Document:

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                                                                    Exhibit 10.1

                  STOCK OPTION AGREEMENT (the "Agreement"), dated as of
[[Date]], 1997, between Community Health Systems Holdings Corp., a Delaware
corporation (together with its successors, the "Company"), and [[Name]] (the
"Optionee").

                  1. GRANT OF OPTION.

                           1.1 GRANT. The Company hereby grants to the Optionee
the right and option (the "Option") to purchase all or any part of an aggregate
of 250 whole shares of Class A Common Stock, par value $.01 per share, of the
Company (the "Class A Common Stock") (such number being subject to adjustment as
provided in Section 8 hereof) on the terms and conditions set forth in this
Agreement.

                           1.2 NON-QUALIFIED OPTION. The Option is not intended
to qualify as an Incentive Stock Option within the meaning of Section 422 of the
Internal Revenue Code of 1986, as amended.

                  2. PURCHASE PRICE. The price at which the Optionee shall be
entitled to purchase shares of Class A Common Stock upon the exercise of this
Option shall be $1,073.52 per share (such price being subject to adjustment as
provided in Section 8 hereof) (the "Option Price").

                  3. DURATION OF OPTION. The Option shall be exercisable at any
time to the extent and in the manner provided herein for a period of 10 years
from the date hereof; provided, however, that the Option may be earlier
terminated as provided in Section 4, Section 6, or Section 7 hereof.

                  4. EXERCISABILITY OF OPTION.

                           4.1 AMOUNT OF EXERCISE. Subject to the provisions of
this Agreement, the Option shall be exercisable in accordance with the following
schedule:

                           (a) on or after the first anniversary of the date
                  hereof but before the second anniversary of the date hereof,
                  the Option may be exercised to acquire up to one-third of the
                  aggregate number of shares of Class A Common Stock which may
                  be purchased pursuant to the Option as set forth in Section
                  1.1 hereof, less any shares previously acquired pursuant to
                  the Option;

                           (b) on or after the second anniversary of the date
                  hereof but before the third anniversary of the date hereof,
                  the Option may be exercised to acquire up to two-thirds of the
                  aggregate number of shares of Class A Common Stock which may
                  be purchased pursuant to the Option as set forth
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                  in Section 1.1 hereof, less any shares previously acquired
                  pursuant to the Option;

                           (c) on or after the third anniversary of the date
                  hereof but before the expiration of the term of the Option,
                  the Option may be exercised to acquire up to 100% of the
                  aggregate number of shares of Class A Common Stock which may
                  be purchased pursuant to the Option as set forth in Section
                  1.1 hereof, less any shares previously acquired pursuant to
                  the Option.

                           4.2 SALES OR OTHER EVENTS. The Company shall give the
Optionee 10 days' notice (or, if not practicable, such shorter notice as may be
practicable) prior to the anticipated date of the consummation of a Total Sale
(as hereinafter defined) or the anticipated date of the consummation of a
Partial Sale (as hereinafter defined) (the "Sale Notice"). Upon receipt of the
Sale Notice, and for a period of five days thereafter (or such shorter period as
the Board of Directors of the Company shall determine and so notify the
Optionee), the Optionee shall be permitted to exercise the Option to the extent
provided in this Section 4.2, whether or not the Option was otherwise so
exercisable on the date the Sale Notice was given; provided, that, in the event
of a Total Sale or a Partial Sale in which the Optionee would be required to
participate pursuant to Section 2.3 or 2.4 of the Stockholder's Agreement
attached hereto as Exhibit A (the "Stockholder's Agreement") were the Optionee
then a party to such agreement, the Company may require the Optionee to exercise
the Option to the extent necessary to enable the Optionee to participate therein
or to forfeit the Option (or portion thereof, as applicable). In the case of a
Total Sale, the Option may be exercised in whole or in part for up to the full
amount of the shares of Class A Common Stock covered thereby (less the number of
shares previously acquired by the Optionee upon exercise of the Option, if any).
In the case of a Partial Sale, the Option may be exercised in whole or in part,
but not for more than the excess, if any, of (a) the number of shares with
respect to which the Optionee would be entitled to participate in the Partial
Sale pursuant to Section 2.2 or 2.3, as applicable, of the Stockholder's
Agreement (if the number of shares issuable pursuant to the unexercised portion
of the Option were deemed shares held by the Optionee), and will so participate,
over (b) the number of shares previously issued to the Optionee upon exercise of
the Option and not disposed of in a prior Partial Sale. In the event the Total
Sale or Partial Sale is not consummated, the Option will be deemed not to have
been exercised and shall be exercisable thereafter to the extent it would have
been exercisable if no such notice had been given. In lieu of permitting or
requiring the Optionee to exercise the Option in the event of a Total Sale, the
Board of Directors of the Company, in its sole discretion, may instead cause the
Company to redeem the unexercised portion of the Option pursuant to Section 7
hereof. In lieu of permitting the Optionee to exercise the Option in connection

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with a Public Offering of all or a portion of the shares of Class A Common Stock
owned by the FL & Co. Companies (an "FL Public Offering"), the Company, at its
option, may instead cause the Option and the underlying shares to be registered
under applicable securities laws or make other arrangements consistent with such
laws, so as to permit the Optionee to sell for a period of time after the FL
Public Offering the same number of shares that he or she would have been able to
sell in the FL Public Offering but for this sentence.

                           For purposes hereof, (a) the term "Total Sale" shall
mean any of the following events: (i) the merger or consolidation of the Company
with or into another corporation (other than a merger or consolidation in which
the Company is the surviving corporation and which does not result in any
capital reorganization or reclassification or other change of the then
outstanding shares of Class A Common Stock), or (ii) the liquidation of the
Company, or (iii) the sale to any person who is not a partner or an affiliate of
either of Forstmann Little & Co. Equity Partnership - V, L.P., a Delaware
limited partnership ("Equity-V"), or Forstmann Little & Co. Subordinated Debt
and Equity Management Buyout Partnership - VI, L.P., a Delaware limited
partnership ("MBO-VI"), (Equity-V and MBO-VI together, the "FL & Co. Companies")
or an affiliate of such partner (a "Third Party") of all or substantially all of
the assets of the Company pursuant to a plan of liquidation or otherwise, or
(iv) the sale to a Third Party of Class A Common Stock (other than through a
public offering); in each case, provided that, as a result thereof, the FL & Co.
Companies, the direct or indirect partners of either of the FL & Co. Companies
and any affiliates of any of the foregoing cease to own, directly or indirectly,
any shares of the voting stock of the Company, and (b) the term "Partial Sale"
shall mean any sale by the FL & Co. Companies of all or a portion of their
shares of Class A Common Stock to a Third Party, including through any public
offering, which sale is not a Total Sale.

