Document:

EX-10.1

EXHIBIT 10.1

SIXTH AMENDMENT TO THE

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’s parent corporation, Community Health Systems, Inc. (“CHS”), has
entered into an Agreement and Plan of Merger by and among CHS, Triad Hospitals, Inc. (“Triad”),
and FWCT-1 Acquisition Corporation, dated as of March 19, 2007 (the “Merger Agreement”), under
which a wholly-owned subsidiary of CHS will be merged with and into Triad, and Triad will become a
wholly-owned subsidiary of CHS (the “Merger”); and

     WHEREAS, the Company desires to amend the Plan in connection with the Merger Agreement to
revise the definition of Compensation under the Plan and Exhibit A to the Plan relating to
eligibility.

     NOW, THEREFORE, the Plan is hereby amended in the following respects, effective as of the
times set forth herein:

     1. The following shall be added as the last sentence of Section 1.10 of the Plan,
“Compensation,” effective immediately prior to the Effective Time (as defined in the Merger
Agreement) of the Merger:

     Notwithstanding the foregoing, Compensation shall not include wages, salaries,
and fees for professional services and other amounts received (without regard to
whether or not an amount is paid in cash) for personal services actually rendered
in the course of employment with Triad Hospitals, Inc. or any of its subsidiaries.

     2. Exhibit A of the Plan is hereby deleted and replaced in its entirety in substantially the
same form as set forth in the Exhibit attached hereto, effective immediately prior to the
Effective Time.

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

     4. This amendment is subject to the closing of the transaction contemplated by the Merger
Agreement.

 

     SIGNED
this 24th day of July, 2007, effective as of the times set forth herein.

	 	 	 	 	 
	 	CHS/COMMUNITY HEALTH SYSTEMS, INC.

 	 
	 	By:  	/s/
Linda Parsons
 	 
	 	 	Title:    Vice PresidentEX-10.2

EXHIBIT 10.2

SEVENTH AMENDMENT TO THE

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 with respect to certain provisions of the
Pension Protection Act of 2006.

     NOW, THEREFORE, the Plan is hereby amended in the following respects, effective as of the
dates set forth herein:

     1. Effective as of January 1, 2007, Section 6.5(c)(2) of the Plan is hereby deleted
and replaced in its entirety as follows:

     (2) The Participant must be informed of the right to defer receipt of the distribution
and the consequences of failing to defer receipt of the distribution. For notices issued
before the 90th day after the issuance of Treasury Regulations with respect to
such notices (unless future Internal Revenue Service guidance otherwise requires), such
notices 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; thereafter, such notices shall
include the information required under the Treasury Regulations. If a Participant fails to
consent, it shall be deemed an election to defer the commencement of payment of any
benefit. However, any election to defer the receipt of benefits shall not apply with
respect to distributions that are required under Section 6.5(d).

     2. Effective as of January 1, 2007, the first sentence of Section 6.5(c)(3) of the Plan
is hereby deleted and replaced in its entirety as follows:

     Notice of the rights specified under this paragraph shall be provided no less than
thirty (30) days and no more than one hundred and eighty (180) days before the Annuity
Starting Date.

     3. Effective as of January 1, 2007, Section 6.5(c)(4) of the Plan is hereby deleted
and replaced in its entirety as follows:

     Written (or such other form as permitted by the Internal Revenue Service) consent of
the Participant to the distribution must not be made before the Participant receives the
notice and must not be made more than one hundred and eighty (180) days before the Annuity
Starting Date.

 

 

     4. Effective as of April 6, 2007, Section 6.12 of the Plan is hereby amended to add
the following at the end of Section 6.12:

     Notwithstanding the foregoing, a domestic relations order will not fail to be a
qualified domestic relations order (“QDRO”) solely (1) because the order is issued after,
or revises, another domestic relations order or QDRO, or (2) because of the time at which
the order is issued, including issuance after the annuity starting date or after the
Participant’s death.

     5. Effective as of January 1, 2008, Section 6.14(b)(2) of the Plan is hereby deleted
and replaced in its entirety as follows:

     An “eligible retirement plan” is an individual retirement account described in Code
Section 408(a), an individual retirement annuity described in Code Section 408(b), an
annuity plan described in Code Section 403(a), an annuity contract described in Code
Section 403(b), an eligible plan under Code Section 457(b) that is maintained by a state,
political subdivision of a state, or any agency or instrumentality of a state or political
subdivision of a state and that agrees to account separately for amounts transferred into
such plan from this Plan, or a qualified trust described in Code Section 401(a), and that
accepts the “distributee’s” “eligible rollover distribution.” However, in the case of an
“eligible rollover distribution” to the surviving spouse or a non-spouse Beneficiary who is
a “Designated Beneficiary” under Code Section 401(a)(9)(E) and the Treasury Regulations
thereunder, an “eligible retirement plan” is an individual retirement account or individual
retirement annuity. The definition of “eligible retirement plan” shall also apply in the
case of a distribution to a surviving spouse, or to a spouse or former spouse who is the
alternate payee under a qualified domestic relations order as defined in Code Section
414(p).

