Document:

EX-10.4

 EXHIBIT 10.4 

AMENDMENT NO. 1 dated as of May 3, 2018 (this “Amendment”), to the ABL Credit
Agreement dated as of April 3, 2018 (as heretofore amended, supplemented, amended and restated or otherwise modified, the “ABL Credit Agreement”), among CHS/COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation
(the “Borrower”), COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (“Parent”), the lenders party thereto (the “Lenders”) and JPMORGAN CHASE BANK, N.A., as administrative
agent (in such capacity, the “Administrative Agent”) and as collateral agent for the Lenders. 

PRELIMINARY STATEMENT 

SECTION 1. Defined Terms. Capitalized terms used but not otherwise defined herein (including the Preliminary Statement
hereto) shall have the meanings assigned thereto in the ABL Credit Agreement. The provisions of Section 1.02 of the ABL Credit Agreement are hereby incorporated by reference herein, mutatis mutandis. This Amendment shall be a “Loan
Document” for all purposes of the ABL Credit Agreement and the other Loan Documents. 
 SECTION 2. Amendments to
the ABL Credit Agreement. Subject to the satisfaction of the conditions set forth in Section 4 hereof, the ABL Credit Agreement is hereby amended as follows, effective as of the Amendment No. 1 Effective Date (as defined below): 

Section 6.01(x) of the ABL Credit Agreement is hereby amended and restated in its entirety as follows:

 (x) Other Junior Secured Debt of Loan Parties (and not guaranteed by any entities that are not Loan Parties),
provided that (x) 100% of the Net Cash Proceeds of such Other Junior Secured Debt refinances or replaces any existing Indebtedness of Loan Parties (including unpaid accrued interest and fees on such Indebtedness and other reasonable amounts
paid and fees and expenses incurred in connection with such refinancing or replacement) or (y) such Other Junior Secured Debt is exchanged for existing Indebtedness of Loan Parties (in each case other than Indebtedness incurred pursuant to
Section 6.01(o)), provided further that neither the final maturity nor the weighted average life to maturity of such Other Junior Secured Debt is shorter than the applicable Indebtedness being refinanced, replaced or exchanged.

 SECTION 3. Representations and Warranties. To induce the other parties hereto to enter into this Amendment, each
of Parent and the Borrower hereby represents and warrants to each of the Lenders party hereto, the Administrative Agent, the Issuing Banks and the Collateral Agent that, after giving effect to this Amendment: 

 (a) The representations and warranties set forth in Article III of the ABL
Credit Agreement and in each other Loan Document are true and correct in all material respects (or, in the case of representations and warranties qualified by materiality or Material Adverse Effect, in all respects) on and as of the Amendment
No. 1 Effective Date with the same effect as though made on and as of such date, except to the extent such representations and warranties expressly relate to an earlier date, in which case such representations and warranties shall have been
true and correct in all material respects (or, in the case of the representations and warranties qualified by materiality or Material Adverse Effect, in all respects) as of such earlier date. 

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

(c) None of the Security Documents in effect on the Amendment No. 1 Effective Date will be rendered invalid, non-binding or unenforceable against any Loan Party as a result of this Amendment. The Guarantees created under such Security Documents will continue to guarantee the Obligations to the same extent as they
guaranteed the Obligations immediately prior to the Amendment No. 1 Effective Date. The Liens created under such Security Documents will continue to secure the Obligations, and will continue to be perfected, in each case, to the same extent as
they secured the Obligations or were perfected immediately prior to the Amendment No. 1 Effective Date. 
 SECTION 4.
Effectiveness. This Amendment shall become effective on and as of the date on which the Administrative Agent shall have received duly executed and delivered counterparts of this Amendment that, when taken together, bear the signatures of
Parent, the Borrower and the Required Lenders (such date, the “Amendment No. 1 Effective Date”). 

SECTION 5. Miscellaneous. Except as expressly set forth herein, this Amendment shall not constitute a waiver or
amendment of, or otherwise affect the rights and remedies of the Administrative Agent, the Lenders or any other Secured Party under the ABL Credit Agreement or any other Loan Document. From and after the Amendment No. 1 Effective Date, any
reference to the ABL Credit Agreement shall mean the ABL Credit Agreement as modified by this Amendment. This Amendment may be executed in one or more counterparts, each of which shall be deemed an original, but all of which together shall
constitute one and the same instrument. Delivery by electronic transmission (e.g., “pdf”) of an executed counterpart of a signature page to this Amendment shall be effective as delivery of an original executed counterpart of this
Amendment. This amendment shall be governed by, and construed in accordance with, the laws of the State of New York. 
 [Remainder of page
intentionally left blank] 

  
 2 

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

					
		 	CHS/COMMUNITY HEALTH SYSTEMS, INC.,
			
		 	    By:	  	
		 		  	      /s/ Edward W. Lomicka                        

		 		  	Name: Edward W. Lomicka
		 		  	Title: Vice President and Treasurer
		
		 	COMMUNITY HEALTH SYSTEMS, INC.,
			
		 	    By:	  	
		 		  	      /s/ Edward W. Lomicka                        

		 		  	Name: Edward W. Lomicka
		 		  	Title: Vice President and Treasurer

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		  	JPMORGAN CHASE BANK, N.A.,
 as a Lender, an Issuing Bank and the Administrative Agent and Collateral Agent

