T of the Board of Governors of the Federal Reserve System, the execution and delivery of the Amendment Agreement by the Borrower and the making of the Loans under
the Amendment Agreement will not violate Regulation U or X of the Board of Governors of the Federal Reserve System. 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 6 
  

 With your consent, we have assumed for purposes of this letter and the
opinions herein: 
 (a) that each document we have reviewed for purposes of this letter is accurate and complete, each such
document that is an original is authentic, each such document that is a copy conforms to an authentic original, and all signatures on each such document are genuine, and that all natural persons who have signed any document have the legal capacity
to do so; 
 (b) that each Operative Document and every other agreement we have examined for purposes of this letter has
been duly authorized, executed and delivered by the parties thereto and constitutes a valid and binding obligation of each party to that document, enforceable against each such party in accordance with its respective terms and that each such party
has satisfied all legal requirements that are applicable to such party to the extent necessary to entitle such party to enforce such agreement and that each party to any Operative Document is in good standing and duly incorporated or organized under
the laws of its jurisdiction of organization (except that we make no such assumption in this paragraph (b) with respect to the Covered Credit Parties or, solely for the purposes of our opinions in paragraph 5, the Credit Parties); 

(c) there are no agreements or understandings among the parties, written or oral (other than the Operative Documents), and
there is no usage of trade or course of prior dealing among the parties that would, in either case, define, supplement or qualify the terms of the Operative Documents; and 

(d) that the status of the Operative Documents as legally valid and binding obligations of the parties is not affected by any
(i) breaches of, or defaults under, agreements or instruments, (ii) violations of statutes, rules, regulations or court or governmental orders, or (iii) failures to obtain required consents, approvals or authorizations from, or make
required registrations, declarations or filings with, governmental authorities, provided that we make no such assumption to the extent we have opined as to such matters with respect to the Credit Parties herein. 

In addition, for purposes of this letter and the opinions herein we have also assumed with your consent: (i) each Credit
Party has the requisite rights to any Collateral existing on the date hereof and will have the requisite rights to each item of Collateral arising after the date hereof, (ii) value (as defined in Section 1-201(44) of the New York UCC) has
been given by you to the Credit Parties for the security interests and other rights in and assignments of Collateral described in or contemplated by the Operative Documents, (iii) any Pledged Securities issued by

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 7 
  

 
an issuer not organized under the laws of one of the states of the United States are “certificated securities” within the meaning of Section 8-102(a)(4) of the New York UCC,
(iv) all Deposit Accounts are “deposit accounts” within the meaning of Section 9-102(a)(29) of the New York UCC; (v) all Depositary Banks are “banks” within the meaning of Section 1-201(4) of the New York UCC;
(vi) all Securities Intermediaries are “securities intermediaries” within the meaning of Section 8-102(a)(14) of the New York UCC, (vii) all Securities Accounts are “securities accounts” within the meaning of
Section 8-501 of the New York UCC and (viii) all information regarding the secured party on the Delaware Financing Statements is accurate and complete in all respects. 

In preparing this letter, we have relied without any independent verification upon: (i) information contained in
certificates obtained from governmental authorities; (ii) factual information represented to be true in the Operative Documents; (iii) factual information provided to us in a support certificate signed by each of the Credit Parties; and
(iv) factual information we have obtained from such other sources as we have deemed reasonable; and we have examined the originals or copies certified to our satisfaction, of such Organizational Documents and other corporate, limited liability,
company and partnership records of the Credit Parties as we deem necessary for or relevant to our opinions. We have assumed without investigation that the information upon which we have relied is accurate and does not omit disclosures necessary to
prevent such information from being misleading. 
 The terms “knowledge,” “actual
knowledge” and “aware” whenever used in this letter with respect to our firm mean conscious awareness at the time this letter is delivered on the date it bears by the following Kirkland & Ellis LLP lawyers who
are the only lawyers at Kirkland & Ellis LLP that have had significant involvement with the negotiation or preparation of the Operative Documents (herein called our “Designated Transaction Lawyers”): Ashley Gregory,
Judson A. Oswald, Meredith Waters and Jonathan Manor.  
 Each opinion (an “enforceability opinion”)
in this letter that any particular contract is a valid and binding obligation, is enforceable in accordance with its terms or creates a security interest is subject to: (i) applicable bankruptcy, insolvency, fraudulent conveyance,
reorganization, moratorium and similar laws affecting creditors’ rights and remedies generally and judicially developed doctrines in this area such as substantive consolidation and equitable subordination; (ii) the effect of general
principles of equity (regardless of whether enforcement is sought in a proceeding at law or in equity); (iii) an implied covenant of good faith and fair dealing; and (iv) other commonly recognized statutory and judicial constraints on
enforceability including statutes of limitations. “General principles of equity” include but are not limited to: principles limiting the availability of specific performance and injunctive relief; principles which

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 8 
  

 
limit the availability of a remedy under certain circumstances where another remedy has been elected; principles requiring reasonableness, good faith and fair dealing in the performance and
enforcement of an agreement by the party seeking enforcement; principles which may permit a party to cure a material failure to perform its obligations; and principles affording equitable defenses such as waiver, laches and estoppel. 

Each enforceability opinion is also subject to the qualification that certain provisions of the Operative Documents may not be
enforceable in whole or in part, although the inclusion of such provisions does not render the Operative Documents invalid, and the Operative Documents and the law of the State of New York contain adequate remedial provisions for the practical
realization of the rights and benefits afforded thereby. 
 Each enforceability opinion is further subject to the effect of
rules of law that may render guaranties or other similar instruments or agreements unenforceable under circumstances where your actions, failures to act or waivers, amendments or replacement of the Operative Documents (i) so radically change
the essential nature of the terms and conditions of the guaranteed obligations and the related transactions that, in effect, a new relationship has arisen between you and the Credit Parties which is substantially and materially different from that
presently contemplated by the Operative Documents, (ii) release the primary obligor, or (iii) impair the guarantor’s recourse against the primary obligor. 

We also express no opinion regarding the enforceability any “fraudulent conveyance or fraudulent transfer savings
clauses” and any similar provisions in any Operative Document, to the extent such provisions purport to limit the amount of the obligations of any party or the right to contribution of any other party with respect to such obligations. 

We render no opinion regarding the validity, binding effect or enforceability of any Operative Document with respect to any
Credit Party to the extent such Operative Document involves any obligation (including any guaranty) of such Credit Party with respect to any “swap” (as such term is defined in the Commodity Exchange Act) if such Credit Party is not an
“eligible contract participant” (as such term is defined in the Commodity Exchange Act) at the time such obligation is incurred by such Credit Party. 

We render no opinion with regard to usury or other laws limiting or regulating the maximum amount of interest that may be
charged, collected, received or contracted for other than the internal laws of the State of New York, and without limiting the foregoing, we expressly disclaim any opinion as to the usury or other such laws of any other jurisdiction (including laws
of other states made applicable through principles of Federal preemption or otherwise) which may be applicable to the transactions contemplated by the Operative Documents. 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 9 
  

 Our opinions regarding the creation and perfection of security interests are
subject to the effect of (i) the limitations on the existence and perfection of security interests in proceeds resulting from the operation of Section 9-315 of the New York UCC and (ii) certain provisions of the Bankruptcy Code,
including Section 547 with respect to preferential transfers and Section 552 with respect to any Collateral acquired by a Credit Party subsequent to the commencement of a case under the Bankruptcy Code with respect to such Credit Party.

 We express no opinion (i) as to the priority of any security interest, (ii) as to what law governs perfection
of the security interests granted in the Collateral, except as provided in opinion paragraph 12 (iii) regarding the perfection of any security interest in money, letter of credit rights, Collateral of a type represented by a certificate of
title, any property for which a federal statute or treaty provides for registration or specifies a place of filing different from that specified in Section 9-501 of any applicable Uniform Commercial Code, commercial tort claims, crops, farm
products, timber to be cut, as-extracted collateral, or consumer goods and (iv) the effectiveness of any supergeneric description of the Collateral in any Security Document. 

Nothing contained in this letter covers or otherwise addresses any of the following types of provisions which may be contained
in the Operative Documents: 
 (i) provisions mandating contribution towards judgments or settlements among various parties; 

(ii) waivers of benefits and rights to the extent they cannot be waived under applicable law; 

(iii) provisions providing for penalties, liquidated damages, acceleration of future amounts due (other than principal) without appropriate
discount to present value, late charges, prepayment charges, interest upon interest, or increased interest rates upon default; 
 (iv)
provisions which might require indemnification or contribution in violation of general principles of equity or public policy, including, without limitation, indemnification or contribution obligations which arise out of the failure to comply with
applicable state or federal securities laws; 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 10 
  

 (v) agreements to submit to the jurisdiction of any particular court or other governmental
authority (either as to personal or subject matter jurisdiction); provisions restricting access to courts; waiver of service of process requirements which would otherwise be applicable; waiver of the right to a jury trial and provisions otherwise
purporting to affect the jurisdiction and venue of courts, 
 (vi) choice-of-law provisions, except to the extent such choice of law of New
York law as the governing law is made in compliance with the statutory laws of the State of New York; 
 (vii) provisions regarding
arbitration; 
 (viii) covenants not to compete; 

(ix) provisions that authorize you to set off and apply any deposits at any time held, and any other indebtedness at any time owing, by you to
or for the account of the Company, or 
 (x) requirements in the Operative Documents specifying that provisions thereof may only be waived
in writing. 
 Except as expressly otherwise set forth in this letter, our advice on every legal issue addressed in this
letter is based exclusively on the internal laws of the State of New York or the Federal law of the United States which, in each case, in our experience is generally applicable both to general business organizations which are not engaged in
regulated business activities and to transactions of the type contemplated in the Operative Documents between the Credit Parties, on the one hand, and you, on the other hand (but without our having made any special investigation as to any other
laws), except that we express no opinion or advice as to any law or legal issue (a) which might be violated by any misrepresentation or omission or a fraudulent act, or (b) to which any Credit Party may be subject as a result of your legal
or regulatory status, your sale or transfer of the Loans or interests therein or your involvement in the transactions contemplated by the Operative Documents. 

