Document:

exv10w1

EXHIBIT 10.1

FIRST AMENDMENT TO THE

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

          WHEREAS, CHS/Community Health Systems, Inc. (the “Company”) has previously established and
currently maintains the Community Health Systems, Inc. 401(k) Plan
(the “Plan”); and

          WHEREAS, the Company has retained the right to amend the Plan in Section 8.1 of the Plan; and

          WHEREAS, the Company desires to amend the Plan to change the name of the Plan to the
“CHS/Community Health Systems, Inc. 401(k) Plan,” effective as of January 1, 2009; and

          WHEREAS, the Company desires to amend, for the 2009 Plan Year, the Plan to provide for a
waiver of the required minimum distributions requirement as permitted under the Worker, Retiree,
and Employer Recovery Act of 2008, effective as of January 1, 2009; and

          WHEREAS, the Company desires to amend the terms of each of the Plans to comply with certain
changes made under the Pension Protection Act of 2006, Heroes Earnings Assistance and Relief Tax
Act of 2008, and (3) Worker, Retiree, and Employer Recovery Act of 2008 (other than the waiver of
required minimum distributions), effective as of January 1, 2006, or as otherwise provided for
herein;

          NOW,
THEREFORE, the Plan is hereby amended in the following respects:

     1. Effective as of January 1, 2009, the Plan name shall be changed to the
“CHS/Community Health Systems, Inc. 401(k) Plan.”

     2. Effective as of January 1, 2007, the following shall be added to the end of
Section 1.24:

An individual receiving a differential wage payment, as defined by
Code §3401(h)(2), is treated as an Employee of the Employer making
the payment. The differential wage payment is treated as
Compensation, and the Plan is not treated as failing to meet the
requirements of any provision described in Code Section 414(u)(l)(C)
by reason of any contribution or benefit that is based on the
differential wage payment.

     3. Effective as of January 1, 2008, Section 1.49(f) shall be revised to read as
follows:

With respect to Excess Contributions and Excess Aggregate
Contributions, Income for the period between the end of the Plan
Year and the date of the distribution (the “gap period”) is not
required to be distributed. The Plan Administrator will not
calculate and distribute allocable Income for the gap period.

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     4. Effective as of January 1, 2009, Section 3.1(a) shall be revised to read as
follows:

(a) Eligibility. For all Plan purposes, any Eligible Employee who
has completed 6 months of service and has attained age twenty-one
shall be eligible to participate hereunder as of the date such
Eligible Employee has satisfied such requirements. Notwithstanding
the foregoing, any Eligible Employee employed by
McKenzie-Willamette Medical Center Associates, LLC,
McKenzie-Willamette Physicians Services, LLC, or Willamette
Community Medical Group, LLC who has completed 2 months of service
shall be eligible to participate hereunder as of the date such
Eligible Employee has satisfied such requirements. However, any
Employee who was a Participant in the Plan prior to the effective
date of this amendment and restatement shall continue to
participate in the Plan.

     5. Effective as of January 1, 2009, Section 3.1(b) shall be revised to read as
follows:

(b) Months of service. For purposes of this Section, an Eligible
Employee will be deemed to have completed the required number of
months of service if such Employee has been in the continuous
employ of the Employer as of the date 6 months (or 2 months, as
applicable) after his employment commencement date. For purposes
of this Section, “employment commencement date” shall be the first
day that an Eligible Employee is entitled to be credited with an
Hour of Service for the performance of duty; for any Eligible
Employee who terminates his initial employment prior to
satisfaction of this 6 months (or 2 months, as applicable) of
service requirement, and becomes reemployed by the Employer, his
“employment commencement date” shall be the date of such
reemployment

     6. Effective as of January 1, 2009, the following shall be added to the end of
Section 4.2(d):

An individual is treated as having been severed from employment
during any period the individual is performing service in the
uniformed services described in Code Section 3401(h)(2)(A). If an
individual elects to receive a distribution by reason of severance
from employment, death or disability, the individual may
not make an elective deferral or employee contribution during the
6-month period beginning on the date of the distribution.