			
		  	By:	  	
		  		  	      /s/ Dawn Lee Lum                          
                    
		  		  	Name: Dawn Lee Lum
		  		  	Title:   Executive Director

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		 	CITIBANK, N.A.,
 as a Lender and an Issuing Bank

			
		 	By:	  	
		 		  	    /s/ Christopher Marino                            
          
		 		  	Name: Christopher Marino
		 		  	Title:   Vice President and Director

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		 	CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH,
 as a Lender and an Issuing Bank

			
		 	By:	  	
		 		  	    /s/ John D. Toronto                            
                 
		 		  	Name: John D. Toronto
		 		  	Title:   Authorized Signatory
			
		 	By:	  	
		 		  	    /s/ Warren Van Heyst                            
             
		 		  	Name: Warren Van Heyst
		 		  	Title:   Authorized Signatory

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		  	BANK OF AMERICA, N.A.,
 as a Lender and an Issuing Bank

			
		  	By:	  	
		  		  	    /s/ Steven L. Hipsman                           
             
		  		  	Name: Steven L. Hipsman
		  		  	Title:   Senior Vice President

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		  	ROYAL BANK OF CANADA,
 as a Lender and an Issuing Bank

			
		  	By:	 	
		  		 	    /s/ Farhan Lodhi                             
                         
		  		 	Name: Farhan Lodhi
		  		 	Title:   Attorney In Fact
			
		  	By:	 	
		  		 	/s/ Anna Bernat                                 
                           
		  		 	Name: Anna Bernat
		  		 	Title:   Attorney In Fact

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		 	WELLS FARGO BANK, NATIONAL ASSOCIATION,
 as a Lender and an Issuing Bank

			
		 	By:	 	
		 		 	    /s/ Dhaval Tejani                             
                           
		 		 	Name: Dhaval Tejani
		 		 	Title:   Duly Authorized Signatory

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement] 

					
		 	LENDER SIGNATURE PAGE TO THE CHS/COMMUNITY HEALTH SYSTEMS, INC. ABL CREDIT AGREEMENT*
		
		 	Name of Lender:
		
		 	                                   
                                         
           
			
		 	By:	 	
		 	                                   
                                         
            
		 		 	Name:                                     
                                 
		 		 	Title:                                    
                                    
		
		 	For Lenders requiring a second signature line:
			
		 	By:	 	
		 	                                   
                                         
            
		 		 	Name:                                     
                                 
		 		 	Title:                                    
                                    

  

	*	on file with Agent 

  
 [Signature Page to
Amendment No. 1 to the ABL Credit Agreement]EX-10.5

 Exhibit 10.5 
  

 
  

CHS/COMMUNITY HEALTH SYSTEMS, INC. 

2018 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
  

 
  

January 1, 2018 

 TABLE OF CONTENTS 
  

							
	 	 	 	 	Page 
			
	1.	 	PURPOSE	 	1  
			
	2.	 	DEFINITIONS AND CONSTRUCTION	 	1  
				
		 	2.1	 	Definitions	 	1  
				
		 	2.2	 	Captions; Section References	 	5  
				
		 	2.3	 	Severability	 	5  
			
	3.	 	ADMINISTRATION	 	5  
				
		 	3.1	 	The Committee	 	5  
				
		 	3.2	 	Authority of the Committee	 	5  
				
		 	3.3	 	Decisions Binding	 	5  
				
		 	3.4	 	Plan Administrator	 	5  
				
		 	3.5	 	Costs and Expenses	 	6  
				
		 	3.6	 	Indemnification	 	6  
			
	4.	 	PARTICIPATION IN THE PLAN	 	6  
				
		 	4.1	 	Notification of Participation	 	6  
				
		 	4.2	 	Termination of Participation	 	6  
			
	5.	 	BENEFITS UPON SEPARATION FROM SERVICE OR DEATH	 	6  
				
		 	5.1	 	Normal Retirement Benefit	 	6  
				
		 	5.2	 	Early Retirement Benefit	 	7  
				
		 	5.3	 	Disability Benefit	 	8  
				
		 	5.4	 	Death Benefit	 	8  
				
		 	5.5	 	Intentionally omitted	 	8  
			
	6.	 	BENEFITS UPON CHANGE IN CONTROL	 	8  
				
		 	6.1	 	Change in Control Benefit	 	8  
				
		 	6.2	 	Participants Under Age 55	 	8  
				
		 	6.3	 	Additional Years of Service	 	9  
				
		 	6.4	 	Certain Terminations of Employment	 	9  
			
	7.	 	BENEFICIARIES	 	9  
			
	8.	 	RABBI TRUST	 	9  
			
	9.	 	WITHHOLDING	 	9  
			
	10.	 	MODIFICATION AND TERMINATION	 	9  
				
		 	10.1	 	Amendment and Termination	 	9  
				
		 	10.2	 	Effect on Participants	 	9  
				
		 	10.3	 	No Obligation to Continue Plan	 	10  

  
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 TABLE OF CONTENTS 

(continued) 
  