Our opinions in paragraphs 9 and 10 are limited to Article 9 of the New York UCC, or Article 9 of the Uniform Commercial Code
as adopted in Delaware, as the case may be, and our opinions in paragraph 12 is limited to Articles 8 and 9 of the New York UCC. 

For purposes of the opinions expressed in the paragraph 10 with respect to the New Delaware Credit Parties, we have reviewed
the statutory provisions of the Uniform Commercial Code as adopted in Delaware, as set forth in the Commerce Clearing House, Inc. Secured Transactions Guide as supplemented through December 17, 2013 (the “Guide”) and, with
respect 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 11 
  

 
to such New Delaware Credit Parties, our opinions in such paragraph 10 are based solely on such review and on the assumption that such statutory provisions are given the same interpretation and
application in Delaware as the corresponding provisions of the New York Uniform Commercial Code are given in New York. 

For purposes of paragraphs 1 through 4 and 6(i) our opinions are based on the DGCL, DLLCA or DRULPA as applicable (without
regard to judicial interpretation thereof or rules or regulations promulgated thereunder), as published by Wolters Kluwer, as supplemented through January 2, 2014. We note however that we are not admitted to practice law in the State of
Delaware, and without limiting the forgoing we expressly disclaim any opinions regarding Delaware contract law or general Delaware law that may be incorporated expressly or by operation of law into the DLLCA or DRULPA or into any Organizational
Document entered into pursuant thereto. 
 None of the opinions or other advice contained in this letter considers or
covers: (i) any federal or state securities (or “blue sky”) laws or regulations (other than our opinion in paragraph 8 regarding the Investment Company Act) or Federal Reserve Board margin regulations or (ii) federal or state
antitrust and unfair competition laws and regulations, pension and employee benefit laws and regulations, compliance with fiduciary duty requirements, federal and state environmental, land use and subdivision, tax, racketeering (e.g., RICO), health
and safety (e.g., OSHA), and labor laws and regulations, federal and state laws, regulations and policies concerning national and local emergency, possible judicial deference to acts of sovereign states and criminal and civil forfeiture laws, and
other federal and state statutes of general application to the extent they provide for criminal prosecution (e.g., mail fraud and wire fraud statutes). 

We also express no opinion regarding any laws relating to terrorism or money laundering, including Executive Order
No. 13224, 66 Fed. Reg. 49079 (published September 25, 2001) (the “Terrorism Executive Order”) or any related enabling legislation or any other similar executive order (collectively with the Terrorism Executive Order, the
“Executive Orders”), the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001 (Public Law 107-56, the “Patriot Act”), any sanctions and regulations promulgated
under authority granted by the Trading with the Enemy Act, 50 U.S.C. App. 1-44, as amended from time to time, the International Emergency Economic Powers Act, 50 U.S.C. §§ 1701-06, as amended from time to time, the Iraqi Sanctions Act,
Publ. L. No. 101-513; United Nations Participation Act, 22 U.S.C. § 287c, as amended from time to time, the International Security and Development Cooperation Act, 22 U.S.C. § 2349 aa-9, as amended from time to time, The Cuban
Democracy Act, 22 U.S.C. §§ 6001-10, as amended from time to time, The Cuban Liberty and Democratic Solidarity Act, 18 U.S.C. §§ 2332d and 2339b, as amended from time to time, and The Foreign Narcotics Kingpin Designation Act,
Publ. L. No. 106-120, as amended from time to time. 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 12 
  

 With respect to any Credit Party which is a limited liability company, our
opinion regarding the enforceability of the Operative Documents under Illinois law is, as such is affected by usury laws, further subject to the assumption that a limited liability company is a “business association” as that term is used
in Section 4(c) of the Illinois Interest Act, 815 ILCS 205 (the “IIA”). Under Section 4 of the IIA, 815 ILCS 205/4, the maximum lawful rate of interest on loans is 9% per annum, unless an exemption from that limit is
available. The IIA sets forth a number of exemptions from the general limit, some based on the nature of the borrower, some based on the nature of the lender, and some based on the type of loan or transaction. The only exemption that appears to us
to be available in this transaction is the general “business loan” exemption provided in Section 4(c) of the IIA, 815 ILCS 205/4(c), which allows in relevant part “any rate of interest or compensation with respect to . . .
(c) . . . any business loan to a business association or copartnership . . . or to any limited partnership . . . .” That section proceeds to define “business” as a “commercial, agricultural or industrial enterprise which is
carried on for the purpose of investment or profit . . . .” We note that a separate subsection of this statute, Section 4(a), provides a like exemption for “any loan made to a corporation.” 

The IIA is silent as to whether a limited liability company is included within the scope of “business association”
for purposes of the “business loan” exemption, and we have found no Illinois cases under the IIA or otherwise addressing this issue. Moreover, given the broad language of the “business loan” exemption, the similarity of limited
liability companies to corporations and limited partnerships, and the fact that limited liability companies have only recently become widely used in Illinois, we are not aware of any public policy of the State of Illinois that would lead us to
conclude that limited liability companies should be excluded from the scope of “business associations” for purposes of IIA Section 4(c). In addition, we have located another Illinois statute, the Real Estate License Act of 1983, as
amended, 225 ILCS 455/25, which refers in relevant part to “corporations, limited liability companies, partnerships, or other business associations,” further supporting the conclusion that business associations include limited liability
companies. While in the absence of legislative clarification or an Illinois Supreme Court decision we cannot offer any opinion on the point, we do believe that in a case properly presented an Illinois court properly applying Illinois law should
conclude that a limited liability company is a “business association” within the meaning of Section 4(c) of the IIA. 

We express no opinion as to what law might be applied by any other courts to resolve any issue addressed in this letter. We
advise you that issues addressed by this letter may be governed in whole or in part by other laws, but we express no opinion as to whether any relevant difference exists between the laws upon which our opinions are based and any other laws which may
actually govern. 

 

 
  
 To the Agent 

and each of the Lenders under the 
 Credit Agreement 

 
 January 27, 2014 

Page 13 
  

 This opinion letter speaks as of the time of its delivery on the date it
bears. We do not assume any obligation to provide you with any subsequent opinion or advice by reason of any fact about which our Designated Transaction Lawyers did not have actual knowledge at that time, by reason of any change subsequent to that
time in any law covered by any of our opinions, or for any other reason. 
 You may rely upon this letter only for the
purpose served by the provision in the Amendment Agreement cited in the second paragraph of this opinion letter in response to which it has been delivered. Without our written consent: (i) no person other than you may rely on this opinion
letter for any purpose; (ii) this opinion letter may not be cited or quoted in any financial statement, prospectus, private placement memorandum or other similar document; (iii) this opinion letter may not be cited or quoted in any other
document or communication which might encourage reliance upon this opinion letter by any person or for any purpose excluded by the restrictions in this paragraph; and (iv) copies of this opinion letter may not be furnished to anyone for
purposes of encouraging such reliance. Notwithstanding the foregoing, financial institutions which subsequently become Lenders in accordance with the terms of Section 9.04 of the Credit Agreement may rely on this opinion letter as of the time
of its delivery on the date hereof as if this letter were addressed to them. 
  

