Document:

EX-10.1

 FOURTH AMENDMENT TO THE 

CHS/COMMUNITY HEALTH SYSTEMS, INC. 401(K) PLAN 
 December 16, 2012 
 WHEREAS, CHS/Community Health
Systems, Inc. (the “Company”) has previously established and currently maintains the CHS/Community Health Systems, Inc. 401(k) Plan (the “Plan”); and 
 WHEREAS, the Company desires to amend the Plan to exclude employees of Northampton Hospital Company, LLC (Easton), Pottstown Hospital Company, LLC, and Pottstown Imaging Company, LLC,
effective as of December 16, 2012; and 
 WHEREAS, the Company has the right to amend the Plan; and

 WHEREAS, the Board of Directors has approved of the changes set forth in this Fourth Amendment. 

NOW, THEREFORE, BE IT RESOLVED, that the Plan be and the same is hereby amended as follows, effective as of December 16,
2012: 
 1. Exhibit A of the Plan is amended to read as provided in the form attached hereto as Exhibit A. 

2. Except as otherwise provided in this Fourth Amendment, the Plan shall remain in full force and effect. 

IN WITNESS WHEREOF, this Fourth Amendment of the Plan has been executed on the 17 day of December, 2012. 

 

			
	CHS/COMMUNITY HEALTH SYSTEMS, INC.
		
	By:	 	

		 	  
 Rachel A.
Seifert,

		 	Executive Vice President
		 	and General Counsel

  
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 EXHIBIT A TO THE FOURTH AMENDMENT TO THE 

CHS/COMMUNITY HEALTH SYSTEMS, INC. 401(K) PLAN 
 EXHIBIT A 
 Eligibility 

Notwithstanding any provision of the Plan to the contrary, the following classes of Employees shall be eligible to participate in the
Plan after meeting the eligibility requirements under Section 3.1 of the Plan: 
  

	 	1.	Employees of McKenzie-Willamette Regional Medical Center Associates, LLC, McKenzie-Willamette Physician Services, LLC, and Willamette Community Medical Group, LLC whose
employment is governed by a collective bargaining agreement (including an agreement that is in the process of negotiation or has terminated but remains subject to negotiation); and 

 

	 	2.	Employees of Jackson Hospital Corporation (d/b/a Kentucky River Medical Center) whose employment is governed by a collective bargaining agreement (including an
agreement that is in the process of negotiation or has terminated but remains subject to negotiation). 

  

	 	3.	Employees of Wilkes-Barre Hospital Company, LLC whose employment is governed by a collective bargaining agreement (including an agreement that is in the process of
negotiation or has terminated but remains subject to negotiation). 

  
 - 2 -EX-10.2

 Exhibit 10.2 
 FIFTH AMENDMENT TO THE 
 CHS/COMMUNITY HEALTH SYSTEMS, INC.
401(K) PLAN 
 February 14, 2013 
 WHEREAS, CHS/Community Health Systems, Inc. (the “Company”) has previously established and currently maintains the CHS/Community Health Systems, Inc. 401(k) Plan (the
“Plan”); and 
 WHEREAS, the Company desires to amend the Plan to exclude certain employees of
McKenzie-Willamette Regional Medical Center Associates, LLC, McKenzie-Willamette Physician Services, LLC, Willamette Community Medical Group, LLC, and Jackson Hospital Corporation, effective as of February 14, 2013; and 

WHEREAS, the Company has the right to amend the Plan; and 

WHEREAS, the Board of Directors has approved of the changes set forth in this Fifth Amendment. 

NOW, THEREFORE, BE IT RESOLVED, that the Plan be and the same is hereby amended as follows, effective as of February 14,
2013: 
 1. Exhibit A of the Plan is amended to read as provided in the form attached hereto as Exhibit A. 