     6. Effective as of January 1, 2008, Section 6.14(b)(3) of the Plan is hereby deleted
and replaced in its entirety as follows:

     A “distributee” includes an Employee or former Employee. In addition, the Employee’s or
former Employee’s surviving spouse, the Employee’s or former Employee’s spouse or former
spouse who is the Alternate Payee under a qualified domestic relations order as defined in
Code Section 414(p), and the Employee’s non-spouse Beneficiary who is a “Designated
Beneficiary” under Code Section 401(a)(9)(E) and the Treasury Regulations thereunder, are
“distributees” with regard to the interest of the spouse or former spouse. Notwithstanding
the foregoing, a distribution to a non-spouse Beneficiary is not subject to the direct
rollover requirements of Code Section 401(a)(31), 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 Employee’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. Notwithstanding the
foregoing, a non-spouse Beneficiary may not roll over an amount that is a required minimum
distribution, as determined under applicable Treasury Regulations and other Internal Revenue
Service

 

 

guidance. If the Participant dies before his/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 Treasury Reg. §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.

     7. Except as otherwise provided in this Seventh Amendment, the provisions of the Plan
shall remain in full force and effect.

     SIGNED
this 21st day of DECEMBER, 2007, effective as of the dates set forth herein.

	 	 	 	 	 
	 	CHS/COMMUNITY HEALTH SYSTEMS, INC.

 	 
	 	By:  	/s/ Linda Parsons
 	 
	 	 	Title: VICE PRESIDENTEX-10.3

EXHIBIT 10.3

EIGHTH AMENDMENT TO THE

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 (1) as necessary for final regulations of the
Secretary of Treasury under Section 415 of the Internal Revenue Code, (2) with respect to certain
provisions regarding Participant loans and hardship withdrawals, and (3) with respect to certain
provisions regarding the effective date of deferral elections, effective as of January 1, 2008.

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

     1. Effective as of January 1, 2008, Section 1.10 of the Plan, “Compensation,” is amended to add the following:

     Notwithstanding any provision of the Plan to the contrary, a Participant may
not make elective deferrals with respect to amounts that are not compensation as
defined in Code Section 415(c)(3), provided, however, that for this purpose
compensation is not limited to the annual compensation limit of Code Section
401(a)(17).

     2. Effective as of January 1, 2008, Section 1.28 of the Plan, “415
Compensation,” is amended to add the following:

     Notwithstanding any provision of the Plan to the contrary, effective for Plan
Years beginning on or after January 1, 2008, 415 Compensation shall be adjusted, as
set forth herein, for the following types of compensation paid after a Participant’s
severance from employment with the Employer. However, amounts described in
subsections (a) and (b) below may only be included in 415 Compensation to the extent
such amounts are paid by the later of 2 1/2 months after severance from employment
or by the end of the Plan Year that includes the date of such severance from
employment. Any other payment of compensation paid after severance of employment
that is not described in the following types of compensation is not considered 415
Compensation within the meaning of Code Section 415(c)(3), even if payment is made
within the time period specified above.

     (a) 415 Compensation shall include regular pay after severance of
employment if:

     (1) The payment is regular compensation for services during
the Participant’s regular working hours, or compensation for
services outside the Participant’s regular working hours (such

 

 

as overtime or shift differential), commissions, bonuses, or other similar
payments; and

     (2) The payment would have been paid to the Participant prior to a severance
from employment if the Participant had continued in employment with the Employer.

     (b) Leave cashouts shall be included in 415 Compensation if
those amounts would have been included in the definition of 415
Compensation if they were paid prior to the Participant’s severance from
employment, and the amounts are payment for unused accrued bona fide
sick, vacation, or other leave, but only if the Participant would have been
able to use the leave if employment had continued. In
addition, deferred compensation shall be included in 415 Compensation if the
compensation would have been included in the definition of 415 Compensation if it had
been paid prior to the Participant’s severance from employment, and the compensation is
received pursuant to a nonqualified unfunded deferred compensation plan, but only if the
payment would have been paid at the same time if the Participant had continued in
employment with the Employer and only to the extent that the payment is includible in
the Participant’s gross income.