	
	Sincerely,
	  
 KIRKLAND & ELLIS LLP

 SCHEDULE 1 
  

Guarantors 
  

	 	1.	Abilene Hospital, LLC 

	 	2.	Abilene Merger, LLC 

	 	3.	Affinity Health Systems, LLC 

	 	4.	Affinity Hospital, LLC 

	 	5.	Anna Hospital Corporation 

	 	6.	Berwick Hospital Company, LLC 

	 	7.	Big Bend Hospital Corporation 

	 	8.	Big Spring Hospital Corporation 

	 	9.	Birmingham Holdings, LLC 

	 	10.	Birmingham Holdings II, LLC 

	 	11.	Blue Island Hospital Company, LLC 

	 	12.	Blue Island Illinois Holdings, LLC 

	 	13.	Bluefield Holdings, LLC 

	 	14.	Bluefield Hospital Company, LLC 

	 	15.	Bluffton Health System LLC 

	 	16.	Brownsville Hospital Corporation 

	 	17.	Brownwood Hospital, L.P. 

	 	18.	Brownwood Medical Center, LLC 

	 	19.	Bullhead City Hospital Corporation 

	 	20.	Bullhead City Hospital Investment Corporation 

	 	21.	Carlsbad Medical Center, LLC 

	 	22.	Centre Hospital Corporation 

	 	23.	CHHS Holdings, LLC 

	 	24.	CHS Kentucky Holdings, LLC 

	 	25.	CHS Pennsylvania Holdings, LLC 

	 	26.	CHS Virginia Holdings, LLC 

	 	27.	CHS Washington Holdings, LLC 

	 	28.	Clarksville Holdings, LLC 

	 	29.	Clarksville Holdings II, LLC 

	 	30.	Cleveland Hospital Corporation 

	 	31.	Cleveland Tennessee Hospital Company, LLC 

	 	32.	Clinton Hospital Corporation 

	 	33.	Coatesville Hospital Corporation 

	 	34.	College Station Hospital, L.P. 

	 	35.	College Station Medical Center, LLC 

	 	36.	College Station Merger, LLC 

	 	37.	Community GP Corp. 

	 	38.	Community Health Investment Company, LLC 

	 	39.	Community LP Corp. 

	 	40.	CP Hospital GP, LLC 

	 	41.	CPLP, LLC 

	 	42.	Crestwood Hospital LP, LLC 

	 	43.	Crestwood Hospital, LLC 

	 	44.	CSMC, LLC 

	 	45.	CSRA Holdings, LLC 

	 	46.	Deaconess Holdings, LLC 

	 	47.	Deaconess Hospital Holdings, LLC 

	 	48.	Deming Hospital Corporation 

	 	49.	Desert Hospital Holdings, LLC 

	 	50.	Detar Hospital, LLC 

	 	51.	DHSC, LLC  

	 	52.	DHFW Holdings, LLC 

	 	53.	Dukes Health System, LLC 

	 	54.	Dyersburg Hospital Corporation 

	 	55.	Emporia Hospital Corporation 

	 	56.	Evanston Hospital Corporation 

	 	57.	Fallbrook Hospital Corporation 

	 	58.	Foley Hospital Corporation 

	 	59.	Forrest City Arkansas Hospital Company, LLC 

	 	60.	Forrest City Hospital Corporation 

	 	61.	Fort Payne Hospital Corporation 

	 	62.	Frankfort Health Partner, Inc. 

	 	63.	Franklin Hospital Corporation 

	 	64.	Gadsden Regional Medical Center, LLC 

	 	65.	Galesburg Hospital Corporation 

	 	66.	Granbury Hospital Corporation 

	 	67.	Granite City Hospital Corporation 

	 	68.	Granite City Illinois Hospital Company, LLC 

	 	69.	Greenville Hospital Corporation 

	 	70.	GRMC Holdings, LLC 

	 	71.	Hallmark Healthcare Company, LLC 

	 	72.	Hobbs Medco, LLC 

	 	73.	Hospital of Barstow, Inc. 

	 	74.	Hospital of Fulton, Inc. 

	 	75.	Hospital of Louisa, Inc. 

	 	76.	Hospital of Morristown, Inc. 

	 	77.	Jackson Hospital Corporation (KY) 

	 	78.	Jackson Hospital Corporation (TN) 

	 	79.	Jourdanton Hospital Corporation 

	 	80.	Kay County Hospital Corporation 

	 	81.	Kay County Oklahoma Hospital Company, LLC 

	 	82.	Kirksville Hospital Company, LLC 

	 	83.	Lakeway Hospital Corporation 

	 	84.	Lancaster Hospital Corporation 

	 	85.	Las Cruces Medical Center, LLC 

	 	86.	Lea Regional Hospital, LLC 

	 	87.	Lexington Hospital Corporation 

	 	88.	Longview Clinic Operations Company, LLC 

	 	89.	Longview Medical Center, L.P. 

	 	90.	Longview Merger, LLC 

	 	91.	LRH, LLC 

	 	92.	Lutheran Health Network of Indiana, LLC 

	 	93.	Marion Hospital Corporation 

	 	94.	Martin Hospital Corporation 

	 	95.	Massillon Community Health System LLC 

	 	96.	Massillon Health System LLC 

	 	97.	Massillon Holdings, LLC 

	 	98.	McKenzie Tennessee Hospital Company, LLC 

	 	99.	McNairy Hospital Corporation 

	 	100.	MCSA, L.L.C. 

	 	101.	Medical Center of Brownwood, LLC 

	 	102.	Merger Legacy Holdings, LLC 

	 	103.	MMC of Nevada, LLC 

	 	104.	Moberly Hospital Company, LLC 

	 	105.	MWMC Holdings, LLC 

	 	106.	Nanticoke Hospital Company, LLC 

	 	107.	National Healthcare of Leesville, Inc. 

	 	108.	National Healthcare of Mt. Vernon, Inc. 

	 	109.	National Healthcare of Newport, Inc. 

	 	110.	Navarro Hospital, L.P. 

	 	111.	Navarro Regional, LLC 

	 	112.	NC-DSH, LLC 

	 	113.	Northampton Hospital Company, LLC 

	 	114.	Northwest Hospital, LLC 

	 	115.	Northwest Arkansas Hospitals, LLC 

	 	116.	NOV Holdings, LLC 

	 	117.	NRH, LLC 

	 	118.	Oak Hill Hospital Corporation 

	 	119.	Oro Valley Hospital, LLC 

	 	120.	Palmer-Wasilla Health System, LLC 

	 	121.	Payson Hospital Corporation 

	 	122.	Peckville Hospital Company, LLC 

	 	123.	Pennsylvania Hospital Company, LLC 

	 	124.	Phillips Hospital Corporation 

	 	125.	Phoenixville Hospital Company, LLC 

	 	126.	Pottstown Hospital Company, LLC 

	 	127.	QHG Georgia Holdings, Inc. 

	 	128.	QHG Georgia Holdings II, LLC 

	 	129.	QHG Georgia, LP 

	 	130.	QHG of Bluffton Company, LLC 

	 	131.	QHG of Clinton County, Inc. 

	 	132.	QHG of Enterprise, Inc. 

	 	133.	QHG of Forrest County, Inc. 

	 	134.	QHG of Fort Wayne Company, LLC 

	 	135.	QHG of Hattiesburg, Inc. 

	 	136.	QHG of Massillon, Inc. 

	 	137.	QHG of South Carolina, Inc. 