2. Section 2.7 of the Plan is amended to read as follows: 

All reasonable expenses of administration may be paid out of the Trust Fund; provided, however, that such expenses shall
not be paid out of the Trust Fund to the extent they are paid by the Employer and the Employer is not reimbursed by the Plan for such expenses. The Administrator may direct the Trustee to reimburse the Employer for any reasonable expenses of
administration paid by the Employer. Such expenses shall include any expenses incident to the functioning of the Administrator, or any person or persons retained or appointed by any named Fiduciary incident to the exercise of their duties under the
Plan, including, but not limited to, fees of accountants, counsel, Investment Managers, agents (including nonfiduciary agents) appointed for the purpose of assisting the Administrator or the Trustee in carrying out the instructions of Participants
as to the directed investment of their accounts and other specialists and their agents, the costs of any bonds required pursuant to Act Section 412, and other costs of administering the Plan. Until paid, the expenses shall constitute a
liability of the Trust Fund. In addition, unless specifically prohibited under statute, regulation or other guidance of general applicability, the Administrator may charge to the Account of an individual Participant a reasonable charge to offset the
cost of making a distribution to the Participant, Beneficiary, or alternate payee under a qualified domestic relation order, as defined in Code Section 414(p). If liquid assets of the Plan are insufficient to cover the fees of the Trustee or
the Plan Administrator, then Plan assets shall be liquidated to the extent necessary for such 

  
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fees. In the event any part of the Plan assets becomes subject to tax, all taxes incurred will be paid from the Plan assets. Until paid, the expenses shall constitute a liability of the Trust
Fund. 
 3. Except as otherwise provided in this Fifth Amendment, the Plan shall remain in full force and effect. 

IN WITNESS WHEREOF, this Fifth Amendment of the Plan has been executed on the 15 day of February, 2013. 

 

			
	CHS/COMMUNITY HEALTH SYSTEMS, INC.
		
	By:	 	

		 	  
 Rachel A.
Seifert,
 Executive Vice President
 and
General Counsel

  
 - 2 -

 EXHIBIT A TO THE FIFTH AMENDMENT TO THE 

CHS/COMMUNITY HEALTH SYSTEMS, INC. 401(K) PLAN 
 EXHIBIT A 
 Eligibility 

Notwithstanding any provision of the Plan to the contrary, the following classes of Employees shall be eligible to participate in the
Plan after meeting the eligibility requirements under Section 3.1 of the Plan: 
  

	 	1.	Employees of McKenzie-Willamette Regional Medical Center Associates, LLC, McKenzie-Willamette Physician Services, LLC, and Willamette Community Medical Group, LLC whose
employment is governed by a collective bargaining agreement (including an agreement that is in the process of negotiation or has terminated but remains subject to negotiation) other than a collective bargaining agreement with the Service Employees
International Union (SEIU); and 

  

	 	2.	Employees of Wilkes-Barre Hospital Company, LLC whose employment is governed by a collective bargaining agreement (including an agreement that is in the process of
negotiation or has terminated but remains subject to negotiation). 

  
 - 3 -EX-10.3

 Exhibit 10.3 
 SIXTH AMENDMENT TO THE 
 CHS/COMMUNITY HEALTH SYSTEMS, INC.
401(K) PLAN 
 May 1, 2013 
 WHEREAS, CHS/Community Health Systems, Inc. (the “Company”) has previously established and currently maintains the CHS/Community Health Systems, Inc. 401(k) Plan (the “Plan”);
and 
 WHEREAS, the Company has previously amended the Plan to exclude certain employees of McKenzie-Willamette Regional
Medical Center Associates, LLC, McKenzie-Willamette Physician Services, LLC, Willamette Community Medical Group, LLC, and Jackson Hospital Corporation, effective as of February 14, 2013; and 

WHEREAS, the Company now desires to further amend the Plan to modify the date such employees were excluded from the Plan; and

 WHEREAS, the Company has the right to amend the Plan; and 

WHEREAS, the Board of Directors has approved of the changes set forth in this Sixth Amendment. 