							
	 	 	 	 	Page 
	11.	 	CLAIMS AND REVIEW PROCEDURES	 	10  
			
	12.	 	MISCELLANEOUS PROVISIONS	 	10  
				
		 	12.1	 	Non-Transferability	 	10  
				
		 	12.2	 	Payment of Benefits	 	10  
				
		 	12.3	 	No Rights of Employment	 	10  
				
		 	12.4	 	Applicable Law	 	11  
				
		 	12.5	 	Payment to Minors	 	11  
		
	EXHIBIT A     Date of Hire for Certain Plan Participants	 	12  

  
 - ii - 

 CHS/COMMUNITY HEALTH SYSTEMS, INC. 

2018 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 

WHEREAS, CHS/Community Health Systems, Inc. (the “Company”) maintains the CHS/Community Health Systems, Inc.
Amended and Restated Supplemental Executive Retirement Plan (the “Original Plan”); and 
 WHEREAS, the
Original Plan, as amended, continues in full force and effect; and 
 WHEREAS, the Company, in order to more closely
align with competitive market levels for certain employees of affiliates of the Company, now wishes to establish the CHS/Community Health Systems, Inc. 2018 Supplemental Executive Retirement Plan (the “Plan”), effective January 1,
2018. 
 NOW, THEREFORE, the Plan shall provide as follows: 

1.         Purpose. The purpose of this Plan is to advance the interests of CHS by
encouraging officers and other key employees of the Company and its subsidiaries who will largely be responsible for the long-term success and development of CHS to continue their employment with the Company and its subsidiaries by providing
retirement benefits for them. The Plan is also intended to assist the Company and its subsidiaries in attracting and retaining such employees and stimulating their efforts on behalf of the Company and its subsidiaries.

2.         Definitions and Construction. 

2.1    Definitions. As used in the Plan, terms defined parenthetically
immediately after their use shall have the respective meanings provided by such definitions, and the following words and phrases shall have the meanings specified below (in either case, such terms shall apply equally to both the singular and plural
forms of the terms defined), unless a different meaning is plainly required by the context: 

(a)        “Actuarial Equivalent” shall mean a benefit of equivalent
value calculated based on the Uninsured Pensioners 1994 Mortality Table including Projections to 2003 using 50% of the Male Rates and 50% of the Female Rates as prescribed for qualified retirement plans under the General Agreement on Trades and
Tariffs (GATT) and a discount rate equal to the yield on 10-Year Treasury Bonds for the twenty-four (24) months preceding the last day of the previous month (as determined by the Committee in good
faith), but in no event greater than 4% per annum. 
 (b)        “Annual
Retirement Benefit” shall mean an amount equal to a Participant’s Final Average Earnings multiplied by the lesser of (i) 60%, or (ii) a percentage equal to 2% multiplied by the Participant’s years of Service. 

(c)        “Beneficiary” shall mean the person or persons designated
by a Participant pursuant to Section 7 to receive the benefits to which a Participant is entitled upon the death of a Participant. 

  
 - 1 - 

 (d)        “Board” shall
mean the Board of Directors of the Company or, as the context requires, CHS. 

(e)        Intentionally omitted. 

(f)        “Change in Control” shall mean the occurrence of
any of the following events, but only to the extent such event would constitute a change in the ownership or effective control of CHS, or in the ownership of a substantial portion of the assets of CHS, as set forth in Code
Section 409A(a)(2)(A)(v) and defined in regulations promulgated by the U.S. Department of Treasury thereunder: 

(1)        An acquisition (other than directly from CHS) of any voting
securities of CHS (“Voting Securities”) by any Person (as the term person is used for purposes of Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as amended (“Exchange Act”)) immediately after which such
Person has Beneficial Ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of more than 50% of the then-outstanding shares of Common Stock of CHS (“Shares”) or the combined voting power of CHS’
then-outstanding Voting Securities; provided, however, in determining whether a Change in Control has occurred pursuant to this Section 2.1(f)(1), Shares or Voting Securities which are acquired in a Non-Control Acquisition (as hereinafter
defined) shall not constitute an acquisition that would cause a Change in Control. A “Non-Control Acquisition” shall mean an acquisition by (i) an employee benefit plan (or a trust forming a part thereof) maintained by the Company or
any Subsidiary, (ii) CHS or any Subsidiary, or (iii) any Person in connection with a Non-Control Transaction (as hereinafter defined); 