	 	138.	QHG of Spartanburg, Inc. 

	 	139.	QHG of Springdale, Inc. 

	 	140.	QHG of Warsaw Company, LLC 

	 	141.	Quorum Health Resources, LLC 

	 	142.	Red Bud Hospital Corporation 

	 	143.	Red Bud Illinois Hospital Company, LLC 

	 	144.	Regional Hospital of Longview, LLC 

	 	145.	River Region Medical Corporation 

	 	146.	Roswell Hospital Corporation 

	 	147.	Ruston Hospital Corporation 

	 	148.	Ruston Louisiana Hospital Company, LLC 

	 	149.	SACMC, LLC 

	 	150.	Salem Hospital Corporation 

	 	151.	San Angelo Community Medical Center, LLC 

	 	152.	San Angelo Medical, LLC 

	 	153.	San Miguel Hospital Corporation 

	 	154.	Scranton Holdings, LLC 

	 	155.	Scranton Hospital Company, LLC 

	 	156.	Scranton Quincy Holdings, LLC 

	 	157.	Scranton Quincy Hospital Company, LLC 

	 	158.	Shelbyville Hospital Corporation 

	 	159.	Siloam Springs Arkansas Hospital Company, LLC 

	 	160.	Siloam Springs Holdings, LLC 

	 	161.	Southern Texas Medical Center, LLC 

	 	162.	Spokane Valley Washington Hospital Company, LLC 

	 	163.	Spokane Washington Hospital Company, LLC 

	 	164.	Tennyson Holdings, LLC 

	 	165.	Tooele Hospital Corporation 

	 	166.	Tomball Texas Holdings, LLC 

	 	167.	Tomball Texas Hospital Company, LLC 

	 	168.	Triad Healthcare Corporation 

	 	169.	Triad Holdings III, LLC 

	 	170.	Triad Holdings IV, LLC 

	 	171.	Triad Holdings V, LLC 

	 	172.	Triad Nevada Holdings, LLC 

	 	173.	Triad of Alabama, LLC 

	 	174.	Triad of Oregon, LLC 

	 	175.	Triad-ARMC, LLC 

	 	176.	Triad-El Dorado, Inc. 

	 	177.	Triad-Navarro Regional Hospital Subsidiary, LLC 

	 	178.	Tunkhannock Hospital Company, LLC 

	 	179.	VHC Medical, LLC 

	 	180.	Vicksburg Healthcare, LLC 

	 	181.	Victoria Hospital, LLC 

	 	182.	Victoria of Texas, L.P. 

	 	183.	Virginia Hospital Company, LLC 

	 	184.	Warren Ohio Hospital Company, LLC 

	 	185.	Warren Ohio Rehab Hospital Company, LLC 

	 	186.	Watsonville Hospital Corporation 

	 	187.	Waukegan Hospital Corporation 

	 	188.	Waukegan Illinois Hospital Company, LLC 

	 	189.	Weatherford Hospital Corporation 

	 	190.	Weatherford Texas Hospital Company, LLC 

	 	191.	Webb Hospital Corporation 

	 	192.	Webb Hospital Holdings, LLC 

	 	193.	Wesley Health System LLC 

	 	194.	West Grove Hospital Company, LLC 

	 	195.	WHMC, LLC 

	 	196.	Wilkes-Barre Behavioral Hospital Company, LLC 

	 	197.	Wilkes-Barre Holdings, LLC 

	 	198.	Wilkes-Barre Hospital Company, LLC 

	 	199.	Williamston Hospital Corporation 

	 	200.	Women & Children’s Hospital, LLC 

	 	201.	Woodland Heights Medical Center, LLC 

	 	202.	Woodward Health System, LLC 

	 	203.	York Pennsylvania Holdings, LLC 

	 	204.	York Pennsylvania Hospital Company, LLC 

	 	205.	Youngstown Ohio Hospital Company, LLC 

	 	206.	Amory HMA, LLC 

	 	207.	Bartow HMA, LLC 

	 	208.	Biloxi H.M.A., LLC 

	 	209.	Brandon HMA, LLC 

	 	210.	Brevard HMA Holdings, LLC 

	 	211.	Brevard HMA Hospitals, LLC 

	 	212.	Campbell County HMA, LLC 

	 	213.	Carlisle HMA, LLC 

	 	214.	Carolinas JV Holdings General, LLC 

	 	215.	Carolinas JV Holdings, L.P. 

	 	216.	Central Florida HMA Holdings, LLC 

	 	217.	Central States HMA Holdings, LLC 

	 	218.	Chester HMA, LLC 

	 	219.	Citrus HMA, LLC 

	 	220.	Clarksdale HMA, LLC 

	 	221.	Cocke County HMA, LLC 

	 	222.	Florida HMA Holdings, LLC 

	 	223.	Fort Smith HMA, LLC 

	 	224.	Hamlet H.M.A., LLC 

	 	225.	Health Management Associates, Inc. 

	 	226.	Health Management Associates, LP 

	 	227.	Health Management General Partner, LLC 

	 	228.	HMA Fentress County General Hospital, LLC 

	 	229.	HMA Hospitals Holdings, LP 

	 	230.	HMA Santa Rosa Medical Center, LLC 

	 	231.	Hospital Management Associates, LLC 

	 	232.	Jackson HMA, LLC 

	 	233.	Jefferson County HMA, LLC 

	 	234.	Kennett HMA, LLC 

	 	235.	Key West HMA, LLC 

	 	236.	Knoxville HMA Holdings, LLC 

	 	237.	Lehigh HMA, LLC 

	 	238.	Lone Star HMA, L.P. 

	 	239.	Madison HMA, LLC 

	 	240.	Melbourne HMA, LLC 

	 	241.	Mesquite HMA General, LLC 

	 	242.	Metro Knoxville HMA, LLC 

	 	243.	Mississippi HMA Holdings I, LLC 

	 	244.	Mississippi HMA Holdings II, LLC 

	 	245.	Monroe HMA, LLC 

	 	246.	Naples HMA, LLC 

	 	247.	Poplar Bluff Regional Medical Center, LLC 

	 	248.	Port Charlotte HMA, LLC 

	 	249.	Punta Gorda HMA, LLC 

	 	250.	River Oaks Hospital, LLC 

	 	251.	Rockledge HMA, LLC 

	 	252.	ROH, LLC 

	 	253.	Sebastian Hospital, LLC 

	 	254.	Sebring Hospital Management Associates, LLC 

	 	255.	Southeast HMA Holdings, LLC 

	 	256.	Southwest Florida HMA Holdings, LLC 

	 	257.	Statesville HMA, LLC 

	 	258.	VAN BUREN H.M.A., LLC 

	 	259.	Venice HMA, LLC 

	 	260.	Winder HMA, LLC 

	 	261.	Yakima HMA, LLC 

 SCHEDULE 2 
  

Illinois Credit Parties 
  

	 	1.	Woodland Heights Medical Center, LLC 

	 	2.	Woodward Health System, LLC 

	 	3.	Youngstown Ohio Hospital Company, LLC 

	 	4.	Anna Hospital Corporation 

	 	5.	Galesburg Hospital Corporation 

	 	6.	Granite City Hospital Corporation 

	 	7.	Granite City Illinois Hospital Company, LLC 

	 	8.	Marion Hospital Corporation 

	 	9.	Red Bud Hospital Corporation 

	 	10.	Red Bud Illinois Hospital Company, LLC 

	 	11.	Waukegan Hospital Corporation 

	 	12.	Waukegan Illinois Hospital Company, LLC 

 SCHEDULE 3(a) 
  