NOW, THEREFORE, BE IT RESOLVED, that the Plan be and the same is hereby amended as follows: 

1. Exhibits A and B of the Plan are amended to read as provided in the attached. 

2. Except as otherwise provided in this Sixth Amendment, the Plan shall remain in full force and effect. 

IN WITNESS WHEREOF, this Sixth Amendment of the Plan has been executed on the 8 day of May, 2013 

 

			
	CHS/COMMUNITY HEALTH SYSTEMS, INC.
	By:	 	

		 	  
 Rachel A.
Seifert,
 Executive Vice President
 and
General Counsel

  
 - 1 -

 EXHIBIT A TO THE SIXTH AMENDMENT TO THE 

CHS/COMMUNITY HEALTH SYSTEMS, INC. 401(K) PLAN 
 EXHIBIT A 
 Eligibility 

Notwithstanding any provision of the Plan to the contrary, the following classes of Employees shall be eligible to participate in the
Plan after meeting the eligibility requirements under Section 3.1 of the Plan: 
  

	 	1.	Employees of McKenzie-Willamette Regional Medical Center Associates, LLC, whose employment is governed by a collective bargaining agreement (including an agreement that
is in the process of negotiation or has terminated but remains subject to negotiation). Notwithstanding the previous sentence, effective March 24, 2013, any such employees whose employment is governed by a collective bargaining agreement with
the Service Employees International Union (the “SEIU”) shall no longer be eligible to participate in the Plan. 

  

	 	2.	Employees of Jackson Hospital Corporation (d/b/a Kentucky River Medical Center). Notwithstanding the previous sentence, effective March 10, 2013, any such
employees shall no longer be eligible to participate in the Plan; and 

  

	 	3.	Employees of Wilkes-Barre Hospital Company, LLC whose employment is governed by a collective bargaining agreement (including an agreement that is in the process of
negotiation or has terminated but remains subject to negotiation). 

  
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 EXHIBIT B TO THE SIXTH AMENDMENT TO THE 

CHS/COMMUNITY HEALTH SYSTEMS, INC. 401(K) PLAN 
 EXHIBIT B 
 Employer Contributions 

 

	 	1.	Effective from February 14, 2013 to March 23, 2013, on behalf of those Participants who are employed by McKenzie-Willamette Medical Center Associates, LLC
whose employment is governed by a collective bargaining agreement with the Service Employees International Union (the “SEIU”), a Matching Contribution in an amount equal to one-half (1/2) of such Participant’s Elective Deferral
for such Plan Year that does not exceed 3% of the Participant’s Compensation for the Plan Year shall be made. In addition, effective from January 1, 2009 to March 23, 2013, on behalf of such Participants who (1) are employed by
McKenzie-Willamette Medical Center Associates, LLC, (2) whose employment is governed by a collective bargaining agreement with the SEIU, and (3) who complete 1,000 Hours of Service while eligible to participate in the Plan, a Nonelective
Contribution as follows: 

  

			
	 Years of Service Credited under the Plan
	  	 Amount of Basic Contribution

		
	At least 1 but less than 5	  	2% of the Participant’s Compensation for such Plan Year
		
	At least 5 but less than 10	  	3% of the Participant’s Compensation for such Plan Year
		
	10 or more	  	5% of the Participant’s Compensation

  

	 	2.	Effective from February 14, 2013 to March 9, 2013, on behalf of those Participants who are (1) employed by Jackson Hospital Company, LLC and
(2) employed at the beginning of the last day of the Plan Year, a discretionary Matching Contribution in an amount equal to one-third (1/3) of such Participant’s Elective Deferral for such Plan Year that does not exceed 6% of the
Participant’s Compensation for the Plan Year shall be made. 

  

	 	3.	Effective as of March 10, 2013, on behalf of those Participants who are employed by Wilkes-Barre Hospital Company, LLC, a Matching Contribution in an amount equal
to the sum of 100% of the amount of the Participant’s Elective Deferrals (including Catch-Up Contributions made pursuant to Section 4.2(b)) that are not in excess of 1% of the Participant’s Compensation, plus 50% of the amount of the
Participant’s Elective Deferrals (including Catch-Up Contributions made pursuant to Section 4.2(b)) that exceed 1% of the Participant’s Compensation but not in excess of 6% of the Participant’s Compensation for the Plan Year
shall be made. 

  
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