(2)        The individuals who, as of the date hereof, are members of the Board
of CHS (“Incumbent Board”), cease for any reason to constitute at least a majority of the members of the Board of CHS or, following a Merger (as hereinafter defined) that results in CHS having a Parent Corporation (as hereinafter defined),
the board of directors of the ultimate Parent Corporation; provided, however, that if the election, or nomination for election, by the CHS common stockholders, of any new director was approved by a vote of at least two-thirds of the Incumbent Board
of CHS, such new director shall, for purposes of the Plan, be considered as a member of the Incumbent Board of CHS; provided further, however, that no individual shall be considered a member of the Incumbent Board of CHS if such individual initially
assumed office as a result of either an actual or threatened Election Contest (as described in Rule 14a-11 promulgated under the Exchange Act) or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other
than the Board of CHS (“Proxy Contest”), including by reason of any agreement intended to avoid or settle any Election Contest or Proxy Contest; or 

(3)        The consummation of: 

(A)        A merger, consolidation or reorganization with or into the Company
or in which securities of the Company are issued (“Merger”), unless such Merger, is a Non-Control Transaction. A Non-Control Transaction shall mean a Merger
where: 
 (i)        the stockholders of CHS immediately before such Merger
own, directly or indirectly, immediately following such Merger, at least 50% of the combined voting power of the outstanding voting securities of (x) the corporation resulting from such Merger (“Surviving Corporation”), if 50% or more of
the combined voting power of the then outstanding voting securities of the Surviving Corporation is not Beneficially Owned, directly or indirectly, by 

  
 - 2 - 

 
another Person (“Parent Corporation”), or (y) if there are one or more Parent Corporations, the ultimate Parent Corporation; and 

(ii)        the individuals who were members of the Incumbent Board of CHS
immediately prior to the execution of the agreement providing for such Merger, constitute at least a majority of the members of the board of directors of (x) the Surviving Corporation, if there is no Parent Corporation, or (y) if
there are one or more Parent Corporations, the ultimate Parent Corporation. 

(B)        A complete liquidation or dissolution of CHS; or 

(C)        The sale or other disposition of all, or substantially all, of the
assets of CHS to any Person (other than a transfer to a Subsidiary or under conditions that would constitute a Non-Control Transaction with the disposition of assets being regarded as a Merger for this purpose
or the distribution to the CHS’ stockholders of the stock of a Subsidiary or any other assets). 
 Notwithstanding the
foregoing, a Change in Control shall not be deemed to occur solely because any Person (“Subject Person”) acquired Beneficial Ownership of more than the permitted amount of the then-outstanding Shares or Voting Securities as a result of the
acquisition of Shares or Voting Securities by CHS which, by reducing the number of Shares or Voting Securities then-outstanding, increases the proportional number of shares Beneficially Owned by the Subject Person, provided that if a Change in
Control would occur (but for the operation of this sentence) as a result of the acquisition of Shares or Voting Securities by CHS, and after such share acquisition by CHS the Subject Person becomes the Beneficial Owner of any additional Shares or
Voting Securities which increases the percentage of the then-outstanding Shares or Voting Securities Beneficially Owned by the Subject Person, then a Change in Control shall occur. 

(g)        “CHS” shall mean Community Health Systems, Inc., a
Delaware corporation. 
 (h)        “Code” shall mean the Internal
Revenue Code of 1986, as amended from time to time, or any successor thereto. 

(i)        “Committee” shall mean the Compensation Committee of the
Board of CHS. 
 (j)        “Company” shall mean CHS/Community
Health Systems, Inc., a Delaware corporation. 

(k)        “Compensation” shall mean only the salary plus the bonus
paid to a Participant. 
 (l)        “Disabled Participant” shall
mean any Participant who has been credited with five years of Service and who Separates from Service by reason of being Totally and Permanently Disabled. 

(m)        “Early Retirement Date” shall mean the date a Participant
has been credited with at least five years of Service and is at least 55 years old. 

(n)        “ERISA” shall mean the Employee Retirement Income Security
Act of 1974, as amended. 
 (o)        “Final Average Earnings”
shall mean an amount equal to (i) the sum of a Participant’s Compensation for the highest three years out of the last ten full years of Service 

  
 - 3 - 

 
preceding a Participant’s termination of employment with the Company and its Subsidiaries, divided by (ii) three. 

(p)        “Key Employee” shall mean an employee (other than an
Officer) of CHS, the Company, or a Subsidiary who has been selected by the Committee to be a Participant. 

(q)        “Monthly Retirement Income” shall mean a monthly income
computed as provided in the Plan. 
 (r)        “Normal Retirement
Date” shall mean the day of a Participant’s 65th birthday. 

(s)        “Officer” shall mean all employees of CHS, the Company, or
a Subsidiary who have been duly elected as officers of CHS by the Board of CHS. 

(t)        “Participant” shall mean any Officer or Key Employee. 

(u)        “Primary Insurance Amount” as of any date shall mean the
monthly amount of Social Security old age and survivor disability insurance benefits received or receivable by a Participant commencing at the Participant’s unreduced Social Security retirement age. The amount will be calculated based on the
Social Security Act in effect as of the date of calculation, without regard to any dependent benefits. 

(v)        “Rabbi Trust” shall mean the trust to be established by
the Company in accordance with the provisions of Section 8. 