Delaware Credit Parties 
  

	 	1.	Abilene Merger, LLC 

	 	2.	Arizona DH, LLC 

	 	3.	Berwick Hospital Company, LLC 

	 	4.	BH Trans Company, LLC 

	 	5.	Birmingham Holdings II, LLC 

	 	6.	Birmingham Holdings, LLC 

	 	7.	Bluefield Holdings, LLC 

	 	8.	Bluefield Hospital Company, LLC 

	 	9.	Bluffton Health System, LLC 

	 	10.	Brownwood Hospital, L.P. 

	 	11.	Brownwood Medical Center, LLC 

	 	12.	Carlsbad Medical Center, LLC 

	 	13.	CHHS Holdings, LLC 

	 	14.	CHS Kentucky Holdings, LLC 

	 	15.	CHS Pennsylvania Holdings, LLC 

	 	16.	CHS Virginia Holdings, LLC 

	 	17.	CHS Washington Holdings, LLC 

	 	18.	CHS/Community Health Systems, Inc. 

	 	19.	Claremore Regional Hospital, LLC 

	 	20.	Clarksville Holdings, LLC 

	 	21.	Cleveland Regional Medical Center, L.P. 

	 	22.	Cleveland Tennessee Hospital Company, LLC 

	 	23.	College Station Hospital, L.P. 

	 	24.	College Station Medical Center, LLC 

	 	25.	College Station Merger, LLC 

	 	26.	Community GP Corp. 

	 	27.	Community Health Investment Company, LLC 

	 	28.	Community Health Systems, Inc. 

	 	29.	Community LP Corp. 

	 	30.	CP Hospital GP, LLC 

	 	31.	CPLP, LLC 

	 	32.	Crestwood Hospital LP, LLC 

	 	33.	Crestwood Hospital, LLC 

	 	34.	CSMC, LLC 

	 	35.	CSRA Holdings, LLC 

	 	36.	Deaconess Holdings, LLC 

	 	37.	Deaconess Hospital Holdings, LLC 

	 	38.	Desert Hospital Holdings, LLC 

	 	39.	Detar Hospital, LLC 

	 	40.	DHFW Holdings, LLC 

	 	41.	DHSC, LLC 

	 	42.	Dukes Health System, LLC 

	 	43.	Fallbrook Hospital Corporation 

	 	44.	Gadsden Regional Medical Center, LLC 

	 	45.	GRMC Holdings, LLC 

	 	46.	Hallmark Healthcare Company, LLC 

	 	47.	Hobbs Medco, LLC 

	 	48.	Hospital of Barstow, Inc. 

	 	49.	Kirksville Hospital Company, LLC 

	 	50.	Lancaster Hospital Corporation 

	 	51.	Las Cruces Medical Center, LLC 

	 	52.	Lea Regional Hospital, LLC 

	 	53.	Longview Merger, LLC 

	 	54.	LRH, LLC 

	 	55.	Lutheran Health Network of Indiana, LLC 

	 	56.	Massillon Community Health System LLC 

	 	57.	Massillon Health System LLC 

	 	58.	Massillon Holdings, LLC 

	 	59.	McKenzie Tennessee Hospital Company, LLC 

	 	60.	Medical Center of Brownwood, LLC 

	 	61.	Merger Legacy Holdings, LLC 

	 	62.	MMC of Nevada, LLC 

	 	63.	Moberly Hospital Company, LLC 

	 	64.	MWMC Holdings, LLC 

	 	65.	National Healthcare of Leesville, Inc. 

	 	66.	National Healthcare of Mt. Vernon, Inc. 

	 	67.	National Healthcare of Newport, Inc. 

	 	68.	Navarro Hospital, L.P. 

	 	69.	Navarro Regional, LLC 

	 	70.	Northampton Hospital Company, LLC 

	 	71.	Northwest Hospital, LLC 

	 	72.	NOV Holdings, LLC 

	 	73.	NRH, LLC 

	 	74.	Oro Valley Hospital, LLC 

	 	75.	Palmer-Wasilla Health System, LLC 

	 	76.	Pennsylvania Hospital Company, LLC 

	 	77.	Phoenixville Hospital Company, LLC 

	 	78.	Pottstown Hospital Company, LLC 

	 	79.	QHG Georgia Holdings II, LLC 

	 	80.	QHG of Bluffton Company, LLC 

	 	81.	QHG of Fort Wayne Company, LLC 

	 	82.	QHG of Warsaw Company, LLC 

	 	83.	Quorum Health Resources, LLC 

	 	84.	Regional Hospital of Longview, LLC 

	 	85.	Ruston Hospital Corporation 

	 	86.	Ruston Louisiana Hospital Company, LLC 

	 	87.	SACMC, LLC 

	 	88.	San Angelo Community Medical Center, LLC 

	 	89.	San Angelo Medical, LLC 

	 	90.	Siloam Springs Arkansas Hospital Company, LLC 

	 	91.	Siloam Springs Holdings, LLC 

	 	92.	Southern Texas Medical Center, LLC 

	 	93.	Spokane Valley Washington Hospital Company, LLC 

	 	94.	Spokane Washington Hospital Company, LLC 

	 	95.	Tennyson Holdings, LLC 

	 	96.	Triad Healthcare Corporation 

	 	97.	Triad Holdings III, LLC 

	 	98.	Triad Holdings IV, LLC 

	 	99.	Triad Holdings V, LLC 

	 	100.	 Triad Nevada Holdings, LLC 

	 	101.	 Triad of Alabama, LLC 

	 	102.	 Triad of Oregon, LLC 

	 	103.	 Triad-ARMC, LLC 

	 	104.	 Triad-Denton Hospital GP, LLC 

	 	105.	 Triad-Denton Hospital, L.P. 

	 	106.	 Triad-Navarro Regional Hospital Subsidiary, LLC 

	 	107.	 VHC Medical, LLC 

	 	108.	 Vicksburg Healthcare, LLC 

	 	109.	 Victoria Hospital, LLC 

	 	110.	 Victoria of Texas, L.P. 

	 	111.	 Warren Ohio Hospital Company, LLC 

	 	112.	 Warren Ohio Rehab Hospital Company, LLC 

	 	113.	 Watsonville Hospital Corporation 

	 	114.	 Webb Hospital Corporation 

	 	115.	 Webb Hospital Holdings, LLC 

	 	116.	 Wesley Health System, LLC 

	 	117.	 West Grove Hospital Company, LLC 

	 	118.	 WHMC, LLC 

	 	119.	 Wilkes-Barre Behavioral Hospital Company., LLC 

	 	120.	 Wilkes-Barre Holdings, LLC 

	 	121.	 Wilkes-Barre Hospital Company, LLC 

	 	122.	 Women & Children’s Hospital, LLC 

	 	123.	 Woodland Heights Medical Center, LLC 

	 	124.	 Woodward Health System, LLC 

	 	125.	 Youngstown Ohio Hospital Company, LLC 

	 	126.	 Anna Hospital Corporation 

	 	127.	 Galesburg Hospital Corporation 

	 	128.	 Granite City Hospital Corporation 

	 	129.	 Granite City Illinois Hospital Company, LLC 

	 	130.	 Marion Hospital Corporation 

	 	131.	 Red Bud Hospital Corporation 

	 	132.	 Red Bud Illinois Hospital Company, LLC 

	 	133.	 Waukegan Hospital Corporation 

	 	134.	 Waukegan Illinois Hospital Company, LLC 

	 	135.	 Carolinas JV Holdings, L.P. 

	 	136.	 Carolinas JV Holdings General, LLC 

	 	137.	 Central Florida HMA Holdings, LLC 

	 	138.	 Central States HMA Holdings, LLC 

	 	139.	 Florida HMA Holdings, LLC 

	 	140.	 Health Management Associates, Inc. 

	 	141.	 Health Management General Partner, LLC 

	 	142.	 Health Management Associates, LP 

	 	143.	 HMA Hospitals Holdings, LP 

	 	144.	 Lone Star HMA, L.P. 

	 	145.	 Mesquite HMA General, LLC 

	 	146.	 Mississippi HMA Holdings I, LLC 

	 	147.	 Mississippi HMA Holdings II, LLC 

	 	148.	 Southeast HMA Holdings, LLC 

	 	149.	 Southwest Florida HMA Holdings, LLC 

 SCHEDULE 3(b) 
  

New Delaware Credit Parties 
  

	 	1.	Carolinas JV Holdings, L.P. 

	 	2.	Carolinas JV Holdings General, LLC 

	 	3.	Central Florida HMA Holdings, LLC 

	 	4.	Central States HMA Holdings, LLC 

	 	5.	Florida HMA Holdings, LLC 

	 	6.	Health Management Associates, Inc. 

	 	7.	Health Management General Partner, LLC 

	 	8.	Health Management Associates, LP 

	 	9.	HMA Hospitals Holdings, LP 

	 	10.	Lone Star HMA, L.P. 

	 	11.	Mesquite HMA General, LLC 

	 	12.	Mississippi HMA Holdings I, LLC 

	 	13.	Mississippi HMA Holdings II, LLC 

	 	14.	Southeast HMA Holdings, LLC 

	 	15.	Southwest Florida HMA Holdings, LLC 

 EXHIBIT 1 
  

UCC Financing Statements 
  

Attached. 

 EXHIBIT 2 
  

Contracts 
  

 

	1.	Indenture dated as of January 27, 2014 among FWCT-2 Escrow Corporation and Regions Bank, an Alabama banking corporation, as Trustee, relating to the sale by FWCT-2 Escrow Corporation of $1,000,000,000 Senior
Secured Notes due 2021. 

  

	2.	Indenture dated as of January 27, 2014 among FWCT-2 Escrow Corporation and Regions Bank, an Alabama banking corporation, as Trustee, relating to the sale by FWCT-2 Escrow Corporation of $3,000,000,000 Senior Notes
due 2022. 

  

	3.	Indenture dated as of August 17, 2012 among Parent, Borrower, the subsidiary grantors from time to time party thereto, Credit Suisse AG, as collateral agent and Trustee, relating to the sale by Borrower of
$1,600,000,000 Senior Secured Notes due 2018. 

  

	4.	Indenture dated as of November 22, 2011 among Borrower, the guarantor party thereto and Regions Bank, Alabama banking corporation, as Trustee, relating to the sale by Borrower of $2,000,000,000 Senior Notes due
2019. 

  

	5.	Indenture dated as of July 17, 2012 among Borrower, the guarantor party thereto and U.S. Bank National Association, as Trustee, relating to the sale by Borrower of $1,200,000,000 Senior Notes due 2020.

 EXHIBIT 3 
  

Pledged Securities 
  

 

											
	Issuer	  	State	  	Owner	  	
% of  

Equity  

Interest  
	  	
Number and  

Class of  

Equity  
Interest  
	  	
Certificate

Number

	  

Health Management Associates, Inc.
	  	Delaware    	  	  

CHS/Community  
 Health Services,

Inc.
  
	  	100%	  	  

1,000 shares common
 stock

 
	  	1

 EXHIBIT B-2 

Form of Opinion of General Counsel of Parent 

 January 27, 2014 

The Lenders and the Agent Referred to Below 
 c/o Credit Suisse
AG 
 as Administrative Agent, Collateral Agent and 
 Issuing
Bank 
 Eleven Madison Avenue 
 New York, New York 10010 

 

	 	RE:	Third Amendment and Restatement Agreement, dated as of January 27, 2014 

 Ladies and Gentlemen: 

I am Executive Vice President, Secretary and General Counsel of CHS/Community Health Systems, Inc., a Delaware corporation
(the “Borrower”), and have acted as Counsel for the Borrower, Community Health Systems, Inc. (“Parent”) and each of the Subsidiaries listed on the Schedule of Guarantors attached hereto as Schedule A (each a
“Guarantor” and, collectively, the “Guarantors”, and together with the Borrower and Parent, the “Credit Parties”) in connection with the Third Amendment and Restatement Agreement, dated as of even
date herewith (the “Amendment Agreement”), among Parent, the Borrower, the Guarantors, and Credit Suisse AG, as Administrative Agent and Collateral Agent (the “Agent”), and the Lenders listed on the signature pages
thereto, which Amendment Agreement amends and restates the Credit Agreement, dated as of July 25, 2007, as amended and restated as of November 5, 2010 and as of February 2, 2012 (the “Existing Credit Agreement”),
among Parent, the Borrower, Agent, and the Lenders party thereto (the Existing Credit Agreement, as amended and restated by the Amendment Agreement, the “Amended and Restated Credit Agreement”). 

This opinion is delivered to you pursuant to subsection Section 5(c)(ii) of the Amendment Agreement. All
capitalized terms used herein that are defined in, or by reference in, the Amended and Restated Credit Agreement have the meanings assigned to such terms therein, or by reference therein, unless otherwise defined herein. With your permission, all
assumptions and statements of reliance herein have been made without any independent investigation or verification on my part except to the extent otherwise expressly stated, and I express no opinion with respect to the subject matter or accuracy of
such assumptions or items relied upon. 
 In connection with this opinion, I have (i) investigated such questions of
law, (ii) examined originals or certified, conformed or reproduction copies of such agreements, instruments, documents, and records of the Credit Parties, such certificates of public officials and such other documents, and (iii) received
such information from officers and representatives of the Credit Parties, as I have deemed necessary or appropriate for the purposes of this opinion. I have examined, among other documents, the following (in each case dated as of the date of the
Amendment Agreement): 
 (a)        an executed copy of the Amendment Agreement; and

 (b)        a copy of the Amended and Restated Credit Agreement. 