                           4.3 TERMINATION OF OPTION. Subject to the provisions
of Section 7 hereof, the Option shall terminate simultaneously with the
consummation of a Total Sale to the extent that the Option has not theretofore
been exercised.

                  5. MANNER OF EXERCISE AND PAYMENT.

                           5.1 NOTICE OF EXERCISE. Subject to the terms and
conditions of this Agreement, the Option may be exercised by delivery of written
notice to the Company. Such notice shall state that the Optionee is electing to
exercise the Option, shall set forth the number of shares of Class A Common
Stock in respect of which the Option is being exercised and shall be signed by
the Optionee or, where applicable, the guardian, executor, administrator or
other legal representative (each, a "Legal Representative") of the Optionee (all
references herein to the "Optionee" being deemed to include the Optionee's Legal
Representative, if any, unless the context otherwise

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requires). The Company may require proof satisfactory to it as to the right of
the Legal Representative to exercise the Option.

                           5.2 DELIVERIES. The notice of exercise described in
Section 5.1 hereof shall be accompanied by (a) payment of the full purchase
price for the shares in respect of which the Option is being exercised, by
delivery to the Company of a certified or bank check payable to the order of the
Company or cash by wire transfer or other immediately available funds to an
account designated by the Company, and (b) a fully executed Stockholder's
Agreement (a copy of which, in the form to be executed by the Optionee (which
may differ from the form attached hereto), will be supplied to the Optionee upon
request) and the undated stock power referred to in Section 4.12(a)(ii) of the
Stockholder's Agreement.

                           5.3 ISSUANCE OF SHARES. Upon receipt of notice of
exercise, full payment for the shares of Class A Common Stock in respect of
which the Option is being exercised and a fully executed Stockholder's Agreement
and stock power, the Company shall take such action as may be necessary under
applicable law to effect the issuance to the Optionee of the number of shares of
Class A Common Stock as to which such exercise was effected.

                           5.4 STOCKHOLDER RIGHTS. The Optionee shall not be
deemed to be the holder of, or to have any of the rights of a holder with
respect to, any shares of Class A Common Stock subject to the Option until: (a)
the Option shall have been exercised in accordance with the terms of this
Agreement and the Optionee shall have paid the full purchase price for the
number of shares in respect of which the Option was exercised, (b) the Optionee
shall have delivered the fully executed Stockholder's Agreement and stock power
to the Company, (c) the Company shall have issued the shares to the Optionee,
and (d) the Optionee's name shall have been entered as a stockholder of record
on the books of the Company. Upon the occurrence of all of the foregoing events,
the Optionee shall have full ownership rights with respect to such shares,
subject to the provisions of the Stockholder's Agreement.

                           5.5 PARTIAL EXERCISE. In the event the initial
exercise of the Option is an exercise in part only, then, in the event of any
further exercise of the Option, the Optionee, in lieu of executing a new
Stockholder's Agreement, may, at the Company's option, re-execute the original
Stockholder's Agreement, thereby reaffirming the representations, warranties,
covenants and agreements contained in the Stockholder's Agreement as of the date
of re-execution, but with an amended Annex A completed to set forth the number
of shares of Class A Common Stock in respect of which the Option is then being
exercised and the cumulative number of shares of Class A Common Stock which
would then be subject to the Stockholder's Agreement. If the initial exercise of
the Option is by the Optionee and any subsequent exercise of the Option is by
the Legal Representative, then the Legal Representative shall execute, at

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the Company's option, either a new Stockholder's Agreement or a counterpart of
the original Stockholder's Agreement thereby agreeing to be bound by such
agreement as though such person were an original signatory thereto and affirming
the truth of the representations and warranties contained therein with respect
to such person as of the date of such person's execution of such counterpart.

                  6. CERTAIN RESTRICTIONS.

                           6.1 NO SALE OR TRANSFER. The Optionee shall not sell,
transfer, assign, exchange, pledge, encumber or otherwise dispose of the Option
or any portion thereof, except in accordance with the provisions of this
Agreement.

                  6.2 TERMINATION AS A DIRECTOR. (a) If the Optionee shall cease
to serve as a director of the Company for any reason whatsoever (a
"Termination"), the Option, to the extent it is not exercisable pursuant to
Section 4.1 hereof on the date of such Termination, shall terminate and be of no
further force and effect from and after the date of such Termination.

                           (b) If any portion of the Option is exercisable
pursuant to Section 4.1 hereof on the date of the Optionee's Termination, (i)
then the Optionee may exercise the Option, to the extent the Option was
exercisable on the date of the Optionee's Termination, at any time within 30
days after the date of the Termination, and (ii) the Company agrees to make
available the most recent audited financial statements of the Company for review
by the Terminated Optionee at the principal offices of the Company during such
30-day period. The Option shall terminate and be of no further force and effect
to the extent not exercised during such 30-day period.

                  7. TOTAL SALES.

                           7.1 CONTINUATION OF OPTION. Upon the effective date
of any Total Sale, any unexercised portion of the Option shall terminate unless
provision shall be made in writing in connection with such Total Sale for the
continuance of such unexercised portion of the Option or for the assumption of
such unexercised portion of the Option by a successor to the Company or for the
substitution for such unexercised portion of the Option of new options covering
shares of such successor with appropriate adjustments as to number and kind of
shares and prices of shares subject to such new options, or unless the Company
shall authorize the redemption of the unexercised portion of the Option pursuant
to Section 7.2 hereof. In the event that provision in writing is made as
aforesaid in connection with a Total Sale, the unexercised portion of the Option
or the new options substituted therefor shall continue in the manner and under
the terms provided in this Agreement and in such writing.