(w)        “Retired Participant” shall mean any Participant who has
ceased to be an employee of the Company or a Subsidiary and who is entitled to receive a benefit under Section 5 of the Plan. 

(x)        “Separation from Service” or “Separate from
Service” means a separation from service as set forth in Code Section 409A(a)(2)(A)(i) and Treasury Regulation Section 1.409A-1(h), provided, however, that a Participant shall not be deemed to have Separated from Service on account of
a leave of absence until the first date immediately following the end of a 29-month period of leave (if the employment relationship is not terminated sooner) where such leave is due to any medically determinable physical or mental impairment that
can be expected to result in death or can be expected to last for a continuous period of not less than six months and where such impairment causes the Participant to be unable to perform the duties of his or her position of employment or any
substantially similar position of employment. 

(y)        “Service” shall mean one of the following: (i) in the
case of an Officer, all years and completed months of service with the Company and any Subsidiary, whether before or after the adoption of the Plan, but not beginning earlier than January 1, 1997 (as indicated for some Participants in
Exhibit A hereto) or, in the alternative, if the Committee so specifies for a designated Participant, additional years and months of service, provided, however, such additional years and months of service shall not exceed two years for every year of
completed service and two months for every one month of completed service with the Company, but not beginning before January 1, 1997, and (ii) in the case of an Officer or Key Employee who becomes a Participant after
January 1, 2003, all years and completed months of service following the date the person becomes a Participant. If a Participant’s name is not listed on Exhibit A, such Participant’s Service shall begin on the date described in clause
(ii) above. 

  
 - 4 - 

 (z)        “Specified
Employee” means “specified employee” as defined in Code Section 409A(a)(2)(B)(i) and Treasury Regulation Section 1.409A-1(i). 

(aa)     “Subsidiary” shall mean, with respect to CHS or the Company, as applicable,
any corporation or other entity of which a majority of its voting power, equity securities or equity interests is owned, directly or indirectly, by CHS or the Company, as applicable. 

(bb)     “Total and Permanent Disability” shall mean a physical or mental condition
that renders a Participant eligible for disability benefits under the long-term disability insurance program in effect at the Company as of January 1, 2009, even if such Participant no longer participates in such long-term disability program on
the date such physical or mental condition occurs. 
 2.2      Captions; Section
References. Section titles or captions contained in the Plan are inserted only as a matter of convenience and reference, and in no way define, limit, extend or describe the scope of the Plan, or the intent of any provision hereof. All
references herein to Sections shall refer to Sections of the Plan unless the context clearly requires otherwise. 

2.3      Severability. If any provision of the
Plan, or the application thereof to any person, entity or circumstances, shall be invalid or unenforceable to any extent, the remainder of the Plan, and the application of such provision to other persons, entities or circumstances, shall not be
affected thereby and the Plan shall be enforced to the greatest extent permitted by law. 

3.          Administration. 

3.1      The Committee. The Plan shall be
administered by the Committee. The Committee shall meet at such times and places as it determines and may meet through a telephone conference call. 

3.2      Authority of the Committee. Subject to the provisions of
the Plan, the Committee shall have full authority to: 
 (a)      Select Key
Employees. 
 (b)      Construe and interpret the Plan. 

(c)      Establish, amend and rescind rules and regulations for the Plan’s
administration. 
 (d)      Make all other determinations which may be necessary or
advisable for the administration of the Plan. 
 To the extent permitted by law, the Committee may delegate its authority as
identified hereunder. 
 3.3      Decisions Binding.
All determinations and decisions made by the Committee pursuant to the provisions of the Plan, and all related orders or resolutions of the Board, shall be final, conclusive and binding upon all persons, including the Company, its
stockholders, employees, Participants and their estates and Beneficiaries. 

3.4      Plan Administrator. For purposes of
ERISA, the Committee is the Plan administrator. Any claim for benefits under the Plan shall be made in writing to the Committee. 

  
 - 5 - 

 
The Committee and the claimant shall follow the claims procedures set forth in Department of Labor Regulation §2560.503-1. 

3.5    Costs and Expenses. In discharging their duties under the Plan,
the Committee may employ such counsel, accountants and consults as it deems necessary or appropriate. The Company shall pay all costs of such third parties and any other expenses incurred by the Committee with respect to the Plan. 

3.6    Indemnification. No member of the Committee, nor any officer or
employee acting on behalf of the Committee, CHS, the Company, or its Subsidiaries shall be personally liable for any action, determination or interpretation taken or made in good faith with respect to the Plan, and all members of the Committee, and
each and every officer or employee of CHS, the Company, or its Subsidiaries acting on their behalf, shall, to the extent permitted by law, be fully indemnified and protected by the Company with respect to any such action, determination or
interpretation. 
 4.          Participation in the Plan. 

4.1    Notification of Participation. Each Officer and Key Employee
shall be notified that they are a Participant under the Plan. 
 4.2    Termination of
Participation. A Participant who ceases to be an Officer or a Key Employee of the Company (as determined by the Committee), or who terminates employment with the Company and all Subsidiaries for any reason other than death or
Total and Permanent Disability, shall not be entitled to any benefits hereunder unless that change of status occurs after the Participant has reached their Early Retirement Date. 