     7. Effective as of January 1, 2006, the following shall be added to the end of
Section 4.2(g):

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With respect to 401(k) plan excess deferrals made in taxable year
2007, the Administrator must calculate allocable Income for the
taxable year and also for the gap period (i.e., the period after
the close of the taxable year in which the excess deferral occurred
and prior to the distribution); provided that the Administrator
will calculate and distribute the gap period allocable income only
if the Plan administrator in accordance with the Plan terms
otherwise would allocate the gap period allocable income to the
Participant’s account. With respect to 401(k) plan excess deferrals
made in taxable years after 2007, gap period income may not be
distributed.

     8. Effective as of January 1, 2009, Section 4.3 shall be revised to read as
follows:

Unless otherwise provided by contract or law, the Employer may make
its contribution(s) to the Plan for a particular Plan Year at such
time(s) as the Employer, in its sole discretion, determines.
However, any Matching Contributions made pursuant to Section 4.1(b)
shall be made within 12 months of the end of the Plan Year, except
that any periodic Matching Contributions made pursuant to Section
4.1(b) with respect to a Participant’s Elective Deferrals separately
with respect to each payroll period (or with respect to all payroll
periods ending with or within each month or quarter of a plan year)
shall be contributed to the Plan by the last day of the immediately
following Plan Year quarter. If the Employer makes a contribution
for a particular Plan Year after the close of that Plan Year, then
the Employer will designate to the Administrator the Plan Year for
which the Employer is making its contribution.

     9. Effective as of January 1, 2007, the following provisions shall be added
before the last sentence in Section 4.11(d), at the end of Section 4.12(c), before the
second to the last sentence of Section 4.13(c), after the second paragraph of Section
6.4(a), at the end of Section 6.10(b)(3), after the end of the Section 6.13, and after
the end of Section 6.14(d), as follows:

For any distribution notice issued in Plan Years beginning after
December 31, 2006, the description of a Participant’s right, if any,
to defer receipt of a distribution also will describe the
consequences of failing to defer receipt of the distribution. For
notices issued before the 90th day after the issuance of Treasury
regulations (unless future Revenue Service guidance otherwise
requires), the notice will include: (i) a description indicating the
investment options available under the Plan (including fees) that
will be available if the Participant defers distribution; and (ii)
the portion of the summary plan description that contains any
special rules that might affect materially a Participant’s decision
to defer.

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     10. Effective as of January 1, 2007, the following shall be added to the end of
Section 4.15:

In the case of a death occurring on or after January 1, 2007, if a
Participant dies while performing qualified military service (as defined
in Code Section 414(u)), the survivors of the Participant are entitled to
any additional benefits (other than
benefit accruals relating to the period of qualified military service)
provided under the Plan as if the Participant had resumed and then
terminated employment on account of death.

     11. Effective as of January 1, 2009, Section 6.10(h) shall be added to the Plan
as follows:

(h) Temporary
Suspension of Required Minimum Distributions for 2009

The required minimum distributions provided for in Section 6.10(b)(1) of
the Plan or otherwise shall be suspended for calendar year 2009, provided
that a Participant may nevertheless elect to receive a required minimum
distribution for calendar year 2009. For the purposes of Section
6.10(3)(5), the required beginning date shall be determined without
regarding to this subsection for the purposes of applying this subsection
for calendar years after 2009. For the purposes of Section 6.10(b)(2)(i)
and 6.10(d)(2)(ii), the 5-year period described therein shall be determined
without regard to calendar year 2009.

     12. Effective as of April 6, 2007, the following shall be added to the end of
Section 6.15:

A domestic relations order that otherwise satisfies the requirements for
a qualified domestic relations order (“QDRO”) will not fail to be a QDRO:
(i) solely because the order is issued after, or revises, another
domestic relations order or QDRO; or (ii) solely because of the time at
which the order is issued, including issuance after the annuity starting
date or after the Participant’s death.