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                           7.2 REDEMPTION IN CONNECTION WITH A TOTAL SALE. In
connection with a Total Sale, the Board of Directors of the Company may, in its
sole discretion, authorize the redemption of the unexercised portion of the
Option for a consideration per share of Class A Common Stock issuable upon
exercise of the unexercised portion of the Option equal to the excess of (i) the
consideration payable per share of Class A Common Stock in connection with such
Total Sale, adjusted as if all outstanding options and other rights to acquire
equity interests in the Company had been exercised prior to the consummation of
such Total Sale and further adjusted to take into account all other equity
interests in the Company (provided, however, that no adjustment shall be made
with respect to any option or other right to acquire equity interests in the
Company if the exercise price for such option or other right is greater than the
consideration that would be payable per share of Class A Common Stock in
connection with such Total Sale if the adjustment were not made), over (ii) the
Option Price. Any redemption pursuant to this Section 7.2 shall occur
simultaneously with the occurrence of the Total Sale.

                           7.3 ALLOCABLE SHARE OF EXPENSES. In the event of a
redemption pursuant to Section 7.2 hereof, the Optionee shall be responsible for
and shall be obligated to pay a proportionate amount (determined as if the
Optionee were a holder of the number of shares o f Class A Common Stock which
would have been issuable upon exercise of the portion of the Option redeemed
pursuant to Section 7.2 hereof) of the expenses, liabilities and obligations
incurred or to be incurred by the stockholders of the Company in connection with
such Total Sale (including, without limitation, the fees and expenses of
investment bankers, legal counsel and other outside advisors and experts
retained by or on behalf of the stockholders of the Company in connection with
such Total Sale, amounts payable in respect of indemnification claims, amounts
paid into escrow and amounts payable in respect of post-closing adjustments to
the purchase price) ("Expenses of Sale").

                           7.4 POWER OF ATTORNEY. (a) The Optionee hereby
irrevocably appoints the FL & Co. Companies, and each of them (individually and
collectively, the "Representative"), the Optionee's true and lawful agent and
attorney-in-fact, with full powers of substitution, to act in the Optionee's
name, place and stead, to do or refrain from doing all such acts and things, and
to execute and deliver all such documents, in connection with this Agreement or
the Option as the Representative shall deem necessary or appropriate in
connection with any Total Sale, including, without in any way limiting the
generality of the foregoing, to receive on behalf of the Optionee any payments
made in respect of the unexercised portion of the Option (including payments
made in connection with any redemption) in connection with any Total Sale, to
hold back from any such payments any amount which the Representative deems
necessary to reserve against the Optionee's share of any Expenses of Sale, and
to engage in any acts in which the Representative is authorized by and on behalf
of the holders of any of the Company's capital stock to engage in connection
with the Total Sale. The Optionee

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hereby ratifies and confirms all that the Representative shall do or cause to be
done by virtue of its appointment as the Optionee's Representative.

                           (b) In acting for the Optionee pursuant to the
appointment set forth in paragraph (a) of this Section 7.4, the Representative
shall not be responsible to the Optionee for any loss or damage the Optionee may
suffer by reason of the performance by the Representative of its duties under
this Agreement, except for loss or damage arising from willful violation of law
or gross negligence in the performance of its duties hereunder. The appointment
of the Representative shall be deemed coupled with an interest and shall be
irrevocable, and any person dealing with the Representative may conclusively and
absolutely rely, without inquiry, upon any act of the Representative as the act
of the Optionee in all matters referred to in this Section 7.4.

                           (c) Notwithstanding the foregoing, this power of
attorney does not empower the Representative to exercise the Option on behalf of
the Optionee.

                  8. ADJUSTMENTS. In the event that shares of Class A Common
Stock (whether or not issued) are changed into or exchanged for a different
number or kind of shares of stock or other securities of the Company, whether
through merger, consolidation, reorganization, recapitalization, stock dividend,
stock split-up or other substitution of securities of the Company, the Board of
Directors of the Company shall make appropriate adjustments to the number and
kind of shares of stock subject to the Option and the Option Price. The Board of
Directors' adjustment shall be final and binding for all purposes of this
Agreement. No adjustment provided for in this Section 8 shall require the
Company to issue a fractional share, and the total adjustment with respect to
this Agreement shall be limited accordingly.

                  9. CERTAIN DEFINITIONS.

                           9.1. AFFILIATE. The term "affiliate" of any person
shall mean any person that, directly or indirectly, controls, is controlled by,
or is under common control with, the person of which it is an affiliate.

                           9.2. PERSON. The term "person" shall mean an
individual, a corporation, a partnership, an association, a trust or any other
entity or organization, including a government or political subdivision or an
agency or instrumentality thereof.

                  10. NOTICES. All notices and other communications hereunder
shall be in writing and, unless otherwise provided herein, shall be deemed to
have been given when received by the party to whom such notice is to be given at
its address set forth below, or such other address for the party as shall be
specified by notice given pursuant hereto:

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                           (a)      If to the Company, to it:

                                    c/o Community Health Systems, Inc.
                                    155 Franklin Road, Suite 400
                                    Brentwood, TN  37027-4600
                                    Attention: President
                                    with a copy to:

                                    Forstmann Little & Co. Equity
                                    Partnership-V, L.P.
                                    767 Fifth Avenue, 44th Floor
                                    New York, New York  10153
                                    Attention:  Ms. Sandra Horbach

                           (b) If to the Optionee or Legal Representative, to
such person at the address as reflected in the records of the Company.

                  11. MODIFICATION OF AGREEMENT. This Agreement may be modified,
amended or supplemented by written agreement of the parties hereto; provided,
that the Company may modify, amend or supplement this Agreement in a writing
signed by the Company without any further action by the Optionee if such
modification, amendment or supplement does not adversely affect the Optionee's
rights hereunder.

                  12. INVALIDITY OF PROVISIONS. The invalidity or
unenforceability of any provision of this Agreement in any jurisdiction shall
not affect the validity or enforceability of the remainder of this Agreement in
that jurisdiction or the validity or enforceability of this Agreement, including
that provision, in any other jurisdiction. If any provision of this Agreement is
held unlawful or unenforceable in any respect, such provision shall be revised
or applied in a manner that renders it lawful and enforceable to the fullest
extent possible.

                  13. BINDING EFFECT. This Agreement shall inure to the benefit
of and be binding upon the parties hereto and their respective heirs, legal
representatives, successors and assigns. In addition, each of the FL & Co.
Companies shall be a third party beneficiary of this Agreement and shall be
entitled directly to enforce this Agreement.