5.          Benefits Upon Separation from Service or Death. 

5.1    Normal Retirement Benefit. A Participant (including, without
limitation, a Specified Employee) who has been credited with at least five years of Service and Separates from Service by reason of retirement on or after the Participant’s Normal Retirement Date shall receive a single lump-sum payment, commencing on the day immediately following the date that is six (6) months after the date of the Participant’s Separation from Service, in an amount that is the result of
“A.” MINUS “B.,” as described below: 
  

	 	“A.”	 Cumulative Benefit: An amount equal to the Actuarial Equivalent of a Monthly Retirement Income equal
to: 

 (i) one-twelfth of the Participant’s Annual
Retirement Benefit, reduced by 
 (ii) the Primary Insurance Amount. 

MINUS 
  

	 	“B”	 Original Plan Benefit: The amount payable to the Participant under Section 5.1 of the Original
Plan, as in effect on November 9, 2017, as set forth in Exhibit A of this Plan. 

 In order to avoid any
misunderstanding, it is the specific intent of the Company that the Original Plan Benefit payable to a Participant reduce the Participant’s Normal Retirement Benefit payable 

  
 - 6 - 

 
under this Plan on a dollar-for-dollar basis. By way of example, if a Participant’s Cumulative Benefit
(“A,” above) is $10,000 per month, and the Participant’s Original Plan Benefit (“B,” above) is $4,000 per month, the Participant’s Normal Retirement Benefit under this Plan would be (“A” $10,000
MINUS “B” $4,000=) $6,000 per month. 
 Notwithstanding the foregoing, a Participant may instead elect, at
any time, to receive the benefit calculated under this Section 5.1 as an amount that is the Actuarial Equivalent of the Monthly Retirement Income as calculated pursuant to this Section 5.1 above as of the later of the Participant’s
Eligibility Date (as defined below) or the Participant’s Election Date (as defined below), with interest thereon until such Participant’s Separation from Service in an amount equal to the average yield on
10-Year Treasury Bonds for the twenty-four (24) months preceding, calculated and compounded on a quarterly basis, but in no event greater than 4% per annum. For the sake of clarity, an election described
in this paragraph made by a Participant who does not become an Eligible Participant (as defined below) shall be disregarded and such Participant shall receive the benefit, if any, to which such Participant is otherwise entitled under this Plan. For
purposes hereof, (i) an “Eligible Participant” is a Participant who has attained the Normal Retirement Date (i.e., has reached the age of 65) and has completed or been credited with at least twenty-five (25) years of Service,
(ii) the “Eligibility Date” is the date a Participant becomes an Eligible Participant and (iii) the “Election Date” is the date a Participant makes the election described in this paragraph. An election made pursuant to
this paragraph shall be made in writing delivered to the Secretary of the CHS/Community Health Systems, Inc. and once made, shall be final and irrevocable. 

If a Participant who has had a Separation from Service and is entitled to a Normal Retirement Benefit under this Section 5.1 dies prior
to the date of such payment, such payment shall be made, instead, to the Participant’s Beneficiary on the date that it otherwise would have been made to the Participant, or as soon as administratively feasible thereafter within the same taxable
year (or, if later, by the 15th day of the third calendar month following the date the payment otherwise would have been made to the Participant, provided that neither the Participant nor Beneficiary shall be permitted, directly or indirectly, to
designate the taxable year of payment). 
 5.2      Early Retirement Benefit.
A Participant (including, without limitation, a Specified Employee) who Separates from Service by reason of retirement after attaining age 55 and who has been credited with at least five years of Service shall receive a single lump-sum payment, commencing on the day immediately following the date that is six (6) months after the date of the Participant’s Separation from Service, in an amount that is the Actuarial Equivalent of a
Monthly Retirement Income computed in the manner set forth in Section 5.1, except that the amount set forth in Section 5.1 shall be reduced by two/twelfths of one percent (.001667) of that amount for each month that payments commence prior
to the Participant’s Normal Retirement Date. The reduction referred to in the immediately preceding sentence shall not apply in the event of a Change in Control. If a Participant who has had a Separation from Service and is entitled to an Early
Retirement Benefit under this Section 5.2 dies prior to the date of such payment, such payment shall be made, instead, to the Participant’s Beneficiary on the date that it otherwise would have been made to the Participant, or as soon as
administratively feasible thereafter within the same taxable year (or, if later, by the 15th day of the third calendar month following the date the payment otherwise would have been made to the Participant, provided that neither the Participant nor
Beneficiary shall be permitted, directly or indirectly, to designate the taxable year of payment). 

  
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 5. 3      Disability Benefit .