     13. Effective as of January 1, 2009, Section 6.12 shall be amended to read as
follows:

In the event that all, or any portion, of the distribution payable to a
Participant or Beneficiary hereunder shall, at the later of the
Participant’s attainment of age 62 or Normal Retirement Age, remain
unpaid solely by reason of the inability of the Administrator, after
sending a certified or registered letter, return receipt requested, to
the last known address, and after further diligent effort, to ascertain
the whereabouts of such Participant or Beneficiary, the amount so
distributable shall be treated as a

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Forfeiture pursuant to the Plan. Notwithstanding the foregoing, if
the Plan provides for mandatory distributions and the amount to be
distributed to a Participant or Beneficiary does not exceed $1,000,
then the amount distributable may, in the sole discretion of the
Administrator, either be treated as a Forfeiture, or be paid
directly to an individual retirement account described in Code
Section 408(a) or an individual retirement annuity described in Code
Section 408(b) at the time it is determined that the whereabouts of
the Participant or the Participant’s Beneficiary cannot be
ascertained; provided, however, if an individual retirement account
or individual retirement annuity is not reasonably available, the
amount may be escheated under applicable state law. In the event a
Participant or Beneficiary is located subsequent to the Forfeiture,
such benefit shall be restored, first from Forfeitures, if any, and
then from an additional Employer contribution if necessary. Upon
Plan termination, the portion of the distributable amount that is an
eligible rollover distribution as defined in Plan Section 6.16 may
be paid directly to an individual retirement account described in
Code Section 408(a) or an individual retirement annuity described in
Code Section 408(b). However, regardless of the preceding, a benefit
that is lost by reason of escheat under applicable state law is not
treated as a Forfeiture for purposes of this Section nor as an
impermissible forfeiture under the Code.

     14. Effective as of January 1, 2010, the following shall be added at the end of
Section 6.16(b)(3):

A non-spouse Beneficiary who is a “Designated Beneficiary” under
Code Section 401(a)(9)(E) and the regulations thereunder, by a
direct rollover, may roll over all or any portion of his or her
distribution to an individual retirement account the
Beneficiary establishes for purposes of receiving the distribution.
In order to be able to roll over the distribution, the distribution
otherwise must satisfy the definition of an eligible rollover
distribution. Although a non-spouse Beneficiary may roll over
directly a distribution, any distribution made prior to January 1,
2010, is not subject to the direct rollover requirements of Code
Section 401(a)(31) (including Code Section 401(a)(31)(B), the notice
requirements of Code Section 402(f) or the mandatory withholding
requirements of Code Section 3405(c)). If a non-spouse Beneficiary
receives a distribution from the Plan, the distribution is not
eligible for a “60-day” rollover. If the Participant’s named
Beneficiary is a trust, the Plan may make a direct rollover to an
individual retirement account on behalf of the trust, provided the
trust satisfies the requirements to be a Designated Beneficiary
within the meaning of Code Section 401(a)(9)(E). A non-spouse
Beneficiary may not roll

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over an amount that is a required minimum distribution, as
determined under applicable Treasury regulations and other Revenue
Service guidance. If the Participant dies before his or her required
beginning date and the non-spouse Beneficiary rolls over to an IRA
the maximum amount eligible for rollover, the Beneficiary may elect
to use either the 5-year rule or the life expectancy rule, pursuant
to Treas. Reg. Section 1.401(a)(9)-3, A-4(c), in determining the
required minimum distributions from the IRA that receives the
non-spouse Beneficiary’s distribution.

     15. Effective as of January 1, 2009, the following paragraph shall be added at
the end of Section 6.16(b)(1) as follows:

Distributions, under any method permitted under Section 6.5(a),
subject to the waiver provided for under Section 6.10(h) shall be
considered “eligible rollover distributions,” to the extent they
otherwise satisfy the requirements under the Plan and as permitted
by law.

     16. Effective January 1, 2007, the following provision shall be added to the
end of Section 6.16(b):

A Participant may elect to transfer Roth elective deferral
contributions by means of a direct rollover to a qualified plan or to
a 403(b) plan that agrees to account separately for amounts so
transferred, including accounting separately for the portion of such
distribution which is includible in gross income and the portion of
such distribution which is not includible in gross income. A
participant may elect to roll over directly an eligible rollover
distribution to a Roth IRA described in Code Section 408A(b).

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

     SIGNED
this 14th day of September, 2009, effective as of the dates
set forth herein.

	 	 	 	 	 
	 	CHS/COMMUNITY HEALTH SYSTEMS, INC.

 	 
	 	By:  	/s/ RACHEL A.SEIFERT
 	 
	 	 	           RACHEL A.SEIFERT 	 
	 	 	 	Title: SENIOR VICE PRESIDENT 	 
	 

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EXHIBIT 10.2

SECOND AMENDMENT TO THE

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

          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 retained the right to amend the Plan in
Section 7.1(a) of the Plan; and

          WHEREAS, the Company desires to amend the terms of the Plan.