                  14. HEADINGS; EXECUTION IN COUNTERPARTS. The headings and
captions contained herein are for convenience only and shall not control or
affect the meaning or construction of any provision hereof. This Agreement may
be executed in any number of counterparts, each of which shall be deemed to be
an original and which together shall constitute one and the same instrument.

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                  15. ENTIRE AGREEMENT. This Agreement and, upon execution
thereof, the Stockholder's Agreement, constitute the entire agreement, and
supersede all prior agreements and understandings, oral and written, between the
parties hereto with respect to the Option granted hereby.

                  16. RESOLUTION OF DISPUTES. Any dispute or disagreement which
may arise under, or as a result of, or which may in any way relate to, the
interpretation, construction or application of this Agreement shall be
determined by the Board of Directors of the Company, in good faith, whose
determination shall be final, binding and conclusive for all purposes.

                  17. GOVERNING LAW. This Agreement and the rights and
obligations of the parties hereto shall be governed by, and construed and
enforced in accordance with, the laws of the State of New York without giving
effect to the principles of conflicts of laws thereof.

                  18. CONSENT TO JURISDICTION. Each party hereby irrevocably and
unconditionally consents to submit to the exclusive jurisdiction of the courts
of the State of New York and of the United States of America, in each case
located in the County of New York, for any actions, suits or proceedings arising
out of or relating to this Agreement and the transactions contemplated hereby
("Litigation") (and agrees not to commence any Litigation except in any such
court), and further agrees that service of process, summons, notice or document
by U.S. registered mail to such party's respective address set forth in Section
10 hereof shall be effective service of process for any Litigation brought
against such party in any such court. Each party hereby irrevocably and
unconditionally waives any objection to the laying of venue of any Litigation in
the courts of the State of New York or of the United States of America, in each
case located in the County of New York, and hereby further irrevocably and
unconditionally waives and agrees not to plead or claim in any such court that
any Litigation brought in any such court has been brought in an inconvenient
forum.

                  19. INVESTMENT INTENT. The Optionee hereby represents that the
Optionee is acquiring the Option for his own account as principal for investment
and not with a view to resale or distribution in whole or in part.

                  20. SPECIFIC PERFORMANCE. The parties hereto acknowledge that
there will be no adequate remedy at law for a violation of any of the provisions
of this Agreement and that, in addition to any other remedies which may be
available, all of the provisions of this Agreement shall be specifically
enforceable in accordance with their respective terms.

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                  21. WITHHOLDING. The Company shall have the right to deduct
from any amount payable under this Agreement any taxes or other amounts required
by applicable law to be withheld.

                  IN WITNESS WHEREOF, this Agreement has been signed by or on
behalf of each of the parties hereto, all as of the date first above written.

OPTIONEE                                    COMMUNITY HEALTH SYSTEMS
                                            HOLDINGS CORP.

___________________________                 By: ___________________________

Name: [[Name]]

Address: [[Address]]

                  The undersigned acknowledges that the undersigned has read the
foregoing Agreement between Community Health Systems Holdings Corp. and the
undersigned's spouse, understands that the undersigned's spouse has been granted
an option to acquire shares of Class A Common Stock of Community Health Systems
Holdings Corp., which option is subject to certain restrictions reflected in
such Agreement and agrees to be bound by the foregoing Agreement.

                                                --------------------------------
                                                       Optionee's Spouse

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                                                                    Exhibit 10.2

                                             Exhibit A to Stock Option Agreement

                STOCKHOLDER'S AGREEMENT, dated as of ______________, between
Community Health Systems Holdings Corp., a Delaware corporation, and the
undersigned (the "Director"), who was granted the right and option (the
"Option") to acquire shares of Class A Common Stock, par value $.01 per share,
of the Company pursuant to the terms and conditions of a Stock Option Agreement,
dated as of May 21, 1997, between the Company and the Director (the "Option
Agreement").

                  WHEREAS, the Director was at the time of the grant of the
Option a member of the Board of Directors of the Company;

                  WHEREAS, Forstmann Little & Co. Equity Partnership-V, L.P., a
Delaware limited partnership ("Equity-V"), and Forstmann Little & Co.
Subordinated Debt and Equity Management Buyout Partnership-V, L.P., a Delaware
limited partnership ("MBO-VI"), purchased an aggregate of 449,123 shares of
Class A Common Stock;

                  WHEREAS, the Option Agreement requires the Director to enter
into a Stockholder's Agreement upon and as a condition to the exercise of the
Option;

                  WHEREAS, the Director wishes to exercise the Option to acquire
shares of Class A Common Stock; and

                  WHEREAS, the Director and the Company wish to provide for
certain arrangements with respect to the Director's rights to hold and dispose
of the shares of Class A Common Stock acquired by the Director upon exercise of
the Option.

                  NOW, THEREFORE, the parties hereto agree as follows:

1.    DEFINITIONS; EXERCISE OF OPTION.

                1.1      DEFINITIONS; RULES OF CONSTRUCTION.

                        (a) The following terms, as used herein, shall have the
following meanings:

                        "Act" shall mean the Securities Act of 1933, as amended.

                        "Affiliate" shall mean, with respect to any Person, any
other Person which, directly or indirectly, is in control of, is controlled by,
or is under common control with, such Person.
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                        "Affiliate Securities" shall mean any securities issued
by an Affiliate of the Company.

                        "Agreement" shall mean this Stockholder's Agreement, as
amended, supplemented or modified from time to time.

                        "Capital Transaction" shall mean any Stock Dividend,
recapitalization (including, without limitation, any special dividend or
distribution), reclassification, spin-off, partial liquidation or similar
capital adjustments (including, without limitation, through merger or
consolidation).

                        "Class A Common Stock" shall mean the Class A Common
Stock, par value $0.01 per share, of the Company. There shall be included within
the term Class A Common Stock any Class A Common Stock now or hereafter
authorized to be issued, and any and all securities of any kind whatsoever of
the Company which may be issued after the date hereof in respect of, or in
exchange for, shares of Class A Common Stock pursuant to a Capital Transaction
or otherwise.

                        "Company" shall mean Community Health Systems Holdings
Corp., a Delaware corporation, and shall include any successor thereto by
merger, consolidation, acquisition of substantially all the assets thereof, or
otherwise.

                        "Equity-V" shall have the meaning ascribed to such term
in the second "Whereas" clause hereof.