The documents referred to in items (a) and (b) above, inclusive, are referred to herein as the “Transaction
Documents”. 
 In all such examinations, I have assumed the legal capacity of all natural persons executing
documents, the genuineness of all signatures on original or certified, conformed or reproduction copies of 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 2 of 10 
  

 
documents of all parties (other than with respect to the Credit Parties to the extent signed in my presence), the authenticity of original and certified documents and the conformity to original
or certified documents of all copies submitted to me as conformed or reproduction copies. As to various questions of fact relevant to the opinions expressed herein, I have relied upon, and assume the accuracy of, certificates and oral or written
statements and other information of or from public officials and others, and assume compliance on the part of all parties to the Transaction Documents with their covenants and agreements contained therein. 

With respect to the opinions expressed in clauses (ii) and (iv) of paragraph (b) below, my opinions are limited
(x) to my actual knowledge of the respective business activities and properties of the Credit Parties in respect of such matters and without any independent investigation or verification on my part and (y) to my review of only those laws
and regulations that, in my experience, are normally applicable to transactions of the type contemplated by the Transaction Documents. 

To the extent it may be relevant to the opinions expressed herein, I have assumed that the parties to the Transaction
Documents, other than Parent, the Borrower and the Guarantors, have the corporate power to enter into and perform such documents and that (except as set forth in paragraph (b) below) such documents have been duly authorized, executed and
delivered by, and constitute legal, valid and binding obligations of, such parties. 
 Based upon the foregoing, and subject
to the limitations, qualifications and assumptions set forth therein, I am of the opinion that: 

(a)                    
Each Guarantor is a corporation, limited liability company, or limited partnership validly existing and in good standing under the laws of the jurisdiction of its incorporation or organization and has all power and authority necessary to execute,
deliver and perform its obligations under the Transaction Documents. 

(b)                    The
execution and delivery by each Credit Party of the Amendment Agreement and the performance by each Credit Party of its respective obligations under each of the Transaction Documents and the borrowings by the Borrower and the grant by each Credit
Party of the security interests pursuant to the Transaction Documents to which it is a party (i) have been authorized, in the case of each Guarantor, by all necessary action by such Guarantor, (ii) do not require under present law any
filing or registration by any Credit Party with, or approval or consent to any Credit Party of, any governmental agency or authority of the State of Tennessee that has not been made or obtained, except those required in the ordinary course of
business in connection with the future performance, if any, by each Credit Party of its respective obligations under certain covenants contained in the Transaction Documents to which it is a party or pursuant to securities or other laws that may be
applicable to the disposition of any collateral subject thereto, (iii) do not contravene any provision of the certificate of incorporation or bylaws or similar organizational document of any Guarantor, (iv) do not violate any present law,
or present regulation of any governmental agency or authority, of the State of Tennessee known by me to be applicable to any Credit Party or their respective properties, (v) breach or cause a default under any agreement or violate any court
decree or order binding upon such Credit Party or its property (this opinion being limited (x) to those agreements, decrees or orders that have been filed as exhibits (or are incorporated by reference as exhibits) to the Form 10-K of Parent for
the year ended December 31, 2012 and (y) in that I express, no opinion with respect to any breach, default or violation not readily ascertainable from the face of any such agreement, decree or order, or arising under or based upon any
cross default provision insofar as it relates to a default under an agreement not so identified to 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 3 of 10 
  

 
me, or arising under or based upon any covenant of a financial or numerical nature or requiring computation), and (vi) will not result in or require the creation or imposition of any Lien
upon any properties of a Credit Party pursuant to the provisions of any agreement (this opinion being limited to those agreements that have been filed as exhibits (or are incorporated by reference as exhibits) to the Form 10-K of Parent for the year
ended December 31, 2012. 

(c)                    The
Amendment Agreement has been duly executed and delivered on behalf of each Guarantor that is a party thereto. 
 To my
actual knowledge, I am not aware of any pending legal proceeding before, or pending investigation by, any court or administrative agency or authority, or any arbitration tribunal, against or directly affecting the Credit Parties, or any of their
respective properties, which seeks to enjoin or otherwise prevent the consummation of, or to recover any damages or obtain relief in connection with or which would adversely affect the legality, validity or enforceability of, any of the Transaction
Documents or the transactions contemplated thereby. 
 I have issued certain limited opinions above as to the corporate,
limited liability company, or limited partnership organization, existence, good standing and authority of the Guarantors under the law of their respective states of organization. I do not purport to be an expert in matters of law of jurisdictions
other than the State of Tennessee and the federal law of the United States of America, and have issued my opinions based solely upon my review of the corporate record of each Guarantor. 

The opinions set forth above are subject to the following qualifications and limitations: 

 

	 	(a)	 I express no opinion regarding the application of federal or state securities laws to the transactions contemplated in the Transaction Documents;

  

	 	(b)	 I express no opinion regarding (i) the effect of fraudulent conveyance, fraudulent transfer and other similar laws relating to or affecting
the rights of creditors and (ii) restrictions relating to capital adequacy that may be applicable to any Guarantor to the extent any Transaction Document may be deemed a dividend or distribution; and 

 

	 	(c)	 to the extent that section 8.31 of the Revised Model Business Corporation Act (as adopted in any state in which a Credit Party is incorporated) or
other corporation law analogous thereto may apply, I have assumed the transactions described in the Transaction Documents are fair to the Credit Parties. 

I am qualified to practice law in the State of Tennessee, and I am no expert in and express no opinions as to the laws of
other jurisdictions other than to the federal laws of the United States of America and the laws of the State of Tennessee, as currently in effect. I assume no obligation to supplement this opinion if any applicable laws change after the date hereof
or if I become aware of any facts that might change the opinions expressed herein after the date hereof. 
 [Remainder of page intentionally
left blank.] 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 4 of 10 
  

 The opinions expressed herein are solely for the benefit of the Lenders and
the Agent and may not be relied on in any manner or for any purpose by any other person or entity. 
  