          NOW, THEREFORE, the Plan is hereby amended in the following respects:

1. Effective as of the dates provided therein, Exhibit A of the
Plan is amended as set forth in the attachment to this Second
Amendment.

2. Effective as of the dates provided therein, Exhibit B of the
Plan is amended as set forth in the attachment to this Second
Amendment.

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

          SIGNED this 17th day of December, 2009, effective as
of the date set forth in the exhibits.

	 	 	 	 	 
	 	CHS/COMMUNITY HEALTH SYSTEMS, INC.

 	 
	 	By:  	/s/ RACHEL A. SEIFERT
 	 
	 	 	           RACHEL A. SEIFERT 	 
	 	 	Title: SENIOR VICE PRESIDENT 	 

 

 

	 	 	 	 	 

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 Northampton Hospital Corporation (d/b/a Easton Hospital) whose employment
is governed by a collective bargaining agreement;
	 
	 	2.	 	Employees of Pottstown Hospital Company, LLC and Pottstown Imaging Company, LLC who are
not Highly Compensated Employees;
	 
	 	3.	 	Employees of McKenzie-Willamette Regional Medical Center Associates, LLC (d/b/a
McKenzie-Willamette Medical Center), McKenzie-Willamette Physician Services, LLC, and
Willamette Community Medical Group, LLC whose employment is governed by a collective
bargaining agreement;
	 
	 	4.	 	Employees of Jackson Hospital Corporation (d/b/a Kentucky River Medical Center); and
	 
	 	5.	 	Effective as of May 1, 2009, Employees of Wilkes-Barre Hospital Company, LLC (d/b/a
Wilkes-Barre General Hospital and Wyoming Valley Health Care System) whose employment is
governed by a collective bargaining agreement.

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EXHIBIT
B

Employer Contributions

	1.	 	Effective as of January 1, 2002, the Employer will not make any Employer Contributions for
Eligible Employees of Northampton Hospital Corporation whose employment is governed by a
collective bargaining agreement.
	 
	2.	 	Effective as of January 1, 2003, a Matching Contribution shall be made on behalf of those
Participants who are employed by Northampton Hospital Corporation and whose employment is not
governed by a collective bargaining agreement equal to 50% of such Participant’s Elective
Deferral for such Plan Year that does not exceed 6% of the Participant’s Compensation for the
Plan Year. For the period beginning on July 1, 2002, and ending on December 31, 2002, the
discretionary Matching Contribution was 50% of such Participant’s Elective Deferral for such
Plan Year that does not exceed 6% of the Participant’s Compensation for the Plan Year
	 
	3.	 	Effective for the Plan Year beginning January 1, 2004, and ending on December 31, 2009, each
physician Employee of Pottstown Hospital Company, LLC who is a Participant in the Plan and
(i) is not a hospital-based physician, (ii) is a Non-Highly Compensated Employee, and (iii)
is otherwise eligible to share in Matching Contributions shall receive a discretionary
Matching Contribution in an amount equal to 50% of such Participant’s Elective Contribution
for such Plan Year that does not exceed 6% of the Participant’s Compensation for the Plan
Year. For purposes of the foregoing, “hospital-based physician” means a physician Employee of
Pottstown Hospital Company, LLC whose primary place of employment is Pottstown Memorial
Medical Center.
	 
	4.	 	Effective as of January 1, 2009, on behalf of those Participants who are employed by
McKenzie-Willamette Medical Center Associates, LLC or Willamette Valley Medical Center, LLC
whose employment is governed by a collective bargaining agreement, 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 as of January 1, 2009, on behalf of those Participants who (1) are
employed by McKenzie-Willamette Medical Center Associates, LLC or Willamette Valley Medical
Center, LLC, (2) whose employment is governed by a collective bargaining agreement, (3) who
complete 1,000 Hours of Service, a Nonelective Contribution as follows:

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	Year 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

	5.	 	Effective as of January 1, 2009, 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.
	 
	6.	 	Effective as of May 1, 2009, 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.
	 
	7.	 	Effective as of January 1, 2010, on behalf of those Participants who are employed by
Pottstown Hospital Company, LLC or Pottstown Imaging 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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