                        "Expenses of Sale" shall mean all expenses incurred by
the FL & Co. Companies in connection with the sale of the shares of the selling
stockholders pursuant to Section 2.2, 2.3 or 2.4 hereof to the extent that such
expenses are not paid or reimbursed by the Company.

                        "FL & Co. Companies" shall mean the collective reference
to Equity-V and MBO-VI.

                        "Legal Representative" shall mean the guardian,
executor, administrator or other legal representative of the Director. All
references herein to the Director shall be deemed to include references to the
Director's Legal Representative, if any, unless the context otherwise requires.

                        "Litigation" shall mean any actions, suits or
proceedings arising out of or relating to this Agreement and the transactions
contemplated hereby.

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                        "MBO-VI" shall have the meaning ascribed to such term in
the second "Whereas" clause hereof.

                        "Option" and "Option Agreement" shall have the
respective meanings ascribed to such terms in the first paragraph hereof.

                        "Permitted Transferee" shall have the meaning ascribed
to such term in Section 2.1(b) hereof.

                        "Person" shall mean an individual, a corporation, a
partnership, an association, a trust or any other entity or organization,
including a government or political subdivision or an agency or instrumentality
thereof.

                        "Release Date" shall mean the date on which the FL & Co.
Companies and their Affiliates shall cease to own in the aggregate directly or
indirectly at least 25 percent of the then outstanding securities of the Company
having the power to vote in the election of directors of the Company.

                        "Representative" shall have the meaning ascribed to such
term in Section 4.12(b).

                        "Sale Obligations" shall mean any liabilities and
obligations (including liabilities and obligations for indemnification, amounts
paid into escrow and post-closing adjustments) incurred by the selling
stockholders in connection with the sale of their shares pursuant to Section
2.2, 2.3 or 2.4 hereof.

                        "Section 2.2 Notice" shall have the meaning ascribed to
such term in Section 2.2(a) hereof.

                        "Section 2.3 Notice" shall have the meaning ascribed to
such term in Section 2.3(a) hereof.

                        "Stock Dividend" shall mean any stock split, stock
dividend or reverse stock split.

                        "Third Party" shall mean any Person other than any of
the FL & Co. Companies or an Affiliate or a partner of any of the FL & Co.
Companies or an Affiliate of such partner.

                        "Transaction" shall mean any sale pursuant to Section
2.2, 2.3 or 2.4 hereof.

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                        (b) In this Agreement, unless the context otherwise
requires, words in the singular number or in the plural number shall each
include the singular number and the plural number.

                1.2. ACQUISITION OF CLASS A COMMON STOCK. The Director hereby
elects to exercise the Option in respect of the shares of Class A Common Stock
set forth in Annex A hereto. Promptly upon payment in full of the exercise price
for the shares of Class A Common Stock in respect of which the Option is being
exercised and full compliance by the Director with the terms of the Option
Agreement and Section 4.12(a)(ii) hereof, the Company shall promptly issue a
stock certificate in the name of the Director representing the shares of Class A
Common Stock in respect of which the Option is being exercised and shall enter
the Director's name on the books of the Company as the stockholder of record of
such shares of Class A Common Stock.

2. RIGHTS AND RESTRICTIONS ON CLASS A COMMON STOCK.

                2.1 NO SALE OR TRANSFER.

                        (a) The Director shall not sell, transfer, assign,
exchange, pledge, encumber or otherwise dispose of any shares of Class A Common
Stock acquired pursuant hereto or otherwise subject to this Agreement or grant
any option or right to purchase such shares or any legal or beneficial interest
therein, except in accordance with the provisions of this Agreement.

                        (b) The Director may transfer any shares of Class A
Common Stock acquired hereunder or otherwise subject to this Agreement by will,
but only to:

                                    (i)      any spouse, parent, child (whether
                                             natural or adopted), grandchild,
                                             brother or sister of the Director,
                                             or

                                    (ii)     any corporation or partnership
                                             which is controlled by any spouse,
                                             parent, child (whether natural or
                                             adopted), grandchild, brother or
                                             sister of the Director

(the person or persons to which shares of Class A Common Stock are transferred
in accordance with this Section 2.1(b) being herein referred to as the
"Permitted Transferee"); provided, that, for any transfer to the Permitted
Transferee to be effective hereunder, the Permitted Transferee shall agree in
writing to be bound by all the terms of this Agreement applicable to the
Director (including, without limitation, Section 4.12(b) hereof) as if the
Permitted Transferee originally had been a party hereto; and provided, further,
that all of the stockholders of any Permitted Transferee that is a corporation
and all of the partners of any Permitted Transferee that is a partnership shall

                                       4
<PAGE>

agree with the Company in writing not to transfer any shares they then own or
may hereafter acquire in the corporate Permitted Transferee or any partnership
interests they then own or may hereafter acquire in the partnership Permitted
Transferee except to a person described in paragraph (i) or (ii) above that has
made the same agreement in writing to the Company, so long as the corporate or
partnership Permitted Transferee shall own any shares of Class A Common Stock.
Any reference herein to the Director shall also be to the Permitted Transferee
from and after the date the transfer is effected in accordance with this Section
2.1(b).

                2.2 PARTICIPATION IN SALE OF CLASS A COMMON STOCK. The Director,
at the Director's option, may participate proportionately (and the FL & Co.
Companies shall allow the Director to participate proportionately) in any sale
(other than a public offering, which shall be governed by Section 2.3 hereof) of
all or a portion of the shares of Class A Common Stock owned by either of the FL
& Co. Companies to any Third Party by selling to the Third Party the same
percentage of the Director's shares of Class A Common Stock as the FL & Co.
Companies propose to sell of their shares to the Third Party (determined on the
basis of the aggregate number of such shares of Class A Common Stock owned, and
the aggregate number of such shares being sold, by the FL & Co. Companies). For
purposes of determining the number of shares of Class A Common Stock in respect
of which the Director may participate in such sale pursuant to this Section 2.2,
the Director shall be deemed to own the shares of Class A Common Stock acquired
upon exercise of the Option at any time plus (a) if, at the time of such sale,
the Director is still serving as a director of the Company, the shares of Class
A Common Stock subject to any then unexercised portion of the Option, if any, or
(b) if, at the time of such sale, the Director has ceased to serve as a director
of the Company but has not yet exercised the Option pursuant to Section 6.2(b)
of the Option Agreement, the shares of Class A Common Stock issuable upon
exercise of the portion of the Option that is exercisable pursuant to Sections
6.2(b) and 4.1 of the Option Agreement, if any. The Company shall notify the
Director in writing of the FL & Co. Companies' intention to effect such a sale
to a Third Party and the nature and per share amount of consideration to be paid
by such Third Party at least 10 days, or such shorter time as the Company deems
practicable, before the closing of any such proposed sale of shares of Class A
Common Stock (the "Section 2.2 Notice"), and the Director shall notify the
Company in writing within five days after receipt of the Section 2.2 Notice of
his or her intention to participate in such sale, including the number of shares
of Class A Common Stock with respect to which he or she will so participate. Any
failure by the Director to so notify the Company within such five-day period
shall be deemed an election by the Director not to participate in such sale with
respect to any of his or her shares. Any sale of shares of Class A Common Stock
by the Director pursuant to this Section 2.2 shall be for the same consideration
per share, on the same terms and subject to the same conditions as the sale of
shares of Class A Common Stock owned by the FL & Co. Companies. If the Director
sells any shares of Class A Common Stock pursuant to this