	
	Very truly yours,
	
	Rachel A. Seifert
	Executive Vice President, Secretary and
	General Counsel

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 5 of 10 
  

 Schedule A 

Schedule of Guarantors 
  

	 	1.	Abilene Hospital, LLC 

	 	2.	Abilene Merger, LLC 

	 	3.	Affinity Health Systems, LLC 

	 	4.	Affinity Hospital, LLC 

	 	5.	Anna Hospital Corporation 

	 	6.	Berwick Hospital Company, LLC 

	 	7.	Big Bend Hospital Corporation 

	 	8.	Big Spring Hospital Corporation 

	 	9.	Birmingham Holdings, LLC 

	 	10.	Birmingham Holdings II, LLC 

	 	11.	Blue Island Hospital Company, LLC 

	 	12.	Blue Island Illinois Holdings, LLC 

	 	13.	Bluefield Holdings, LLC 

	 	14.	Bluefield Hospital Company, LLC 

	 	15.	Bluffton Health System LLC 

	 	16.	Brownsville Hospital Corporation 

	 	17.	Brownwood Hospital, L.P. 

	 	18.	Brownwood Medical Center, LLC 

	 	19.	Bullhead City Hospital Corporation 

	 	20.	Bullhead City Hospital Investment Corporation 

	 	21.	Carlsbad Medical Center, LLC 

	 	22.	Centre Hospital Corporation 

	 	23.	CHHS Holdings, LLC 

	 	24.	CHS Kentucky Holdings, LLC 

	 	25.	CHS Pennsylvania Holdings, LLC 

	 	26.	CHS Virginia Holdings, LLC 

	 	27.	CHS Washington Holdings, LLC 

	 	28.	Clarksville Holdings, LLC 

	 	29.	Clarksville Holdings II, LLC 

	 	30.	Cleveland Hospital Corporation 

	 	31.	Cleveland Tennessee Hospital Company, LLC 

	 	32.	Clinton Hospital Corporation 

	 	33.	Coatesville Hospital Corporation 

	 	34.	College Station Hospital, L.P. 

	 	35.	College Station Medical Center, LLC 

	 	36.	College Station Merger, LLC 

	 	37.	Community GP Corp. 

	 	38.	Community Health Investment Company, LLC 

	 	39.	Community LP Corp. 

	 	40.	CP Hospital GP, LLC 

	 	41.	CPLP, LLC 

	 	42.	Crestwood Hospital LP, LLC 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 6 of 10 
  

	 	43.	Crestwood Hospital, LLC 

	 	44.	CSMC, LLC 

	 	45.	CSRA Holdings, LLC 

	 	46.	Deaconess Holdings, LLC 

	 	47.	Deaconess Hospital Holdings, LLC 

	 	48.	Deming Hospital Corporation 

	 	49.	Desert Hospital Holdings, LLC 

	 	50.	Detar Hospital, LLC 

	 	51.	DHSC, LLC  

	 	52.	DHFW Holdings, LLC 

	 	53.	Dukes Health System, LLC 

	 	54.	Dyersburg Hospital Corporation 

	 	55.	Emporia Hospital Corporation 

	 	56.	Evanston Hospital Corporation 

	 	57.	Fallbrook Hospital Corporation 

	 	58.	Foley Hospital Corporation 

	 	59.	Forrest City Arkansas Hospital Company, LLC 

	 	60.	Forrest City Hospital Corporation 

	 	61.	Fort Payne Hospital Corporation 

	 	62.	Frankfort Health Partner, Inc. 

	 	63.	Franklin Hospital Corporation 

	 	64.	Gadsden Regional Medical Center, LLC 

	 	65.	Galesburg Hospital Corporation 

	 	66.	Granbury Hospital Corporation 

	 	67.	Granite City Hospital Corporation 

	 	68.	Granite City Illinois Hospital Company, LLC 

	 	69.	Greenville Hospital Corporation 

	 	70.	GRMC Holdings, LLC 

	 	71.	Hallmark Healthcare Company, LLC 

	 	72.	Hobbs Medco, LLC 

	 	73.	Hospital of Barstow, Inc. 

	 	74.	Hospital of Fulton, Inc. 

	 	75.	Hospital of Louisa, Inc. 

	 	76.	Hospital of Morristown, Inc. 

	 	77.	Jackson Hospital Corporation (KY) 

	 	78.	Jackson Hospital Corporation (TN) 

	 	79.	Jourdanton Hospital Corporation 

	 	80.	Kay County Hospital Corporation 

	 	81.	Kay County Oklahoma Hospital Company, LLC 

	 	82.	Kirksville Hospital Company, LLC 

	 	83.	Lakeway Hospital Corporation 

	 	84.	Lancaster Hospital Corporation 

	 	85.	Las Cruces Medical Center, LLC 

	 	86.	Lea Regional Hospital, LLC 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 7 of 10 
  

	 	87.	Lexington Hospital Corporation 

	 	88.	Longview Clinic Operations Company, LLC 

	 	89.	Longview Medical Center, L.P. 

	 	90.	Longview Merger, LLC 

	 	91.	LRH, LLC 

	 	92.	Lutheran Health Network of Indiana, LLC 

	 	93.	Marion Hospital Corporation 

	 	94.	Martin Hospital Corporation 

	 	95.	Massillon Community Health System LLC 

	 	96.	Massillon Health System LLC 

	 	97.	Massillon Holdings, LLC 

	 	98.	McKenzie Tennessee Hospital Company, LLC 

	 	99.	McNairy Hospital Corporation 

	 	100.	MCSA, L.L.C. 

	 	101.	Medical Center of Brownwood, LLC 

	 	102.	Merger Legacy Holdings, LLC 

	 	103.	MMC of Nevada, LLC 

	 	104.	Moberly Hospital Company, LLC 

	 	105.	MWMC Holdings, LLC 

	 	106.	Nanticoke Hospital Company, LLC 

	 	107.	National Healthcare of Leesville, Inc. 

	 	108.	National Healthcare of Mt. Vernon, Inc. 

	 	109.	National Healthcare of Newport, Inc. 

	 	110.	Navarro Hospital, L.P. 

	 	111.	Navarro Regional, LLC 

	 	112.	NC-DSH, LLC 

	 	113.	Northampton Hospital Company, LLC 

	 	114.	Northwest Hospital, LLC 

	 	115.	Northwest Arkansas Hospitals, LLC 

	 	116.	NOV Holdings, LLC 

	 	117.	NRH, LLC 

	 	118.	Oak Hill Hospital Corporation 

	 	119.	Oro Valley Hospital, LLC 

	 	120.	Palmer-Wasilla Health System, LLC 

	 	121.	Payson Hospital Corporation 

	 	122.	Peckville Hospital Company, LLC 

	 	123.	Pennsylvania Hospital Company, LLC 

	 	124.	Phillips Hospital Corporation 

	 	125.	Phoenixville Hospital Company, LLC 

	 	126.	Pottstown Hospital Company, LLC 

	 	127.	QHG Georgia Holdings, Inc. 

	 	128.	QHG Georgia Holdings II, LLC 

	 	129.	QHG Georgia, LP 

	 	130.	QHG of Bluffton Company, LLC 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 8 of 10 
  

	 	131.	QHG of Clinton County, Inc. 

	 	132.	QHG of Enterprise, Inc. 

	 	133.	QHG of Forrest County, Inc. 

	 	134.	QHG of Fort Wayne Company, LLC 

	 	135.	QHG of Hattiesburg, Inc. 

	 	136.	QHG of Massillon, Inc. 

	 	137.	QHG of South Carolina, Inc. 

	 	138.	QHG of Spartanburg, Inc. 

	 	139.	QHG of Springdale, Inc. 

	 	140.	QHG of Warsaw Company, LLC 

	 	141.	Quorum Health Resources, LLC 

	 	142.	Red Bud Hospital Corporation 

	 	143.	Red Bud Illinois Hospital Company, LLC 

	 	144.	Regional Hospital of Longview, LLC 

	 	145.	River Region Medical Corporation 

	 	146.	Roswell Hospital Corporation 

	 	147.	Ruston Hospital Corporation 

	 	148.	Ruston Louisiana Hospital Company, LLC 

	 	149.	SACMC, LLC 

	 	150.	Salem Hospital Corporation 

	 	151.	San Angelo Community Medical Center, LLC 

	 	152.	San Angelo Medical, LLC 

	 	153.	San Miguel Hospital Corporation 

	 	154.	Scranton Holdings, LLC 

	 	155.	Scranton Hospital Company, LLC 

	 	156.	Scranton Quincy Holdings, LLC 

	 	157.	Scranton Quincy Hospital Company, LLC 

	 	158.	Shelbyville Hospital Corporation 

	 	159.	Siloam Springs Arkansas Hospital Company, LLC 

	 	160.	Siloam Springs Holdings, LLC 

	 	161.	Southern Texas Medical Center, LLC 

	 	162.	Spokane Valley Washington Hospital Company, LLC 

	 	163.	Spokane Washington Hospital Company, LLC 

	 	164.	Tennyson Holdings, LLC 

	 	165.	Tooele Hospital Corporation 

	 	166.	Tomball Texas Holdings, LLC 

	 	167.	Tomball Texas Hospital Company, LLC 

	 	168.	Triad Healthcare Corporation 

	 	169.	Triad Holdings III, LLC 

	 	170.	Triad Holdings IV, LLC 

	 	171.	Triad Holdings V, LLC 

	 	172.	Triad Nevada Holdings, LLC 

	 	173.	Triad of Alabama, LLC 

	 	174.	Triad of Oregon, LLC 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 9 of 10 
  

	 	175.	Triad-ARMC, LLC 

	 	176.	Triad-El Dorado, Inc. 

	 	177.	Triad-Navarro Regional Hospital Subsidiary, LLC 

	 	178.	Tunkhannock Hospital Company, LLC 

	 	179.	VHC Medical, LLC 

	 	180.	Vicksburg Healthcare, LLC 

	 	181.	Victoria Hospital, LLC 

	 	182.	Victoria of Texas, L.P. 

	 	183.	Virginia Hospital Company, LLC 

	 	184.	Warren Ohio Hospital Company, LLC 

	 	185.	Warren Ohio Rehab Hospital Company, LLC 

	 	186.	Watsonville Hospital Corporation 

	 	187.	Waukegan Hospital Corporation 

	 	188.	Waukegan Illinois Hospital Company, LLC 

	 	189.	Weatherford Hospital Corporation 

	 	190.	Weatherford Texas Hospital Company, LLC 

	 	191.	Webb Hospital Corporation 

	 	192.	Webb Hospital Holdings, LLC 

	 	193.	Wesley Health System LLC 

	 	194.	West Grove Hospital Company, LLC 

	 	195.	WHMC, LLC 

	 	196.	Wilkes-Barre Behavioral Hospital Company, LLC 

	 	197.	Wilkes-Barre Holdings, LLC 

	 	198.	Wilkes-Barre Hospital Company, LLC 

	 	199.	Williamston Hospital Corporation 

	 	200.	Women & Children’s Hospital, LLC 

	 	201.	Woodland Heights Medical Center, LLC 

	 	202.	Woodward Health System, LLC 

	 	203.	York Pennsylvania Holdings, LLC 

	 	204.	York Pennsylvania Hospital Company, LLC 

	 	205.	Youngstown Ohio Hospital Company, LLC 

	 	206.	Amory HMA, LLC 

	 	207.	Bartow HMA, LLC 

	 	208.	Biloxi H.M.A., LLC 

	 	209.	Brandon HMA, LLC 

	 	210.	Brevard HMA Holdings, LLC 

	 	211.	Brevard HMA Hospitals, LLC 

	 	212.	Campbell County HMA, LLC 

	 	213.	Carlisle HMA, LLC 

	 	214.	Carolinas JV Holdings General, LLC 

	 	215.	Carolinas JV Holdings, L.P. 

	 	216.	Central Florida HMA Holdings, LLC 

	 	217.	Central States HMA Holdings, LLC 

	 	218.	Chester HMA, LLC 

 The Lenders and the Agent Referred to Below 

c/o Credit Suisse 
 as Agent 

Page 10 of 10 
  

	 	219.	Citrus HMA, LLC 

	 	220.	Clarksdale HMA, LLC 

	 	221.	Cocke County HMA, LLC 

	 	222.	Florida HMA Holdings, LLC 

	 	223.	Fort Smith HMA, LLC 

	 	224.	Hamlet H.M.A., LLC 

	 	225.	Health Management Associates, Inc. 

	 	226.	Health Management Associates, LP 