     (c) 415 Compensation does not include payments to an individual who does not
currently perform services for the Employer by reason of qualified military service (as
that term is used in Code Section 414(u)(l)) to the extent those payments do not exceed
the amounts the individual would have received if the individual had continued to
perform services for the Employer rather than entering qualified military service.

     (d) 415 Compensation does not include compensation paid to a Participant who is
permanently and totally disabled (as defined in Code Section 22(e)(3)).

     415 Compensation for a Plan Year shall not include amounts earned but not paid during
the Plan Year solely because of the timing of pay periods and pay dates.

     3. Effective as of February 15, 2008, Subsection (a) of Section 3.2 of the Plan, “Effective
Date of Participation,” is deleted in its entirety and replaced with the following:

     (a) An Eligible Employee shall become a Participant effective as of the first day of
the pay period following the date such Employee met the eligibility requirements of
Section 3.1, or if later, as soon as administratively feasible, provided said Employee
has completed an enrollment form and was still employed as of such date (or if not
employed on such date, as of the date of rehire if a 1-Year Break in Service has not
occurred or, if later, the date that the Employee would

 

 

have otherwise entered the Plan had the Employee not terminated employment).

     4. Effective as of January 1, 2008, Subsection (d) of Section 4.9 of the Plan,
“Maximum Annual Additions,” is amended to add the following:

     The limitation year may only be changed by a Plan amendment. Furthermore, if the Plan
is terminated effective as of a date other than the last day of the Plan’s limitation
year, then the Plan is treated as if the Plan had been amended to change its limitation
year.

     5. Effective as of January 1, 2008, a new subsection (k) is added to Section
4.9 of the Plan, “Maximum Annual Additions,” to provide as follows:

     (k) Annual additions for purposes of Code Section 415 shall not include restorative
payments. A restorative payment is a payment made to restore losses to the Plan resulting
from actions by a fiduciary for which there is reasonable risk of liability for breach of
a fiduciary duty under ERISA or under other applicable federal or state law, where
Participants who are similarly situated are treated similarly with respect to the
payments. Generally, payments are restorative payments only if the payments are made in
order to restore some or all of the Plan’s losses due to an action (or a failure to act)
that creates a reasonable risk of liability for such a breach of fiduciary duty (other
than a breach of fiduciary duty arising from failure to remit contributions to the Plan).
This includes payments to a plan made pursuant to a Department of Labor order, the
Department of Labor’s Voluntary Fiduciary Correction Program, or a court-approved
settlement, to restore losses to a qualified defined contribution plan on account of the
breach of fiduciary duty (other than a breach of fiduciary duty arising from failure to
remit contributions to the Plan). Payments made to the Plan to make up for losses due
merely to market fluctuations and other payments that are not made on account of a
reasonable risk of liability for breach of a fiduciary duty under ERISA are not
restorative payments and generally constitute contributions that are considered annual
additions.

     Annual additions for purposes of Code Section 415 shall not include: (1) the direct
transfer of a benefit or employee contributions from a qualified plan to this Plan; (2)
rollover contributions (as described in Code Sections 401(a)(31), 402(c)(1), 403(a)(4),
403(b)(8), 408(d)(3), and 457(e)(16)); (3) repayments of loans made to a Participant from
the Plan; and (4) repayments of amounts described in Code Section 411(a)(7)(B) (in
accordance with Code Section 411(a)(7)(C)) and Code Section 411(a)(3)(D) or repayment of
contributions to a governmental plan (as defined in Code Section 414(d)) as described in
Code Section 415(k)(3), as well as Employer restorations of benefits that are required
pursuant to such repayments.

     6. Effective as of January 1, 2008, a new subsection (1) is added to Section
4.9 of the Plan, “Maximum Annual Additions,” to provide as follows:

 

 

     (l) For purposes of applying the limitations of Code Section 415, all defined contribution
plans (without regard to whether a plan has been terminated) ever maintained by the Employer (or a
“predecessor employer”) under which the Participant receives annual additions are treated as one
defined contribution plan. The “Employer” means the Employer that adopts this Plan and all members
of a controlled group or an affiliated service group that includes the Employer (within the
meaning of Code Section 414(b), (c), (m) or (o)), except that for purposes of this Section, the
determination shall be made by applying Code Section 415(h), and shall take into account
tax-exempt organizations under Regulation Section 1.414(c)-5, as modified by Regulation Section
1.415(a)-1(f)(1). For purposes of this Section:

     (1) A former Employer is a “predecessor employer” with respect to a Participant in a
plan maintained by an Employer if the Employer maintains a plan under which the
Participant had accrued a benefit while performing services for the former Employer, but
only if that benefit is provided under the plan maintained by the Employer. For this
purpose, the formerly affiliated plan rules in Regulation Section 1.415(f)-1(b)(2) apply
as if the Employer and predecessor Employer constituted a single employer under the rules
described in Regulation Section 1.415(a)-1(f)(1) and (2) immediately prior to the
cessation of affiliation (and as if they constituted two, unrelated employers under the
rules described in Regulation Section 1.415(a)-1(f)(1) and (2) immediately after the
cessation of affiliation) and cessation of affiliation was the event that gives rise to
the predecessor employer relationship, such as a transfer of benefits or plan
sponsorship.

     (2) With respect to an Employer of a Participant, a former entity that antedates the
Employer is a “predecessor employer” with respect to the Participant if, under the facts
and circumstances, the employer constitutes a continuation of all or a portion of the
trade or business of the former entity.

     For purposes of aggregating plans for Code Section 415, a “formerly affiliated plan” of an
employer is taken into account for purposes of applying the Code Section 415 limitations to the
employer, but the formerly affiliated plan is treated as if it had terminated immediately prior to
the “cessation of affiliation.” For purposes of this paragraph, a “formerly affiliated plan” of an
employer is a plan that, immediately prior to the cessation of affiliation, was actually maintained
by one or more of the entities that constitute the employer (as determined under the employer
affiliation rules described in
Regulation Section 1.415(a)-1(f)(1) and (2)), and immediately after
the cessation of affiliation, is not actually maintained by any of the entities that constitute the
employer (as determined under the employer affiliation rules described in Regulation Section
1.415(a)-1(f)(1) and (2)). For purposes of this paragraph, a “cessation of affiliation” means the
event that causes an entity to no longer be aggregated with one or more other entities as a single
employer under the employer affiliation rules described in
Regulation Section 1.415(a)-1(f)(1) and
(2) (such as the sale of

 

 

a subsidiary outside a controlled group), or that causes a plan to not actually be
maintained by any of the entities that constitute the employer under the employer
affiliation rules of Regulation Section 1.415(a)- 1(f)(1) and (2) (such as a transfer of
plan sponsorship outside of a controlled group).

     Two or more defined contribution plans that are not required to be aggregated
pursuant to Code Section 415(f) and the Regulations thereunder as of the first day of a
limitation year do not fail to satisfy the requirements of Code Section 415 with respect
to a Participant for the limitation year merely because they are aggregated later in that
limitation year, provided that no annual additions are credited to the Participant’s
account after the date on which the plans are required to be aggregated.

     7. Effective as of January 1, 2008, a new subsection (d) is added to Section
4.10 of the Plan, “Adjustment for Excessive Annual Additions,” to provide as follows:

     Notwithstanding any provision of the Plan to the contrary, if the maximum annual
additions (within the meaning of Code Section 415) are exceeded for any Participant, then
the Plan shall correct such excess only in accordance with the Employee Plans Compliance
Resolution System (EPCRS) as set forth in Revenue Procedure 2006-27 or any superseding
guidance, including, but not limited to, the preamble of the final Code Section 415
regulations.

     8. Effective as of January 1, 2008, a new subsection (f) is added to Section
6.11 of the Plan, “Distribution for Hardship,” to provide as follows:

     (f) Effective January 1, 2008, with respect to this Section 6.11, any reference to a
Participant shall also include a Participant or former Participant who is an employee of
an Affiliated Employer.

     9. Effective as of January 1, 2008, Section 6.13 of the Plan, “Loans to
Participants,” is deleted in its entirety and replaced with the following:

     6.13 LOANS TO PARTICIPANTS

     Loans may be made to Participants and former Participants who are employed by an
Affiliated Employer pursuant to written uniform and nondiscriminatory procedures
established by the Administrator. Notwithstanding the preceding, no loans shall be made to
Reporting Persons on or after May 12, 2003.

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

 

 

     SIGNED
this 28th day of March, 2008, effective as of the date
set forth herein.

	 	 	 	 	 
	 	CHS/COMMUNITY HEALTH SYSTEMS,
INC.

 	 
	 	By:  	/s/ Linda Parsons
 	 
	 	 	Title: Vice President

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