                                       5
<PAGE>

Section 2.2, the Director shall pay and be responsible for the Director's
proportionate share of the Expenses of Sale and the Sale Obligations.

                2.3 PUBLIC OFFERING OF CLASS A COMMON STOCK.

                        (a) If the FL & Co. Companies propose to sell all or any
portion of the shares of Class A Common Stock owned by the FL & Co. Companies in
a public offering, the Director shall be entitled and required to participate in
such public offering by selling in the public offering the same percentage of
the Director's shares of Class A Common Stock as the FL & Co. Companies propose
to sell of their shares in the public offering (determined on the basis of the
aggregate number of shares of Class A Common Stock owned, and the aggregate
number of such shares being sold, by the FL & Co. Companies). For purposes of
determining the number of shares of Class A Common Stock in respect of which the
Director may participate in such public offering pursuant to this Section 2.3,
the Director shall be deemed to own the shares of Class A Common Stock acquired
upon exercise of the Option at any time plus (a) if, at the time of such sale,
the Director is still serving as a director of the Company, the shares of Class
A Common Stock subject to any then unexercised portion of the Option, if any, or
(b) if, at the time of such sale, the Director has ceased to serve as a director
of the Company but has not yet exercised the Option pursuant to Section 6.2(b)
of the Option Agreement, the shares of Class A Common Stock issuable upon
exercise of the portion of the Option that is exercisable pursuant to Sections
6.2(b) and 4.1 of the Option Agreement, if any. The Company shall notify the
Director in writing of the FL & Co. Companies' intention to effect such public
offering at least 10 days, or such shorter time as the Company deems
practicable, before the filing with the Securities and Exchange Commission of
the registration statement relating to such public offering (the "Section 2.3
Notice") and shall cause the Director's shares to be sold in such public
offering to be included therein. The Director shall notify the Company in
writing within five days after receipt of the Section 2.3 Notice of his or her
intention to participate in such public offering, including the number of shares
of Class A Common Stock with respect to which he or she will so participate. Any
failure by the Director to so notify the Company within such five-day period
shall be deemed an election by the Director not to participate in such public
offering with respect to any of his or her shares. If the Director sells any
shares of Class A Common Stock pursuant to this Section 2.3, the Director shall
pay and be responsible for the Director's proportionate share of the Expenses of
Sale and the Sale Obligations, including, without limitation, indemnifying the
underwriters of such public offering, on a proportionate basis, to the same
extent as the FL & Co. Companies are required to indemnify such underwriters.

                        (b) In connection with any proposed public offering of
securities of the Company, whether by any of the FL & Co. Companies or the
Company or otherwise, the Director agrees (i) to supply any information
reasonably requested by the Company

                                       6
<PAGE>

in connection with the preparation of a registration statement and/or any other
documents relating to such public offering, and (ii) to execute and deliver any
agreements and instruments reasonably requested by the Company to effectuate
such public offering, including, without limitation, an underwriting agreement,
a custody agreement and a "hold back" agreement pursuant to which the Director
will agree not to sell or purchase any securities of the Company (whether or not
such securities are otherwise governed by this Agreement) for the same period of
time following the public offering as is agreed to by the FL & Co. Companies
with respect to themselves. If the Company requests that the Director take any
of the actions referred to in clause (i) or (ii) of the previous sentence, the
Director shall take such action promptly but in any event within five days
following the date of such request.

                2.4 REQUIRED PARTICIPATION IN SALE OF CLASS A COMMON STOCK BY
THE FL & CO. COMPANIES. Notwithstanding any other provision of this Agreement to
the contrary, if the FL & Co. Companies shall propose to sell (including by
exchange, in a business combination or otherwise) all or any portion of their
shares of Class A Common Stock in a bona fide arm's-length transaction, the FL &
Co. Companies, at their option, may require that the Director sell the same
percentage of the Director's shares of Class A Common Stock as the FL & Co.
Companies propose to sell of their shares in the transaction (determined on the
basis of the aggregate number of shares of Class A Common Stock owned, and the
aggregate number of such shares then being sold, by the FL & Co. Companies) for
the same consideration per share, on the same terms and subject to the same
conditions in the same transaction and, if stockholder approval of the
transaction is required and the Director is entitled to vote thereon, that the
Director vote the Director's shares in favor thereof. For purposes of
determining the number of shares of Class A Common Stock in respect of which the
Director is to participate in such sale pursuant to this Section 2.4, the
Director shall be deemed to own the shares of Class A Common Stock acquired upon
exercise of the Option at any time plus (a) if, at the time of such sale, the
Director is still serving as a director of the Company, the shares of Class A
Common Stock subject to any then unexercised portion of the Option, if any, or
(b) if, at the time of such sale, the Director has ceased to serve as a director
of the Company but has not yet exercised the Option pursuant to Section 6.2(b)
of the Option Agreement, the shares of Class A Common Stock issuable upon
exercise of the portion of the Option that is exercisable pursuant to Sections
6.2(b) and 4.1 of the Option Agreement, if any. If the Director sells any shares
pursuant to this Section 2.4, the Director shall pay and be responsible for the
Director's proportionate share of the Expenses of Sale and the Sale Obligations.