	 	227.	Health Management General Partner, LLC 

	 	228.	HMA Fentress County General Hospital, LLC 

	 	229.	HMA Hospitals Holdings, LP 

	 	230.	HMA Santa Rosa Medical Center, LLC 

	 	231.	Hospital Management Associates, LLC 

	 	232.	Jackson HMA, LLC 

	 	233.	Jefferson County HMA, LLC 

	 	234.	Kennett HMA, LLC 

	 	235.	Key West HMA, LLC 

	 	236.	Knoxville HMA Holdings, LLC 

	 	237.	Lehigh HMA, LLC 

	 	238.	Lone Star HMA, L.P. 

	 	239.	Madison HMA, LLC 

	 	240.	Melbourne HMA, LLC 

	 	241.	Mesquite HMA General, LLC 

	 	242.	Metro Knoxville HMA, LLC 

	 	243.	Mississippi HMA Holdings I, LLC 

	 	244.	Mississippi HMA Holdings II, LLC 

	 	245.	Monroe HMA, LLC 

	 	246.	Naples HMA, LLC 

	 	247.	Poplar Bluff Regional Medical Center, LLC 

	 	248.	Port Charlotte HMA, LLC 

	 	249.	Punta Gorda HMA, LLC 

	 	250.	River Oaks Hospital, LLC 

	 	251.	Rockledge HMA, LLC 

	 	252.	ROH, LLC 

	 	253.	Sebastian Hospital, LLC 

	 	254.	Sebring Hospital Management Associates, LL 

	 	255.	Southeast HMA Holdings, LLC 

	 	256.	Southwest Florida HMA Holdings, LLC 

	 	257.	Statesville HMA, LLC 

	 	258.	VAN BUREN H.M.A., LLC 

	 	259.	Venice HMA, LLC 

	 	260.	Winder HMA, LLC 

	 	261.	Yakima HMA, LLC 

 EXHIBIT B-3 

Opinion Firms 

 Opinion Firms 
  

			
	Jurisdiction	  	Law Firm
	
Alabama, Mississippi, North

Carolina and Tennessee
  
	  	 Bradley Arant Boult
Cummings
 LLP

	
Arkansas
  
	  	Kutak Rock LLP
	
Georgia
  
	  	King and Spalding LLP
	
Kentucky, Ohio and Indiana
  
	  	Bingham Greenebaum Doll LLP
	
Oklahoma
  
	  	McAfee & Taft
	
Pennsylvania
 New Jersey

Utah
  
	  	Ballard Spahr LLP
	South Carolina	  	 Parker Poe Adams
& Bernstein
 LLP

	Texas	  	 Liechty & McGinnis LLP

 

	Arizona	  	 Snell & Wilmer L.L.P.

 

	New Mexico	  	 Montgomery & Andrews

 

	Nevada	  	 Lionel Sawyer & Collins

 

	Virginia	  	 Hancock, Daniel,
Johnson &
 Nagle, P.C.

	West Virginia	  	 Steptoe & Johnson LLP

 

	Wyoming	  	 Crowley Fleck PLLP

 

	Washington	  	 Witherspoon Kelley

 

	Florida	  	 Fowler White Boggs P.A.

 

	Missouri	  	 Husch Blackwell LLP

 

  
  

KE 29515106.1 

			
	CONFIDENTIAL	  	EXHIBIT C

 Form of Solvency Certificate 

Date:                      
         , 2014 
 To the Administrative Agent and each of the Lenders party to the Third Restatement
Agreement or to the Third Restated Credit Agreement referred to below: 
 I, the undersigned, the Chief Financial Officer of COMMUNITY
HEALTH SYSTEMS, INC., (the “Parent”), in that capacity only and not in my individual capacity (and without personal liability), do hereby certify as of the date hereof, and based upon facts and circumstances as they exist as
of the date hereof (and disclaiming any responsibility for changes in such facts and circumstances after the date hereof), that: 

1.         This certificate is furnished to the Administrative Agent and the Lenders pursuant to
Section 5(e) of the Third Amendment and Restatement Agreement (the “Third Restatement Agreement”) dated as of January 27, 2014, to the Credit Agreement dated as of July 25, 2007, as amended and restated as of
November 5, 2010 and February 2, 2012, among CHS/Community Health Systems, Inc., Parent, the Subsidiary Guarantors party thereto, the Lenders party thereto and Credit Suisse AG, as Administrative Agent and Collateral Agent. (such Credit
Agreement as amended pursuant to the Third Restatement Agreement, and as the same may be amended, supplemented, amended and restated or otherwise modified from time to time, “Third Restated Credit Agreement”). Unless
otherwise defined herein, capitalized terms used in this certificate shall have the meanings set forth in the Third Restated Credit Agreement. 

2.         For purposes of this certificate, the terms below shall have the following
definitions: 
 (a)        “Fair Value” 

The amount at which the assets (both tangible and intangible), in their entirety, of Parent and its Subsidiaries taken as a whole would
change hands between a willing buyer and a willing seller, within a commercially reasonable period of time, each having reasonable knowledge of the relevant facts, with neither being under any compulsion to act. 

(b)        “Present Fair Salable Value” 

The amount that could be obtained by an independent willing seller from an independent willing buyer if the assets (both tangible and
intangible) of Parent and its Subsidiaries taken as a whole are sold on a going concern basis with reasonable promptness in an arm’s-length transaction under present conditions for the sale of comparable business enterprises insofar as such
conditions can be reasonably evaluated. 
 (c)        “Stated Liabilities” 

The recorded liabilities (including contingent liabilities that would be recorded in accordance with GAAP) of Parent and its Subsidiaries
taken as a whole, as of the date hereof 

 
after giving effect to the consummation of the Permitted HMA Transaction and the other transactions to occur on the Third Restatement Effective Date (including the execution and delivery of the
Third Restatement Agreement and the effectiveness of the Third Restated Credit Agreement, the making of the Loans to be made on the date hereof and the use of proceeds of such Loans on the date hereof (collectively, the
“Transactions”)), determined in accordance with GAAP consistently applied. 

(d)        “Identified Contingent Liabilities” 

The maximum estimated amount of liabilities reasonably likely to result from pending litigation, asserted claims and assessments, guaranties,
uninsured risks and other contingent liabilities of Parent and its Subsidiaries taken as a whole after giving effect to the Transactions (including the execution and delivery of the Third Restatement Agreement and the effectiveness of the Third
Restated Credit Agreement, the making of the Loans to be made on the date hereof and the use of proceeds of such Loans on the date hereof) (including all fees and expenses related thereto but exclusive of such contingent liabilities to the extent
reflected in Stated Liabilities), as identified and explained in terms of their nature and estimated magnitude by responsible officers of Parent. 

(e)        “Can pay their Stated Liabilities and Identified Contingent Liabilities as they
mature” 
 Parent and its Subsidiaries taken as a whole after giving effect to the Transactions (including the execution and delivery
of the Third Restatement Agreement and the effectiveness of the Third Restated Credit Agreement, the making of the Loans to be made on the date hereof and the use of proceeds of such Loans on the date hereof) have sufficient assets and cash flow to
pay their respective Stated Liabilities and Identified Contingent Liabilities as those liabilities mature or (in the case of contingent liabilities) otherwise become payable. 

(f)        “Do not have Unreasonably Small Capital” 

Parent and its Subsidiaries taken as a whole after giving effect to the Transactions (including the execution and delivery of the Third
Restatement Agreement and the effectiveness of the Third Restated Credit Agreement, the making of the Loans to be made on the date hereof and the use of proceeds of such Loans on the date hereof) have sufficient capital to ensure that it is a going
concern. 
 3.         For purposes of this certificate, I, or officers of Parent under my
direction and supervision, have performed the following procedures as of and for the periods set forth below. 

(a)        I have reviewed the financial statements (including the pro forma financial statements)
referred to in Section 5(k) of the Third Restatement Agreement. 
 (b)        I have knowledge
of and have reviewed to my satisfaction each of the Third Restatement Agreement and the Third Restated Credit Agreement. 

 (c)        As chief financial officer of Parent, I am
familiar with the financial condition of Parent and its Subsidiaries. 
 4.         Based on
and subject to the foregoing, I hereby certify on behalf of Parent that after giving effect to the consummation of the Transactions (including the execution and delivery of the Third Restatement Agreement and the effectiveness of the Third Restated
Credit Agreement, the making of the Loans to be made on the date hereof and the use of proceeds of such Loans on the date hereof), it is my opinion that (i) each of the Fair Value and the Present Fair Salable Value of the assets of Parent and
its Subsidiaries taken as a whole exceed their Stated Liabilities and Identified Contingent Liabilities; (ii) Parent and its Subsidiaries taken as a whole do not have Unreasonably Small Capital; and (iii) Parent and its Subsidiaries taken
as a whole can pay their Stated Liabilities and Identified Contingent Liabilities as they mature. 

 IN WITNESS WHEREOF, Parent has caused this certificate to be executed on its behalf by the Chief
Financial Officer as of the date first written above. 
  

					
	 COMMUNITY HEALTH SYSTEMS,        

INC.,

			
	By: 	 	  
	 	
	      Name:
	      Title: Chief Financial Officer

 SCHEDULE IV 

Replacement Revolving Credit Facility Commitments

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