 (a)      A Disabled Participant (including, without limitation, a Specified
Employee) shall receive a single lump-sum payment, commencing on the later of (i) the day immediately following the date that is six (6) months after the date of the Participant’s Separation from Service by reason of becoming
Totally and Permanently Disabled, or (ii) the first day of the month following the Participant’s 55th birthday, in an amount that is the Actuarial Equivalent of a Monthly
Retirement Income computed in the manner set forth in Section 5.1. This benefit shall be payable at the time prescribed in this Section 5.3(a) regardless of whether the Participant recovers from the disability before payment
is due. 
 (b)      If a Disabled Participant dies before the payment of the benefit
described in Section 5.3(a), a death benefit shall be payable to the Disabled Participant’s Beneficiary. Such death benefit shall be a single lump-sum payment equal to the Actuarial Equivalent present value of a Monthly Retirement Income
as of the Participant’s date of death, computed in accordance with the provisions of Section 5.3(a). Such death benefit shall be paid to the Participant’s Beneficiary no later than ninety (90) days after the date of death
(provided that neither the Participant nor Beneficiary shall be permitted, directly or indirectly, to designate the taxable year of payment). 

5.4      Death Benefit. If a Participant who has been
credited with five or more years of Service dies prior to incurring a Separation from Service, a single, lump-sum death benefit shall be paid to the deceased Participant’s Beneficiary. Such death benefit
shall be the Actuarial Equivalent of the Participant’s Monthly Retirement Income as of the Participant’s date of death, computed in the same manner as provided in Section 5.3(a) in the case of a Disabled Participant. Such death
benefit shall be paid to the deceased Participant’s Beneficiary no later than ninety (90) days after the date of death (provided that neither the Participant nor Beneficiary shall be permitted, directly or indirectly, to designate the
taxable year of payment). 
 5.5      Intentionally omitted. 

6.        Benefits Upon Change in Control. 

6.1      Change in Control Benefit. In the event of a Change
in Control, the benefit of any Participant with five years or more of Service but not yet otherwise entitled to a benefit under the other provisions of this Plan shall be fully vested and shall be paid out as soon as administratively feasible but no
later than ninety (90) days after the Change in Control (provided that the Participant shall not be permitted, directly or indirectly, to designate the taxable year of payment) in a single lump-sum
payment pursuant to the applicable provisions in Section 5. Upon such payment to all Participants, the Plan shall terminate. 

6.2      Participants Under Age 55. Any Participant who has
been credited with five years or more years of Service on the date of the Change in Control who is under age 55 will be deemed to be age 55 solely for purposes of determining if the Participant is eligible for benefits under the Plan but, in
computing the lump sum payment provided for in Section 6.1 and the applicable provisions of Section 5, the Monthly Retirement Income shall be deemed payable based upon the Participant’s actual age on the date of the Change in Control.

  
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 6.3      Additional Years of
Service. All Participants who have been credited with five years or more of Service as of a Change in Control will be credited with an additional three years of Service as a result of a Change in Control. 

6.4      Certain Terminations of Employment. If a
Participant’s employment is terminated by the Company prior to the date of a Change in Control, but the Participant reasonably demonstrates to the satisfaction of the Committee that the termination (i) was at the request of a third party
who has indicated an intention to, or has taken steps reasonably calculated to, effect a Change in Control, or (ii) otherwise arose in connection with, or in anticipation of, a Change in Control which has been threatened or proposed, such
termination shall be deemed to have occurred after a Change in Control for purposes of the Plan, provided a Change in Control actually occurs. Such a Participant shall be entitled to receive the same benefits under the Plan as if the Participant had
been an employee of the Company or a Subsidiary on the date the Change in Control actually occurs. Notwithstanding the foregoing, no payment under this Section 6.4 shall be made before the date that is six (6) months after the date
of the Participant’s actual Separation from Service. 
 7.      Beneficiaries. Each
Participant shall have the right, by giving written notice to the Committee on such form as the Committee shall adopt, to designate a Beneficiary or Beneficiaries to receive payments which become available under the Plan should the Participant die.
A Participant may change the designated Beneficiary by filing a new beneficiary designation form with the Committee. If a Participant dies and has not designated a Beneficiary, or if the Beneficiary predeceases the Participant, the estate of the
deceased Participant shall be deemed to be the Beneficiary. 
 8.      Rabbi Trust. The Company
intends to establish a Rabbi Trust with a commercial bank or other financial or trust institution of which the Company would be considered the owner for Federal income tax purposes. The Rabbi Trust will be established to provide a source of funds to
enable the Company to make payments to the Participants and their Beneficiaries pursuant to the terms of the Plan and will be administered in a manner consistent with the requirements of Code Section 409A. Payments to which Participants are
entitled under the terms of the Plan shall be paid out of the Rabbi Trust to the extent of the assets therein. The assets of the Rabbi Trust will be subject to the claims of general creditors of the Company. 

9.      Withholding. The Company shall have the right to withhold from the payments to be made to
any Participant or Beneficiary hereunder all amounts required to be so withheld under applicable law. 

10.      Modification and Termination. 

10.1      Amendment and Termination. The Company reserves the
right at any time, by action of the Board, to modify or amend, in whole or in part, any or all of the provisions of the Plan, or to terminate the Plan. In the event of Plan termination, benefits shall be payable at the time and in the manner
provided in Sections 5 and 6; however, the Company may accelerate the time and form of payment pursuant to a termination and liquidation of the Plan in accordance with Code Section 409A and the regulations thereunder. 