                2.5 TERMINATION OF RESTRICTIONS AND RIGHTS. Notwithstanding any
other provision of this Agreement to the contrary, but subject to the
restrictions of all applicable federal and state securities laws, including the
restrictions in this Agreement relating thereto, from and after the Release Date
any and all shares of Class A Common

                                       7
<PAGE>

Stock owned by the Director (a) may be sold, transferred, assigned, exchanged,
pledged, encumbered or otherwise disposed of (and the Director may grant any
option or right to purchase such shares or any legal or beneficial interest
therein, or may continue to hold such shares), free of the restrictions
contained in this Agreement and (b) shall no longer be entitled to any of the
rights contained in this Agreement. Without limiting the generality of the
foregoing, from and after the Release Date, the provisions of this Articles 2
(other than this Section 2.5) shall terminate and have no further force or
effect.

3. STOCK CERTIFICATE LEGEND AND INVESTMENT REPRESENTATIONS; OTHER
   REPRESENTATIONS.

                3.1 LEGEND. All certificates representing shares of Class A
Common Stock acquired hereunder or otherwise subject to this Agreement (unless
registered under the Act) shall bear the following legend:

                         "The shares represented by this certificate have not
                been registered under the Securities Act of 1933, as amended, or
                any securities regulatory authority of any state, and may not be
                sold, transferred, assigned, exchanged, pledged, encumbered or
                otherwise disposed of except in compliance with all applicable
                securities laws and except in accordance with the provisions of
                a Stockholder's Agreement with the Company, a copy of which is
                available for inspection at the offices of the Company."

                3.2 REPRESENTATIONS OF THE DIRECTOR. The Director represents and
warrants that: (a) the Director understands that (i) the offer and sale of
shares of Class A Common Stock in accordance with this Agreement have not been
and will not be registered under the Act, and it is the intention of the parties
hereto that the offer and sale of the securities be exempt from registration
under the Act and the rules promulgated thereunder by the Securities and
Exchange Commission; and (ii) the shares of Class A Common Stock being acquired
hereunder cannot be sold, transferred, assigned, exchanged, pledged, encumbered
or otherwise disposed of unless they are registered under the Act or an
exemption from registration is available; (b) the Director is acquiring the
shares of Class A Common Stock being acquired hereunder for investment for the
Director's own account and not with a view to the distribution thereof; (c) the
Director will not, directly or indirectly, sell, transfer, assign, exchange,
pledge, encumber or otherwise dispose of any shares of Class A Common Stock
being acquired hereunder except in accordance with this Agreement; (d) the
Director has, or the Director together with the Director's advisers, if any,
have, such knowledge and experience in financial and business matters that the
Director is, or the Director together with the Director's advisers, if any, are,
and will be capable of evaluating the merits and

                                       8
<PAGE>

risks relating to the Director's acquisition of shares of Class A Common Stock
under this Agreement; (e) the Director has been given the opportunity to obtain
information and documents relating to the Company and to ask questions of and
receive answers from representatives of the Company concerning the Company and
the Director's investment in the Class A Common Stock; (f) the Director's
decision to invest in the Company has been based upon independent investigations
made by the Director and the Director's advisers, if any; (g) the Director is
able to bear the economic risk of a total loss of the Director's investment in
the Company; and (h) the Director has adequate means of providing for the
Director's current needs and foreseeable personal contingencies and has no need
for the Director's investment in the Class A Common Stock to be liquid.

4. MISCELLANEOUS.

                4.1 DISTRIBUTIONS. In the event of any dividend, distribution or
exchange paid or made in respect of the Class A Common Stock consisting of
Affiliate Securities, the restrictions and rights with respect to the Class A
Common Stock that are contained in this Agreement shall be applicable to the
Affiliate Securities without further action of the parties (with the references
to Class A Common Stock being deemed references to the Affiliate Securities and
the references to the Company being deemed references to the Affiliate).

                4.2 FURTHER ASSURANCES. Each party hereto shall do and perform
or cause to be done and performed all further acts and things and shall execute
and deliver all other agreements, certificates, instruments, and documents as
any other party hereto reasonably may request in order to carry out the intent
and accomplish the purposes of this Agreement and the consummation of the
transactions contemplated hereby.

                4.3 GOVERNING LAW. This Agreement and the rights and obligations
of the parties hereto shall be governed by, and construed and enforced in
accordance with, the laws of the State of New York, without giving effect to the
principles of conflicts of law thereof.

                4.4 SPECIFIC PERFORMANCE. The parties hereto acknowledge that
there will be no adequate remedy at law for a violation of any of the provisions
of this Agreement and that, in addition to any other remedies which may be
available, all of the provisions of this Agreement shall be specifically
enforceable in accordance with their respective terms.

                4.5 INVALIDITY OF PROVISIONS. The invalidity or unenforceability
of any provision of this Agreement in any jurisdiction shall not affect the
validity or enforceability of the remainder of this Agreement in that
jurisdiction or the validity or

                                       9
<PAGE>

enforceability of this Agreement, including that provision, in any other
jurisdiction. If any provision of this Agreement is held unlawful or
unenforceable in any respect, such provision shall be revised or applied in a
manner that renders it lawful and enforceable to the fullest extent possible.

                4.6 NOTICE. All notices and other communications hereunder shall
be in writing and, unless otherwise provided herein, shall be deemed to have
been given when received by the party to whom such notice is to be given at its
address set forth below, or such other address for the party as shall be
specified by notice given pursuant hereto:

                        (a)   If to the Company, to:

                              Community Health Systems Holdings Corp.
                              155 Franklin Road, Suite 400
                              Brentwood, TN  37027-4600
                              Attention:  President

                              with a copy to:

                              Forstmann Little & Co. Equity Partnership-V, L.P.
                              767 Fifth Avenue, 44th Floor
                              New York, New York  10153
                              Attention:  Ms. Sandra J. Horbach

                        (b)   If to the Director, to the address set forth below
                              the Director's signature, and if to the Legal
                              Representative, to such Person at the address of
                              which the Company is notified in accordance with
                              this Section 4.6.

                4.7 BINDING EFFECT. This Agreement shall inure to the benefit of
and shall be binding upon the parties hereto and their respective heirs, legal
representatives, successors and assigns. In addition, each of the FL & Co.
Companies shall be a third party beneficiary of this Agreement and shall be
entitled to enforce this Agreement.

                4.8 AMENDMENT AND MODIFICATION. This Agreement may be amended,
modified or supplemented only by written agreement of the party against whom
enforcement of such amendment, modification or supplement is sought.