10.2      Effect on Participants. Notwithstanding the
provisions of Section 10.1, no amendment, modification or termination of the Plan shall adversely affect: 

  
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 (a)      The Monthly Retirement Income of
any Participant, or the Beneficiary of any Participant, who has Separated from Service or died prior thereto. 

(b)      The right of any Participant then employed by the Company or a Subsidiary who
has been credited with at least five years of Service to receive upon death, Separation from Service (including Separation from Service by reason of Total and Permanent Disability) or Change in Control, the benefit to which such person would have
been entitled under the Plan prior to the amendment, modification or termination, provided, however, that the Company may accelerate the time and form of payment pursuant to a termination and liquidation of the Plan in accordance with Code
Section 409A and the regulations thereunder. 
 10.3      No Obligation to
Continue Plan. Although it is the intention of the Company that the Plan shall be continued indefinitely, the Plan is entirely voluntary on the part of the Company, and the continuance of the Plan is not a contractual
obligation of the Company. 
 11.       Claims and Review Procedures. The Committee shall
establish and maintain reasonable procedures governing the filing of claims, notification of benefit determinations, and appeal of adverse benefit determinations in accordance with applicable law. Such procedures shall provide for adequate notice in
writing to any Participant or Beneficiary whose claim for benefits under the Plan has been denied, setting forth the specific reasons for such denial and written in a manner calculated to be understood by the Participant or Beneficiary. Such
procedures shall also afford a reasonable opportunity to any Participant or Beneficiary whose claim for benefits has been denied for a full and fair review by the Committee of the decision denying the claim. 

12.       Miscellaneous Provisions. 

12.1      
Non-Transferability. Neither the interest of a Participant or any other person in the Plan, nor the benefits payable hereunder, shall be subject to the claim of creditors of a Participant
or their Beneficiaries and will not be subject to attachment, garnishment or any other legal process. Neither a Participant nor a Beneficiary may assign, sell, pledge or otherwise encumber any of their beneficial interest in the Plan, nor shall any
such benefits be in any manner liable for, or subject to, the deeds, contracts, liabilities, engagements or torts of any Participant or their Beneficiary. All such payments and rights thereto are expressly declared to be non-assignable and non-transferable, and in the event of any attempted assignment or transfer (whether voluntary or involuntary) by a Participant or a Beneficiary, the Company
shall have no further liability hereunder to such Participant or Beneficiary. 

12.2      Payment of Benefits. Although the Company intends
to establish the Rabbi Trust to fund its obligations under the Plan, the rights of Participants and Beneficiaries to receive payments under the Plan shall constitute only a general claim against the Company and will not be a lien or claim on any
specific assets of the Company. 
 12.3      No Rights of
Employment. The Plan shall not be deemed to constitute a contract of employment between a Participant and the Company or a Subsidiary. Nothing contained in the Plan shall be deemed to give any Participant the right to be
retained in the employment of the Company or a Subsidiary. The Plan shall not interfere in any way with the Company’s or a Subsidiary’s right to discharge a Participant at any time, regardless of the effect which such discharge would have
upon such Participant under the Plan, and such actions by the Company or 

  
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a Subsidiary in discharging any Participant shall not be deemed a breach of contract, nor give rise to any rights or actions in favor of such Participant. 

12.4      Applicable Law. The Plan shall be governed by, and
construed in accordance with, the laws of the State of Tennessee without regard to its conflict of laws rules. It is intended that the Plan be an unfunded plan maintained primarily for the purpose of providing deferred compensation for a select
group of highly compensated employees of the Company. As such, the Plan is intended to be exempt from certain otherwise applicable provisions of Title I of ERISA, and any ambiguities in construction shall be resolved in favor of an interpretation
which will effectuate such intention. The Plan is intended to comply with Code Section 409A and the Treasury Regulations promulgated thereunder as applicable to nonqualified deferred compensation plans and shall be construed in furtherance
of such intent.
 12.5      Payment to Minors. In making
any payment to or for the benefit of any minor or incompetent Beneficiary, the Committee, in its sole, absolute and uncontrolled discretion, may, but need not, make such payment to a legal or natural guardian or other relative of such minor or court
appointed committee of such incompetent, or to any adult with whom such minor or incompetent temporarily or permanently resides, and the receipt by such guardian, committee, relative or other person shall be a complete discharge of the Company,
without any responsibility on its part or on the part of the Committee to see to the application thereof. 
 IN WITNESS
WHEREOF, the Company has caused the Plan to be executed by its duly authorized officer the 15th day of May, 2018 effective as set forth herein. 

 

			
	CHS/COMMUNITY HEALTH SYSTEMS, INC.
		
	By:	 	     /s/ Benjamin C. Fordham

		 	    Benjamin C. Fordham,
	Title:	 	 Executive Vice President, General Counsel and Assistant Secretary

  
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