                4.9 HEADINGS; EXECUTION IN COUNTERPARTS. The headings and
captions contained herein are for convenience only and shall not control or
affect the meaning or construction of any provision hereof. This Agreement may
be executed in any number

                                       10
<PAGE>

of counterparts, each of which shall be deemed to be an original and which
together shall constitute one and the same instrument.

                4.10 ENTIRE AGREEMENT. This Agreement constitutes the entire
agreement, and supersedes all prior agreements and understandings, oral and
written, between the parties hereto with respect to the subject matter hereof.

                4.11 WITHHOLDING. The Company shall have the right to deduct
from any amount payable under this Agreement any taxes or other amounts required
by applicable law to be withheld. The Director agrees to indemnify the Company
against any Federal, state and local withholding taxes for which the Company may
be liable in connection with the Director's acquisition, ownership or
disposition of any Class A Common Stock.

                4.12 POSSESSION OF CERTIFICATES; POWER OF ATTORNEY.

                        (a) In order to provide for the safekeeping of the
certificates representing the shares of Class A Common Stock acquired by the
Director pursuant hereto or otherwise subject to this Agreement and to
facilitate the enforcement of the terms and conditions hereof, (i) the Company
shall retain physical possession of all certificates representing shares of
Class A Common Stock issued to the Director, and (ii) concurrently with the
Director's execution and delivery to the Company of this Agreement, the Director
shall deliver to the Company an undated stock power, duly executed in blank, for
each such certificate.

                        (b) The Director hereby irrevocably appoints the FL &
Co. Companies, and each of them (individually and collectively, the
"Representative"), the Director's true and lawful agent and attorney-in-fact,
with full powers of substitution, to act in the Director's name, place and
stead, to do or refrain from doing all such acts and things, and to execute and
deliver all such documents, as the Representative shall deem necessary or
appropriate in connection with a public offering of securities of the Company or
a sale pursuant to Section 2.2, 2.3 or 2.4 hereof, including, without in any way
limiting the generality of the foregoing, in the case of a sale pursuant to
Section 2.2 or 2.4 hereof, to execute and deliver on behalf of the Director a
purchase and sale agreement and any other agreements and documents that the
Representative deems necessary in connection with any such sale, and in the case
of a public offering, to execute and deliver on behalf of the Director an
underwriting agreement, a "hold back" agreement, a custody agreement, and any
other agreements and documents that the Representative deems necessary in
connection with any such public offering, and in the case of any sale pursuant
to Section 2.2 or 2.4 hereof and any public offering pursuant to Section 2.3(a)
hereof, to receive on behalf of the Director the proceeds of the sale or public
offering of the Director's shares, to hold back from any such proceeds any
amount that the Representative deems necessary to reserve against the Director's
share

                                       11
<PAGE>

of any Expenses of Sale and Sale Obligations and to pay such Expenses of Sale
and Sale Obligations. The Director hereby ratifies and confirms all that the
Representative shall do or cause to be done by virtue of its appointment as the
Director's agent and attorney-in-fact. In acting for the Director pursuant to
the appointment set forth in this Section 4.12(b), the Representative shall not
be responsible to the Director for any loss or damage the Director may suffer by
reason of the performance by the Representative of its duties under this
Agreement, except for loss or damage arising from willful violation of law or
gross negligence by the Representative in the performance of its duties
hereunder. The appointment of the Representative shall be deemed coupled with an
interest and as such shall be irrevocable and shall survive the death,
incompetency, mental illness or insanity of the Director, and any person dealing
with the Representative may conclusively and absolutely rely, without inquiry,
upon any act of the Representative as the act of the Director in all matters
referred to in this Section 4.12(b).

                4.13 CONSENT TO JURISDICTION. Each party hereby irrevocably and
unconditionally consents to submit to the exclusive jurisdiction of the courts
of the State of New York and of the United States of America, in each case
located in the County of New York, for any Litigation (and agrees not to
commence any Litigation except in any such court), and further agrees that
service of process, summons, notice or document by U.S. registered mail to such
party's respective address set forth in Section 4.6 hereof shall be effective
service of process for any Litigation brought against such party in any such
court. Each party hereby irrevocably and unconditionally waives any objection to
the laying of venue of any Litigation in the courts of the State of New York or
of the United States of America, in each case located in the County of New York,
and hereby further irrevocably and unconditionally waives and agrees not to
plead or claim in any such court that any Litigation brought in any such court
has been brought in an inconvenient forum.

                IN WITNESS WHEREOF, this Agreement has been signed by or on
behalf of each of the parties hereto, all as of the date first above written.

DIRECTOR                                      COMMUNITY HEALTH SYSTEMS
                                              HOLDINGS CORP.

______________________________                By: ______________________________
Name:                                             Title:
Address:

                                       12
<PAGE>

The undersigned hereby agree to be bound by the provisions of Sections 2.2 and
2.3 of the foregoing Agreement.

                                        FORSTMANN LITTLE & CO. EQUITY
                                        PARTNERSHIP-V, L.P.

                                        By: FLC XXX Partnership,
                                            its general partner

                                            By: ____________________________
                                                Sandra J. Horbach,
                                                a general partner

                                        FORSTMANN LITTLE & CO. SUBORDINATED
                                        DEBT AND EQUITY MANAGEMENT
                                        BUYOUT PARTNERSHIP-VI, L.P.

                                        By: FLC XXIX Partnership,
                                            its general partner

                                            By: ____________________________
                                                Sandra J. Horbach,
                                                a general partner

                The undersigned acknowledges that the undersigned has read the
foregoing Agreement between Community Health Systems Holdings Corp. and the
undersigned's spouse, understands that the undersigned's spouse has acquired
shares of Class A Common Stock of Community Health Systems Holdings Corp. as
reflected in such Agreement and agrees to be bound by the foregoing Agreement.

                                        ___________________________
                                        Director's Spouse

                                       13
<PAGE>

                                     ANNEX A

<TABLE>
<CAPTION>
                     Number Of Shares In                 Cumulative Number Of
                     Respect Of Which Option             Shares Subject To The
                     Is Being Exercised On               Stockholder's Agreement
Date                 The Date Indicated                  On The Date Indicated
----                 ------------------                  ---------------------
<S>                  <C>                                 <C>
</TABLE>

                                       14

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